Nursingmatters January 2016

Nursingmatters January 2016 • Volume 27, Number 1

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INSIDE: What if ...

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Reflections

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Moral Uncertainty

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Wisconsin Partnerships in Action for Community Care grant diversity collaborative members are: Back row, from left, Steve Rush, Sandra Underwood, Bonnie Schmidt, Brent MacWilliams and Jo Anne Preston; Front row, from left, Tracey Abitz, Barbara Nichols, Terrie Garcia and Judith Hansen.

Cooperative offers opportunities for men A nursing workforce that is diverse and reflective of the population benefits the population it serves. In Wisconsin, the nursing population is only 6.9 percent male, which definitely does not represent the population served. It’s lower than the national figure of men in nursing, which is 9.6 percent.

Nurses play an important role in the health of communities and sufficient numbers of men contribute to this nursing resource. The need to encourage growth in a diverse nursing workforce is imperative, and key strategies are not only to encourage men to enter the profession, but to also support them in nursing practice.

A Robert Wood Johnson Foundation State Implementation Program grant was awarded to the Wisconsin Center for Nursing, Wisconsin Nursing LEADs the Partnerships in Action for Community

Care. As a result, the Diversity Learning Collaborative teamed with Wisconsin Action Coalition co-lead, the Rural Wisconsin Health Cooperative, to create a new offering to support men in rural nursing practice. Following the well-established structure of the Rural Wisconsin Health Cooperative roundtables, which brings together affinity groups – obstetric nurses, pharmacists, emergency room nurses, lab, etc. – for learning and networking, the “Men in Nursing Roundtable” is building its own agenda. The program will work to advance the directive of the Institute of Medicine Report to increase gender diversity in the nursing workforce.

The new group will come together to plan strategies to address ways to meet the report’s recommendation, as well as to support members in their work as rural nurses who are male. The support will be in alignment with the framework provided

by American Assembly of Men in Nursing chapters, to discuss specific factors that impact males in the profession. At the end of the first year of scheduled meetings, it will be determined if the group would like to continue as an ongoing roundtable and dovetail as an official American Assembly of Men in Nursing Wisconsin chapter, with a focus unique to men in rural nursing.

Results of the work of the group will be shared statewide through other Rural Wisconsin Health Cooperative clinical and administrative roundtables, and through members of the Wisconsin Action Coalition. The lead agency providing administrative support and infrastructure is the Rural Wisconsin Health Cooperative. This will include meeting space and logistics,

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January • 2016

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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

Humor: man’s divine quality Several years ago at the National Wellness Conference I heard a wonderful humorist speak about the effect of humor on health and wellness. Recently I found a printout he gave us. I thought the Kaye Lillesand‌ information would be a great basis for starting a new year.

Izzy Gessll’s “Life’s Lessons Learned Along The Humor Path” In the arts you continually strive for success, and you accept failure as part of your learning process – but you don’t die with failure.

Every one of the great performers started out as a “Nobody,” an unknown who had the same aspirations for success that are common to all people.

If you don’t try you won’t fail. But you’ll never succeed.

Success or failure as a humorist often depends on the proper co-ordination of continuity and contacts. (I believe many of his ideas are true of any of life’s endeavors.)

Keep mind, mouth and muscles moving. Keep alert and active.

Creative people develop patterns of creativity and an M.O. – Modus Operandi – for stimulating and activating Creativity. There is no Creativity without

Discipline.

The process of creation is a criticism of the status quo – a desire to improve and better the situation.

People would rather be entertained than informed. If you can provide both simultaneously, you will be an asset.

The job of a humorist is to put people into a better frame of mind. The Art of Laughmaking is the Art of Communication.

Humor lies in the ability to see the similarity in things that are not similar and the dissimilarity in things that are similar.

Comedy is an escape from reality.

The psychological function of laughter is to provide us with a psychologically liberating experience.

First you learn to laugh at yourself, then at things around you, then at things that affect city, state, nation and world.

The following quotes have inspired me to look carefully at the connections between humor and spirit. What connections do you see? What insights are brought forth? What role has humor played in your life? What role would you like it to play from now on? How will you manifest this desire?

The man of understanding finds everything laughable. – Goethe People want to see you if you bring them joy. – Jack Eagle Serious issues and serious people can be quite funny. – Wendy Wasserman

A wise teacher will teach with joy.

– Chinese Proverb Laughter is the shock absorber of life’s blows. – Salada Tea Bag A sense of humor is the only divine quality of man. – Schopenauer What soap is to the body, laughter is to the soul. – Yiddish Proverb The role of the clown is not to take our minds off our troubles, but to point out ways to survive and even laugh. – Parabola Magazine He deserves paradise who makes his companions laugh. – Mohammed in the Koran Most jokes state a bitter truth. – Larry Gelbart Happiness is a sort of atmosphere you can live in sometimes when you’re lucky. Joy is a light that fills you with hope and faith and love. – Adele Rogers St. John True humor springs not more from the head than from the heart. It is not contempt; its essence is love. It issues not in laughter, but in all smiles, which lie far deeper. – Carlyle You’re never too old to do goofy stuff. – Ward Cleaver

WHAT IF ...

Craniosacral Therapy can help Craniosacral Therapy was pioneered and developed by osteopathic physician John E. Upledger following extensive scientific studies from 1975 to 1983 at Michigan State University, Brenda Zarth‌ where he served as a clinical researcher and professor of biomechanics.

According to Upledger, “Craniosacral Therapy is a gentle, hands-on approach that releases tensions deep in the body to relieve pain and dysfunction, and

improve whole-body health and performance. Using a soft touch generally no greater than 5 grams – about the weight of a nickel – practitioners release restrictions in the soft tissues that surround the central nervous system.”

Craniosacral therapy works with the membranes and fluid that surround and protect the brain and spinal cord. It influences lymphatic fluid and connective tissue. The craniosacral therapist encourages the body to let go of restrictions and improve the flow of fluid.

A craniosacral therapist learns to listen and feel for the faint dural pulse of the craniosacral rhythm. It’s a pulse that doesn’t

Craniosacral Therapy is a gentle, hands-on approach that releases tensions deep in the body to relieve pain and dysfunction.

match the beat of the heart or the rhythm of respirations. It’s smooth and full, like the ebb and flow of gentle waves pushing and

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January • 2016

What if ...

and might be leaving more attune with his or herself.

continued from page 2 pulling on a sea shore. Feeling too hard for it can crush the rhythm; too soft and you miss it.

Once you find it, you follow the rhythm to flow from the top of the head to the bottom of the feet and back again. It also flows from the front midline of the body around the outside of the body to the back of the spine and back around to the front again. I’ve seen pictures of electrical currents making a similar pattern.

The therapist is looking for any restrictions, interruptions or blockages that prevent the rhythm from flowing smoothly and completely. It feels similar to a dance in slow motion. The therapist gently urges the pulse to and fro along the spine and along the path encircling the body and back again. In Craniosacral Therapy the therapist is gently encouraging the rhythm to go out a little further, or come back a little closer, to complete and improve the flow of fluid.

The client’s body seems to respond to the positive good will and encouragement of the therapist. An understanding develops that the therapist is seeking to help the body heal itself. The encouragement and support gives permission to stretch a little with the understanding that the therapist is here to guide and support the client.

Upledger states that “by complementing the body’s natural healing processes, Craniosacral Therapy is increasingly used as a preventive health measure for its ability to bolster resistance to disease, and is effective for a wide range of medical problems associated with pain and dysfunction, including: • ‌migraine headaches • ‌chronic neck and back pain • ‌motor-coordination impairments • ‌colic • ‌autism • ‌central nervous system disorders • ‌orthopedic problems • ‌concussions and traumatic brain injuries • ‌spinal-cord injuries • ‌scoliosis • ‌infantile disorders • ‌learning disabilities • ‌chronic fatigue • ‌emotional difficulties Using a soft touch generally no greater than 5 grams – about the weight of a nickel – practitioners release restrictions in the soft tissues that surround the central nervous system.

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How does Craniosacral Therapy work?

Osteopathic physician John E. Upledger demonstrates Craniosacral Therapy.

• ‌stress and tension-related problems • ‌fibromyalgia and other connective-tissue disorders • ‌Temporomandibular Joint Syndrome • ‌neurovascular or immune disorders • ‌Post-Traumatic Stress Disorder and • ‌post-surgical dysfunction.

SomatoEmotional Release is a therapeutic process that uses and expands on the principles of Craniocacral Therapy to help rid the mind and body of the residual effects of trauma.”

Sometimes difficult memories created under stress cause a restriction that is trapped in the connective tissue. When these restrictions are released the memory is also released and may let go in an emotional wave that may be as vividly painful as when the memory was first created.

However, the client has the realization that he or she is safe now. The actual trauma is past and it’s okay to let go of the memory.

Sometimes passive muscles react to the signals and stretch and twist and turn to further improve the flow of lymphatic fluid. The client might feel that his or her body has taken on a mind of its own,

moving with unknown intent or purpose.

The person might walk away feeling like he or she has had an internal massage, or feeling out of balance, not realizing the person may have walked in out of balance

According to Upledger, the central nervous system is heavily influenced by the craniosacral system – the membranes and fluid that surround, protect and nourish the brain and spinal cord. Everyday stresses and strains can cause body tissues to tighten and distort the craniosacral system. The distortions can then cause tension to form around the brain and spinal cord, resulting in restrictions – similar to high blood pressure in the vascular system.

The restrictions can create a barrier to the healthy performance of the central nervous system, and potentially every other system it interacts with. With a light touch, the Craniosacral Therapy practitioner uses his or her hands to evaluate the craniosacral system by gently feeling various locations of the body to test for the ease of motion and rhythm of the cerebrospinal fluid pulsing around the brain and spinal cord. Soft-touch techniques are then used to release restrictions in any tissues influencing the craniosacral system.

Visit www.upledger.com for more information or to find a craniosacral therapist.

Email BrendaZarth@gmail.com or visit brendashealthplan.blogspot.com to make comments on this column.

January • 2016

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Nursingmatters

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

Agnes Shoemaker Reinders c. 1913 – 1993 As Sister Mary Theophane, Agnes Reinders was one the organizers of the American College of Nurse Midwives and served as its second president.

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the American College of Nurse Midwives As Sister Mary Theophane, Agnes and served as its second president. She Reinders was a pioneer nurse midwife. edited the “Bulletin of the American ColShe attended the nurse-midwifery prolege of Nurse Midwives,” now known as gram at Catholic Maternity Institute in the “Journal of Nurse Midwifery,” from its Santé Fe, New Mexico, which was one of inception in 1955 until 1959. the earliest in the country.

In April 1958 she was appointed Agnes Shoemaker was born in Kenadministrator of the Holy Family Hospital tucky, the second of nine children. She in Atlanta, where she was responsible for spent her early years in Wisconsin, and the construction of the hospital. She was then moved with her family to a farm determined to build an integrated hospinear Owensboro, Kentucky. After comtal in a segregated city. She remained in pleting high school, she entered the Atlanta until 1964.

Society of Catholic Medical Mission Sister Mary left the Order sometime Sisters in Washington, D.C., and was before moving to Milwaukee to become given the name Sister Mary Theophane. a member of the graduate school faculty She enrolled in the School of Nursing at at Marquette University College of NursProvident Hospital in Washington; in 1941 ing. From 1973 until she retired in 1978, she was awarded a baccalaureate degree Shoemaker served as administrator of from Catholic University of America in its continuing education program. Upon Washington. She later completed requireher retirement she was named professor ments for a master’s degree from the same emeritus, and later served institution. as an advisor to the newly She began her nursing established master’s program career as head nurse of a A strong, in nurse-midwifery at Marmedical-surgical unit in a determined, quette University.

Washington, D.C., hospital spirited In 1978 Shoemaker and was appointed obstetric woman, received the Professional supervisor. Shortly afterServices Award from the ward she enrolled in the Agnes National University Extension Lobenstein School of NursShoemaker ing-Midwifery in New York Reinders was Association for outstanding service in the development City. After receiving her cernot afraid to of continuing education contificate as a nurse-midwife, stand up for ferences. Two years later, the she went to Sante Fe, where her beliefs.

American College of Nurse she founded and directed the Midwives – the organization Catholic Maternity Institute. she help found – gave her It provided maternity serits highest award, the Hattie vices to the Spanish-speakHemschemeyer award, in recognition of ing population in the area. As director, her devotion to the profession of nursing. she was responsible for fundraising, In 1984 she was named to the Hall of construction, personnel development, Fame, Sigma Theta Tau International, budgeting and developing working relaDelta Gamma Chapter. tionships with a variety of health and After moving to Milwaukee, Shoewelfare agencies. maker married Henry Reinders, who After inaugurating the Maternal and preceded her in death. She died Sept.

Infant Care Service Program, Sister Mary 29, 1993, at the home of her sister, Mary was asked to start a nurse-midwifery Patterson, in Evansville, Indiana. She was program. She refused to start the prosurvived by two stepdaughters, four sisgram unless the graduates were granted ters and three brothers. licensure as nurse-midwives. As a result, A strong, determined, spirited New Mexico became the first state to woman, she was not afraid to stand up enact such legislation. The nurse-midfor her beliefs. In writing about Agnes wifery certificate program began in 1945.

Shoemaker Reinders, Vera Keane, a wellThree years later she negotiated a masknown nurse mid-wife, said, “Many ter’s program in nurse midwifery at the people can conceptualize what might be Catholic University of America, the first done. Mrs. Reinders adds the dimension university-based program in the country. of being able to implement an idea for She continued as director of the Catholic solid, long-range effect, and of inspiring Maternity Institute until 1958. others to carry on effectively.”

Sister Mary was one the organizers of

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Cooperative

continued from page 1 email listserve, and confidential portal for document sharing. Co-facilitation will be provided by Robb Pastor, RN, CNO, FACHE, of Southwest Health Center in Platteville, Wisconsin, along with Jo Anne Preston, Rural Wisconsin Health Cooperative Workforce and Organizational Development senior manager.

Preston also acts as the liaison to the Wisconsin Center for Nursing Partnerships in Action for Community Care grant initiative through the Diversity Learning Collaborative.

Meetings for the Men in Nursing Roundtable will be held at the Rural Wisconsin Health Cooperative on a quarterly basis from 2 to 3:30 p.m. on the fourth Friday of the month. Roundtable membership fees are waived for any nursing students wishing to join the group.

Meeting dates scheduled for 2016 are Jan. 22, April 22, July 22 and Oct. 28.

Expected outcomes are to encourage participating nurses to grow professionally, and to demonstrate the contributions being made by men in the nursing profession. Educational opportunities will be explored and offered as part of the group agenda. Potential projects could include outreach to elementary through high school students to encourage young men to consider nursing careers.

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January • 2016 Another related outcome will be to create a dialogue with elementary through high school counselors and key community stakeholders who will be encouraged to support men in nursing career choices, to help connect the dots between what men offer and opportunities to exhibit those talents in a nursing career. This is reflective of the true intent behind this effort, as not just a numbers game, but rather a focus on competencies and interests, versus exclusively gender. Additionally, the increasing awareness of the need for diversity, including men in nursing, is hoped to impact gender inclusion and balance in Wisconsin nursing-education programs.

All nurses interested in these efforts are invited to participate in the roundtable.

Contact Preston at jpreston@rwhc.com for more information.

The Men in Nursing Roundtable represents a creative approach to provide a unique support network for men in the nursing profession. The Wisconsin Partnerships in Action for Community Care grant is also working with nursing programs and health systems throughout the state to increase the number of formal American Assembly of Men in Nursing chapters in Wisconsin. Email Barbara Nichols, Wisconsin Center for Nursing diversity coordinator, at nichols@wicenterfornursing.org for more information on creating a chapter or other diversity efforts in Wisconsin.

Manage moral uncertainty in practice Mary Ellen Wurzbach, RN, BSN, MSN, FNP, PhD, John McNaughton Rosebush Professor Emerita, University of Wisconsin-Oshkosh‌

Over the years I have examined moral uncertainty as Mary Ellen experienced by acuteWurzbach care nurses and have several suggestions for dealing with it in practice.

In my previous research I found that conviction seems to be based on experience with an issue. For example, the more experiences nurses had with an issue the more convinced they were of what ought to be the optimal outcome of their decisions. This suggested, however, that even experience could not prevent feelings of uncertainty when a sudden event occurred that was not predicted. Nurses may need anticipatory guidance in practice to help them learn to deal with the sudden experience of moral uncertainty.

It was also indicated that there was a difference in reactions to the moral uncertainty of an ethical event. If there

was time, nurses experienced “standing back” or “going through” moral uncertainty. If there was not time to consider options and talk about the possibilities, the phenomenon of “just keep going” took over. The nurses who experienced “just keep going” were the most likely to look back, wondering whether or not they had done the right thing – sometimes even years later.

Based upon the literature and the findings of the research, it would seem that if one gains experience with ethical situations one learns how to confront similar issues in the future. There is a need, however, for educational intervention when a sudden unpredictable situation occurs in which a decision must be made with little preparation.

In addition, as suggested by these nurses, peer support was an antidote to moral uncertainty. Nursing ethics committees might provide some of this peer support. The findings of this study suggest that along with providing a forum for discussion, support and education may be necessary functions of these groups.

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January • 2016

Nursingmatters

Moral uncertainty continued from page 5

Nurses could be cautioned to stand back and look for advice when confronted with moral uncertainty. They could also be advised that going through moral uncertainty is a growth-producing experience. Nurses could be encouraged to look back with regret, but also with the assurance that behavior can be changed to make the ethical situations of the future less painful. Teaching nurses to look back without shame or guilt – to look at the behavior, not themselves – and to seek support when needed are essential.

I coach my students to appreciate moral ambiguity and uncertainty, and not to look for the first answer to a question. Instead, I coach them to delve into the issue and think about possible solutions and outcomes. They are encouraged to search for answers, not to merely accept information that supports their original beliefs. They are also challenged to ask ever more insightful questions based on the information they gather.

There are many hopeful aspects of dealing with moral uncertainty. It brings peers together to solve an ethical or a clinical dilemma; peers support and depend on one another. It frequently leads to consensus because of all the peer conversations. In most cases consensus is sought because no one person has the right answer. Consensus in turn leads to better, more detailed decision making and less moral uncertainty for everyone.

Institutionalized peer support, as with ethics committees, makes the process of dealing with moral uncertainty more rigorous and defined, thereby removing some of the uncertainty.

Moral uncertainty’s primary growth-producing characteristic is the search for information. In the search for information new solutions arise, more debate occurs and possibly institutionalized policies are implemented that will preclude repeated uncertainty about the same situation. Moral uncertainty raises more questions. Many times these are questions which, if answered, again make health care more humane and less uncertain in the future. Consensus, information seeking, peer support and institutionalized peer support – such as ethics committees – all lead to less stress as a result of moral uncertainty. They lead to more thoughtful decisions, more colleagueship and better communication.

Collaboration is a hallmark of moral uncertainty. Peers depend on peers and each looks to the other for advice and counsel. In turn, this leads to more esprit de corps and better, more expert decision-making. Instead of one person making a decision, many minds are turned to contending with a complex problem. In an institutionalized sense

many people from different disciplines with different perspectives take part in the debate. Collaboration is not merely among professionals. The patient, family and in some cases friends or surrogates take part in making the decision.

This all assumes time to make a considered decision. In many cases, nurses thought it was the unexpected that produced the moral uncertainty. The goal of the staff might be to quantify and qualify as many situations as possible so as to preclude the unexpected. Policies that cover ethical dilemmas could be put in place to prevent the surprise and need for sudden unexpected decision-making.

Constant ethics conversations simulating many different aspects of common dilemmas can be made a part of staff life.

Anticipation of possible outcomes, circumstances and issues may make health care better and prevent unanticipated quandaries.

To summarize, moral uncertainty can lead to many positive outcomes: seeking more information, peer support, spreading responsibility, policy development, and possibly setting up an ethics committee if one is not already in place. Consensus is a common outcome.

In fact, moral uncertainty sets the stage for consensus.

Yet sometimes all these are not sufficient and moral regret still occurs.

Debriefing is essential. Living with grief, guilt and shame is not pleasant nor is it necessary. Those involved can find friend, colleagues or family members to help in learning to live with an unsuccessful CPR attempt, a neonate death or the death of a beloved elder. Moral uncertainty has many benefits and positive aspects, but it can also be traumatic.

Appreciate the positive aspects and try to anticipate the negative aspects.

References Wurzbach, ME. Long-term care nurses’ moral convictions. Journal of Advanced Nursing, 1995; 21: 1059-1064.

Wurzbach, M. E. (1996). Long-term nurses’ moral convictions about tube feeding. The Western Journal of Nursing Research, 18(1), 63-76.

Wurzbach, M.E. (2008). Moral conviction, moral regret, and moral comfort: Theoretical perspectives. In Nursing and Health Care Ethics: A Legacy and a Vision. Eds. Pinch, W. J. E. and Haddad, A.M. Silver Spring, Maryland: Nursebooks.org

CALENDAR Jan. 23: Pharm Series 1 Updates in Anti-Infectives Waukesha County Technical College, Waukesha Visit www.wctc.edu/registration or call 262-691-5149 for more information.

Jan. 28: Pharm Series 2 Updates in Diabetes Waukesha County Technical College, Waukesha Visit www.wctc.edu/registration or call 262-691-5149 for more information.

Jan. 30 and Feb. 6: Phlebotomy for Health Care Professionals Waukesha County Technical College, Waukesha Visit www.wctc.edu/registration or call 262-691-5149 for more information.

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Not only will you find career opportunities in the classified section of Nursingmatters, you will find them posted continually throughout the month on Nursing-

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We are seeking an MDS Coordinator to coordinate the RAI process to ensure optimal reimbursement for services. Responsibilities include: • Ongoing management of the Medicare certification/ recertification process • Coordination of a restorative nursing program • Participation in multi-disciplinary meetings Requires 2 years of experience in long term care, including one year working with MDS. WI RN license and CPR certification also required.

REGISTERED NURSES Mile Bluff Medical Center has full time and part time Registered Nurse positions open for immediate application available in our Emergency Department, including a Weekender program. Our Trauma Category 3 facility has 5 ER beds and 3 Urgent Care beds with 7,000 Emergency visits, 5000 Urgent Care visits, and 1500 Series/Nursing Service visits annually. Mile Bluff Medical Center serves a population of Juneau County and surrounding county residents, visitors, and travelers with a wide variety of emergency medical and trauma conditions. Our Emergency Department will provide a challenging nursing experience.

Requirements include current RN licensure, active certifications in Advanced Cardiac Life Support, Trauma Nursing Core Course, Emergency Nursing Pediatric Course, and minimum two years Emergency Department experience.

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Expo 2016 Education: the Basis for Value, Vision and Voice of nursing

Tuesday, February 23 exhibiTion hall aT The allianT energy CenTer Breakout SeSSioNS:

keYNote SPeaker:

Mary Lu Gerke

Barbara Nichols, PhD will speak on how value, vision and voice will address the challenges of diversity and inclusion in our profession.

Interim Dean of the College of Nursing, Health and Human Behavior, Viterbo University, La Crosse, WI The Valuing of Self- Valuing of Professional Nursing Discerning between self and the profession has become a moral and ethical issue for nurses in all settings. When and how to care for self and at the same time serve and sustain the values of professional nursing. Is there a possible balance? Why is caring for self important? Sustaining of the profession depends on how we address these issues.

CoMPLiMeNtarY LuNCHeoN

Gina Dennik Champion

kelley Johnson, Miss Colorado

Strategies for Speaking with Legislative Leaders at All Levels of Government The resulting value for nursing will be discussed

will speak on how valuing nursing led her to a vision of the profession and as a result she has become a voice for nursing.

Nancy Huhta Comello, MS, CNM

Although the luncheon is free, you must register at

www.nursingmattersonline.com.

Complimentary luncheon sponsored by

Luncheon sponsored by UW Health.

Creating Hope for a Special Delivery: Educating Guatemalan Indigenous Midwives Nancy will be speaking on discovering her passion for international teaching for birth attendants. She has volunteered in Guatemala many times and discovered the acute need for training needed by indigenous midwives.

exhibiTors Attic Angel Place Cardinal Stritch University Covance Dale Medical Products Easter Seals Wisconsin Froedtert Health Gilda’s Club Madison Grand Canyon University Group Health Cooperative of South Central WI

L’BRI Pure n’ Natural Milwaukee School of Engineering School of Nursing Rainbow Hospice Care Select Specialty Hospital Stoughton Hospital The College of St. Scholastica The Gideons International UW Madison School of Nursing UW Oshkosh School of Nursing

Viterbo University William S. Middleton Memorial Veterans Hospital Wisconsin Center for Nursing WNA Wisconsin Nurses Association WPS Health Young Living Health and Wellness Options And MORE...

For more information contact: Matt Meyers at 608-252-6235 - mmeyers@madison.com

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