Nursing matters October 2015

October 2015 • Volume 26, Number 8

Nursingmatters www.nursingmattersonline.com

INSIDE:

What is Spiritual Health?

2

Janet Paige honored

4

Variance warning

MADISON WI PERMIT NO. 1723

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7

UW-Madison nursing dean to step down BARRY ADAMS badams@madison.com 608-252-6148‌

The longest-serving dean on the UW-Madison campus announced Sept.

11 that she will leave the position late next year after 15 years of service.

Katharyn May, dean of the School of Nursing, said she will remain with the school as a member of the faculty. In a statement she said she planned to remain active with the university and was looking to her experience for new challenges.

“I have been incredibly fortunate to work with so many colleagues who share a single purpose — to help people improve their health and build better futures for themselves and for their families and communities,” May said. “I look forward to continuing that work in a different role.”

Under May’s leadership, the School of Nursing consistently ranked among the nation’s top nursing programs for research and academics. May spearheaded a 10-year, $25 million campaign to build Signe Skott Cooper Hall. The facility, which opened last year, includes stateof-the-art classroom and research space and allows for expansion of the school’s faculty and enrollment in response to growing demand for nursing over the next 20 years.

Other initiatives during her tenure included a partnership with Gundersen Health System to expand the BS Nursing program to La Crosse, while also increasing enrollment on the Madison campus, and federally funded projects designed to encourage nurses to earn graduate degrees to prepare for teaching careers and another focused on increasing nursing faculty expertise in teaching technologies.

She also helped establish a new Doctor of Nursing Practice program to prepare advanced practice nurses for clinical

Katharyn May, dean of the School of Nursing at UW-Madison, has announced she will leave the position in late 2016.

leadership and educational roles and instituted a new approach to graduate education designed to accelerate student progression to the Ph.D. level in order to prepare more nurses for faculty roles earlier in their careers.

Before coming to Madison, May served as dean of the School of Nursing at the University of British Columbia for six years. She began her academic career in 1978 at the University of California-San Francisco, where she served as program

director and acting department chair. She later held positions as department chair, associate dean for research, and director of graduate programs in the School of Nursing at Vanderbilt University.

“We are indebted to Katharyn for her many years of dedicated leadership,” Provost Sarah Mangelsdorf said in a statement. “She has helped build and sustain a terrific nursing program. We look forward to her continued presence as a member of the faculty in the School of Nursing.”‌

October • 2015

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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...................Andrew Butzine 608-252-6263 • abutzine@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.

Nursingmatters

The year of ethics Kaye Lillesand Nursing Matters Editor

This year, 2015, has been designated “The Year of Ethics” by the American Nurses Association. As a young nurse I went to an Unemployment Compensation hearing for a nurse who had been terminated Kaye Lillesand because a patient had died during her night shift. She had not called the physician about the change in the patient’s condition because he had said he did not want to be disturbed.

The judge asked if nursing had a code of ethics that applied to her practice. I was appalled when she said that she did not know. How could a nurse go through nursing school and practice for years

without knowing about the Code of Ethics for Nursing? Contrast that scenario with the more recent scenario of the Navy nurse who followed his ethical obligations by refusing to force-feed prison detainees at Guantanamo Bay. That took a lot of courage. He faced possible dismissal for his actions. Ultimately, the Navy decided not to pursue disciplinary actions and allowed him to return to duty. The ANA Code of Ethics exists to give nurses guidelines and courage when making tough ethical decisions.

In 2015 ANA updated the Code of Ethics for Nurses with Interpretative Statements.

Every nurse needs to integrate this knowledge into their daily practices. Tough decisions are always easier when you know you are doing the right thing for your patients and your practice.

ANA has a trilogy of wonderful documents that help guide our practice. The first is the Social Policy Statement, which

defines nursing and the social context in which we serve society. If you want to feel really great about your work, read this document. The second is the Code of Ethics with Interpretive Statements. It is your bible for decision making. And finally, the Standards of Nursing Care, which define a point of practice below which we cannot fall. These are the overall general standards and specific standards for each discipline in nursing.

These three are a must-read for every nurse. You can find them by going to www. nursingworld.org or www.nursingworld. org/ethics/. Please share with us some of the ethical decisions you have made in your practice that guided you to a decision.

Email kayelillesand@gmail.com to send them to us.

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

WHAT IF ...

What is Spiritual Health?

Brenda Zarth RN, BSN

Spiritual health is about coping and inner strength. Athletes have a pep talk prior to a game. We had pep rallies in high school; the whole assembly would show support and give our team energy for the Brenda Zarth game. Statistics show a correlation between how well children does in school and how much family support they receive.

I was told as I married to not forget my girlfriends; when life is tough they will be there for you. Life doesn’t come with a guidebook; babies aren’t born with an instruction manual. Life is designed to be a team sport. We turn to our mothers, grandmothers, girlfriends, sisters, brothers, fathers and friends. No two lives are the same, but challenges are similar and sometimes having

someone tell you, “You are strong; you can do this,” is just what you need to take you to the next level and around that next corner.

Each challenge won brings new strength and understanding.

I admire multigenerational households where the grandparents can provide mental support and say, “I’ve been there, done that; you have the strength and ability to get through this.” Children provide physical work and receive the satisfaction that they are valuable, important and needed. Having a co-worker say “nice job,” a pat on the back or a hug can be priceless.

Spiritual health is having someone to talk to for strength or guidance when faced with an overwhelming situation – external support from nature or creation. Where do you go to find strength?

Dr. Masaru Emoto in his book “The Hidden Messages in Water” demonstrates how water molecules respond brilliantly to positive messages. The human body is composed mostly of water; we should also demonstrate a positive physical response to supportive messages.

What if we don’t have any family, we don’t fit the part, we aren’t pretty, or we aren’t good at sports? We don’t have friends, we lost the game or we lost our job.

We were born with a skin condition. We would rather be forgotten by society and ourselves. What happens when high school is over, we move away, and we try to juggle work, marriage, children, home responsibilities and life? We don’t have time to take care of ourselves and the pressure is on.

Where do we derive spiritual support?

My co-worker, a medical provider, doesn’t like prescribing narcotics for chronic pain. She’s made the observation that many of her chronic-pain patients are lacking external support. They have multiple diagnoses, always come alone and have many psychosocial complaints. They are consumed by their internal pain and obsessed with the workings of their body.

They don’t know how to live outside of themselves. How many times is a pill used to treat a symptom of a bigger problem?

See What If, Page 3

www.nursingmattersonline.com

What if

Continued from page 2 What is really the best treatment? I wonder how much of our healthcare problem is related to treating symptoms and not finding more appropriate solutions. Are we over-relying on medication to treat societal problems?

John Kretzmann and John McKnight, Northwestern University, wrote a fantastic workbook, “Building Communities from the Inside Out.” They say, “Communities cannot be rebuilt by focusing on their needs, problems and deficiencies. Rather, community building starts with locating the assets, skills and capacities of residents, citizens, citizens’ associations and local institutions.”

Their workbook is packed with ideas for making connections within a community. They have a Capacity Inventory for helping individuals identify skills and talents. If you can walk, talk, hear or see, there is something you can do to support your community and give yourself feelings of self-worth and belonging. Everyone is valuable; sometimes we need to get outside of ourselves to realize that. If you want to build a playground, you find a group of passionate workers, citizens of the community, who will be invested in the project. Not only will they give the project their best effort to complete, but they will take care of it for years to come.

Rob Bell, a motivational speaker, says the

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October • 2015 best job for a shy introvert, or someone lacking in feelings of self-worth, is to be a greeter or a bagger in a grocery store. You must smile and say “Welcome.” People will inadvertently smile and say “Thank You” back. You have people smiling and saying “Thank you” all day long! He also gave me a business card that says, “I’m Alive, I’m Awake, and I Feel Great!” He said to read the card when you wake in the morning and you won’t go back to sleep.

Hospice does a Spiritual Assessment. They want to provide comprehensive care to meet all needs. They ask questions on spiritual awareness: feelings of abandonment, anger, faith, fear/ anxiety, forgiveness issues, gratitude, grief, guilt/ shame, hope, inner peace, joy, love, preparedness for death, questioning and trust. They want to know where the patient derives support. They understand relationships are huge and life is a team sport. They encourage healing relationships.

I visualize in our future nurse case-managers evaluating all the needs of our clients – assessing their physical, mental and spiritual needs and providing direction on how to best meet those needs. It might include conventional medicine and pharmaceuticals, but it might also include a deeper investigation into the underlying causes of the body’s dysfunction. It might include skilled practitioners who know how to listen to the body to help it heal itself. Life is a team sport; health involves the whole community.

Email BrendaZarth@gmail.com or visit brendashealthplan.blogspot.com to comment.

Consultant appointed to Minority Fellowship Program SILVER SPRING, MD – The American Nurses Association has named Frieda Hopkins Outlaw, PhD, RN, FAAN, as the executive program consultant for the Substance Abuse and Mental Health Services Administration Minority Fellowship Program.

Outlaw will provide academic and scientific oversight to the Minority Fellowship Program.

The program supports ethnic minority nurses in obtaining advanced degrees in mental health fields Frieda so they can work to reduce disparities and improve Hopkins Outlaw health outcomes in diverse communities.

Outlaw is an expert on mental health and substance abuse, with an emphasis on children and families. She has served as assistant commissioner of mental health and substance abuse for the state of Tennessee with a focus on children and youth and their families.

Additionally, she was director of the Meharry Youth Health and Wellness Center, which provides primary, behavioral and wellness services for adolescents with a focus on LGBTQI youth. Outlaw has a long-standing relationship with the Minority Fellowship Program, including participation as a fellow from 1981 to 1983 and subsequently serving on the program’s National Advisory Committee.

Outlaw received a bachelor’s degree from Berea College, a master’s degree from Boston College, a doctoral degree from the Catholic University of America and postdoctoral training at the University of Pennsylvania. In 2007, she was inducted as a fellow in the American Academy of Nursing. Visit www.emfp.org for more information.

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October • 2015

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Nursingmatters

Society celebrates second conference The Wisconsin Chapter of the Transcultural Nursing Society, founded November 2011, recently celebrated its second annual conference. The mission of the chapter is to enhance the quality of culturally congruent, competent and equitable care that results in improved health and well-being for the people of Wisconsin and beyond. The chapter offers a new and exciting networking opportunity for nurses and healthcare providers.

The goal of the Wisconsin chapter is to be a resource for those who want to expand professional practice, enhance knowledge of transcultural nursing, and increase involvement in community activities that promote culturally congruent care. We strive to learn together while building professional relationships, partnerships and networking opportunities.

If we think of the changing face of the nation, cultural congruence is an important component for any practitioner to keep at the forefront.

The U.S. Census Bureau has predicted that by 2043 the current white majority will become the minority in the United States. With the rapidly changing demographics it is vital we continue to develop our knowledge and skill set in order to work as partners to better meet the individualized needs of our patients and families. Individualized care, in a culturally congruent manner, can improve patient outcomes and decrease health disparities. Cultural congruence is an ongoing journey that is ever-changing.

It is through education, self-awareness and reflection on our practice that we continue to grow as practitioners and leaders.

One of the chapter’s goals is to provide

educational opportunities and to promote professional certification in transcultural nursing. The chapter’s second-annual conference will be held Nov. 16 at the Sheraton in Madison, with the theme “Enhancing Cultural Competence in Wisconsin’s Healthcare.” With a variety of expert speakers and topics, it will be an exciting day of discussion about diversity and inclusivity – including data about Wisconsin’s nursing

workforce, implicit bias, pharmacogenetics and diversity, barriers to care for immigrants, and diverse healthcare challenges.

Visit www.tcns.org/TCNSWisconsinChptInfo.html or the Wisconsin Transcultural Nursing Society’s Facebook page or email tabitz@uwhealth.org for more information. Visit www.surveymonkey.com/s/ TGMP8QG to take a needs-assessment survey regarding caregiver needs.

Professor honored for research development of simulation Jane B. Paige, Ph.D., RN, devices has complimented the CNE, associate professor in the education of nursing students Milwaukee School of Engineerby making the experience more ing School of Nursing and prorealistic. An example of the gram director of the Accelerated realistic simulation she develSecond Degree BSN program, oped is a pressurized wireless recently was presented the bladder that simulates various Karl O. Werwath Engineering urinary samples in lab. Another Research Award. She was nomexample is of a hemo – blood inated for the award because Jane Paige – and pnuemo – air – thorax of her development of patient system simulation that manages patient simulation methods, and development chest-drainage conditions in a manikin. of standards for best-practice simulation With the assistance of a Research Expeand learning. rience for Undergraduates student, Paige Nursing is not often associated worked to develop a realistic chest overlay with engineering research, but Paige’s

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Karl O. Werwath was an innovator in engineering education and the application of technology, and believed that teaching effectiveness was enhanced through applied research and consulting. He felt that Milwaukee School of Engineering should make an effort to contribute to the advancement of technical knowledge, for the benefit of business and industry for the good of the community and the nation. The award was initiated to recognize the vision of Karl O. Werwath and the contribution of Milwaukee School of Engineering faculty and staff who have fostered the advancement of applied scientific knowledge. Paige was nominated

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for this award by faculty and staff members, alumni, Regents and Corporation members.

The award recipients are chosen based on criteria including their contribution to engineering, scientific research, consulting, the engineering profession and scholarship, and by promoting research, patentable concepts and publications.

Paige has played an integral role in developing the university’s inter-professional education partnership with the Medical College of Wisconsin. The goal is to have student nurses and student doctors work side by side to understand and develop communication skills and attitudes that are necessary to have an effective healthcare team. In the first inter-professional education program in spring 2014, Milwaukee School of Engineering and Medical College of Wisconsin students were presented with a live standardized patient. Students reported the experience taught them how to successfully work together and how to effectively communicate their thoughts. The program will continue this year; 207 first-year medical students will collaborate with 14 Milwaukee School of Engineering fourth-year nursing students in two inter-professional education sessions.

Paige holds a Bachelor of Science in Nursing from UW-Eau Claire, a Master of Science in Nursing from Concordia University and a Ph.D. in Nursing from UW-Milwaukee.

www.nursingmattersonline.com

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October • 2015

Reprint in a series written by Signe Cooper and introduced by Laurie Glass in Nursingmatters

Marjorie Capell Paquin 1905-1966 Marjorie Capell Paquin had a long association with the Madison campus of the University of Wisconsin. She directed nursing service at the University of Wisconsin hospitals from 1955 until her death in 1966. A native of Park Falls, Paquin was born Nov. 20, 1905. She was the oldest daughter of Eugene M. and Jennie Robinson Paquin. She had younger siblings, Jen, Dixie and John: and an older brother, George, who died in infancy.

After attending local schools in Park Falls, Paquin enrolled in the University of Wisconsin-Madison. She received her certificate of graduate nurse in 1931 and was awarded her BS in 1936. In the early years of the university’s nursing program, students were permitted to complete the nursing requirements and take the State Board examination before completing the requirements for a degree.

In 1931, Paquin was appointed to a staff nurse position in the Wisconsin General Hospital – forerunner of today’s University

of Wisconsin Hospitals and Clinics. She served as an assistant head nurse, then as head nurse in eye, ear, nose and throat. She was promoted to supervisor and instructor in 1934, and was assigned to the nursing service office. In 1950, she was appointed to be the Assistant Superintendent of Nurses. In 1955, she received an MA from Columbia University, New York City, and she was also named Superintendent of Nurses – as the Director of Nursing Service was then titled – and Associate Professor in the University School of Nursing.

An active member of several nursing organizations, Paquin was president of the Madison District Nursing Association.

She was also on the board of directors of the Wisconsin Nurses Association and on national committees of the American Nurses Association and the National League for Nursing. She served as president of the Madison Altrusa Club and was a member of Grace Episcopal Church.

Paquin believed that nursing service

Public health nurses from across Wisconsin mingle and enjoy some humor during a group activity as part of Dr. Pamela Levin’s keynote presentation.

Conference brings public health nurses together Becky Hovarter

Stevens Point, WI – The Wisconsin Public Health Association, Public Health Nursing Section, held its annual statewide conference Aug 4-5, 2015, at the Holiday Inn and Convention Center in Stevens Point. The theme for this year’s conference was “Leadership and Systems Thinking: The Intersection of Public Health Nursing and the Community.”

The half-day preconference Aug. 4, “The Collaborative PHN Leader: Effectively Marketing Your Role to Others” was led by Christine Andres, DNP, PHN, RN, CLC, from Kanabec/Pine Community Health Services in Minnesota. She provided a skills-building session to more than 90 participants. A poster-presentation session in the evening allowed poster

See Conference, Page 6

in a teaching hospital should support the educational programs of the parent institution , and she was dedicated to the conviction that nursing service and nursing education must work together to prepare well-qualified nurses. Her main goal was the improvement of care in the hospital.

Paquin died of cancer Oct. 30, 1966, and is buried in the family plot in McFowell Cemetery in South Haven, Michigan. At the time of her death, the Memorial Resolutions of the University faculty noted, “Few people are able to live their lives as effectively and graciously as Marge Paquin.

Her zest for living and her interest in people was unlimited. She will be remembered as one who brought a boundless energy and irrepressible pleasure to both her professional and social activities.”

An annual Marjorie Paquin Memorial Lecture is presented by the nursing staff of University Hospital and Clinics, and a commemorative plaque hangs on the wall of the lobby of the Clinical Sciences Center.

Marjorie Capell Paquin

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October • 2015

Page 6

Nursingmatters

OBITUARY Lois C. Olsen, 90

Sharon Reyzer and Dr. Sara Baars discuss a project St. Croix County Public Health recently completed.

Conference

continued from page 5 presenters to interact with participants to discuss their scholarly and practice projects.

More than 125 participants attended the main conference Aug. 5 and were rewarded with a day of learning, network and fun.

The conference was opened by Becky Hovarter, 2015 PHN conference chair. A message from Wisconsin State Health Officer Karen McKeown was followed by the keynote presentation by Pamela Levin, PhD, APHN-BC, RN of Rush University in Chicago, who challenged the audience to embrace the value of public health nursing and take action to increase the visibility of the specialty. Nine breakout sessions throughout the day provided public health nurses with information and skills to increase interactions with the

communities they work in. The awards presentation at lunch, always a highlight of the day, recognized outstanding achievement by public health nurses at the local, state and academic levels. The conference concluded with an expert panel of nurses who have advanced their education through a variety of journeys, discussing how advanced education can increase the visibility of public health nurses at all levels of practice. The panel included Deborah Pasha James, PhD, RN, Wisconsin Division of Public Health; Cyndi Zach, MPH, RN, Ashland County Health and Human Services; Patti Wohlfeil, BSN, RN, MPA, Waushara County Health Department; along with Andres and Levin.

The conference is not possible without the support of exhibitors and sponsors; the Wisconsin Public Health Association, Public Health Nursing Section gives thanks!

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Lois Olsen, age 90, pioneer nurse-midwife in Wisconsin, went to eternal life Thursday, Sept. 17, 2015. She was born March 30, 1925, in Arcadia, Wisconsin, to Clifford and Ethel (Hess) Olsen. Lois is survived by many loving relatives and friends.

Her father was an Evangelical United Brethren and United Methodist pastor for 45 years and Lois was instilled from early on with a deep sense of faith. She had planned to be a missionary from age 13 on and wanted to go to China as a public health nurse. She graduated as a nurse in 1949 from UW-Madison and enrolled at Yale University to learn Chinese. In January 1950 the Communists invaded China and closed the borders to missionaries. The mission board then sent her to London to study midwifery, in the same time period and city that “Call the Midwives” was set.

She was then sent to rural Tiama, Sierra Leone, Africa, where she was in charge of a dispensary and 12-bed maternity unit for the next 12 years. Lois not only provided maternity care but provided care for diseases and illnesses to the people of Tiama.

Lois went to Sierra Leone with no language experience in a country of 18 dialects!

A bad case of malaria prompted Lois’ return to the United States. She worked as an RN for the Milwaukee Health Department for two years and a consultant for the Wisconsin Division of Health for four years. Lois obtained her U.S. Certification for nurse midwifery from the University of Mississippi in 1971. She worked as a Certified Nurse Midwife at Mount Sinai Hospital in 1972 and Family Hospital from 1973-75. Lois was the first Certified Nurse Midwife to practice in the state of Wisconsin. She fostered a working relationship with doctors and nurses on the important role of Certified Nurse Midwifes in complementing the role of doctors.

Lois earned a Master’s in Nursing Education in 1969 from Marquette University and was an associate professor at UW-M School of Nursing from 197682. In 1980 Lois returned to her beloved Africa, spending five months at a school of nursing in Ganta, Kenya, where she conducted continuing educational seminars in Cameroon, Liberia, Kenya and Zambia.

She taught at a school of nursing at Methodist Hospital in Maua, Kenya, for a year in 1985-86 and again from 1990-92. In the summers from 1987-90 she led groups of graduate nursing students from UW-Madison to Kenya on a course in cross-cultural nursing.

Lois published several books on her experiences in Africa as well as many articles on midwifery. She was the recipient of many awards for her distinguished career.

In her retirement, Lois was an active member of Kenwood United Methodist Church and the state and national Methodist Church, often documenting the histories of churches and their pastors.

Over the course of her career, Lois assisted more than 980 women to deliver their babies and so has many “children” as well as “grandchildren.” With contentment in her heart, Lois spent a lifetime putting the needs and comforts of others above her own. When reflecting on her career, Lois said simply, “I loved it all.”

Lois had been a long time resident at St. John’s on the Lake where she greatly appreciated the help of all the staff. In lieu of flowers, Lois requested donations to Kenwood United Methodist Women, Church Women United, Northcott Neighborhood House Fresh Start Program or St. John’s on the Lake.

Funeral services were held Sept. 23, 2015, at Kenwood United Methodist Church. Suminski Funeral Home served the family.

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Lois C. Olsen was a midwife who spent years in Africa and delivered more than 900 babies during her career.

www.nursingmattersonline.com

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October • 2015

Psych-mental health nurses may need variance The Wisconsin Nursing Association says an update in administrative rules impacts psych-mental health Advanced Practice Nurse Prescribers providing services in certified community-support programs and outpatient mental health clinics.

In order to continue practicing in certified programs, Advanced Practice Nurse Prescribers will need to have their organizations submit a variance to the Wisconsin Department of Health Services.

Frequently asked questions Who needs to submit a variance?

Any Advanced Practice Nurse Prescriber providing services in certified community-support programs and/or outpatient mental health clinics may need to have the facility submit a variance depending on the following.

• If an Advanced Practice Nurse Prescriber practicing in a facility certified under Department of Health Services chapter 35.03(16), then the nurse is recognized and the facility does not need to request a variance.

• If the facility is certified under chapter Department of Health Services chapter 63, then the variance would be needed for an Advanced Practice Nurse Prescriber to provide services. The administrator will know which DHS chapter the facility is certified under.

How did this technical glitch happen?

All of Wisconsin Departments – Department of Health Services, Department of Safety and Professional Services or Board of Nursing – are required to review all administrative rules that apply to their area of oversight. In complying with this directive, Department of Health Services staff began the rule-review process. They

identified the rule relating to chapter DHS 35, which replaced chapter DHS 61.91. This rule recognizes prescribers, including the Advanced Practice Nurse Prescriber, under Wisconsin Administrative Code § DHS 35.03 (16). However another Wisconsin Administrative Code, chapter DHS 63, does not list Advanced Practice Nurse Prescribers as program personnel. Wisconsin Administrative Code chapter DHS 63 was promulgated before 1996, the year the Wisconsin Board of Nursing adopted Chapter N8 of the Wisconsin Administrative Code, relating to certification of Advanced Practice Nurse Prescribers. The Division of Health Services needs fix the glitch by amending rule DHS 63. While this is going through the rule-revision process, there is a need to assure that Advanced Practice Nurse Prescribers can continue to provide services. In order to accomplish this, a variance needs to be issued for certain Advanced Practice Nurse Prescribers.

Can I continue to practice?

Yes. Don’t panic. We have been assured by the Department of Health Services

that Advanced Practice Nurse Prescribers can continue to practice while waiting for their variances to be approved. However, if a nurse’s organization does not receive a timely response to the request for a variance, contact Wisconsin Nursing Association Communications and Membership Director Joe Vande Slunt at joe@wisconsinnurses.org regarding the situation.

How do I submit a variance?

The nurse’s organization or employer will need to submit a variance; visit www. wisconsinnurses.org/variance for instructions. However, instead of mailing the variance, email Section Chief Mark Hale at mark.hale@dhs.wisconsin.gov with the variance.

What is Wisconsin Nursing Association doing to address this situation?

Wisconsin Nursing Association Executive Director Gina Dennik-Champion and legal counsel are working with the Department of Health Services to address this issue. Ultimately, we would like to see the rule changed so a variance is not required, but rule changes can take time.

Clinical nurse specialists: critical to care In the alphabet soup of healthcare abbreviations and credentials, it can be tough for the average person to appreciate the knowledge, skills and responsibilities behind a specific nursing degree or qualification. One such role is that of clinical nurse specialists.

They are a crucial, though often unfamiliar, part of our healthcare system.

Clinical nurse specialists have, at a minimum, master’s-degree-level training as advance practice registered nurses. Their function is to improve outcomes in patient care. Other advanced practice nurse roles that people may be familiar with are nurse midwives, nurse anesthetists and nurse practitioners.

The advanced knowledge and skills that clinical nurse specialists have qualify them to do work as clinical practitioners, patient educators, researchers, informaticists and consultants. They are a hub of information that links practitioners and patients to all the system resources available to them.

“They have a huge range of critical responsibilities,” said Laura Burke, PhD, RN-BC, FAAN, director of clinical practice. “As a hub of clinical and system information, the (clinical nurse specialist) is accountable for collaborating with

Assistant Professor of Nursing Predolin School School of of Nursing Nursing at at Edgewood Edgewood College College announces announces the theopening openingfor for The Henry Predolin two full-time full-time tenure tenuretrack trackfaculty facultypositions positionsbeginning beginningwith withthe theacademic academicyear year2015-2016.

2014-2015. two Responsibilitiesinclude includeteaching teachingatatthe theundergraduate undergraduateand andgraduate graduate(MSN (MSNand andDNP) DNP)levels. levels.

Responsibilities Graduate concentrations concentrationsinclude includeNursing NursingAdministration Administrationand andLeadership.

Leadership.

Graduate

members of the healthcare team to design, implement and measure safe, cost-effective, evidence-based care strategies.”

A key focus of clinical nurse specialists is their work to influence patient care, develop nurse expertise and improve systems. These three areas are together known as the three spheres of influence, with the patient at the center of focus.

See Specialists, Page 8

Qualifications: • Earned PhD in Nursing (preferred), or doctorate in related field with a Master’s degree in Nursing; DNP may be considered • Eligible for RN licensure in the State of Wisconsin • Evidence of teaching, scholarly and community services potential • Knowledge and skills in contemporary practice issues related to the AACN Essentials • Demonstrated commitment to promoting diversity, inclusion, and multicultural competence To Apply: Send a letter of application, resume, and references to: Edgewood College Human Resources – APN1 1000 Edgewood College Drive Madison, WI 53711 www.edgewood.edu E-mail: humanresources@edgewood.edu Equal Opportunity Employer

October • 2015

Page 8

Nursingmatters

Specialists

continued from page 7 Clinical nurse specialists’ advanced knowledge is essential because they work to elevate the practice of nursing and the professional development of nurses.

“Their work improves clinical processes to achieve greater safety and quality of care by bringing the best evidence-based practices to the bedside,” Burke said.

There are more than 72,000 clinical nurse specialists in the United States who work to improve healthcare delivery for patients and health systems. September’s National Clinical Nurse Specialist Recognition Week kicked off celebrating nursing theorist Dr. Hildegard Peplau’s birthday, Sept. 1, 1909. Peplau emphasized the nurse–client relationship is critical to improving outcomes. Her work is foundational for the CNS practice. One of the goals of the recognition week was to help professionals in the field spread the word about the key role that clinical nurse specialists play in healthcare.

“Their work improves clinical processes to achieve greater safety and quality of care by bringing the best evidence-based practices to the bedside.”

Laura Burke, PhD, RN-BC, FAAN, director of clinical practice

UW hosts Magnet Workshop The University of Wisconsin Hospitals and Clinics held two American Nurses Credentialing Center Workshops in early August, designed to help organizations on Magnet journeys.

“It was an honor to be an (American Nurses Credentialing Center) Workshop site and invite nurses from around the country to attend,” said Sarah Brzozowski, nursing program specialist and Magnet Program director for UW Health. “It’s inspiring and educational to host nursing colleagues from other healthcare facilities and hear about the great work they’re doing. At the end of the day, everyone learns something valuable and usable.”

“This was a great opportunity to work

with nurses on a mile-high view that addresses all the components of Magnet,” said Karen Gale Speroni, workshop presenter and consultant with the Credentialing Knowledge Center. “Today we

are creating a culture of inquiry. The goal was to provide RNs with current information and resources to assist in decision making that helps create an organization that is supportive of research.”

In addition to the workshops, tours of American Family Children’s Hospital and the new UW-Madison School of Nursing were offered.

“Outstanding!” said Stephanie Zablocki of Virginia. “Great opportunity to network and learn. It was a little overwhelming, but in a good way. I really enjoyed the tour of the nursing school.

Beautiful building, wonderful hospital.”

Visit nursecredentialing.org for more information.

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