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MNORN Newsletter June 2017

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Opportunities to be involved in MNORN and ANA:

ANA Committees & Subsidiary Boards:

• ANCC Board of Directors

• Committee on Bylaws

• Committee on Honorary Awards

• Committee on Honorary Awards

subcommittee

• Committee on Nursing Practice

Standards

• Minority Fellowship Program (MFP)

National Advisory Committee

• Reference Committee

Deadline for application is June 23rd

MNORN Elected Office: • 1st Vice President

• Treasurer

• 2 Directors

Other positions to be elected:

• 3 members of the Nominating Committee

• 2 ANA Membership Assembly Representatives and alternates

Current members of the Nominating Committee are:

• Niki Gjere, chair

• Stephanie Youngberg

• Tonjia Reed

• Rachel Kerr

• Sara McCumber

Elections will be held this Fall, with terms starting in 2018.

The American Nurses Advocacy Institute an annual program designed to help nurses gain political competence.

The program begins October 1-3 in Washington DC, followed by a series of conference calls scheduled conveniently throughout the year.

Contact hours are awarded at the conclusion of the the program.

For more information, check the MNORN website, www.mnorn.org

You may also contact Kathi Koehn at [email protected] or 651-271-5863

Please let us know if you are going to apply for an ANA position, so that we can write a letter of recommendation on your behalf.


Report of the May 12th MNORN Member Meeting

Engagement and Advocacy: Dialogue Forum Topics for the Upcoming ANA Membership Assembly

Presenters: Mary Tanner, PhD, RN Heidi Orstad, BSN, RN, PHN, CCM, Doctor of Nursing Practice Student

The two dialogue forum topics selected for this year’s ANA Membership Assembly

are:

• “Fostering Member Engagement in ANA's Policy Development Process” (IMD)

• “How to Prepare Nurses for Working in an Uncertain Health Care Environment” (MNORN)

The meeting began with presentations from Mary and Heidi, defining Advocacy and

Engagement, reminding the participants how foundational these activities are to

the role of the registered nurse.

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Advocacydefined…

•  “actorprocessofpleadingfor,suppor8ng,orrecommendingacauseorcourseofac8on”[CodeofEthics,ANA,2015,p.41]

•  Synonyms:supportfor,backingof,promo8onof,championingof;argumentfor,pushfor;Informalboosterismof….

Engagementdefined…

•  “anarrangementtodosomethingorgosomewhereatafixed4me”

•  Synonyms—appointment,mee4ng,arrangement,commitment,assigna4on,rendezvous


The ANA Foundational Documents speak clearly about the registered nurse’s role as an advocate:

ANA Scope and Standards of Practice:

•Standard 5A. Coordination of Care. “The registered nurse advocates for the delivery of dignified and holistic care by the interprofessional team” (p. 63)

•Standard 7. Ethics. “The registered nurse:

– advocates for healthcare consumers’ rights to informed decision-making and self-determination.

– advocates for the rights, health, and safety of the healthcare consumer and others” (p. 67)

• Standard 8. Culturally Congruent Practice. “The registered nurse advocates for policies that promote health and prevent harm among culturally diverse, under-served, or under-represented consumers” (p. 69)

• Standard 16. Resource Utilization. “The registered nurse advocates for resources that support and enhance nursing practice” (p. 82)

• Standard 17. Environmental Health. “The registered nurse advocates for the safe, judicious, and appropriate use and disposal of products in health care” (p. 84)

The Code of Ethics for Nurses with Interpretive Statements:

•Provision 3 addresses patient advocacy: “The nurse promotes, advocates for, and protects the rights, health, and safety of the patient” (p.9)

•Provision 7 addresses policy advocacy: “The nurse, in all roles and settings, advances the profession through research and scholarly inquiry, professional standards development, and the generation of both nursing and health policy” (p. 27)

• 7.3—“Nurses must lead, serve, and mentor on institutional or agency policy committees within the practice setting. They must also participate as advocates or as elected or appointed representatives in civic activities related to health care through local, regional, state, national, or global initiatives” (p.28)

• Provision 6 addresses workplace advocacy, and also speaks to the role of the professional organization in advocating for nurses “by supporting legislation; publishing position statements; maintaining standards of practice; and monitoring social, professional, and healthcare changes” (p. 25)

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• Provision 9 addresses the specific role of professional organizations: “The Profession of Nursing, collectively through its professional organizations, must articulate nursing values, maintain the integrity of the profession, and integrate principles of social justice into nursing and health policy” (ANA, 2015a, p. 35). In the process of integrating social justice as part of this task, nurses “must be vigilant and take action to influence leaders, legislators, governmental agencies, non-governmental organizations, and international bodies in all related health affairs to address the social determinants of health” (p. 36)

Social Determinants of Health (SDOH) are “Conditions in the places where people live, learn, work and play that affect a wide range of health risks and outcomes”

Why are they important for nursing?

Nursing’s Goal--Create social and physical

environments that promote good health for all.

Question: How can we incorporate them into our health advocacy efforts?

Levels of Advocacy:

“Advocacy can occur at several levels, including individual, interpersonal, organization, community, and the policy level”

- Earp, French, & Gilkey, 2008, “Improving Healthcare Through Advocacy: A Guide for the Health and Helping Professions”

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SDOH

•  EconomicStability.Poverty....•  Educa5on.HighSchoolGradua5on....•  SocialandCommunityContext.SocialCohesion....•  HealthandHealthCare....•  NeighborhoodandBuiltEnvironment.

h'ps://www.cdc.gov/socialdeterminants/


Engagement in Advocacy Efforts

• Point of Care---patients

• Management/Administration

• Education

• OTHER

– Mentoring

– Peer review

– Community service

– Knowledge development; dissemination

– Professional Associations

Current ANA Efforts and Examples

• Policy-related activities and legislative agenda, informational networking such as the ‘Capitol Beat blog’ and use of social media, resources and tools for policy advocacy, and active engagement of members through legislative lobbying efforts, the American Nurses Advocacy Institute (ANAI)

• Participation in the ‘Nurses on Boards Coalition’ to increase nurses’ presence on non-profit and corporate health-related boards.

• Promotion of a healthy environment and healthy nursing workforce through legislation, policy statements, and programming such as the ‘Healthy Nurse, Healthy Nation™ Grand Challenge.’

Small Group Discussion followed the presentation, focusing on the questions that will be addressed at the Membership Assembly. Summary of those discussions follows:

Barriers/Challenges to Individual RNs Advocacy Efforts:

• Public stigma: mental illness, homelessness, sexual predators - language, attitudes, biases • Financial impacts

• Risk to individual nurse to go against the system • Resistance and discomfort with change

• Need for change

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• Risk of over-advocating = paternalism • When does rule-breaking become acceptable?

• Attitudes/influence of family and friends • Communication barriers - different languages

• Inability of nurses to verbalize what nurses do

Challenges/Obstacles That Impeded Consistent Member Engagement with ANA: • $ - belong to multiple dues-requiring organizations

• Competing priorities

• May not care about issues or may not see relevance to them • “Someone else will do it”

• No one asks them to be involved or employer does not encourage • Feeling intimidated or inadequate vs. sense of belonging

• Gap between ANA activities and my life. What is the value of belonging?

• Convenience of activities • What does engagement do for me?

• Define engagement/tasks - be specific • ANA Job Board for member engagement (e.g. sign up for speaker bureau, expert panel,

etc.)

Mechanisms to Eliminate Barriers/Promote Effective Advocacy:

Decrease Barriers Increase Effective Advocacy

Simplify complexity - ex. insurance terminology

Define terms

Bust myths - ex. politics = dirty Clarify roles

Education on advocacy beyond legislature

Increase peer support for advocacy

Decrease intimidation by humanizing the decision maker

Increase engagement ex. invite peers, colleagues to engage together

Get input, eg. from patients on what barriers need to be decreased

Increase information on social determinate of health (SDOH), disparities

Know resources

Teamwork at appropriate level, e.g. organizations, colleagues

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Ways to Overcome Barriers to Member Engagement in ANA Policy Development:

• Awareness: use social media • Use technology for communication

• Newsletters • Offer internships

• ANA delegation at nursing schools

• Survey of interest to join a task force • Web meetings

• Use personal stories to share why policies are important • Explain the policy process

• Explain the importance of the policy and how it impacts practice

• Share past examples of policies influenced by nursing • Make it easy to get involved - e.g. how to contact a representative, communication tips

Later this week, MNORN’s representatives to the Membership Assembly ( Molly Maxwell and Heidi Orstad) will use these discussion points as they participate in the Dialogue Forums.

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RequirementstoBecomeANurseAdvocate

“Nurseadvocacyisincrediblydiverse.Itlooksatmedicine,research,socialwork,pa;enteduca;onandinsurance,forinstance.ThereisnoofficialNurseAdvocatedegree,norarethereanyspecificstandardsorcurriculum.Itisaboutmakingtheeffortyourselftobecomeanexpertinthedifferentfieldsneededtoadvocatepa;entcare.”h"p://nursejournal.org/nursing-advocate/what-to-know-to-become-a-nurse-advocate/


Highlights of the International Council of Nurses (ICN) Congress in Barcelona, which concluded June 1st

(gathered from ICN press releases)

•The new ICN President is from Ireland - Annette Kennedy. In her acceptance speech, she announced her “watchword” for her term:

Together

"Together we can encourage every nurse to stand up and let their voice be heard about the great work they are doing against all odds and with limited resources,” she said. “Together we can provide health care for every woman, man and child by convincing our policy makers to implement the UN High Level Commission’s recommendations. Together we can ensure that we have a voice at every committee and policy table related to health care. Together we can encourage investment in primary care, health promotion and disease prevention and together we can provide that care. Together we can convince the public and policy makers that investing in health is an investment in our people and our economy. Together we can seek better working conditions for all nurses. Together we can realize our collective potential to make the world a healthier place for everyone.”

• Linda Aiken, spoke on safe staffing. She spoke about the importance of evidence and bringing it to governments. She presented findings of studies of 30 countries that show the important impact of nurse staffing on patient outcomes. “Hospitals that have evidence based staffing have the lowest mortality at the same or lower price,” she explained. *Now is the time for us to act on the basis of the evidence we have!

• Examples of safe staffing came from Wales, China, and Spain. Jean White, the Chief Nursing Officer of Wales, discussed her experience and progress in addressing some of the issues of quality and safety through safe staffing measure, citing the Nurse Staffing Levels (Wales) Act of 2016. She was followed by Liming You, Professor at Sun Yat-sen University School of Nursing, who spoke about raising the social status and prestige of the nursing profession and increasing the attractiveness of a nursing career. Finally, Amelia Amézcua Sánchez from the Spanish Nursing Union spoke about the necessity to reframe the discourse on nursing investment, and how we need to consider nursing as a gain to society and to the economy.

• “No one knows health care better than nurses!” said Dr Leslie Mancuso President and CEO of Jhpiego, who gave the traditional Virginia Henderson lecture. Stressing that it is nurses work to build sustainability, Dr Mancuso encouraged nurses to be empowered as

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leaders and change makers in this world. “We can no longer be timid,” she said. “Now is the time for we as a profession to develop places for the future of health care!”

• Sir Michael Marmot, whose book The Health Gap, is a seminal analysis on the causes of ill health has been hugely influential in shifting thinking and policy on addressing health inequalities.“Inequalities in health arise, not just because of inequalities in access to health care, but because of inequalities in the conditions in which people are born, live, work and age. In other words, in inequalities in social determinants of health,” he explained.

• Answering the question, what can health workers do to address the social determinants of health, Sir Michael noted five things that health professionals can do: increase education and training; see the patient in a broader perspective; improve the working conditions of health care workers; work in partnership; and advocate.

• Katja Iversen, President & CEO of Women Deliver, an advocacy organization, who encouraged nurses to think beyond their own lives, to influence the health agenda and to seize power. “Be catalyst, be a team player and know your audience she said “But don’t wait to be handed the power – take it!”

• And, finally, Congratulations to ANA President, Pam Cipriano, who was elected as an officer on the ICN Board of Directors!

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Did you know that Nursing students can become Student Subscribers for $10? Members of

National Student Nurses Association (NSNA) can become Student Subscribers for free!

Please let student nurses know about this asset as they begin their nursing career.

Student Subscribers receive digital access to the following:

• Full access to the digital Welcome to the Profession Kit

• Student Nurse online community

• Full ANA Position and Policy papers on important nursing issues

• Members-only content on Nursingworld.org

• ANA publications such as American Nurse Today, OJIN: The Online Journal of Issues in Nursing as well as ANA SmartBrief

For more information and to join, go to http://nursingworld.org/EspeciallyForYou/Student-Nurses/ANA-New-Benefits-for-Students


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The Faith Community Nurse Network of the Greater Twin Cities (FCNN), 2017 Continuing Nursing Education

Continuing Education Symposiums (3.6 Contact Hours each)

“Parkinson’s Disease” Wednesday, June 21, 2017 | 9:30 am – 12:30 pm

Rose Wichmann, PT, Manager of Struthers Parkinson’s Center

Trinity Evangelical Free Church, Lakeville

“Intentional Listening” Wednesday, October 25, 2017 | 9:30 am – 12:30 pm

Liz Andress, BA, MA

Adath Jeshurun, Minnetonka

$50 / $25 (FCN rate) per symposium For more information and to register, go to:

http://www.fcnntc.org/education/continuing-education-symposiums/

Foundations of Faith Community Nursing Course (41.5 Contact Hours) Monday – Friday, October 16 - 20, 2017 | 8:30 am – 5:00 pm

FCNN Office, 475 Cleveland Ave N, Suite 205, St. Paul

For more information and to register, go to: http://www.fcnntc.org/education/foundations-course/

Stepping On Leader Workshop (26 Contact Hours) Become a Leader with Stepping On, an evidence-based falls prevention program

proven to reduce falls and build confidence in older adults. This opportunity is open to

faith community nurses and other health professionals at a cost of only $50.

Tuesday - Thursday, June 6-8, 2017 | 8:30 am – 4:30 pm Woodbury Baptist Church

For more information and to apply, go to: http://www.fcnntc.org/programs/stepping-on/leaders/