2015 • FALL

MLNHIGHLIGHTS

NATIONALNEWS

QUALITYMATTERS

NURSE’SCORNER

UPCOMINGEVENTS

CONTENTS

MISSOURI/HIGHLIGHTSNURSING SCHOLARSHIP: NOW TAKING APPLICATIONS

Identifying and supporting promising young nursing students is one of the Missouri League for Nursing’s most important activities. Over the past four years MLN has awarded $13,000 to students, assisting them with tuition, books, supplies and living expenses. The deadline for submitting applications for this year is December 2 and potential applicants are encouraged to get their paperwork in early.

Students eligible for the MLN Scholarship include:• LPN students• RN students above the freshman level in associate degree/

diploma programs• RN students above the sophomore level in baccalaureate

nursing programs• MSN candidates who have completed at least 15 hours of the courses

required for the advanced degree and hold an active license in Missouri.

Applicants are evaluated and selected by the Awards and Scholarship Committee of MLN. During the rigorous, competitive application process the committee evaluates applicants based on a variety of criteria, including:

• Enrollment in a nursing education program approved by the Missouri State Board of Nursing or with current national accreditation

• Grade point average of 3.0 or above.• Recommendation from program Dean/Director of student’s need,

interest, and academic standing • Financial need.

The award will be presented to the winner at the MLN’s 63rd Annual Convention, Sheraton Plaza Westport, St. Louis, MO, April 20-22, 2016. More information is available at the MLN website.

- From “National News”, Dr. Anne R. Bavier, PhD, RN, FAANpage 2

604 DIX ROAD / JEFFERSON CITY, MO 65109 / T. 573.635.5355

Our dedication to nurse educators, and to the pivotal role they play in human health, distinguishes the National League for Nursing from other organizations

FALL 2015

Black Friday Deal Starts Now! Unlimited Web-based Learning

Members can registered for unlimited access to web-based learning courses for only $300! Registrations must be received by

December 21st and all courses must be completed by December 31, 2015. These courses can be used as an enhancement for

your classroom learning, in-service for your employees, or for CE requirements for nursing home administrators. Call the

MLN office for more details.

Available Courses Abuse and Neglect (1.5 PC hrs)

Building Caring Relationships: Working Toward Mutual Goals (1 A hr)

Chronic Pain (2.5 PC) NEW

Clostridium Difficile Management in Long Term Care (1 PC hr)

Communication and the Health Care Team (1 A hr)

Competent Thinking for Nurses (1 A hr) NEW

Conflict Management (A hr) NEW

Critical Thinking (2 A hrs)

Culture Change: Making a Difference (1 PC hr)

Death and Dying (2 PC hrs)

Delegation for Health Care Professionals (1 A hr)

Diabetes Overview: Putting It All Together (1 PC hr)

Diabetic Foot Complications (1 PC hr) NEW

Ethics in Health Care Settings (2 A hrs)

Geriatric Emergencies (1 PC hr)

Grassroots Advocacy 101 (1 A hr)

Helping Patients Manage Their Pain (1 PC hr)

Infection Control: Cover It All (1 PC hr)

Leadership Secrets: 8 Simple Steps (.5 A hrs.) NEW

Medication Errors (1 A hr)

Medications Used in the Treatment of Diabetes (1 PC hr)

Mental Health Issues (1 PC hr)

Pressure Ulcer Prevention (1 PC hr)

Professional Demeanor (2 A hrs)

Putting Probiotics and Food Remedies Into Practice (1 PC hr)

Restraints Reconsidered (1 PC hr)

The Basics of Diabetes (1 PC hr)

Hurry you must register by December 21st and complete your courses by 12/31/2015, so order today! CALL NOW TO REGISTER! 573-635-5355

Black Friday Deal offer ends 12/21/15

MLN Office Holiday Closing

We will be closed the following dates for Thanksgiving and Christmas:

Thursday and Friday, November 26 and 27 and Thursday, December 24 through Friday, January 1

Empower Your Staff

The Missouri League for Nursing offers organizational memberships to

maximize the benefits for ALL of your employees. Did you know? Organiza-

tional members save up to 35% on a wide range of CE workshop registration

fees and up to $100 in savings on professional conferences and all other staff

have the opportunity to attend many events at a NO CE rate. Our NO CE rate,

available only to members, allows all of your health care staff access to quality

professional development at an affordable price. MLN programming provides

exceptional experiences and essential tools that make your organization more

successful. Don’t miss out on BOGO and other special pricing available only to

organizational members. Have a staff position to fill? What do you pay for one

ad in your local paper? Organizational members enjoy FREE unlimited job

posting through the MLN to over thousands of healthcare professionals across

the state and surrounding areas.

The State Board of Nursing Home Administrators met on October 7, 2015 and reviewed/discussed the Board’s Rules Committee

recommendations regarding the nursing home administrator criteria for education and experience. The MLN is looking for your

feedback to pass along to The Board of NHA.

Below are two recommendations for the minimum education and experience requirements to be found qualified to take the

nursing home administrator licensure exams. Please review and select one of the two recommendations as the preferred minimum

criteria. If you do not agree with either one, please let us know what you would recommend.

Associate degree from an accredited institution with one (1) year full-time experience in a licensed health care facility plus

completion of six hundred (600) Administrator-In-Training (AIT) internship hours

OR

Associate degree from an accredited institution with six (6) months of full-

time experience in a licensed health care facility plus completion of five hun-

dred (500) AIT internship hours

Please give your feedback by November 23 to the MLN by emailing

mlnedu@mlnmonursing.org.

New Nursing Home Administrator Minimum Education

Requirements Update: Feedback Wanted by November 23

The Missouri League for Nursing supports and implements the mission of the National League for Nursing to promote excellence in nursing education to build a strong and diverse nursing workforce to advance the nation’s health at the constituent level.

““

604 DIX ROAD / JEFFERSON CITY, MO 65109 / T. 573.635.5355

Fall 2015 | No. 006

NATIONALNEWSNew NLN President: UT-Arlington Nursing Dean Dr. Anne Bavier

As the National League for Nursing’s 2015 Education Summit drew to a close on October 2, the NLN announced the results of its annual elections. Anne R. Bavier, PhD, RN, FAAN, assumed the presidency, the anticipated conclusion to her board service these past two years as president-elect. Dr. Bavier will serve as the League’s president until 2017.

At its annual business meeting, the National League for Nursing also announced that G. Rumay Alexander, EdD, RN, FAAN is the NLN’s new president-elect for atwo-yearterm,effectivelyimmediately.Threenewgovernors-at-large were also elected to the NLN Board of Governors.

“Every other year, I have the pleasure of welcoming a new president and president-elect to lead the NLN, and I consider it a privilege to now congratulate Dr. Anne Bavier and Dr. G. Rumay Alexander, said NLN CEO Beverly Malone, PhD, RN, FAAN. “Among the nation’s pre-eminent leaders in nursing education, Anne brings to the NLN her extraordinary vision, commitment, and record of success. Like any Texan, Ann thinks and acts in a big way. That’s why we know we can count on her game-changing perspective to help guide the League in preparing a diverse, outstanding nursing workforce to advance the health of the nation and the global community.”

In her inaugural address, Dr. Bavier emphasized her commitment to ensuring that nurse educators have access to the best resources, the most current research, the newest techniques, and the encourage-ment needed to create the best teaching-learning environments. She called for nursing educators to expand their mutual horizons through international dialogue and to embrace the power to serve students online as well as through face-to-face exchanges.

“Our dedication to nurse educators, and to the pivotal role they play in human health, distinguishes the National League for Nursing from other organizations,” Dr. Bavier said. “I am deeply honored to lead this

prestigious body, one built upon generations ofleaderswhoseeffortswererelentlessin advancing nursing practice through excellence in nursing education.”

Anne R. Bavier, PhD, RN, FAAN, who has served the NLN as a governor at-large and as BOG secretary, takes the helm as NLN president, transitioning from president-elect, a position she’s held since her election in 2013. Dr. Bavier is a nationally recognized health care leader who has held the top posts at top-ranked universities and at the National Institutes of Health. Prior to being appointed dean of the UT Arlington College of Nursing and Health Innovation in April 2014, she was dean of the University of Connecticut, School of Nursing (2007-2011) and dean of nursing at Saint Xavier University (2004-2007) in Chicago.

Under her leadership, U-Conn and Saint Xavier were named National League for Nursing Centers of Excellence in Nursing Education. In addition to her experience in higher education, she worked as a program director in the National Institutes of Health’s National Cancer Institute and as deputy directoroftheagency’sOfficeofResearchonWomen’s Health. She has written or co-authored numerous publications on nursing education, professional development, and oncology nursing.

NURSE EDUCATORUPDATEA Comprehensive Non-Pharmacological Approach to Brain Wellness in the Aging PopulationRecentadvancesinneuroimaging,cerebrospinalfluid(CSF)assaysand other biomarkers now provide the ability to detect evidence of Alzheimer’s disease (AD) pathophysiological process in vivo. There is growing evidence that the AD pathophysiological process begins years if not decades before the diagnosis of clinical dementia. The long preclinical phase of AD provides a critical opportunity for potential intervention with disease modifying therapy.1

Existingmedicationshaveminimaleffectsonaddressingsymptomsof thedisease,oftenwithnegativeside-effects.Thereisgrowingevidencethatnon-pharmacological means have the potential of delaying the onset of the disease and of slowing its progression. The goal of Vigorous Mind, Inc., a Massachusetts based company, is to improve the quality of life for the aging population and their families, by engaging and guiding them in a comprehensive approach to brain wellness that includes eight non- pharmacological means. Comprehensive research-based Brain wellness components include:

1) Engagementisbrainstimulatingandbrainfitnessactivities: The brain is capable of generating new neurons and synapses in response to training and learning especially in the hippocampus2 which plays an important role in memory formation. Longitudinal studies have shown that engaging in cognitive activity can reduce the risk of AD by 60%3 and that frequent cognitive activity across the life span has an association with slower late- life cognitive decline.4 Reading, playing board games, playing musical instruments, and dancing were shown to be associated with reduced risk of dementia.5

2) Stress Reduction: Chronic stress can generate long-lasting changes in the hippocampus that contribute to vulnerability to mental illness.6 Music7 and meditation have shown some results in reducing stress.8

3) Depression and Positive Psychology: Late-life depressive symptoms increasetheriskofADtwo-fold.9Toolsofferedbypositivepsychologyhaveshown success in reducing chronic depression drastically and thereby the risk of AD. Reminiscence therapy has also shown promise in ameliorating depression and well-being.10

4) Engagement in Social Activities: Frequent engagement in social activity is associated with a 70% reduction in the rate of global cognitive decline compared with infrequent social activity.11

5) Maintaining a Sense of Purpose in Life: A person with a high score in purpose in life is 2.4 less likely to develop AD than a person with a low score.12

6) Engaging in Physical Activity: Participation in physical activity at old age is associated with remaining independent.13 A high level of muscle strength is associated with a 61% decreased risk of developing AD compared to a low level.14

7) Healthy Nutrition: Adhering to the MIND diet may reduce the risk of developing AD by 53%. Even lower adherence to the diet showed a 35% reduction in the risk of developing AD.15

8) Adequate Sleep: A person with a high sleep fragmentation had a 1.5-fold risk of developing AD compared with a person with a low fragmentation.16

UPCOMINGEVENTS

Disclaimer: The Vigorous Mind softwareoffersseniorlivingfacilitiesand individuals a wealth of engaging, stimulating and fun activities that are basedontheabovefindingsandmaydelay onset of AD. The software has not been compared to the above activities in a randomized controlled trial (RCT).

Forthefullarticleandscientific references, click here.

25TH ANNUAL MLN INSTITUTE FOR NURSING HOME ADMINISTRATORSMarch 3-5, 2015 @ Camden on the Lake, Lake Ozard, MO

TECHNOLOGY IN THE CLASSROOM USING A QSENMarch 4, 2015 @ Renaissance St. Louis Airport

63RD ANNUAL MLN CONVENTIONApril 20-22, 2016 @ Sheraton WesportSt. Louis, MO

NURSING STUDENT CONFERENCEApril 20-21, 2016 @ Sheraton WestportSt. Louis, MO

MIDWEST LEADERSHIP INSTITUTE FOR NURSE EDUCATORS/DEANS & DIRECTORSJune 13-14, 2016 @ Hilton Convention Center, Branson, MO

NURSING HOME ADMINISTRATOR OKTOBERFESTOctober 12-14, 2016 @ Hilton Branson Convention Center Branson, MO

NLN Summit Report by Rebecca Miller, MLN President, MSN, RN

On September 30, 2015 Nina Bakke, Executive Director and Rebecca Miller, MSN, RN and

Board President attended the annual NLN Constituents League meeting representing the Mis-

souri League of Nursing in Las Vegas, Nevada. The attendees of the summit were privileged

to hear a presentation by Peggy Hoffman, CAE about component based organizations like

NLN and MLN where one organization is a part of another. Peggy represented Mariner Man-

agement and Marketing LLC. Based on research about volunteer associations, signs of success for component organizations include member

satisfaction, engagement and sustained growth.

Peggy discussed a continuum of member engagement that moves from consuming to promoting, creating, then serving, and finally governing.

This differs from traditional thinking that when people join an organization they must climb the ladder. Today’s members may come and go

from an organization depending on what is going on in their lives but their participation should be welcome at any level of involvement.

The importance of being a welcoming organization was emphasized as a key factor to engagement. People usually come to an organization with

a” hot button” issue which generally fall into one of three categories including seeking an answer to a question or need, the need of a connec-

tion to a person such as a mentor or employee, or a purpose that people want to get involved in. Engage new members by identifying their hot

button and making the connections they seek. Ask them what we can do for you? Most people these days who get involved with organizations

are not there so much for member services, but for the relationships organizations provide. Organizations should switch their language from a

sales pitch mode to one of inviting potential members to join a community.

Volunteering in today’s vibrant organizations does not mean you have to only serve on a committee and the committee has to do all the work.

Nearly 60% of organizational members today prefer ad hoc volunteering. Identity jobs for members and capitalize on their strengths. Remove

the barriers to volunteering such as failure to ask people to volunteer or not providing enough information about opportunities in general, espe-

cially short term jobs. Drivers for people to volunteer include doing something for one’s profession or an important cause, helping others, gain-

ing new perspectives, or exploring one’s own strengths. An organization with about 1/3 of the members involved is considered very healthy.

Overall we gathered many more specific tips for improving the health of our organization throughout the day. As always we were warmly wel-

comed by NLN leadership. Nina does an excellent job at the summit by taking advantage of the opportunity to discuss the needs of our league

with the NLN. She is making a positive impact for us and others as well. Many of the same issues we have are experienced by other leagues

and NLN welcomes our input and is genuinely concerned with promoting the constituent leagues however they can because as we are a main

avenue for growth for them. Nina and I thank you for the opportunity to attend the meeting again this year and we look forward to serving you.

Legislative Report

The Missouri League for Nursing educates members and others to nursing and health care issues. We take position on issues but not on legis-

lation. We help others find and use their voice rather than define the position they should take. How you use your voice is up to you. Here’s

what’s ahead for nursing and health care issues in 2016:

SB 63-This act establishes the Narcotics Control Act. The Department of Health and Senior Services is required to establish and

maintain a program to monitor the prescribing and dispensing of all Schedule II through Schedule IV controlled substances by all

licensed professionals who prescribe or dispense these substances in Missouri. The provisions of this act shall be subject to

appropriations and also may be funded with federal or private moneys. Act is very similar to HB 130.

SCS/SB 119 - This act modifies provisions of law regarding the Prescription Drug Repository Program.

The act transfers the regulation of the Prescription Drug Repository Program from the Department of Health and Senior Services to the State

Board of Pharmacy. The Board shall contract with a third party to administer the program and shall develop and maintain a

participant registry for the Program. The Board may cooperate with nongovernmental organizations to maintain a web-based list of prescrip-

tions drugs, devices, or supplies that have been donated and the participants from which the donated items may be available.

SB 122 - This act requires the Department of Health and Senior Services to issue a request for proposal and contract with a third party for the

establishment of a health care directives registry for the purpose of providing a place to securely store an advance health care directive online

and to give authorized health care providers immediate access to them. An "advance health care directive" is defined as either a power of at-

torney for health care or a declaration signed by an adult declarant containing the person's direction concerning a health care decision. A

"declaration" shall mean a record such as living will, an intent to donate an anatomical gift under the Uniform Anatomical Gift Act, or a do-

not-resuscitate order. All data and information contained in the registry shall remain confidential and shall be exempt from the Sunshine law.

HB 113-Life-sustaining treatment policies of health care facilities. Bill discusses illegal withhold of life-sustaining treatments,

nutrition, medications, etc.

HB 181-Allows a healthcare provider to disclose patients medical records, payment records, or information contained w/in the records to the

patient’s health care decision maker.

The Missouri Nurses Foundation (MNF), a nonprofit working to promote the future of nursing, seeks to build camaraderie among and visibility of nurses in our state and is sponsoring a specialty license plate celebrating Missouri nurses. As an engaged nurse, MNF is offering you the opportunity to be among the first to drive with pride in your nursing profession.

NOT JUST FOR NURSES – Help spread the word!! Available to anyone… family of nurses, friends of the nursing profession, nursing students or recent grads!

HOW DO YOU GET A NURSING LICENSE PLATE?

Complete Payment Form below and the highlighted areas of Mo. Department of Revenue Form 1716 (attached). You even have the opportunity to personalize your plate!!

Send completed Form 1716 with payment form and $40 to MNF ($15 for the DOR specialty plate fee, $25 contribution to MNF) When MNF collects 200 applications, license plate production will begin and you will be notified by Missouri Department of Revenue when your plate is ready to be picked up.

MNF NURSING LICENSE PLATE PAYMENT FORM

TOTAL First Name Last Name $40.00 Email CHECK #_________________ (Payable to Missouri Nurses Foundation) MASTERCARD / VISA / AMERICAN EXPRESS / DISCOVER

Credit Card Number Expiration Date CVV (3 digit code on back) Billing Zip

Cardholders Name Cardholders Email (if different from above)

RETURN COMPLETED PAYMENT FORM AND FORM 1716:

MAIL: FAX: Missouri Nurses Foundation 573-636-9576 Attn: License Plate P.O. Box 105228 Jefferson City, MO 65110-5228

QUESTIONS? CALL 573-636-4623 OR EMAIL INFO@MISSOURINURSES.ORG

Form

1716Missouri Department of RevenueApplication for Missouri Personalized and Special License Plates

Owner’s Name

Street, RR, or P.O. Box Number

City State Zip Code

Daytime Phone Number Current Plate Number

Name must appear as shown on vehicle title

__ __ __ __ __ __

(Please check which category of license plate you need)

(__ __ __)__ __ __-__ __ __ __

Step

1

Any false statement in this application is a violation of the law and may be punished by fine or imprisonment or both.

Step

2

For all plates listed as “Stock,” the Missouri Department of Revenue will select your license plate configuration.

Submit fee shown below with this application.

r Regular Personalized ($15) (Can be reserved at plates.mo.gov)r Amateur Radio ($15)r American Heart Association ($15) r American Legion ($15) r Be An Organ Donor ($15) r Breast Cancer Awareness ($15) r Cave State ($15) r Children’s Trust Fund (Stock) ($15)r Children’s Trust Fund ($15)r Choose Life ($15)r Collegiate ($15) Name of College or University _____________r Coroner’s Office ($15) r Custom Vehicle ($15) r Disabled Person ($15)r Don’t Tread on Me ($15)r Ducks Unlimited ($15)r Eagle Scout ($15)r Eastern Star ($15)r Emergency Medical Technician ($15)r Fight Terrorism ($15)r Firefighter (Stock) ($15)r Firefighter ($15)r Former Legislator ($15) Last Year Served _________r Fraternal Order of Eagles ($15)r Fraternal Order of Police ($15)

r Friends of Arrow Rock ($15)r God Bless America ($15) r Greek Collegiate Organization ($15) _____________________________r Hearing Impaired Kids Endowment Fund ($15) r Helping Schools ($15)r I’m Pet Friendly ($15)r Jefferson National Parks Association ($15)r Kingdom of Calontir ($15) r Knights of Columbus ($15)r Lions Club (Stock) ($15)r Lions Club ($15)r Masonic Grand Lodge ($15)r Masters ($15)r Missouri 4-H ($15) r Missouri Association of Realtors ($15)r Missouri Bicycle & Pedestrian Federation ($15)r Missouri Botanical Garden ($15)r Missouri Conservation Heritage (Stock) ($15) r Bird r Deer r Bald Eagler Missouri Conservation Heritage ($15) r Bird r Deer r Bald Eagle r Missouri Elks Association ($15) r Missouri Federation of Square & Round Dance Clubs ($15) r Missouri Jaycee (Stock) ($15)r Missouri Jaycee ($15)r Missouri Remembers POW/MIA ($15)r Missouri Stream Team Coalition ($15)

r Missouri Task Force 1 ($15) r Missouri Travel Council ($15) r MKN Conference of Teamsters ($15) r MO-AG Businesses ($15) r Order of the Arrow ($15) r Paramedic ($15)r Prince Hall ($15)r Professional Sports Team ($15) r St. Louis Blues r St. Louis Cardinals r Kansas City Chiefs r Rotary International ($15) r Safari Club International ($15)r Search and Rescue ($15) r Shriners ($15)r Special Olympics ($15)r St. Louis College of Pharmacy ($15)r Street Rod ($15)r Tribe of Mic-O-Say ($15) r Kansas City District r St. Joseph District r Wilson Creek Battlefield ($15)r Zoos ($15) r Kansas City r St. Louisr Shuttle Bus ($15) — regular personalizedr Vanpool ($15) — regular personalizedr Other _________________________

Note: Please contact the Missouri Department of Revenue for other specialty plates

that may be available.

Please use all capital letters and show choices in order of preference. Regular personalized license plates may consist of no more than six characters plus a dash, a space, or an apostrophe. Personalized plates displaying an emblem or wheelchair symbol may consist of no more than six characters or five characters plus a dash, a space, or an apostrophe. Personalized plates displaying an emblem and wheelchair symbol are limited to four characters or three characters plus a dash, a space, or an apostrophe. Personalized motorcycle or motortricycle plates may consist of no more than six characters or five characters plus a dash, space, or an apostrophe. Personalized motorcycle or motortricycle plates displaying an emblem or wheelchair symbol may consist of no more than five characters or four characters plus a dash, space, or an apostrophe. Personalized motorcycle/motortricycle plates displaying an emblem and wheelchair symbol may consist of no more than three characters or two characters plus a dash, space, or an apostrophe. The Missouri Department of Revenue will not issue plates that contain any letters, numbers, or a combination of letters and numbers which are obscene, profane, patently offensive or contemptuous of a racial or ethnic group, offensive to good taste or decency, or would present an unreasonable danger to the health or safety of the applicant, of other users of streets and highways, or of the public in any location where the vehicle with such plate may be found. The Missouri Department of Revenue will not issue plates that conflict with the regular license numbering system.

Step

3

Personalized plate choices (complete only if applying for personalized plates. Please include more than one choice.)

Year Make Model VIN Number__ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Description of what the configuration above stands for.

Description of what the configuration above stands for.

Description of what the configuration above stands for.

Description of what the configuration above stands for.

Description of what the configuration above stands for.

First Choice Second Choice Third Choice Fourth Choice Fifth Choice Sixth Choice

Description of what the configuration above stands for.

Vehicle Plate Will Be Attached To

Office Office Number

Street CitySignature of Owner or Applicant

I hereby certify under penalty of perjury that all information regarding this request is true and accurate and is made without intent to defraud and that all statutory requirements for personalized or special license plates have been met. I also acknowledge that, if the requested configuration is already issued for a vehicle I own, I must surrender those plates when I pick up the new plates bearing that configuration.

__ __ __

X

Step

4

Must be completed by all applicants. These license plates will not be mailed. Indicate name of license office where plates are to be picked up.

Form 1716 (Revised 12-2014)

r Passenger r Recreational Vehicle (motor home)r Beyond Local 6 Truck r Local 6 Truck (limited to a 50 mile radius)r Beyond Local 12 Truck r Local 12 Truck (limited to a 50 mile radius)r Beyond Local 18 Truck r Local 18 Truck (limited to a 50 mile radius)r Motorcycle r Motortricycle

r Check here to add this symbol to your plate. (Form 1776, Physician’s Statement for Disabled Person’s License Plates is required. See back for more information.)

■ MO NURSES FOUNDATION