nursing matters march 2016

www.nursingmattersonline.com

March 2016 • Volume 27, Number 3

NursingmattersINSIDE:

What if ...

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Edith Lockwood

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Nurse’s role

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Kenneth BriertonUW-Milwaukee College of Nursing

The University of Wisconsin-Milwau-

kee’s College of Nursing is located in the

economic and cultural capital of Wiscon-

sin, opening doors to 21st century career

connections and world-class learning

opportunities for the most diverse popu-

lation of students in Wisconsin.

The leadership, passion and vision of

UW-Milwaukee faculty and staff pro-

pel students to excellence in research,

achievement and community engagement.

An innovative, academic nursing com-

munity, the UW-Milwaukee College of

Nursing faculty, staff, students and alumni

are renowned leaders in creating bold and

effective solutions for advancing local,

national and global health.

With an undergraduate enrollment of

1,300 and graduate enrollment of more

than 300 students, opportunities to

engage are endless. The college offers a

wide array of programs leading to Bache-

lor of Science, Master of Nursing, Master

of Science, Doctor of Nursing Practice and

PhD degrees.

Innovative opportunities for a Reg-

istered Nurse to complete a bachelor’s

degree include the following programs:

• BSN@Home – online,

• BSN@Work – in partnership with

area health systems and

• BSN FLEX Option – online, compe-

tency-based.

The Master of Nursing – Direct Entry

is designed for students with a degree in

a field other than nursing and is ideal for

those interested in becoming a Clinical

Nurse Leader. The Master of Nursing

program offers students a nurse gener-

alist master’s program that successfully

builds on an existing Bachelor of Science

in Nursing degree. Finally, the Master

of Sustainable Peacebuilding program

prepares nurses and non-nurses with

the transdisciplinary skills and concepts

required to manage and solve today’s

complex global problems.

The college has a Doctor of Nursing

Practice program with a wide array of

specialty options, including Family Nurse

Practitioner, Clinical Nurse Specialist

options in Gerontology, Pediatrics and

Maternal Child, as well as Nursing Sys-

tems Leadership and Community-Pub-

lic Health.

UW-Milwaukee supported an early

PhD program in nursing and in 2003

launched the first fully online PhD in

Nursing program in the nation. With both

campus-based and online options, the

college has a large doctoral cohort of stu-

dents from around the world – increasing

the college’s impact internationally.

U.S. News & World Report consistently

ranks the College of Nursing among the

top 10 percent of nursing schools with

graduate programs in the nation. More

than 33 percent of the college’s faculty

and scientists are Fellows in the Ameri-

can Academy of Nursing, an indication

that students have an opportunity to

learn from the best nurse scientists

and educators.

As the largest College of Nursing in the

state, UW-Milwaukee partners with more

than 160 clinical agencies. Those part-

nerships prepare graduates for the depth

and breadth of skills needed to excel in the

complex health care environment as prac-

titioners, educators and researchers.

As a campus center of excellence,

the UW-Milwaukee College of Nursing

Institute for Urban Health Partnerships

is one of a select few programs nationally

that matches faculty expertise with the

community to develop more effective

health-care solutions in real time. The

institute provides organizational support

for the college’s two community nurs-

ing centers – House of Peace and Silver

Spring Community Nursing Centers, and

the Center for Global Health Equity. The

academic units coordinate UW-Milwau-

kee faculty, staff and students to partner

with other health professionals and social

service providers in at-risk neighborhoods

UW-Milwaukee celebrates 50 years

TROYE FOX/UW-MILWAUKEE

UW-Milwaukee College of Nursing prides itself on its diverse student population. Whether a Wisconsin resident, from out of state or international, the College of Nursing welcomes those who love nursing.

Undergraduate students receive clinical experience in partnership with more than 160 agencies. This student works diligently in 2000.

continued on page 4

March • 2016 Nursingmatters

Nursingmatters is published monthly by

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offices are located at

1901 Fish Hatchery Road, Madison, WI 53713

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Nursingmatters is dedicated to supporting and

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comments are encouraged and appreciated. Email

editorial submissions to [email protected].

Call 608-252-6264 for advertising rates.

Every precaution is taken to ensure accuracy, but

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scripts while in transit or while in our possession.

EDITORIAL BOARD

Vivien DeBack, RN, Ph.D., Emeritus

Nurse Consultant

Empowering Change, Greenfield, WI

Bonnie Allbaugh, RN, MSN

Madison, WI

Cathy Andrews, Ph.D., RN

Associate Professor (Retired)

Edgewood College, Madison, WI

Kristin Baird, RN, BSN, MSH

President

Baird Consulting, Inc., Fort Atkinson, WI

Joyce Berning, BSN

Mineral Point, WI

Mary Greeneway, BSN, RN-BC

Clinical Education Coordinator

Aurora Medical Center, Manitowoc County

Mary LaBelle, RN

Staff Nurse

Froedtert Memorial Lutheran Hospital

Milwaukee, WI

Cynthia Wheeler

Retired NURSINGmatters Advertising Executive,

Madison, WI

Deanna Blanchard, MSN

Nursing Education Specialist at UW Health

Oregon, WI

Claire Meisenheimer, RN, Ph.D.

Professor, UW-Oshkosh College of Nursing

Oshkosh, WI

Steve Ohly, ANP

Community Health Program Manager

St. Lukes Madison Street Outreach Clinic

Milwaukee, WI

Joyce Smith, RN, CFNP

Family Nurse Practitioner

Marshfield Clinic, Riverview Center

Eau Claire, WI

Karen Witt, RN, MSN

Associate Professor

UW-Eau Claire School of Nursing, Eau Claire, WI

© 2015 Capital Newspapers

Jay HeckCommon Cause in Wisconsin

After what occurred this past fall in

Wisconsin, it might be tempting to just

give up and tell ourselves that we can-

not fight this rigged political system.

After all – despite

thousands of calls,

letters and emails

from citizens across

the state opposing

the destruction of

the (Government

Accountability

Board) and the GOP

campaign finance

“deform” legislation,

and virtually no citi-

zen support for either and with opposition

from (many) Wisconsin newspapers –

Republican legislators still trashed key

parts of our state’s democracy in a way

that will make all our voices seem even

less relevant and listened to by a Legis-

lature and governor who care only about

consolidating one-party political control

over our state.

We might want to just give up and whine

a lot during 2016 – a critical election year

in Wisconsin and in the nation if there ever

was one. But is that a realistic option? Of

course it’s not. It’s not what we do!

Instead, we must organize and vote in

numbers during 2016 that we have never

achieved before. That is our only option!

But voting in Wisconsin is no longer

as easy as it once was. The 2016 elections

will be the first – other than a single pri-

mary election in 2011 – in which a voter

photo ID will be required in order to cast a

ballot. If you have a valid Wisconsin driv-

er’s license, this might seem like no big

deal. But for those who don’t, this is a very

big deal. If we hope to amplify our voices

so they will have the greatest impact, we

must help ensure that every eligible voter

in the state has the required form of ID

they will need in order to vote.

Sounds like a pretty tall order. It is, but

it is eminently doable. And we must do it!

If we all do these three things – and we

do them beginning now and between the

April 5 spring general election for state

Supreme Court justice and the Presidential

Primary – we have a real shot at achieving

the level of eligibility for Wisconsinites to

be able to vote that we will need to prevail

over the corrupt status quo.

A: Check to see that you are registered

to vote at your current address. If you are

not, please don’t put it off; register now.

B: Look over the Voter ID fact sheet to

ensure you have a photo ID that can be

used as a voter ID. If you do not – again,

don’t put it off. Follow the steps (shown,

to) get an ID. Now.

C: Ask between 15 and 20 people you

know – family, friends, neighbors, any-

one! – if they have an acceptable form

of ID for voting, and if they don’t, help

them get one. If they don’t have a ride to

the (Department of Motor Vehicles to get

an ID), offer to take them! Make it your

mission to be responsible for 15 to 20 other

citizens to have what they need to cast a

ballot April 5, and make sure they are able

to do so and do it!

BONUS Step: Share our general voter

ID fact sheet, our sheet for senior citizens

and for college students (– share on)

Facebook, Twitter (and) online forums –

anywhere and any way you think helpful.

You can also direct people to www.com-

moncausewisconsin.org where these three

fact sheets can be found and accessed on

the upper-right corner of our home page.

The best revenge for what Walker and

his hyper-partisan allies did to democracy

in Wisconsin during 2015 – and earlier – is

the application of more democracy! Spe-

cifically – exercising your right to vote and

ensuring that you and everyone you know

is “properly equipped” to cast a ballot

at the polls. The time for complaining is

over. The time to take pro-active, positive

steps to reclaim Wisconsin for the citizens

of the state is now! Do it.

Common Cause in Wisconsin is a

non-partisan, non-profit citizen’s lobby

that focuses on campaign finance, election,

andlobby reform, open meetings law and

other issues concerning the promotion and

maintenance of “clean,” open, responsive

and accountable government.

Voting well is the best revenge

Jay Heck

The American Nurses Association is a

proud member of the Nurses on Boards

Coalition with the goal of putting 10,000

nurses on boards by 2020. The (coalition)

represents national nursing and other

organizations working to build health-

ier communities across the nation by

increasing nurse presence on corporate,

health-related and other boards, panels

and commissions. The (coalition) seeks

to raise awareness that all boards would

benefit from the unique perspective of

nurses to achieve the goals of improved

health, and efficient and effective health

care systems at the local, state and

national levels.

The (Nurses on Boards Coalition

recently held) a special week-long “Leap

into Leadership” campaign (that encour-

aged) nurses nationwide to visit the (coa-

lition’s) website to click the “Be Counted”

tab. We also want to know if you wish to

serve on a board. We know there is a cadre

of nurses who are ready, willing and able

to make a difference by serving on boards

of community, health and other organi-

zations.

Help Us Spread the Word! Visit the

Nurses on Boards Coalition website.

(http://nursesonboardscoalition.org)

Tell your colleagues about the campaign.

Share the “Leap into Leadership” mes-

sages on social-media sites. Also view

and share the article in “The American

Nurse,” (entitled) “Nurses on Boards

Coalition reports on progress.” It will take

all of us to reach this ambitious goal, so

please support the (coalition)!

Marla J Weston, PhD, RN, FAAN

CEO, American Nurses Association

Co-chair, Nurses on Boards Coalition

Debbie Dawson Hatmaker, PhD,

RN, FAAN

Executive Director

American Nurses Association

Join the Nurses on Boards Coalition

LETTER TO THE EDITOR

GUEST EDITORIAL

March • 2016www.nursingmattersonline.com

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Brenda Zarth

Pain is an extremely individual and

complex subject. But basically pain makes

a person stop. Physical pain stops a person

in his or her tracks, causing a sudden and

complete halt. Emotional pain can immo-

bilize a person. Men-

tal anguish can cause

the sufferer to seek

a dark, quiet space

away from every-

thing and everyone,

stopping input.

Could pain possibly

have a purpose, at

least sometimes?

Physical trauma

takes time to heal; the

body needs to stop

and rest. Swelling needs time to dissipate,

bones need time to mend and tissues to

regrow. Pain medication should help calm

the mind so the body can rest and heal.

Physical Therapy is used to rebuild muscle

mass and to strengthen joints. It should

be done a little more each episode, always

pushing to the point of pain. Pain signals

when the body has had enough for the

day; it’s then time to rest again.

Emotional pain immobilizes by using

anguish; everything feels upside down.

There is a loss of what’s normal; a person’s

comfort zone is damaged. Life is a blank

slate. The patient needs to recreate the

normal, find firm footing, establish new

roots and rebuild a foundation. The pain

may actually give a person support to stop

him or her from blindly running in circles;

it shields the mind from further danger.

It causes a person to move slowly, to take

time with decision-making, to think lon-

ger before acting. It can give a person time

to become reestablished.

Mental pain drives a person to with-

draw, to prevent too much input. The

patient needs a dark room, a quiet place,

where the brain can rest. A person needs

silence so she or he can sort it all out, put

it back in perspective and make sense of it.

The person pulls back, allows the pieces to

drop back into place and quiets the pain.

As a nurse, my job is to listen. What

kind of pain does the patient have? Is it

stabbing, grabbing, cramping, aching, pins

and needles, sharp or dull? Is it constant or

intermittent? Is there anything that brings

it on or helps relieve it? When did it start?

The stories unwind – aching pain from

a heavy-machinery accident and a broken

back three years ago. My patient wants a

pain pill so he can keep working. The pain

pill allows him to keep lifting, working

hard, stretching and straining against his

weakened and broken back.

Why does he still have pain after his

bones and tissues should have healed?

Did he give himself time off to heal at the

original onset? What kind of rehab did

he have after the initial accident? Did

he go to Physical Therapy to rebuild and

strengthen? Did he have a re-injury?

What is Pain?

Physical pain stops a person in his or her tracks, causing a sudden and complete halt.

Brenda Zarth

WHAT IF ...

continued on page 4


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Inspired to care

UW-Milwaukeecontinued from page 1

as near as Milwaukee and as far away

as East Africa. Through these academic

community partnerships, the UW-Mil-

waukee College of Nursing provides pri-

mary health care, improves environmental

health, and coordinates health education,

care coordination and prevention services.

Research is vital to the college’s

mission as a premier, urban, academic,

collegial nursing community engaged in

transforming health-care delivery and

health-care policy. The college’s research

portfolio is supported by the Harriet H.

Werley Center for Nursing Research and

Evaluation – one of the first in the nation,

opening in 1983.

In 2015 the college kicked off its 50th

Anniversary Celebration, which culmi-

nates in April 2016. The college is part-

nering April 14 with community centers,

agencies and organizations to “Celebrate

Community Impact.” The college will

on April 15 recognize “50 Distinguished

Alumni” who have contributed to the

field of nursing in extraordinary ways.

Alumni, partners and friends will join

together April 16 for the “BIG Celebration,”

highlighting the contributions and accom-

plishments of the college’s 50 years.

During the 2016 Midwest Nursing

Research Society’s annual research con-

ference, the college will kick off March

16 the inaugural Suzanne Feetham Dis-

tinguished Lecture Series, featuring Dr.

Kathleen Knafl, PhD, FAAN.

Visit www.uwm.edu/nursing/50th or

contact Wendy Welsh at [email protected]

or 414-229-3590 for more information.

TROYE FOX/UW-MILWAUKEE

Undergraduate nursing education maximizes hands-on learning, technological innovation and training, and a comprehensive survey of nursing theory and practice.

UW-Milwaukee College of Nursing has had a full bachelor’s of science nursing program at UW-Parkside for more than 30 years.

UW-MILWAUKEE NURSING HISTORY CENTER

Milwaukee Hospital nursing students in 1914 wear the school’s peaked caps.

Paincontinued from page 3

Was there underlying collateral

damage that occurred with his original

accident that was never addressed? I

wonder about the circumstances of the

accident; how was he hurt? Who else

was involved? Is there any emotional or

mental trauma involved that is asking

for intervention? Should we still be giv-

ing him pain medicine for an accident

that happened three years ago?

After six months to a year shouldn’t

he be back to baseline? Has he devel-

oped a dependence or addiction to

the pain medicine? The pain medicine

allows him to ignore the stop sign that

his body or mind is putting up. Maybe

he has a weak back and is no longer able

to continue his current job. Maybe he

needs to move to a supervisor position

or something that is less strenuous.

He needs to understand that pain

medicine is not just blocking his pain;

it is slowing his bodily systems, weak-

ening his organs and making him age

prematurely. The pain pill isn’t a free

pass. It has a cumulative cost that may

demand payment in the future. I heard

an analogy from a pain-clinic nurse

who said pain pills do not treat pain by

eliminating it. They figuratively shove

it into a closet and store it. Therefore,

stopping pain pills can cause the pain to

increase because the patient is releasing

the memory of the accumulated pain.

Pain is complex. It often involves a

comprehensive approach, taking into

consideration the likes and dislikes of

individuals. It requires consideration

of spiritual and religious values. A

treatment plan often needs to bow to

financial ability and time constraints.

Treatment requires looking at the

whole picture. The nurse must do a

comprehensive assessment, assessing the

true roots of the problems and working

out a treatment plan that is acceptable to

the patient. Part of the key is being clear

with patients in the beginning regarding

the side effects of narcotics, cautioning

from the beginning regarding long-term

complications. Encourage patients to use

narcotics short-term for support, but do

not refill prescriptions. I remember when

prednisone was popular for arthritis, and

how challenging it was to take people off

it. Now it’s a fading memory.

A comprehensive case-management

nurse needs to evaluate pain and address

the true cause of remaining symptoms

so they can be treated appropriately. We

move so fast in America that we create too

much of our own stress. We all want to

be a super hero, responding to unrealistic

demands. If we allow ourselves to be more

in tune with our body, we ensure a more

full and productive life. Taking the time to

heal might seem like a luxury but is nec-

essary and will pay back in the future.

Ignoring pain by persistently throw-

ing a pain pill at it can cause long-term

collateral damage. We need to use the

right treatment for the problem. Tai Chi,

yoga, Craniosacral Therapy, reflexology,

acupuncture, Mind Body work or med-

itation might help to internally recon-

nect, and to help define what is interfer-

ing with the completion of the healing

process. It could be a lack of resources or

support. It could be a lack of nutrition.

Email [email protected] or

visit brendashealthplan.blogspot.com

March • 2016www.nursingmattersonline.com

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The nursing career of Edith Lock-

wood spanned 40 years. Affectionately

known as the Florence Nightingale of

Edgerton, Wisconsin, she was the first

registered nurse in the city and started the

first hospital.

Lockwood was born June 10, 1880, in

Brooklyn, Wisconsin, in Green County, to

Delane and Hannah Slauson Lockwood.

The oldest of three children, her siblings

were a sister, Leila, and a brother, Frank,

who died at about age 14. She grew up

in Brooklyn and graduated from Evans-

ville High school in 1900. That year she

obtained a teacher’s certificate and taught

in rural schools in Green County before

enrolling in the Trinity Hospital Training

School for Nurses in Milwaukee. She

received her diploma in 1903, and became

a Wisconsin registered nurse in 1914,

shortly after nurses were first registered in

the state.

She came to Edgerton in 1904 and

worked as a private-duty nurse. At that

time most babies were born at home, and

most patients were new mothers and their

babies. In addition to caring for them, her

duties usually included preparing meals

for the family, as well as household chores.

The experience led her to believe that the

community needed a maternity hospital.

In 1918, she opened her home as a hospital

and named it the Lockwood Hospital, the

first one in Edgerton.

Eventually the hospital expanded to 12

beds, and patients with a variety of condi-

tions were cared for; tonsillectomies were

often done at the hospital. Lockwood had

one assistant, Clara Christianson, with

help from one other person. But operating

the hospital meant she was responsible

not only for patient care, but also cooking,

cleaning, and laundry, as well as being

“on-call” day and night.

In the five years of its existence, the

Lockwood Hospital provided care to

nearly 2,000 patients and 233 babies.

Lockwood was proud of her babies; family

albums include photos of her with each of

the babies born there.

The hospital closed in 1923, when Edg-

erton Memorial Hospital opened – it was

built as a World War I memorial after an

extensive fundraising drive.

After closing her hospital, Lockwood

took an auto trip of more than 3,000 miles

to San Diego. Driving her Willys-Knight

sedan, she was accompanied by her

mother, aunt, sister Leila and Leila’s

husband, Bob. The arduous trip is hard to

imagine; most roads were gravel or dirt

that turned to mud in the rain. A stretch of

pavement 40 miles long was an event that

she noted in the journal she kept of the

trip. Flat tires were a frequent occurrence

and needed to be patched before proceed-

ing. Progress was slow; her record shows

that 163 miles was their best day. The

travelers took a tent and camped along the

way. But whatever the hardships, Lock-

wood always maintained a love of travel.

When she went to California she

intended to stay, but she returned to

Edgerton two years later. From then until

she retired she worked as a private-duty

nurse. Before intensive-care units were

developed, private-duty nurses often took

care of the sickest patients in the hospital,

though they also cared for patients in

their homes.

Lockwood’s family was always import-

ant to her; she gave care through their

elder years to her parents and an aunt, and

to her sister during her own career and

into retirement. Through financial and

other support she saw to the 1930s college

educations of younger, capable cousins.

A recycler before the term was used, as

a private-duty nurse in well-to-do homes,

she would ask for used but serviceable

Edith Lockwood

Edith Lockwood — 1880-1971

Reprint in a series written by Signe Cooper and

introduced by Laurie Glass in Nursingmatters

continued on page 6

CALENDAR

April 9: Advances in Melanoma

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Cost: $55.00 per participantRegister by April 15, 2016

For more information or to register forthis event call (608)796-3670 or email

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Sponsored by: Viterbo UniversityFaith Community Nursing Resource Center

Wisconsin’s Department of Health Services (DHS),Sand Ridge Secure Treatment Center (SRSTC) inMauston, is seeking candidates for the positionof Nurse Clinician 2. There are currently severalvacancies available.

This is an opportunity for nurses to work ina challenging and unique setting. SRSTC is anationally recognized facility for the treatment ofsex offenders committed under Wisconsin’s Statute980. As a registered nurse, you will be utilizingthe nursing process in the provision of routine andcomplex patient cares in both a clinic and skilledcare unit setting. New nurses are provided one-to-one orientation designed by a Nurse Clinician 4 thatmeets individual learning needs. An opportunity towork side-by-side with experienced nurses is alsoprovided. Nurses at SRSTC are respected and valuedfor their knowledge, skill and contribution to themission of SRSTC.

To be considered for this position, you will need tocreate an account and apply online. For instructionsplease visit the State of Wisconsin website athttp://wisc.jobs and refer to Job AnnouncementCode 1600590. The deadline for submittingapplications is June 30, 2016. Materials will beevaluated and quali<ed candidates will be invited toparticipate in the next step of the selection process.

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Lockwoodcontinued from page 5

goods for distribution to needy families

of her acquaintance. Her home was the

collection point in Edgerton for Goodwill

Industries.

In 1955, the city of Edgerton declared

“Auntie Lockwood Day” on her 75th

birthday, in recognition of her outstanding

contributions to the community’s health

and welfare. More than 400 persons,

including many of her “babies” gave a

testimonial dinner in her honor. Among

the many tributes, it was said that she was

“endowed with knowledge, wisdom and a

devout love of human beings.”

Lockwood was a capable, determined,

independent and adventurous woman.

She was also a loving and caring person,

with a contagious sense of humor. Truly a

pioneer in the profession, she was proud

to be a nurse.

After she retired, she continued to live

in her house. She always maintained an

interest in the Edgerton Hospital, includ-

ing later developments, and was named an

honorary charter member of its auxiliary.

She was active in the Methodist Church

and in the Senior Citizens.

In her later years, Lockwood suffered

from arthritis and was forced to use a

walker. The last two years of her life, she

lived in a nursing home in Madison, where

she died Jan. 7, 1971. She is buried in Hope

Cemetery in Brooklyn.

The author thanks Professor Linda Bau-

mann, University of Wisconsin-Madison

School of Nursing for suggesting Edith

Lockwood for a biography, and Lucille and

Roger Boeker for information about her.

Mary Wurzbach

In this, the 50th-anniversary year of

the University of Wisconsin-Oshkosh

College of Nursing, I would partly like

to pay tribute to their legacy and partly

want to extend to nurses across the state

my memories of my mentors’ enduring

philosophy of nursing’s role in the health

care system. I would

like, in this article,

to pass on some of

the insights I gained

when I was a mem-

ber of the first class

in the Bachelor’s

of Science Nursing

Program at UW-Os-

hkosh. I am proud to

have graduated from

there twice – in both

the Bachelor’s of Sci-

ence Nursing and Master of Science Nurs-

ing programs’ first classes, as a pioneer

in developing the role of the Baccalaure-

ate-Prepared Nurse, and a few years later,

that of the Family Nurse Practitioner.

The Bachelor’s of Science Nursing

program at UW-Oshkosh opened in 1966.

There were many students across the state

– some say 500 – waiting to be accepted

into the program. Thirty of us were cho-

sen. Over the years I have built upon the

strong foundation the college provided,

not only in nursing but in life skills. From

my public-health nursing instructor –

also my clinical area as a faculty member

at UW-Oshkosh for 31 years – I learned

that kindness matters and that living a life

that is other than the traditional does not

make one a “bad” person.

For example, early in my academic

nursing career I went on a home visit

with Mary Jane Mayer who, after she left

UW-Oshkosh, became director of the Mil-

waukee County Public Health Department.

We entered a cluttered home and she

expressed the sentiment that clutter is not

unethical. It may be different, but not nec-

essarily “bad.” As we came out, we found

that our car would not start so we were

forced to put out our thumbs – no cell

phones at that time – hoping that some-

one would stop to help. Since we were far

out in the country she suggested it was

an experiment in humanitarianism. She

convinced me of the kindness of strangers

when someone did stop to help us. This

same occurrence happened to two of my

future public-health students, who slid off

an icy road one winter in another county.

Two or three cars stopped within minutes

to assist them. Because of these incidents,

I drove the back roads of Wisconsin, going

to site after site in public health for more

than 31 years, and never – even without a

cell phone – felt any danger.

My psychiatric nursing instructor,

Pat Conley, taught us to analyze the con-

versations of the mentally ill. She also

taught us to be “participant observers” – I

have practiced participant observation

for 45 years, developing my own tech-

niques based on those two simple words

expressed in a class more than 45 years

ago. My leadership instructor, Mary

Barker, taught me to enter situations in

the hospital prepared to address anything

that might create an emergency – with

an effective and immediate response.

She taught me how to always assess an

environment’s infrastructure and available

resources as one entered any new position.

Betty Larson, my medical-surgical

instructor, taught me that “speaking up” –

as many of my own research participants

have also done in their practice – with con-

viction, may change injustice. She and I had

an abiding interest in nursing ethics and

later we both taught one of the first nurs-

ing-ethics courses in the country. I devel-

oped it early in my career as an instructor

at UW-Oshkosh. Dorothy Lane, also my

medical-surgical instructor, taught me

that faculty should “pitch in” and provide

support when students are overwhelmed

by the care situation in which they find

themselves. She also taught me that some-

times one can be humorous about oneself

in awkward situations. Katie Littlejohn was

my third medical-surgical instructor and an

expert in cardiac care. She taught me that

nurses could be capable beyond the expec-

tations of others.

My pediatric instructor, Barb Black,

taught me to use scarce resources wisely.

There were few pediatric sites and we

needed to conserve and preserve the good

will of those that we did have. As did her

sister-in-law and my psychiatric instruc-

tor Pat Conley, Black demonstrated the

importance of quiet, calm and kindness.

Conley also taught me the responsibility

of being a good and informed citizen.

My obstetrics instructor, Dorothy Rock,

taught me the virtue of patience.

Through the years I have developed

skills based on all these wise teachings.

Participant observation became sec-

ond nature. Not judging patients based

on appearance or alternative life style

or manner is essential and frequently

The nurse’s role:

take a nostalgic look back

Mary Ellen Wurzbach

More than anything we were taught that the nurse’s role is that of a team member – the

person in the health care team that is the “change agent.”

Today I believe not only that nurses, as they said way back in the 1960s, are change agents,

but that they may actually have an ethical responsibility

to assume this role.

continued on page 8

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Rolecontinued from page 6

changes the health care outcome. The

importance of kindness, patience and a

belief in others’ humanity still resonates

and endures.

More than anything we were taught

that the nurse’s role is that of a team

member – the person in the health care

team that is the “change agent.” Today I

believe not only that nurses, as they said

way back in the 1960s, are change agents,

but that they may actually have an ethical

responsibility to assume this role.

When I first entered nursing there was

the concept of team nursing and the major

argument was about the nurse’s role. Was

the nurse strictly a record keeper? Was he or

she a manager or the facilitator of the team?

Should nurses spend their time charting

and, in an administrative capacity or as an

actual caregiver, talking with patients and

taking part in the interaction and interven-

tion of the team? Was there a “captain’ of

the team? Today we know that the nurse’s

role is legally a combination of interdepen-

dent, independent and certain dependent

functions, but that they are practicing

under their own licenses and thus even

their seemingly dependent functions may

require independent judgment.

In the master’s program at UW-Osh-

kosh, Dr. Nancy Elsberry continued the

emphasis on the nurse’s role, teaching

both that one develops one’s own role as

a Nurse Practitioner and the importance

of creativity in doing so. Dr. Hildegarde

Siegel, the dean, taught me to be a

researcher and evaluator of the written or

observational record and encouraged me

to work towards the PhD in Nursing. She

also taught me that one could become an

expert on any subject if one worked long

and hard enough at it.

Two faculty remain who have also had

an important impact on the role of the

nurse among many students: Dr. Patricia

Crisham and Dr. Mariah Snyder, both

of the University of Minnesota School

of Nursing, where I received my PhD in

Nursing. Crisham taught that the most

critical role of the nurse in nursing ethics

was to ask the essential and import-

ant questions. Snyder cherished and

role-modeled the very nature of making

a substantive contribution to knowledge

development in nursing.

I hope that some of my reflections on

the development of my nursing career

and health care philosophy have, in some

small way, highlighted the fact that in

every relationship of teacher and student

there are examples of wisdom, some-

times explicitly stated and at other times

implicitly modeled. This wisdom supports

the next generation of nurses in becoming

the “change agents” the previous genera-

tion wished them to be.

Susan Moretz, RN, recently

accepted the role of director

of day surgery, and cancer

and infusion services at

Aspirus Medford Hospital &

Clinics. In this role, Moretz is

responsible for the direction

of patient care in day surgery,

and cancer and infusion-ser-

vices settings. She works to

ensure patient needs are met,

coordinates staff development

and education, monitors changes in

regulation and more.

Moretz started in 1999 at Aspirus

Medford Hospital & Clinics as a certi-

fied nursing assistant. Shortly after, she

earned her nursing degree from North-

central Technical College. During her 16

years in health care, Moretz

has gained experience in a

variety of settings, including

hospital, ambulatory – day

surgery – and infusion ser-

vices. She has also served as

chair of the Nurse Practice

Council and received the

Nightingale Award for Nurs-

ing Practice.

“I love my job and the peo-

ple that I work with,” Moretz

said. “I plan on retiring from Aspirus

Medford. Nothing makes me happier

than caring for the people from my

hometown and surrounding areas.”

Originally from Medford, Moretz

said she enjoys the outdoors and

spending time with her family.

Director named at Aspirus Medford

Susan Moretz

nursing matters march 2016

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