salute to nurses 2014

MESSENGER POST MEDIA

Help us in celebrating the profession of nursing and honor those who have so passionately

dedicated their lives to patient care.

An honorary section for the week of May 4, 2014

WHAT’S INSIDE:salute to area nurses tributes

trends in nursing: nursings quick growth expected through 2020 transcultural nursing care: helps everyone

SALUTE TO NURSES • ADVERTISING SUPPLEMENT TO MESSENGER POST MEDIA FOR THE WEEK OF MAY 4, 2014 • PAGE 2


SALUTE to NURSES Many thanks to our readers who paid tribute to all of these caring, hardworking, dedicated nurses.

Patricia Corey Unity HospitalA wonderful salute to the most “special nurse” who is so caring, thoughtful, loving, that will do anything for anybody, who comes her way. Pattie has been a nurse for many years, first at St. Mary’s and now at Unity Hospital. Up at dawn and home when it is possible, she is there, no matter what time it may be. Our Pattie is an angel, as anyone could be. —The Corey Family

Jenny Pratt RN at Thompson HospitalWe are very proud of you. Love you... —Grandpa and Grandma

Benicasa Hospice HouseWe would like to pay a special tribute to our talented and compassionate nurses at Benincasa Hospice House in Mendon. Nicki, Irene, Bobbi, Linda and Chris are the best. Grand Vie Senior Living CommunityBridgetBridget is a tremendous inspiration as a nurse. She is incredibly focused, dedicated and caring despite balancing a consistently full agenda. Bridget is a not only a spectacular nurse, but she is a teacher and support system for the entire Grande’Vie team. Her objective —caring for our residents- is evident in all that she has contributed to our community.

DaveRegardless of what Dave sets out to accomplish, the task is managed with pleasure and spirit. Dave is able to reach his coworkers and resident’s hearts with ease and reminds everyone around him to smile brighter and laugh louder. Grande’Vie is honored to have such a vibrant and charismatic employee.

LaurelLaurel’s sense of humor, laugh and smile brings happiness to every resident and staff person she encounters. Laurel cares deeply for her residents and makes this evident in her genuine approach and demeanor. Laurel takes the time to learn who her residents are and shares with them a special connection.

LisaLisa offers compassion, sincerity and warmth to her residents and peers.With years of experience working with older adults, she has developed a comforting sense of humor and inspiring skill set. Lisa’s energy and heart are an asset to Grande’Vie and all of the people she touches.

MichelleMichelle has proven to be an incredibly valued member of the Grande’Vie community. She is reliable, consistent and motivated- three characteristics that define a spectacular nurse. Our team is thankful and appreciative for all of the care and love that she offers our residents, families and staff.

MonicaMonica is a passionate and dedicated nurse, yet she remains able to find the humor and joy in her immense responsibility. Monica sets and achieves goals with poise and strives continuously to make change. Her laughter is contagious and her presence is valued.

ReneeRenee faces each day with a smile and her residents always look forward to her embrace and caring heart. She treats staff, residents and families alike with a gentle attitude and a loving spirit. The Grande’Vie community looks forward to watching her grow as a nurse and team member.

ShelleyShelley is a problem solver, a helper, and a motivated nurse. Shelley, in just several months, has proved to the staff, families and residents of Grande’Vie that her standards for care are exceptional. Whether in an emergency situation or a typical, day-to-day activity, Shelley offers a calm demeanor and provides those around her a sense of comfort.

TamiTami works tirelessly to ensure that the seniors throughout our area have a safe and beautiful home that fits his or her specific care needs. Tami not only assists individuals in their transitions from homes, hospitals, and rehabilitation centers to the assisted living community, but she spends countless hours guaranteeing that the people who care about the individual have all of their questions answered and feel comfortable with their decisions.

ToniToni genuinely cares about the safety, happiness and wellness of every person she cares for. Despite working in a challenging environment, she never loses sight of her purpose — caring for the residents. With a smile, warm touch and light-hearted attitude, Toni ensures that all of the needs of those she cares for are met.

RolandaRolonda, the newest member of the Grande’Vie team, has quickly shown our staff and residents her talent as a nurse. With excitement and determination, Rolonda demonstrates her talents and caring nature each day.

Lynn Defendorf Joseph C. Wilson Health CenterYes, I am a mother of a great daughter who from the day she was born has helped many. She has been a nurse all her 57 years. She has helped relatives, friends and neighbors. If they need her she is always there for them, no matter what time. She has worked at the Wilson Center for 30 years. Her friends from there are still close to her.Her telephone rings for her needed advice any time of the day or night. Yet she still has time for her husband Mike (they have been married for 35 years, this past April 28), children Sara and Nick and best dog Kobe. Her father and I are proud of her. She has a heart of gold. —Donna Coddington

Alexandra Coggie Registered NurseYou have gone and embraced your passion, making a difference in all of the lives that you touch. We are so proud of you! —Love, Mom, Pat and Tyler

Ann Randazzo A tribute in honor of my wife. Ann’s nursing career began 50 years ago on June 30,1963. Her career has been honed by a variety of nursing experiences. After receiving her nursing degree with honors, she trained in local hospital and nursing homes. She specialized in neurological care, custodial geriatric patients, head trauma patients, private duty cases, as well as working as a school nurse for the Monroe Health Dept. in Rochester. For the past two years Ann has had the honor to be part of the nursing team at the Sunset House, a comfort care home for the dying located in Irondequoit. Here she most definitely embodies the characteristics of an effective nurse: loving…caring…hard working…dedicated. —Philip Randazzo

Kim FessTo a loving sister and dedicated and caring nurse, Kim Fess goes out of her way to make a compassionate connection with her patients and their families. She treats her patients like they are family and uses her sense of humor to try and brighten a patients day. Thank you for your dedication in the nursing field. —Chris Magee

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Vicki HinkelI would like it to say, “Congratulations, Vicki Hinkel, for being a nurse for 35 years! —Love, Jen and Chris

Mary MeyerThank you to Mary Meyer! Happy Nurses Day! —Dr. Teerlinck

Marg DonhauserI would like to salute my nurse Marg Donhauser for nurses week. She takes good

care of me so that I can stay home. She decorates the house for every holiday and makes every holiday a fun place to be!

Her cooking is excellent and she makes sure that I have everything I need to make me happy! She takes me out for rides to places I have never been. Such as Roseland Waterpark, Ontario and Wayne County Fairs, fish hatchery, Lollipop Farm, fishing on the pier, scenic rides and more. Everything is so interesting!

On April 16 Marg had three kangaroos (Penny, Sydney and Beatrice) visit us for the afternoon. She invited 25 friends in to share the experience.

On April 5 Marg took the plunge into Canandaigua Lake (32°) for the 10th year winning best costume and for raising the most money by an individual—and she does it all for charity.

When Marg is not helping me, you will find her somewhere in the house working on a project for charity or for a non-profit organization (Special Olympics, Happiness House, Blue Star Mothers, Comfort Care Home and Wood Library.) I get to help her which makes me feel useful.

In January 2013 I came home to die in the comfort of my home and over a year later I am still living in the comfort of my home because of the wonderful care and love that Marg gives me!

The only photos I have of Marg are fun photos! This photo is the most recent when she was an octopus for the Canandaigua Lake Plunge! I stuffed all eight legs for her! —Natalie Ross

MESSENGER POST MEDIA

Celebrates the profession of nursing and honors those who have so passionately

dedicated their lives to patient care.We join the American Nurses Association in celebrating National Nurses Week, which is held May 6-12, every year. The purpose of the week-long celebration is to raise awareness of the value of nursing and help educate the public about the role nurses play in meeting the health care needs of the American people.

In honor of the dedication, commitment, and tireless effort of the nearly 3.1 million nurses nationwide who promote and maintain the health of this nation we are proud to recognize nurses everywhere during this particular week for the quality work they provide seven days a week, 365 days a year.

a division of gatehouse media inc. 73 buffalo street canandaigua ny 14424 585.394.0770 www.MPNnow.com

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trends in nursingNursing InformaticsNursing informatics is a career that focuses on finding ways to improve information management and communications in nursing to improve efficiency, reduce costs and enhance the quality of patient care.The American Nurses Association defines nursing informatics as “a specialty that integrates nursing science, computer science, and information science to manage and communicate data, information, and knowledge in nursing practice. Nursing informatics facilitates the integration of data, information and knowledge to support patients, nurses and other providers in their decision-making in all roles and settings. This support is accomplished through the use of information structures, information processes, and information technology.” (ANA Scope and Standards of Nursing Informatics Practice, 2001, pg vii.)Documentation is a primary emphasis in nursing informatics, because quality care depends on effective communication among healthcare providers. Nursing informatics looks for ways to simplify and enhance documentation using advanced computer and information technologies. Nursing informatics makes it possible to record notes sooner and faster using computers, handheld devices, voice recognition and other tools. The goal is to design and implement systems that improve documentation accuracy, eliminate unnecessary work, enhance accuracy and enable analysis of clinical data. Nursing informatics aims to develop systems that are both effective and user-friendly, making sure new systems integrate seamlessly with existing hospital systems and the routine workflow of the nursing process.Nurse informaticists work in hospitals, other healthcare facilities, universities, consulting firms, or corporations that develop and market healthcare information systems. Their titles include clinical analyst, informatics nurse specialist, director of clinical informatics, or clinical informatics coordinator. Few nurse informaticists perform any patient care duties. Most focus on developing, improving, testing or training nurses to use new systems. Recognizing the potential of nurse informatics to improve quality care and reduce costs, some hospitals and health systems are creating staff roles for nurse informaticists.Nurse Aide/CNAWherever there is a need for personal care, certified Nursing Assistants (CNA), or nurses aides, are there. Nursing assistants are the caregivers who help patients of all ages perform the most basic day-to-day tasks. CNAs work under the supervision of a nurse, and since they have extensive daily contact with each patient, they play a key role in keeping the nurse up-to-date on vital information about the patients’ conditions. Nursing assistants work closely with patients and provide assistance with such tasks as: dressing; bathing; feeding; making beds; toilet assistance/catheter care; taking vital signs (blood pressure, pulse, etc.); helping patients walk; assisting with range-of-motion exercises; helping wheelchair-bound patients (entails heavy lifting); turning bedridden patients regularly; reporting all changes to the nurse; safety awareness; documentation and post mortem care. Due to staffing shortages in recent years, a vast majority of nursing assistants find themselves in the challenging position of attempting to provide quality care to far too many patients at once. The turnover rate

for nursing assistants is high, due largely to the job’s heavy workload and physical demands.Nurse PractitionersNurse Practitioners (NPs) are Advanced Practice Nurses who provide care to patients from premature newborns to the elderly. They perform comprehensive and focused physical exams; diagnose and treat common acute illnesses and injuries; provide immunizations; manage high blood pressure, diabetes, depression, chronic health problems; order/interpret diagnostic tests such as X-Rays, EKGs and lab tests; prescribe medications/therapies (including controlled substances), perform procedures; educate and counsel patients and families regarding healthy lifestyles and health care options. In addition to working in clinics, office practices, managed care organizations, and hospitals, NPs deliver care in rural sites, inner city community health centers, college campuses, worksite employee health centers, and other locations. NPs also work for healthcare technology companies, perform healthcare research, teach in schools and universities and serve in governmental agencies. About 15% of all NPs have their own private practices. There are also a number of nurse-managed health centers across the country that are directed and provided for by Nurse Practitioners, along with other health care professionals. As the numbers of primary care physicians decrease and the demand for health care services increases, Nurse Practitioners (NPs) are a highly recruited group of professionals.Nurse EducatorsNurse educators are registered nurses with advanced education who are also teachers. Most work as nurses for a period of time before dedicating their careers to educating future nurses. They serve as faculty members in nursing schools and teaching hospitals, sharing their knowledge and skills to prepare the next generation of nurses for effective practice. They develop lesson plans, teach general or specialized courses, evaluate educational programs, oversee

students’ clinical practice, serve as role models for their students, give lectures, advise students, grade papers, attend faculty meetings, handle administrative work and keep up with current nursing knowledge.Most nurse educators have extensive clinical experience, and many continue caring for patients after becoming educators. Even if they no longer practice, nurse educators must stay current with new methods and technologies. This means they are always on the “leading edge” of clinical practice. With experience, nurse educators may advance to administrative roles, managing nurse education programs, writing or reviewing textbooks, and developing continuing education programs for working nurses.This career is in extremely high demand, because the U.S. is experiencing a serious nursing shortage. One of the key reasons for that shortage is the lack of nurse educators to train future nurses. The U.S. Department of Labor reports that one million new and replacement nurses will be needed by 2016. But, according to the American Association of Colleges of Nursing, more than 40,000 qualified applicants were turned away from nursing schools last year. Why? Because nursing schools don’t have enough nurse educators to educate all the students who want to become nurses. Many government agencies, professional groups and non-profit organizations have launched campaigns to encourage young people to choose a career in nurse education. Nurse educators typically work in academic settings. Some also work in health care settings as staff Continued on next page...

NursiNg’s quick growth expected through 2020



development officers or clinical supervisors. They may work a nine-month academic calendar, or all year long. Educators who oversee students in clinical settings may divide their time between a campus and a nearby hospital. Many faculty members are also actively engaged in research efforts which add to the scientific base for nursing practice.Academic life is demanding and can be filled with unexpected pressures, including multiple, competing demands on your time. There are often research and publishing requirements to be met. Nurse educators are often expected to participate in professional organizations, and attend or speak at conferences. They may serve on peer review and other academic committees or be asked to write grant proposals to bring new funding to the school. Still, most nurse educators are highly satisfied with their work. They find interaction with students rewarding, and they take pride in the role they play in preparing nurses to care for patients.Nurse ResearchersNurse researchers are scientists who study various aspects of health, illness, and health care. By designing and implementing scientific studies, they look for ways to improve health, healthcare services and healthcare outcomes. They identify research questions, design and conduct scientific studies, collect and analyze data, and report their findings. They often rely on grants to fund their work, which requires writing grant proposals and meeting certain reporting requirements. Many teach in academic or clinical settings, and often write articles and research reports for nursing, medical, and other professional journals and publications. Nurse researchers may begin their research careers in positions such as research assistant, clinical data coordinator, and clinical research monitor. The title of principle investigator reflects the most senior research role and greatest responsibility and accountability associated with a research study. Studies conducted by these dedicated researchers uncover new and better ways to: deliver healthcare services more effectively and efficiently; improve quality of life for patients suffering from chronic illnesses; encourage patients to make healthy choices about nutrition, fitness, and lifestyle; assure patient safety and prevent injury and illness; provide care and comfort to patients at the end of life; and often partner with scientists in other fields, such as pharmacy, nutrition, medicine, and engineering, to better address complex questions and problems. The results of nursing research help build the knowledge base and provide the evidence to guide interventions by nurses and other health care workers. Nurse researchers may work in diverse healthcare settings, universities, research organizations, laboratories, and other settings. They may also be hired by private companies and nonprofit

organizations focused on healthcare issues. Because research studies are often individually funded projects, nurse researchers may move from project to project, working for a specific time period until the grant money ends. The nurse researcher must then seek other funded studies or employment opportunities. The work of conducting research studies, especially collecting and tabulating data, can involve a lot of repetitive activity and rote data entry. But it can be exciting and rewarding to contribute to research that discovers a new way to improve health care delivery. Nurse researchers must be skilled writers, to write competitive grant applications, report study results, and prepare journal articles. Dissemination of the findings and research methodology often requires presentations at conferences and meetings.Occupational Health Nurse Occupational Health Nurses (OHN) are Registered Nurses who independently observe and assess workers’ health status with respect to job tasks and hazards. Using specialized experience and education, they recognize and prevent health effects from hazardous exposures and treat workers’ injuries and illnesses. OHNs work with employers to develop innovative and business-compatible health and safety programs, in response to each organization’s unique type of work, workforce, and work/community environments. They promote an interdisciplinary approach to health care and advocate for the employee’s right to prevention-oriented, cost-effective health and safety programs.The available roles in this profession are extremely diverse, covering any and all of the wide-ranging issues related to occupational health and safety. OHNs work as clinicians, educators, case managers, corporate directors, or consultants. They also have a broad array of responsibilities, including: disease management, environmental health, emergency preparedness/disaster planning, employee treatment, follow-up and referrals, emergency care for job-related injuries and illnesses, gatekeeper for healthcare services, rehabilitation, return-to-work issues.OHNs counsel workers about work-related illness and injuries and emotional and/or family problems. They refer clients to employee assistance programs and/or other community resources, and handle and coordinate follow-up care. They develop health education and disease management programs that encourage workers to take responsibility for their own health, such as smoking cessation, exercise/fitness, nutrition and weight control, stress management, control of chronic illnesses and effective use of medical services. They also monitor the health status of workers, worker populations and community groups by conducting research on the effects of workplace exposures, gathering health and hazard data.Organizations have good reason to hire Occupational Health Nurses, because these highly skilled health professionals help maximize employee productivity and reduce costs by effectively lowering disability claims, reducing on-the-job injuries and absenteeism, and improving employee health and safety.Nurse MidwivesCertified Nurse-Midwives (CNMs) are Advanced Practice Nurses who provide counseling and care during preconception, pregnancy, childbirth, and the post-partum period. CNMs and their colleagues certified midwives (CMs) also provide family-centered primary healthcare to women throughout their reproductive lives. Skilled midwifery can reduce the need for high-tech interventions for most women in labor, but midwives also are trained in the latest scientific procedures to assist in normal deliveries. CNM-attended births account for 10% of all spontaneous vaginal births in the US, and 7% of all US births in total. Of these deliveries, 97% occur in hospitals, 1.8% in freestanding birth centers, and 1% at home. Many people mistakenly think that midwives do nothing but assist with births. In fact, although attending births is an integral and rewarding part of the job, this is only a fraction of what midwives actually do. On average, they spend 10% of their time in the direct care of birthing women and their newborns. In addition to the care they give patients before, during, and after pregnancy and childbirth, they provide routine gynecological services — including reproductive health visits, regular gynecologic care and peri-/post-menopausal care. In fact, 90% of all patient visits are for primary, preventive care. CNMs/CMs are skilled health professionals who practice in a wide variety of clinical settings, diagnosing/treating patients as well as referring them to a specialist, if required.CNMs/CMs are a vital part of the healthcare team and collaborate closely with physicians. When CNMs/CMs and physicians work together as a team, women receive an optimal combination of primary and preventive care, with specialized services as needed.Today’s midwives come from all walks of life. Some earned their midwifery degree immediately after graduating from college, but others are former teachers, writers, missionaries and general practice nurses. There are many different career options for CNMs/CMs — clinical practices, education, administration and research, domestic and global health policy and legislative affairs, practicing in public, private, university and military hospitals, they also work in HMOs, private practices, birth centers, public health clinics, and in-home birth services. CNMs/CMs are also active in international health programs, working worldwide to improve the health of women and children. Information courtesy of www.explorehealthcareers.org

Nurses most often do their jobs by answering the question, “How can I best meet my patient’s needs?” The answer lies in layers of protocol and practice, skills, expertise, and compassion. Nursing encompasses the collaborative care of individuals of all ages, families, groups, and communities, sick or well and in all settings, as defined by The International Council of Nurses. Transcultural nursing is a theory rooted in and based on meeting the needs of people by inte-grating their own cultural roots, beliefs, and practices into their care.“Transcultural nursing is a formal area of aca-demic study and practice,” says Marie Bell, assis-tant professor, department of nursing, Nazareth College. “Because there is a growing diversity that characterizes our national and global popu-lations, we teach students how to be competent at taking care of these individuals that are differ-ent than their own culture.”The model used at Nazareth College includes culture, care, diversity, and universality. It fo-cuses on describing, explaining, and predicting nursing similarities and differences, and on care and cultures, such as kinship, life ways, diet, re-ligion, and beliefs. “As nurses, we all know what to do for a stroke, but using transcultural nursing we to do it ac-cording to the patient’s culture,” says Bell. “May-be they have a certain lifestyle, or certain ways of eating and beliefs, and we try to make some minor changes or major changes in care based on their culture. We tap into all the aspects of their lives and see how we can help them and accommodate them.”Bell says a transcultural nursing approach — or

cultural competence — is important for healing and recovery. Maintaining the patient’s life-ways right in the clinical setting can help enhance a patient’s well being. The Transcultural Nursing Society was estab-lished over 35 years ago to provide healthcare professionals with the knowledge to ensure cul-tural competence in care. This formal area of academic study and evidence-based practice is used globally within the nursing profession.“It resonates with students throughout their studies, it causes a heightened awareness, and it crosses all disciplines in nursing,” says Bell. “Nursing is transcending. We have a more diverse nursing population, different ethnic groups, religions, and male nurses. We are branching out in this growing field.”Bell says families of patients are very helpful when using a cultural approach to nursing, as healthcare disparity plays a role in care. There are differences in ethnic groups, economics, education, access to healthcare, and more, that contribute to each patient’s needs. In addition to disparity, health literacy is important – meaning how much does the patient understand. Most nursing schools follow a certain protocol, remaining consistent in teaching the nursing process, safe care, medication, and other things related to nursing, according to Bell. But there are different kinds of nursing now, not just at the bedside, in clinics, hospitals or nursing homes. “Nurses trained in transcultural care can meet the needs of people all over the world, in many settings,” says Bell. “We not only teach it, we practice it.”

transcultural nursing care

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salute to nurses 2014

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