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The Nursing Voice December 2019 Page 1
INF Message . . . . . . . . . . . . . . . . . . . . . . . . . 2
ANA-Illinois President’s Message . . . . . . .3
Message from the ISAPN President . . . .4
INF Celebrates 5th Annual Emerging Nurse Leader Event . . . . . . . . . . . . . . . . . .5
NAHN-Illinois Chapter Celebrated its Annual Scholarship & Awards Gala . . . . .6
IASN . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .6
IDFPR Online Resources . . . . . . . . . . . . . . 7
SNAI Update . . . . . . . . . . . . . . . . . . . . . . . . .8
CMSA Chicago Update . . . . . . . . . . . . . . .9
Continuing Education Offering . . . . . . . 10
National Black Nurses' Day 32nd Annual Celebration . . . . . . . . . . . . . . . . . . 12
Nurses PAC . . . . . . . . . . . . . . . . . . . . . . . . . 13
Calling for Appropriate Staffing . . . . . . . 14
Downstate Evidence-Based Practice in Retirement . . . . . . . . . . . . . . . . . . . . . . . 15
current resident or
Non-Profit Org.U.S. Postage Paid
Princeton, MNPermit No. 14
The Official Publication of the Illinois Nurses FoundationQuarterly publication direct mailed to approximately 4,500 RNs andelectronically via email to 94,500+ RNs in Illinois.
VOLUME 7 | NUMBER 3 | DECEMBER 2019
Index
ANA-Illinois successfully hosted it's third annual Professional Issues Conference and annual meeting on November 2, 2019 in Springfield at the President Abraham Lincoln Springfield – a DoubleTree by Hilton hotel. This year’s programs focused on nurse empowerment and included current & relevant topics for nurses at all levels. ANA-Illinois members and other nurses from across the state came together to hear about how empowerment can take many forms and why it is important to nurses and the patients we serve.
Donna Cardillo MA, RN, CSP began the day as our keynote speaker with the session, Nursing – The Future is Ours! Ms. Cardillo lead a discussion on what is in store for the healthcare delivery system over the next 20 years and why nursing must reinvent itself. She also shared how nursing will evolve into a ‘superpower’ in healthcare.
Don’t Just Lean In: Stand Up and Stand Out was presented by Karen Kelly, EdD, RN, NEA-BC. Ms. Kelly shared with the audience how nurses can empower themselves, without waiting for someone to give them power. She explained how assertive communication, self-care, advocacy skills, a passion for nursing, and nursing knowledge are critical elements in self-empowerment at any stage in a nurse’s career.
Combating microaggressions against nurses of color in healthcare was presented by Patti Ludwig-Beymer, PhD, RN, CTN-A, NEA-BC, CPPS, FAAN. She explained how nursing leaders must work to identify and eliminate microaggressions from the healthcare setting.
Rebekah Hopper MSN, MBA/HCM, RN-NEA-BC, Ashley Pond MSN, RN-BC, and Roxann Blackbourn MS, BSN, RN-BC presented, Transformational Leadership Competencies for New Nursing Managers. This session discussed how competent and effective nurse leaders generate positive patient outcomes and operate productive and engaged teams. They also explained how nursing recruitment and retention are directly impacted by nurse leadership.
The last session of the day was led by Susan Y. Swart EdD, MS, RN, CAE and was focused on staffing. The presentation covered the aspects of a bill to be introduced in 2020, why the ANA-Illinois leadership believes this is a solution to staffing issues and why every nurse should be involved in making this bill a reality.
During the Membership Assembly portion of the conference, the members heard a summary of work performed during 2019 and financial data that shows the association is financially secure with a membership over 4400 and an 80% reserve ratio. The members
offered their sincere gratitude to outgoing president Dan Fraczkowski MSN, RN-BC, who has served on the board of directors for eight years, first as a director and then as president from 2015-2019. The crowning moment of the Assembly was the installation of the new board members – Elizabeth Aquino PhD, RN – President; Colleen Morley DNP, RN, CMCN, ACM-RN – Secretary; Susana Gonzalez MHA, MSN, RN, CNML – Director; and Nicole Lewis DNP, APRN, FNP-BC – Director.
The 3rd Professional Issues Conference was a great success. Nurses stated they enjoyed the opportunity to come together to discuss topics of relevance, network, share and spend time with the exhibitors. The 2020 Professional Issues Conference will take place on November 7th at the Sheraton in Lisle, Illinois.
We look forward to next year’s event.
Thank You to Our SponsorsMemorial Health SystemIllinois Nurses Foundation
Thank you to our Sponsor & ExhibitorsArthur L. Publishing Agency, Inc - SPONSOR
Illinois Nurses FoundationAurora University
Feel Good, Inc.Illinois Association Of School Nurses
Illinois Public Health AssociationIndiana Weslyan University
McKendree UniversityMemorial Health System
Olivet Nazarene University University of St. Francis
Western Governors University Nurses PAC
Professional Issues Conference continued on page 3
Page 2 December 2019 The Nursing Voice
Karen J. Egenes, EdD, RN,Treasurer, Illinois Nurses
Foundation, Vice President, ANA Illinois Board of
Directors
Several years ago, a colleague and I were asked by a hospital’s Department of Psychiatric/Mental Health services to prepare and deliver a workshop with the title “Burnout in Nursing.” At the time, “burnout” was a trending topic, and nurses were eager to learn more. To our surprise, our somewhat cobbled together workshop proved to be quite successful, and we were invited to present for nurses in a variety of clinical settings, ranging from ICUs to hospice. In one of the workshop’s exercises, nurses were invited to share their experiences of burnout, the coping strategies they had developed (often on their own), and the toll that burnout had taken on their own lives and on those of their friends and colleagues. Nurses in many settings related stories of personal suffering that centered on overwhelming responsibilities, a lack of voice and control in their work situations, and competing (and often conflicting) demands for their time and attention. However our initial joy at the success of the workshop soon turned to dismay. The nurses’ stories remained remarkably consistent across hospitals and clinical settings. Most recurrent were their feelings of powerlessness in their work and their inability to meet unrealistic demands. Soon the repeated
The NursingVoice
INF Board of DirectorsOfficersCheryl Anema PhD, RN . . . . . . . . . . . . . . . . . . . . . . . . . . PresidentBrandon Hauer MSN, RN . . . . . . . . . . . . . . . . . . . .Vice PresidentCathy Neuman MSN, RN . . . . . . . . . . . . . . . . . . . . . . . . . SecretaryKaren Egenes EdD, RN . . . . . . . . . . . . . . . . . . . . . . . . . . . Treasurer
DirectorsMaria Connolly PhD, RN, CNE, FCCM, ANEFMaureen Shekleton PhD, RN, DPNAP, FAANAlma Labunski PhD, MS, RNLinda Olson PhD, RN, NEA-BCMelissa Bogle DNP, APRN, FNP-BC, ACNP-BCStephanie Yohannan, DNP, MBA, RN, NE-BCLauren Martin, RN, CEN
ANA-Illinois Board RepKaren Egenes EdD, RNStephanie Yohannan, DNP, MBA, RN, NE-BCLauren Martin, RN, CEN
ANA-Illinois Board of DirectorsOfficersElizabeth Aquino, PhD, RN . . . . . . . . . . . . . . . . . . . . . . . PresidentKaren Egenes EdD, MSN, MA, RN. . . . . . . . . . . . . . .Vice PresidentPam Brown, PhD, RN, ANEF . . . . . . . . . . . . . . . . . . . . . . TreasurerColleen Morley, MSN, RN, CMCN, ACM . . . . . . . . . . . . Secretary
DirectorsSusana Gonzalez, MHA, MSN, RN, CNMLNicole Lewis, DNP, APRN, FNP-BCLauren Martin, RN, CENCrystal Vasquez, DNP, MS, MBA, RN, NEA-BCStephanie Yohannan, DNP, MBA, RN, NE-BC
Editorial CommitteeEditor EmeritusAlma Labunski, PhD, MS, RN
Chief EditorsLisa Anderson-Shaw, DrPH, MA, MSNKaren Mayville, MSN, PhD, RN
MembersKathy Long-Martin, BSN, MSN, RNLinda Olson, PhD, RN, NEA-BCLisa Hernandez, DNP, RN, CENPNancy Brent, RN, MS, JD
Executive DirectorSusan Y. Swart, EdD, MS, RN, CAEANA-Illinois/Illinois Nurses Foundation
Article Submission• Subject to editing by the INF Executive Director & Editorial
Committee• Electronic submissions ONLY as an attachment (word
document preferred)• Email: [email protected]• Subject Line: Nursing Voice Submission: Name of the article• Must include the name of the author and a title.• INF reserves the right to pull or edit any article / news
submission for space and availability and/or deadlines• If requested, notification will be given to authors once the
final draft of the Nursing Voice has been submitted.• INF does not accept monetary payment for articles.
Article submissions, deadline information and all other inquiries regarding the Nursing Voice please email: [email protected]
Article Submission Dates (submissions by end of the business day)January 15th, April 15th, July 15th, October 15th
Advertising: for advertising rates and information please contact Arthur L. Davis Publishing Agency, Inc., 517 Washington Street, P.O. Box 216, Cedar Falls, Iowa 50613 (800-626-4081), [email protected]. ANA-Illinois and the Arthur L. Davis Publishing Agency, Inc. reserve the right to reject any advertisement. Responsibility for errors in advertising is limited to corrections in the next issue or refund of price of advertisement.
Acceptance of advertising does not imply endorsement or approval by the ANA-Illinois and Illinois Nurses Foundation of products advertised, the advertisers, or the claims made. Rejection of an advertisement does not imply a product offered for advertising is without merit, or that the manufacturer lacks integrity, or that this association disapproves of the product or its use. ANA-Illinois and the Arthur L. Davis Publishing Agency, Inc. shall not be held liable for any consequences resulting from purchase or use of an advertiser’s product. Articles appearing in this publication express the opinions of the authors; they do not necessarily reflect views of the staff, board, or membership of ANA-Illinois or those of the national or local associations.
Karen J. Egenes, EdD, RN
INF MESSAGE
invitations we received from a variety of health care settings left my colleague and me on the verge of our own burnout.
Years have passed, and creative initiatives, such as the ANA Magnet program, have hopefully resolved this issue. Yet new terms continue to emerge in our nursing lexicon such as compassion fatigue, moral distress, and nursing resilience. In the nursing literature, signs and symptoms of these newer phenomena bear a striking resemblance to the descriptions of burnout that were presented in our long-ago workshop. Also discouraging is the marked resurgence of the concept of burnout as a topic of journal articles and as a focus of nursing research studies. With the belief that burnout in nursing is, to some extent, an enduring phenomenon in our profession, a continued focus is needed on the recognition, treatment, and prevention of nursing burnout. The Illinois Nurses Foundation (INF) can play a role in this initiative. For example, studies have indicated that seeking the support of others is an effective mechanism for the prevention and treatment of burnout. Means of accessing this support could include attendance at networking events, participation in nursing associations, and work with colleagues on projects to advance the profession.
Although admittedly, the events sponsored by INF have the ultimate goal of fundraising for the Foundation, they also provide opportunities for social interaction and networking with other nurses, as well as work with fellow nurses in the promotion of meaningful causes. This became more clear to me when I attended the recent INF sponsored Forty Under Forty event. It was heartwarming to see awardees from prior years, encouraging and mentoring this years’ recipients of this honor. Further, it was uplifting to see nurses enjoying each other’s company. We encourage you to continue to offer support to your colleagues through the challenges we face in our profession. But we also encourage you to take part in social events sponsored by INF as a way of helping yourself through events aimed at helping others.
In the September issue, we erroneously stated that Rebecca Abraham was elected to the Skokie Village Board of Trustees. Ms Abraham was, in fact, elected to the Niles Township High School District 219 in April 2019.
CORRECTIONIVY TECH COMMUNITY COLLEGE, is seeking a full time NURSING FACULTY at the Lafayette, Indiana campus.This position requires quality and engaging instruction in various delivery methods and formats within the nursing programs; provides timely and meaningful feedback to students regarding the mastery of course and student learning outcomes; engages students outside of class in support of the curriculum and co-curriculum; provides institutional support and community service; participates meaningfully in student retention and completion initiatives; supports the College’s mission and strategic plan initiatives; conforms to campus expectations of faculty performance and engagement.For a complete job description, qualifications, or to apply, please visit http://jobs.ivytech.edu.Ivy Tech is an accredited, equal opportunity, affirmative action community college.
NURSING FACULTY
Happy from the Board and Staff of the
Illinois Nurses Foundation!
Holidays
The Nursing Voice December 2019 Page 3
Liz Aquino, PhD, RN
It is an honor and privilege to serve as ANA-Illinois President. Thank you to everyone who voted and those who supported me along this journey. Congratulations to all of the newly elected board members from this election season, and thank you to every candidate for their passion and commitment to improving our profession.
I look forward to working alongside you on initiatives that aim to fully engage members, and ensure all nurses feel heard and supported. I will strive to amplify the nursing voice where decisions are made that impact the nursing profession, advocate for legislation that elevates the nursing profession and address systemic issues that impact the nursing shortage. I will continue to support ANA initiatives locally, like Healthy Nurse, Healthy Nation, to promote the importance of self-care, increasing the number of Nurses on Boards, and support Nurses Vote 2020 (nursesvote.org) which helps keep nurses informed and politically engaged by sharing resources and opportunities to get involved.
Are you looking to be inspired, re-energized, motivated, and increase your nursing network? Then stay engaged with ANA-Illinois by attending future ANA-Illinois meetings and events. Your involvement is a vital opportunity to share your ideas, knowledge, and experience that can influence the future of the nursing profession. We need to hear from you! We cannot remain silent as we witness decisions, and actions taking place that directly influence our nursing profession and communities we serve, we must take action. Stay informed, talk/write to your legislators, voice your opinions, join marches, donate to causes, and most importantly make your vote count. We have a few nurses running for elected positions, and can use your support: Jennifer Banek, CRNA is a candidate for Lake County coroner, Angela Byrnes, RN is a candidate for McHenry County coroner, and Congresswoman Lauren Underwood is seeking re-election! Reach out to their campaigns to see how you can help!
2020 is the Year of the Nurse! Stay engaged by participating in the following upcoming events in Springfield: Student Nurse Political Action Day (SNPAD) on March 31st and Nurse Lobby Day on April 1st. If you are a nurse educator, encourage your students to attend SNPAD to learn about legislation that will impact their future careers. If you are a nurse, remember to take ask for the day off to attend Nurse Lobby Day and encourage your nurse colleagues to attend as well! Let us make sure Springfield knows that Nurses are in town on April 1st by having more nurses than ever march to the State Capital to reinforce: When Nurses Vote, Change Happens!
Social media is also another great way to stay up-to-date and connected, make sure to like, follow, and post to or Facebook page @anaillinoisnurses, tweet us at @ANAILnurses and post on the Ana-Illinois Instagram page. We want to see and share all of the great things our members are doing, so let us know!
I wish everyone Happy Holidays, and I look forward to all of the progress we will make together to advance nursing in Illinois!
Sincerely,Liz Aquino, PhD, RNANA-Illinois President@LatinaPhDRN
ANA-ILLINOIS PRESIDENT'S MESSAGE
Liz Aquino, PhD, RN
Thank You to Our ExhibitorsAchievement Unlimited/ DD Homes NetworkChamberlain UniversityHerzing UniversityIllinois Association of School Nurses Illinois Nurses FoundationIllinois State UniversityMemorial Health System Purdue Northwest College of NursingUniversity of PhoenixUIC College of Nursing – Springfield CampusWestern Governors University
Professional Issues Conference continued from page 1
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• Population Health RN • Acute Care RNs
Page 4 December 2019 The Nursing Voice
MESSAGE FROM THE ISAPN PRESIDENT
Ricki Loar, PhD, APRN, CNP, FNP-BC, GNP-BC
As many of you know, we are able to apply for our Full Practice Authority APRN licenses! We wouldn’t be able to do this without your support. For those who are members of ISAPN, thank you for your support. For those who are not members, I strongly urge you to join. It is our organization that worked tirelessly and diligently in Springfield and throughout the state to make this advancement in our profession a reality.
I have provided this information on social media but thought that it would be beneficial to present it in this newsletter so that all APRNs in Illinois know the steps that are required for applying for Full Practice Authority.
Your APRN license will start with 277, and your new Controlled Substance license will begin with 377. Your old licenses will be inactivated, so you will need to let several organizations know your new license numbers.
When you get your FPA licenses, remember to:1. Notify the DEA about the change in your CS and APRN licenses. You need
to change both of these online. Go to the DEA site, log in, and process your changes. Deadiversion.usdoj.gov and select “Make changes to my DEA registration.” This is found on the left side of the webpage.
2. Go to the PMP and select APRN Consulting Physician Registry. Then enter the physician’s license number, then select the Schedule II opioids that you will be prescribing. You will also need to change your license number with the PMP.
3. Let your credentialing and billing folks know about the change in your numbers.
4. Upload your FPA APRN license and Controlled Substance license to CAQH at http://www.upd.caqh.org/OAS Think of CAQH as a clearinghouse for all of your credentialing documents. If you don’t already have an account, it is a good idea to establish one and to upload all of the documents that are required for your credentialing. Many healthcare organizations use CAQH to assist with your credentialing.
I would also like to take a moment to answer a few commonly asked questions:1. When do I need to renew my FPA licenses? You will need to renew your
license at the next license cycle: by May 30, 2020. I know that you will be paying for your license twice in one year, but I urge you to get your FPA license as soon as possible.
2. Why hasn’t my DEA license changed? Your DEA does not change designation, even with your new Illinois FPA Controlled Substance license. The DEA, as federal organization is not affected by the individual state practice acts. You number will remain the same and begins with an M. Since we are not physicians, our Federal DEA licenses will continue to be “Mid-Level” licenses, just like other non-physician DEA licenses. It is the difference between the State practice acts and the Federal organization.
3. How many CEs do I need? The best place to find this information is at the source: http://www.ilga.gov/commission/jcar/admincode/068/068013000A01300R.html?fbclid=IwAR15qzW4adGRDmp-BHmQeuvsuXiDaeE-hZ3pJ-n_6MmSHJiA4ITtGb4cwZI In a nutshell: All APRNs will be required to have 80 hours of approved CEs in their specialty for each two-year renewal cycle. Of these 80 hours, you need to have at least 50 CE hours, and 20 of the 50 must be pharmacology hours. Ten of the pharmacology hours need to be in opioid prescribing and/or substance abuse education. For the other 30 hours, you can include presentations, quality improvement projects, publications, research hours and precepting hours
Enjoy the color changes of Autumn!
Ricki Loar PhD, APRN, CNP, FNP-
BC, GNP-BC
MANTENO – The ANA-Illinois, the state’s largest professional nursing association for registered nurses in all practice settings, has elected new leadership.
ANA-Illinois leadership includes nurse leaders from across the state and with a variety of backgrounds. The elected leaders’ unique experiences are sure to enhance the work of ANA-Illinois and its vision of being the recognized leader of professional nursing and nurses in Illinois.
The newly elected board members are as follows:President: Elizabeth Aquino PhD, RNSecretary: Colleen Morley DNP, RN, CMCN, ACM-RNDirector: Susana Gonzalez MHA, MSN, RN, CNMLDirector: Nicole Lewis DNP, APRN, FNP-BC
The new board members will join the following directors whose terms continue through October of 2020:
Vice President: Karen Egenes EdD, RNTreasurer: Pam Brown PhD, RN, ANEFDirector: Lauren Martin RN, CENDirector: Crystal Vasquez DNP, MS, MBA, RN, NEA-BCDirector: Stephanie Yohannan DNP, MBA, RN, NE-BC
The 2019 ballot also included the election of members to the Nominations Committee to the ANA Membership Assembly. We are happy to welcome these individuals as part of the ANA-Illinois leadership team. As we move forward these individuals will be instrumental in helping the association advance the profession.
Nominations Committee:Kathryn Valentine BSN, RN, CVRN-BCKatrina Soto BSN, RN
ANA-Illinois, a constituent member of the American Nurses Association, is a powerful network of registered nurses who are committed to advancing nursing through education, political action and workplace advocacy. ANA-Illinois is the leading voice of the approximately 187,000 professional registered nurses in Illinois.
ANA-Illinois Elects New Board Members
Members of the ANA-Illinois elect new leadership
RN, LPN, MH APNPWe are looking for teammates who embrace our values.
Group Health Cooperative of South Central Wisconsin (Madison, WI)
• Patient Centered • Quality Driven • Innovation
For a complete listing of our career opportunities, visit ghcscw.com/careers.
AA/EOE
• Community Involved• Not for Profit Cooperative
The Nursing Voice December 2019 Page 5
Dearest Colleagues:Many of us recently participated in a dynamic
celebration entitled, “40 under 40 Emerging Leaders Awards” program. Designed to honor 40 nurses statewide who have been chosen by peers as winners, the celebration was the fifth annual event sponsored by the Illinois Nurses Foundation. The Foundation, as you may recall, is designed to advance nursing and health care in Illinois and, these celebrations have clearly reflected the Foundation’s mission.
As a previous long term educator, researcher, administrator, clinical professional of 64 years in length, and a Director of our IL Nurses Foundation, Foundation, wanted to express my joy and pride in each one of the emerging nurse leaders who were highlighted that evening. I was so impressed and proud of their achievements as young professionals. Each one exhibited outstanding, exemplary status in his/her practice arena. We in the state of Illinois should share our pride for and to these amazing, emerging nurse leaders. Hence, as you read this congratulatory note, please take the opportunity, time and effort to uphold these honorees as they progress through their professional responsibilities.
Alma J. Labunski, PhD., M.S., R.N.
NOTE TO NURSING VOICE
The 5th Annual 40 under 40 Emerging Nurse Leader event recognized 40 outstanding nurses in Illinois under 40. Those who receive the recognition are are impacting health care delivery and the nursing profession and will undoubtedly shape the future of the profession.
The Emerging Nurse Leaders Planning committee began their review of the nominations in April of this year and awardees were notified in June. As seen since the awards first started, there was an abundance of worthy candidates nominated for the 2019 honors.
Nominations were received from patients, friends, family, coworkers, employers, students, etc. Award recognition recipients reflected leadership success, exemplary leadership qualities, participation in professional associations and community service.
The advisory committee was led by Eli Heicher MSN, RN, CENP and Brandon Hauer MSN, RN served as emcee for the event. The remaining advisory committee team members included Linda B Roberts MSN, RN and Susana Gonzalez MHA, MSN, RN, CNML. The planning committee consisted of Brandon Hauer MSN, RN – Chair, Dan Fraczkowski MSN, RN, Stephanie Mendoza MSN, RN, Kelsey Schmitt BSN, RN, CPN, Virginia Reising DNP, RN, PEL-CSN, PHNA-BC, Kelly Ulrich BSN, RN, and Jorge Cervantes BSN, RN, CCRN.
One of the primary purposes of the 40 Under 40 Award is to engage, support and develop the next generation of Illinois Nurse Leaders. The committee was genuinely moved to have the honor of acknowledging fellow nurses who are known change agents that help shape health care statewide and beyond. Their efforts have served to expand and grow nursing practice as well as to empower our communities. Award recipients were proudly celebrated by members of their own cohort as well as Illinois nursing leaders, and of course their family members.
The Lisle Doubletree by Hilton again served as a perfect venue to host the event. The accomplishments of each award recognition recipient can be readily viewed at the Illinois Nurses Foundation website.
Next year, this recognition event will again take place in Lisle at the Lisle Hilton on September 17, 2020. Please watch for further details at http://www.illinoisnurses.foundation/
Illinois Nurses Foundation Celebrates 5th Annual Emerging Nurse Leader Event
Page 6 December 2019 The Nursing Voice
The National Association of Hispanic Nurses-Illinois Chapter (NAHN-Illinois) celebrated its “Annual Día de Los Muertos Scholarship & Awards Gala” on October 17th with over 200 attendees. They awarded $14,000 in scholarships to deserving nursing students and members, pursuing all levels of higher education with support from generous sponsors, and by fundraising efforts. NAHN-Illinois awarded Susana Gonzalez, MSN, MHA, CNML, RN, with this year’s “Jay Pedroza-Sepulveda Nurse Leadership Award” for her outstanding leadership contributions and commitment to excellence. Susana joins our immediate Past President, Dr. Liz Aquino, Ph.D., RN, on the ANA-Illinois Board of Directors this year. NAHN-Illinois is proud of them both, and wishes them success in their new leadership roles, congratulations! To learn more about NAHN-Illinois, please visit nahnillinois.org, we welcome all to join us in actively reshaping healthcare in the Latinx community.
NAHN-Illinois Chapter Celebrated its Annual
Scholarship & Awards Gala
Pictured Right to Left: Jorge Cervantes, BSN, RN (Treasurer-Elect); Gloria E. Barrera, MSN, RN, PEL-CSN (Treasurer); Lupe Hernandez, MSN, FNP-
BC (President); Susana Gonzalez, MSN, MHA, CNML, RN (Past President); Liz Aquino, PhD, RN (Immediate Past President); Joseph Hernandez, BSN, RN (President-Elect); Isis Reyes, MSN, AG-ACNP-BC, CCRN (Secretary).
MANTENO – The Illinois Society for Advanced Practice Nursing announced the election results during the association’s 2019 annual meeting at the Midwest Conference, held in Lisle, Illinois on October 26th.
The new leadership includes advanced practice registered nurse leaders from across the state and from a variety of backgrounds.
The newly elected board members are as follows:
Vice President April Odom, APRN, FNP-BCTreasurer Andy Tracy, PhD, APRN, CRNAProgram Chair Patty Hess, MSN, APRN, FNP-BCCNM Rep Debra Lowrance DNP, APRN, CNM, WHNP, IBCLCCNP Rep Maria Jefferson – Walker DNP, APRN, FNP-BCRegion 1 Chair Max Button, DNP, APRN, FNP-BCRegion 3 Chair Debra Myers, APRN, FNP-BCRegion 5 Chair Melissa Bogle, DNP, APRN, FNP-BC, ACNP-BCRegion 7 Chair Lauren Hedenschoug MSN, APRN, FNP-BC
The new board members will join the following directors whose terms end in October 2020:President Ricki Loar PhD, APRN, CNP, FNP-BC, GNP-BCSecretary Melissa Murphey DNP, APRN, NP-CGR/PAC Chair Julie Darley APRN, FNP-BCMembership Chair Dawn Kunz APRN, FNP-BC, AOCN, CHPNCNS Rep Kathleen Fisher DNP, APRN, CNSCRNA Rep Alicia Citari MSN, APRN, CRNARegion 4 Chair Wamaitha Sullivan DNP, APRN, FNPRegion 6 Chair Julie Rinehart APRN, CNM, WHNP-BC
About ISAPN: Formed in 2002, the Illinois Society for Advanced Practice Nursing is a powerful network of advanced practice registered nurses who are committed to advancing the profession through education and political action. ISAPN is the leading voice of the approximately 14,000 advanced practice registered nurses in Illinois. To become a member of the Illinois Society for Advanced Practice Nursing, visit www.isapn.org.
Illinois Advanced Practice Registered Nurses Elect New Board Members
Juanita Gryfinski MSN, MS, MA, PEL-CSN, NCSN
At the time of this writing, the Illinois Association of School Nurses is preparing for its 62nd Annual Meeting and Conference. Each year, IASN’s conference serves as a forum to celebrate school nursing, collectively share best nursing practices while providing an opportunity for school nurses to explore current topics, and solve problems. This year’s conference topics, Suicide Risk Assessment, the Vaping Epidemic, Stop the Bleed Training, Diabetes Management Strategies to name just a few, reflect the challenges school nurses face while highlighting the expertise and diverse clinical skills needed to practice in today’s school environment. In addition to the educational opportunities provided by the conference, school nurses from across the state have time to network with their colleagues and take part in “Ignite Sessions,” designed to showcase the outstanding contributions of school nurses. The “Ignite Sessions” are my favorite part of IASN’s Conference because the topics center on how school nurses have integrated new legislation, evidence-based research, and health care policy into their practice. These sessions, in particular, remind me of how proud I am to represent School Nurses in Illinois and how instrumental IASN is in providing school nurses with a framework and network for integrating new knowledge and change into their daily work.
As I embark on my new role as IASN’s President, I invite all School Nurses in Illinois to experience the benefits of connecting with other school nurses in the state. If you are already a member of IASN, thank you for your support. If you have questions or are curious about IASN, please reach out to IASN’s leaders on social media, we would love to connect with you. As President, I am also proud of the school nurses who have been acknowledged this year for their contributions to School Nursing: Julia Muennich Cowell PhD, RN, PHNA-BC, FASN, FAAN was awarded the title of NASN Fellow, Bridget Heroff MSN, RN, PEL-CSN received the Illinois Nurses Foundation (INF) 40 under 40 Emerging Nurse Leader award, Gloria Barrera MSN, BSN, RN, PEL-CSN received the Illinois Public Health Association (IPHA) Everett I. Hageman Volunteerism Award {National Association of Hispanic Nurses (NAHN)} as well as the Henrietta Villaescusa Community Service Award. Cathy Yonkaitis DNP, RN, NCSN, PEL-CSN, PHNA-BC, and Robin Adair Shannon DNP, MS, RN, NCSN, PHNA-BC NASN received the Presidential Recognition Award for their work in editing, “School Nursing a Comprehensive Text.” Robin Shannon was also named Outstanding School Nurse Educator. Frances Belmonte-Mann, MA, BSN, RN PEL/School Nurse PEL/ADM NCSN and Jessica H. Gerdes, MS, BSN, RN PEL/School Nurse, NCSN recently authored the book, “Special Education and School Nurses; From Assessments to IEPs.” Finally, Eileen Moss, DNP, MS, RN, NCSN, PEL-CSN was named School Nurse Administrator of the Year by her colleagues. This impressive list of accomplishments is not included in order to boast (ok just a little), but rather it represents the depth of knowledge, commitment, expertise, and energy IASN’s members possess and are eager to share with other school nurses.
Looking Forward,Juanita Gryfinski MSN, MS, MA, PEL-CSN, NCSNPresident Illinois Association of School Nurses.
IASN
The Nursing Voice December 2019 Page 7
Print or store a copy of your license: To print a copy of your license or store a copy on your smartphone or tablet, go to the Illinois Department of Financial and Professional Regulation website https://idfpr.com/. Place your cursor over Professional Regulation; the first item in the drop-down menu is “Print My License,” which will take you to that page. On the “Print My License,” page select the middle box, “Licensed Professionals,” and follow directions. Licensees only need to provide their individual license number and either date of birth or last four digits of social security number.
For licensees interested in storing an electronic license pocket card on their smartphone or tablet, the link is at the bottom of this same page, “Electronic Pocket Card Overview.” Electronic pocket cards may be saved as a PDF file or by taking a screenshot and storing it as a photo.
Address update: Please note that all IDFPR correspondence are now delivered electronically, including renewal reminders (in lieu of the paper postcard). Licensees are strongly encouraged to visit IDFPR’s online address change webpage (https://www.idfpr.com/applications/LicenseReprint/) to provide a current email address and ensure contact information is up-to-date and accurate.
Name change: Change of name CANNOT be completed via this online process. If your name has changed, you must submit a written notice to the Department and include documentation of the name change (marriage license, court order, or divorce decree) For a copy of the written notice; please use this link https://www.idfpr.com/Forms/DPR/DPRCOAnamechange.pdf
Continuing Education required for license renewal beginning in 2020: There is a new CE requirement for Illinois LPNs, RNs and APRNs beginning January 1, 2020:
a. All LPNs, RNs and APRNs, shall complete a one-hour CE course in sexual harassment prevention training from a pre-approved provider.
b. This one-hour of sexual harassment prevention training CE course is intended to fit into the licensee’s regular CE requirements. For LPNs and RNs, one of the 20 hours of required CE must be a sexual harassment prevention training course. For APRNs, one of the 80 hours of required CE must be a sexual harassment prevention training course.
c. Additional information regarding this new requirement for license renewal in 2020 is
Online Resources – Print a copy of your license, update your address, and more
available http://nursing.illinois.gov/PDF/2019-07_IDFPR_SexHarassPreventTraining_final.pdf
Did you know a nurse may avoid discipline against their license by self-reporting impairment? Illinois law allows nurses to participate in care, counseling, and treatment for impairment if certain requirements are met, including that the licensee self-reports their impairment and/or certain adverse actions within sixty (60) days. For more information, visit www.idfpr.com and complete the "Nursing Self-Report Form" or call (312) 814-6910 to self-report.
If you have questions, assistance is available Monday through Friday by contacting the IDFPR call center at 1-800-560-6420, or by email at [email protected].
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Page 8 December 2019 The Nursing Voice
SNAI UPDATE
779-529-2012
The Nursing Journey: Difficult roads lead to beautiful destinations
Keynote Speaker Cameron White inspired students to continue to follow their destination no matter what difficulties they face along the way.
Cameron White, a research assistant, and interventionist in the Master’s Entry Program at Rush University where he will graduate in December of 2019 gave the keynote address. Mr. White inspired the audience with his external creative impulse to be resolute in his journey on a difficult road.
Mr. White has held a compelling number of leadership and advocacy positions, such as serving on the Rush University College of Nursing student council, leading a nurse mentoring program and developing an addiction recovery program. Mr. White leads interdisciplinary discussions on challenging topics in healthcare while teaching health literacy lessons to community members.
Breakout Speakers gave encouragement and insight into many aspects of the difficult road to our destination. Trista Long gave confidence to students that a road of failure can lead to success. Shannon Schraeder guided students with her experience within the nursing journey and how to get there. Janet Pickett gave awareness to the road of nursing compelled with substance use disorder with advocacy to return to a normal state of health, mind, and strength.
Congratulations to the new SNAI Board of Directors: President: Alexis Hodges - Aurora University1st Vice President: Jasmine Mejia - University of Illinois at Chicago College of Nursing- Springfield Campus2nd Vice President: Zeel Patel - Chamberlain University- Addison Secretary: Crystal Tribbett - Carl Sandburg CollegeTreasurer: Jori Roysdon - Aurora UniversityMarketing Director: Stephanie Green - DePaul UniversityLegislation Director: Maggie Murphy - DePaul UniversityImage of Nursing Director: Madi Morgan - Blessing Rieman College of NursingBreakthrough to Nursing Director: Pam Saylor - Carl Sandburg CollegeMembership Director: Steven Rhoads - Rush UniversityNominating and Elections Committee Chair: Bo Sananixai - Lakeview College of NursingElected Executive Consultant: Anna Sheen - Chamberlain University - Addison
The conference was sponsored by Memorial Health System and Indiana Wesleyan University
SNAI 70th Annual Convention October 5th, 2019
NAHN-Illinois Treasurer, fierce nurse leader, and trailblazer, Gloria E. Barrera, MSN, RN, PEL-CSN, took office as President-Elect of the Illinois Association of School Nurses (IASN). Gloria’s passion for public health nursing is evident in every facet of her career. She was this year’s Henrietta Villaescusa Community Service Award recipient and was also recognized by the Illinois Public Health Association as this year’s Everett I. Hageman Volunteerism Award for her dedication to volunteer efforts to improve public health, exemplified through her leadership role over a sustained period. Gloria is a vital Board member of NAHN-Illinois; she has dedicated her talents, and efforts to fundraise several thousands of dollars to support medical missions to Puerto Rico, scholarships, and our chapter’s mission since 2016. Gloria’s expertise is in school nursing. As a school nurse in Illinois, she remains at the forefront of public health issues impacting students, families, and the community. She aims to elevate the profession of school nursing. Her vision is for every student to have access to a school nurse, no matter his or her zip code in Illinois. We are proud and motivated by her leadership, IASN is lucky to have her.
NAHN-Illinois Celebrates the Accomplishments of Gloria E. Barrera, MSN, RN, PEL-CSN
Gloria E. Barrera, MSN, RN, PEL-CSN
To access electronic copies of the The Nursing Voice, please visit
http://www.nursingald.com/publications
The Nursing Voice December 2019 Page 9
Just this past September, nurse leaders throughout the state of Illinois gathered in Oak Brook for another successful IONL Annual Conference. This two-day educational event focused on empowering nurses to fight for civility in their workplace and gave insight on how to increase their impact as leaders. With over 230 attendees and 20 exhibitors, the conference was one of our most successful events yet! We hope the attendees were all able to take something away and share it with their organizations.
IONL has grown substantially in 2019 alone. From the success of our Annual Conference to our enhanced live webinars and in-person workshops, IONL has offered an array of educational events designed to help our members make an impact at their organizations. If you are interested in membership in IONL, please visit our membership page to learn more about the different options. As a 2020 member, you will have access to our many member benefits, including:
• In-person educational opportunities: Along with our long-standing events like the IONL Annual Conference or our Fellowship Program, we've enhanced our hands-on workshops like the Finance Workshop to get you the skills you need to succeed as a nurse leader.
• Robust Career Center: IONL recently launched an expansive career center offering new job opportunities and reach for members.
• Regional events: New regional events were introduced in 2019, with expanded offerings scheduled for 2020.
• Digital Education: IONL offers free live webinars throughout the year and recently launched a new digital library offering CE credit for recorded webinars at a discounted subscription rate for members.
To learn more about IONL membership and its many educational and networking opportunities for nurses in the Midwest, visit www.ionl.org.
Make an Impact as a Nurse Leader in 2020
The Chicago Chapter of Case Management Society of America (CMSA) would like to introduce the Board of Directors for 2019-2020. An all-volunteer board of RNs, social workers and aligned service providers, CMSA Chicago’s mission is to “facilitate the growth and development of professional case managers across the full health care continuum, promoting high quality, ethical practice benefitting patients and their families. Case Managers strive for improved health outcomes by providing evidence-based resources, impacting health care policy and sustaining the CMSA-developed Standards of Practice for Case Management.”
President: Colleen Morley DNP RN President Elect: John Heraty LSCW Past President Eric Bergman RN Treasurer: Carolina Mosley MSN RN Secretary: Jeff Crofoot MSN RN Membership Secretary: Arlene Gustafson BSN RN
Directors At Large: Jennifer Axelson LCSW Jenell Genardo Aishling Dalton Kelly Linda Kunicki Carol Santee RN Anna Winkowski MSN RN
CMSA Chicago meets monthly on the second Tuesday of each month, in the evening, as well as our annual conference on March 10, 2020 and other educational events throughout the year. Each event offers RN, SW and CCM credits.
Upcoming special events include 4.0 CE weekend series on the MISSION Act (Updated Veterans Community Care Services, see website for schedule) and 8.0 CE CCM Review/Refresher weekend class on 11/23/19. We invite you to visit our website www.cmsa-chicago.org for information on upcoming events and exploring the specialty of case management.
CMSA Chicago Update
Ellen Durant, RN (Retired) MSHA,President, Chicago, Chapter National Black Nurses Association
The primary issue surrounding the problem of childhood obesity in the United States is its increasing incidence. For example, in 2014, the Center for Disease Control (CDC) reported that over the preceding 30 years, that is, from 1984 until 2014, the “incidence of pediatric obesity increased from less than 5% to approximately 20%” (CDC, 2019). Five years later, in 2019, obesity in children continues to rise ( Needs updated reference as one noted is from 2014, and author is speaking about 2019). In terms of percentages by age, the prevalence of obesity was “13.9% among two to five year-olds, 18.4% among six to 11 year-olds, and 20.6% among 12- to 19-year-olds” (NCBI). This data clearly establishes the fact that childhood obesity represents a serious health problem in the United States. From the professional nursing perspective, it also represents a long-term health epidemic that needs to be effectively addressed by all health professionals, but especially nursing professionals.
As a nursing issue, childhood obesity requires that nursing professionals become better informed on its growing prevalence, as an epidemic, and on evidence-based nursing and allied health prevention and intervention strategies, that have been successfully employed and used to prevent the incidence of childhood obesity, enhance the care of children suffering from obesity and provide leadership in helping to address the childhood obesity epidemic, overall.
To become better informed on the epidemic of childhood obesity, professional nurses can be proactive and take direct action to educate themselves on its prevalence (Rowen, L., 2009). Similarly, to become better informed on both nursing and allied health prevention and intervention strategies professional nurses should take direct action in educating themselves on nursing and allied health prevention and intervention strategies. Such evidence-based practices may be applied professionally to spearhead and guide nurse-led prevention and intervention initiatives. For example, experts and researchers in the field have found that nursing and allied health prevention and intervention approaches are needed (Betz, C.L., 2000). Other experts have found that informed nurses may effectively “position themselves as role models and educators for their families, communities, and patients” (Rowen, L., 2009).
Informed professional nurses will be better prepared and able to take the lead as primary care clinicians and as members of inter-disciplinary teams in addressing the epidemic of childhood obesity in the United States. For example, nurses “can help parents and children by providing nutritional advice and, through weight management programs, offer strategies for decreasing caloric intake and increasing physical activity” (Rabbitt, A., & Coyne, I., 2012). For these reasons, it is incumbent upon professional nurses to become informed on childhood obesity.
In conclusion, professional nurses are poised to take the lead in the development and implementation of prevention and intervention strategies aimed at helping to end the epidemic of childhood obesity in America.
References available upon request.
Childhood Obesity and the Professional Nurse
Page 10 December 2019 The Nursing Voice
CONTINUING EDUCATION OFFERING
A.B. was a patient who was well known to me. A ‘frequent flier’ to the core, he would come into the emergency department with some regularity, complaining of a fall, back pain, headache, etc., and always needing a bus pass or cab voucher on his way out. Really, I think what he wanted most was somebody to talk to, and in the winter, a place out of the cold.
It’s easy for us as nurses to fall into a pattern of judging the A.B.’s of this world, and certainly A.B. did get on my nerves from time to time. “You have emphysema! Stop smoking, friend!” “Can you help me help you by talking with me about what we can do to improve medication compliance?” But at the end of the day, it became more and more obvious to me as time went by that it wasn’t my place to judge what circumstances and conditions that A.B. grew up in, lived in, and aged in that led him to me.
Moreover, it became plain to me that while I could do my best for A.B. in the short time I saw him, in order to have a real impact on his health, his healthcare team would need to have an impact first on his/his community’s “social determinants of health.”
Social determinants of health refer to “the conditions in which people are born, grow, live, work and age that shape health,” according to the Kaiser Family Foundation. They include aspects such as socioeconomic status, education, neighborhood and physical environment, diet, social support networks, and access to healthcare. But how do these factors influence health, and what can we as nurses do about them? We will address each in turn.
Socioeconomic statusSocioeconomic status includes factors such as
employment, income, expenses, debt, and medical bills. Basically, is there economic stability in the patient’s life? People of lower socioeconomic status are more likely to self-report worse health,1 suffer from more chronic conditions,2 3 and have a lower life expectancy4 when compared with those of higher socioeconomic status.
Socioeconomic status is intertwined with all other social determinants of health. For example, my diet might not be great if I can’t afford the transportation to and from the grocery store and instead buy snacks from the corner store. If I can’t afford an education, I’m hindered from rising above my current social and economic status.
What can nurses do if socioeconomic status is harming the health of their patients?
• Ensure that patients are informed of any charitable, sliding scale, or government programs that may defray the cost of care
• Refer patients to workforce centers• Get social work involved• Get involved on a policy level—retraining
programs, laws that forbid ‘surprise’ medical billing, apprenticeship programs, and more are all good ways to help others help themselves
EducationEducation includes factors such as literacy, language,
early childhood education, vocational training, and higher education. U.S. adults with less education have shorter lifespans5 and a higher incidence of chronic diseases6 than those with more education. Taken to its extreme, one
study found that by the age of 25 a U.S. adult without a high school diploma has a shorter lifespan by nine years compared with one whom is a college graduate.7
Here’s how nurses can help:• Ensure that parents are advised of the
importance of early childhood education, or even of the importance of reading to children (a multitude of studies stress the importance and significance of reading to children when they are young)
• For English as a second language patients, consult with social work on availability of local English as a second language programs
• Refer to local public health department for possible early childhood assessments
• Get involved on a policy level—sliding scale early childhood education programs, increased vocational/apprenticeship programs, English as a second language programs, and the availability of grants/scholarships are all policy-level interventions that can help improve the education of all our patients
Neighborhood/Physical EnvironmentNeighborhood and physical environment includes
factors such as housing, transportation, safety, parks, playgrounds, and geography. Neighborhood and physical environment has an outsized influence on obesity,8
incidence of environmental-related conditions such as asthma9 or lead poisoning,10 exposure to gun violence,11
and mortality.12 In the words of one researcher, “your ZIP code may be more important for your health than your genetic code.”13
There are several ways nurses can advocate for their patients regarding the social determinant of neighborhood/physical environment:
• Assess whether patient feels safe at home and follow-up as appropriate
• Be aware of environmental concerns in your local practice area and advise patients as appropriate; for example, is it a high-particulate area? Are there known issues with the drinking water?
• Get involved at a policy level: affordable housing, walkable cities, affordable transportation initiatives, and the availability of parks and sidewalks are all policy-level initiatives that can have a positive impact on health.
DietWhile it may seem obvious, diet is more than just the
food one eats, it’s also the food one has access to. “Food deserts” in both rural and urban areas designate places where healthy food simply isn’t available.
Poor diet has been linked to a myriad of chronic health issues, cardiovascular disease and cancer being the most common.14 According to one researcher, “low intake of healthy foods and high intake of unhealthy foods is the leading cause of mortality, globally and in many countries.”15
Here’s how nurses can help: • Assess current diet, understanding of proper
diet, and availability of healthy food. Educate as necessary.
• Provide resources for WIC programming as appropriate.
• Refer to dietician (if available) as needed.• Get involved: there are many changes to the
WIC and EBT programs currently being proposed which would have a negative impact on many of our patient’s abilities to obtain healthy food options.
Social Support NetworksSocial support networks denote the availability of
family, friends, and systems that one can turn to in times of need. Churches and religious groups, community groups, and charitable entities all qualify as social support networks. Social support builds people up during times of stress, and can help people thrive and build resilience.
Poor social support has been shown to increase the risk of depression,16 suicide,17 alcohol use,18 and cardiovascular disease.19
What can nurses do to help with social supports? Be consistent with punctuation, sentence structure below)
• Be familiar with support groups in the area. Religious groups, 12 step groups, charitable organizations, and other community groups are great places to refer patients who may lack social supports or who may be new to the area.
• Consider volunteering for organizations that you see making a difference
• Take care of yourself too! Analyze your social support groups and take advantage of the resources for members in your own community
• As always, if you are unfamiliar with social support groups in the area, consider referring to social work
Access to HealthcareSurprisingly, access to healthcare may be the weakest
determinant of them all.20 That’s because our patients are already in a particular health status before they get to us. While we may return them to their baseline, their baseline to some extent has already been determined by their particular social determinants of health.
Improving access to healthcare involves educating patients on available healthcare options (e.g. public health department, low or no-cost programs, sliding scale programs) and advocating for increased availability of healthcare for those who need it.
You may have noticed that all of the above social determinants of health are closely related, and many share common methods to address the issue. Indeed, at the end of the day, each social determinant is inextricably linked with the others—they come in a bundle. You can’t eat healthy if you don’t have proper education on food hygiene, money to buy the right food, transportation to get the food, and a clean environment to eat the food.
How can you use knowledge of the social determinants of health into practice in your practice? Consider this case study.
Case StudyIn 2016, the leadership of a state nurses association
was considering whether or not to support a local ordinance that would raise the minimum wage in a large metropolitan city.
1. What social determinants of health would the minimum wage ordinance impact?
2. What health outcomes would you expect to be improved were the ordinance to be passed?
3. Would you personally take a position on this issue? If so, what?
The nurses association did decide to support the ordinance. As you read their letter, consider their reasoning. How might you get involved on a policy level to improve social determinants of health for your community, your patients, and yourself?
Dear Councilmember,Socioeconomic disparity is identified by the weight
of scientific literature as a major determinant of health outcomes.21 For this reason, the Nurses Association unequivocally supports any initiative intended to result in livable wages, specifically the $15 minimum wage proposal under consideration by the city council.
It is well established that poverty wages are linked with an increased incidence of disease and premature death,22 lower markers of overall health,23 low birth weight,24 and increased incidence of mental disorders,25
among others. Conversely, “reducing income inequality by raising the incomes of more disadvantaged people will improve the health of poor individuals, help reduce health inequalities, and increase average population health.”26 For these reasons, it is undisputable that socioeconomic disparity is tantamount to health inequality and constitutes an issue of public health.
Nurses have an ethical and legal obligation to advocate for the health and well-being of their patients.27 Insofar as the patient population for registered nurses incorporates “caring for all patients in all settings,”28 our association and its nurses have an obligation to advocate for movements intended to improve population health and reduce health disparities, including those intended to reduce the burden of socioeconomic determinants on health outcomes.
Our elected representatives share this ethical obligation. Furthermore, a focus on reducing poverty through increasing wages makes good fiscal sense: in the long run, it stands to reason that the resultant
Social Determinants of Health – A Case Study
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The Nursing Voice December 2019 Page 11
CONTINUING EDUCATION OFFERING CE Offering1.0 Contact HoursThis offering expires in 2 years:December 15, 2021
Learner Outcome: 80% of those reading the article and completing
the post-test will self-report increased knowledge in the role of the nurse in addressing the social determinants of health.
HOW TO EARNCONTINUING EDUCATION CREDITThis course is 1.0 Contact Hours1. Read the Continuing Education Article.2. Go to https://www.surveymonkey.com/r/
SocialDeterminants22861 to complete the test and evaluation. This link is also available on the INF website www.illinoisnurses.foundation under programs.
3. Submit payment online.4. After the test is graded, the CE certificate will
be emailed to you.
HARD COPY TEST MAY BE DOWNLOADED via the INF website www.illinoisnurses.foundation under programs.
DEADLINETEST AND EVALUATION MUST BE COMPLETED BY December 14, 2021Complete online payment of processing fee as follows:
ANA-Illinois members- $8.00Nonmembers- $15.00
ACHIEVEMENTTo earn 1.0 contact hours of continuing education,
you must achieve a score of 80%If you do not pass the test, you may take it again at
no additional charge.Certificates indicating successful completion of
this offering will be emailed to you.
The planners and faculty have declared no conflict of interest.
ACCREDITATIONThis continuing nursing education activity
was approved by the Ohio Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. (OBN-001-91)
CE quiz, evaluation, and payment are available online at https://www.surveymonkey.com/r/SocialDeterminants22861 or via the INF website www.illinoisnurses.foundation under programs.
improved population health will result in a reduced need for secondary and tertiary care within public healthcare programs, as well as a reduced reliance on government assistance programs overall.
Because socioeconomic disparities are a public health issue, because we as nurses share an ethical obligation with our elected representatives to reduce health disparities and the burden of socioeconomic determinants on health outcomes, and because increasing wages makes good fiscal sense, we urge the City Council to pass a minimum wage increase.
Thank you for your consideration of this important public health issue.
Best Regards,XXXXXX
References 1 Foraker, RE, Rose, KM, Chang, PP. Socioeconomic status and the
trajectory of self-rated health. Age Ageing. 2011;40:706-711.2 Clark, AM, DesMeules, M, Luo, W, Duncan, AS, Wielgosz, A.
Socioeconomic status and cardiovascular disease: risks and implications for care. Nat Rev Cardiol. 2009;6:712-722.
3 Agardh, E, Allebeck, P, Hallqvist, J, Moradi, T, Sidorchuk, A. Type 2 diabetes incidence and socio-economic position: a systematic review and meta-analysis. Int J Epidemiol. 2011;40:804-818.
4 Signorello, LB, Cohen, SS, Williams, DR, Munro, HM, Hargreaves, MK, Blot, WJ. Socioeconomic status, race, and mortality: a prospective cohort study. Am J Public Health. 2014;104:e98-e107.
5 Olshansky SJ, Antonucci T, Berkman L, et al. Differences in life expectancy due to race and educational differences are widening, and many may not catch up. Health Aff. 2012;31(8):1803-1813.
6 Schiller JS, Lucas JW, Peregoy JA. Summary health statistics for U.S. adults: National Health Interview Survey, 2011. National Center for Health Statistics. Vital Health Stat 10(256). 2012
7 National Center for Health Statistics. Health, United States, 2011: With Special Feature on Socioeconomic Status and Health. Hyattsville, MD. 2012.
8 Gopal K. Singh, Mohammad Siahpush, and Michael D. Kogan, “Neighborhood Socioeconomic Conditions, Built Environments, and Childhood Obesity,” Health Affairs 29, no. 3 (March 2010):503-512, doi: 10.1377/hlthaff.2009.0730.
9 Braveman PA, Dekker M, Egerter S, SadeghNobari T, Pollack C. Issue brief: housing and health. Princeton, NJ:Robert Wood Johnson Foundation Commission to Build a Healthier America. 2011.
10 Vivier PM, Hauptman M, Weitzen SH, Bell S, Quilliam DN, Logan JR. The important health impact of where a child lives: Neighborhood characteristics and the burden of lead poisoning. Maternal and child health journal. 2011; 15(8): 1195-1202.
11 Gruenewald P, Remer L. Changes in outlet densities affect violence rates. Alcoholism: Clinical and Experimental Research. 2006; 30(7): 1184-1193.
12 Joint Center for Political and Economic Studies. Place matters for health in New Orleans parish: Ensuring opportunities for good health for all. New Orleans Place Matters. http://www.orleansplacematters.org/wp-content/uploads/2012/06/CHER-Final-text.pdf. Published June 2012
13 Marks JS. Why your zip code may be more important than your genetic code. The Huffington Post. May 25, 2011. http://www.huffingtonpost.com/james-s-marks/why-your-zip-code-maybe_b_190650.html.
14 GBD 2017 Diet Collaborators. Health effects of dietary risks in 195 countries, 1990-2017: a systematic analysis for the Global Burden of Disease Survey 2017. The Lancet. 2019; 393(10184): 1958-1972.
15 Ducharme, Jamie. Poor Diets Are Linked to 20% of All Deaths Worldwide, Study Says. But These Foods Could Help. https://time.com/5562994/diet-disease-mortality/#targetText=%E2%80%9CLow%20intake%20of%20healthy%20foods,death%20globally%2C%20the%20researchers%20found.
16 Reblin, M., & Uchino, B. N. (2008). Social and emotional support and its implication for health. Current opinion in psychiatry, 21(2), 201–205. doi:10.1097/YCO.0b013e3282f3ad89
17 Kleiman, E. M., & Liu, R. T. (2013). Social support as a protective factor in suicide: findings from two nationally representative samples. Journal of affective disorders, 150(2), 540–545. doi:10.1016/j.jad.2013.01.033
18 Dixit, S., Chauhan, V. S., & Azad, S. (2015). Social Support and Treatment Outcome in Alcohol Dependence Syndrome in Armed Forces. Journal of clinical and diagnostic research : JCDR, 9(11), VC01–VC05. doi:10.7860/JCDR/2015/14142.6739
19 Ozbay, F., Johnson, D. C., Dimoulas, E., Morgan, C. A., Charney, D., & Southwick, S. (2007). Social support and resilience to stress: from neurobiology to clinical practice. Psychiatry (Edgmont (Pa. : Township)), 4(5), 35–40.
20 J. Michael McGinnis and William H. Foege, “Actual Causes of Death in the United States,” The Journal of the American Medical Association 270, no. 18 (Nov. 10, 1993):2207-2212, doi:10.1001/jama.1993.03510180077038 and Ali H. Mokdad et al., “Actual Causes of Death in the United States,” The Journal of the American Medical Association 291, no. 10 (March 10, 2004):1238-1245, doi:10.1001/jama.291.10.1238.
21 See, e.g., Lynch, J., Smith, G. D., Harper, S., Hillemeier, M., Ross, N., Kaplan, G. A., & Wolfson, M. (2004). Is Income Inequality a Determinant of Population Health? Part 1. A Systematic Review. The Milbank Quarterly, 82(1), 5–99. (“In aggregate-level U.S. studies, the extent of income inequality…seems reasonably robustly associated with a variety of health outcomes, especially when measured at the state level.”)
22 National Center for Health Statistics. 2012. Health, United States, 2011: With Special Feature on Socioeconomic Status and Health. Hyattsville, MD: US Department of Health and Human Services, Centers for Disease Control and Prevention, National Center for Health Statistics.
23 Braveman, Paula A., Catherine Cubbin, Susan Egerter, David R. Williams, and Elsie Pamuk. 2010. “Socioeconomic Disparities in Health in the United States: What the Patterns Tell Us.” American Journal of Public Health 100 (S1): S186–S196.
24 Dubay, L., T. Joyce, R. Kaestner, G. M. Kenney. 2001. “Changes in Prenatal Care Timing and Low Birth Weight by Race and Socioeconomic Status: Implications for the Medicaid Expansions for Pregnant Women.” Health Services Research 36 (2): 373–98.
25 Schiller, J. S., J. W. Lucas, and J. A. Peregoy. 2012. “Summary Health Statistics for U.S. Adults: National Health Interview Survey, 2011.” Vital and Health Statistics 10 (256)
26 Id. at 127 Code of ethics for nurses with interpretive statements.
(2015). Silver Spring, MD: ANA, American Nurses Association.
28 Id.
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Page 12 December 2019 The Nursing Voice
Take 4 minutes after completing license renewal 2020 – Share Your Nursing and Workforce Statistics –
Participate Are there areas in the State where Registered Nurses (RNs) or Advanced Practice
Registered Nurses (APRNs) are concentrated? Where are the greatest needs? Are there popular RN or APRN specialties? How would the educational pipeline for RNs be best characterized? Where are the APRNs with full practice authority seeing patients?
We are asking for your help in answering these questions. In 2020, the Illinois Nursing Workforce Center will again be offering the opportunity to participate in the collection of data. At the end of license renewal, nurses will see the following message:
“All data will be reported in the aggregate for use in determining nursing workforce projections and needs in Illinois. Individual responses will remain anonymous and confidential. Summary reports, available on the IDFPR website, may be accessed for compilation into national databases or used for comparison with other reported databases. Participation in the surveys is voluntary but very much needed and appreciated!”The RN survey is 26 questions long and takes about four minutes to complete. The
APRN survey is about 50 questions long and takes about ten minutes to complete. All data will be reported in the aggregate for use in determining nursing workforce projections and needs in Illinois. Each survey captures data on the demographics, education, state distribution and practice foci in Illinois. Individual responses will remain anonymous and confidential. Participation in the survey is voluntary but very much needed and appreciated!
Past reports are available on the Illinois Nursing Workforce Center website http://nursing.illinois.gov/ResearchData.asp The 2018 RN report shows that the main employment setting for RNs was hospital/acute care settings (52%), which is similar to the 2016 RN survey results, but different from the 2000 survey, where approximately 64% RNs worked in hospital setting. The APRN report includes questions to help evaluate differences with APRN full practice authority.
RN and APRN license renewal will begin in March 2020 for the more than 205,000 RNs and more than 15,000 APRNs in Illinois.
Prescribers with Controlled Substances Registrations are required to complete three hours of continuing education (CE) on safe opioid prescribing practices to renew their Controlled Substances Registration. This requirement can be included in the total number of hours required to renew a professional license. This requirement will be in effect for all Controlled Substances Registration renewals in 2020 and after. For further information please go to the Illinois Nursing Workforce Center Website, Continuing Education (CE) tab, section APRN license renewal: http://nursing.illinois.gov/NursingCE.asp
Safe Opioid Prescribing Practices Continuing Education (CE) Requirement in Effect for ALL Prescribers Renewing in
2020
Friday, February 28, 2020Time: 6:00pm
Location: Apostolic Faith Church3823 South Indiana Avenue
Chicago, Illinois
Recognizing Midwives and Legendary Nurses
Sponsored by:
Alpha Eta Chapter of Chi Eta Phi Sorority, Inc.Beta Mu Chapter of Lambda Pi Alpha Sorority
Chicago Chapter National Black Nurses’ AssociationProvident Hospital Nurse’s Alumni Association
For more information please contact us at the following:
National Black Nurses' Day32nd Annual Celebration
Dr. Sandra M. Webb-Booker, RNChair
Marilynn Parker, RNSecretary
Jackie Smith, RNTreasurer
Louise Hoskins Broadnax, RNHistorian
Carolyn Owens, RNPublicity
Rev. Evelyn Collier-Dixon, RN
Valeria Hubbard, RN
Adrian D Priester, RN
Ronald Campbell, RN
Sandra Gaynor PhD, RN
2020 has been declared the “Year of the Nurse” by the World Health Organization, and it is also the 200th anniversary of the birth of Florence Nightingale! These significant events call for special recognition and celebration of our profession! How can you help make it special?
From April 3 to May 24, 2020, the Hektoen Nurses and Humanities and the Hektoen International Journal of Medical Humanities will sponsor an exhibit at the International Museum of Surgical Sciences (IMSS) at 1500 Lake Shore Dr. in Chicago. The exhibit title is “Nurses’ Relaxation and Renewal through the Arts.” We intend to share with colleagues how nurses use a wide and varied range of artistic expressions to support self-care with rest, relaxation and renewal.
We invite all nurses, students, retirees, etc., to submit pictures of their wide variety of artistic talents for the six week display of their poetry, photography, gardening, writing, sewing, pottery, painting, collage, music etc. and any appropriate art activities that engage nurses in relaxing and renewing their energies.
There will be an opening reception for 200 participants and guests at the IMSS. The date for the reception will be announced later through Facebook and Instagram. The exhibit space will allow nurses to network with those who share their interests but not necessarily their nursing specialty. The exhibit may serve as a prompt to healthcare institutions to highlight the talents of their own nursing employees during the “Year of the Nurse.”
To Submit Your PicturesPlease send one to three photos of your art form online to [email protected] by
March 1, 2020. All entries will be featured either on display or on a video loop. More information and further details are available through [email protected].
This is an amazing opportunity, nurses. Show others what you do to nourish yourself and how you continue to follow the path of Florence Nightingale.
Hektoen Nurses and the Humanities presents programs that encourage the healing power of the arts and the humanities for caregivers and their patients.
Follow us on Facebook at https://www.facebook.com/NursesandHumanities/
Renewal: A Showcase Event for Nurses’ Art Expressions
Gallup Indian Medical Center We are hiring Registered Nurses!
79 Bed, Baby Friendly, Trauma III designated hospital bordering the Navajo Nation in Gallup, NM.
Myra Francisco, RN – Nurse Recruiter505.726.8549 | [email protected]://bit.ly/GSU-RN
Contact:
I.H.S. is required by law to give absolute preference to qualified Indian applicants. Equal Opportunity Employer.
We offer:Competitive Salaries
Relocation Recruitment/Retention Incentives
Loan Repayment
Med/Surg, OB/L&D, ICU, Ambulatory Care, ER, Peds, Periop & other specialty positions available.
The Nursing Voice December 2019 Page 13
Nurses want to provide quality carefor their patients.
The Nurses Political Action Committee (Nurses- PAC) makes sure Springfield gives them the resources to do that.
Help the Nurses-PAC, help YOU!
So. . . . . . . if you think nurses need more visibility. . . . . . . . . if you think nurses united can speak more
effectively in the political arena. . . . . . . . . if you think involvement in the political
process is every citizen’s responsibility.
Become a Nurses-PAC contributor TODAY!
❑ I wish to make my contribution via personal check (Make check payable to Nurses-PAC).
❑ I wish to make a monthly contribution to Nurses-PAC via my checking account. By signing this form, I authorize the charge of the specified amount payable to Nurses-PAC be withdrawn from my account on or after the 15th of each month. (PLEASE INCLUDE A VOIDED CHECK WITH FORM)
❑ I wish to make my monthly Nurses-PAC contribution via credit card. By signing this form, I authorize the charge of the specified contribution to Nurses-PAC on or after the 15th of each month.
❑ I wish to make my annual lump sum Nurses-PAC contribution via a credit or debit card. By signing this form, I authorize ANA-Illinois to charge the specified contribution to Nurses-PAC via a ONE TIME credit/debit card charge.
❑ Mastercard ❑ VISA
________________________ ___________ ________ Credit card number Expires CVV Signature: _____________________________________
Date: _________________________________________
Printed Name: __________________________________
E-Mail: _______________________________________
Address: ______________________________________
City, State, Zip Code: ____________________________
Preferred Phone Number: _________________________
Please mail completed form & check to:ANA-IllinoisAtten: Nurses-PACPO Box 636Manteno, Illinois 60950
The Future of Nursing Campaign for Action hosted an invitational meeting of state Action Coalition leaders and state leaders with school nurse expertise. The meeting
Illinois Nurses Lead the Way at the Future of Nursing Campaign for Action
Town Hall Meeting:Better Schools, Better Communities for a Healthier
America, New Orleans, October 3, 2019
(L-R) Linda B. Roberts, MSN, RN; Susan B. Hassmiller, PhD, RN, FAAN; and Linda A. Vollinger, MS, BSN, RN, PELSN.
was hosted by Dr. Susan Hassmiller, senior advisor for nursing at the Robert Wood Johnson Foundation (RWJF). Illinois sent Linda B. Roberts, MSN, RN, Manager of the Illinois Nursing Workforce Center and Illinois Healthcare Action Coalition co-lead and Linda A. Vollinger, MS, BSN, RN, PELSN, President, Illinois Association of School Nurses. The two-day meeting focused on the role school nurses play in addressing the social determinants of health to improve the health of individuals, families, and communities. In addition, those who attended explored models and partnerships to maximize the effectiveness of school-based health. The Future of Nursing 2020-2030 Committee is interested in nurses’ insights on how to advance the profession of nursing to help our nation create a culture of health, reduce health disparities, and improve the health and well-being of the U.S. population in the 21st century.
The Illinois Nursing Workforce Center is a resource to find information on education options and workforce reports from data collected with biannual online re-licensure, as well as continuing education and re-licensure resources. http://nursing.illinois.gov/Default.asp
Please don’t forget to mark your calendars for the Illinois Healthcare Action Coalition (IHAC) Public Health Nurse day of interactive workshops. Sign up to hear our keynote speaker, Patti Scott, Clinical Director, Office of Primary Prevention, Tennessee Department of Health, and a Robert Wood Johnson Public Health Nurse Leader and learn how public health and community health nurse experts collaborate with academic nursing faculty to advance the profession of nursing to help our nation create a culture of health, reduce health disparities, and improve the health and well-being of communities.
Join us via ZOOM in the comfort of your home or office for two hours and earn two continuing education (CE) contact hours OR join us IN PERSON for five hours at the oldest college in Illinois, McKendree University, in Lebanon, Illinois and earn 3.5 hours continuing education (CE) contact hours.
Please click on the link below to register your attendance by Zoom OR in person:
When: Thursday, March 12, 2020ZOOM: 10:00am – 12:00pm
Where: Zoom from the comfort of your home or officeRegistration fee: $10.00 per person to receive 2.0 CE
credit hoursTo attend via Zoom – registration is a two-step process.
Please watch for instructions in the confirmation.OR
When: Thursday, March 12, 2020IN PERSON: 10:00am – 3:30pm (Registration opens at
9:30am)Where: McKendree University, Lebanon, Illinois
Registration fee: $10.00 per person includes 3.5 CE credit hours, Lunch, and…
FREE admission to a follow-up grant writing WEBINAR
REGISTER TODAY - https://conta.cc/2NAn33k
Join us and see our panel of nurse leaders and experts from partnerships in Illinois that focused on lessons learned from successful and sustainable collaborations between local health departments or community agencies and schools of nursing and student nurses. Hear how they positively impacted deliverables for the agencies while the students gained experience in population health. Projects included the use of social media in marketing health improvement campaigns and an interdisciplinary education collaboration in a rural county. These projects were supported by mini-grants funded by the Robert Wood Johnson Foundation (RWJF).
In addition, with the generous support of the RWJF and the Illinois Nurses Foundation, the Public Health Nurse Leadership Workgroup is able to offer this workshop for a nominal fee of $10.00 per person to a limited number of nurses. Please join us as we explore innovative public and community health nursing academic-practice partnerships.
This activity has been submitted to Ohio Nurses Association for approval to award contact hours. The Ohio Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.
Learn from the experts, earn valuable CE credit when it’s convenient for you.
Return on Investment, Partnerships Add Value
The Millikin University School of Nursing invites applicants to apply for a faculty position to teach in its CCNE-accredited baccalaureate, master’s, and DNP programs. The position is a ten-month, tenure-track position at the rank of Assistant Professor, beginning August 1, 2020.
You may view a complete position description and minimum qualifications at
www.millikin.edu/employmentEmployment and first day of work is contingent upon successful completion of a background check. Millikin University is an equal opportunity employer. Candidates from traditionally underrepresented groups in this field are encouraged to apply. Beyond meeting fully its legal obligations for non-discrimination, Millikin University is committed to building a diverse and inclusive community where members from all backgrounds can live, learn, and thrive. Millikin offers a competitive salary and full benefit package. Review of applications will begin immediately and continue until the position is filled.
ASSISTANT PROFESSOR (TENURE-TRACK) SCHOOL OF NURSING
Are you ready to make an impact on population health?...we are hiring...
Director for Disease Prevention$87,000 - $110,000/YR (DOQ) Assistant Director for Public Health Nursing $67,000-$77,000/YR (DOQ)
How to Apply:Go to www.countyofkane.org under the Employment tab to complete online application, and EEO form; and, upload your cover letter, resume and references.Qualified applicants may be required to submit to a criminal background check. EEO Employer.
Page 14 December 2019 The Nursing Voice
By Susan Trossman, RN
Reprinted with permission from ANA on the Frontline, as seen in American Nurse Today.
When asked why appropriate staffing was so important, Tracy Viers, MSN, RN, CCRN, didn’t hesitate for a second.
“The bottom line is it’s all about patient safety and positive outcomes,” said Viers, an ANA-Illinois member and intensive care unit (ICU) staff nurse at Blessing Hospital in Quincy, Illinois. “Good patient outcomes are dependent upon nurses, who can’t do their best when they have too many patients and tasks.”
And that inability to provide every patient with the best possible care also causes nurses, no matter where they work, incredible physical and emotional stress, she added.
The American Nurses Association (ANA) wants appropriate staffing to be the rule—not the exception—across care settings. To that end, the association continues to increase and widen its efforts, knowing that complex problems require a multipronged approach.
One effort involves pursuing a unified legislative and regulatory approach to achieve ANA’s staffing goal. Another is an educational and outreach campaign launching this fall to provide nurses with guidance and tools to help them make an immediate case for appropriate staffing and implement practical, comprehensive staffing plans. Among these resources is ANA’s Principles for Nurse Staffing, which was recently revised to make it more applicable to all settings and to emphasize nurses’ critical role in ensuring healthcare facilities meet their mission of providing patients and communities with quality, safe, and cost-effective care.
Assessing the problemIn a 2019 ANA membership survey of more than 6,700 nurses, 93% identified staffing
as an important issue, with 72% identifying it as “extremely important.” And when asked to name their top three nursing issues, “early career” nurses (zero to four-years of experience) and “up and comers” (five to 14 years of experience) named staffing as a priority far more than any other issue.
Texas Nurses Association member Bob Dent, DNP, NEA-BC, FAAN, FACHE, FAONL, who helped revise ANA’s staffing principles, pointed to years of research showing that appropriate nurse staffing leads to better patient outcomes and fewer adverse events. Studies also have linked appropriate staffing to cost savings that result from preventing complications and readmissions.
Yet findings from an ANA Enterprise HealthyNurse® Survey gathered between February 2017 and May 2019 revealed that more than a quarter of the 18,500-plus respondents said they were often assigned a higher workload than they felt comfortable with. About 52% responded that they frequently must work through their breaks to complete their assigned workload and 53% often have to arrive early or stay late to get their work done.
Speaking to staffing as a national issue, Washington State Nurses Association (WSNA) member and neuro-trauma ICU staff nurse Danielle O’Toole, BSN, RN, CCRN, said, “Nurses are continually being asked to do more and more and more with less.”
She also affirmed the ANA’s survey findings about nurses working nonstop. For years, nurses in her facility didn’t take rest and meal breaks for fear of overburdening their coworkers and putting their patients at risk. “Anything can happen in 30 minutes, especially in an ICU where you have critical I.V. drips,” O’Toole said.
Looking at the principlesAlthough ANA’s revised principles include additional information, such as referencing
the Institute for Healthcare Improvement’s triple aim efforts to improve health system performance, this resource continues to provide nurses with an important framework to help them develop, implement, and evaluate appropriate nurse staffing plans and activities. It includes core components of appropriate staffing such as:
• RNs at all levels within a healthcare system must have a substantive and active role in staffing decisions to ensure they have the necessary time to meet patients’ care needs and their overall nursing responsibilities.
• All settings should have well-developed staffing guidelines with measurable nurse-sensitive outcomes specific to that setting and the healthcare consumer population they are serving that are used as evidence to guide daily staffing.
• Staffing needs must be based on an analysis of the patient’s or consumer’s healthcare status, such as acuity and intensity, and the environment in which care is provided.
Calling for Appropriate StaffingOther considerations include RNs’ competencies, experience, and skill set; staff mix;
and previous staffing patterns that have shown to improve care outcomes.Dent reinforced the importance of nurse involvement and collaboration—such as
through the implementation of staffing advisory committees—to attain appropriate staffing and good patient experiences and care.
“It’s important that nurses aren’t questioning whether they are really making a positive difference for their patients,” said Dent, who recently left his long-time leadership role at Midland Memorial Hospital in Texas and is now vice president and chief nursing officer of three facilities within the Emory Healthcare system. “I’ve found that if nurses have a positive and healthy work environment—and appropriate staffing is a component of that—then their patients are getting good care and having great experiences.”
The ANA document also outlines specific principles related to healthcare consumers, RNs and other staff, the organization and workplace culture, the practice environment, and staffing plan evaluation—all of which can guide direct care nurses and those at other levels in making sound staffing decisions and plans.
For example, staffing decisions should take into account factors such as the age and functional ability of patients and healthcare consumers, as well as their cultural and linguistic diversities, scheduled procedures or treatments, and complexity of care needs.
On the other side of the equation, nurses’ level of overall experience (novice to expert), educational preparation, language capabilities, and experience with the population being served should be among the factors considered.
“Staffing is complex,” said Deborah Maust Martin, DNP, MBA, RN, NE-BC, FACHE, who also contributed to the revised principles. “We need to look at patient outcomes and how we get the best match of patients and nurses.”
The principles of staffing document also emphasizes other key points, such as calling mandatory overtime an unacceptable solution to achieving appropriate staffing, ensuring that nursing students aren’t counted as staff, creating a workplace culture that leads to retention, and identifying costs of nursing care in patient billing and reimbursement requests to provide visibility to the value of nurses and nursing services.
Maust Martin, a Wisconsin Nurses Association member, noted that the principles are designed to be applicable to nurses working in all settings, from acute care to school and community-based practices. The term “healthcare consumers” instead of “patients” shows the broad reach of nurses’ roles and the populations they serve.
Pursuing other effortsMany state nurses associations and specialty-focused organizational affiliates also
are engaging in a range of efforts to address this priority issue.In Washington State, O’Toole testified before legislators about nurses’ inability to
take needed rest and meal breaks and the impact it has on nurses and patients. Her advocacy and that of other WSNA nurses and staff led to the passage of a state law providing breaks and overtime protections for nurses, effective in January 2020. Her facility, Tacoma General Hospital, hired “break relief” staff to cover nurses during those times as a result of legal action by WSNA, and the new law reinforces the hospital’s obligation to ensure nurses get breaks.
“I’m taking my first breaks since the law passed,” said O’Toole, who also is chair of her WSNA local. “We also have a robust staffing committee that meets once a month that is 50-50 staff nurses and management to address staffing issues.” The committee additionally reviews the efficacy of every unit’s staffing plan, including negotiated standards, every 6 months to determine if any changes are needed.
ANA-Illinois Executive Director Susan Swart, EdD, MS, RN, CAE, said the association plans to introduce legislation to strengthen the state’s existing staffing law, which went into effect in 2008 and was based on ANA’s earlier staffing principles. The law requires healthcare facilities to have staffing committees made up of at least 50% direct care nurses and that staffing decisions are based on patient acuity, skill mix, and other key factors.
“We want to put some teeth in the law so the committee isn’t advisory but has real pull,” Swart said. “We know from our recent member survey that nurses continue to struggle with staffing and workplace issues that are connected with understaffing.”
ANA-Illinois also is working with the Illinois Hospital Association’s new chief nursing officers group to more immediately strengthen and raise the profile of staffing committees. Part of their strategy is to include information about staffing committees, including their purpose, as a routine part of orientation in all facilities, Swart said.
“We want nurses to feel empowered and that their participation is valued and respected,” Swart said. That requires an institutional culture that supports nurses, as well as nurses at all levels working together to implement staffing solutions.
One staffing solution that Viers believes can be instrumental is having a dedicated charge nurse on every unit who doesn’t have to carry a patient assignment. That would leave the charge nurse free to mentor new nurses and handle all the other issues that routinely crop up during the course of a shift. (Her Illinois facility has a professional practice committee that addresses staffing issues.)
ANA-Illinois board member and staff nurse Lauren Martin, RN, CEN, also thinks it’s critical that nurses from all shifts are represented on staffing committees.
“Night shifts tend to not be staffed as well as day shifts, and oftentimes it’s new nurses, who are just learning the job, working those shifts,” said Martin, who works in a specialty long-term care facility. “So, we really need to increase nurses’ involvement on committees and in other ways to solve staffing issues. That includes looking at all the factors that are causing inappropriate staffing.”
Both Dent and Maust Martin added that nurses must think about new ways to manage staffing needs—whether it’s adjusting shift length, having long-time nurses support novice nurses through ongoing, virtual mentoring, or piloting new models of care.
Noted Dent, “We all have a piece of the pie when it comes to addressing nurse staffing.”
— Susan Trossman is a writer-editor at ANA.
ResourceAccess ANA’s new staffing webpage for key documents and tools at www.
nursingworld.org/PrinciplesForNurseStaffing.
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The Nursing Voice December 2019 Page 15
Linda Ruholl, RN, PhD, Nurse Historian-Effingham County Museum
If you walked into the Board meeting of the Effingham County Museum town, be surprised to see a group of volunteers practicing Stop-the-Bleed with combat application tourniquets (CATs)? Perhaps you would be less surprised after learning that several of the museum's board members are retired registered nurses. Evidence-based nursing does not stop at retirement, but it looks a bit different after paid employment ends, especially in a non-metropolitan area.
The Effingham County Museum (ECM) is a small history museum situated in an 1872 Second Empire style Historic Register structure and is located at 110 East Jefferson Avenue in Effingham, Illinois. Since its inception in 2009, the mission of the museum has been to preserve the historic 1872 structure and to collect artifacts from the county. The building and the artifacts are used to educate local and distant constituencies about the past, always within the broader context of American history.
The museum is governed by a nine-member board, of which two of the board members are retired RNs. Board participation by RNs is congruent with the National Academy of Science Institute of Medicine's 2010 recommendation:" Prepare and enable nurses to lead change to advance health. Public, private and governmental health care decision-makers at every level should include representation from nursing on boards..."
The ECM hosted a Collections Assessment for Preservation in 2018, and one of the assessors' recommendations was the creation of an Emergency Operations Plan (EOP). The museum' s EOP committee was established and co-chaired by Linda Ruholl and Phil Lewis. Linda is a retired registered nurse and functions as the museum's nurse historian. Phil is a retired high school teacher and serves as the museum's historic structure specialist.
EOPs address prevention, mitigation, and recovery from various forms of disaster in the museum setting. Although the ECM volunteers greatly value the building and its
Downstate Evidence-Based Practice in Retirementcontents, human safety is the highest priority. Museums are public places, and today the threat of violence is a constant, no matter where Americans live.
May 2019 was Stop-the-Bleed month, and one of the co-chairs of the EOP committee read an article in the American Journal of Nursing about CATs. The committee co-chairs came to believe that placement of a stop-the-bleed kit on the first level of the museum might be something the museum should consider. The nurse borrowed a CAT from a military veteran and demonstrated it at the June 2019 museum board meeting. At that same meeting, the board reviewed recent mass shooting data from around the area.
Between January 26, 2019 and May 10, 2019, there were eight mass shootings within a 150-mile radius of Effingham, Illinois, with mass defined as four or more victims. Three people were killed. The youngest was 18, and the oldest was 76. Thirty people were wounded. The sites of the shootings varied. Some were out on the street; others occurred in a bar or a store. Over time, the number of mass shootings escalated; there was one in January, one in February, two in April, and four in May.
Effingham County is part of the "gun sanctuary" movement spreading across the lower two-thirds of the state. However, there did not seem to be much activity associated with secondary prevention in the event of gunshot casualties. The parent organization of the local EMS service offered STB training in St. Louis, but not in Effingham. The Effingham EMS director indicated there might be classes later, but nothing was offered in mid-2019.
Because most gunshot victims end up in the ER, Effingham's non-profit hospital was a potential educational source, in view of the fact that hospitals in Taylorville and Robinson did hold STB classes in May-June, 2019. Upon review, the EOP co-chairs determined that the community hospital's educational programs for lay people did not include stop-the-bleed. Because gun violence harms are a public health issue, the volunteers questioned whether the county's health department could provide stop-the-bleed training, but that was not available either.
A review of the trauma literature convinced the volunteers that stop-the-blood training for laypeople was effective, but that it needed to be hands-on. In a 2015 study of hospital staff (n=200), the entire cohort of employees successfully placed a tourniquet after training, even though 3/4 of them were nonmedical workers. A more recent randomized study of 150 pre-clinical graduate health care students compared the CAT with two other tourniquets in effectiveness. The students were given the tourniquets, one minute to read the instructions, and then told to stop a simulated hemorrhage on a mannequin. All of the students with prior training (n=16) were successful in placing the tourniquet, as compared to just 62% (n=81) of the untrained.
The EOP committee decided to do the museum's training in house. The nurse completed the training herself, registered as a Stop-the-Bleed trainer, and then acquired a number of CATs, pressure dressings, and powder-free/latex-free gloves. Hemorrhage simulators were not in the museum budget, but the trainer was able to obtain on loan four simulated limbs from the Kluthe branch of the Lake Land College of Nursing, through collaboration with Cheryl Beam, Director of Nursing, and Karen Kull, Kluthe Center Director.
The training was held on August 21, 2019, on the second level of the museum, with 12 active participants. Eight board members were present, along with two other volunteers, and two representatives from the Suzette Brumleve Memorial Effingham Public Library. At the conclusion of the one-hour session, all participants were able to successfully place the CAT and were awarded American College of Surgeons Committee on Trauma Stop-the-Bleed completion certificates.
A personalized Stop-the-Bleed kit was created for the museum. A simple color poster printed and laminated on 8.5 x 11 paper was included to provide a quick wordless review to the lay rescuer under situational stress.
The museum's STB initiative demonstrates the practical application of evidence-based practice findings in a nonmedical setting, while simultaneously solidifying one discrete intervention for the Mitigation segment of the organization's Emergency Operation Plan. It also demonstrates the positive influence of nurse members on lay board structures, as well as on history museum policies and procedures.
Effingham County Museum, 110 East Jefferson, Effingham, Illinois 62401
