March 2016 • Volume 27, Number 3
Nursingmatters www.nursingmattersonline.com
INSIDE: What if ...
3 Edith Lockwood
5 Nurse’s role
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UW-Milwaukee celebrates 50 years Kenneth Brierton UW-Milwaukee College of Nursing
The University of Wisconsin-Milwaukee’s College of Nursing is located in the economic and cultural capital of Wisconsin, opening doors to 21st century career connections and world-class learning opportunities for the most diverse population of students in Wisconsin. The leadership, passion and vision of UW-Milwaukee faculty and staff propel students to excellence in research, achievement and community engagement. An innovative, academic nursing community, the UW-Milwaukee College of Nursing faculty, staff, students and alumni are renowned leaders in creating bold and effective solutions for advancing local, national and global health. With an undergraduate enrollment of 1,300 and graduate enrollment of more than 300 students, opportunities to engage are endless. The college offers a wide array of programs leading to Bachelor of Science, Master of Nursing, Master of Science, Doctor of Nursing Practice and PhD degrees. Innovative opportunities for a Registered Nurse to complete a bachelor’s degree include the following programs: • BSN@Home – online, • BSN@Work – in partnership with area health systems and • BSN FLEX Option – online, competency-based. The Master of Nursing – Direct Entry is designed for students with a degree in a field other than nursing and is ideal for those interested in becoming a Clinical Nurse Leader. The Master of Nursing program offers students a nurse generalist master’s program that successfully builds on an existing Bachelor of Science in Nursing degree. Finally, the Master of Sustainable Peacebuilding program prepares nurses and non-nurses with the transdisciplinary skills and concepts required to manage and solve today’s complex global problems. The college has a Doctor of Nursing Practice program with a wide array of specialty options, including Family Nurse Practitioner, Clinical Nurse Specialist options in Gerontology, Pediatrics and
TROYE FOX/UW-MILWAUKEE
UW-Milwaukee College of Nursing prides itself on its diverse student population. Whether a Wisconsin resident, from out of state or international, the College of Nursing welcomes those who love nursing.
Undergraduate students receive clinical experience in partnership with more than 160 agencies. This student works diligently in 2000.
Maternal Child, as well as Nursing Systems Leadership and Community-Public Health. UW-Milwaukee supported an early PhD program in nursing and in 2003 launched the first fully online PhD in Nursing program in the nation. With both campus-based and online options, the college has a large doctoral cohort of students from around the world – increasing the college’s impact internationally. U.S. News & World Report consistently ranks the College of Nursing among the top 10 percent of nursing schools with graduate programs in the nation. More than 33 percent of the college’s faculty and scientists are Fellows in the American Academy of Nursing, an indication
that students have an opportunity to learn from the best nurse scientists and educators. As the largest College of Nursing in the state, UW-Milwaukee partners with more than 160 clinical agencies. Those partnerships prepare graduates for the depth and breadth of skills needed to excel in the complex health care environment as practitioners, educators and researchers. As a campus center of excellence, the UW-Milwaukee College of Nursing Institute for Urban Health Partnerships is one of a select few programs nationally that matches faculty expertise with the community to develop more effective health-care solutions in real time. The institute provides organizational support for the college’s two community nursing centers – House of Peace and Silver Spring Community Nursing Centers, and the Center for Global Health Equity. The academic units coordinate UW-Milwaukee faculty, staff and students to partner with other health professionals and social service providers in at-risk neighborhoods
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March • 2016
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Nursingmatters is published monthly by Capital Newspapers. Editorial and business offices are located at 1901 Fish Hatchery Road, Madison, WI 53713 FAX 608-250-4155 Send change of address information to: Nursingmatters 1901 Fish Hatchery Rd. Madison, WI 53713 Editor .......................................... Kaye Lillesand, MSN 608-222-4774 • kayelillesand@gmail.com Managing Editor .................................. Julie Belschner 608-250-4320 • jbelschner@madison.com Advertising Representative.................... Teague Racine 608-252-6038 • tracine@madison.com Recruitment Sales Manager ......................Sheryl Barry 608-252-6379 • sbarry@madison.com Art Director ..........................................Wendy McClure 608-252-6267 • wmcclure@madison.com Publications Division Manager ................. Matt Meyers 608-252-6235 • mmeyers@madison.com Nursingmatters is dedicated to supporting and fostering the growth of professional nursing. Your comments are encouraged and appreciated. Email editorial submissions to klillesand@sbcglobal.net. Call 608-252-6264 for advertising rates. Every precaution is taken to ensure accuracy, but the publisher cannot accept responsibility for the correctness or accuracy of information herein or for any opinion expressed. The publisher will return material submitted when requested; however, we cannot guarantee the safety of artwork, photographs or manuscripts while in transit or while in our possession.
EDITORIAL BOARD Vivien DeBack, RN, Ph.D., Emeritus Nurse Consultant Empowering Change, Greenfield, WI Bonnie Allbaugh, RN, MSN Madison, WI Cathy Andrews, Ph.D., RN Associate Professor (Retired) Edgewood College, Madison, WI Kristin Baird, RN, BSN, MSH President Baird Consulting, Inc., Fort Atkinson, WI Joyce Berning, BSN Mineral Point, WI Mary Greeneway, BSN, RN-BC Clinical Education Coordinator Aurora Medical Center, Manitowoc County Mary LaBelle, RN Staff Nurse Froedtert Memorial Lutheran Hospital Milwaukee, WI Cynthia Wheeler Retired NURSINGmatters Advertising Executive, Madison, WI Deanna Blanchard, MSN Nursing Education Specialist at UW Health Oregon, WI Claire Meisenheimer, RN, Ph.D. Professor, UW-Oshkosh College of Nursing Oshkosh, WI Steve Ohly, ANP Community Health Program Manager St. Lukes Madison Street Outreach Clinic Milwaukee, WI Joyce Smith, RN, CFNP Family Nurse Practitioner Marshfield Clinic, Riverview Center Eau Claire, WI Karen Witt, RN, MSN Associate Professor UW-Eau Claire School of Nursing, Eau Claire, WI © 2015 Capital Newspapers
Nursingmatters
GUEST EDITORIAL
Voting well is the best revenge Jay Heck Common Cause in Wisconsin
After what occurred this past fall in Wisconsin, it might be tempting to just give up and tell ourselves that we cannot fight this rigged political system. After all – despite thousands of calls, letters and emails from citizens across the state opposing the destruction of the (Government Accountability Board) and the GOP campaign finance “deform” legislation, Jay Heck and virtually no citizen support for either and with opposition from (many) Wisconsin newspapers – Republican legislators still trashed key parts of our state’s democracy in a way that will make all our voices seem even less relevant and listened to by a Legislature and governor who care only about consolidating one-party political control over our state. We might want to just give up and whine a lot during 2016 – a critical election year in Wisconsin and in the nation if there ever was one. But is that a realistic option? Of course it’s not. It’s not what we do! Instead, we must organize and vote in numbers during 2016 that we have never
achieved before. That is our only option! But voting in Wisconsin is no longer as easy as it once was. The 2016 elections will be the first – other than a single primary election in 2011 – in which a voter photo ID will be required in order to cast a ballot. If you have a valid Wisconsin driver’s license, this might seem like no big deal. But for those who don’t, this is a very big deal. If we hope to amplify our voices so they will have the greatest impact, we must help ensure that every eligible voter in the state has the required form of ID they will need in order to vote. Sounds like a pretty tall order. It is, but it is eminently doable. And we must do it! If we all do these three things – and we do them beginning now and between the April 5 spring general election for state Supreme Court justice and the Presidential Primary – we have a real shot at achieving the level of eligibility for Wisconsinites to be able to vote that we will need to prevail over the corrupt status quo. A: Check to see that you are registered to vote at your current address. If you are not, please don’t put it off; register now. B: Look over the Voter ID fact sheet to ensure you have a photo ID that can be used as a voter ID. If you do not – again, don’t put it off. Follow the steps (shown, to) get an ID. Now. C: Ask between 15 and 20 people you know – family, friends, neighbors, anyone! – if they have an acceptable form
of ID for voting, and if they don’t, help them get one. If they don’t have a ride to the (Department of Motor Vehicles to get an ID), offer to take them! Make it your mission to be responsible for 15 to 20 other citizens to have what they need to cast a ballot April 5, and make sure they are able to do so and do it! BONUS Step: Share our general voter ID fact sheet, our sheet for senior citizens and for college students (– share on) Facebook, Twitter (and) online forums – anywhere and any way you think helpful. You can also direct people to www.commoncausewisconsin.org where these three fact sheets can be found and accessed on the upper-right corner of our home page. The best revenge for what Walker and his hyper-partisan allies did to democracy in Wisconsin during 2015 – and earlier – is the application of more democracy! Specifically – exercising your right to vote and ensuring that you and everyone you know is “properly equipped” to cast a ballot at the polls. The time for complaining is over. The time to take pro-active, positive steps to reclaim Wisconsin for the citizens of the state is now! Do it. Common Cause in Wisconsin is a non-partisan, non-profit citizen’s lobby that focuses on campaign finance, election, andlobby reform, open meetings law and other issues concerning the promotion and maintenance of “clean,” open, responsive and accountable government.
LETTER TO THE EDITOR
Join the Nurses on Boards Coalition The American Nurses Association is a proud member of the Nurses on Boards Coalition with the goal of putting 10,000 nurses on boards by 2020. The (coalition) represents national nursing and other organizations working to build healthier communities across the nation by increasing nurse presence on corporate, health-related and other boards, panels and commissions. The (coalition) seeks to raise awareness that all boards would benefit from the unique perspective of nurses to achieve the goals of improved health, and efficient and effective health care systems at the local, state and
national levels. The (Nurses on Boards Coalition recently held) a special week-long “Leap into Leadership” campaign (that encouraged) nurses nationwide to visit the (coalition’s) website to click the “Be Counted” tab. We also want to know if you wish to serve on a board. We know there is a cadre of nurses who are ready, willing and able to make a difference by serving on boards of community, health and other organizations. Help Us Spread the Word! Visit the Nurses on Boards Coalition website. (http://nursesonboardscoalition.org)
Tell your colleagues about the campaign. Share the “Leap into Leadership” messages on social-media sites. Also view and share the article in “The American Nurse,” (entitled) “Nurses on Boards Coalition reports on progress.” It will take all of us to reach this ambitious goal, so please support the (coalition)! Marla J Weston, PhD, RN, FAAN CEO, American Nurses Association Co-chair, Nurses on Boards Coalition Debbie Dawson Hatmaker, PhD, RN, FAAN Executive Director American Nurses Association
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March • 2016
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WHAT IF ...
What is Pain? Brenda Zarth
Pain is an extremely individual and complex subject. But basically pain makes a person stop. Physical pain stops a person in his or her tracks, causing a sudden and complete halt. Emotional pain can immobilize a person. Mental anguish can cause the sufferer to seek a dark, quiet space away from everything and everyone, stopping input. Could pain possibly have a purpose, at least sometimes? Physical trauma Brenda Zarth takes time to heal; the body needs to stop and rest. Swelling needs time to dissipate, bones need time to mend and tissues to regrow. Pain medication should help calm the mind so the body can rest and heal. Physical Therapy is used to rebuild muscle mass and to strengthen joints. It should be done a little more each episode, always pushing to the point of pain. Pain signals when the body has had enough for the day; it’s then time to rest again. Emotional pain immobilizes by using anguish; everything feels upside down. There is a loss of what’s normal; a person’s comfort zone is damaged. Life is a blank slate. The patient needs to recreate the normal, find firm footing, establish new roots and rebuild a foundation. The pain may actually give a person support to stop him or her from blindly running in circles; it shields the mind from further danger. It causes a person to move slowly, to take time with decision-making, to think longer before acting. It can give a person time to become reestablished. Mental pain drives a person to withdraw, to prevent too much input. The
Physical pain stops a person in his or her tracks, causing a sudden and complete halt.
patient needs a dark room, a quiet place, where the brain can rest. A person needs silence so she or he can sort it all out, put it back in perspective and make sense of it. The person pulls back, allows the pieces to drop back into place and quiets the pain. As a nurse, my job is to listen. What kind of pain does the patient have? Is it stabbing, grabbing, cramping, aching, pins and needles, sharp or dull? Is it constant or intermittent? Is there anything that brings it on or helps relieve it? When did it start? The stories unwind – aching pain from a heavy-machinery accident and a broken back three years ago. My patient wants a pain pill so he can keep working. The pain pill allows him to keep lifting, working hard, stretching and straining against his weakened and broken back. Why does he still have pain after his bones and tissues should have healed? Did he give himself time off to heal at the original onset? What kind of rehab did he have after the initial accident? Did he go to Physical Therapy to rebuild and strengthen? Did he have a re-injury?
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Pain continued from page 3 Was there underlying collateral damage that occurred with his original accident that was never addressed? I wonder about the circumstances of the accident; how was he hurt? Who else was involved? Is there any emotional or mental trauma involved that is asking for intervention? Should we still be giving him pain medicine for an accident that happened three years ago? After six months to a year shouldn’t he be back to baseline? Has he developed a dependence or addiction to the pain medicine? The pain medicine allows him to ignore the stop sign that his body or mind is putting up. Maybe he has a weak back and is no longer able to continue his current job. Maybe he needs to move to a supervisor position or something that is less strenuous. He needs to understand that pain medicine is not just blocking his pain; it is slowing his bodily systems, weakening his organs and making him age prematurely. The pain pill isn’t a free pass. It has a cumulative cost that may demand payment in the future. I heard an analogy from a pain-clinic nurse who said pain pills do not treat pain by eliminating it. They figuratively shove it into a closet and store it. Therefore, stopping pain pills can cause the pain to increase because the patient is releasing the memory of the accumulated pain. Pain is complex. It often involves a comprehensive approach, taking into consideration the likes and dislikes of individuals. It requires consideration of spiritual and religious values. A
treatment plan often needs to bow to financial ability and time constraints. Treatment requires looking at the whole picture. The nurse must do a comprehensive assessment, assessing the true roots of the problems and working out a treatment plan that is acceptable to the patient. Part of the key is being clear with patients in the beginning regarding the side effects of narcotics, cautioning from the beginning regarding long-term complications. Encourage patients to use narcotics short-term for support, but do not refill prescriptions. I remember when prednisone was popular for arthritis, and how challenging it was to take people off it. Now it’s a fading memory. A comprehensive case-management nurse needs to evaluate pain and address the true cause of remaining symptoms so they can be treated appropriately. We move so fast in America that we create too much of our own stress. We all want to be a super hero, responding to unrealistic demands. If we allow ourselves to be more in tune with our body, we ensure a more full and productive life. Taking the time to heal might seem like a luxury but is necessary and will pay back in the future. Ignoring pain by persistently throwing a pain pill at it can cause long-term collateral damage. We need to use the right treatment for the problem. Tai Chi, yoga, Craniosacral Therapy, reflexology, acupuncture, Mind Body work or meditation might help to internally reconnect, and to help define what is interfering with the completion of the healing process. It could be a lack of resources or support. It could be a lack of nutrition. Email BrendaZarth@gmail.com or visit brendashealthplan.blogspot.com
Nursingmatters
TROYE FOX/UW-MILWAUKEE
Undergraduate nursing education maximizes hands-on learning, technological innovation and training, and a comprehensive survey of nursing theory and practice.
UW-Milwaukee continued from page 1 as near as Milwaukee and as far away as East Africa. Through these academic community partnerships, the UW-Milwaukee College of Nursing provides primary health care, improves environmental health, and coordinates health education, care coordination and prevention services. Research is vital to the college’s mission as a premier, urban, academic, collegial nursing community engaged in transforming health-care delivery and health-care policy. The college’s research portfolio is supported by the Harriet H. Werley Center for Nursing Research and Evaluation – one of the first in the nation, opening in 1983. In 2015 the college kicked off its 50th Anniversary Celebration, which culminates in April 2016. The college is partnering April 14 with community centers, agencies and organizations to “Celebrate Community Impact.” The college will on April 15 recognize “50 Distinguished
UW-MILWAUKEE NURSING HISTORY CENTER
Milwaukee Hospital nursing students in 1914 wear the school’s peaked caps.
Alumni” who have contributed to the field of nursing in extraordinary ways. Alumni, partners and friends will join together April 16 for the “BIG Celebration,” highlighting the contributions and accomplishments of the college’s 50 years. During the 2016 Midwest Nursing Research Society’s annual research conference, the college will kick off March 16 the inaugural Suzanne Feetham Distinguished Lecture Series, featuring Dr. Kathleen Knafl, PhD, FAAN. Visit www.uwm.edu/nursing/50th or contact Wendy Welsh at welsh@uwm.edu or 414-229-3590 for more information.
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UW-Milwaukee College of Nursing has had a full bachelor’s of science nursing program at UW-Parkside for more than 30 years.
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March • 2016
www.nursingmattersonline.com Reprint in a series written by Signe Cooper and introduced by Laurie Glass in Nursingmatters
CALENDAR April 9: Advances in Melanoma The 48th-annual Southeastern Wisconsin Cancer Conference, Milwaukee www.wicancerconference.org
Edith Lockwood — 1880-1971 The nursing career of Edith Lockwood spanned 40 years. Affectionately known as the Florence Nightingale of Edgerton, Wisconsin, she was the first registered nurse in the city and started the first hospital. Lockwood was born June 10, 1880, in Brooklyn, Wisconsin, in Green County, to Delane and Hannah Slauson Lockwood. The oldest of three children, her siblings were a sister, Leila, and a brother, Frank, who died at about age 14. She grew up in Brooklyn and graduated from Evansville High school in 1900. That year she obtained a teacher’s certificate and taught in rural schools in Green County before enrolling in the Trinity Hospital Training School for Nurses in Milwaukee. She received her diploma in 1903, and became a Wisconsin registered nurse in 1914, shortly after nurses were first registered in the state. She came to Edgerton in 1904 and worked as a private-duty nurse. At that time most babies were born at home, and most patients were new mothers and their babies. In addition to caring for them, her duties usually included preparing meals for the family, as well as household chores. The experience led her to believe that the community needed a maternity hospital. In 1918, she opened her home as a hospital and named it the Lockwood Hospital, the first one in Edgerton. Eventually the hospital expanded to 12 beds, and patients with a variety of conditions were cared for; tonsillectomies were often done at the hospital. Lockwood had one assistant, Clara Christianson, with help from one other person. But operating the hospital meant she was responsible not only for patient care, but also cooking, cleaning, and laundry, as well as being “on-call” day and night. In the five years of its existence, the Lockwood Hospital provided care to nearly 2,000 patients and 233 babies. Lockwood was proud of her babies; family albums include photos of her with each of the babies born there. The hospital closed in 1923, when Edgerton Memorial Hospital opened – it was built as a World War I memorial after an extensive fundraising drive. After closing her hospital, Lockwood took an auto trip of more than 3,000 miles to San Diego. Driving her Willys-Knight sedan, she was accompanied by her mother, aunt, sister Leila and Leila’s
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Oak Park Place is now hiring: RNs/LPNs to work the PM shift in our skilled nursing Part Time Clinical Supervisor to work in assisted living CNAs and Caregivers on all shifts Edith Lockwood
husband, Bob. The arduous trip is hard to imagine; most roads were gravel or dirt that turned to mud in the rain. A stretch of pavement 40 miles long was an event that she noted in the journal she kept of the trip. Flat tires were a frequent occurrence and needed to be patched before proceeding. Progress was slow; her record shows that 163 miles was their best day. The travelers took a tent and camped along the way. But whatever the hardships, Lockwood always maintained a love of travel. When she went to California she intended to stay, but she returned to Edgerton two years later. From then until she retired she worked as a private-duty nurse. Before intensive-care units were developed, private-duty nurses often took care of the sickest patients in the hospital, though they also cared for patients in their homes. Lockwood’s family was always important to her; she gave care through their elder years to her parents and an aunt, and to her sister during her own career and into retirement. Through financial and other support she saw to the 1930s college educations of younger, capable cousins. A recycler before the term was used, as a private-duty nurse in well-to-do homes, she would ask for used but serviceable
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March • 2016
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Faith Community Nursing Day of Enrichment
“Preparing for the End of Life: Role of the Faith Community Nurse”
➤ ➤ ➤ ➤
Moving towards the end of life Advance care planning Healing Service Networking & Exhibits When: Friday, April 29, 2016 Where: Mayo Clinic Health System Dale Conference Room La Crosse, WI Cost: $55.00 per participant Register by April 15, 2016
For more information or to register for this event call (608)796-3670 or email parishnursing@viterbo.edu Sponsored by: Viterbo University Faith Community Nursing Resource Center
Notice of Vacancy for
NURSE CLINICIAN 2 Sand Ridge Secure Treatment Center Mauston, Wisconsin (Juneau County) Wisconsin’s Department of Health Services (DHS), Sand Ridge Secure Treatment Center (SRSTC) in Mauston, is seeking candidates for the position of Nurse Clinician 2. There are currently several vacancies available. This is an opportunity for nurses to work in a challenging and unique setting. SRSTC is a nationally recognized facility for the treatment of sex offenders committed under Wisconsin’s Statute 980. As a registered nurse, you will be utilizing the nursing process in the provision of routine and complex patient cares in both a clinic and skilled care unit setting. New nurses are provided one-toone orientation designed by a Nurse Clinician 4 that meets individual learning needs. An opportunity to work side-by-side with experienced nurses is also provided. Nurses at SRSTC are respected and valued for their knowledge, skill and contribution to the mission of SRSTC. To be considered for this position, you will need to create an account and apply online. For instructions please visit the State of Wisconsin website at http://wisc.jobs and refer to Job Announcement Code 1600590. The deadline for submitting applications is June 30, 2016. Materials will be evaluated and qualified candidates will be invited to participate in the next step of the selection process. EOE
Nursingmatters
The nurse’s role: take a nostalgic look back Mary Wurzbach
In this, the 50th-anniversary year of the University of Wisconsin-Oshkosh College of Nursing, I would partly like to pay tribute to their legacy and partly want to extend to nurses across the state my memories of my mentors’ enduring philosophy of nursing’s role in the health care system. I would like, in this article, to pass on some of the insights I gained when I was a member of the first class in the Bachelor’s of Science Nursing Program at UW-Oshkosh. I am proud to have graduated from Mary Ellen Wurzbach there twice – in both the Bachelor’s of Science Nursing and Master of Science Nursing programs’ first classes, as a pioneer in developing the role of the Baccalaureate-Prepared Nurse, and a few years later, that of the Family Nurse Practitioner. The Bachelor’s of Science Nursing program at UW-Oshkosh opened in 1966. There were many students across the state – some say 500 – waiting to be accepted into the program. Thirty of us were chosen. Over the years I have built upon the strong foundation the college provided, not only in nursing but in life skills. From my public-health nursing instructor – also my clinical area as a faculty member at UW-Oshkosh for 31 years – I learned that kindness matters and that living a life that is other than the traditional does not make one a “bad” person. For example, early in my academic nursing career I went on a home visit with Mary Jane Mayer who, after she left UW-Oshkosh, became director of the Milwaukee County Public Health Department. We entered a cluttered home and she
Lockwood continued from page 5 goods for distribution to needy families of her acquaintance. Her home was the collection point in Edgerton for Goodwill Industries. In 1955, the city of Edgerton declared “Auntie Lockwood Day” on her 75th birthday, in recognition of her outstanding contributions to the community’s health and welfare. More than 400 persons, including many of her “babies” gave a
More than anything we were taught that the nurse’s role is that of a team member – the person in the health care team that is the “change agent.” Today I believe not only that nurses, as they said way back in the 1960s, are change agents, but that they may actually have an ethical responsibility to assume this role. expressed the sentiment that clutter is not unethical. It may be different, but not necessarily “bad.” As we came out, we found that our car would not start so we were forced to put out our thumbs – no cell phones at that time – hoping that someone would stop to help. Since we were far out in the country she suggested it was an experiment in humanitarianism. She convinced me of the kindness of strangers when someone did stop to help us. This same occurrence happened to two of my future public-health students, who slid off an icy road one winter in another county. Two or three cars stopped within minutes to assist them. Because of these incidents, I drove the back roads of Wisconsin, going to site after site in public health for more than 31 years, and never – even without a cell phone – felt any danger. My psychiatric nursing instructor, Pat Conley, taught us to analyze the conversations of the mentally ill. She also taught us to be “participant observers” – I have practiced participant observation for 45 years, developing my own techniques based on those two simple words expressed in a class more than 45 years ago. My leadership instructor, Mary Barker, taught me to enter situations in
testimonial dinner in her honor. Among the many tributes, it was said that she was “endowed with knowledge, wisdom and a devout love of human beings.” Lockwood was a capable, determined, independent and adventurous woman. She was also a loving and caring person, with a contagious sense of humor. Truly a pioneer in the profession, she was proud to be a nurse. After she retired, she continued to live in her house. She always maintained an interest in the Edgerton Hospital, including later developments, and was named an
the hospital prepared to address anything that might create an emergency – with an effective and immediate response. She taught me how to always assess an environment’s infrastructure and available resources as one entered any new position. Betty Larson, my medical-surgical instructor, taught me that “speaking up” – as many of my own research participants have also done in their practice – with conviction, may change injustice. She and I had an abiding interest in nursing ethics and later we both taught one of the first nursing-ethics courses in the country. I developed it early in my career as an instructor at UW-Oshkosh. Dorothy Lane, also my medical-surgical instructor, taught me that faculty should “pitch in” and provide support when students are overwhelmed by the care situation in which they find themselves. She also taught me that sometimes one can be humorous about oneself in awkward situations. Katie Littlejohn was my third medical-surgical instructor and an expert in cardiac care. She taught me that nurses could be capable beyond the expectations of others. My pediatric instructor, Barb Black, taught me to use scarce resources wisely. There were few pediatric sites and we needed to conserve and preserve the good will of those that we did have. As did her sister-in-law and my psychiatric instructor Pat Conley, Black demonstrated the importance of quiet, calm and kindness. Conley also taught me the responsibility of being a good and informed citizen. My obstetrics instructor, Dorothy Rock, taught me the virtue of patience. Through the years I have developed skills based on all these wise teachings. Participant observation became second nature. Not judging patients based on appearance or alternative life style or manner is essential and frequently
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honorary charter member of its auxiliary. She was active in the Methodist Church and in the Senior Citizens. In her later years, Lockwood suffered from arthritis and was forced to use a walker. The last two years of her life, she lived in a nursing home in Madison, where she died Jan. 7, 1971. She is buried in Hope Cemetery in Brooklyn. The author thanks Professor Linda Baumann, University of Wisconsin-Madison School of Nursing for suggesting Edith Lockwood for a biography, and Lucille and Roger Boeker for information about her.
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DIABETIC PROGRAM
SUPERVISOR The Oneida Nation is in search of a Nurse to oversee the Diabetic program for our clinic. Must have a BSN and two (2) years of experience supervising staff and working with Diabetic patients. Experience with grant writing and the administration or management of grant programs is also required. The Oneida Nation offers a very attractive benefits package making the tribe an employer of choice. Benefits include: 3% 401k Match, No weekends, 11 paid holidays and a total of 18 days paid time off. If interested, view full job description and apply online at:
http://www.oneidanation.org/ humanresources/employment.aspx Equal Opportunity Employer
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Role continued from page 6 changes the health care outcome. The importance of kindness, patience and a belief in others’ humanity still resonates and endures. More than anything we were taught that the nurse’s role is that of a team member – the person in the health care team that is the “change agent.” Today I believe not only that nurses, as they said way back in the 1960s, are change agents, but that they may actually have an ethical responsibility to assume this role. When I first entered nursing there was the concept of team nursing and the major argument was about the nurse’s role. Was the nurse strictly a record keeper? Was he or she a manager or the facilitator of the team? Should nurses spend their time charting and, in an administrative capacity or as an actual caregiver, talking with patients and taking part in the interaction and intervention of the team? Was there a “captain’ of the team? Today we know that the nurse’s role is legally a combination of interdependent, independent and certain dependent functions, but that they are practicing under their own licenses and thus even their seemingly dependent functions may require independent judgment. In the master’s program at UW-Oshkosh, Dr. Nancy Elsberry continued the
emphasis on the nurse’s role, teaching both that one develops one’s own role as a Nurse Practitioner and the importance of creativity in doing so. Dr. Hildegarde Siegel, the dean, taught me to be a researcher and evaluator of the written or observational record and encouraged me to work towards the PhD in Nursing. She also taught me that one could become an expert on any subject if one worked long and hard enough at it. Two faculty remain who have also had an important impact on the role of the nurse among many students: Dr. Patricia Crisham and Dr. Mariah Snyder, both of the University of Minnesota School of Nursing, where I received my PhD in Nursing. Crisham taught that the most critical role of the nurse in nursing ethics was to ask the essential and important questions. Snyder cherished and role-modeled the very nature of making a substantive contribution to knowledge development in nursing. I hope that some of my reflections on the development of my nursing career and health care philosophy have, in some small way, highlighted the fact that in every relationship of teacher and student there are examples of wisdom, sometimes explicitly stated and at other times implicitly modeled. This wisdom supports the next generation of nurses in becoming the “change agents” the previous generation wished them to be.
Nursingmatters
Director named at Aspirus Medford years in health care, Moretz Susan Moretz, RN, recently has gained experience in a accepted the role of director variety of settings, including of day surgery, and cancer hospital, ambulatory – day and infusion services at surgery – and infusion serAspirus Medford Hospital & vices. She has also served as Clinics. In this role, Moretz is chair of the Nurse Practice responsible for the direction Council and received the of patient care in day surgery, Nightingale Award for Nursand cancer and infusion-sering Practice. vices settings. She works to Susan Moretz “I love my job and the peoensure patient needs are met, ple that I work with,” Moretz coordinates staff development said. “I plan on retiring from Aspirus and education, monitors changes in Medford. Nothing makes me happier regulation and more. than caring for the people from my Moretz started in 1999 at Aspirus hometown and surrounding areas.” Medford Hospital & Clinics as a certiOriginally from Medford, Moretz fied nursing assistant. Shortly after, she said she enjoys the outdoors and earned her nursing degree from Northspending time with her family. central Technical College. During her 16
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