president’s perspective · 2018. 3. 31. · volume 20 • issue 4 october, november, december...
TRANSCRIPT
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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
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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]
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.
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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.
Brian Harradine gives his input during a table discussion.
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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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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!
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Contact: Recruitment DepartmentPhone: 877-866-2340 • Fax: 877-866-2344
Apply online at http://jobs.concorde.edu orsend resume to [email protected]
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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
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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.
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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.
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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 • 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.
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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.
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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!
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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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Now HiRiNg
Are you a nurse that likes to teach, facilitate growth, and provide leadership in a dynamic team setting? Consider a job on the beautiful north coast of California.
We WAnt you to be pArt of our fAmily!
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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.
Our full-time RN position offers a competitive salary and excellent benefits. We also offer a pension plan of 15.9% and no cost life insurance at five times annual salary to a maximum of $500,000. Sign on bonuses are also offered.
A little about us, with nearly 550 employees and in a growth mode, Oak Valley Hospital District is a full service, non-profit public hospital created to provide residents of Oakdale, and the surrounding rural communities, with access to superior quality medical care. We also operate four community health centers providing primary care medical services and plan to expand this business as well. As an organization we take care of nearly 90,000 patients a year.
If you’re interested in learning more about what we have to offer and the incredible opportunity
to join our team, please email your resume to Brian Beck,
Vice President of Human Resources, [email protected].
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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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