Nursingmatters August 2016

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Nursingmatters August 2016 • Volume 27, Number 6

www.nursingmattersonline.com

INSIDE: Acupuncture treats Yin, Yang

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Marquette names new dean

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MSOE selects chair

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MADISON WI PERMIT NO. 1723

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Wisconsin leaders build culture of health Leaders from the Wisconsin Action Coalition recently attended the “Building on the Campaign for Action to Create a Healthier America” summit, held June 21-22 in Omaha. The summit was sponsored by the Future of Nursing: Campaign for Action at the Center to Champion Nursing in America, the Robert Wood Johnson Foundation and AARP. “Building a Culture of Health” is a new national movement being led by the Robert Wood Johnson Foundation that emphasizes one of the most pervasive challenges of our time – improving the health and well-being of everyone in America. The initiative introduces a new action framework for individuals and organizations to think differently about health and take action in their communities. Jeremy Levin Attending from Wisconsin were Jeremy Levin, MHA, director of advocacy at the Rural Wisconsin Health Cooperative; Josie Veal, PhD, RN, APNP, associate dean at Milwaukee Area Technical College; and Pamela Guthman, DNP, RN, BC, chief executive officer at the Indianhead Community Action Agency Inc. The team met with national nurses, healthcare leaders and others who are working to establish a “Culture of Health” in all environments, including business, academia, primary and community settings. An adequate, competent and diverse nursing workforce plays a critical role in assuring a Culture of Health in our state. The work of the Wisconsin Center for Nursing, with its core focus around nursing workforce-data analysis and dissemination, includes comprehensive reports regarding the status of Wisconsin’s nursing workforce for both RNs and LPNs. Workforce development is a critical aspect of the Culture of Health action framework within the areas of fostering cross-sector collaboration to improve well-being and strengthening integration of health services and systems. Susan Hassmiller, senior advisor for nursing at the Robert Wood Johnson Foundation and director of the Future of Nursing: Campaign for Action, addressed summit participants in regards to their leadership roles in creating a Culture of Health. Patricia Polansky, director of program development and implementation for the Center to Champion Nursing in

CONTRIBUTED

Josie Veal of Milwaukee Area Technical College, right, accepts the Nevada Action Coalition’s gardeners prize at the summit, demonstrating she will help keep Wisconsin green. With her is Susan Hassmiller from the Robert Wood Johnson Foundation.

America, served to facilitate the discussion regarding the opportunities, challenges and impact of action among the participating action coalitions. Jeremy Levin, representing Rural Wisconsin Health Cooperative, participated in a panel discussion about creating a culture of health from a rural-hospital perspective. He encouraged reaching out to the chief executive officers of critical-access hospitals, as community leaders who are immersed and engaged in their communities and are interested in working to create a Culture of Health. Throughout the two days, many initiatives and strategies were discussed to create a

Culture of Health, inclusive of all disciplines and professions across all settings – ranging from acute care and in-patient to community-based and out-patient. Additional strategies were discussed to address curriculum changes that need to occur to develop the next generation of nursing professionals who are adept at creating a Culture of Health for the future. Wisconsin Center of Nursing and its many stakeholder partners can collaborate on state efforts in creating a Culture of Health here in Wisconsin. Visit www.cultureofhealth.org to learn more about building a Culture of Health, its action framework, and how an organization can play a critical part.


August • 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 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

Read and practice the Code of Ethics Kaye Lillesand Editor, Nursing Matters

As a young nurse, I sat in a hearing where the judge asked the nurse on the stand if there was a Code of Ethics for the profession. I was appalled when the nurse said she did not know. At my age now, nothing surprises me. Recalling this incident and thinking about all the changes and challenges in health care today caused me to reflect on what the Code of Ethics means for nurses. Among its many purposes, I believe the Code is a mechanism that brings value, voice and vision to the profession. It is always there when a difficult ethical decision is needed and is a resource for change efforts. It helps define our role in society and our responsibility to patients or groups of citizens. It helps to identify our accountability to patients, the profession and ourselves. It really is our bible. But, just like the Bible, it is not read daily by many of us. So I thought I would share the nine Provisions so all could reflect on how the

WHAT IF ... Brenda Zarth

Eastern medicine focuses on working in harmony with the body. It’s based on the fact that our body often knows what it needs; we just need to learn how to listen. Symptoms of disease are the body’s way of telling a person something is wrong, and the body is out of balance. In Conventional Medicine we divide health by organ systems. I wonder if our attention to life on the microscopic level has diminished our appreciation of the importance of macroscopic interactions in the body. No organ can stand alone for long. Acupuncture focuses on enhancing the connections between organs and tissues, and within the nervous system. An acupuncturist assesses by inspection – listening and smelling, inquiring and palpation. He or she will listen for the subconscious to give clues to the problem, assessing for hot and cold areas. Yin is cold and an internal issue; Yang is heat and an external issue. The acupuncturist

provisions can aid in daily practice. Prevision One: The nurse, in all professional relationships, practices with compassion and respect for the inherent dignity, worth and uniqueness of every individual, unrestricted by considerations of social or economic status, personal attributes or the nature of health problems. Provision Two: The nurse’s primary commitment is to the patient, whether an individual, family, group, or community. Provision Three: The nurse promotes, advocates for, and strives to protect the health, safety, and, rights of the patient Provision Four: The nurse is responsible and accountable for individual nursing practice and determines the appropriate delegation of tasks consistent with the nurse’s obligation to provide optimum patient care. Provision Five: The nurse owes the same duties to self as to others, including the responsibility to preserve integrity and safety, to maintain competence, and to personal and professional growth. Provision Six: The nurse participates in establishing, maintaining, and improving

health-care environments and conditions of employment conducive to the provision of quality health care and consistent with the values of the profession through individual and collective action. Provision Seven: The nurse participants in the advancement of the profession through contributions to practice, education, administration and knowledge development. Provision Eight: The nurse collaborates with other health professionals and the public in promoting community, national and international efforts to meet health needs. Provision Nine: The profession of nursing, as represented by associations and their members, is responsible for articulating nursing values, for maintaining the integrity of the profession and its practice, and for shaping social policy. The Guide to Nursing’s Code of Ethics along with Nursing’s Social Policy Statement are a must-read for every practicing nurse. They are available at www.nursebooks.org and are an excellent way to enhance any practice.

Why Acupuncture? assesses history, digestion, sleep and random sweating. Acupuncture is interested in enhancing the natural flow of the body, and in helping the body communicate. Acupuncture helps to draw energy to weak points, and to release blockages from hot areas. I had acupuncture for weight loss. I had thin hair-like needles in my stomach – but also in my head, my toes and other parts of my body. My acupuncturist asked if pressure at my ankle changed the feelings in my stomach; my responses brought more needles in additional areas. My appetite definitely decreased, but Eastern medicine is subtle. Just as I was not aware of each pound going onto my body, I will most likely not be aware of each pound coming off. It’s important for a patient to keep a diary of how he or she feels when going to an Eastern Medicine practitioner. Write down all aches, pains and problems before going. Then about four weeks after seeing the practitioner, review the list and assess changes. It takes time for symptoms to develop; a problem might start with a virus or minor inflammation.

It also takes time for the body to return to optimal health. According to my acupuncturist, Ann Adametz, 10 signs that a person is out of balance are: •  ‌difficulty regulating body temperature – feeling too hot or too cold, •  ‌perspiring for no reason, •  ‌head or body pain, •  ‌chest or abdominal discomfort, •  ‌lack of or excessive hunger or thirst, •  ‌changes in urination or bowel movements, •  ‌vision or hearing changes, •  ‌sleep problems, •  ‌reproductive-cycle irregularity or changes, and •  ‌lack of or excessive energy. I seek out my acupuncturist when I don’t know what’s wrong. Acupuncture seldom focuses on just applying needles; acupuncturists may also recommend herbs and vitamins, diet education and exercise. Each human being is unique and deserves an individual approach. Email BrendaZarth@gmail.com or visit brendashealthplan.blogspot.com with comments or questions.


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August • 2016

Marquette names dean of nursing

MILWAUKEE – Dr. Janet Wessel Krejci, vice-president for academic affairs and provost at Illinois State University, has been named the next dean of Marquette University’s College of Nursing. Krejci, who served as associate dean for undergraduate programs in the college from Janet Krejci 2004 through 2007, will begin in her new role Jan. 1, 2017. “We’re really fortunate to welcome Dr. Krejci back to the Marquette family, this time as dean of the College of Nursing,” Provost Daniel Myers said. “She has great passion for nursing education and Marquette University, and she’s demonstrated

progressive leadership from which the college and the university will benefit immensely.” Prior to her role as provost, Krejci was dean and professor of nursing at Illinois State’s Mennonite College of Nursing from 2009 through 2014. Previously she spent 21 years in Marquette’s College of Nursing in roles ranging from research assistant to associate dean. From 2007 to 2008, Krejci was a fellow of the American Council on Education. She was also selected as a Robert Wood Johnson Executive Nurse Fellow from 2008 to 2011. “I have been truly blessed to serve in leadership positions at two amazing, mission-driven university communities – Illinois State University and Marquette

School of Nursing names chair Carol Sabel, Ph.D., RN, CNE, was named chair of the Milwaukee School of Engineering School of Nursing, effective July 1. She came from Alverno College, where she served as associate dean of the Master of Nursing program in the JoAnn McGrath School of Nursing. She has 30 combined years of experience in nursing, education and research, having cared for patients in obstetrics and same-day surgery settings before focusing on teaching. Sabel holds a bachelor’s of science degree in nursing Carol Sabel from Marian University; she earned her Ph.D. in nursing from the University of Wisconsin-Milwaukee, with a focus on education and chronic illness in children. She serves as the grant project manager at the Wisconsin Center for Nursing for the Robert Wood Johnson Foundation State Implementation Plan. The purpose of the grant is to move nursing in Wisconsin forward in meeting the recommendations from the 2010 Institute of Medicine report, “The Future of Nursing: Leading Change and Advancing Health.” “The nursing students of today need to be the leaders of tomorrow in providing evidence-based, quality and culturally competent care,” Sabel said. “They need to be able to effectively collaborate in a rapidly changing health-care environment. It is through transformative learning and development that they will be ready to practice in this capacity. The innovative

University,” Krejci said. “I hadn’t intended to leave (Illinois State University) at this time, but this wonderful opportunity at Marquette makes it very exciting to return home to Wisconsin, to Marquette and to nursing. I’m looking forward to working side by side with Marquette’s new innovative leadership and the always dedicated, creative and passionate faculty and staff in the College of Nursing.” Krejci earned her bachelor’s, master’s and doctoral degrees in nursing all from the University of Wisconsin-Milwaukee. She is a fourth-generation Wisconsinite; her parents, sons and some of her siblings are Marquette alumni. She succeeds Dr. Margaret Faut Callahan, who left the university a year ago to become the provost for the

health-science division at Loyola University Chicago.

News. Now.

Clinical Adjunct Faculty, Lecturer – School of Nursing spirit that (Milwaukee School of Engineering) is known for lends to the development of nurses who are ready to face the challenges of an unpredictable health-care environment.” Sabel is involved in several local and national nursing organizations, including the Southeast Wisconsin Nursing Alliance, Mental Health Nurse Educators Coalition, National League for Nursing, Wisconsin Nurses Association, American Nurses Association and the Building Bridges to Advance Nursing Research Conference planning committee. She also serves as president of the Delta Gamma At-Large Chapter of Sigma Theta Tau International nursing honor society. Milwaukee School of Engineering is an independent, non-profit university with about 2,900 students that was founded in 1903; it offers bachelor’s and master’s degrees in engineering, business and nursing.

Clinical faculty are responsible for planning, implementing and the evaluating of assigned student learning experiences in the clinical setting in the traditional and/or post baccalaureate undergraduate nursing program(s). We currently have several open positions for faculty with expertise in one of the following areas: maternal‐child, psychosocial/behavioral health, and public health experience. The clinical faculty work in collaboration with the corresponding theory course instructor(s). Formal mentoring support is provided for new faculty along with significant faculty development resources. Qualifications: • Minimum of Master of Science in a nursing degree • Current license to practice as a registered nurse in the state of Wisconsin. • At least two years of full-time or equivalent direct care experience in nursing. • Previous teaching experience (clinical/didactic) preferred. PHYSICAL DEMANDS AND WORK ENVIRONMENT The physical demands and work environment characteristics described here are representative of those that must be met by an employee to successfully perform the essential functions of this job. Reasonable accommodations may be made to enable individuals with disabilities to perform the essential functions. Other Qualifications: Demonstrate multicultural competence – the awareness, knowledge, and skills needed to work with others who are culturally different from self in meaningful, relevant, and productive ways. The candidate must actively support the mission of the college by working with faculty, staff and students to share in our core values - truth, compassion, justice, partnership, and community. To Apply: Send a letter of application, resume, and references to: Edgewood College Human Resources – LRSN 1000 Edgewood College Drive Madison, WI 53711 E-mail: humanresources@edgewood.edu

Equal Opportunity Employer


August • 2016

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Maternal-Child participants named INDIANAPOLIS – Participants in the 2016-2017 cohort of the Maternal-Child Health Nurse Leadership Academy have been named by the Honor Society of Nursing, Sigma Theta Tau International. The nurses represent North America and join a previously announced 2016-2017 cohort of nurses and midwives focusing on maternal-child health in Africa. Since its inception in 2004, the Maternal-Child Health Nurse Leadership Academy, in partnership with Johnson & Johnson, has prepared more than 300 nurses and midwives to lead health-care teams toward improving maternal-child health in communities across Africa, Canada and the United States. Through leadership lessons, self-assessment, interdisciplinary team development and project management, the 18-month

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MATERNAL-CHILD HEALTH NURSE LEADERSHIP ACADEMY

An enthusiastic group of young emerging leaders either introduce or strengthen evidence-based initiatives in relation to areas of concern in their countries. These areas include quality improvement challenge projects such as the Helping Babies Breath Initiative, Magnesium Sulphate administration in pre-eclamptic women, action research to promote maternal health in a specific area, identifying contributory factors to perinatal mortality, signal functions, the correct use of the partogram, intra-partum fetal monitoring to prevent birth asphyxia, developmental supportive care in NICU, record keeping, prevention of maternal malnutrition, birthing partner support, and breastfeeding through skin-to-skin care of healthy and sick newborn babies.

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Nursing educators meet, talk dementia care MADISON, Wis. – The Henry Predolin School of Nursing at Edgewood College recently hosted “Together Towards Tomorrow,” a conference of nursing educators in Wisconsin. More than 50 representatives from nursing programs across the state participated in the conference, which focused on ways for caregivers to gain a better understanding of dementia. The conference is part of a larger project to develop a statewide collaboration among Wisconsin schools of nursing to address aging and dementia. The inaugural conference and statewide efforts are supported by Bader Philanthropies, Inc.-Helen Daniels Bader Fund. “The U.S. population over the age of 65 will more than double between 2005 and 2050,” said Colleen Gullickson, professor of nursing at Edgewood College. “This means caring for older adults can no longer be considered a specialty practice; instead all new nurses will need to have knowledge and practice skills to meet the complex care needs of older adults. To reach this goal, we need to rethink how we teach the next generation of nurses.” Gullickson is recognized nationally as an expert in geriatric care. “We are very grateful to Bader Philanthropies Inc. for making this conference and the larger collaboration possible,” said Margaret Noreuil, dean of the School of

Nursing. “We’re thrilled to see the level of interest and engagement from nursing programs from all over Wisconsin, and we were particularly pleased to welcome Dr. M. Elaine Tagliareni, chief program officer and director of the National League for Nursing Center for Excellence in the Care of Vulnerable Populations, to share her vast knowledge of educational approaches and resources to address nursing care for older adults.” Located in Madison, Edgewood College is a liberal arts Catholic college in the Dominican tradition serving about 3,000 undergraduate and graduate students at its Monroe Street and Deming Way campuses, and online. The college offers more than 40 academic and professional programs, including master’s degrees in business, education and nursing, and doctoral degrees in educational leadership and nursing practice.

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• the opportunity to earn your Viterbo BSN in two years or less. • convenient eight-week classes. • the ability to transfer up to 90 credit hours • five start times per year: January, March, May, August, and October. Doctor of Nursing Practice (DNP) • BSN to DNP – option of Family NP or Adult-Gero NP • MSN to DNP – for practicing NPs • Hybrid course delivery

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MADISON, Wis. – With a final “Tee Up for Nursing” event recently concluded, Edgewood College’s charitable golf outing has passed the $1 million mark for fundraising. “The goal of Tee Up when it was started 13 years ago was to raise $1 million in funding for our nursing students,” Edgewood College President Scott Flanagan said. “We are both touched and grateful that our benefactors, sponsors and friends of the college through the years have taken that goal to heart. While we begin to write the next chapters for the Henry Predolin School of Nursing, the impact of Tee Up will be felt not only today, but for years to come, through our graduates serving in health care in our communities.” Tyler Houston, a senior from Waterloo, Wisconsin, said, “The scholarships I have received have allowed me to fully

concentrate on my education at Edgewood College. My education has presented me with opportunities to grow and prepare for my future career as a registered nurse. Edgewood College has given me the foundation for success and for that I am grateful.” Tee Up for Nursing was created in 2004 to assist nursing students who rely on financial assistance. Money raised from the annual event supports scholarships through an endowment created exclusively to provide financial assistance for nursing students at Edgewood College. Visit www.edgewood.edu or call 608663-2333 for more information.


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Maternal-child continued from page 5

mentored leadership-development program challenges nurses to implement change within their organizations. Partnered with a nurse mentor, mentees – called fellows – are led through a curriculum designed to develop leadership in action through projects that improve the overall health of mothers, babies and children up to age 5. Goals include: • ‌Influencing maternal-child healthcare practices within varied settings, serving hundreds to tens of thousands of mothers and children • ‌Improving maternal-child health mortality and morbidity rates through nursing leadership • ‌Growing and empowering nurses for leadership in prenatal care for rural clinics • ‌Benefiting facilities through the retention of experienced nurses and midwives “Nurse leaders, equipped with new leadership and management competencies, are changing the face of health care as they are better prepared to tackle the challenges and seize the opportunities presented in their health systems,” said Yezenia Ramos, manager with Johnson & Johnson. “(Sigma Theta Tau International’s) Maternal-Child Health Nurse Leadership Academy is aligned with Johnson & Johnson’s heritage of improving the health of mothers and babies, and supporting the health workers who care for them. We welcome the new fellows and look forward to seeing and hearing about the impacts they are making in their communities through this journey.” Sigma Theta Tau International President Cathy Catrambone, PhD, RN, FAAN, said, “I congratulate these individuals as they embark on a leadership journey that will pay dividends in their careers and in the lives of the women and children they serve. (Sigma Theta Tau International) is grateful to Johnson & Johnson Corporate Contributions for their continued investment in these leadership programs and the impressive global health outcomes they have impacted.”

2016-2017 Cohort Participants FELLOWS • ‌Jennifer L. Aguilar, MSN, RN, Welspan York Hospital • ‌Catherine Bell, RN, Winthrop University Hospital • ‌Felesia R. Bowen, PhD, Rutgers University • ‌Jeannie Connolly, RN, CNM, MSN, West Florida Hospital • ‌Rachael Edjou, RN, MSN, NNP-BC, APNP, CPNP-PC, Children’s Hospital of Wisconsin • ‌Warren E. Furry, RN, Lehigh Valley Health Network

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August • 2016 • ‌Carrie E. Gorski-Murphy, MSN, BSN, RN, Riley Hospital for Children at Indiana University Health • ‌Renee Maietta, MSN, RNC-OB, C-EFM, CBC, Sarasota Memorial Health Care System • ‌Elizabeth A. McIntire, RN, MSN, WHNP-C, Indiana University Health Riley • ‌Lynda M. Nolan, RNC-OB, CCM, University of Pittsburgh Medical Center • ‌Rachel Preiss, RN, WHNP-BC, IBCLC, SANE, Dimcock Center • ‌Yesenia Sandino, RN, University of Texas Medical Branch at Galveston • ‌Marilyn Smith, RN, BSN, CLC, LeBonheur Children’s Hospital • ‌Lisa Spencer, RNC-OB, MBA-NM, BSN, University of Texas Medical Branch at Galveston • ‌Meredith Waldrop, RN, University Health LEADERSHIP MENTORS • ‌Mary Bianchi, MSN, RN, CNS, NEA-BC, Lehigh Valley Health Network • ‌Barbara L. Buchko, DNP, RNCMNN, Welspan Health • ‌Mary W. Byrne, PhD, DNP, Columbia University • ‌Cathyjo Catalano, MSN, RNC, Winthrop University Hospital • ‌Amber Clayton, MBA, BSN, RN, University of Texas Medical Branch at Galveston • ‌Sharon Cochran, MSN, BSN, RN, Adjunct Faculty, Indiana University School of Nursing • ‌Tammy Cupit, PhD, RN-BC, University of Texas Medical Branch at Galveston • ‌Kimberly Claire Hite, MSN, RN, RNC-MNN, University of Pittsburgh Medical Center • ‌Roger H. McBride, RN, MSN, West Florida Hospital • ‌Mary O’Connor, MSN, IBCLC, MNN, Sarasota Memorial Health Care System • ‌Jaime Panton, DNP, APRN, CPNP, Northwestern State University • ‌Heidi Riegel, RN, MSN, NNP-BC, APNP, Children’s Hospital of Wisconsin • ‌Michelle Saysana, MD, FAAP, Indiana University School of Medicine • ‌Janet Tucker, MSN, RNC-OB, LeBonheur Fetal Center • ‌Linda Tuggle, RNC-OB, BSN, LeBonheur Children’s Hospital — Olive Branch FACULTY ADVISORS • ‌Carla Rider, MBA, MSN, RN, Maternal-Child Health Nurse Leadership Academy Lead Faculty • ‌Katheryn Arterberry, DNP, APRN, FNP-BC, Northwestern State University • ‌Billie Bitowski, APRN, FNP, BC, MSN, Geriatric Associates • ‌Sharon Harris, MSN, RN, NEA-BC, LeBonheur Children’s Hospital • ‌Shakira Henderson, PhD, DNP, MS, MPH, RNC-NIC, IBCLC, Vidant Medical Center • ‌Carol Klingbeil, DNP, RN,

CPNP-PC, University of Wisconsin-Milwaukee • ‌Leigh Small, PhD, RN, CPNP-PC, FNAP, FAANP, FAAN, Virginia Commonwealth University • ‌Julie Snethen, RN, PhD, University of Wisconsin-Milwaukee • ‌Barbara Woodring, EdD, RN, Georgia State University – Retired LEADERSHIP CONSULTANT • ‌Pegge Bell, PhD, RN, WHNP-BC Visit https://youtu.be/TQ3S8_OyWjg for a video about the academy. For more

than 90 years, Sigma Theta Tau International has honored the best and brightest women and men in nursing. The honor society provides its members with exclusive programs, resources and opportunities, including leadership academies such as the Maternal-Child Health Nurse Leadership Academy. The honor society is a nonprofit organization whose mission is advancing world health and celebrating nursing excellence. Founded in 1922, it has more than 135,000 active members in more than 90 countries. Visit www.nursingsociety.org for more information.

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August • 2016

Nursingmatters

Veterans need APRNs

Veterans Access to Quality Health Care Alliance

WASHINGTON, D.C. – Professional nursing and veterans organizations have been demonstrating support and highlighting the need for a proposed rule by the Department of Veterans Affairs that would provide veterans with direct access to advanced-practice registered nurses, practicing to the top of their education and training in Veterans Administration facilities. By June 28 more than 44,000 people had submitted comments on the proposed rule, which is by far the highest number of comments for a VA rule since online comment submission was instituted in 2006 – more than six times the total number of comments previously submitted. During the past 10 years, a combined total of 6,030 comments have been posted during more than 150 VA comment opportunities. “It’s time for evidence to trump politics when it comes to the health of our veterans,” said Juan Quintana, DNP, MHS, CRNA, president of American Association of Nurse Anesthetists, who also served in the Air Force Reserves. “And there’s no evidence for the arguments of the groups opposing the rule – all baseless rhetoric. Our initial review of the comments submitted thus far indicates wide-reaching support for the rule from veterans and health care providers alike – roughly two-thirds of the comments submitted – and we want to encourage others to submit comments and

VA.GOV

let their voices be heard.” American Association of Nurse Practitioners President Cindy Cooke, DNP, FNPC, FAANP, said, “Throughout my career, I have been honored to care for this extraordinary population. Our veterans have given so much to our nation and deserve to have us stand with them. The proposed rule is zero risk. Zero delay. And a zero-cost solution to ensure veterans have access to needed health care. We applaud the VA for taking this important action, which will immediately improve veterans’ access to care. And we are doing everything we can

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to support its proposal.” Cooke has provided primary care to patients for 18 years, more than 12 of those exclusively to active duty and retired military members and their families. The Department of Defense already provides active-duty personnel direct access to advanced-practice registered nurses. Nurse anesthetists first provided health care to wounded soldiers on the battlefields of the American Civil War, and have been the main providers of anesthesia care on the front lines of every U.S. military conflict since World War I. Capt. (retired) Kathryn Beasley, USN, PhD, FACHE, served alongside nurse practitioners, nurse anesthetists and other advanced-practice registered nurses as a Navy nurse for 30 years. She said she supports the proposed rule on behalf of the 390,000 members of the Military Officers Association of America. “In the Navy we would never train a sailor 10 skills, and then limit them to using only three,” she said. “It makes no sense. No one would do that. But that’s what illogical and wasteful practice limitations on highly skilled advanced-practice nurses do. Our veterans need all the skills advanced-practice registered nurses can provide them.” Chief Master Sergeant Robert L. Frank, U.S. Air Force (retired), chief executive officer of the Air Force Sergeants Association, said, “Health care is one of the things our veterans were promised when they raised their right hands to serve their country. More than 80 percent of those who served in the military were enlisted, and many rely on VA healthcare to take care of them. The waiting is unacceptable. We’re excited about this rule to allow the 6,000 (advanced-practice registered nurses) currently employed by the (Veterans Health Administration) to be used to their full

potential. Let them serve our veterans.” Prior to becoming the CEO of the American Nurses Association, Marla J. Weston, PhD, RN, FAAN, worked at the Veterans Health Administration as deputy chief officer. “I personally know the value and contribution that (advanced-practice registered nurses) can make to serve our country’s veterans,” she said. “Our veterans deserve the best care that this country can provide and that requires having (advanced-practice registered nurses) practicing to the full extent of their education and training. We know that when there are not enough nurses, patient mortality goes up.” The proposed rule impacts future care of veterans as well. Many advanced-practice registered nurses complete clinical rotations in the VA, gaining additional exposure to the unique needs of the veteran population. “When the more than 70,000 (advanced-practice registered nurses) students enrolled in (the American Association of Critical-Care Nurses)-member nursing schools enter the workforce, allowing them to practice to the full extent of their education and training will serve as a strong incentive for these highly skilled providers to seek employment at VA facilities,” said Jane M. Kirschling, PhD, RN, FAAN, dean and professor at the University of Maryland School of Nursing, and director of interprofessional education at the University of Maryland. More than 60 organizations support the policy change, including veterans groups such as the Military Officers Association of America and the Air Force Sergeants Association. The policy is also supported by AARP, whose membership includes 3.7 million veteran households, and 80 Democratic and Republican members of Congress. The public-comment period on the proposed rule expired July 25.


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Cameo Care Center is seeking experienced customer service oriented and caring Nursing staff to join our team. We have openings for 1st, 2nd, and 3rd shift part time and full time positions with an every other weekend requirement. Cameo offers a competitive wage and benefit package. Please apply in person in our Information Center or submit your resume directly to our HR Manager:

lmcelroy@cameocarecampus.com. We currently have the following open positions:

• Staff RN’s • Staff LPN’s • Certified Med Tech’s • C.N.A’s • RN Nurse Manager Day Shift • RN PM Supervisor

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August • 2016

Page 8

UW-Health gives $100,000 MADISON, Wis. – A banana may be a strange tool to use in learning about calling for help in an emergency, but it’s how some Literacy Network students recently practiced what to say and when to call 9-1-1. The students exercised their use of English to explain the problem, and described their location. It’s one of many health-related classes happening in partnership with the University of Wisconsin-School of Medicine and Public Health. “The No. 1 predictor of individual health status is literacy level,” said Dr. Dipesh Navsaria, UW-Health pediatrician and Literacy Network board member. “We recognize Literacy Network as an essential organization to the health of our community.” Making the long-standing collaboration even stronger, those involved said it was a thrill for all involved when UW-Health and Unity Health Insurance contributed $100,000 to the Literacy Network capital campaign in support of renovating the former Wingra Clinic at 701 Dane St. in

Madison. It will be the nonprofit’s new home by late summer. “We are so grateful to UW-Health and Unity Health Insurance for this transformational gift, said Jeff Burkhart, Literacy Network executive director. “The space Literacy Network occupies is simply not acceptable for the people we serve. They deserve better. This gift is a big step toward a more suitable learning center for our learners.” More than 55,000 adults from across Dane County – or one in seven – struggle with literacy. Low health literacy costs the county $465 million each year, mostly due to medication misuse or unneeded emergency room visits. The vast majority lives in poverty but wants to understand health care and interact with providers. Health literacy can save a life.

One of the students who learned about calling 9-1-1 and practiced what to say, using a banana as a phone, was in a car crash shortly after that portion of the class. She related her experience to her classmates, saying, “I remembered everything we learned in class and knew how to call for help. I am so happy we learned this and practiced it!” Visit www.growingthroughliteracy.org for more information. Literacy Network teaches reading, writing and speaking skills to Dane County adults so they can achieve financial independence, good health and greater involvement in community life. It is a non-profit organization in Madison, Wisconsin, founded in 1974, and works with teachers, tutors, volunteers and donors to improve adult literacy in Dane County.

Nursingmatters

ANA hails Supreme Court decision SILVER SPRING, Md. – The American Nurses Association hails the 5-3 decision by the U.S. Supreme Court in the Whole Woman’s Health v. Hellerstedt case. At issue were laws passed by the Texas legislature that required physicians who perform abortions to have admitting privileges at nearby hospitals and forced clinics to meet hospital-like standards of surgical centers. Consequently more than half of the state’s abortion clinics were forced to close, which unfairly restricted access to reproductive health services. “The American Nurses Association is gratified by the court’s decision,” said association President Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN. “The Supreme Court has sent a powerful message that Roe v. Wade is still the law of the land and that efforts to pose obstacles and restrict a woman’s access to reproductive health will not stand. “(The association) has advocated and will continue to fight for affordable, quality health care for all people, including services related to reproductive

health. (The association) believes that individuals have the right to privacy and the right to make personal decisions about their health without coercion or unnecessary barriers.” The association, along with other health-care organizations and medical experts, filed Dec. 31, 2015, an amicus brief, or “friend of the court” brief, supporting the petitioner, Whole Woman’s Health, and other providers. The American Nurses Association an organization representing the interests of the nation’s 3.6 million registered nurses. The association advances the nursing profession by fostering high standards of nursing practice, promoting a safe and ethical work environment, bolstering the health and wellness of nurses, and advocating on health care issues that affect nurses and the public.

• Wound Care RN/Specialist, full time position available in the Medical/ Surgical department. This is a Monday-Friday day shift position. Accredited/current wound care certification desired, minimum of two years recent wound care preferred. • Night shift RN, full time position (12 hour shifts) available in the Medical/Surgical department. Experience preferred, new grads will be considered. • Charge RN, full time position available in the Medical/Surgical department. This is a 12 hour Night shift position. • Full time Night position available in the Emergency department. Will consider 8, 10, or 12 hour shifts. BLS is required; ACLS,TNCC, PALS, and ENPC are preferred. • Triage/Family practice, full time position available at New Lisbon Family Medical Center. • Family Practice RN, full time position available at Mile Bluff Clinic. Minimum two years of experience preferred. • Part time position available at Crest View Nursing Home to work every other weekend.


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