nursing matters november 2014

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November 2014 Volume 25, Number 11 Nursing matters www.nursingmattersonline.com INSIDE: Better data collection, improved infrastructure needed, says WCN 4 Guidelines for handling Ebola requested of CDC 5 Cunningham biography reveals decades devoted to nursing 11 WNA’s Convention and Annual Meeting was held October 10 and 11 at the Radisson Hotel in La Crosse. Attendees learned about the latest issues impacting the nursing pro- fession and developed strategies for WNA to continue to work on related to the topics presented. The topics and input sessions included the role of the nurse in address- ing the prescription drug epidemic in Wisconsin; supporting efforts to reduce obesity in Wisconsin, with a focus on supporting a healthy nurse workforce; and empowering the nurse in a potential or actual work- place violence situation. The conference began with an overview of the newly-revised ANA Code of Ethics for Nurses, presented by Kathryn Schroeter, Ph.D., RN, CNOR, CNE. Dr. Schroeter empha- sized how the “Code” can be used as an empowerment tool when advocat- ing for patient care, nursing practice, and personal health. Mary Lu Gerke, Ph.D., RN, provided her insights on what empowerment looks like in nursing. Additionally, the Wisconsin Environmental Health Nursing Coalition, a mutual interest group of the Wisconsin Nurses Association, met to discuss current issues and WNA Workplace Violence Task Force Presenters (left to right) Marie Garwood, Vicky Buhr, Drew Necker and WNA Executive Director Gina Dennik-Champion. Wisconsin Nurses Association convention: Empowering nursing PRST STD US POSTAGE PAID MADISON WI PERMIT NO. 1723 Wisconsin Department of Safety and Professional Services Secretary Dave Ross visits with former Department of Regulation and Licensing Secretary Barbara Nichols. Nichols also served as President of the American Nurses Association and the Wisconsin Nurses Association. Secretary Ross welcomed attendees to Convention. Kathryn Lammers is presented with the Lillian Mood Award for excellence in environmental health nursing practice. Pictured in the photo is the steering committee for the Wiscon- sin Environmental Health Nursing Coalition, a mutual interest group of the WNA (left to right) Betty Koepsel, Kathryn Lammers, and Sue Ashton. continued on page 2

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WNA Convention: Empowering nursing - Better Data Collection, Improved Infrastructure Needed, Says WCN - Guidelines for Handling Ebola... Nursingmatters is dedicated to supporting and fostering the growth of professional nursing.

TRANSCRIPT

November 2014 ■ Volume 25, Number 11

Nursingmatterswww.nursingmattersonline.com

INSIDE:Better data collection,

improved infrastructureneeded, says WCN

4Guidelines for handling Ebola

requested of CDC

5Cunningham biography

reveals decadesdevoted to nursing

11

WNA’s Convention and Annual Meeting was held October 10 and 11 at the Radisson Hotel in La Crosse. Attendees learned about the latest issues impacting the nursing pro-fession and developed strategies for WNA to continue to work on related to the topics presented. The topics and input sessions included the role of the nurse in address-ing the prescription drug epidemic in Wisconsin; supporting efforts to reduce obesity in Wisconsin, with a focus on supporting a healthy nurse workforce; and empowering the nurse in a potential or actual work-place violence situation.

The conference began with an overview of the newly-revised ANA Code of Ethics for Nurses, presented by Kathryn Schroeter, Ph.D., RN, CNOR, CNE. Dr. Schroeter empha-sized how the “Code” can be used as an empowerment tool when advocat-

ing for patient care, nursing practice, and personal health. Mary Lu Gerke, Ph.D., RN, provided her insights on what empowerment looks like in nursing. Additionally, the Wisconsin

Environmental Health Nursing Coalition, a mutual interest group of the Wisconsin Nurses Association, met to discuss current issues and

WNA Workplace Violence Task Force Presenters (left to right) Marie Garwood, Vicky Buhr, Drew Necker and WNA Executive Director Gina Dennik-Champion.

Wisconsin Nurses Association convention: Empowering nursing

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Wisconsin Department of Safety and Professional Services Secretary Dave Ross visits with former Department of Regulation and Licensing Secretary Barbara Nichols. Nichols also served as President of the American Nurses Association and the Wisconsin Nurses Association. Secretary Ross welcomed attendees to Convention.

Kathryn Lammers is presented with the Lillian Mood Award for excellence in environmental health nursing practice. Pictured in the photo is the steering committee for the Wiscon-sin Environmental Health Nursing Coalition, a mutual interest group of the WNA (left to right) Betty Koepsel, Kathryn Lammers, and Sue Ashton.

continued on page 2

NursingmattersPage 2www.nursingmattersonline.com

Nursingmatters is published monthly by Capital Newspapers. Editorial and business

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Send change of address information to:Nursingmatters

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Editor .........................................Kaye Lillesand, MSN608-222-4774 • [email protected]

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Nursingmatters is dedicated to supporting and fostering the growth of professional nursing. Your 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 the publisher cannot accept responsibility for the correctness or accuracy of information herein or for any opinion expressed. The publisher will return material submitted when requested; however, we cannot guarantee the safety of artwork, photo-graphs or manuscripts while in transit or while in our possession.

EDITORIAL BOARDVivien DeBack, RN, Ph.D., EmeritusNurse ConsultantEmpowering Change, Greenfield, WIBonnie Allbaugh, RN, MSNMadison, WICathy Andrews, Ph.D., RNAssociate Professor (Retired)Edgewood College, Madison, WIKristin Baird, RN, BSN, MSHPresidentBaird Consulting, Inc., Fort Atkinson, WIJoyce Berning, BSNMineral Point, WIMary Greeneway, BSN, RN-BCClinical Education CoordinatorAurora Medical Center, Manitowoc CountyMary LaBelle, RNStaff NurseFroedtert Memorial Lutheran HospitalMilwaukee, WICynthia WheelerRetired NURSINGmatters Advertising Executive, Madison, WI Deanna Blanchard, MSNNursing Education Specialist at UW HealthOregon, WIClaire Meisenheimer, RN, Ph.D.Professor, UW-Oshkosh College of NursingOshkosh, WISteve Ohly, ANPCommunity Health Program ManagerSt. Lukes Madison Street Outreach ClinicMilwaukee, WIJoyce Smith, RN, CFNPFamily Nurse PractitionerMarshfield Clinic, Riverview CenterEau Claire, WIKaren Witt, RN, MSNAssociate ProfessorUW-Eau Claire School of Nursing, Eau Claire, WI

© 2014 Capital Newspapers

Nursingmatters

Kaye Lillesand

EDITORIALNM

When Cynthia Wheeler and I began to plan the 2015 Nursingmatters Career EXPO, we asked what we could do to add value to the day. We

came up with the idea of adding a “Network Café.” It will be an area with tables where nurses can share new techniques or methods of care, current research, issues in nursing and health care, how they are deal-ing with care issues in their organi-zations, benefits of belonging to a professional organization, etc.

Beginning in December we will be listing the participants in the “Networking Café.” If you have an idea for a table and/or a presenter, please contact Kaye Lillesand at [email protected] or (608) 222-4774. To help you get the most out of this opportunity I am includ-ing some tips on successful net-working that I have learned over the years:

• Networking is about build-ing relationships. Be genuine and

authentic and see how you can help others as well as yourself. Making the contact is more important than what you learn at any specific inter-action.

• One great way to network is to hold volunteer positions in profes-sional organizations. For the past 25 years, I have garnered articles for Nursingmatters by reflecting on who I met when I was volunteering for WNA and other professional organi-zations. I had no idea when I started volunteering that I would one day do a newspaper for nurses, but I had the contacts to help start it and keep it going.

• Always ask yourself what long-term and short-term goals you have for seeking specific networks. You may not always have a specific long-term goal, but for the short-term know what you are looking for even if it is just to get to know more people.

• Ask open ended questions, rath-

er than ones that elicit as “Yes” or ‘No” answer. Those who, what, when, where and why questions tend to open up the conversation and to show your interest in the speaker.

• Become a powerful resource for others. Get yourself educated on an issue or topic of interest to you. Contacts will then call you for advice, referrals etc. It keeps you visible to them. Remember, net-working is not only about what you can get, but what you can give.

• If you are given a referral, fol-low though quickly. Trust in you and more referrals will follow.

• Finally, GET THEIR BUSINESS CARDS! Call those you meet who may benefit from what you do and vice-versa. Let them know you enjoyed meeting them and plan a get together.

Come and enjoy the new “Network Cafe” on Feb 19, 2015. You will benefit for years!

Networking: a powerfully wonderful tool

future activities. Kathryn Lammers, Ph.D., RN, was presented with the Lillian Mood Award for excellence in environmental health nursing practice.

WNA’s Annual Meeting included the adoption of three topics that will be addressed over the upcoming year: academic progression to meet the health care needs of Wisconsin, supporting the emerging role of the nurse, and interprofessional educa-

tion leading to team base care. The WNA Board of Directors will ask members to serve on task forces that will address the recommendations.

For more information please go to WNA’s website at www.wisconsin-nurses.org.■

New leadership was installed at Convention, including (left to right): Suzanne Marnocha (WNA Board of Directors, Director-at-Large), Yvette Egan (WNA Board of Directors, Secretary), Wendy Crary (WNA Board of Directors, Director-at-Large), SueAnne TeStrake (Nominating Committee), Betty Koepsel (Public Policy Council), and Vicky Buhr (Workforce Advocacy Council).

WNA members are hard at work in the DIALOGUE FORUM – tackling trending issues and charting the course of action for WNA.

WNA continued from page 1

November • 2014

November • 2014www.nursingmattersonline.com Page 3

The American Academy of Nursing (Academy), an organiza-tion dedicated to advancing health policy and practice, released a list of common health care practices that are not always necessary or in the best interests of patient health. The list’s release occurs in con-junction with the Academy’s par-ticipation in the Choosing Wisely® campaign, an initiative of the ABIM Foundation intended to spur conver-sations between health care profes-sionals and patients about what care is genuinely necessary.

The Academy’s recommendations

are supported by extensive health evidence and reviewed by Academy fellows who are among the nurs-ing profession’s most accomplished leaders. “The Academy is com-mitted to leading the nursing pro-fessions’ efforts in the Choosing Wisely campaign. We applaud the ABIM Foundation’s campaign and the effort to promote meaningful and evidence-based conversations between providers and patients about the best course of treatment,” said Academy President Diana Mason.

The Choosing Wisely® initiative, to date, has engaged nearly 100

American Academy of Nursing announces engagement in campaign

national and state medical specialty societies, regional health collabor-ative and consumer organizations and has identified more than 300 tests and procedures that have been described as overused and inappro-priate and should be discussed with patients.

“The American Academy of Nursing is among the first non-physi-cian organizations to release a list as part of the Choosing Wisely® cam-paign. This represents an important milestone for the effort, as patients rely on the trusted voice of nurses to help them navigate a world filled

with increasingly complex health information,” said Daniel Wolfson, executive vice president and chief operating officer for the ABIM Foundation. “The new Choosing Wisely list from the Academy will serve as a guide for conversations between patients, nurses and all members of the care team in identi-fying the best course of care for each individual patient.”

The AAN Choosing Wisely® rec-ommendations include:

Don’t automatically initiate elec-tronic fetal heart rate monitoring

Despite reports of hiring obsta-cles facing recent nursing gradu-ates, the majority of Johns Hopkins students completing a bachelor of science in nursing (BSN) degree in 2013 report they quickly found the jobs they wanted, where they wanted them – and with only moderate or no difficulty.

Seventy-eight percent of respon-dents to the annual survey con-ducted by the School of Nursing reported they had received and accepted an offer of nursing employment within three months of implementing their job search-es, with most indicating they had secured employment prior to grad-uation. The nationwide employ-ment rate for 2013 BSN graduates, determined through an American Academy of Colleges of Nursing (AACN) survey of all nursing schools, was 59 percent at gradua-tion – compared to a 29.3 percent national average for all profes-sions.

At four months and beyond, the Johns Hopkins employment rate grew to 84 percent, despite an ongoing trend among BSN gradu-ates to continue their nursing stud-ies full time (6 percent of respon-dents). Within the Northeastern region, the AACN reported a nurs-

ing employment rate of 50 percent at graduation and 82 percent at the six-month mark.

A majority of the Johns Hopkins nursing jobseekers found employ-ment in their first choice of posi-tion (71 percent) and 77 percent reported that position was in their preferred geographic location. Nearly one-third received two or more job offers—with 3 percent receiving four or more offers. Forty-five percent reported very little or no difficulty in finding a job, while 25 percent encountered only moderate difficulty. Although the classes of 2013 report employ-ment in a variety of settings and locales, more than half found posi-tions within the top-ranked Johns Hopkins hospitals.

When asked to advise 2014 graduates on what helps in landing that preferred position in the loca-tion of their choice, 2013 respon-dents’ No. 1 response was “the Johns Hopkins reputation.” They also urged those graduating to network, start early, ask questions, “don’t get overwhelmed and give every opportunity a chance.”

Patricia Davidson, Ph.D., MEd, RN, FAAN, dean of the Johns Hopkins School of Nursing, noted, “These results

Doors wide open for Hopkins nursing gradsare positive and reassuring, but not surprising. They confirm that a nursing education opens many doors and offers count-less career opportunities; they

also remind us that our Hopkins graduates are among the most sought after and recruited here in Maryland, throughout the nation, and around the world.” ■

continued on page 7

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November • 2014 NursingmattersPage 4

Welcome to the ninth in a series of articles presented by the Wisconsin Center for Nursing (WCN) on its 2013 report, “The Wisconsin Nursing Workforce: Status and Recommendations.” Each article con-tains a unique issue in Wisconsin with recommendations and strategies to address it. The relevant key message from the Institute of Medicine Future of Nursing Report (2011) (see box) is also included. Consider actions your organization can take to address these issues to avoid a future nursing work-force shortage in our state.

Wisconsin Issue #8:There is a significant need to enhance nursing and other health-care workforce data collection and workforce planning.

Recommendations:• Maintain mandatory nursing sur-veys and analyses on a biennial basis for RNs and LPNs to assure monitor-ing workforce trends.• Continue to utilize national mini-mum data sets for benchmarking comparisons.• Expand efforts for collection of workforce data for other healthcare professions in collaboration with the nursing profession.

Strategies:a. Continue LPN and RN nursing analyses to assure updated Wisconsin data for benchmarking with national trends.b. Utilize national minimum data sets for nursing surveys and national and state benchmarking comparisons.c. Partner with Wisconsin Department of Workforce Development, Office of Economic Advisors on updates to demand projections and modeling to establish and monitor annual nursing workforce targets.d. Develop demand surveys in part-nership with hospitals, long term care and other settings.e. Monitor vacancy rates and project workforce needs, including recruit-ment and retention, for all healthcare professions through an established process.

Wisconsin Statutes Chapter

106.30 was enacted in 2009 to mandate workforce surveys in con-junction with licensure renewal for RNs and LPNs. The legislation directs the Department of Safety and Professional Services (DSPS) to administer the survey, collect fees, and transfer a specific por-tion of funds to the Department of Workforce Development (DWD), and subcontract with WCN to ana-lyze the data and disseminate it broadly to stakeholders. To date, this important legislation has resulted in historical surveys of RNs in 2010 and 2012, and LPNs in 2011 and 2013, with resulting analyses and reports by WCN. The 2014 Wisconsin RN Survey is currently being analyzed by a team of expert nurse research-ers, and slated for publication early 2015.

The “Wisconsin Nursing Workforce: Status and Recommendations” report also includes data from essential national workforce reports, such as from the U.S. Department of Health Services Health Resources and Services Administration (HRSA). The report affirms the 2011 Institute of Medicine Report: The Future of Nursing: Leading Change, Advancing Health which recommends the use of reli-able data for strategic healthcare workforce planning.

The goal of the report is to sum-marize available supply and demand

Enhancing Workforce data collection for nurses revealed

data, describe the potential nega-tive impact on the healthcare of Wisconsin residents and outline recommendations to mitigate this impact.

To assure a comprehensive, cost-effective and scholarly approach to the data analyses, WCN has devel-oped partnerships with research nurs-ing programs in Wisconsin. Nursing researchers have participated from the UW-Madison School of Nursing, the UW-Milwaukee College of Nursing, Marquette University College of Nursing and the UW-Oshkosh College of Nursing. Services for stat-isticians have been secured through the University of Wisconsin and the Medical College of Wisconsin.

This process has been effective and resulted in broad, well-articulat-ed reports. The 2014 Wisconsin RN Survey is currently being analyzed by a team of expert nurse researchers, and slated for publication early 2015. Members of the 2014 research team are Dr. Rachel Schiffman, UWM, Dr. Susan Breakwell, Marquette, Dr. Judith Westphal, UWO and Dr. Susan Zahner, UW Madison. Statistician services are being provided by Dr. Jeff Henriques, UW Madison.

Although not mandated, annual education surveys of nursing pro-grams to complement the supply surveys, have been conducted by

WCN since 2010. The educational surveys have provided invaluable supply data that identify the nurs-ing education capacity and trends in Wisconsin.

WCN has been an advocate for the collection and dissemination of valid nursing workforce data to sup-port long range planning. WCN sup-ports a collaborative approach to data planning, collection and dis-semination, and is a participant in the Wisconsin Healthcare Workforce Data Collaborative (WHWDC). This progressive group was created by key stakeholders, including the Rural Wisconsin Health Cooperative, the Wisconsin Hospital Association, the Wisconsin Department of Workforce Development, Labor Market Information and Office of Economic Advisors, the Wisconsin Department of Health Services, Wisconsin Area Health Education Centers, and WCN, to advocate for data collection and analysis to support meaningful workforce planning for all healthcare professions.

The complete report and nurs-ing survey reports are available for download at http://urls.ht/3xA

Watch for the final article in this series, “Increasing Diversity in the Nursing Workforce,” in the December 2014 issue of Nursingmatters. ■

IOM Report Key Message:

Effective workforce planning & policymak-ing require better data

collection and an improved information

infrastructure.

November • 2014www.nursingmattersonline.com Page 5

SILVER SPRING, MD – In a call with nurses nationwide, the Centers for Disease Control and Prevention (CDC) announced revised emergency preparedness and treatment guidelines to prevent transmissions of Ebola in the United States. The changes come after two nurses from Texas Health Presbyterian Hospital in Dallas became infected with Ebola while caring for Thomas Eric Duncan. Duncan had recently traveled to Dallas from Liberia and died from the disease on Oct. 8.

“At this difficult time, we continue to offer our support to the two nurses, their families, colleagues and commu-nities,” said ANA President Pamela F. Cipriano, Ph.D, RN, NEA-BC, FAAN.

“We also offer our support to the brave nurse who publicly revealed that a lack of clarity, protocols and guid-ance contributed to system issues at Texas Health Presbyterian Hospital, critical lapses that have been acknowl-edged by hospital officials.

“Today’s CDC call was a step in the right direction. However, while we understand this is a rapidly evolving

situation, we are concerned that today’s call did not fully address to our satis-faction concerns we have heard from our members.

“Clinical health care settings, such as hospitals, are unpredictable environ-ments. Instead of variability, we need clear-cut standards and guidelines in place that nurses and health care team members can follow consistently to ensure the highest levels of care and protection for patients and health care professionals.

ANA advises the CDC to provide the following information quickly to ensure the safety of workers, patients and communities:

• Clear and specific standards for personal protective equipment (PPE) at the point of patient presentation as well as diagnosis.

• Emphasis on current or revised training techniques proven to be effec-tive for proper use of PPE.

• Full disclosure of findings of events at Texas Health Presbyterian Hospital that can be used to improve practices and prevent further infections.

More rapid dissemination of any changes to procedures, guidelines and recommended care.

“Further, ANA recommends that health care organizations adopt PPE standards that have been demonstrated to provide effective protection for nurses and other health care workers in the clinical setting when caring for Ebola patients, such as those used by Doctors Without Borders and the protocols devel-oped by Emory University Hospital.

“CDC officials plan to release revised PPE recommendations in the near future. Once the recommenda-tions are released, ANA will review them and provide additional feedback, as necessary.

“While we believe nurses are obli-gated to care for patients in a non-dis-criminatory manner, with respect for all individuals, we also recognize there may be limits to the personal risk of harm nurses can be expected to accept as an ethical duty.

“We strongly encourage nurses to speak up if they believe there is inad-equate planning, education or treatment

related to providing care to these or any patients, and seek to resolve any con-flicts of risk and responsibility swiftly. Nurses should have the right to refuse an assignment if they do not feel adequate-ly prepared or do not have the necessary equipment to care for Ebola patients.

“ANA believes that a solution-oriented, collaborative approach that includes interprofessional, state and federal organizations is essential to manage care of Ebola patients effec-tively in the United States.

“Additionally, appropriate fund-ing for public health and preparedness must be addressed in order to ensure that response systems and infrastruc-ture are in place to respond to any emergency situation.

“As we address these impor-tant issues related to the U.S. Ebola response, we must also keep focused on the global response needed to address the crisis in West Africa. Until we have sufficient systems and resources there to appropriately manage patient care and stop its spread, Ebola will remain a global concern.” ■

ANA calls on the CDC for Ebola guidelines

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November • 2014 NursingmattersPage 6

The landmark Institute of Medicine (IOM) report, The Future of Nursing: Leading Change, Advancing Health, includes a rec-ommendation to increase the propor-tion of nurses holding BSN degrees or higher to 80 percent by 2020. While the IOM advocates hitting this target across the board, until now there has been no economic analysis of what achieving such a threshold would do for costs and revenues in hospitals, the largest employers of nurses.

A new interdisciplinary study, published in the current issue of Medical Care and funded by the Robert Wood Johnson Foundation Interdisciplinary Nursing Quality Research Initiative(INQRI), finds that increasing the proportion of BSN-prepared nurses in a hospital to 80 percent or more, and having those nurses interact most with patients improves outcomes on several mea-

sures, and reduces costs. The research team found that

patients who received 80 percent or more of their care from BSN-prepared nurses had 18.7 percent lower odds of readmission, and 1.9 percent shorter lengths of stay. They also found that a 10 percent increase in the proportion of BSN-educated care was associated with a 10 percent reduction in the odds of mortality.

The savings realized by having more BSN-educated nurses out-weighed the cost of paying those nurses a higher salary. The team esti-mated that increasing the proportion of BSN-prepared nurses caring for each patient to 80 percent or more would reduce annual readmissions by roughly 248 days, reducing costs by $5,653,022.97 annually. The cost associated with salaries for a larger group of BSN-prepared nurses was estimated to be $1,843,266.46 for

The business case for having at least 80 percent of nurses hold Bachelor’s Degrees

the nurses included in the study.“The real contribution of this

study is that when we looked at patients in the same hospital, who were hospitalized on the same unit with the same diagnosis, patients who received more than 80 percent of nursing care from BSN-educated nurses tended to do better – despite often being sicker at the time of admission,” said Olga Yakusheva, PhD, associate professor of nurs-ing at the University of Michigan School of Nursing and one of the lead researchers.

“These patients tended to spend less time in the hospital, fewer of them had to go back to the hospital after discharge, and fewer of them died. This makes you think, really, how can we give all of our patients an equal opportunity to receive high-quality care they deserve? The answer is, or at least seems to be, in investing in nurse education. And

our study shows that these invest-ments can also have real cost-saving effects in the long term.”

The research team also includ-ed Richard Lindrooth, PhD, asso-ciate professor in the Department of Health Systems, Management and Policy in the Colorado School of Public Health, University of Colorado Anschutz Medical Campus; and Marianne Weiss, DNSc, RN, associate professor and Wheaton-Franciscan Healthcare/Sister Rosalie Klein professor of women’s health at Marquette University College of Nursing.

The study included analysis of electronic data on 8,526 patients who received care form 1,477 nurses in an academic medical center from June 1 to December 31, 2011. One fifth of the -patients received 80 percent or more of their care from BSN-prepared nurses. The research team also con-ducted regression modeling. ■

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NursingmattersCELEBRATING Nursingmatters

Nurses:Keeping America HealthyEXPO 2015

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November • 2014www.nursingmattersonline.com Page 7

for low-risk women during labor. Evidence does not support rou-tine use of continuous monitor-ing among women with low-risk pregnancies. Such monitoring has been associated with an increase in cesarean and instrumental births, without an associated improvement in perinatal outcomes.

Don’t let older adults lie in bed or only get up into a chair during their hospital stay. Walking while in the hospital is critical for main-taining functional ability. For years, bed rest was thought to be essential in overcoming illness or injury, but evidence shows a lack of walking increases the length of hospital stays and the need for rehabilitation services while elevating the risk of falling after being discharged.

Don’t use physical restraints with an older hospitalized patient. Currently, older patients are restrained in hospitals at a much higher rate than other adults. Restraints do not keep people safe from falls and injuries and have a negative impact on physical, psy-chological and recovery outcomes.

Don’t wake patients from sleep for routine care unless the patient’s condition or care specifi-cally requires it. There is a long-standing perception that patient safety requires patient assessment

and monitoring at pre-determined intervals around the clock. Studies, however, show that sleep depriva-tion negatively affects cognitive function, the ability to perform physical activities and ventilator, circulatory, immunologic, hormon-al and metabolic stability.

Don’t place or maintain a uri-nary catheter in a patient unless there is a specific reason for doing so. Catheter-associated urinary tract infections are among the most common healthcare-associated infections in the U.S. and most are related to the use of urinary cath-eters.

“Nurses spend more time with patients in most settings and are the most trusted profession in the eyes of the public. This positions nurses to have conversations with the public about the best practices that promote health and healing while reducing unnecessary costs and care. As an organization of nursing leaders, we are positioned to take these practices to impact education, clinical practice and public policy. We look forward to doing this important work.” said Karen Cox, Chair of the Academy’s Choosing Wisely initiative and Executive Vice President/Co-Chief Operating Officer Children’s Mercy Hospitals, Kansas City. ■

Campaign continued from page 3

The Honor Society of Nursing, Sigma Theta Tau International (STTI) and the Sigma Theta Tau International Foundation for Nursing announced today the receipt of a US $500,000 bequest from Northwestern University Professor Emerita and former Chair of Nursing Martha Pitel, Ph.D, RN. According to Dr. Pitel’s wishes, the gift has been designated as the Dr. Martha Pitel Permanent Fund — a permanent, unrestricted fund for the honor society.

“This incredibly generous gift memorializes Dr. Pitel’s dedica-tion to the profession of nursing and nursing education,” said STTI President Hester C. Klopper, PhD, MBA, RN, RM, FANSA. “Dr. Pitel’s bequest will help inspire and encourage future nurse leaders and researchers for generations to come.”About Dr. Martha Pitel

Dr. Martha Pitel died on April 19 in Cook County Ill.., after an extended illness. Born in 1921 in

STTI announces US $500,000 bequest from former Northwestern chair

Binghamton, New York, USA, she served as a U.S. Army nurse dur-ing World War II, received bach-elor’s and master’s degrees in nurs-ing from Case Western Reserve University, and earned a doctor-ate in anatomy and physiology from the University of Minnesota. Her more than 30-year academic career included faculty positions at Syracuse University, the Yale University School of Nursing and Medicine, the University of Rochester School of Medicine and Dentistry, the University of Kansas, the University of Illinois at Chicago, and Northwestern University.

An STTI member since 1974, Dr. Pitel was a progressive leader in nursing education. At the American Nurses Association Ninth Nursing Research Conference in 1973, she advocated for evidence-based

research and theory development as the primary educational foun-dation for the professional prac-tice of nursing — a position still at the forefront of nursing educa-tion today. Dr. Pitel’s long history of leadership within the nursing profession inspired many to com-plete doctoral studies, to develop research, and to become nurse edu-cators.

View Dr. Pitel’s complete obitu-ary here: http://bit.ly/1oDUbbl. A memorial service commemorat-ing the life of Dr. Martha Pitel will be held Oct. 21 at the University of Illinois at Chicago College of Nursing.

For more information on the Sigma Theta Tau International Foundation for Nursing, please visit http://www.nursingsociety.org/foundation/. ■

Assistant Professor of Nursing

The Henry Predolin School of Nursing at Edgewood College announces the opening fortwo full-time tenure track faculty positions beginning with the academic year 2014-2015.Responsibilities include teaching at the undergraduate and graduate (MSN and DNP) levels.Graduate concentrations include Nursing Administration and Leadership.

Qualifications:• Earned PhD in Nursing (preferred), or doctorate in related field with a Master’s degreein Nursing; DNP may be considered

• Eligible for RN licensure in the State of Wisconsin• Evidence of teaching, scholarly and community services potential• Knowledge and skills in contemporary practice issues related to the AACN Essentials• Demonstrated commitment to promoting diversity, inclusion, and multiculturalcompetence

To Apply: Send a letter of application, resume, and references to:Edgewood CollegeHuman Resources – APN11000 Edgewood College DriveMadison, WI 53711www.edgewood.eduE-mail: [email protected] Equal Opportunity Employer

November • 2014 NursingmattersPage 8

Jefferson WI—It’s that time of year again when most of us begin to look forward to festive holi-day get-togethers with family and

friends to share meals, exchange gifts and celebrate long-standing traditions. More often than not, these gatherings will include the

Rainbow Hospice Care offers support to those experiencing grief during the holidays

Please come and gather with our staff and others who have lost someone special this past year. During the first part of our pro-gram, we will share some thoughts and tools that may help you to cope through this coming holiday season. Then we’ll take time to re-member those who have died. Fol-lowing the program there will be time for refreshments and visiting with one another. All are invited to attend.

In addition to this holiday-fo-cused event, Rainbow Hospice Care is also available to provide grief support through drop-in group meetings, phone support, and one-on-one counseling facili-tated by professional bereavement counselor—before, during, and after the holidays—free of charge; for all who need it. Following is a listing of current offerings:

Fort Atkinson Area Grief Support Group (Drop-in for-mat)6:30 p.m. – 7:30 p.m., on the first Wednesday each monthFort Library Rotary Room209 Merchants Avenue, Fort At-kinson, WI

Monday Morning Joe: Monthly Breakfast Meetings (drop in)8:30 a.m. – 10:00 a.m. on both the 1st and 3rd Monday of each monthRainbow Hospice Care Inpatient Center1225 Remmel Drive, in Johnson Creek

To RSVP for the Holiday Grief and Remembrance Service, or to learn more about any other Rain-bow Hospice Care bereavement support services, please call Angie at (920) 674-6255. Additional de-tails may be found on www.rain-bowhospicecare.org. ■

telling and re-telling family stories, many of which will center on loved ones who are no longer alive. And while these experiences can be joy-ful, they may be emotionally diffi-cult for those who are grieving.

Losing a loved one is always hard, but celebrating the holidays and other special occasions can be especially challenging for those left behind. Often, support from others can help ease the pain and bring out special moments that might otherwise not be possible. So every year, Rainbow Hospice Care hosts an event dedicated es-pecially to helping people experi-encing grief during the holidays.

“Remembering & Grieving During the Holidays” will be held on Monday, November 10, 2014, from 1:30 p.m. – 3:00 p.m., and again from 6:30 p.m. – 8:00 p.m. at the Rainbow Hospice Care In-patient Center Community Room, 1225 Remmel Drive, in Johnson Creek.

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Associate Dean ofNursing Faculty and Curriculum

Full-time Associate Dean of Nursing Faculty and Curriculumposition available in the College of Nursing and Health Sciencesat UW-Eau Claire beginning July 1, 2015. This is a fiscal yearappointment. Primary responsibilities include; leadershipand management of the nursing department - inclusive ofmanagement of personnel, recruitment and retention of facultyand staff, overseeing the budget, fostering faculty growth anddevelopment, and establishing a supportive and productivework environment. Requirements include a doctoral degree,with a doctoral degree in nursing preferred. Master’s degreein nursing and current RN licensure are required.

For a complete position description or to apply, go tohttp://www.uwec.edu/Employment/uweccareers.htm.The following are needed to complete the applicationprocess online: letter of interest, copy of all transcripts,current resume, copy of RN license and contact informationfor three references. Applications materials will bereviewed upon receipt and will continue until the positionis filled. A criminal background check will be requiredprior to employment. For application questions contactCathy Wilson, Dean’s Assistant at [email protected] or715-836-5287.

UWEC is an EOE/AA employerhttp://www.uwec.edu

Milwaukee School of EngineeringADJUNCT FACULTY POSITIONS

ADULT HEALTH FOCUSTheMilwaukee School of Engineering (MSOE) invites applicants foradjunct clinical instructor positions beginning December 1, 2014 andMarch 1, 2015 within our School of Nursing. The ideal candidate willhave relevant clinical experiences as well as experience in supervisingundergraduate students in the clinical setting. Current clinical facultyopenings are in adult medical surgical, geriatrics, and obstetrics.MSOE is a private, non-profit, institution with approximately 2500students. MSOE’s School of Nursing offers a traditional and accel-erated second degree BS in Nursing, and an MSN. The baccalaureateprogram at the Milwaukee School of Engineering is accredited by theCommission on Collegiate Nursing Education, One Dupont Circle,NW, Suite 530, Washington, DC 20036, (202) 887-6791.In keeping with the mission of MSOE, maximum enrollment in nurs-ing class section is 35 and the student ratio in the clinical area is 1:8.The Program uses an integrated nursing model of wellness to illnessacross the lifespan with balanced clinical experiences in both inpatientand community settings.MSN and currentWisconsin RN licensure are required. The ideal can-didate will possess a doctorate degree in Nursing and have experiencein classroom delivery as well as ability to supervise groups of studentsin clinical settings.The review of candidates will begin immediately and continue until theposition is filled. Please visit ourwebsite athttp://www.msoe.edu/hr/ foradditional information including requirements and the application processor http://www.milwaukeejobs.com/apply.asp?jid=9323749 to apply.

EEO Employer F/M/Vet/Disabled

Milwaukee School of EngineeringFULL-TIME FACULTYSCHOOL OF NURSING

TheMilwaukee School of Engineering (MSOE) invites applications fora full-time faculty position in the School of Nursing. The ideal candidatewill have relevant clinical experience as well as experience in develop-ing curriculum and teaching undergraduate and graduate students.MSOE is a private, non-profit, institution with approximately 2500students. MSOE’s School of Nursing offers a traditional and acceler-ated second degree BS in Nursing, and an MSN. The baccalaureateprogram at the Milwaukee School of Engineering is accredited by theCommission on Collegiate Nursing Education, One Dupont Circle,NW, Suite 530, Washington, DC 20036, (202) 887-6791.In keeping with the mission of MSOE, maximum enrollment in nurs-ing class sections is 35 and the student to faculty ratio in the clinicalarea is 8:1. The program uses an integrated nursing model of wellnessto illness across the lifespan, with balanced clinical experiences inboth inpatient and community settings.Practice experience in acute adult care or geriatrics is required. Theideal candidate will possess a PhD or DNP and have experience inclassroom delivery as well as ability to supervise groups of studentsin acute care. Current WIRN license required.The review of candidates will begin immediately and continue until theposition is filled. Please visit ourwebsite athttp://www.msoe.edu/hr/ foradditional information including requirements and the application processor http://www.milwaukeejobs.com/apply.asp?jid=9324015 to apply.

EEO Employer F/M/Vet/Disabled

Find your Futureat

A g r a c eDo you have a strong desire to join a progressiveand growing healthcare leader with a focus onmission, quality care and service excellence?Agrace has experienced recent growth andhas a number of exciting clinical employmentopportunities:

• Admissions RN• Assistant Director Inpatient Unit (IPU)• RN IPU – PM/Night Shifts PT available• RN PM Triage – 12 hrs/wk• RN PM Visit Support – 20-32 hrs/wk• RN Night Visit Support – 28-32 hrs/wk

Bilingual and minority applicants stronglyencouraged to apply. We offer a competitivesalary and benefits package (insurance benefitsoffered at 28 hours per week and above).For more details and full job descriptions orto apply, please visit us at www.agrace.org.

EOE

PUBLIC HEALTH NURSE FULL-TIME

To view a full description and apply for this position, please visit:

www.co.oconto.wi.usApplication deadline is Nov. 12th

Equal Opportunity Employer

RN POSITIONS RN’s, are you looking for a new and exciting career opportunity to use your knowledge outside of a clinic or hospi-tal environment? Consider a position at WPS Companies! We currently have sev-eral open positions that allow you to use your nursing knowledge in an office set-ting! Have your weekends and holidays free and enjoy a set work schedule!

POLICY DEVELOPMENT COORDINATOR – RN

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SR. PROFESSIONAL REVIEW ANALYST - RN

We offer a competitive salary, comprehensive benefits and

an opportunity to engage and grow professionally.

If you want to drive innovation, we encourage you to apply.

Visit our web site and apply on-line at www.wpsic.com

Named One of “World’s Most Ethical Companies” for the Fifth Year in a Row

Equal Opportunity/Affirmative Action Employer

nursingmattersonline.com

on FacebookEnjoy updates, findlinks and info aboutupcoming events &job listings, makecomments & seephotos from ourevents like theNursingmatters Expo.

Nursingmatters

November • 2014 NursingmattersPage 10

www.allnurses.com, the largest online community and networking site for nurses and nursing students with more than 825,000 registered mem-bers, recently conducted a survey to their members on Ebola preparation. The survey of 3,000 nurses conducted this weekend states that a vast majority don’t feel prepared or safe with unfolding Ebola situation.

Don’t, as a nurse, feel safe with the unfolding situation (74 percent)Don’t feel prepared to deal with a potential Ebola outbreak or patient (74 percent)Their hospital or hospital facility hasn’t addressed it or provided training to them or other nurses (73 percent) Also they say that what they need, in order of importance, to deal with

the threat or reality of Ebola: Live/in-person training sessions or practice drillsBetter communication about preparedness plans at your facilityMore or better educational resourcesI’m not sure Brian Short, a registered nurse and the founder and CEO of allnurses.

com, can discuss the results – results are being conducted in real time and being updated on the hour – as well as how nurses feel about the outbreak and how it is being handled in the healthcare community. ■

Nursing networking site provide

details about Ebola

MIAMI, Florida – To honor the dedication and hard work of our veterans, an electric wheelchair company, KD Smart Chair, has cho-sen to partner with the Paralyzed Veterans of America.

The goal of the Paralyzed Veterans of America Mission: ABLE Help Our Heroes, is to change lives and build better futures for America’s injured veteran heroes and provide them with assistance. The Mission: ABLE campaign exists to help our paralyzed veterans rebuild their lives and receive the special care, benefits and job placement services they need and deserve.

KD Smart Chair has been a long time supporter of injured and para-lyzed veterans. The company was featured on the television show “The Doctors,” making a difference in a veteran’s life by providing an injured veteran a free wheelchair. Joe, who is a retired US Army Sergeant, was injured by an explo-sion. When Joe woke up in the hos-pital, the doctor told him he would have to have one of his legs ampu-tated above the knee and the other leg was severely injured. Today, Joe endures continuous pain on a daily basis, which confines him to his wheelchair about 80 percent of the time.

KD Smart Chair proudly gave Joe a lightweight, foldable electric wheelchair. He immediately was able to control it and fit into spaces and go to places he was not able

to before. Later that same day on the television show, Joe arrived on stage in his new KD Smart Chair and proposed marriage to his girl-friend. Watch his amazing story on “The Doctors.”

This is just one example of how KD Smart Chair helps our veterans regain mobility and gain their inde-pendence back. This holiday season KD Smart Chair is dedicated to providing wheel chairs to troops in need. You can be part of making a difference in our veterans lives this holiday season. Paralyzed Veterans depend on the public’s donations to provide financial support for its amazing programs for the disabled troops. Join KD Smart Chair and donate - $1, $5, $10 or more to help provide the essential support to our nation’s paralyzed heroes need and deserve.

To make it easy for you to help support the Mission: ABLE cam-paign, KD Smart Chair would like to provide you with donation options. For every donation you make, KD Smart Chair will make an additional donation with 10 per-cent of all proceeds going directly to Paralyzed Veterans of America. Make a difference in our veteran’s lives today and by choosing one of these donation methods.

• Donate Through the Call Center – KD Smart Chair’s cus-tomers who contact our phone hot-line will be given an option to help a veteran by adding a donation

Electric wheelchair company supports paralyzed veterans

to their order. Simply call the toll free hotline at 1-877-827-6278 and speak with a representative about your contribution.

• Donate at KD Smart Chair Live Events – KD Smart Chair attends numerous live events such as con-ventions, trade shows and outdoor events. You will have the opportu-nity to make your donation at KD

Smart Chair booths and meet some of the company representatives who can assist you with your donations.

• Donate Online at PVA Website - http://kdsmartchair.com/.

To learn more about the Paralyzed Veterans of America, please visit their website below to learn more about the Mission: ABLE cam-paign: pva.org. ■

November • 2014www.nursingmattersonline.com Page 11

Frances Cunningham, the first director of the University of Milwaukee School of Nursing, will long be remembered for her leader-ship role in nursing education.

Cunningham was born in Barbar County, Kansas, Jan. 3, 1905. She received her nursing diploma and a B.S. degree from Kansas State College, Manhattan, in 1928. Later she had additional educa-tion at Teachers College, Columbia University, and in 1945 was award-ed an M.S. degree from Western Reserve University, Cleveland.

Cunningham served as a head nurse at Children’s Mercy Hospital, Kansas City, and then as supervisor of Medical and Surgical Nursing at Masonic Hospital, Cherokee, Okla. She then began teaching at William Newton Memorial Hospital School of Nursing, Winfield, Kansas.

Later, she taught qt the Methodist Hospital School of Nursing, Memphis, Tenn., for two years before being appointed to the fac-ulty of the University of Tennessee in Memphis where she taught from 1936-1944. The next year she became an assistant professor at the School of Nursing at Western Reserve University in Cleveland.

In 1964 she came to Milwaukee to direct the UWM Division of Nursing, then part of the UW-Madison School of Nursing. Cunningham and Helen Bunge, Dean of the latter, worked together to facilitate the organization and separation of the UWM School: they were good friends from the time both were on the faculty at Western Reserve University. Sadly, both later suffered from cancer and died within three months of each other.

Cunningham served as director of the UWM School until 1967, when she was named associate dean.

She was also appointed a full professor, and placed in charge of directing the baccalaureate pro-

gram. She was a member of the American Association of University Professors, Altrusa International, the League of Women Voters, and the Presbyterian Church. She enjoyed travel and had a wide range of other interests.

For someone who claimed to have “stumbled into nursing” dur-ing the Depression for something to do, Cunningham was deeply inter-ested and involved in nursing. She served on committees and boards of local, state and national nurs-ing organizations. She possessed an unusual knowledge of the historical and social foundation of nursing.

Frances Cunningham died on Feb. 12, 1970. The ten-story Cunningham building housing the School of Nursing on the Milwaukee Campus was named in her honor.

The University Memorial resolu-tion to her noted that her “intense interest in nursing, her dedication to young people, her personal and professional commitments, and her gracious warm personality made significant contributions to the development of both the School

Reflections of our Heritage Signe Skott Cooper’s legacy

Frances Harriet Cunningham, 1905-1970

Reprint in a series written by Signe Cooper and introduced by Laurie Glass in March Nursingmatters

Frances Harriet Cunningham

1905-1970

of Nursing and the University of Wisconsin-Milwaukee.”

The author thanks Dr. Laurie Glass, UW-Milwaukee School of Nursing, for her assistance with this

biography.Signe Cooper is a retired nurse

and emeritus professor of the School of Nursing at the University of Wisconsin-Madison. ■

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November • 2014 NursingmattersPage 12

Redilearning and Capital Senior Living Corporation, locat-ed on Boca Raton, Fla., one of the nation’s largest operators of senior living communities, today announced a partnership to elevate staff professional development.

Under the agreement, Capital Senior Living will leverage ser-vices, support, and technolo-gies that maximize the experi-ence of Blended Learning, the approach pioneered in healthcare by Redilearning, whereby Capital Senior Living’s corporate content, Redilearning programs, and strate-gic communications via Learning Broadcasts will be combined to maximize staff performance. Automation will be deployed to boost efficiency, demonstrate com-

pliance, assess and track skills; and offer leaders insights to con-tinuously improve with learning analytics.

“We look forward to aligning with the Redilearning team to enhance our training by blend-ing live, on-demand, award-

winning educational resources,” said Lawrence A. Cohen, Chief Executive Officer of Capital Senior Living. “These addition-al resources will strengthen the education of our most valuable resource, our people, so they may perform at their best.”

Capital Senior Living will work closely with Redilearning’s Client Services team to move strate-gic initiatives forward. Michael Hemlepp, CEO of Redilearning, commented, “The Redilearning team will listen, design, organize, and optimize the right Blended Learning approach.

Capital Senior Living will gain data-driven proof that education initiatives are making a differ-ence.” ■

Capital Senior Living aligns with Redilearning to improve

staff performance

“These additional resources will strengthen

the education of our most valuable resource, our

people, so they may perform at their best.”

- Lawrence A. Cohen

Another Life Savedby a REMARKABLE Team

When UW Health employees Deb Brausen and TracyWeber set out for a relaxing camping trip, they had noidea that it would turn into a life-saving opportunity.

After a woman in a neighboring campsite collapsed,Deb and Tracy quickly put their expert clinical skills inaction by administering CPR to save the camper’s life.

Find out how you can work alongside REMARKABLEemployees like Deb and Tracy, by calling Amanda at(608) 821-4164, or visiting uwhealth.org/careers toexplore nursing careers and more at UW Medical Foundation.

UW Health. Remarkable Careers.UM-41010-14

Remarkable employees, Deb Brausen, RN, vice president,and Tracy Weber, RN.

DOCTOR OF NURSINGPRACTICE (DNP) IN

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Individualized and value-centered education advancingthe direction of nursing practice

Contact Jenna Alsteen608.663.4255, [email protected]