2015 nurses day at the legislature...june, july, august 2015 nebraska nurse • page 3 2015 nurses...
TRANSCRIPT
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Princeton, MN55371
Full Practice Authority for Nurse
Practitioners in Nebraska
Page 4
2015 NNA Ballot - Candidate
InformationPage 7-10
From the Nebraska Action Coalition - The
Future of NursingPage 13
Volume 48 • No. 2June, July, August 2015Sent to all Nebraska Nurses courtesy of the Nebraska Nurses Association
Quarterly publication direct mailed to approximately 33,000 RNs and LPNs in Nebraska.
2015 Nurses Day at the LegislatureOn February 12, 2015 approximately 425 nurses and
students assembled in the Cornhusker Marriott Ballroom in Lincoln to learn about advocating for nursing issues. It was a collaborative event, with the following individual and organizations partnering with the Nebraska Nurses Association (NNA):
• LindaL.Lazure,PhDRN• BethFurlong,PhDJDRN• TeresaAnderson,EdDMSNRNC-OBNE-BC• CatholicHealthInitiatives(CHIHealth)• ClarksonCollege• NebraskaActionCoalition-FutureofNursing• Nebraska Assembly of Nursing Deans and
Directors• NebraskaCenterforNursing• NebraskaEmergencyNursesAssociation• NebraskaMethodistandWomen’sHospital• NebraskaNursePractitioners• NebraskaOrganizationofNurseLeaders• Platte River Chapter 324 American Nephrology
Nurses Association• Sigma Theta Tau, Omicron Epsilon Chapter
(Clarkson College)
The event was opened by NNA President, TeresaAndersonandemceedbyMelissaFlorell,NNA’sDirectorof State Affairs. Following Ms. Anderson’s welcome,Janet Haebler, Associate Director of State GovernmentAffairs of the American Nurses Association, presented the keynote address “Making a Difference throughAdvocacy.”AfterMs.Haebler presentation, the audienceattended one of two breakout sessions designed for novice and experienced advocates. The novice group heardpresentationsfromNNAmembersLindaStonesMSBSNBSRNCRRNwhodiscussed“How to Read a Legislative Bill” and JordanColwellMHABSNRNwho addressed“Preparing and Giving Testimony.” The experiencedadvocates spent an additional hour with Ms. Haeblerdiscussing a case study on “From Idea to Signing: How to Make Legislation Happen.” To complete the continuingeducation program, the attendees regrouped in the Ballroom for the following presentations:
• LaDonnaHartMSNAPRN-NPFNP-Cspoketothepowerofadvocacy;LaDonnaisthePresidentoftheNebraskaNursesPractitioners
• DonWesely,NNA’sLobbyist,discussedthecurrentlegislative bills of interest to nurses that are being tracked by NNA
President'sColumn . . . . . . . . . . . . . . . . . . . . . . . . .2
FullPracticeAuthorityforNurse
PractitionersinNebraska . . . . . . . . . . . . . . . . . . .4
NNA'sDirectorofStateAffairs . . . . . . . . . . . . . . .5
DistrictDelegatesNeededfortheNNAHouse
ofDelegates-October3,2015 . . . . . . . . . . . . . . .6
2015NNABallot-CandidateInformation . . . 7-10
FromtheDistricts . . . . . . . . . . . . . . . . . . . . . . . . . 11
Nebraska Action Coalition . . . . . . . . . . . . . . . . . .13
PlanningaContinuingNursingEducation
Activity-WheredoIStart? . . . . . . . . . . . . . . . .14
Membership Application . . . . . . . . . . . . . . . . . . .16
SevereWeatherAwareness . . . . . . . . . . . . . . . . . . 17
American Nurses Association . . . . . . . . . . . . 18-19
In This Issue
Nurses Day at the Legislature continued on page 3
Attendees at the 2015 Nurses Day at the UnicameralState Senator Crawford and nurse constituents,
including Carole Lainof (NNA)
Terry Anderson and Lt. Gov Mike Foley
Page 2 • Nebraska Nurse June, July, August 2015
NNA’s Mission:
NNA’s Vision:
NNA’s Core Issues:
NNA’s Official Publication:
Writer’s Guidelines:
The mission of the Nebraska Nurses Associationis to foster high standards for nursing practice, stimulate and promote the professional development of nurses, and advance their professional security, and to work for the improvement of health standards and availability of health care services for all people. (Adopted10/95,NNAHouseofDelegates)
Nebraska Nurses Association will be an effective voice for nurses; and an advocate for Nebraska consumers on issues relating to health. (Affirmed 12/04/2004, NNA BoardofDirectors)
CriticalSuccessFactorsforVision:• Stateanddistrictssetmutualpriorities• EvaluatethesuccessoftherestructuringofNNA• Enhance grass roots activities for membership
involvement• Advocateforstatewidequalityhealthcare (Affirmed12/04/2004,NNABoardofDirectors)
1. WorkplaceRights2. AppropriateStaffing3. WorkplaceHealth&Safety
a. Patientsb. Community/PublicHealthc. Workplace
4. Continuing Competence (Affirmed12/04/2004,NNABoardofDirectors)
The Nebraska Nurse is the official publication of the Nebraska Nurses Association (NNA) (a constituent member of the American Nurses Association), published quarterly every March, June, September and December. The NNA provides education, networking opportunities, publications and other products and services to its members and extends its mission to all nurses in Nebraska.
Phone: (888) 885–7025You can leave a message at any time!Email: [email protected] site: www.NebraskaNurses.org Mail: PO Box 3107Kearney NE 68848–3107
Questions about your nursing license?Contact the Nebraska Board of Nursing at: (402)471–4376.TheNBONispartoftheNebraskaHealthandHumanServicesSystemRegulationandLicensure.Questions about stories in the Nebraska Nurse? Contact: NNA.
This newsletter is a service of the Nebraska Nurses Association and your receipt of it does not mean you are automatically a member. Your membership in support of this work is encouraged; please visit www.nebraskanurses.org.
Photo on front page: Scotts Bluff National Monument Photo by: M. Forsberg, Nebraska DED
“Scotts Bluff was one of the key geographic landmarks pioneers sought on their journeys westward.”
Any topic related to nursing will be considered for publication in the Nebraska Nurse.
Although authors are not required to be members of NNA,when space is limited, preference will be given to NNA members.
Photosarewelcomed,digital ispreferred.TheNNAassumesno responsibility for lost or damaged photos.
Submitted material is due by the 12th of the month in January, April, July and October of each year.
You may submit your material in the following ways:PrepareasaWorddocumentandattachittoane–mailsentto
For advertising rates and information, please contact Arthur L.DavisPublishingAgency,Inc.,517WashingtonStreet,POBox216,CedarFalls,Iowa50613,(800)626–4081,[email protected]. NNA and the Arthur L. Davis Publishing Agency, Inc. reservethe right to reject any advertisement.Responsibility for errors inadvertising is limited to corrections in the next issue or refund of price of advertisement.
Acceptance of advertising does not imply endorsement or approval by the Nebraska Nurses Association of products advertised, the advertisers, or the claims made. Rejection of anadvertisement 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. NNA and the ArthurL.DavisPublishingAgency,Inc.shallnotbeheldliableforanyconsequencesresultingfrompurchaseoruseofanadvertiser’sproduct. Articles appearing in this publication express the opinions of the authors; they do not necessarily reflect views of the staff, board, or membership of NNA or those of the national or local associations.
Published by:Arthur L. Davis
Publishing Agency, Inc.
www.NebraskaNurses.org
President’s Column
Teresa Anderson, EdD, MSN, RNC-OB, NE-BC
February and March have been stellar months for the Nebraska Nurses Association. We brokeattendance records at the 2015 Nurses Day at the Legislative, entertaining the Governor, LtGovernor, and over 20 StateSenators for lunch that day.Shortly after the event, LB 107sailed through the legislature and was signed into lawbyGovernorRicketts, eliminating the needfor a collaborative practice agreement between physicians and nurse practitioners. Congratulations to our colleagues fromtheNebraskaNursePractitionersfortheirleadershipand expertise in that effort and to the NNA Legislative Advocacy and Representation Committee and DonWesely, our lobbyist, on terrific support and testimonyalong the way! Comprehensive background checks were also approved and signed into law, making Nebraska consistent with other compact states. The proposed lawtoeliminate the requirement formotorcyclehelmetsdiedin debate, preserving the 1988 law which was activelysupported by NNA.
In February, we conducted two VERY successfulgovernance revision retreatsandaHUGETHANKYOUto the members who joined us in Lincoln and GrandIsland for those meetings. Amazing “out-of-the-box”leadership ideas were generated and a recent meeting with the ANAOffice of General Counsel confirms thatwe should be able to head down the pathway that was suggested. Let me summarize for you the suggested actions that we will consider over the summer and at the 2015NNAHouseofDelegates(HOD).
• Membershipcategorychanges–Webelievethatweare “stronger together” and ANA-Only and NNA-Only membership categories are being considered forelimination.ForourANA/NNAJointMembers,
dues rates and member benefits are being enhanced at the national and state level and membership in both associations will provide synergistic benefits and take us closer toward “single sign-on”streamlined access and information databases.
• MovementfromaHouseofDelegatestoanAnnualMembership Meeting – A new Annual Membership Meeting would allow all members to fully participateinthedecisionsoftheassociation.Thoseattending the meeting and webinars will define and finalize ballot information, and final decisions related to elected offices, bylaw amendments, and proposals will occur by electronic ballot, with ALL members encouraged to vote. Nominations from the floor will enhance our candidate pool and allow all eligible members the chance to serve and lead. Themeetingwillbecomeour interactive“referenceprocess” and allow all voices to be heard.
• CreationofMutualInterestGroups(MIGs)–TheseMIGswill provide amechanism forgeographicallydefined groups to continue in lieu of Districtsand introduce a means to support other groups of members who are drawn together by common interests or issues. As few as three members will be able to apply for annual approval as aMIG, byoutlining goals, activities, and needed support. Each of these groups will elect a Chair and thesechairpersonswill serve on the newMIGOversightCommittee. TheNNAVicePresidentwill serve asa non-voting member of this group and facilitatestrongmentorshipandsupport for theMIGleaders.TheChairoftheMIGOversightCommittee(electedby committee members) will serve as a full voting member of theNNABoard ofDirectors, replacingthe District presidents and bringing forward MIGneeds and ideas.
This isaverystreamlineddescriptionof theproposedchanges and more discussion will occur to finalize the policy and procedure details prior to our decisions at ConventionandHOD.Votingonthesechangeswilloccurat the 2015 NNA HOD and approved changes will takeeffect for the 2016 calendar and fiscal year.
Watch for meetings and webinars providing furtherinformationanddialoguearoundtheseideas.Pleaseattendameetingorphoneintoawebinar.Thechangesproposedfor our association will determine our future success and growth.We need “all hands on deck” to help guide theship through to calmer seas and a more meaningful voyage for all.
MarkyourcalendarsforOctober1–3,2015andplantojoinusinKearneyforwhatcouldbeourlastHouseofDelegates. Join in this once-in-a-lifetime opportunity toobserve shared governance history.
Governance Revision Reaching the Final Phase
Teresa Anderson
June, July, August 2015 Nebraska Nurse • Page 3
2015 Nurses Day at the Legislature
At the conclusion of the continuing education program, Teresa Anderson NNA President inductedSheilaExstrom into theNNAHall ofFame.An articleonSheila’soutstandingcareerwasinthelastissueoftheNebraska Nurse. Also, Ms. Anderson presented the first annual NNA Member Scholarship to Joely GoodmanfromNNADistrict1.
Aluncheon,attendedbytheGovernor,Lt.Governor,and 15 State Senators and their staff, followed theworkshop.More than 320 nurses and students attendedthe luncheon to discuss issues related to nursing and healthcarewith our State level officials.Approximately100 participants walked to the Capitol Building for a guided tour the building and observe legislative hearings.
NNAextends a huge "Thank you" to our partneringorganizations, the Planning Committee, and allattendees for helping to make the 2015 Nurses Day attheUnicameralsuccessful.Markyourcalendarsfornextyear’sevent–February11,2016.
Nurses Day at the Legislature continued from page 1
Linda Stones (NNA) takes a question from the audience during her presentation at the 2015 Nurses Day at the
Unicameral, while Melissa Florell listens
Don Wesely presents at 2015 Nurses Day at the Unicameral
Janet Haebler
Jordan Colwell presents during the novice breakout session
LaDonna Hart (NNP) discussed advocacy efforts and LB107
Melissa Florell and Gov. Pete Ricketts
Lunch
Gov Pete Rickets addresses the luncheon
attendees
NNA Member Scholarship Winner Joely Goodman and NPDC Chair Douglass Haas
NNA Hall of Fame member Sheila Exstrom and family
Page 4 • Nebraska Nurse June, July, August 2015
On March 5 2015, Nebraska Governor Pete Rickettssigned into law LB 107 following a final unanimous vote of46-0intheUnicameral.Thislegislationwasintroducedby Senator SueCrawford, co-signed by 10 Senators, andsupported by many organizations and agencies.
LB 107 brings Full Practice Authority to nursepractitioners(NPs)intheStatebyeliminatingthecareer-long integrated practice agreement with a transition to practice agreement that will require newly graduatedNPs to obtain 2,000 hours of clinical practice under theguidanceofaphysicianoranestablishedNPbefore theycan practice independently.
Full Practice Authority for Nurse Practitioners in NebraskaJulie Sundermeier, DNP, APRN, NNP-BC
Attendees at the Nebraska Nurse Practitioner Conference, February 2015
The bill will be enacted 90 days after the end of thecurrent legislative session, which is tentatively scheduled to end June 5, 2015; the Nebraska Board of Nursing isworking on the supporting regulation.
Thisbill,whichwillbringdirectaccesstoNPcareforpatients, makes Nebraska the twentieth state in the nation, plustheDistrictofColumbia,withFullPracticeAuthorityforNPs.NebraskaNursePractitioners (NNP)would liketo express sincere appreciation for the dedication and effort that Nebraska Nurses Association has extended over the years to support this important legislation.
Omaha Tribe of NebraskaCarl T. Curtis Health Education Center
Nursing in the Omaha Indian Reservation in a culture rich in history with
connection to the land.
Seeking Registered Nurses & CNAsTo inquire about open positions,
Contact Paulette [email protected]
402-837-5381 x148Fax: 402-837-5303
NEBN
Clarkson
Come be a part of our great team
at Clarkson.
Full or Part-timeNurses & CNA
positions available for all shifts. Pay dependent on
experience.
If you are interested in working with a great
team, an excellent benefit package in a home-like
atmosphere, call Golden Living Center -Clarkson
Kim Dvorak, Exec. Dir.212 Sunrise Dr
Clarkson, NE 68629P. 402-892-3494F. 402-892-3290
202 High Street Tecumseh, NE 68450(402) 335-3361
We are an 18-bed Critical Access Hospital that provides the people of Johnson County
and surrounding counties with many services right here in Tecumseh, Nebraska.
Registered NurseFull-time position for rotating 12 hour shifts and every third
weekend. We are currently offering a $3,000 hire-on bonus, competitive wages, and an excellent benefit package.
Please apply in person or send resume to:Susan H., Human Resources or email to
[email protected]. EOE
To learn more visit www.jchosp.com
Join Nebraska Nurses Association today!
Application on page 16or join online at
www.nebraskanurses.org
June, July, August 2015 Nebraska Nurse • Page 5
NNA’s Director of State Affairs
Melissa Florell, MSN RNDirector of State Affairs, NNA
Happy Spring NebraskaNurses! How many of you havetaken a few minutes recently to explore the benefits offered to NNA/ANA members? JointMembership in NNA/ANA is becoming more valuable! NNA and ANA have always been dedicated to providing the strongest ProfessionalDevelopment and Advocacybenefits possible for your membership. This summer,NNA and ANA will be adding a group of “Personal”member benefits designed to care for you while you care for others. The new benefits represent a conscious effortto meet the needs of member nurses and provide resources usefulforprofessionalpracticeandself-care.
Newly enhanced benefits for NNA/ANA members include discounts on insurance products useful in practice and daily life. Mercer professional liability insurance has been a long-timepartner ofNNAandANA.Nationwidenow offers NNA and ANA members auto insurance at an additional 5% savings from the best available rate. A newpartnershiphas beendevelopedwithAnchorHealthAdministrators for long term care insurance. Members will receive an extra 5% discount off the regular rate, AND this offer extends to the member’s immediatefamily!SpecialTermLifeInsurancepoliciesareavailablethrough Hartford Term Life. And NNA and ANAmembers can receive financial planning information – and a free personal financial plan (valued at $800) through Edelman Financial Services with absolutely nocommitment to pay anything.
These new benefits are on top of the already strongbenefits already offered to NNA and ANA members! If youhaven’ttakenthetimetoexplorethebenefitsofNNA/ANA membership, NOW is the time. The cost savingsavailable in CE andANCC certification alone cover theannual cost of membership.
Up-to-date News and Information:• Members automatically receive subscriptions to
American Nurse Today (the peer-reviewed journalof theANA)andTheAmericanNurse (focusedonnursing issues and the work being done to advance nursing practice).
• Also available are online journals and newsletterssuch as OJIN (Online Journal in Nursing), ANASmartBrief and Nursing Insider. Members mustsign-upfornewsletterstheywishtoreceivethroughthe ANA website www.nursingworld.org.
Member Benefit ReviewContinuing Education and Leadership:
• MembersreceivedeeplydiscountedratesonANCCcertification tests and review courses.
• The ANA continuing education library containsseveral hours of free continuing education as well as discounted rates for members on every course.
• Forthosememberswishingtohonetheirleadershipskills and take their practice to the next level the ANA Leadership Institute offers the necessary tools. The Leadership Institute offers courses on a widevariety of leadership topics including: Diversity,Innovation & the Triple Aim, and ManagingChange.
Other benefits:• NNA/ANA members also receive discounted
registrations to many NNA conferences and events. • Membersmay access toNNA’s legislative platform
and supporting information regarding priority legislation introduced in the Nebraska Legislature.
• TheNNACareerCenterprovidesinformationaboutnursing jobs available in Nebraska and surrounding states.
• The Nebraska Nurses Association also offers theNNAVISAinpartnershipwithUMB/CardPartner.
• Members pursuing advanced education throughBSN, MSN, or doctoral programs are able toapply for the NNAMember Scholarship. This is a$1000 scholarship to be applied toward the cost of education.These benefitsmaybe accessed throughwww.nebraskanurses.org.
All of the information shared in this article can be found on the ANA website (www.nursingworld.org) or the NNA website (www.nebraskanurses.org). If you have additional questions please contactme [email protected].
Melissa Florell
Perkins County Health ServicesProvide Excellence in Care...For Life
Perkins County Health Services is looking for
Nursing Home DON, RNs, LPNs and CNAs
Apply online at www.pchsgrant.com308.532.7200
• RNs & LPNs • FT/PT shifts available
Along with a great team of skilled professionals, Brookefield Park offers excellent benefits, an exceptional work environment, and the opportunity to learn and grow.
Eve EssaryBrookefield Park | 1405 Heritage Dr. | St. Paul, NE 68873
308.754.5486 | [email protected]
For more information about Brookefield Park visit:www.brookefieldparkcare.com
This newsletter is a service of the Nebraska Nurses
Association and your receipt of it does not mean you are
automatically a member. Your membership in support of this work is encouraged;
please visit
www.nebraskanurses.org
Page 6 • Nebraska Nurse June, July, August 2015
Check out the Revised ANA Code of Ethics!
InJanuary, theAmericanNursesAssociation released the2015 revisions to theANA Code of Ethics with Interpretive Statements. On February 24, 2015, Martha Turner,PhD,RN-C,AssistantDirectorof theANACenter forEthics andHumanRights provided a review of the new code to a group of nursing consultantsgathered at the ANA headquarters. She reminded the group that “the code is alivingdocumentandneedsrevisioneverytenyears.Theprovisionsaremorestableand need revision about every 20 years but the interpretive statements often need to be addressedmore frequently.”1 The code is a standard of practice and is non-negotiable.ThefollowingsummaryofcurrentrevisionwasprovidedbyDr.Turner.
• Updates to some language, deleted some outdated terms. For example,technology, social media, genetics, incivility in the workplace, pain and suffering, and evidence informed practice were added.
• Reorganize content of the interpretive statements (ISs) to be consistentwiththe wording of the provisions and to decrease redundancy
• RewordssomeProvisionstobemoreconciseandtomoreclearlyarticulatetheintent.
• As with the Code of 2001, the first three provisions describe the mostfundamental values and commitments of the nurse; the next three address boundaries of duty and loyalty; the last three address aspects of duties beyond individual patient encounters.
• Updatestheprefacetostrengthenthepurpose,ethicalframeworkandcontext.Added an introduction to clarify use of terms: patient/consumer/client, moral/ethical and must/ought/should. The intro also describes the addition of aglossary and a listing of links to resources and supportive documents.
• Emphasizes leadership throughoutand renewedemphasison the inclusionofnurses in all roles and in all settings.
• Strengthensthevoiceofnursesinsocialandhealthpolicy.• Strengthenstheroleofnursesinglobalhealth.• Addressesaspectsofthedocumentthatdateditandwoulddatethisrevision.• Addsglossaryoftermsandalistofresourcesformoreinformation.2
TheCode of Ethics with Interpretive Statements is one of the core foundational documentsofprofessionalnursing.EVERYnurseshouldownacopyandfrequentlyrefer to it. It is the guiding compass to the provision of safe, effective nursing practice. Purchase your new copy today at www.nursebooks.org. There is asignificant discount for ANA/NNA members.
1DrMarthaTurnerFebruary24,2015PresentationNotes,pg1).2DrMarthaTurnerFebruary24,2015PresentationNotes,pg3).
The District Delegate nomination process has been automated through a “self-nomination”or“registration”processontheNNAwebsite.NNADelegatesserveaoneyearterm; in order to serve, your name must appear on the NNA ballot and you must receive at least one vote fromamember in yourNNADistrict.Youwill not receive a call fromyourDistrictNominationsCommitteethisyear.DelegatesfromeachDistrictareessentialto conduct the business of NNA.
AllNNAmembers ingoodstandingareeligible toself-nominate tobeacandidatefordelegatefortheirDistrict.Membershipin“GoodStanding”means:
• Paiddues(notingraceperiod)• GrantedlicensetopracticeasRN,notencumbered(visualandelectronicverification)• RetiredRNwithlicenseunencumberedatthetimeofretirement• ANA/NNAorNNAonlymember• MemberbyJanuary1,2015
The “self-nomination” or registration process begins at NNA’s website (www.nebraskanurses.org):
• ClicktheDelegate Nomination link on the NNA home page • Loginwithyourusernameandpassword;ifyoudon’tknowyourpassword,contact
[email protected] and Melissa will assist you to update your profile and access the Members Only page.
• Completethenominationform;youwillneedto:¡Enteryourname,phonenumber,andemailaddress¡Indicate your NNA District¡“Sign” the form; thisverifiesyouunderstand thatbysubmittingyourname,you
are available to attend, if eligible and selected
PerNNABylaws,membersof theBoardofDirector, includingDistrictPresidentsandChairs of the LAR, NPD, and GFM Committees are automatically declared DelegatesrepresentingtheNNABoardofDirectors.Theseindividualsdonotneedtoself-nominate.
ItiscriticalthattheNNAfillitsquorumofDelegatestoconductbusiness.Weneedyoutohelpus!IfyouhavenotbeenaDelegateinthepastorhavenothadthechancetoservebefore,therewillaDelegateOrientationSessionduringConventiononOctober2ndtofullyprepareyoutoparticipateandrepresentyourDistrict.
All nomineeswill be validated formembership status,membership date, andDistrictassignment. Once validated, your name will appear on the 2015 NNA ballot where only membersofyourDistrictwillbeeligibletoselecttheirDelegates.Afterelectionsareclosedandtallied,youwillbecontactedbyemail.AlistofDelegateswillalsobepostedontheMembersOnlypageofthewebsite.Youwillalsoneedtocheck-inattheCredentialstablepriortothestartoftheHouseofDelegatesinOctober.
District Delegates Needed for the NNA House of Delegates –
October 3, 2015
June, July, August 2015 Nebraska Nurse • Page 7
The 2015 Nominating Committee for the NebraskaNurses Association (NNA) has proposed the following slate of candidates for the Association’s 2015 election. Theballotforthisyearincludes:
• BoardofDirectors¡ PresidentElect¡ VicePresidentElect¡ Secretary
• CommitteePositions¡ Legislative Advocacy and Representation
Committee(LARC)¡ Nursing Professional Development (NPD)
Committee ¡ Governance, Finance, and Membership
Committee(GFMC)
To help you make your decision, a brief descriptionof each position on the ballot is provided as well as information for each candidate. Candidate information is organized by the positions on the ballot and is listed alphabetically. Balloting will be available electronically at theNNAwebsiteafterJuly20,2015.Youwillreceiveanemailwhen the ballot page is available.When the ballotis open, you will be instructed to login with your last nameandNNAmemberID.Candidatebioswillbelinkedto the candidate in the electronic ballot. Contact [email protected] if you need assistance or require apaper ballot._______________________________________________
OFFICERS and BOARD OF DIRECTORS
President Elect (Vote for 1)Description of Duties:ThePresidentElectofNNAshall:
• assume duties of the president in the president’sabsence or at the discretion of the president;
• assume other duties as assigned by the Board ofDirectors
Number of Candidates: 1 (Connelly)
Candidate: Megan ConnellyDemographics NNADistrict2
DouglasCountyWork Experience
Children’sHospital• ChiefAdministrativeOfficer(2013-present)• ManagerofEmergencyServices(2009-2013)• Cardiothoracic Surgery Nurse Practitioner
(2003-2009)Education
• DNP,CreightonUniversity,May2013• MSN,UniversityofNebraskaMedicalCenter,May
1997• BSN,MidlandLutheranCollege,May1990
Professional Membership Organizational Experience• NNA/ANA• NationalAssociationofPediatricNursePractitioners
(NAPNAP)(2004topresent):¡ Legislative Chair – Midwest Chapter,
2013–present¡ HealthPolicyMember–National,2013–present
EmergencyNurseAssociation(2000-2002and2009-2014)
¡ NationalEDOperationsCommittee2013• NebraskaNursePractitioners(2014–present)
Goals for Leadership RoleThe main goal I have for this leadership role is in
complete alignment with the mission statement of NNA. I want to be a leader of an organization dedicated to the advancement of nurses. I have been a nurse for 25 years and there is nothing of which I am more proud. I have had the opportunity to serve in many leadership roles, both professionallyandpersonallyasavolunteer. Woven intoall of these roles have been my values as a nurse and how my direction will impact patients and or nurses.
I feel this is such an important time in healthcare to ensure that nurses have a voice and are a major part of future policy and process. NNA has a vital role in making sure this happens. I would be honored to be an integral part of this. Nurses are such a substantial part of the future of healthcare, though at times I feel we do not realize how large of a part we play. NNA is well positioned to empower our nurses to become more involved and be a significant part of the future. An overarchinggoalwouldbetocontinuethecurrentBoard’sachievements of engaging more of our nurses in the early part of their career. This group of nurses hold a veryimportant role in our future and it would be wonderful if they were part of NNA._______________________________________________
2015 NNA Ballot - Candidate InformationBallot Opens July 20, 2015
Vice President (Vote for 1)Description of Duties: The Vice President of NNAassumes the duties of the president in the absence of both thepresidentandpresident-elect,oratthediscretionofthepresident; assumes other duties as assigned by the Board ofDirectors.Number of Candidates: 1
Candidate: Lina BostwickDemographics NNADistrict3
Lancaster CountyWork Experience
• BryanCollegeofHealthSciences¡ AssociateProfessor(2012-present)¡ AssistantProfessor(2005-2012)
• BryanHealthSystem¡ UnitManager,CriticalCare(1998-2005)
Education• EdD,CollegeofSaintMary,2013• MSN,WesleyanUniversity,2004• BSN,WesleyanUniversity,1994
Professional Membership Organizational Experience• NNADistrict3:¡ BoardofDirectors,Treasurer(2011-present)
• FreshStart(non-profithomeforwomen)¡ Board of Directors, Secretary and Marketing
(2014-present)• SigmaThetaTau¡ BoardofDirectors,Membership(2006-2010)
Goals for Leadership Role1. SupportthePresidentandtheBoard2. Recruittalentwiththerightskills3. Collaborate with teams, focus groups, Districts,
financials as needed4. Collaborate with analysis of data5. Engagevolunteers,members,possibledonors6. Cultivate advocates of Nursing and for Nursing7. Assist in planning succession of leaders8. Cultivate Nursing advocates for safety and patient
care on committees_______________________________________________
Secretary (Vote for 1)Description of Duties:ThesecretaryofNNAshall:
• be responsible for ensuring that records aremaintained of meetings of the NNA House ofDelegates,theBoardofDirectors,andtheexecutivecommittee of the board, and
• shallnotifyconstituentmembersofmeetingsof theNNAHouseofDelegates;and
• assume other duties as assigned by the Board ofDirectors
Number of Candidates: 1
Candidate: Connie MorrillDemographics NNADistrict5,ScottsBluffCounty
CongressionalDistrict3Work Experience
• 2008 – present: Staff RN, RegionalWest MedicalCenter
• 2011-2013: PharmacyMedRecRN,RegionalWestMedical Center
• 2003–2008:SurgeryAide,RegionalWestMedicalCenter¡ 1985 – 2002: Veterinary Technician/Research
Technician, University of Nebraska VeterinaryDiagnosticLab
Education• BSN:UNMC–ScottsbluffDivision,2008• AAS Nursing: Western Nebraska Community
College, 2007• AAS Veterinary Technology: University of
NebraskaSchoolofTechnicalAgriculture,1977Professional Membership Organizational Experience
• RegionalWestMedicalCenterOrtho/NeurosurgicalUnit¡ UnitCare&PracticeCouncil,Secretary(2013)¡ NursePharmacyCommittee(2011-present)¡ Evidence Based Practice Committee, Secretary
(2010) ¡ NNA ¡ BoardofDirectors,Secretary(2013-present)¡ Delegate,NNAConvention2008-2012¡ MorrillUnitedMethodistChurch¡ Recording/FinancialSecretary(1995-2005)
Goals for Leadership Role1. IhaveservedastheSecretaryofNNAsince20132. To keep an accurate record of NNA meetings via
conference call or in person
3. Learn more about the inner workings of my stateorganization.
4. I have been recording secretary for numerous organizationsover theyearsand feelwellqualifiedto hold this office if elected.
_______________________________________________
LEGISLATIVE ADVOCACY and REPRESENTATION COMMITTEE (LARC)
Description of Duties: The role of the Legislative Advocacy and Representation Committee is to plan andimplement activities related to professional security and nurse advocacy and to represent NNA’s positions onstate and local concerns, as defined by NNA’s approvedlegislative platform.Number of Candidates:
1–West(Kelley-Norton)1 – North (Mitchell)2–East(Lainof,Stones)1–South(Hollister)2 – At Large (Lerdahl, Nelson)
LARC Representative – WEST Region Representative (Vote for 1)
Candidate: Lorie Kelly-NortonDemographics NNADistrict7
Lincoln County Work Experience
• GreatPlainsHealth¡ Nurse Educator and Primary Nurse Planner for
CNEProgram(December2013-present)¡ Bariatric, Stroke, and Joint Camp Coordinator
(May2012-December2013)• NorthPlatteSurgeryCenter¡ ORCirculatorNurse(January2008-May2012)
• GothenburgMemorialHospital¡ Charge/StaffNurse(May2005-May2012)
Education• MSN,WaldenUniversity,2012• BSN, University of Nebraska Medical Center –
Kearney,2008• ADN,Mid-PlainsCommunityCollege,2005• GPN,Mid-PlainsCommunityCollege,1992
Professional Membership Organizational Experience• ANA/NNA
Goals for Leadership RoleNone submitted
_______________________________________________
LARC Representative – NORTH Region Representative (Vote for 1)
Candidate: Terri MitchellDemographics NNADistrict6,HoltCounty
CongressionalDistrict3Work Experience
1983 – present: CNO, West Holt Memorial Hospital,pastPositions–StaffNurse,NursingSupervisor
EducationDiploma:BryanMemorialSchoolofNursing,1973
Professional Membership Organizational Experience• ANA/NNA–member• ENA–member• INS–member• Noofficesheldintheseorganizations.• Served as president of our local school board for
several years.Goals for Leadership Role
Promote more nursing involvement in the legislativeprocess. LearnmoreabouttheLegislativeprocess. Thisyearwillbemy30thyearworkingatWestHoltMemorialHospital._______________________________________________
LARC Representative – EAST Region Representative (Vote for 1)
Candidate: Carole LainofDemographics NNADistrict2
SarpyCountyWork Experience
• InterimHealthCare¡ Community Health Nurse/Educator
(1998-present)• NebraskaMethodistCollege¡ ClinicalInstructor/Faculty(1996-2006)
2015 NNA Ballot continued on page 8
Page 8 • Nebraska Nurse June, July, August 2015
Education• MSN,UNMCCollegeofNursing,1998• MS – Health Education, SUNY (Cortland, NY),
1982• BSN,MedicalCollegeofVirginia(VCU),1967
Professional Membership Organizational Experience• ANA¡ AssemblyRepresentative,2006,2008
• NNA¡ President,2006-2008¡ LegislativeDayPlanningCommittee,present¡ District2BoardofDirectors,2014¡ NPDC,2013-2014w ViceChair,2015
Goals for Leadership Role1. Increase NNA member recognition and participation
at all levels of Government – local, state, andnational
2. Influence new members of our profession to be more aware of political issues and their importance in all areas of healthcare and nursing practice
3. Encourageallnurses tobeawell-informedVOICEat the legislative level
Candidate: Linda Stones Demographics NNADistrict3
SalineCountyWork Experience
• BryanMedicalCenter¡ Patient Care Services Director (March
2011-present)• MadonnaRehabilitationHospital¡ DirectorofNursing(Sept2006-March2011)
• HospitalforExtendedRecovery(Norfolk,VA)¡ CEO(Jan2000-Aug2006)
Education• PhD–ABD,VirginiaCommonwealthUniversity• MSBusiness,JohnHopkinsUniversity,May1994• BSN,CreightonUniversity,December1989• BS,NebraskaWesleyanUniversity,May1988
Professional Membership Organizational Experience• NNA–Varietyofpositions,2007-present• NebraskaCenterforNursing,Member(2–3yr
terms,ends2016)andChair(2012-2014)Goals for Leadership Role
MygoalsforNNAasaLARCmemberareto:1. Be involved in legislative activity on the State and
National level that impact the nursing profession2. Engageothernursesinthelegislativeactivity3. Promote theimageofnursingasLeaders toelected
officials_______________________________________________
LARC Representative – SOUTH Region Representative (Vote for 2)
Candidate: Brittany HollisterDemographics NNADistrict1
Adams County
Work Experience• MaryLanningHealthcare¡ StaffNurse(December2014-present)¡ StudentNurseIntern(May2013-July2013)
• SaintFrancisMedicalCenter¡ StaffNurse(August2014-November2014)
EducationBSN,CreightonUniversityCollegeofNursing,2014
Professional Membership Organizational ExperienceANA/NNA,August2014-present
Goals for Leadership Role• Learnmoreabout theNebraskaNursesAssociation
and the role of members in the Legislative, Advocacy,andRepresentationCommittee
• Becomemore involved in this professional nursingorganization to better nurses in Nebraska
• Advocatefornurses inNebraskawhilerepresentingtheSouthernregion
• Developideasthatwillbetter thehealthcaresystemin Nebraska
• EncourageotherstobecomemembersoftheNNA_______________________________________________
LARC Representative – AT LARGE Representative (Vote for 1)
Candidate: Lisa Lerdahl Demographics NNADistrict3
Lancaster CountyWork Experience
• BryanHealth¡ CVICU,Dec2011-present
• GoodSamaritanHospital¡ PCU,Sep2010-Nov2011¡ Ortho-Trauma,Aug2009-Sep2010
EducationBSN,UNMC–Lincoln,May2009
Professional Membership Organizational ExperienceNNA• LARCmember,2012-2014
Goals for Leadership RoleToworkwithothermembersofthecommitteetolobby
for legislature that will have a positive impact on nursing andthecommunity.Tobeavoiceandrepresentthenursesin my district and nurses throughout Nebraska.
Candidate: Joan Nelson Demographics NNADistrict:2
Countyofresidence:DouglasWork Experience
• OR Nurse Liaison, Nebraska Methodist Hospital,2013
• Coordinator – CV/Thoracic Surgical Services,NebraskaMethodistHospital,2007–2013
• RN–NEDisasterMedicalAssistanceTeam(NE-1DMAT),Dept.ofHealthandHumanServices,2010
• Surgical RN – CV/Thoracic Team, NebraskaMethodistHospital,2000-2007
Education• MS-Candidate, Emergency Preparedness, UNMC,
May 2015 (projected)• BSN,NebraskaMethodistCollege,1990• Diploma,NebraskaMethodistCollege,1983• LPN,NortheastCommunityCollege,1977
Professional Membership Organizational Experience• College of Medicine Parents and Family Advisory
Council,SecretaryandPresident,2012–present• National Association of Professional Women
member,2013
2015 NNA Ballot continued from page 7 • ANAmember,2013–present• NNA¡ Member ¡ District2Delegate2013
• Association Peri-Operative Registered Nurses(AORN)member,2010
Goals for Leadership Role1. Network and establish relationships with other
professional nurses across the nation.2. Change agent for the advancement of nurses in
Nebraska.3. Becomeactiveinlegislatureforpolicydevelopment
and/or change, for best practice environments and nursing care.
4. UtilizemyknowledgeofDisasterPreparednessandpotential positive impact on community and health care environment preparedness.
5. ResearchprojectacrossNebraskaonnurses’disasterreadiness.
_______________________________________________
NURSING PROFESSIONAL DEVELOPMENT COMMITTEE
Description of Duties: The role of the NursingProfessional Development Committee will be to planand implement activities related to nursing professional development and oversee continuing education accreditation activities.
1. Promote the understanding of nursing professionalpractice responsibilities defined by the most recent versions of the Nebraska Nurse Practice Act, theANA Scope and Standards of Practice, the ANASocial Policy Statement and the ANA Code ofEthicsforNursing
2. Develop mechanisms to provide professionaldevelopment which are proactive and responsive to healthcare issues;
3. Serves theCEPlanningCommittee forConventionand other events in accordance with event planning guidelines;
4. Serve as theApprover unit forNNA and establish,implement and evaluate policies and procedures for the Approver unit, in collaboration with the Midwest Multi-StateDivision.
5. Coordinate the reference proposal process and recommend to the House of Delegates thoseproposals that meet reporting criteria; and
6. Coordinate NNA award, scholarship and recognition processes (including the Nightingale Tribute)and recommend to the Board of Directors thosecandidates to receive recognition.
Number of Candidates:1–NursingPractice(Somado)3–NursingFaculty(Eilers,Haas,Henk)3–ProfessionalEducator(Morgan,Pohren)
NPDC Representative – NURSING PRACTICE Representative (Vote for 1)
Candidate: Anoumou SomadoDemographics NNADistrict2
DouglasCountyWork Experience
• CHIHealth–Immanuel¡ StaffNurse(December2013-present)
• SelectSpecialty¡ StaffNurse(December2012-December2013)
EducationBSN,NebraskaWesleyanUniversity,May2015
Professional Membership Organizational ExperienceANA/NNA
Goals for Leadership RoleThemainpurposeofmyinterestjoiningthisgroupisto
contribute to the tradition of growth the NNA offers every
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NPDC Representative – NURSING FACULTY Representative (Vote for 2)
Candidate: June EilersDemographics NNADistrict2
DouglasCountyWork Experience
Nebraska Medicine• 2003 – 2015: Clinical Nurse Researcher, Office of
NursingResearchandQualityOutcomesEducation
• PhD: University of Nebraska Medical CenterCollegeofNursing,1996
• MSN: Medical/Surgical Clinical Nurse Specialist,UniversityofNebraskaMedicalCenter,1974
• BSN: University of Nebraska School of Nursing,1971
Professional Membership Organizational Experience• ANA/NNA–membersince1971• ONA/MOCONS – member since 1977, Evidence
BasedPracticePuttingEvidenceintoPracticeTeam,Nominations Committee
• MASCC – member since 1980, Evidence BasedPracticeTeam
• Sigma Theta Tau, Gamma Pi Chapter – member,ScholarshipTeam
Goals for Leadership RoleAssist the Nebraska Nurses Association with
articulating and promoting evidence-based practice thatsupports the role of nurses in improving patient outcomes.
Candidate: Douglass HaasDemographics NNADistrict4
Buffalo CountyWork Experience
• NebraskaHeartInstitute–Kearney¡ RNCoordinator(Jan2015–present)
• GoodSamaritanHospital¡ StaffRN(Jan2010–Jan2015)
Education• MSN,UNMCCON–Kearney,May2015• BSN,UNMCCON–Kearney,Dec2009
Professional Membership Organizational Experience• NNA¡ Chair,NPDC,Jan2013-present¡ LARCmember,Jan2001–Dec2014¡ District 4 Social and Legislative Council Chair,
Jan2011-present• AmericanAssociationofCriticalCareNurses¡ Member,Jan2012–present
• SigmaThetaTau¡ Member, Oct 2014 – present
Goals for Leadership RoleMy goals for this leadership role are as follows:• Become a positive nurse leader and rolemodel for
the current professional image of nursing• Work with a team of experts to move the
professional image of nursing to a new and higher standard than we are currently allowing ourselves to rest at
• Bea representativeandvoice fornurseswhoeithercannot be professionally involved or choose not to be professionally involved
• To help make choices that affect all nurses and tolook out for the greater good of all nurses
Candidate: Jacy HenkDemographics NNADistrict4
HamiltonCountyWork Experience
MemorialCommunityHealthInc.Hospital• StaffNurse(1988-present)
Education• MSN,KaplanUniversity,2014• BSN,KaplanUniversity,2011• Diploma,MaryLanningSchoolofNursing,1985
Professional Membership Organizational Experience• ANA/NNA,2013-presnt• SigmaThetaTau,PhiRhoChapter,2010-present• NationalLeagueforNursing,2014-present
Goals for Leadership RoleMy goal is to get more involved in NNA and ANA.
_______________________________________________
NPDC Representative – PROFESSIONAL EDUCATION Representative (Vote for 2)
Candidate: Karen MorganDemographics NNADistrict2
Cass CountyWork Experience
• AlvoRescueSquad¡ VolunteerAdvancedPracticeEmergencyMedical
Technician(1980topresent)• LancasterCountyMentalHealthCrisisCenter¡ StaffNurse(2006-January2010)
• HamiltonCollege¡ PNInstructor(2006toAugust2006)
• Lincoln Regional Center - Adolescent and FamilyServices¡ ShiftNurseSupervisor(1999to2006)
Education• MSN,WaldenUniversity,2010• BSN,WesleyanUniversity,1999• ADN,SoutheastCommunityCollege,1993• MEd.UN-Lincoln,1986• BA, Our Lady of the Lake College (San Antonio),
1967• ABA,OttumwaHeightsCollege(Ottumwa),1964
Professional Membership Organizational Experience• ANA/NNA• Alvo Rescue Squad – Educational/Continuing
EducationOfficerGoals for Leadership Role
I have a unique combination of skills and educationto qualify me as a Nursing Professional DevelopmentCommittee member. I have an extensive teaching background as well as a variety of nursing positions including Psychiatric Nursing and I have teachingexperiences with youth as well as adults. I am a perpetual
student which gives me an eclectic perspective of nursing continuing education. I am also a past accredited certification committee member with a program seeking accreditation. I am aware of the politics involved in getting legislative approval of programs and was a lobbyist for the Nebraska Emergency Medical Association many yearsago. There are multiple aspects to change and changingstateprotocols ineducationalprogramsrequiressomeonewho can network within each part of that labyrinth. I am open to change and am willing to work toward the bettermentofNursingandNursingProfessionalism.
Candidate: Elaine PohrenDemographics NNADistrict2
SaundersCountyWork Experience
• Medication Safety Nurse Specialist, NebraskaMedicine, October 2012 – present
• LeadCoordinator,NursingPracticeandProfessionalDevelopment, Nebraska Medicine, June 2007 –October 2012
• Ambulatory Clinical Education Coordinator,NebraskaMedicine,June2000–June2007
Education• MSN, University of Nebraska Medical Center –
Omaha,1984• BSN,SetonHallUniversity,1976
2015 NNA Ballot continued on page 10
Page 10 • Nebraska Nurse June, July, August 2015
Professional Membership Organizational ExperienceANA/NNA – Bylaws and Nominations Committee (District2),DistrictDelegate,NPDCmember(current)Goals for Leadership Role
I am a current member of NPDC. I feel thiscommission has begun to identify its roles and responsibilities in the new NNA structure but has not fully actualized its functions. I would appreciate another term of service to lend my support and expertise as an active member of the commission. I have appreciated the contributions of its diverse members and have experienced personal growth with technology over the past 1-1/2years. I also feel my clinical experiences and background compliment the work of group. Thank you for thisopportunity to serve the organization. _______________________________________________
Governance, Finance, and Membership Committee (GFMC)
Description of Duties: The role of the Governance,Finance and Membership Committee is to provide infrastructure guidance and recommendations to the BoardofDirectorsrelatedtomembershiprecruitmentandretention, recruitment of qualified candidates for NNAelected and appointed positions, and oversight of financial operationonbehalfoftheBoardofDirectors.
1. Monitor quarterly NNA financial statements andadvisetheBoardofDirectorsinmattersoffinance;
2. Develop the annual budget for the association incollaboration with the director;
3. Provide a plan for non-dues fundraising for theassociation;
4. Develop slate of nominees for NNA elected andappointed offices;
5. Develop, with priority actions, an ongoing 3-yearmembership recruitment and retention plan and report outcomes of the plan annually; and
6. Evaluate proposed changes to the bylaws, aspresented by individual members, constituents, other committees, the NNA Board of Directors, or theANA.
Number of Candidates:1–NursingPractice(Smith)1–Management(Kampschneider)1–Rural(Gurnsey)1–Urban(Carrico,Peterson)
GFMC Representative – NURSING PRACTICE Representative (Vote for 1)
Candidate: Cathy Smith(did not submit a leadership profile in time for print)
_______________________________________________
GFMC Representative – MANAGEMENT Representative (Vote for 1)
Candidate: Carol KampschneiderDemographics NNADistrict6
Colfax CountyWork Experience
• SaintFrancisMemorialHospital¡ Vice President of Clinical and Regulatory
ServicesEducation
• MSN,UNMC,May1995• BSN,UNMC,May1978• Diploma, LincolnGeneral School of Nursing,May
1975Professional Membership Organizational Experience
• NNA¡ State:Secretary,Treasurer(1998-2000)¡ District:Secretary,Treasurer
• NONL¡ District2:Secretary,Treasurer(2003-present)
Goals for Leadership RoleI will provide input into the committee and promote the
Nebraska Nurses Association._______________________________________________
GFMC Representative – Rural Representative(Vote for 1)
Candidate: Nolan GurnseyDemographics NNADistrict9
RockCounty
Work Experience• RockCountyHospital¡ ER charge nurse/floor nurse (1997-2007,
2013-present)• AinsworthCareCenter¡ Director of Nursing, charge nurse (2009-2010,
2013-present)• PrivateContractNurse¡ TravelNurse(2007-present)
• SumnerPlace¡ ChargeNurse(2011-2013)
• LancasterManor¡ ChargeNurse(2011-2013)
Education• RN,MetroCommunityCollege,May2013• LPN,NortheastCommunityCollege,Aug2001• EMT-B,NortheastCommunityCollege,Apr1999
Professional Membership Organizational Experience• NebraskaCenterforNursing¡ BoardMember,ViceChair(1yr.),2008-2014
• NCFNFoundation¡ BoardMember,President,2011-2014
• SNA–MCC¡ President,2012-2013
Goals for Leadership Role1. Tofurthermyexperienceinadvocatingfornursesin
Nebraska2. To use my abilities and post experiences to help
NNA improve health care for Nebraskans and increase membership to NNA/ANA
3. Topromoteprofessionalisminnursing_______________________________________________
GFMC Representative – Urban Representative (Vote for 1)
Candidate: Cathy Carrico(did not submit a leadership profile in time for print)
Candidate: Mary C. Peterson(did not submit a leadership profile in time for print)
2015 NNA Ballot continued from page 9
June, July, August 2015 Nebraska Nurse • Page 11
From the DistrictsDistrict 2
Kathleen Pepin, PhD MSN RN
Greetings.Weareproudtobenurses!
It has long been said that nurses are the backbone of the delivery of health care services in the United States. Few statements are so veritable. Nursing is a highlyrespected profession. Quintessential to their expertise are the vocation’s foundation ofcompassionate care and indomitable professionalism. Nurses touch our lives at moments few others ever dare. They witness our brightest moments and our darkest hours,providing support and encouragement to their patients, friends, and families.
Very special souls enter the profession of nursing. They are not homogeneous ofthought, culture, gender, or ethnicity; they truly reflect the global nature of the human individual.
IsharewithyouaquotefromtheDeanoftheSchoolofNursingatKaplanUniversity,Dr.ChandiceCovington,“Nursessignupforalifetimecommitmenttoprofessionalism,operate within a code of ethics, and have a host of materials to guide that development ofanursingstudentfromneophytetoexpert.”Yes,we‘growourown,’strivingtoimbuethem with the spirit of nursing from the day they enter our nursing programs. Uponlicensure,theybecomeournursingpeers.Weshareprideintheiraccomplishmentsandhelp them develop visions for the future of our profession.
And,wheredoweencounternurses in thecourseofdaytodayliving?Thinkaboutthe venues accessed by licensed practical nurses, registered nurses, advanced practice nurses, and doctoral prepared nurses (to name a few possibilities). Of course they are in yourhospitals, clinics,nursing facilities, andphysicians’offices;youexpect that,don’tyou? They are also educators and researchers, community and public health nurses,parish nurses and school nurses. Nurses work in information technology and help develop medical technology. They specialize in disaster services, leadership andmanagement,juris prudence, or business. Even NASA employs nursing consultants for the spaceprogram. The possibilities are limitless; nurses with motivation and imagination areessential to all milieux.
Have you ever asked a nurse, “What do you do?” Have you ever followed a nursefor a day and learned that he/she could never quantify the tasks and ministrationsaccomplishedinasingleshift?Thereismoretonursingthanfluffingpillows!Forthosenurses who seldom venture into areas outside their expertise, I challenge you to learn about the skills and tasks of your peers who work in territory unfamiliar to you.
I leave you with these thoughts: If you are a nurse and someone asks you, “Whatdo you do?”make sure you take the time to explain howyou have chosen to exercisethe art and science of nursing in your professional world. If you are not a nurse, ask a nurse,“Whatdoyoudo?”andbepreparedtobeamazed.Nursesworkwithustohelpusunderstand health and wellness as well as illness and death. But, if that is all you hear, searchfurther–thatisonlythe‘tipoftheiceberg’.
A final message for all of you who are nurses in the form of a quote fromMayaAngelou:
“They may forget your name but they will never forget how you made them feel.”
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Page 12 • Nebraska Nurse June, July, August 2015
Liane Connelly PhD, RN, NEA-BC Chair, Center for Nursing
TheCenter forNursinghasbeenoperatingunder the2010-2015 Strategic Plan for the past five years, and isat a point of evaluating the outcomes of this plan during this year. The strategic plan for the Center for Nursingincludes overall goals of enhanced recruitment, retention
of nurses, and enrollment of nursing students in programs of nursing in the state of Nebraska.
Inorder toevaluate thecurrent statusof theCenter’saccomplishments, a report highlighting the goals and outcomeswaspresentedbyJuanRamirezPhDduringtheMarch2015Center forNursingmeeting.TheevaluationofthisreportbyCenter’sBoardmembershelpstoinformfuturestrategicplanningforthe2015-2020period,whichwillbecompletedinthenextfewmeetings.Thewrittenreport here is just a highlight of the full report, which will be posted on the Center for Nursing website at http://www.center4nursing.com.
Between 2010 and 2015, Nebraska had a net growth of18.1%FTERNs.Thissurpassesthegoalof10%FTEgrowth that was established as a target in the strategic plan.Ethnicminorities inNebraska increased by 19.5%(50% goal not met) and the number of licensed men increased by 33.1%during this same period,whichmetthe goal of 25% established by the Center for Nursing. In addition, the number of RNs per 1000 populationgrew from 5.87 in 2010 to 6.38 in 2015. The Center
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membership discussed the need to reconsider a 50% increase goal for ethnic minorities, as this goal is likely unrealistic. Center members also discussed having geographic distribution data as well as RNs per 1000reported in upcoming years.
Related to the goal of retention, the 2010-2015strategic plan stated a goal to decrease the outmigration of nurses by 50 per year. In addition a second written goal was to decrease the non-renewal of RN licensesto 4.9% in 2015. During the Center meeting, it wasdiscussed that these goals may need to be revised with a new strategic plan, as the Center does not have a direct ability to influence this outcome. For example, RNsmay choose to retire and therefore not renew licenses, or economic influences may cause more nurses to retire later than anticipated in order to meet the needs of financial stability during periods of economic unrest. Board members discussed that Center activity is likely best focused by serving the state of Nebraska through tracking and communicating the data for others to use for the development of retention strategies.
Related to enrollment, the goal was to increase thepercentageofRNswithBSNandhigherdegrees.In2010therewere55.7%ofnurseswithBSNandhigherdegrees.In 2015, there were 62% of RNs with BSN and higherdegrees.Thenumberofnurseswithdoctoratesincreasedby114%from76in2010to163in2015.
Related to the number of doctorates, the Centerestablishedagoalin2010tohaveanadequatenumberofqualifiedfaculty tosupportnursingeducationprograms.For 2015 there is a total of 4780 students enrolled in programs in the state, with a total of 732 facultyemployed in the state to provide education to these students.
As the Center Board discussed these results, it was determined that future meetings in 2015 will focus on the developmentofthe2015-2020strategicplan.Theresultsof this meeting will be presented in upcoming reports via thewebandinotherwrittenreports.TheBoardmemberslook forward to developing these new goals for our future work in the state of Nebraska.
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June, July, August 2015 Nebraska Nurse • Page 13
Nebraska Action Coalition
Victoria Vinton, MSN, RNDirector
The Nebraska Action Coalition (NAC) is now in itsfourth year of work on the initiative to transform health care through advancing nursing education, practice, and leadership.Thiswork isbeingdone incollaborationwithNebraska businesses, state senators, health care leaders, consumers, professional nursing organizations, and NURSES!
TheNAChasbeenawardedtwoRobertWoodJohnsonFoundation (RWJF) State Implementation Program (SIP)two-year grants* in the amount of $150,000 per grantaward.The firstawardwasannounced inFebruary2013.Highlightedoutcomesofthefirstgrantare:
Education Team: (2012 – 2014)• 13.6%increase inthepercentageofRNsage20-40
withaBSN• 1.3%increaseinminoritynurses• 0.6%increaseinmalenurses• Development of five BSN competencies to guide
seamless academic progression• WhitePaper:LeadershipandEducationinNebraska
http://neactioncoalition.org/
Leadership Team:• 15% increase in nurse leaders serving on boards/
decision-making bodies (based on May 2013Nursing Leadership Survey)
• 2012 and 2014 40 Under 40 award receptionshonoring a total of 81 emerging nurse leaders
• CreationofDiversityToolkithttp://neactioncoalition.org/diversity-toolkit/
• Mentor/menteeprogramtopreparenursesforboardservice
• American Assembly of Men in Nursing charteredin collaboration with Methodist [email protected]
Nebraska was one of 18 states across the nation to receive the secondSIP grant fromRWJF.As in 2013,funding will allow the NAC to continue to build on the work of the first grant to further advance education and leadership across the state.
While not part of our grantwork, theNAC’sPracticeTeamworkedtogetherwithNNAtoassistNebraskaNursePractitioners(NNP)inachievingvictorywiththepassage of LB 107toeliminatetheIntegrativePracticeAgreement(IPA) for Nurse Practitioners. The bill was signed byGovernorRickettsonMarch5th.Nebraskaisnowthe20thstate to have removed this barrier to practice and care for nurse practitioners.
*RWJF is the nation’s largest philanthropic healthcare funder and has worked to improve health and health careformorethan40years.Thegoalisforall50ActionCoalitions to be self-sustaining in the near future. NACwillcontinuetoworkalongwithRWJFtobuildanationalCulture of Health to allow Americans to live longer and healthier lives. Nurses, as the largest health care profession, will act to monitor and continue to transform health care through the work of Action Coalitions.
Plan on attending the NAC Summit: Defining the Culture of Health in Nebraska on October 15 – 16 in collaborationwithNNA,NONL,NANDD,andtheCenterfor Nursing.
From the Nebraska Action Coalition - The Future of Nursing
Jan 2015: NAC pays a visit to Rep. Brad Ashford with a request to join House Nursing Caucus.
Pictured Victoria Vinton and Gina Binder.
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MSN DEGREE OPTIONS: • Clinical Nurse Leader (CNL)• Clinical Systems Administration (CSA)
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ADMINISTRATION OPTION: • Clinical Systems Administration
Programs are offered online but may require visits to the Omaha campus based on program requirements.
For more information, please call 800.544.5071 or email [email protected]
creighton.edu/nursing
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Page 14 • Nebraska Nurse June, July, August 2015
Scottsbluff
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P. 308-635-2019F. 308-635-2438
EEO/M/F/Disabled/Veterans/Drug Free Workplace
Judi Dunn MS, CPP, RN-BCMidwest Multistate Division, Nurse Peer Review Leader
The Midwest Multistate Division (MW MSD) offersnurses two different routes if they are interested in providing continuing nursing education.
An individual, organization or facility that is interested in providing nursing contact hours for an educational event that they hope to offer once, but do not intend to offer numerous future activities or do not have the capacity to offer more can complete the application process for an Individual Activity. Application documents can be found on theMWMSDwebsiteatwww.midwestnurses.org. A Nurse Planner is designated and following criteria guidelines aPlanningCommittee isformed. A needs assessment is completed to help document an actual learning gap that with education would benefit nurses, their clients or the health of the community. The Individual Activity Application walks the Nurse Plannerthrough the process and the documentation needed. The completed applicationneedstobesubmittedtotheMWMSDatleast45dayspriortotheactivitydate.The application is reviewed by trainedMWMSDNurse Peer Reviewers for itscompletenessandadherencetoANCC/MWMSDaccreditationcriteria.Oncetheapplicationisapproved,contacthoursmaybeawardedfortheactivity.Evaluationandpost-activitydocumentsaresubmitted to theMWMSDafter thecontinuingeducation event takes place. The activity may be offered multiple times duringits2year approvalperiod. I, alongwith theNursePeerReviewers andMidwestMultistateDivisionstaffareheretohelpthroughouttheprocess.
If an individual, organization or facility believes they have the need to offer CNE on a more frequent basis to nurses within their organization or a targetaudience and have the capacity to do so, they may apply to become a Midwest Multistate Division Approved Provider Unit. Through the application processthey are required to demonstrate a thorough understanding of accreditationcriteria and the ability to plan, implement and evaluate high quality continuingnursing education.This applicationprocess does take longer to complete, as theorganization must provide documentation of having planned, implemented and evaluated threeeducational activities thathavebeenapprovedby theMWMSDor anotherANCCAccreditedApprover as IndividualActivities.Theymust alsoprovide evidence regarding appropriate key personnel, resources, and processes theywillutilizetoadheretothecriteria.TheApprovedProviderApplicationsareacceptedbyMWMSDFebruary1,June1,andOctober1ofeachyear.ThereisarigorousreviewofeachapplicationbytwoindependentNursePeerReviewersandtheNursePeerReviewLeader.Thetimeframeforanapplicationtobereviewedand approved is approximately four months. Once an organization is approved, they are able to plan, implement and evaluate continuing nursing education and award ANCC/MWMSD contact hours for a three year period. After the threeyear approval period, the Approved Provider Unit has the ability to submit arenewalapplicationtocontinue.TheApprovedProviderApplication,information,documents and fees can be found at www.midwestnurses.org.
The Midwest Multistate Division assists all applicants with resources on itswebsite, training sessions and personalized attention. The CNE Unit providesregular up-dates in regards to any ANCC changes and is always available toanswer questions. For additional information check out the Frequently AskedQuestions found on the MW MSD Continuing Education (CNE Approval forNurses)portionofthewebsite.TocontactmedirectlypleaseemailmeatNPRL@midwestnurses.org.
Planning a Continuing Nursing Education Activity –Where do I Start?
Judi Dunn
American Nurses CredntialingCenter’s
Commission on Accreditation
Accredited Approver
Midwest Multiststate Division
Individual Activities
A single Continuing NursingEducation
(CNE)eventapprovedfor contact hours
Offer Continuing NursingEducation
(CNE)events
Award contact hours
ApprovedProviderUnit(s)
June, July, August 2015 Nebraska Nurse • Page 15
NNA TriviaQ: The 100th Anniversary of the Nebraska Nurses Association occurred in 2005 and was hosted in Omaha. Name three of the events that took place during that historic meeting?
A: PossibleAnswers –HealthWalk,CentennialGala Event,OldMarketShopping,SilentAuction,CelebratethePastReception,SockHop,NursesintheMilitaryLuncheon,andGrandProcessional
Q: During the 109 years since the founding of the Nebraska Nurses Association 12 presidents have served for four consecutive years within that role? Can you list some of these leaders?
A: 1906–1910 NanDorsey 1915–1918 AmyAllison 1939–1942 ArtaLewis 1942–1945 AvisPurdyScholder 1954–1958 IrmaKyle 1962–1966 DorothyDixon 1966–1970 LorraineHedman 1974–1978 SheilaExstrom 1978–1982 HelenWeber 1982–1986 JudyQuinn 1990–1994 JudyReimer 2012–2016 TeresaAnderson
Q: In what year was the “Good Samaritan Act” passed by the Unicameral which insures nurses’ immunity from civil suit if they render aid in an emergency situation?
A:1961
Advocacy: An Active Process! Check out the NNA Webpage
If anyone thinks that the nursing scope of practice is stable and never-changing,have I got news for you! Issues are arising on nearly a daily basis that have the potentialtoimpacthowprofessionalnursesdotheirworkandservetheirpatients.The2015sessionoftheNebraskaUnicameralhasbeenVERYactiveintheareaofhealth,human services, and public safety; our advocacy team is “earning their stripes” in a big way tracking and impacting future legislation. Check out the Nebraska Nurses Association website and our Legislative tab to find our newest member value, a legislative tracking software package that takes members directly to our priority bills and theaccess to testimony, emails, andother important information.Non-memberscanalsosign-uptoreceiveemailalertswhenalegislativeissuerelatestoprofessionalnursing practice.
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NEBRASKA NURSES ASSOCIATION MEMBERSHIP APPLICATION
HOW DO I JOIN NNA? Step 1: Complete Demographic Information Step 2: Select Membership Option Step 3: Calculate Total Fees Due Step 4: Select Payment Option Step 5: Return Completed Application and Payment
STEP 1 PERSONAL INFORMATION Date: Last Name/First Name/Middle Initial
Credentials RN License No./State
Home Address
Preferred Phone Number
City/State/Zip Code
County
Email Address
Basic School of Nursing
Recruited By
Graduation: Month/Year
Congressional District
Nebraska Legislative District
STEP 2 MEMBERSHIP OPTIONS Choose one annual or monthly membership option. (Monthly payments include a $.50/month service fee to ANA for installment payment processing.)
FULL MEMBERSHIP – NNA/ANA Includes membership to NNA, your NNA District, and ANA. $279.00/Year or $23.75/Monthly Epay*
NEBRASKA ONLY MEMBERSHIP – NNA Includes membership to NNA and your NNA District. Member benefits limited to state only. $189.00/Year or $16.25/Monthly Epay*
THE FOLLOWING DISCOUNTED MEMBERSHIPS ARE AVAILABLE IF ONE OF THE FOLLOWING CRITERIA IS MET AND PROOF OF ELIGIBILITY IS PROVIDED.
Reduced and Special Membership include membership to NNA, your NNA District, and ANA.
REDUCED MEMBERSHIP – NNA/ANA $139.50/Year or $12.13/Monthly Epay* Must meet one of the following criteria and provide proof: Not employed Full‐time student (must be a RN) New graduate from basic nursing program within 6
months of graduation (first membership year only) 62 years of age or over and not earning more than Social
Security allows
SPECIAL MEMBERSHIP – NNA/ANA $69.75/Year or $6.31/Monthly Epay* Must meet one of the following criteria and provide proof: 62 years of age and not employed Totally disabled
STEP 3 TOTAL DUE Depending on your membership option, first year or first month is due with completed application.
TOTAL AMOUNT ENCLOSED: $____________
STEP 4 PAYMENT OPTIONS Check (payable to American Nurses Association) MasterCard or Visa __________________________________ ____________ Card Number Expiration Date __________________________________ ____________ Cardholder Name Billing Zip Code *Monthly Epay Authorization
All members paying monthly must complete this section This is to authorize electronic payments to American Nurses Association (ANA). By signing on the line, I authorize ANA to withdraw 1/12 of my annual dues and any additional service fees from my account. Charges may be adjusted by ANA only following written 30‐day prior notice to me. Membership and payments will continue unless NNA/ANA receives 20‐day prior written notice from me.
Checking: Please enclose a check for the first month’s payment; the account designated by the enclosed check will be drafted on or after the 15th of each month. Debit/Credit Card: Please complete the credit card information above. This card will be debited 1/12 of annual dues on or after the 1st of each month.
____________________________________________ Epay Authorization Signature Date
STEP 5 SUBMIT APPLICATION Return completed application and payment to:
NEBRASKA NURSES ASSOCIATIONP.O. BOX 3107, KEARNEY, NE 68848‐3107
QUESTIONS?: Call NNA 888‐885‐7025 or visit our website www.nebraskanurses.org
TO BE COMPLETED BY NNA STAFF: ______ ________ $____________ Annual Monthly Check#______________ Credit Card ________________________ STATE DISTRICT AMOUNT PAID APPROVED BY STAFF/DATE
Membership Application
NURSEThis part-time RN or LPN position is for Tyson Foods’ Madison, Nebraska, location. The successful candidate will be responsible for providing primary and emergency care for occupational and non-occupational injuries and illnesses, as well as conducting screening tests, maintaining Team Member, state, and OSHA records, assisting in health promotion, and identifying and documenting workers’ compensation cases. The position hours will primarily be 3:30-11:30 p.m. Monday-Friday and Saturday, if the plant is running; however, hours may vary as needed.
REQUIREMENTS:• Musthaveadegreefromaschoolwithanaccreditednursingprogram• MustbealicensedpracticalorregisterednurseinNebraska• MusthavecurrentCPR/firstaidcertification• Knowledgeofoccupationalnursingpreferred• Strongproblem-solving,organization,andwrittenandverbal
communication skills• Musthavebasiccomputerskills• Mustbeabletowalkthroughouttheplant,whichincludesstepsand
ladders
CONTACT:To apply for this opportunity and view all current opportunities with Tyson Foods, please visit www.tysonfoodscareers.com.
www.tyson.comTyson Foods is an Equal Opportunity/Affirmative Action Employer.
All qualified applicants will be considered without regard to race, national origin, color, religion, age, genetics, sex, sexual orientation, gender identity,
disability or veteran status.
State of Wyoming, Department of Health, Aging Division, Healthcare Licensing and Surveys is recruiting for
Health Facility Surveyor Recruitment ID: HSHPO9-02112
Conduct surveys and investigate complaints in accordance with Wyoming State Statutes and agreement with the Federal Centers for
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For more information or to apply online go to:http://agency.governmentjobs.com/wyoming/default.cfm
and use keyword search = hshp09Open until filled. EEO/ADA Employer.
Awards, Recognitions, and Kudos….
Please send announcements of awards andrecognition, appointments, new positions, academic achievement, and promotions. Spacepreference will be given to NNA members. Information must be consistent with the mission, vision, and values of the association. Your submission may be edited prior to publication. Send the information to [email protected] byJuly1standOctober1stforfutureissues
of the Nebraska Nurse.
June, July, August 2015 Nebraska Nurse • Page 17
Your Safety. Our Priority.
Severe Weather AwarenessSevere Weather Definitions for Severe Thunderstorms or Tornadoes: Watch = conditions are favorable for development of storms/tornados. Be aware and ready to take action if conditions change. A watch calls for a heightened state of awareness.Warning = A severe storm or tornado is present in the warned area. Take action! Go to the lowest level of the building, away from windows.
Preparing at Home• Prepareashelterareainyourhomeonthelowestlevel,
next to interior walls, without windows if possible.
• GetaNOAAweatherradio,programitforyourcounty.Keep batteries fresh.
• Makeasurvivalkit(orbuyone).Prepareforuptothreedays without outside support.
• Beabletoturngas,wateroff.
• Dopracticedrillswithyourfamily.
• Whensirensgooff,orTV/RadioindicatesaWARNINGinyour area, take shelter.
Preparing at Work• HaveanEmergencyActionPlaninaccordancewith
OSHAstandard1910.37(SafetyPro).
• Practicetheplanatleastannually.
• WhenaWARNINGiscalled,evacuatetothecompanystorm shelter.
• Besuretobeabletotakeattendanceonceinshelter.
• Developapolicyforemployeeswhoareawayfromtheoffice.Raisetheirawarenessandteachthemtousegood judgment.
• Havesuppliesforworkers–highproteinsnacks,water,in case the you are in shelter for an extended period.
Preparing When Traveling/Away from Home• Ifyouareatapublicfacility(train,busstationor
airport,mall,store,orarena/stadium)followthedirec-tionstoshelterprovidedbystaff.
• Atthemovies?Askthemanagementwhattheirpolicyis regarding interrupting the movie for severe weather.
• Ifyouareinyourcar,keepaneyetotheskywhenawatch is present. Plan your route so you know where you can shelter.
• Ifyouareinyourcarandtraveling,knowwhichcountiesyouwillbetravelingthrough.Whensevereweather warnings are being announced on the radio, you can know if you need to take action, or even be able to avoid those counties in your travels.
• Tallbuildings/hotels,don’tuseelevators.
For all Scenarios•Stayinshelteruntil“AllClear”isannounced.
•Afterthestormhaspassed,becarefularounddownedpowerwiresanddebris.
If In Your Car During a Warning• Keepyourradiotunedtoastationgivingweather
warnings and updates.
• Knowyourlocation,includingnearesttownsandwhatcounty.
• Seekimmediateshelter!
• Ifshelterisnotimmediatelyavailable,trytodrivetothenearest sturdy shelter.
• Don’ttrytooutrunatornadoyoucansee.
.• Beawarethattornadoesareoften“rainwrapped.”Youmay not be able to see the tornado.
• Besureallvehicleoccupantsremainedbuckled.
• Ifthetornadoisuponyou,thenandonlythen,exitthevehicle and lie on the ground, below the roadway level, face down.
www.SafeNebraska.org•402-896-0454•1-855-NSC-NSC1
Letters tothe Editor
NNA welcomes original letters from readers on current topics of interest related to Nursing. Letters submissions are limited to 300words.
Only the author’s name andcity will appear on published letters; we ask for your email address and phone number so we can contact you if necessary. Letters will be edited, usually for grammar, spelling, clarity and libel. We donot print form letters or open letters addressed to another person or institution. Letters will be screened foralignmentwithNNA’smission,vision,andvalues.
The choice of letters for publication is at thediscretion of NNA editors; they will not be able to respond to individual inquiries about letters.Copies ofsubmitted letters are not retained; please save your own copy before submitting the form.
Submit letters to [email protected] by July1st or October 1st for the upcoming 2015 Nebraska Nurse issues.
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Page 18 • Nebraska Nurse June, July, August 2015
American Nurses Association
Lastwinter, twohigh-profile–andverytragic–casespitted family members against hospital administrations and stirred debates nationwide about brain death, policies and laws, and ethics. No matter where they practice, nurses may have wondered what they would do if they found themselves in similar circumstances – whether they could object to providing patient care. The answer is aqualified“yes.”
First, the two casesAccording topublished reports, JahiMcMath,13,was
admitted into aCalifornia children’s hospital for surgicalprocedures to address sleep apnea. Following surgery, she developed a complication, went into cardiac arrest, and was declared brain dead by two hospital-associatedphysicians and ultimately a court-ordered physician. Herfamily fought to have her remain on a ventilator until she could be transferred to an undisclosed facility where she couldbegivenadditional“life-sustaining”measures.
Marlise Munoz was 14 weeks pregnant when she was found unconscious at home. She was declared braindead and carrying a nonviable fetus; her family wanted her taken off life support, noting her wishes, the media reported. But this time, the hospital where she was admittedobjected–citingaTexaslawitbelievedrequiredthem to keep her on life support until her fetus could be
Conscientious ObjectionWhen care collides with nurses’ morals, ethics
delivered. Again, a legal battle ensued. A judge ultimately ruled that the hospital was misapplying the law, and the hospital removed her from life support.
Members of the American Nurses Association (ANA) EthicsandHumanRightsAdvisoryBoardwerenotawarewhetherRNsobjected to providing care in these specificcases.However,nurseethicistsdidfinditcrucialtoensurethat all RNs understand that they can conscientiouslyobject to participating in interventions if certain criteria are met.
Confronting difficult decisionsNurse ethicist Anita Catlin, DNSc, FNP, FAAN,
followed the Munoz case in the national press.“Nurses have a right to conscientiously object to
participate in technologically supported treatment of a brain-dead person,” shared Catlin, a member of ANA’sethics advisory board. “Additionally, when a woman and her surrogate have made their wishes known, it is unethical to go against these wishes as stated in ANA’s Code of Ethics for Nurses with Interpretive Statements.
“If members of the nursing staff wished to be excused fromparticipatinginthispatient’scareforanythingotherthan palliative care and comfort measures, they have every right to do so.”
Whenitcomestonursingpractice,therearetwobroadcategories in which RNs can conscientiously object toparticipate – based on provisions addressed in the Code of Ethics,accordingtoMarshaFowler,PhD,MS,MDiv,RN,FAAN, amemberof theANA’sprofessional issuespanelsteering committee, which has been leading a revision of the Code.
Nurses can refuse to participate in all instances of an intervention – such as an abortion or sexual reassignment surgery – based on religious or moral grounds, said Fowler, anANA\Californiamember.RNswhohold thesestrong beliefs should make their objections to participate in these types of interventions or procedures known at the time of hiring, Fowler said.
“Ifthat’snotpossibleforsomereason,thenurseshouldmake her or his objection as timely as possible so the nurse manager can find a replacement,” she said.
Vicki Lachman, PhD, MBE, APRN, FAAN, addedthat for nurses to ethically object to participating in an intervention, that intervention “must challenge their moral integrity – and not be based on false motivation. It really has to violate a deeply held conviction ofwhat’s right orwrong. A nurse might believe that the sanctity of life trumps all.”
TheCode does not allow nurses to refuse care based on prejudice, discrimination or dislike. For example, they can’t refuse to take care of someone because the patientabuses alcohol or because the patient is homosexual, according to Lachman, chair of ANA’s ethics advisoryboard.
Todecrease the chances of having to object onmoralor religious grounds, nurses ideally should practice in settings where they are less likely to be confronted with interventions – such as abortions, cardiac transplants or palliative sedation – that conflict with their beliefs, Lachman said.
The other broad category in which nurses canconscientiously object involves a specific intervention with a specific patient, Fowler said. A common example of this ethically sound objection is when a nurse is asked to participate inan intervention thatgoesagainstapatient’sautonomy and expressed desires, as in the patient’s notwanting a blood transfusion, antibiotics or other lifesaving measures.
Given the fastpaceof technologyandotheradvances,nurses may increasingly find themselves in ethically challenging situations, Lachman noted.
Additionally, many sensitive cases that might have been kept private in decades past are now being played out in the media, according to Fowler.
Parting wordsTomakeaconscientiousobjection,Fowler saidnurses
should follow the lines of authority and the structures that areinplaceintheirfacilities.Theyalsocancontacttheirorganization’sethicscommitteeorpatientombudsman.
And they must be aware of an obligation not to abandon a patient.
“Once a nurse begins treating a patient, she or he is legally bound to care for that patient until another nurse is available to assume responsibility for the patient,” Lachman said.
And although it may take courage to conscientiously object – particularly given some workplace cultures – not doing so can have dire consequences for the individualnurse and for the nursing profession.
“Most of the time, nurses just remain silent and do not make their objections known.They alsoworry that theirdecision will place a burden on colleagues by giving them more work,” Lachman said. “If nurses cannot move away from these situations, it becomes intolerable. Theyexperience moral distress, emotional and physical fatigue, and burnout. Therefore, organizations must providenurses with the staffing necessary to maintain their moral integrity, and nurses need to participate only in patient care that is not morally compromising. “
Fowler added, “Nurses need to accommodate and support colleagues who conscientiously object and provide an environment that preserves professional integrity.”
– Susan Trossman is the senior reporter for The American Nurse.
Reprinted with permission of The American Nurse.
MORYS HAVEN, a premier nursing facility in Columbus, Nebraska has
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June, July, August 2015 Nebraska Nurse • Page 19
American Nurses Association
In today’s health care environment, patients rely onmultiple providers for their care. For that care to be safe and of the highest quality, the Institute ofMedicine, thenursing community and others have recognized the need for health care providers to embrace a collaborative, team-based approach to care. Patients, health careteam members and the organization all benefit from interprofessional teamwork.
How can evidence-based teamwork be implemented?Providers need to promote a change in organizational
culture from an environment of working in silos to one 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-basedsystemthatsupports improvingteamworkand communication skills with the goal of optimizing patientoutcomesandimprovingpatientqualityandcare.
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 need for practice change and that is committed to providing quality 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 members may be resistant to practice changes and will need to share concerns and ask questions. The last phase ofTeamSTEPPSissustainability.Thepurposeofphasethreeis to sustain and spread improvements regarding teamwork performance. Sustainability can be achieved by askingfor honest feedback from staff and by providing continual reinforcement and support.
To move away from silos to a team-based approach,Chaboyer, Wallis and Getherston make the followingrecommendations in their article “Implementing bedside
Better, Safer Patient Care Through Evidence-Based Practice and Teamwork handover: strategies for change management,” as reported in the Journal of Clinical Nursing. An organization’sleadership team should:
• Commit to a collaborative and interdisciplinary, orinterprofessional, team approach.
• 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 assigned to care forMrs.Hall and rememberedher frompreviousadmissions.WhatAlex didn’t realizewas thatMrs.Halllived alone and had been cared for inconsistently by multiple unlicensed caregivers since her last discharge. SinceAlex“knew”thepatientandwasunusuallybusythatshift, the admission assessment was unfortunately swift and incomplete.
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 agreed toassist inMrs.Hall’smobilityassessment.AlexnoticedthatMrs.Hall’smobility status had declined, as shewasno longer able to sit unassisted.
Immediately, Tara determined that Mrs. Hall wasexceptionally weak and unable to support her own weight while sitting. Recognizing this as an opportune timeto teach, Alex recommended that Angela examine the patient’s skin during the transfer in order to completeher admission assessment. Although Alex had previous
experiencesworkingwithMrs.Hall,shewassurprisedtolearn thatMrs.Hallhaddevelopedastage-threepressureulcer on her sacrum and had breakdown on her hips and heels bilaterally.
Lessons learnedAlex,TaraandAngelaworked togetherasa teamand
wereabletoidentifyacareissuethatrequiredimmediateattention and action. It takes an interprofessional team to 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 quality and safety.
Practice recommendations• Teamworkisessentialinimprovingpatientsafety.• Speak up…recognize that you have a unique
perspective to share.• Acknowledge interprofessional expertise and value
input from others. • An evidence-based teamwork system improves
communication among health professionals and impacts patient care.
ImplicationsHighlyfunctioningteams:• Areoneelementinhigh-qualitycare.• Protectpatientsafety.• Reduce duplication of services and save
organizational resources.• Improvecommunityaccesstocare.
– Marie-Elena Barry is a senior policy analyst inNursingProgramsatANA.
Reprinted with permission of The American Nurse.
I
Page 20 • Nebraska Nurse June, July, August 2015
Nurses – Welcome to Wyoming!
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Wyoming Behavioral Institute has been accredited by The Joint Commission (TJC) and is licensed by the State of Wyoming’s Department of Health.
Wyoming Behavioral Institute is owned, managed and operated by a subsidiary of Universal Health Services, Inc., one of the largest providers of high-quality healthcare in the nation.
Wyoming Behavioral Institute, an 85-bed acute care psychiatric hospital is now recruiting in Casper, Wyoming.
Wyoming Behavioral Institute is the premier leader in providing behavioral health services and treatment in
Wyoming and the Rocky Mountain West.
Our philosophy is to provide a range of specialized and individualized treatment options with a focus
on service and excellence to support healing for our patients and families.
We pride ourselves in providing the highest quality of nursing care. If you are an experienced nurse, or a recent graduate, and have a commitment to service excellence we look forward to hearing from you and
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