president’s perspective · 2018. 3. 31. · volume 20 • issue 4 october, november, december...

16
current resident or Presort Standard US Postage PAID Permit #14 Princeton, MN 55371 ANA\C IS AN AFFILIATE OF THE AMERICAN NURSES’ ASSOCIATION Volume 20 • Issue 4 October, November, December 2015 www.anacalifornia.org Special Points of Interest: Nursing Dialogue: What Did We Learn, and What Can We Do? page 4 ANA Membership Assembly pages 6-7 ANA Praises Retiring U.S. Rep. Capps for Advocacy for RNs, Public Health page 8 Millennials as a Catalyst – Let’s Work Together page 10 Join Us ANA\C General Assembly page 12 President’s Perspective Corinne MacEgan, BSN, RN, CHPN President ANA\C [email protected] As I write my first President’s Perspective, I am absolutely humbled and amazed by the support of our colleagues within this organization. ANA\C has been undergoing a large amount of transition over the past several months. This includes my own personal transition from Vice President to President. Your 2015-2017 Board of Directors took office in March, and immediately began working on many exciting changes to General Assembly as well as our communication methods and legislative efforts. We have also experienced the departure of our Executive Director as well as the unexpected, tragic loss of our previous President, Dianne Moore. We appreciate all of the expressions of sympathy as well as the sense of solidarity among our colleagues and membership. A special “thank you” to those of you who attended the celebration of life for Dianne. In our last newsletter, Dianne wrote about “awakening forces,” and I would like to continue that conversation. As our organization has experienced such loss, we have had the chance to renew our bonds with each other as well as our profession. We have encouraged our younger leaders to become involved with ANA\C, and the new generation of emerging nurse leaders were present as elected alternate observers as well as nurses participating in ANA Lobby Day in Washington, D.C. We have accrued almost 1,000 followers on Facebook, and our Twitter account has gained recognition through re-tweets and mentions from Senators, Assemblymembers, members of Congress, and health care and nursing associations. Communication is a key aspect to the success of an organization, and social media has quickly become the go-to for fast updates and interaction among members. If you’d like to learn more about social media, please check out the ANA resources regarding social networking for nurses at www.nursingworld.org. Our association has grown over 30% since the beginning of 2013 because of members like you and your outreach in your communities. As we have grown, we have now located to a new office space to call home, and will be moving in as soon as renovations have been completed. In the meantime, please bear with us as we move through this period of transition, and we look forward to inviting you to your association’s new location, still directly across from the Capitol. Some of you may have met Marketa Houskova at our RN Day at the Capitol or via other communications. She will be moving with us, and we are grateful to have her; she is an exceptional office administrator and has excellent legislative knowledge. When we open our new office, please stop by and say hello; she loves to speak with members on all sorts of topics. As we have a new physical location, we also are renovating our online location at www.anacalifornia.org. Within this virtual location, one of our goals is to maintain a “Wall of Fame” on which we will present photos of our members in action, and encourage you to send those to us at [email protected]. As our website is updated, we hope to provide a more personal experience for members. Please keep watching for updates! In this issue of The Nursing Voice, you will find several articles on different perspectives from ANA Membership Assembly. Legislative Director Liz Dietz has been an enormous force in our legislative arenas, working closely with the APRN Coalition on supportive measures for the two bills regarding Nurse Practitioners and Certified Nurse Midwives regarding scope of practice. Dianne was a fire underneath these bills, and we will honor her work as we move forward. We still have much work to do, however communication and teamwork is what will make this happen. Roxanne Gould has been working with our association and legislative committee for a while now, and has officially been registered as our lobbyist. Roxanne is not a registered nurse, however she is an experienced lobbyist who knows our organization and is interested in compiling a database of nurses with expertise in certain areas. If you have an interest in legislative matters or would like to serve as a resource, please contact [email protected]. Director of Education Eric Williams was just inducted as the President for the National Black Nurses Association, and we hope to work with him to further collaboration among our two organizations. Also, we have had several members appointed to endorsement committees, bylaws committees, and General Assembly task forces. As we look to increase our collaboration with other associations, we are also working with Jesse Kennedy, re-elected ANA Director-at-Large, Recent Graduate, to involve more new nurses in leadership and policy. If you are a new graduate with an interest in leadership and health care policy, please reach out to us! As we move forward, the General Assembly will take place October 9-10 in beautiful Sonoma, California at the Hilton Sonoma Wine Country. This location was selected by Dianne because she loved the idea of Wine Country during the harvest crush in autumn. When I was elected as Vice President, Dianne shared with me her vision for the General Assembly and, through the assistance of an exceptional task force, it will be an event to remember. I want to extend my deepest gratitude to all members who have stepped up to serve on the General Assembly Task Force. I also want to recognize other members across the state participating on task forces as well as other efforts such as the Nursing Education Plan - White Paper Advisory Team, CINHC, California Action Coalition, and APRN Coalition. I am excited and hopeful to bring you updates of all of the work that you are accomplishing! As we continue to work for you, I ask that you reach out to us with any questions or comments. You may find our contact information on the website under Board of Directors. On behalf of our team, thank you so much for being a part of ANA\C! Corinne MacEgan

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Page 1: President’s Perspective · 2018. 3. 31. · Volume 20 • Issue 4 October, November, December 2015 Special Points of Interest: • Nursing Dialogue: What Did We Learn, and What

current resident or

Presort StandardUS Postage

PAIDPermit #14

Princeton, MN55371

ANA\C is AN AffiliAte of the AmeriCAN Nurses’ AssoCiAtioN

Volume 20 • Issue 4October, November, December 2015

www.anacalifornia.org

Special Points of Interest:

• NursingDialogue:WhatDidWeLearn,andWhatCanWeDo?

page 4

• ANAMembershipAssembly

pages 6-7

• ANAPraisesRetiringU.S.Rep.CappsforAdvocacyforRNs,PublicHealth

page 8

• MillennialsasaCatalyst–Let’sWorkTogether

page 10

• JoinUs ANA\CGeneralAssembly page 12

President’s PerspectiveCorinne MacEgan, BSN, RN, CHPN

President ANA\[email protected]

As I write my firstPresident’s Perspective, Iam absolutely humbled andamazed by the support ofour colleagues within thisorganization. ANA\C has beenundergoing a large amount oftransition over the past severalmonths. This includes my ownpersonal transition from VicePresident to President. Your2015-2017 Board of Directorstook office in March, andimmediately began working onmanyexcitingchangestoGeneralAssemblyaswellasourcommunication methods and legislative efforts.We havealso experienced the departure of ourExecutiveDirectoras well as the unexpected, tragic loss of our previousPresident, Dianne Moore. We appreciate all of theexpressionsofsympathyaswellasthesenseofsolidarityamongourcolleaguesandmembership.Aspecial“thankyou” to thoseofyouwhoattended the celebrationof lifeforDianne.

In our last newsletter, Dianne wrote about“awakening forces,” and I would like to continue thatconversation. As our organization has experiencedsuch loss,we have had the chance to renewour bondswith each other as well as our profession. We haveencouraged our younger leaders to become involvedwithANA\C,andthenewgenerationofemergingnurseleaders were present as elected alternate observersas well as nurses participating in ANA Lobby Dayin Washington, D.C. We have accrued almost 1,000followers on Facebook, and our Twitter account hasgainedrecognitionthroughre-tweetsandmentionsfromSenators,Assemblymembers,membersofCongress,andhealth care and nursing associations. Communicationis a key aspect to the success of an organization, andsocial media has quickly become the go-to for fastupdates and interaction among members. If you’d liketo learnmoreabout socialmedia,please checkout theANA resources regarding social networking for nursesatwww.nursingworld.org.

Our association has grown over 30% since thebeginning of 2013 because of members like youand your outreach in your communities. As we have

grown, we have now located to a new officespace to call home, and will be moving in assoon as renovations have been completed. Inthe meantime, please bear with us as we movethrough this period of transition, and we lookforward to inviting you to your association’snew location, still directly across from theCapitol. Some of you may have met MarketaHouskova at our RN Day at the Capitol or viaother communications. She will be movingwith us, andwe are grateful to have her; she isan exceptional office administrator and hasexcellent legislative knowledge. When we openournewoffice,pleasestopbyandsayhello;she

loves to speakwithmemberson all sorts of topics.Aswehaveanewphysicallocation,wealsoarerenovatingour online location at www.anacalifornia.org. Withinthis virtual location, one of our goals is tomaintain a“WallofFame”onwhichwewillpresentphotosofourmembers inaction,andencourageyoutosendthose [email protected],we hope to provide a more personal experience formembers.Pleasekeepwatchingforupdates!

In this issue of The Nursing Voice, you will findseveral articles on different perspectives from ANAMembership Assembly. Legislative Director Liz Dietzhas been an enormous force in our legislative arenas,workingcloselywiththeAPRNCoalitiononsupportivemeasuresforthetwobillsregardingNursePractitionersand Certified Nurse Midwives regarding scope ofpractice.Diannewas a fire underneath these bills, andwewillhonorherworkaswemove forward. We stillhave much work to do, however communication andteamwork is what will make this happen. RoxanneGould has been working with our association andlegislative committee for a while now, and hasofficially been registered as our lobbyist. Roxanne isnot a registered nurse, however she is an experiencedlobbyistwhoknowsourorganizationandisinterestedincompilingadatabaseofnurseswithexpertiseincertainareas. If you have an interest in legislative mattersor would like to serve as a resource, please [email protected].

Director of Education Eric Williams was justinductedasthePresidentfortheNationalBlackNursesAssociation, andwe hope toworkwith him to furthercollaboration among our two organizations. Also, wehave had several members appointed to endorsementcommittees,bylawscommittees,andGeneralAssemblytask forces. As we look to increase our collaborationwithotherassociations,wearealsoworkingwithJesseKennedy, re-elected ANA Director-at-Large, RecentGraduate,toinvolvemorenewnursesinleadershipandpolicy. If you are a new graduate with an interest inleadershipandhealthcarepolicy,pleasereachouttous!

As we move forward, the General Assembly willtakeplaceOctober9-10inbeautifulSonoma,Californiaat the Hilton Sonoma Wine Country. This locationwas selected by Dianne because she loved the idea ofWine Country during the harvest crush in autumn.When I was elected as Vice President, Dianne sharedwith me her vision for the General Assembly and,through the assistance of an exceptional task force,it will be an event to remember. I want to extend mydeepest gratitude to all members who have steppedup to serve on the General Assembly Task Force. Ialsowant to recognize othermembers across the stateparticipatingontaskforcesaswellasothereffortssuchas theNursingEducationPlan -WhitePaperAdvisoryTeam, CINHC, California Action Coalition, andAPRNCoalition.Iamexcitedandhopefultobringyouupdates of all of thework that you are accomplishing!Aswecontinuetoworkforyou,Iaskthatyoureachoutto uswith any questions or comments. Youmay findour contact informationon thewebsite underBoardofDirectors.Onbehalfofourteam,thankyousomuchforbeingapartofANA\C!

Corinne MacEgan

Page 2: President’s Perspective · 2018. 3. 31. · Volume 20 • Issue 4 October, November, December 2015 Special Points of Interest: • Nursing Dialogue: What Did We Learn, and What

Page 2 • ANA\C The Nursing Voice October, November, December 2015

Published by:Arthur L. Davis

Publishing Agency, Inc.

www.anacalifornia.org

AmericanNursesAssociation\CaliforniaisanAffiliateoftheAmericanNursesAssociation

The Nursing VoiceistheofficialpublicationoftheAmericanNurses’Association\California

ANA\CislocatedinTheSenatorOfficeBuilding1121L.Street,Suite406Sacramento,CA95814

Office916-447-0225–[email protected]

[email protected]

ANA\C 2015 BOARD OF DIRECTORS

OfficersCorinneMacEgan,BSN,RN,CHPN-President

MelanieKrupa-Kelly,RN,MSN,CNOR-TreasurerAnneHughes,APRN,PhD,FAAN-Secretary

Directors MaryEllenDellefield,PhD,RN-NursingPracticeDirector

EricJ.Williams,DNP,RN,CNE-NursingEducationDirector

PhillipBautista,BSN,RN,PHN-MembershipDirectorElizabethO.Dietz,EdD,RN,CS-NP-

LegislativeDirector

ADMINISTRATIONANA\CaliforniaInterimExecutiveAdvisor:

RobinSchaeffer,MSN,RN,CAEANA\CaliforniaLobbyist,RoxanneGould

ANA\CaliforniaStaff:MarkétaHoušková,RN,MAIA,BA

The official publication of the ANA\C shall be The Nursing Voice.

TheNursingVoiceispublishedquarterlystartinginJanuary;copy must be received by the first (1st) of November,February, May, and August to be included in the nextpublication. The publication is complimentary to ANA\Cmembers, schools of nursing and their nursing students,affiliates of the association and their memberships. If youwould like to submit a letter, article, or manuscript, forpublication please read ‘Article Submission forTheNursingVoice’inthisissueforsubmissiondetails.

Reprints and Submissions: ANA\C allows reprinting ofnewslettermaterial.PermissionrequestsshouldbedirectedtotheANA\CofficeinSacramento.(916)447-0225.

Advertising:AdvertisingRatesContact–ArthurL.DavisPublishing Agency, Inc. 517 Washington St., PO Box 216,CedarFalls,IA50613,800-626-4081,[email protected].

ANA\C and the Arthur L. Davis Publishing Agency, Inc. reserves the right to reject any advertisement. Responsibility for errors in advertising is limited to corrections in the next issue or refund of price of advertisement. Acceptance of advertising does not imply endorsement or approval by ANA\C of products advertised, the advertisers, or the claims made. Rejection of an advertisement does not imply a product offered for advertising is without merit, or that the manufacturer lacks integrity, or that this association disapproves of the product or its use. ANA\C and the Arthur L. Davis Publishing Agency, Inc. shall not be held liable for any consequences resulting from purchase or use of an advertiser’s product.

Copyright©bytheAmericanNursesAssociation\California.

Help us stay in touch: Do you have a new address or

e-mail address?

You can help American Nurses Association\California‘stayintouch’byupdatingyourcontactinformation.CallANA\Cat916-447-0225,[email protected]:

The‘Nursing Voice’c/oANA\C1121LStreet,Suite406Sacramento,CA95814

ANA\CMemberIdentificationNo.(ifapplicable)_______________________________________________

Name:_________________________________________

NewAddress:___________________________________

_______________________________________________

_______________________________________________

OldAddress:____________________________________

_______________________________________________

_______________________________________________

NewE-mailAddress:_____________________________

*** This is not to update your license information with the Board of Registered Nursing.Go to www.rn.ca.gov

ANA\C Wants To See You….IN THE NEWS

Haveyouoroneofyourcolleaguesbeenrecognizedforanaccomplishment,electedtooffice,wonanaward,receivedagrantorscholarship,launchedanewventure?Tellusaboutit!Sendname,address,phonenumber,

headshot(jpeg)andnewsto–

E-mail to: [email protected]

Mail to: ANA\California‘INTHENEWS’

1121LStreet,Suite406Sacramento,CA95814

Fax to:916.442.4394

Article Submittal to ‘The Nursing Voice’ANA\California accepts and encourages

manuscripts and editorials be submitted forpublication in the association’s quarterly newsletter,The Nursing Voice. We will determine whichletters and articles are printed by the availabilityof publication space and appropriateness of thematerial. When there is space available, ANA\Cmembers will be given first consideration forpublication.Wewelcomesignedlettersof300wordsorless,typedanddoublespacedandarticlesof1,500words or less, typed and double spaced. ANA\Cwill accept larger narrative if space permits. Formore information please email [email protected].

ANA\California’s official publication, ‘TheNursing Voice’editorialguidelinesandduedatesforarticlesubmittalisasfollows.

1. Letters, Articles and Manuscripts should beword processed and double-spaced on one sideof8½x11inchwhitepaper.Manuscriptsshouldbe emailed to Editor at [email protected]. Letters, Articles and Manuscripts should

include a cover page with the author’sname, credentials, present position, addressand telephone number. In case of multipleauthors, list the names in order in whichtheyshouldappear.

b. The Nursing Voice reserves one-timepublication rights. Letters, Articles andManuscripts for reprintwill be accepted ifaccompaniedwithwrittenpermission.

c. The Nursing VoicereservestherighttoeditLetters, Articles and Manuscripts to meetstyleandspacelimitations.

d. Letters, Articles and Manuscripts may bereviewedbytheEditorialStaff.

e. Letters,ArticlesandManuscriptssubmittedbymembers’ ofANA\Cwill be given firstconsideration when there is an availabilityofspaceinthenewsletter.

f. Letters,ArticlesandManuscriptssubmittedtoANA\Cwillbepublishedasspaceallowsunlesscontentisofatimelynature.

g. Letters,ArticlesandManuscriptsprintedinTheNursing Voicedonotnecessarilyreflectthe views of ANA\C, its membership, theboardofdirectorsoritsstaff.

2. Photographs should be in jpeg format andemailed with the name of the Letter, Articlesor Manuscript referenced in the subject line.Email to TheNursingVoice@anacalifornia.orgPhotographsshouldbeofclearquality.Writethename(s) of thepersonsdisplayed in thephoto intheorderinwhichtheyappearinthebodyoftheemail.

3. E-mail all narrative to [email protected]

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Page 3: President’s Perspective · 2018. 3. 31. · Volume 20 • Issue 4 October, November, December 2015 Special Points of Interest: • Nursing Dialogue: What Did We Learn, and What

October, November, December 2015 ANA\C The Nursing Voice • Page 3

Robin Schaeffer, MSN, RN, CAEInterim Executive Advisor ANA\C

MSD Leader, Western Multistate Division Pilot

Idon’tknowaboutyou,butI couldn’t be more passionateorprouder tobeanurseandIwearmyBadge of Pridetoleteveryoneknow.

How many times have youbeen asked: “Why did youbecome a nurse?” Is it safeto say that once you startednursing school you neverlooked at life the same wayagain? Do you often think toyourself “The only peoplethat really understand my jobas a nurse are other nurses?”Wearing yourBadge of Pride helps you connectwithothernurses.

When you meet someone and find out they are anurse, don’t you feel an instant kindred connection tothem?Hereisanexample;whenImovedfromtheeastcoasttothewestcoastIleftmyentirenursingnetworkandprofessionalsupport systembehind,but I tookmyBadge of Pride with me. I immediately transferredmyANAmembership to thenewstate Iwas living inand received a warm welcome from the state-basednurses association. Isn’t it nice toknow that there is aconsistent and familiar place that you can call your“professionalhome?”Aplacethatnotonlyunderstands

what you are going through, but is three steps aheadofyou?

So, have you figured out what the Badge of Prideis yet? It is membership to the most recognizednursing organization in the country. Joining ANA\Cautomatically gets you membership in the AmericanNurses Association (ANA). It shows commitment toyourprofessionandallowsstate-basedworktocontinuethat affects your job and your career. The Badge of Pride is something that looks a bit different on eachnurse.After all,withover400,000RNs inCalifornia,diversity is one of the keys to association engagementandsuccess.

The fact that you are reading this publication tellsme that you are already an ANA\C member and youalready have your Badge of Pride. Thank you foryour commitment to our profession. Please share yourexperience and encourage your nurse friends andcolleagues to put on their Badge of Pride by joiningANA\Ctoday.Allittakesisasimpleaskfromyou.

Are you Wearing Your Badge of Pride?

Robin Schaeffer, MSN, RN, CAE

The Importance of Being Observant

Brian Harradine, RN, CNOR

I recently participated in the Membership Assembly(MA) for the American Nurses Association inWashington,DC. Iwas an observer forANA/California.I was able to participate in forums to help direct theANABoardofDirectorsintheiractionsandlistentoandinteractwithgreattopicalspeakersandnursesfromacrossthecountry.OneofmymoreimportanttaskswastomakesurethatIpersonallymetwitheachcandidaterunningforoffice that was in attendance at theMA. The offices ofVicePresident,Treasurer,BoardMember atLarge (NewGraduate)andNominationsCommitteememberswereupfor election. Since our voting representatives were oftenbusy with other tasks that had to be done, I offered tobringbackfeedbackonthecandidates.

There was only one candidate for Treasurer and shewas very likable and knowledgeable. There were fourcandidates for Vice President. Each candidate had aunique point of view and had an impeccable resume.ThereweretwocandidatesfortheBoardMemberatLargeposition,butonlyone, thecurrentpositionholder,was inattendance.Therewereninecandidatesforthreeopeningon the Nominations committee. I asked all candidatespresent a certain set of questions.Mymain concernwasto get diversity of ethnicity, gender, education level, andyears of practice represented in the leadership. I askedall candidates for all officeswhat their planwas to helpbring new and diverse leaders to the attention of ANA.I took notes of their responses and formed by opinionabout who would best fill the duties of the respectivepositions. I comparednoteswithotherANA/Cobserversand we presented our recommendations to our votingrepresentatives. Because of our efforts, we were ableto provide insight and rationale to our voting membersas to who would be best for ANA. Observers havethis important role to fill, to advise the voting ANA/Cmembersaboutcandidatesfornationaloffice.Iwashappytofulfillthisduty.

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Page 4: President’s Perspective · 2018. 3. 31. · Volume 20 • Issue 4 October, November, December 2015 Special Points of Interest: • Nursing Dialogue: What Did We Learn, and What

Page 4 • ANA\C The Nursing Voice October, November, December 2015

Phillip Bautista, BSN, RN, PHN

Over 100,000 RNs fromthe 50 states, territories, anddistricts were representedat the 2015 AmericanNurses Association (ANA)MembershipAssemblyinJuly.As the elected Representative,I was excited to participateand represent Californiaon a national stage. As thiswas my second return to theMembership Assembly, Ibegan to recognize familiarfaces from previous ANAmeetings. The opportunity tonetwork,discuss successes andchallengesbetweenourassociationshelpedmetorealizehowstrongCaliforniais becoming. While we are a large and diverse state,we have so much to offer the profession of nursing,and have a tremendous influence on our state asregisterednurses.

Our legislative committee has successfullysupported numerous bills, including two major ballotpropositions, as well as done an excellent job ofinforming and involving members from across thestate. The opportunity of the new graduate leadersin the California Nursing Student Association totransition intoANA\C has been a true benefit for newnurses as the choice ismade early on to view nursingasaprofession,notjustacareer.Meetingnurseleadersfrom every corner of the nation over dinner, breakfastpastriesandcoffeewithnurseleaders,andcollaboratingwithdifferentstatestodiscussissuesthataffectnursingprovidesthecollegialityandforgingofrelationshipsthatwilladvanceourprofession.WhenIseethevastamount

Nursing Dialogue: What Did We Learn, and What Can We Do?

Phillip Bautista, BSN, RN, PHN

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ofknowledge,experience,andvariousapproachestoanissue, I cannot help but imaginewhatCalifornia coulddointhissamepathway.

The nursing issues discussed surrounded qualityof care, infection and prevention control, ethicalenvironmentsandcultures,andhowassociationsengagethe next generation of nurses. These issues are not sofar distant from California, and many are discussedcurrently.Aswehavealargestatebygeographicmeans,we also live in a state with widely varying views andcultures. It ismy hope to see allmembers involved indiscussions like this at the state level so that we mayworktoadvancethesetopicsandopendialoguewiththeplethora of resources we possess. There are hundredsof amazing nursing leaders across the state, andwhilecollaboration at the national level has been helpful, itismygoal tocarryon this torch toour stateandopenup dialogue with you as our membership. We mayhave views to add, and may even come up with newperspectives or topics that were not discovered duringtheMembershipAssembly.

How can we best engage you as the member?Whether you are a Millennial Generation, GenerationX, Baby Boomer, or whatever other name societyhasgivenyou,eachofyou isa registerednursewithawealth of knowledge and personal perspective.ANA\Cis working with ANA to discover possibilities for anonline discussion forum for our state, and we wouldlike to bring these issues aswell as anything else thatyou may have to the table for dialogue. Our voice isonly as strong as themembers behind it.Reach out tousandhelpusdisseminateand improve theknowledgethatwe bring from the national level back to the [email protected] ANA\C office at [email protected] for moreinformation or to be notified as these forums evolve.Lookingforwardtotalkingwithyou!

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Wearelookingfornurseswhomeetthefollowingcriteria:atleast1yearofdirectpatientcare;Englishasafirstorsecondlanguage.PurchasetheE-BookCourseGuidefor$15;completethepre-testandposttestSCSIquestionnaire;andcompletenineeducationalmodulesallonline.EachModuletakesaboutOne(1)hourtooneandhalf(1½)hourstocomplete.Eachparticipantcanworkathisorherownpacebutmustcompletethe9modulesandtheposttestbyOctober30,2016.Aftercompletingtheposttest, participants will be issued a certificate of completion and 10 CNE credits for the 9-module educational program.

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Page 5: President’s Perspective · 2018. 3. 31. · Volume 20 • Issue 4 October, November, December 2015 Special Points of Interest: • Nursing Dialogue: What Did We Learn, and What

October, November, December 2015 ANA\C The Nursing Voice • Page 5

ANA Membership Assembly 2015...

Bylaws AmendmentsElissa Brown

This year’s ANA Membership Assembly (MA) andrelated events in D.C., proved to be a pleasant, excitingand busy adventure. Being on two ANA Committees,the Committee on Bylaws (COB) and the Nominationsand Elections (N\E) Committee, was quite rewarding—although always on the go. Both are hardworkingcommittees, withmembersfromacrossthecountry,andexcellent support staff. These committees had meetingsprecedingandthroughout theMAtime.Wefinallycouldputfacestothenamesofthememberswehadpreviouslymetthroughemailsandphoneconferencecalls.

The conscientious work of these committees, alongwiththenetworkingamongtheRepresentativesObserversandBoardhelped facilitate smoothprocesses at theMA.These committees prepared well, including listening,reporting, considering various possible scenarios, andcontingency planning. The ANA staff worked incrediblyhardtoprovideuswiththeessentialmaterialsweneeded.

WorkingonBylawsalsoentailedmuchworkduringtheyear. This included assignments to each of us, to reviewdesignated state’s Bylaws for compliance with ANABylaws, reviewing policy issues, and discussion of legalandethicalimplications.

Iamgratefulfortheeducationandexperienceofbeingonthesecommitteesandformemberandstaffsupport.

ApositivechangeattheMAthisyear,wasthefactthateveryone was seated in the same area--Representatives,Observers,andCommitteemembers,theBoard,andstaff.This promoted networking, increased participation, andopportunitiestoattendforumsandotherprograms

Having been a member of ANA since graduation frommy nursing program (many years ago), I continue to enjoyattending ANA meetings, the invaluable networking, theeducation,issuesdiscussionsandactions,PACevents—all.IcontinuetobelievethatANAisthevoiceofandfornursing.

In line with a further belief that we get out ofsomethingwhatweputin,pleaseremember:

When calls for candidates for ANA elections and\orappointmentsaresent,pleaseconsidersubmittingyourname and\ or a colleague’s name. Know what yourinterests and strengths are; learn what the requiredcredentials, expertise and experience are; determinewhatmightbethebestfitforyou,andthen–justdoit.

First and foremost, thank you for taking the time outofyourbusylifetoreadthisnewsletterandtolearnaboutwhat your association is doing for our profession.As thereelectedmembershipdirector,Ihavehadtheopportunitytomeetmanyofourover4,500members in the last fewyears. There are many of you who I have not have thepleasureofmeetingyet,sopleasefeelfreetoreachouttomeanytime!

Asthereelectedmembershipdirector,manyofyouarefamiliar withmy background and bio, but it never hurtsto share again as well as introduce myself to the newermembers. I am a 2011 graduate of Fresno State’s BSNprogram, and have a brief history in outpatient surgerybefore my acceptance to school in the PhD program attheBetty IreneMooreSchool ofNursing atUCDavis. Iam enteringmy third year in the PhD program, and thefocus is on cardiovascular health in Hispanics/Latinosin California. I have a strong desire to give back to mycommunity in the Central San Joaquin Valley, and havevolunteered with several efforts in community healthoutreachwithFresnoStateasanalumninurseleader.

In my reelection to the position of MembershipAssembly Representative at the national level of ANA,I was pleased to share everything that is happening inCalifornia with other states. Recent increases in ourmembership has been our involvement and collaborationwith the new graduate nurse population. The CaliforniaNursing Students Association (CNSA) has seen a

Elissa Brown with nurses representing 3 other states.

Phillip Bautista – Membership Directorstrong increase in members, and the professionalismand dedication to nursing emphasized there has been ashiningqualitytothefutureoftheprofession.AsaformerboardmemberofCNSA, Iamforever thankful toall thenurse leaders who reached out to nursing students andencouragedus to reachour fullpotential. Iwould like toinvite anyone who is interested in newly licensed nursementoring toplease reachout tomeas this is apersonalgoalofmine.

As new nurses, we bring a fresh perspective andexcitement to the profession and have such a hunger fortheknowledge thatexperiencednursesbring to the table.As this is the year of ethics, the duty to the professioncannotbeclearerforallnurses.Newnursesmustseek toincrease their knowledge and experience for patient care,and seasoned nurses have such a wealth of informationtoshare.Pleasereachouttome,feelfreetoemail just tosayhello,andpleasevisittheANA\Cboothanywhereyoumay findus!Thankyouverymuch foryourmembershipinourassociation!

Concorde Career College is a nationally recognized and accredited, for-profit education company that prepares committed students for successful employment in a rewarding healthcare profession through high caliber training, real world experience and student centered support. We’re looking for people who want to make an impact at one of the best post-secondary career training institutions in the country. Experience the fulfillment of contributing to a nursing program that provides quality education and training to future generations of healthcare professionals.

Nursing instructors needed for the following locations:• San Diego • San Bernardino • Garden Grove • North Hollywood

Requirements:• Current California RN license.• Minimum of a BSN.• Minimum of 4 years clinical experience in the last 5 years.

Contact: Recruitment DepartmentPhone: 877-866-2340 • Fax: 877-866-2344

Apply online at http://jobs.concorde.edu orsend resume to [email protected]

Page 6: President’s Perspective · 2018. 3. 31. · Volume 20 • Issue 4 October, November, December 2015 Special Points of Interest: • Nursing Dialogue: What Did We Learn, and What

Page 6 • ANA\C The Nursing Voice October, November, December 2015

ANA Membership Assembly

More than 320 nursing leaders from across thecountryattendedthisyear’sMembershipAssembly.Youcan be sure that each and everyANA\C representativeand observer took an active role in the business ofMembership Assembly AND ANA Lobby Day thatprecededtheAssembly.

Topics that were discussed included: InfectionPrevention and Control, Measuring and PubliclyReporting Nurses’ Essential Contributions to QualityPatient Care, Fostering an Ethical Work Environmentand Culture, Licensure Jurisdiction and EngagningMembers and Developing Leaders Locally in theDigitalAge.

ANA\C Member Highlights

Liz Dietz, Annie Tat, Tamara Al-Yassin, and Brian Harradine engaged during discussion sessions. Annie Tat offers comments and insights

regarding engagement of millennials during Saturday’s interactive session: Engaging

Members and Developing Leaders Locally in the Digital Age.

Corinne MacEgan, ANA\C President (center) with Phillip Bautista, ANA\C Membership Director

(right) network with a nurse from another state. Marketa Houskova, ANA\C observer during Lobby Day Briefing. Over 220 nurses visited

their legislators on Capitol Hill.

Phillip Bautista (2nd from right) was a group convener leader during one of the many discussion sessions.

Annie Tat, Ron Meister, Corinne MacEgan, Candy Campbell, Liz Dietz, Phillip Bautista, Tamara Al-Yassin. Mr. Meister accepted the ANA Year of Ethics award

on behalf of the Navy nurse who refused to force feed prison detainees at Guantanamo Bay Detention Camp. ANA supported the nurse earlier in the year as he faced dismissal from the Navy for following his professional ethical obligations.

In May, 2015, the US Navy opted not to pursue further action against the Navy nurse. The nurse chose not to be identified, therefore his attorney, Ron Meister

accepted the award on his behalf. Annie Tat, Corinne MacEgan, Marketa Houskova,

Tamara Al-Yassin.

Annie Tat, Pam Cipriano, Corinne MacEgan, Tamara Al-Yassin

Page 7: President’s Perspective · 2018. 3. 31. · Volume 20 • Issue 4 October, November, December 2015 Special Points of Interest: • Nursing Dialogue: What Did We Learn, and What

October, November, December 2015 ANA\C The Nursing Voice • Page 7

ANA Membership AssemblyNational Highlights

Photo Credits: American Nurses Association

PamelaCipriano’s,RN,PhD,givesherANAPresident’s addresswhere sheboth informed and challengednursesduringANA’s2015year-longfocus:The Year of Ethics.

Leah Curtin, ScD (h), RN, FAAN an influentialnursing voice was the keynote speaker on Day 1 of ANAMembership Assembly. Her presentation on Ethics wasfollowedbyan interactiveworksessionwithattendees.Dr.Curtain captivated the audience with her knowledge, witandcandor.ShewasrecognizedasaLivingLegendbytheAmericanAcademyofNursingin2009.

ANA presented Representative Lois Capps (D-CA) RN,founder and co-chair of the Congressional Nursing Caucus,with the 2015 President’s Award. Capps recently announcedher retirement fromCongress.SaidRep.Capps:“This award means so much to me coming from all of you. You are my peers, and it’s the ultimate measure to be honored by you.” (seearticleonp.8)

ANA CEO Marla Weston, RN, PhDsummarizes the amazing work that hasbeen done this year within the 8 ANAprogrammatic pillars. Advocacy andProfessional Development are threadedthroughout each pillar. Highlighted hereis Professional Development. For moreinformation on the work in each pillar, visitwww.nursingworld.com.

Page 8: President’s Perspective · 2018. 3. 31. · Volume 20 • Issue 4 October, November, December 2015 Special Points of Interest: • Nursing Dialogue: What Did We Learn, and What

Page 8 • ANA\C The Nursing Voice October, November, December 2015

ANA Praises Retiring U.S. Rep. Capps forAdvocacy for RNs, Public Health

Reprinted with permission fromThe American Nurse

U.S. Rep. Lois Cappsof California, one of fiveregistered nurses in Congressand a champion of nursingand health care issues sinceher election to replace her latehusbandin1998,hasannouncedshewill retire after her currenttermexpiresin2016.

The American NursesAssociation commends thecontributions Capps has made,and will continue to make,as a tireless advocate andleader on behalf of RNs andimprovements in health care.Capps’ enormously positiveimpact on health care will noteasilybematched.

Capps has sponsored a bill,backed by ANA, through several sessions of Congressthat would improve the health, safety and outcomes forpatientsbyensuringsufficientnursestaffing inhospitals.TheRegisteredNurseSafeStaffingAct,againsponsoredbyCapps during this session ofCongress, is expected tobe introducedApril 29. The bill would require hospitalstoestablishapanel todevelopunit-by-unit, flexiblenursestaffingplansbasedon anumberof determining factors.Thepanelwouldbecomprisedofamajorityofregisterednurses.

A Santa Barbara Democrat representing California’s24th district, Capps is the founder and co-chair of theCongressionalNursingCaucus,which brings the nursingperspectivetohealthcarepolicydebatesinCongress.

“LoisCappshasbeenapassionateadvocatefornursesand has raised awareness about theways nurses improvehealthcareforall.Shewillbesorelymissed.Shebrought

the voice of nursing to Capitol Hill, and consistentlypushed all nurses to make their voices heard,” saidANAPresident Pamela F.Cipriano, PhD,RN,NEA-BC,FAAN.“Shehasalsohelpedfosterabetterunderstandingof health care policy decisions and their impact onhealth care professionals, individuals and the broadercommunity.”

Capps was the inaugural recipient of ANA’sCongressionalNurseAdvocateawardin2013,presentedatANA’sfirstMembershipAssembly.

Capps has successfully spearheaded and passedlegislation to address the national nursing shortage;detect and prevent domestic violence against women;curb underage drinking; improvemental health services;provide emergency defibrillators to local communities;bringCPR instruction to schools; and improveMedicarecoverageforpatientssufferingfromLouGehrig’sdisease.

Cappswasinstrumental in theenactmentof theNurseReinvestment Act in 2002. That act amended Title VIIIof the Public Health Service Act, which funds nursingeducation andworkforce development programs. The actincreased funding fornursingandaddressed thegrowingnursing shortage caused by the aging nursingworkforce,retention problems due to a stressful work environment,and challenges in recruiting young people into nursing.Several bills addressing the nursing shortage, includingone sponsored by Capps, were negotiated in a House-Senate conference committee that resulted in the NurseReinvestmentAct.

Importantly,Cappsisknownforcarryingoutherworkwithabeamingsmileandakinddemeanor,whicharenotnecessarily common traits in a divided Congress thesedays.

Before her election to Congress, Capps served for 20yearsasanurseandpublichealthadvocate for theSantaBarbaraSchoolDistrict.Duringthattime,Cappsfoundedand served as the director of Santa Barbara County’sTeenagePregnancy andParentingProject and theParentand Child Enrichment Center. She also taught earlychildhood education for 10 years at Santa Barbara CityCollege.

U.S. Rep. Lois Capps (D-CA)

received ANA’s Congressional

Nurse Advocate award in 2013.

California Department of

Public HealthThe Licensing & Certification (L&C) Program is recruiting for

Registered Nurses to fillHealth Facilities Evaluator Nurse Positions

Offering Comprehensive Benefits:

District Office Locations:Bakersfield Riverside San JoseChico Sacramento Santa Rosa/Redwood CoastEast Bay (Richmond) San Bernardino VenturaFresno San Diego North and SouthOrange San Francisco

State employment requires passing an eligibility examinationand a hiring interview.

Nursing employment opportunities are continuously available statewide and the online eligibility examination can be accessed anytime.

http://www.cdph.ca.gov/services/jobs/Pages/HFENJobs.aspx

If you have questions regarding available positions,please email the L&C Personnel Liaison Unit at

[email protected] call 916-322-9905

• Flexible Schedule• Paid Holidays • Extensive Education/Training • Paid Sick & Vacation/Annual Leave • Two Professional Development Days • 457/401(k) Savings Plus Program• Retirement Options

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Job Opportunities with the Department of State Hospitals – AtascaderoRegistered Nurses • Nurse Practitioners

DSH - Atascadero is a secure public sector hospital that provides forensic services for mentally ill adult males who are court committed through the State of California. Our mission is to provide the highest quality of care across a continuum of settings to our patients. We are seeking quality nursing professionals to join our talented workforce and invite you to join us. We offer a competitive benefits package that includes the following:

R Paid HolidaysR Paid Sick & Vacation/Annual LeaveR Medical/Dental/Vision and Disability InsuranceR 457/401K Savings Plus ProgramR 2 Professional Development DaysR Much, much more!

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Or visit us online:www.dsh.ca.gov or www.jobs.ca.gov

Equal Opportunity & Affirmative Action Employer

Page 9: President’s Perspective · 2018. 3. 31. · Volume 20 • Issue 4 October, November, December 2015 Special Points of Interest: • Nursing Dialogue: What Did We Learn, and What

October, November, December 2015 ANA\C The Nursing Voice • Page 9

Continuing Education - Patients Deserve Nothing LessRobin Schaeffer, MSN, RN, CAE

Multistate Division Leader, Western Multi-State Division

Healthcareisevolvingquickly.Duringmy37yearsasanurse,I’veseenourfieldchangeinwaysIcouldn’thaveimagined.Technology,protocols,specializationandmuchmore – nurses today have greater challenges than everbeforewhenitcomestostayingcurrent.

That’swhyContinuingEducation(CE)issoimportant.The American Nurses Association has defined CE as“learning activities designed to augment the knowledge,skill and attitudes of nurses and therefore enrich thenurses’ contributions to quality healthcare.”1 CE is asimple and effective way to keep current and acquireadditional skills and knowledge that are essential to oureverydaypracticeofnursing.CEisalsoaconditionofre-licensureinCalifornia.

Organizations that sponsor CE benefit bydemonstrating to the public, to nursing professionals andto state licensing boards the organization’s commitmentto high standards of performance and a well trainedworkforce. Ultimately, patients benefit most of all whennursestakeituponthemselvestokeepup-to-datewiththelatestinthenursingprofession.

Nurse educators and trainers work hard to developmeaningful,needsbasedprograms thatmerit approval toawardcontinuingeducationcredits.

Nurses who attend CE programs recognize theirprofessional commitment to lifelong learning as well asfulfilltheircriteriaforcertificationandre-certificationintheirspecialtyfieldofpractice.

In 2014 the nurses associations ofArizona, Colorado,IdahoandUtah formedanursingcollaborativeknownastheWesternMulti-StateDivision(WMSD).AsanANCCAccredited Approver of CE, the WMSD works acrossstate lines to support nurses, educators, organizationsand institutions acquire CE credits for their educationalprograms.

Readytogetstarted?Takingthenextstepiseasy.Visitwww.westernmsd.org to determine if your program iseligibleforCE.

Nursing professionals are in high demand. Nurtureyour craft and stay ahead of the curvewhen it comes tothe latest innovations inhealthcare.Ourpatientsdeservenothingless.

1.Referencesavailableuponrequest.

Learn how to apply at www.westernmsd.org

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Page 10: President’s Perspective · 2018. 3. 31. · Volume 20 • Issue 4 October, November, December 2015 Special Points of Interest: • Nursing Dialogue: What Did We Learn, and What

Page 10 • ANA\C The Nursing Voice October, November, December 2015

Tamara AL-Yassin & Annie Tat

Aswewalk thestepsofourUnitedStatesCapitol,wearestruckbythepowerthattranscendsthroughthewallsand corridors, each room floodedwithwhispers of hopeforabetterfutureforourcountry.RNLobbyDaymarkedthe beginning to the 2015 ANAMembership Assembly,a week dedicated to recognizing, brainstorming, andplanting seeds for the future of ANA. It was a surrealday,markedwithmeetingswithCalifornia’s leaders suchas photo ops with Senator Barbara Boxer. SacramentoRepresentativeDorisMatsuiexpressedherwillingness tocollaboratewithnurseleadersabouttrainingnewgraduatenursesonhowtocareforthegrowinggeriatricpopulation.RN LobbyDaywas a reflection of ANA President PamCipriano’squote,“Whennursestalk,Washingtonlistens.”

Wemet during nursing school at San Francisco StateUniversity(SFSU),andfromthebeginningitwasapparentthat we shared a drive for excellence, passion for theadvancementofnursingprofessionalism,andasensitivitytotheneedsandconcernsofthepeopleweserve.TamaraAL-Yassinwas the2012 recipientof theNursingStudentinSacramentoInternship(NSSI),aninternshipsponsoredby California Nursing Students’ Association (CNSA)with a focus on developing policy leaders in California.

She currently works as an emergency room nurse at St.FrancisMemorialHospitalinSanFranciscoandhasbeenappointed to the ANA\C Bylaws committee. Annie TatwasCNSAchapterPresidentatSFSU,andcreatedthefirststudent-run orientation for nursing students at SFSU.ShecurrentlyworksatUCDavisMedicalCenterasamedical/surgical telemetry nurse, and is currently on the ANA\CLegislative committee. In addition, she is attending theBetty Irene Moore School of Nursing at UC Davis asa Master’s student. Together, we represent the voice ofmillennialnurses,andcanspeaktotheconcernsofpatientcareandsafetyatthebedside.

The ANA Membership Assembly gave us a platformto voice a millennial nurse perspective during dialogueforums about infection prevention, patient safety andquality of care, and engaging members and developingleaders. Over 250 nurse leaders spoke to the need forcontinuedprogressionofthenursingprofession.

As millennial nurses and first time attendees, wewere warmly welcomed with praise for our professionalinvolvement. Nurses stated, “We’re excited to have newblood here!” and “Thank you for speaking up!” Tamaraspoke about the need for social media as a platformto transcend healthcare knowledge in a fast growingtechnology climate. Annie spoke about the traditional

perception that new nurses need to “move through thedistricts.” In order to overcome that barrier, nursing as aprofession needs to foster cultural humility which is aprocess of self-reflection and self-critiquing to decreasetheperceptionofpowerimbalancesinrelationships.

On our last night in Washington DC, we sat atthe Reflecting Pool and came to the realization thatthe advancement of the nursing profession needscollaboration,newideas,innovation,andremembranceofthehistoryandevolutionofourprofession.Nursinganditsassociationsneedtoreflectthediversityofourpopulation.Itisessentialthatwelearnhowtousethestrengthofourdifferences to move nursing and public health forward.The2015MembershipAssemblygaveus theopportunityto open the dialogue, foster cultural humility, and takesteps towards growingANA’smembership and influenceaswellastransformourprofession.

Millennials as a Catalyst – Let’s Work Together

Tamara Al-Yassin gives her perspective to the “engaging millennial nurse as leaders”

conversation at the 2015 ANA Membership Assembly.

RNs NeededExpanding community-based

ambulatory healthcare center needs

• RNCareCoordinationSupervisor• RN–triage(2)• RN–staff(2)

Send CV [email protected]

TENURE-TRACK NURSING POSITIONAssistant Professor, Psychiatric/Behavioral Health Nursing

DominicanUniversityofCalifornia(www.dominican.edu)is an independent, international, learner-centered university offering both undergraduate and graduate programs within fourdistinctschools.Dominicansitsinthemiddleofapark-like setting, nestled between redwoods, deer, and mountains. We blend interdisciplinary core courses, real-world studies, and small classes with close and supportive academic advising and mentoring.

TheDepartmentofNursing,BRNandCCNEaccredited,offersaBachelorsofSciencedegreesinNursing.Nursingis the largest program at the University, and is comprised ofadiversestudentbody.Morethan65%ofthestudentsare ethnically diverse and many are first-generation college educated.

Apply online at our Careers websitewww.dominican.edu/about/employment/jobs

Dominican University of California is an Equal Opportunity Employer committed to excellence through diversity, and takes pride in its

multicultural environment.

John C. Fremont Healthcare DistrictCritical Access Hospital

Short distance from Yosemite National Park

Check out our positions available at www.jcf-hospital.com and/or

email your resume to [email protected]

Now Hiring! LVNs, RN in ER and Home Health, PA, FNP,

Physical Therapist, CNA, CHHA

Page 11: President’s Perspective · 2018. 3. 31. · Volume 20 • Issue 4 October, November, December 2015 Special Points of Interest: • Nursing Dialogue: What Did We Learn, and What

October, November, December 2015 ANA\C The Nursing Voice • Page 11

ANA Membership Assembly Observations

Liz Dietz, EdD, RN, CS-NP

WashingtonDC in the summer time, is amix ofheat, humidity, lots of tourists, all rushing around– WAIT! that is not the same DC that we get toexperience for ANA Member Assembly. We areprogrammed from 7 AM – 10 PM. The organizersfigured out that the way to keep us in the hotelwas a] to feed us well, b] provide for an open barfor libations, c] after mtg social events, d] tons ofmeetings planned and otherwise, e] let us networkwitholdandnewfriends,andf]provideahotelwiththemostdeliciouscomfortablebedstosleepin!

ThisyearIwasanofficialObserverfromANA\C.OnSaturdayIwasneeded toreplaceoneof the twovotingrepresentatives fromANA\C.Ohyes– itwasfun lots; of mtgs but great food, comfortable hotel,and lots of old and new friends. My other ANA\Ccolleagues will fill you in about the business andbylaws and such. I will tell you again the problemswe face in California are similar to other S/CNA’s.Moneytoruntheorganizationandmemberstobringin and keep in the organization are two issues thatwerediscussed.

This is thebeginningof thePresidentialElectionyear and ANA will be right in the thick of things.Withallofouractivitieswewereabletoraise$28,000forthePAC.IwaselectedbytheANAPACtobetheChairpersonforthePresidentialElectionCampaignCommittee.ThecommitteeismadeupRepublicansandabalanceofDemocrats.ThroughthegenerosityofANAmemberswehaveagenerousfundofmoneytoprovidetoourfederalcandidatesandthecandidatethatANAendorsesforpresident.Staytunedwewillbeprovidingmoreinformationaswegetourprocesstogether.

ANAPACPresidentialEndorsementcommitteewillberefiningasurveyinstrumenttosendouttothepresidentialcandidates.Theinformationcomesbackwewillbegintheprocessof interviewing thesecandidates.Wewillbeasking forANAmember supportforthesecandidatesandthenthefinaldecisionwillgototheANABODandthenbackto you the members. We will then interview the candidates and continue to provideinformationforallofourmembers.Ourgoalistoinsurethatthemembershipisservedbytheprocessandourselectedcandidate isalignedwithourviewsonhealthcareandthepresidency.

Liz Dietz ANA\C observer, representative and member

of ANA-PAC committee.

The Executive Master of Public Health Program in Health Policy & Management

FIELDINGSCHOOL OFPUBLIC HEALTH www.emph.ucla.edu

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Page 12 • ANA\C The Nursing Voice October, November, December 2015

Join Us!

GENERAL ASSEMBLYHilton Sonoma Wine Country \ October 9 & 10, 2015

Friday, October 9, 2015, 1 pm to 5 pmSaturday, October 10, 2015 from 9 am to 3 pm

You will be able to:• Enjoy a 20th anniversary ANA\C celebration honoring those who have been with the organization since the

beginning• ParticipateintheANAYearofEthicsbylisteningtoaspecialethicsspeakerandparticipatinginotherrelatedactivities

• HaveavoiceinthebusinessandfutureofANA\C• Hearresolutionsandvoteonbylawamendments• Takeadvantageofour“RelaxationRoom”withstudentmassagetherapists(tentative)• EnjoyhostedmealfunctionsincludingareceptiononFriday,continentalbreakfastandlunchonSaturdayandrefreshmentbreaks

Fee ScheduleGeneraladmissionwithContactHours:$100|Student:$50|CharterMembersandHonorees:$20

For more information visit www.anacalifornia.org

We look forward to seeing you in October!

Page 13: President’s Perspective · 2018. 3. 31. · Volume 20 • Issue 4 October, November, December 2015 Special Points of Interest: • Nursing Dialogue: What Did We Learn, and What

October, November, December 2015 ANA\C The Nursing Voice • Page 13

ANA News

In today’s health care environment, patients rely onmultiple providers for their care.For that care to be safeand of the highest quality, the Institute ofMedicine, thenursing community and others have recognized the needfor health care providers to embrace a collaborative,team-based approach to care. Patients, health careteam members and the organization all benefit frominterprofessionalteamwork.

How can evidence-based teamwork be implemented?Providers need to promote a change in organizational

culture from an environment of working in silos toone that supports interprofessional collaboration. This,in turn, improves communication and reduces errors.One approach supported by the Agency for HealthcareResearch and Quality (AHRQ) is TeamSTEPPS®, anevidence-basedsystemthatsupportsimprovingteamworkand communication skills with the goal of optimizingpatientoutcomesandimprovingpatientqualityandcare.

TeamSTEPPS has been successful as the foundationfor many evidence-based teamwork and qualityimprovement initiatives by using a three-phase approach.The first phase is for the organization to establish amultidisciplinary change team that assesses the needfor practice change and that is committed to providingquality care by implementing evidence-based practices(EBP). Phase two focuses on planning, staff educationand putting EBP into practice. Honest communicationis crucial in this phase, because some team membersmay be resistant to practice changes and will need toshare concerns and ask questions. The last phase ofTeamSTEPPSissustainability.Thepurposeofphasethreeistosustainandspreadimprovementsregardingteamworkperformance. Sustainability can be achieved by askingforhonestfeedbackfromstaffandbyprovidingcontinualreinforcementandsupport.

To move away from silos to a team-based approach,Chaboyer, Wallis and Getherston make the followingrecommendations in their article “Implementing bedsidehandover:strategiesforchangemanagement,”asreportedin the Journal of Clinical Nursing. An organization’sleadershipteamshould:

• Commit to a collaborative and interdisciplinary, orinterprofessional,teamapproach.

• Beopentoinputfromallstaffmembers.• Encouragefrequentandhonestconversation.• Be patient. Change in organizational culture takes

time.

Case scenarioMrs.Hallwasafrequentvisitortothepulmonaryunit

in the small urban community hospital. She acquiredCOPD from years of smoking, gained 30 pounds andneeded frequentmedication changes just tomaintain hercurrent oxygenation needs. Alex was the nurse assignedtocare forMrs.Hall and rememberedher frompreviousadmissions.WhatAlex didn’t realizewas thatMrs.Halllived alone and had been cared for inconsistently bymultiple unlicensed caregivers since her last discharge.Since Alex “knew” the patient and was unusually busythat shift, the admission assessment was unfortunatelyswiftandincomplete.

Tara,anewphysicaltherapist,wasassignedtoevaluateMrs.Hall’smobility.Before the assessment, she read thepatient’s history and physical exam report and quicklyidentified Mrs. Hall as being at high risk for pressureulcers. Tara asked Alex and a nursing student, Angela,to help her with getting Mrs. Hall out of bed. Withouthesitation, both the nurse and the nursing student agreedtoassist inMrs.Hall’smobilityassessment.AlexnoticedthatMrs.Hall’smobility status had declined, as shewasnolongerabletositunassisted.

Immediately, Tara determined that Mrs. Hall wasexceptionallyweakandunable tosupportherownweightwhile sitting. Recognizing this as an opportune timeto teach, Alex recommended that Angela examine thepatient’s skin during the transfer in order to completeher admission assessment. Although Alex had previousexperiencesworkingwithMrs.Hall,shewassurprisedtolearn thatMrs.Hallhaddevelopedastage-threepressureulcer on her sacrumandhad breakdownonher hips andheelsbilaterally.

Lessons learnedAlex,Tara andAngelaworked together as a teamand

wereabletoidentifyacareissuethatrequiredimmediateattention and action. It takes an interprofessional teamto optimally care for a patient. If it weren’t for Tara,Mrs. Hall’s pressure ulcer might not have been noticeduntil later in the shift. Input from each health care team

memberinfluencesthepatient’splanofcareregardlessofthe health care setting. A team-based approach providesunique perspectives that will benefit patient care qualityandsafety.

Practice recommendations• Teamworkisessentialinimprovingpatientsafety.• Speak up…recognize that you have a unique

perspectivetoshare.• Acknowledge interprofessional expertise and value

inputfromothers.• An evidence-based teamwork system improves

communication among health professionals andimpactspatientcare.

ImplicationsHighlyfunctioningteams:

• Areoneelementinhigh-qualitycare.• Protectpatientsafety.• Reduce duplication of services and save

organizationalresources.• Improvecommunityaccesstocare.

— Marie-Elena Barry is a senior policy analyst inNursingProgramsatANA.

ReprintedwithpermissionofThe American Nurse

Better, Safer Patient Care Through Evidence-Based Practice and Teamwork

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Page 14: President’s Perspective · 2018. 3. 31. · Volume 20 • Issue 4 October, November, December 2015 Special Points of Interest: • Nursing Dialogue: What Did We Learn, and What

Page 14 • ANA\C The Nursing Voice October, November, December 2015

ANA News

Are you a healthy nurse and a role model for wellness? Too often, RNs neglecttheirowncareandhealth, forgetting to take theadvice theygive theirpatients.Stress,fatigue,poordiet,lackofexerciseandtime,aswellasoccupationalhealthrisks,threatennurses’healthonadailybasis.RNsneedtopracticeself-caretoensuretheyareattheiroptimalhealth level.TheAmericanNursesAssociation (ANA)definesahealthynurse“as one who actively focuses on creating and maintaining a balance and synergy ofphysical, intellectual, emotional, social, spiritual, personal and professional wellbeing.Ahealthynurse lives life to the fullestcapacity,across thewellness/illnesscontinuum,as they become stronger role models, advocates, and educators, personally, for theirfamilies, their communities andwork environments, and ultimately for their patients.”Furthermore,ANAhasdevelopedthefollowingHealthyNurseconstructs:

Calling to Care • Caring is the interpersonal, compassionate offering of self, as nurses build

relationships with their patients and their families, while helping them meet their physical, emotional, and spiritual goals, for all ages, in all health care settings, across the care continuum.

Priority to Self-Care • Self-care and supportive environments enable the nurse to increase the ability

to effectively manage the physical and emotional stressors of the work and home environments.

Opportunity to Role Model  • Thehealthynurseconfidentlyrecognizesandidentifiespersonalhealthchallenges

in themselves and their patients; enabling them and their patients to overcome the challenge in a collaborative, non-accusatory manner.

Responsibility to Educate • Using non-judgmental approaches, considering adult learning patterns and

readiness to change, nurses must empower others by sharing health and safety knowledge, skills, resources, and attitudes.

Authority to Advocate • Nurses are empowered to advocate on numerous levels, including personally,

interpersonally, within the work environment and the community, and at the local, state, and national levels in policy development and advocacy.

To assist RNs on their wellness journeys, ANA, in collaboration with Pfizer Inc,createdahealthriskappraisal(HRA).ThisHRAassistsparticipantsinidentifyingtheirhealth,safety,andwellnessriskspersonallyandprofessionally.TheHRAisdividedintothreegeneralcategories:demographics,occupationalhealth,andhealth/safety/wellness.Participants can compare their personal results against ideal standards and nationalaverages. Participants can also access an interactive web wellness portal for furtherresources.Aheatgraphallowsparticipants to easily evaluate their results: reddenoteshighrisk,yellowmediumrisk,andgreenlowtonorisk.It takesapproximately twentyminutes to complete the HRA. Participation in the HRA will help to build a uniquenurse-specificpersonalandoccupationalhealth-relatedaggregateddatabase.SecureandHIPAA-compliant,theHRAisfreeandavailabletoallRNsandnursingstudents.TaketheHRAtodayatwww.anahra.org.

Promoting RN Health, Safety, and Wellness 50-year Milestones

2 Reasons to CelebrateMedicare Turns 50

Nurseshavebeen and continue tobe at the forefront of helpingAmericansgainaccesstomedicalcareneededtostayhealthyandproductive.SignedintolawonJuly30, 1965 by President Lyndon B. Johnson,Medicare provides health insurance forseniorcitizens,aswellaspeoplewithdisabilities,whileMedicaidcoverslowincomeadults and children. Medicare covered 53.8 million people in 2014 and Medicaidcaredforanestimated72.5millionin2013.

ANA Past President (1964-1968) Jo Eleanor Elliottwith President Johnson

50 Years of Workforce Funding for NursesThe Title VIII Nursing Workforce Development programs provide the largest

sourceoffederalfundingfornursingeducation,offeringfinancialsupportfornursingeducationprograms,individualstudents,andnurses.

In early June, Representatives Lois Capps (D-CA) and David Joyce (R-OH)reintroducedH.R.2713,theTitleVIIINursingWorkforceReauthorizationAct.Theyhope to maintain strong support for Title VIII Nursing Workforce DevelopmentprogramsinFiscalYear2016.

Urge your member of Congress to support Title VIII Nursing Workforce Development programs. Visit www.rnaction.org.

ER RNOak Valley Hospital District is searching for full-time and per diem ER Registered Nurses in Oakdale California. OVHD offers a culture that is focused more on that one on one patient and caregiver experience. If you’re looking for an organization that truly believes in honoring and taking care of its team members which in turn offers excellent patient care outcomes, Oak Valley Hospital District is your employer of choice.

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Page 15: President’s Perspective · 2018. 3. 31. · Volume 20 • Issue 4 October, November, December 2015 Special Points of Interest: • Nursing Dialogue: What Did We Learn, and What

October, November, December 2015 ANA\C The Nursing Voice • Page 15

ANA News

The American Nurses Association has declared 2015to be the Year of Ethics and in January released a neweditionof itsCode of Ethics for Nurses with Interpretive Statements, so now is the perfect time for RNs to re-examine the essential role ethics plays in the nursingprofession. Having a strong ethical foundation is a keycomponenttoasuccessfulcareer.Yet,eventhebestnursesmay find themselves strugglingwith ethical concerns onthejob.

Here are five considerations for nurses when facingethicalchallenges.

Know yourselfIt’s important to have a strong sense of personal

ethics to build upon in your profession. “Knowingwho you are and what you stand for personallyand professionally provides a foundation to speakup and speak out about issues that support orcompromise your values,” said Cynda HyltonRushton, PhD, RN, FAAN, Anne and George L.Bunting Professor of Clinical Ethics at the BermanInstituteofBioethics/SchoolofNursingandaprofessorofnursing and pediatrics at Johns Hopkins University, anda Maryland Nurses Association member. “Without thisclarity, your responsesmay be reactive, unreflective andpotentiallydamagingtoyouandtoothers.”

Live your valuesJust knowing your values and ethics isn’t enough,

Rushton said. “We are required to speak them and livethem in our daily actions. This takes courage, wisdomand resilience. Living our values means that we haveto take seriously the fifth provision of the ANA Code— our obligation to care for ourselves so that we cancare for others.” Because ethical issues are part of dailynursingpractice,everynursehasanobligationtohavethe

5 Considerations for RNs Facing Ethical Challenges on the Jobknowledge, skills and abilities to recognize and addressthem.

Listen to your gutIf you know yourself and are consistent about living

yourvalues,you’llbeabletorelyonthatvoiceinsideyourheadsayingsomethingiswrong.“OneofthethingsItalktomystudentsaboutallthetimeisthatyouneedtolistento your gut,” said Sarah Shannon, PhD, RN, associateprofessor of Biobehavioral Nursing and Health Systemsat the University of Washington School of Nursing andadjunctassociateprofessorofBioethicsandHumanitiesattheUniversity ofWashington School ofMedicine, and aWashingtonStateNursesAssociationmember.

Check in with othersHaving said that, Shannon said it’s important to

remember that the gut is “a great barometer but a lousycompass.” Just because you know you’re in an ethicalquandary doesn’t mean you know what the next step is.Consultwithothers,suchasyourshiftmanagerorheadofnursing,whenastickyethicalsituationarises.

Translating ethical decision-making into everydaynursing practice is challenging. Building a networkof colleagues who can help you think through ethicalsituationsisapricelessresource.Agreatplacetoconnectwithexpertsandbuildingyournetwork is the2015ANAEthicsSymposiumbeingheldinBaltimore,MD,June4-5.

Practice with respectThefirstprovisionoftherevisedCodehighlightseach

nurse’s responsibility to practice with “respect for theinherentdignity,worth,uniqueattributesandhumanrightsofall individuals,” saidCarolTaylor,PhD,RN,professorof nursing at Georgetown University and senior clinicalscholar at the Kennedy Institute of Ethics, and an ANA

member. Upholding that worth can provide a foundationforethicalaction.

“Taken seriously, this means that each of us mustpracticewithzerotolerancefordisrespect,forourpatients,their family members, our colleagues and ourselves,”Taylor said. Taylor recommended practicing respondingtoacolleaguewhodescribesapatientinnegativetermstomake it easier to speak up next time, such as by saying,“I’m no goody two-shoes, but I’m trying hard to meeteach patient with respect.” If disrespect is a widespreadproblem, huddle and call attention to your organization’szero-tolerancepolicy for disrespect to empower everyonetobringquickattentiontoviolations.

Foradditional resourcesgo toANA’sCareerCenterathttp://careers.ana.org.

ReprintedwithpermissionofThe American Nurse.

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Page 16: President’s Perspective · 2018. 3. 31. · Volume 20 • Issue 4 October, November, December 2015 Special Points of Interest: • Nursing Dialogue: What Did We Learn, and What

Page 16 • ANA\C The Nursing Voice October, November, December 2015