& The Institute for Nursing Newsletter

Advocating--Positioning--and Educating New Jersey RNs Brought to you by NJSNA’s Dues-Paying Members. JOIN US TODAY! New Jersey State Nurses Association • 1479 Pennington Road • Trenton, New Jersey 08618 • www.njsna.org • (609) 883-5335 Volume 46 • Number 1 Quarterly publication direct mailed to approximately 138,000 RNs and LPNs in New Jersey January 2016 Inside... In Memory Of

Memorial to George J. Hebert, MA, RN, APN New Jersey Board of Nursing Executive Director

by Muriel M Shore, RN, EdD, Felician College, fatigued. His leadership WPU Nursing Students Attend School of Nursing Dean position at the Board of NJSNA/IFN 2015 Convention Nursing was very important St. George’s Episcopal Church in Maplewood was to him and George felt Page 5 filled to capacity on June 6th as family and friends of compelled to work hard in George J. Hebert, MA, RN, gathered to celebrate his spite of his illness. life and legacy. Considered the consummate nursing George oversaw all professional, George passed away on May 29th after activities of the Board of a courageous battle with cancer. Nursing including regulatory Reverend Bernard W. Poppe, Rector at St. updates, licensure and George’s Church, led the celebration, which was filled re-licensure, disciplinary with heartfelt remembrances of George. A beautiful hearings, regular board George Hebert vocal rendition of “The Impossible Dream” from the meetings, approval of Man of La Mancha which was George’s favorite and nursing education programs, philosophical song, reflective of momentous events home health aides and the alternative to discipline throughout his life, brought tears and applauses from monitoring program. George was responsible for the many present at the funeral. In describing George, organization and coordination of all programs, while Reverend Poppe said he could sum it up in one word also participating in the activities of the National Congress on Policy and Practice (COPP) – “gentle.” I think everyone in the church would agree Council of State Boards of Nursing. No matter what that was the perfect description of George who had a the issue was, George treated everyone with respect Page 10 gentle smile, a gentle heart, and a gentle touch. and worked hard with various constituents to help find The outpouring of nursing leadership and previous solutions to their regulatory issues. “You could always Directors and Staff from the Division of Consumer count on George to get back to you with wise advice Affairs as well as the National Council of State Boards to resolve your question,” said Shore, a longtime of Nuring attending the memorial celebration reflected friend and former Board of Nursing member who George’s national and state-wide stature. George served with George. Index worked at the New Jersey Board of Nursing since George worked hard with a very competent 2000 having served first as the Deputy Executive Board of Nursing staff to transition license renewals Membership Application ...... 2 Director, and then as the Executive Director until to the new online renewal process. With almost CEO Report...... 3 2015 when he died. To the very end, George was going to work despite being in treatment and feeling Rutgers School of Nursing–Camden Partners with In Memory of continued on page 10 Hungary Medical School ...... 6 Nurses Building a “Culture of Health” Through Innovation: NJ Collaborating Center for Nursing Summit...... 7 Update NJ Board of Nursing...... 8 American Academy of Nursing Inducts Five NJ Nurse Fellows...... 9 NJSNA 2016 Election Results Institute for Nursing (INF) ...... 11 Vice President Committee on Nominations Region News ...... 12-13 Kathryn Fleming Daniel Misa American Nurses Association...... 14-15 Lisa Marie Golini Secretary Karla Tramutola Sandra Quinn Congress on Policy/Practice Non-Profit Org. Director Member at Large Kathleen Jackson U.S. Postage Paid Eileen Toughill Eileen Specchio Princeton, MN Margaret Daingerfield Permit No. 14 current resident or Director Staff Nurse Please visit www.NJSNA.org to view all the Patricia Fonder Region election results

SAVE THE DATE – Mark your calendars for the Installation of Officers, both NJSNA and Regional. Date is JANUARY 16, 2016. Please RSVP your attendance to Sandy Kerr ([email protected]). Page 2 New Jersey Nurse & Institute for Nursing Newsletter January 2016

New Jersey Nurse Official Publication of the New Jersey State Nurses Association and Institute for Nursing 1479 Pennington Road Trenton, New Jersey 08618 Phone: 609-883-5335 Fax: 609-883-5343 Email: [email protected] Webpage: www.njsna.org

NJSNA Mission Statement Advance the practice of professional nursing by fostering quality outcomes in education, practice and research

Institute for Nursing (IFN) Board of Trustees Dr. Benjamin Evans, Chair, [email protected] June Brandes Chu, Secretary, [email protected] Judy Schmidt, MAL, CEO, [email protected] Dr. Mary E. Fortier, MAL, [email protected] Marvin Sauerhoff, Treasurer, [email protected] Dr. Phyllis Hansell, Vice Chair, Community Member Elizabeth Balota, MAL, [email protected] Robert Wise, Community Member Eric Arauz, Community Member Ray Zarzar, Community Member

Executive Committee Norma Rodgers, President, [email protected] Dr. Benjamin Evans, President Elect, [email protected] Dr. Kathryn Fleming, Vice President, [email protected] Eleanor Withington, Treasurer, [email protected] Dr. Sandy Quinn, Secretary, [email protected]

Board of Directors Judy Schmidt, Past President, [email protected] Saundra Austin-Benn, Director, [email protected] Kate Gillespie, Director, [email protected] Rosemarie Rosales, Director, [email protected] Mary Krug, Director, [email protected] Kathleen Burkhart, Director Staff Nurse, [email protected] Kathleen Mullen, Director Staff Nurse, [email protected] Patricia Fonder, Director Staff Nurse, [email protected] Jackie Owens, Chair, COPP, [email protected] Dr. Eileen Toughill, Director, [email protected] Margaret Daingerfield, Director, [email protected]

Region Presidents Mary Ellen Levine, Region 1; [email protected] Patricia August, Region 2; [email protected] Varsha Singh, Region 3; [email protected] Regina Adams, Region 4; [email protected] Dr. Anita Murphy, Region 5; [email protected] Peggy Lasoff, Region 6; [email protected]

NJSNA/IFN Staff Judy Schmidt, CEO; [email protected] Debra Harwell, Deputy Director; [email protected] Membership Services Sandy Kerr, Executive Assistant & Member Administrator; www.njsna.org [email protected] Denise Jester, Office Manager; [email protected] Sandy Kerr, Executive Assistant, is also Dr. Barbara Chamberlain, Education Specialist; [email protected] now NJSNA’s Membership Services Tyea Santiago, Education Coordinator; [email protected] Annemarie Edinger, RAMP Comm Coord.; [email protected] Administrator. She will be your contact Kortnei Jackson, RAMP Adm. Asst.; [email protected] Jillian Scott, Director RAMP; [email protected] Published by: for all membership questions. She can be Donna Gillane, Case Manager RAMP; [email protected] Arthur L. Davis reached at 609-883-5335 extension 111 Brenda Wysocki, Case Manager RAMP, [email protected] Bill Philhower, Case Manager RAMP, [email protected] Publishing Agency, Inc. or by email at [email protected]. New Jersey Nurse Staff Judy Schmidt, Editor Sandy Kerr, Managing Editor Dr. Barbara Wright, Executive Editor

New Jersey Nurse Copy Submission Guidelines: All NJSNA members are encouraged to submit material for publication that is of interest to nurses. The New Jersey Nurse also welcomes unsolicited manuscripts. Article submission is preferred in MS Word format, Times New Roman font and can be up to 500 words. When sending pictures, please remember to label pictures clearly since the editors have no way of knowing who persons in the photos might be. Copy Submissions: Preferred submission is by email to the Managing Editor. Only use MS Word for test submission. Please do not embed photos in Word files, send photos as jpg files. Submit Materials to: New Jersey Nurse, Attention to Sandy Kerr, Managing Editor at [email protected]

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), sales@aldpub. com. NJSNA 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 New Jersey State Nurses Association 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. NJSNA 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 NJSNA or those of the national or local associations. January 2016 New Jersey Nurse & Institute for Nursing Newsletter Page 3 NJSNA Celebrates CEO R eport National Recovery

Judith E. Schmidt, RN, MSN, ONNC, CCRN employees are prepared for almost every emergency, Chief Executive Officer but are ill prepared for the active shooter scenario. Month NJSNA and Institute for Nursing Ask yourself this question. What would you do if someone with a gun arrived on your unit or you heard by Annemarie Edinger, I hope that you had the what sounded like fire crackers on the unit adjacent to RAMP Communications Coordinator opportunity to join us at the you? Do you know where you can hide on your unit? NJSNA Annual Convention Do you know all the exit areas in your work area? Are NJSNA organized a team of walkers and in Atlantic City in October. there any locked areas? We are educated (trained) to runners to participate in the Recovery Advocates of There were many interesting be the caregiver and to respond to critical situations America’s 3rd Annual Walk for Recovery. Recovery and informative speakers. by running to them. Our role in an active shooter Advocates of America, based in Hamilton, NJ, Is In addition, the poster scenario is to remove yourself as quickly as possible a not-for-profit organization that helps individuals presentations were excellent. from the area, and follow the directions of the law realize their need for treatment and also assists We were fortunate to have enforcement officials. Their directions might mean the individual and their family identify a treatment NJ Lieutenant Governor, leaving your patients and other co-workers. As one center that offers the appropriate level of care based Kim Guadnagno and Miss law enforcement officer said to me, “You can’t help on their needs. September is National Recovery Colorado, Kelley Johnson, anyone if you are dead!” The survival mantra is Run- Month and this annual event helps Recovery Judith Schmidt join us. NJSNA President Hide-Fight! Advocates raise awareness on addiction while also Norma Rodgers hosted the Many of the attendees at the “Active Shooter serving as a fundraiser. Sponsors for the event President’s Reception and highlighted diversity with Preparedness” presentation felt that this topic should included several treatment facilities including High the many cultures of nursing in New Jersey making be included in all facility orientations. You might Focus Centers, Seabrook House and Summit entertaining presentations. In this issue of the NJ want to discuss this with your nursing supervisors Behavioral Health. Nurse you will find an article written by a William and nursing management team in an effort to The 3rd Annual Walk for Recovery was held Paterson University nursing student, describing the incorporate this information into your annual in Mercer County Park on September 19, 2015. experience she and her leadership class had at the mandatory education plans. It is certainly better to The NJSNA team included Judy Schmidt, CEO of Convention. be prepared than to be unprepared. If you would like NJSNA, the Recovery and Monitoring Program One of the most interesting and timely topics further information on this topic, the Department of (RAMP) staff and family members, a peer support that was presented at the Convention was entitled, Homeland Security has a very informative website and group facilitator and several nurses. “Active Shooter Preparedness: Keeping a PDF that can be downloaded. The web address is The opening ceremonies featured a welcome Everyone Safe.” We know that our public www.dhs.gov/active-shooter. The PDF can be found from executive director Michael Ziccardi who institutions, such as schools and government offices at www.dhs.gov/xlirary/assets/active_shooter_booklet. discussed his history of addiction. Other speakers are vulnerable to this type of dangerous event. pdf. included organization founder Paul Tessein and Hospitals and other health care facilities are no Stephan Dushnik who founded the nonprofit exception. Nurses, other health care providers, and organization dSquared. dSquared is a transportation service that seeks to provide free transportation home for young people with no questions asked. Assemblyman Dan Benson presented the nonprofit Advanced Practice Nurses Meet group with a Joint Legislative Resolution of recognition. The Joint Legislative Resolution by Sen. Linda Greenstein and Assemblymen Wayne Senator Whelan DeAngelo and Dan Benson states: “That this Legislature hereby salutes Recovery Advocates of America Inc. upon the occasion of its Third Annual Jersey’s Walk for Recovery on September 19, 2015, and commends all those who participate in or support this event.” After completing the 5K run/walk, participants were offered food and refreshments before the award ceremony and closing remarks. The Recovery Advocates handed out awards for the 1st, 2nd & 3rd place finishers and a plaque to all the essential volunteers NJSNA hopes to participate bigger and better next year!

Despite the beautiful weather which tempts all of Center, and a supporter of APN practice. Senator us who live in NJ to head for the beaches, 25 APNs James Whelan (Democrat, District 2) also attended attended DEATH CERTIFICATE LEGISLATION: and provided the APNs firsthand information on the Advocacy, Action and Change Agents in legislative process from a Senator’s perspective. It Atlantic City. This lecture was provided by APN-NJ, was a great day, and having the Senator there, put a grassroots coalition organization that represents it over the top. Norma Rogers, President of NJSNA nurses, Advanced Practice Nurses and interested also gave greetings and provided information on the citizens in advocating for healthcare in NJ. The lecture importance of membership for ALL NURSES and was presented by Grace Reilly, APN, co-founder of APNS in NJSNA in order to be effective in lobbying APN-NJ and member of NJSNA COPP, and serves and legislative matters. on the Steering group to remove the Joint Protocol. One attendee used the term “Politically Unplugged” Grace is also the NJ Representative to the American to describe herself. She said she “never thought of any Association of Nurse Practitioners (AANP). The event of this as important, and now she has a whole new was organized and led by our emerging leader, Larider view.” She found this presentation informative and Ruffin, DNP(c), MSN, APN, CTTS, who is a member engaging, and plans to get “plugged in” to policy. of NJSNA, AANP, and President of Northern New For more information or to have APN-NJ or Jersey Black Nurses Association. NJSNA provide this offering at your hospital, school Honored guests included, Dr. Robyn Begley, Chief of nursing or organizational meeting, contact Grace Nursing Officer of AtlantiCare Regional Medical Reilly ([email protected]).

CAMP NURSE RNs needed for a NY Performing Arts Camp located in Hancock, 2½ hours from NYC. Available for 3, 6, or 9 weeks and include We are located in the beautiful foothills of Pennsylvania’s Endless Mountains where we have been providing boys and girls with a room and board. Families are accommodated. traditional sleep-away experience for more than 75 years. For info call (800) 634-1703 Visit us at www.indianhead.com. For more questions contact: or go to: www.frenchwoods.com [email protected] • (914)345-2155 Page 4 New Jersey Nurse & Institute for Nursing Newsletter January 2016 2015 Convention Highlights January 2016 New Jersey Nurse & Institute for Nursing Newsletter Page 5 WPU Nursing Students Attend NJSNA/IFN 2015 Convention

by Anoush KalYachian, William Paterson University, BSN Senior Student, Class of 2016

Every fall semester, William Paterson University Professor of Nursing, Leo-Felix M. Jurado, PhD, RN, NE-BC, APN, CNE, assigns the Nursing Leadership and Professional Practice students to attend the NJSNA convention with the idea that, “professional socialization of nursing students begins while they are in school.” Jurado adds, “The best way to teach students about the importance of joining professional nursing organizations is to provide them the opportunity to experience it in conventions and other activities.” Attendance Miss Colorado, Kelley Johnson, RN, BSN fulfills the course objective of engaging in activities (Center); Dr. Leo-Felix Jurado, Professor (Left) of professional nursing organizations to enhance (Rev) Benjamin M. Evans, DD, DNP, APN, Dr. Benjamin M. Evans, Professor, IFN Chairman professional development. Besides being thrilled PMHCNS-BC (IFN Chairman & NJSNA President & NJSNA President elect (Right) with WPUNJ about the opportunity to visit Atlantic City, NJ with elect) with WPUNJ students. Nursing Leadership Students. dozens of our classmates, it would be our first time attending a professional nursing convention. NJSNA CEO, Judith Schmidt, RN, MSN, ONC, CCRN, affirmed, “It is imperative that Nursing Students be given the opportunity during their coursework to become acquainted with the Professional Nursing Association in their state. Professional Nursing Associations, such as the NJSNA, are responsible for developing the Standards of Practice, providing continuing education, monitoring legislation, and promoting networking which lead to professional growth. Attending convention is one opportunity to become involved in these processes.” Schmidt added, “Nursing students are the future leaders of Leo-Felix M. Jurado, PhD, RN, NE-BC, APN, CNE with WPUNJ Nursing Leadership students. health care.” Although the convention ran from Tuesday through Friday, WPU students were only able Arguably the most exciting part of the day to attend on Thursday due to having scheduled was the healthcare plenary session with keynote classes on the other days. Dressed professionally, speaker, Kelley Johnson, RN, BSN, Miss Colorado students showed up to register at Bally’s Hotel and 2015 and Second runner-up Miss America 2016. proceeded to the morning student program called, The video of her touching nursing monologue “Adventures in Nursing” by Lee Taylor-Vaughan, as her talent for the Miss America pageant last MSN, RN, APN, director of education of a nursing month went viral as it raised awareness of nursing certification company. In his engaging lecturing as a talent (watch here–https://www.youtube.com/ style, Lee explained how getting a Registered watch?v=OrcV7yR3Yok). Yet, Johnson became Nurse license is the first step to practicing as the target of some criticism from TV hosts on a professional nurse, but certainly should not “The View” mocking her nursing “uniform” and be the last. He advised students to consistently questioning why she was wearing a “doctor’s Professor Sandra Foley, RN, MSN (JNSNA participate in continuing education since nursing stethoscope.” Their ignorant remarks ignited a Region 1 member) with clinical students from involves a lifetime of learning to keep up with rapid widespread controversy and gave Miss Colorado WPUNJ. advancements in health care. With over 20 years a national platform to advocate for the nursing of experience in critical care around the country, profession, as she was immediately invited as a shared them on social media with the relevant Lee shared statements regarding “Things I wish I guest on television shows, such as Ellen DeGeneres hashtags #NursingIsMyTalent, #NursesUnite, and would have known in nursing school,” including and Dr. Oz, among others. #NursesShareYourStethoscopes. not being afraid to ask for help, engaging in self- To have Miss Colorado return to Atlantic City for After the day’s programs, students explored care, and being aware of burnout. As a previous the NJSNA convention to discuss the benefits of the city by watching the sunset on the beach and nurse recruiter, Lee shared inside secrets regarding the controversy was a privilege. This movement has socializing on the boardwalk. Besides leaving the the application process including tips for resume caught on fire, and we cannot allow it to die out. In convention with a nifty NJSNA/IFN tote bag to building and interviews as nursing jobs become her meaningful speech, Kelley reminded the nurses take to clinicals and unforgettable memories of a increasingly competitive (you can imagine how of NJ that they are not “just” nurses, but highly road trip with classmates, the nursing students of students were taking notes fervently at this point). educated healthcare professionals that are essential WPU left infused with inspiration to make a positive Perhaps Lee related well to the students because to safe and effective patient care, and shouldn’t let change in the profession. Attendance undoubtedly he is currently a student himself, in law school others consider them as anything less. With humility contributed to our emerging personal philosophy to become a nurse attorney. After passing out and eloquence, Kelley delivered a message of love, of nursing. As class representative of our school’s giveaways, his closing advice for the students, prompting us to respect our brothers and sisters in student nurses association (SNA), I hope that as future nurses, was to continuously elevate the nursing and not to forget what made us nurses in involvement in our pre-professional organization, NJ profession. the first place: our passion and our ability to ignite Nursing Students, and exposure to the professional Having lunch on our own gave us the that passion within others. Her pageant platform, organization, the NJSNA, will inspire us all to opportunity to explore the Atlantic City boardwalk; Health Initiative PLUS, focuses on holistic care to become active members after graduation. Because, a meal on the Jersey shore wouldn’t be complete prevent and treat illness. It was a special treat for in the words of Miss Colorado, “If we don’t stand up without topping it off with funnel cake and salt students to hear that she was able to balance being for our own profession, who will?” water taffy! The afternoon student session was an a full-time nursing student, full-time collegiate Thank you for having us, and we hope to see you NCLEX review during which we learned about the athlete (volleyball team captain), and pageant again, next time as colleagues! format of the exam and study tactics in addition to participant, while still graduating as valedictorian. analyzing practice questions. As senior students When Kelley was asked what advice she who will take the NCLEX in a couple of months, would give the students, she said to choose a this session was surely beneficial for us. job within a specialty and hospital that reflects Perioperative Nurse for the Navy Reserve Multiple continuing education sessions were the applicant’s values, requiring ample research held afterward, and students were enthusiastic to be done beforehand. After the program, Benefits: about attending the session conducted by one of students took selfies with Miss Colorado and Additional $22,000 annual income $45,000 our nursing professors, (Rev) Benjamin M. Evans, Stay local Sign on VA home loans Bonus DD, DNP, APN, PMHCNS-BC, who also serves Low cost Tricare Insurance as the Institute for Nursing (IFN) chairman, and Commissary and Exchange/PX shopping NJSNA president elect. Integrating humor in his presentation just as he does in his classroom, Dr. Basic Requirements: US Citizen, physically qualified Evans drew from his clergy and life experiences to Experience in OR teach attendees transpersonal care techniques to BSN from an accredited program provide empathic, individualized care by helping Commissioned prior to 42nd birthday people find the purpose and “real” meaning of Obligation: One weekend a month and 2 weeks each year life. Afterwards, he expressed, “I felt so honored that all the WPU students showed up!” Additional Navy Medical Officer Programs WPU faculty in attendance included Professor (800) 322-9595 Sandra Foley, MSN, RN, president-elect of NJSNA Region 1. [email protected] Page 6 New Jersey Nurse & Institute for Nursing Newsletter January 2016

SAVE THE DATE! Call for Resolution Proposals

NJSNA’s Resolutions Committee is now accepting Resolution Installation of Officers Proposals. Any suggestions for proposed resolutions will be referred to Saturday, January 16, 2016 the Resolutions Committee for study. Amendments proposed by the NJSNA Headquarters Resolutions Committee for the 2016 NJSNA Annual Meeting must be in the possession of the NJSNA Resolutions Committee by June 1, 2016. Please submit all resolution proposals to Sandy Kerr, Executive Assistant, at EPIC Awards [email protected]. April 13, 2016

2016 NJSNA/IFN Annual Convention Bally’s Casino & Resort Hotel October 11—14, 2016

CALL FOR NOMINATIONS FOR 2016 ELECTIVE OFFICES

President Elect Treasurer Call for Bylaws Proposals Director MAL Director Staff Nurse NJSNA’s Bylaws Committee is now accepting Bylaws Amendment Proposals. Committee on Nominations Any suggestions for proposed amendments will be referred to the Bylaws COPP Committee for study. Amendments proposed by the Bylaws Committee for the 2016 NJSNA Annual Meeting must be in the possession of the NJSNA Bylaws Contact Sandy Kerr Committee by June 1, 2016. Current NJSNA Bylaws may be found online at ([email protected]) for Nomination Form http://www.njsna.org, click on ABOUT NJSNA, then select 2015 NJSNA Bylaws. Please submit all Bylaws Amendment Proposals to Sandy Kerr, Executive Assistant, at [email protected].

Rutgers School of Nursing– Camden Partners with Hungary Medical School

Rutgers School of Nursing–Camden is expanding its global reach through a new collaboration with Semmelweis University in Budapest, Hungary. This partnership will allow the two higher education institutions to collaborate on academics, research, and scholarship programs. Representatives from the two universities, including Rutgers University– Camden Chancellor Phoebe Haddon and Rutgers School of Nursing–Camden Dean Joanne Robinson, signed a Memorandum of Understanding in September 2015 at Semmelweis University. As Hungary’s oldest medical school, and one of Europe’s leading centers of medicine and health sciences, the Memorandum sets up the framework for the collaboration. “This partnership is an opportunity for us to expand our global outreach,” Robinson explained. “The Rutgers School of Nursing–Camden is proud to partner with Semmelweis and by working together, our two institutions will expand opportunities for our students and faculty to advance nursing scholarship and research.” “Rutgers–Camden nursing students will be provided an extraordinary opportunity to understand the global nature of health care today,” stated Marie O’Toole, senior associate dean of academic and faculty affairs and professor at the Rutgers School of Nursing–Camden. “Global health is an essential component of nursing education and because we live in a global society, our students must learn to work together to anticipate changes in the healthcare system and come up with the best solutions for care.” The first step in the collaboration will be a faculty and student exchange program that will begin during the fall 2016 semester, as well as the establishment of joint research activities. O’Toole says the work will primarily focus on emergency care, infection control, and health care policies in the European Union. “The faculty and students at Semmelweis University have established themselves as outstanding researchers and educators in nursing and health science and this partnership is a natural fit,” according to O’Toole. Rutgers–Camden students will have an opportunity to study healthcare policies and practices in another country while learning from and teaching their Semmelweis peers how to provide better care in hospitals. The collaboration is being funded by an Erasmus+ grant awarded to Semmelweis University from the European Commission on Higher Education for the exchange of faculty and students. “We want to be able to combine our resources to really make an impact on the education of healthcare providers,” O’Toole said. The Rutgers School of Nursing–Camden offers baccalaureate programs for traditional, accelerated, and RN students; professional certificates in school nursing and wound/ostomy/continence nursing; and a doctor of nursing practice program with tracks in adult/gerontology nursing and nursing of families that prepare students for clinical practice as nurse practitioners in these specialties. January 2016 New Jersey Nurse & Institute for Nursing Newsletter Page 7 Nurses Building a “Culture of Health” Board of Directors Through Innovation: Updates:

NJ Collaborating Center for Nursing Summit The NJSNA Board of Directors met on Tuesday, September 22, 2015 in Trenton. In attendance Shifting the United States mindset from one of were: Norma Rodgers, President; Kathryn Fleming, healthcare to health requires nurses to be engaged Vice President; Eleanor Dietrich-Withington, in their communities and in this transformation. The Treasurer; Sandy Quinn, Secretary; Directors Kate question is, how can nurses lead and be engaged Gillespie; Saundra Austin-Benn; Kathleen Burkhart; in building a “Culture of Health?” What does that Mary Krug; Patricia Fonder; Kathleen Mullen; mean? The New Jersey Collaborating Center for Mary Carroll; Jackie Owens, COPP; Mary Ellen Nursing (NJCCN) Summit: New Jersey Grassroots Levine, Region 1 President; Varsha Singh, Region Nurses: Building a Culture of Health Through 3 President; Anita Murphy, Region 5 President; Innovation took on that challenge October 28, 2015 Peggy Lasoff, Region 6 President; Judy Schmidt, with its collaborators: New Jersey Action Coalition CEO & Immediate Past President; Sandy Kerr, (NJAC), New Jersey Nursing Initiative (NJNI) and Executive Assistant New Jersey Healthcare Initiative (NJHI). Nurses Excused: Benjamin Evans, President Elect; from across settings and roles were engaged in Margaret Huryk, Director; Rosemarie Rosales, answering these questions at the summit. Nurses Director; Susan Weaver, Chair COPP; Patricia participating included: long term care, home care, August, Region 2 President; Regina Adams, Region acute care,, public health, care coordination, 4 President; community, schools, new graduates, APNs, educators, Guests: JoAnne Penn; Linda Gural; students, representatives from professional nursing STUDENTS: Nadine Nwosu-Sylvester; Farah organization, Campaign for Action, and Pathway to Derisier; Carina Hernandez; Nikita P. Goel; Tyeisha Excellence team. Nurses were asked to be seated in James; Ryan M. Mion; Katherine E. Pacheco; the counties they served to meet other sectors of their Johanna V. Rhein profession. ______Susan Hassmiller, PhD, RN, FAAN, Robert Wood Johnson Foundation (RWJF) Senior Advisor for Following are highlights of the action items: Nursing, started the dialogue on how the Foundation is framing a “Culture of Health,” and its integration Motion 1—Approve the Minutes of May 26, into the IOM report recommendations from the 2015 Passed Vote Yes 14; 1 Abstain Future of Nursing: Leading Change, Advancing Motion 2—Approve the Consent Agenda Health. Hassmiller encouraged nurses to call out Passed Vote Yes 15 what they are doing in their communities and to claim Motion 3—Allow Judy Schmidt to be it as a nurse…call it and claim it! Nurses need to authorized as the signer and has the rights and recognize that the choices people make in their privileges as CEO Passed Vote Yes 16 communities are the choices that they have; therefore, Motion 4—To accept the financial reports as Grant proposals announced we need to understand that where consumers work, presented Passed Vote Yes 16 Finally, Lynn Fick-Cooper, MBA, Center for play and live will influence those choices. —To change the order of the Agenda Creative Leadership faculty member, presented Motion 5 Ancella Livers, PhD, from the Center for Creative Passed Vote Yes 15 innovative strategies to frame the challenges of Leadership, helped nurses look at the issues of —To move the In State Only healthy communities, to learn how to find value in all Motion 6 diversity from various perspectives to understand membership to ANA to process and for NJSNA to new ideas, and go beyond one’s comfort zone. why it is important for us to step out of our identity absorb the $5.00 per member fee. Passed Vote Yes Edna Cadmus, PhD, RN, FAAN, NJ Collaborating and meet those people we serve from their identity. 14; 1 Abstain Center Executive Director, announced information Nurses learned from Toni Lewis, MPH, a coach at the —To send a donation to the about three grant opportunities sponsored by the Motion 7 County Health Rankings and Roadmaps, how to use Concerned Black Nurses Association in the amount NJCCN, NJHI, and NJNI for $5,000 each. These rankings and roadmaps to determine the health of of $250 in honor of Annette Hubbard grants expect teams from across sectors to work with their counties in NJ and to learn about best practices —The Executive Committee will create their communities to improve health. Proposals are Motion 8 (counntyhealthrankings.org). a policy for gifts in Memorium due to the NJCCN by February 1, 2016. Cadmus Successful innovative healthcare programs were —To bring suggested recommendations said, “The enthusiasm and commitment of NJ nurses Motion 9 presented by Anna Federico, APN, who described the from ANA to the Bylaws Hearing at convention. was palpable in the room. In pursuit of a “Culture of CVS Minute Clinic service, staffed by APNs in 38 sites —Refer ANA bylaw recommendations Health, nurses networked and built new relationships Motion 10 in NJ; and Jill Viggiano, RN, MSN, champion of the to the Bylaws Committee and report back to the and new skills. I am hopeful that we will see new PACE (Program of All-inclusive Care for the Elderly), NJSNA board in November. who shared how PACE led to the LIFE Program at St innovative approaches to health and healthcare from Francis. Federico and Viggiano’s remarks provided a these nurses.” We encourage you to visit our new context of what is possible and already in operation. website: http://njccn.org.

Your online resource for nursing jobs, research, and events. Find your dream job today! www.nursingALD.com Page 8 New Jersey Nurse & Institute for Nursing Newsletter January 2016

Update NJ Board of Nursing

Continuing Nursing Education Required for NJ License Renewal

Patricia Murphy, RN, PhD, FAAN, NJ Board of Nursing President

Half of the NJ Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Advanced Practice Nurses (APNs,) will begin the process to renew their NJ licenses soon. In order to renew these licenses 30 Continuing Nursing Education contact hours are required to be completed before renewal. However, most nurses are unaware that the NJ Board of Nursing (BON) can take action against a nurse’s license when a nurse fails to complete the required CNE contact hours including: a public reprimand which remains on record permanently (cannot be expunged by the courts); as discipline, a $250 fine and suspension of the license until the CNE contact hours are complete and all fines paid. This year there is also a change in the interpretation of the regulations. In the past new graduates were allowed to forego completion CNE contact hours for the first 2 years after they graduate. Following a review of the regulations that is no longer the policy. All nurses who apply for renewal regardless of when they graduated must show that they have completed the required CNE contact hours or CNE contact hour equivalents, as spelled out in the regulations, 13:37-5.3 CONTINUING EDUCATION (page 30) http://www.njconsumeraffairs. gov/regulations/Chapter-37-New-Jersey-Board-of-Nursing.pdf

Frequently Asked Questions The most common FAQs the Board receives regarding CNE credits follow: 1. May employer’s programs grant CNE contact hours? Continuing nursing education offered by employers or facilities ARE NOT always eligible for the award of CNE contact hours. The employer or facility must apply for and be authorized to grant CNE contact hours before the course is given. If you are not sure ask. If you submit employer’s or facilities’ programs that are not an approved provider of CNE contact hours for the time period you take the program, it will not count toward required CNE credits and you can be disciplined.

2. Do I need to send my CNE certificates of contact hours to the BON when I renew? Do not send your CNE certificates to the BON unless you are asked to do so. If you are asked to send them, send them in one batch and ALWAYS keep copies for your records. The Board may ask you for up to two past biennium’s CNE records, therefore you must retain CNE certificates after you complete the license renewal. The Board recommends that you keep your certificates for a minimum of four (4) years.

3. I am going back for my BSN (or any nursing degree), can any of those school credits be applied to my CNE requirement? Yes. Under 13:37-5.3 CONTINUING EDUCATION, you will find that there are a number of activities, such as being a preceptor, teaching, working on a degree that are accepted as meeting your CNE requirements. Please read the regulation and if you have any questions call the BON.

4. If I take a few courses a week after the renewal deadline, is there a grace period? No. If you need 3 CNE contact hours by the May 31, 2016 renewal deadline, don’t wait until June 1, 2016 to complete them. You will be disciplined.

5. I completed 30 contact hours, but I received a letter from the Board of Nursing stating that I checked NO so I now have to pay a fine and complete courses, why? Some people receive a letter in error, when they have completed their CNE contact hours. If you are one of those people, contact the Board, and send copies of your CNE certificates; there will not be any discipline or fine imposed. If you did not complete you CNE contact hours, follow the letter’s instructions.

Additional FAQs are available at http://www.njconsumeraffairs.gov/nur/Pages/Continuing-Education-FAQ.aspx http://www.njconsumeraffairs.gov/nur/Pages/Continuing-Education-FAQ.aspx

NJ Board of Nursing Regulation Adopted

NJ Board of Nursing President, Patricia Murphy, RN, PhD, FAAN, announced the following action of the Board on November 2, 2015. A new regulation was finalized deleting N.J.A.C. Section 13:37-5.6, Responsibilities of Licensure which reads:

13:37-5.6 RESPONSIBILITIES OF LICENSURE A licensee shall be held to the level of practice associated with his or her licensure, either as a registered professional nurse or licensed practical nurse, regardless of his or her employment status. For example, when a registered professional nurse is employed as a licensed practical nurse, he or she will be held to the standards of a registered professional nurse. This was done to remove any confusion might occur when a Board of Nursing licensee decides to take a job that doesn’t require his/her license. For example a hospital unit secretary who returns to school to become an RN while working may stay in the unit secretary position where he/she works after being licensed because there are no RN jobs currently open. The regulation doesn’t require that the facility must hire the individual as an RN. However, if that RN engages in nursing care, he/ she will be held to the level of her license. That standard doesn’t change with the removal of N.J.A.C. Section 13:37-5.6. For further information or questions, please contact the NJ Board of Nursing at: 973-504-6430. January 2016 New Jersey Nurse & Institute for Nursing Newsletter Page 9 American Academy of Nursing Inducts Five NJ Nurse Fellows

At the 2015 American Academy of Nursing (AAN) Induction ceremony, Lothian Advocates for Normal Physiologic Birth five New Jersey nurses were inducted as Fellows. The NJ nurses selected were: Wallena Gould, EdD, CRNA, FAAN; Paul Kuehnert, DNP, RN, FAAN; Terri Judith Lothian, PhD, RN, LCCE, FACCE, FAAN, Lindgren, PhD, MPH, RN, FAAN; Judith Lothian, PhD, RN, LCCE, FACCE. is an Associate Professor at Seton Hall University, FAAN; and Albert Rundio, PhD, DNP, RN, FAAN. The ceremony including the College of Nursing, and Chairperson of the graduate induction of 162 new Fellows was held during the AAN Policy Conference in department. A maternal-child health nurse and childbirth Washington, DC on October 17. educator, Lothian provided the vision that led Lamaze Diana J. Mason, PhD, RN, FAAN, AAN President, welcomed new fellows from International to strongly support normal physiologic across the nation and the world, and their family and friends. “This past year has birth. Also, she has led three critical initiatives: seen tremendous growth in Academy initiatives, designed to improve the health accreditation of the Lamaze Childbirth Educator and well-being of individuals, communities and populations---and to advance the Certification Examination by the National Council of Academy’s mission of transforming health policy and practice through nursing Certifying Agencies; launch of the Journal of Perinatal knowledge,” Mason said. Her message to inductees was, “while it is a personal Education, where she is currently Associate Editor; and honor to be inducted into the Academy, it is also a significant professional development and dissemination of Lamaze’s evidence- Judith Lothian responsibility to contribute to improving the health of the nation and to making based Six Healthy Birth Practices. The Educator nursing’s contributions visible.” Examination is offered in 13 countries and five languages. Lothian was awarded a PhD at New York University.

RWJF Vice President Lumpkin named AAN Honorary Fellow Rundio Influences Substance Use Disorders and Addictions Policy In addition to nurses who were inducted as Fellows, John R. Lumpkin, MD, MPH, Robert Wood Johnson Albert Rundio, PhD, DNP, APRN, NEA-BC, FAAN, Foundation (RWJF), Senior Vice President, was inducted an experienced clinical administrator and educator, is as one of three Academy Honorary Fellows. Prior to an advanced practice nurse at a residential chemical joining the Foundation in 2003, Lumpkin served for dependency treatment center. An International Nurses 12 years as director of the Illinois Department of Public Society on Addictions past president, Rundio is a Journal Health. Having received a MD and BMS degrees from of Addictions Nursing editorial board member, writes a Northwestern University, and MPH at the University Health Policy Watch column, and serves in leadership of Illinois, he was the first African American trained roles that influence policy and practice on substance in emergency medicine in the country. Lumpkin has abuse disorders and addictions. Rundio is a long standing had a significant leadership role at RWJF in support of nurse executive consultant to the American Nurses increasing the supply nurse faculty, prepared in masters Credentialing Center; he has authored, co-authored, or and doctoral programs; establishing the NJ Nursing John Lumpkin edited many publications focused on developing nurse Albert Rundio Initiative; and implementing the 2010 IOM Report, The executive expertise and preparation for certification. NJ Future of Nursing: Leading Change, Advancing Health. State Nurses Association, Institute for Nursing named Rundio as a Don at its Foundation gala in 2012.

Gould Pioneered Diversity in Nurse Anesthesia Mentorship Program

Wallena Gould, EdD, CRNA, FAAN, is the founder and chief executive officer of the Diversity in Nursing Anesthesia Mentorship Program, and chief nurse anesthetist at Main Line Endoscopy Centers (PA). A mentor for registered nurses from diverse cultural and ethnic backgrounds, Gould has increased minority enrollments in 54 of 114 nurse anesthesia programs in the country. As a result, minority nurse anesthetists are employed in underserved area hospitals, pursuing doctoral degrees, serving as association presidents and board members. Gould was a NJ Educational Opportunity Fund student at Fairleigh Dickinson Wallena Gould University, received an Associate Degree in Nursing at Gloucester County College, MSN in nurse anesthesia at LaSalle University, and EdD from Wilmington University.

Kuehnert Has Led Complex Health and Human Service Systems

Paul Kuehnert, DNP, RN, FAAN, became Director of the Bridging Health and Health Care Portfolio at the Robert Wood Johnson Foundation in 2012. Previously, Kuehnert was Kane County Health Officer in Illinois; a metro-Chicago county of 515,000 people, he provided executive leadership for four county health departments. Kuehnert has served as Maine’s Deputy Health Officer. Also, he was Associate Director of the AIDS Foundation of Chicago, and founder and CEO of Community Response, a comprehensive AIDS service organization. A pediatric nurse practitioner, Kuehnert was awarded a DNP and MSN degrees at .the University of Illinois at Paul Kuehnert Chicago.

Lingren Seeks to Harness Power of Christian and Muslim Faith-Based Leaders

Terri G. Lingren, PhD, MPH, RN, FAAN, is an assistant professor, and special director for Community Health at Rutgers University, School of Nursing. Having lived, studied, and worked in Africa and Asia, Lingren’s contributions are in community health, global health, and HIV research. Her scholarship has focused on vulnerable populations, refugees, immigrants, and people living with AIDS. Lingren has pioneered an initiative linking faith- based organizations and nursing research to empower Afghan refugee women in California. A University of Washington BSN graduate, elected to Phi Beta Kappa; a University Hawaii recipient of a MS degree and Terri Lingren MPH; Lingren was awarded a PhD at the University of California, San Francisco. Page 10 New Jersey Nurse & Institute for Nursing Newsletter January 2016

Congress on Policy and Pr actice (COPP)

Multistate Licensure Compact state lines. Both the American Nurses Association (www.njleg.state.nj.us/2014/Bills/3591_ by: Karla Tramutola, MSN, RN, CAPA, COPP (ANA) and the National Council for the State Boards I1.PDF) Member at Large of Nursing (NCSBN) have a position on this process which is discussed on their respective websites. The National Council for the State Boards of In the past 20 years, New Jersey has had two Nursing (NCSBN) has encouraged the New Jersey multistate compacts passed and signed by the State Nurses Association (NJSNA) to go to its governor. Both laws expired (sunsetted) before being legislators and request that the current version of the enacted and thus New Jersey could not join other Multistate Compact be revised to include the language states in the Multistate Compact. One issue was with in the NCSBN’s Multistate Compact. There have our licensing process and database; the other because been healthy discussions on the NCSBN’s Compact of our higher licensing standards with a requirement language especially in the area of where the practice of a criminal background check. The current NJ resides: Is it in the state where the nurse is licensed in Assembly Bill A3591 and NJ Senate Bill S3167 would or where the patient resides? Definitions of legal terms again attempt to enter New Jersey into the Nurse such as felony and misdemeanor vary from state to Multistate Licensure Compact (NMLC). state and may or may not affect whether a nurse can The NMLC provides for a mutual recognition join the Multistate compact. Those definitions may be model of nurse licensure (for registered an issue in New Jersey. professional nurses and licensed practical nurses), On October 19th the Senate’s Health, Human in which a nurse only needs to obtain one license Services, and Senior Services Committee passed the from the nurse’s state of residence in order to be NCSBN version of the Multistate Compact. NJSNA permitted to practice nursing in any other state was able to give testimony to support the concept of COPP members at NJSNA Headquarters. that is a party to the compact. The nurse must the Multistate Compact but verbalized concerns that Pictured from left to right are Dorothy Borresen, comply with the state practice laws of the state in we need to wait and see what happens in the other Sue Varga, Jacquelyn Owens, Diane Hassa, Jan which the patient is located at the time that care twenty-six Compact States and their attempts to revise Masters, Cindy Sonzogni, and Sue Weaver is rendered. Currently a nurse is required to be language to meet our high licensure standards. As of licensed in, and by, each state in which the nurse October 19, 2015 there has been no action on the Nursing Licensure. Patient safety. Public Safety. chooses to practice. Assembly version of the bill. State Lines. Accountability of Registered Nurses. (www.njleg.state.nj.us/2014/Bills/S3167 One of the purposes of NJSNA’s Congress on These topics are what are involved in the Multistate Policy and Practice (COPP) is to evaluate and inform Licensure Compact. Additionally, members about state legislation, such as the NMLC. It may take anywhere from three to four months The NMLC also establishes a coordinated Do you wish to learn more about COPP? COPP for a Registered Nurse to get a license in another licensure information system that will include would love to hear from NJSNA members! Please state. Registered Nurses often work in more than a database on the licensure and disciplinary contact us via e-mail at [email protected]. one state or in states other than where they reside. history of all nurses licensed in the party states. Telecommuting is a viable option for Registered The party states will be required to report to the References: Nurses. Telehealth is an area in which Registered coordinated system all adverse actions against www.ncsbn.org/compacts.htm retrieved on October 21, Nurses are assessing, planning, and evaluating the nurses, including actions against multistate 2015. care of patients who may or may not reside in the licensure privileges, any current significant www.njleg.state.nj.us/2014/Bills/S3167 retrieved on state in which the nurse is licensed. The Multistate investigative information yet to result in an October 21, 2015. www.nursingworld.org/MainMenuCategories/Policy- Licensure Compact was developed to ensure safe adverse action, and denials of applications and the Advocay/State/Legislative-Agenda-Repots/ patient care and monitor nursing practice across reasons for the denials. LicensureCompact retrieved on October 21, 2015.

In Memory of continued from page 1 University College of Nursing at the time of his death. “And the world will be better for this Prior to joining the Board of Nursing, George That one man, scorned and covered with scars 90,000 licensees, this was no small task. George’s had a successful nursing career spanning executive Still strove with his last ounce of courage interface with governmental officials as well as level positions in both academe and service. He was To reach the unreachable star” legislators, members of other consumer boards, a Nursing Instructor and Associate Director at Christ and the public was always positive and respectful. “I Hospital School of Nursing, an instructor at Aquinas think we could all take a lesson from George when College BSN Program in New York, an Education it comes to competently and respectfully handling Coordinator at Saint Barnabas Medical Center, and all the pressures which Boards of Nursing ultimately an Assistant Director of Nursing Education and encounter,” said Shore. Research at Beth Israel Medical Center in New York. George was a proud graduate of the Seton Hall Well prepared for his role at the New Jersey Board of University College of Nursing where he earned his Nursing, George was often in demand as a speaker at BSN in 1975, his MA Degree in Nursing Education national, state and regional conferences. In 2012 he from New York University in 1982, and his Post presented a program at the New Jersey State Nurses Master Certificate in Advanced Practice Nursing from Association on the issue of “Distance Education and UMDNJ School of Nursing in 1996. George was a the Regulatory Arena.” student in the PhD Doctoral Program at Seton Hall Since his death, George has been honored with two very distinguished awards. The New Jersey Collaborating Center for Nursing instituted the First Annual George J. Hebert Legacy Award on September 23, 2015, and the New Jersey State Looking for Nurses Association named George to its Roll of Honor on October 14. On November 6, the NJ League for your dream job? Nursing instituted a Scholarship in his name, and on December 10, the Organization of Nurse Executives of NJ honored him with The Lifetime Achievement Award. George was an active member of the New Jersey State Nurses Association and a member of the STOP Seton Hall University College of Nursing Gamma Nu searching the hard way. Chapter of Sigma Theta Tau International. A friend, a nurse who respected his profession, a www.nursingALD.com nurse who always offered a gentle smile to all, that Your online resource for nursing jobs, research, & events. was George Hebert. Nursing will never forget George and the legacy which he left to all of us. As his lifelong friend and partner Ruben D. Fernandez, MA, RN, said, “The ending of the song from The Impossible Arthur L. Davis Publishing Agency, Inc. Dream, sums it all up: George Hebert Legacy Award January 2016 New Jersey Nurse & Institute for Nursing Newsletter Page 11

Research Corner Institute for Nursing (IFN)

Health-Related Beliefs, IFN Needs Your Support! Practices and Experiences by Benjamin Evans, DD, DNP, APN, and types of attendees, as in the past. Needless to of Migrant Dominicans in Institute for Nursing, Chairman say, the old adages of “we have always done it this way” and “we tried that but it didn’t work” can no the Northeastern As we begin 2016, on longer be part of the organizational vocabulary and United States behalf of the Institute for mindset. Without purposeful action toward achievable Nursing (IFN) Board of outcomes, the mission of the foundation of NJSNA, Trustees I wish you a Happy the Institute for Nursing, will not be achieved, and Connie Sobon Sensor, PhD, RN, CTN-A and blessed New Year! May it sooner rather than later it will succumb. be filled with much goodness. You, dear reader can help in keeping the charitable Background: The researcher observed the We are just over 50% work going forward. Here are ways you can help IFN: values, beliefs, and traditional health practices of through the current fiscal make a donation, attend our events, volunteer to serve people in rural areas of the Dominican Republic while year for the foundation. The on a committee or task force, spread the word about participating in a service project there in 2007, and Board of Trustees continues the good work done through the IFN, and encourage saw that their beliefs and practices differed from those to pursue funding streams ANYONE to honor or remember a nurse by donating of the professional nurse in the United States. This and oversee the work and to IFN in times of celebration or when a nurse has Benjamin Evans sparked an interest in Dominicans who migrate to the progress of the IFN units- died. Also, you may send us contact information for Northeastern United States. Current trends indicate the RAMP, Continuing Nursing potential individual or corporate donors/sponsors. migrant Dominican population in the United States is Education Provider Unit and Scholarship/Grant Finally, consider remembering the IFN in your estate increasing rapidly, and there is a higher prevalence of funding programs. planning. diabetes, hypertension, and obesity in first generation In previous columns I have reported on the We know that NURSING has ranked as the #1 Dominicans, compared to other Latino populations program for awarding scholarships/research grants. trusted profession in the United States, according to living in New York City. Professional health care may In 2015, 11 scholarships totaling $13,000 were the Gallop Poll, every year since 2000 except for one be an unfamiliar concept to these migrant Dominicans. awarded, and one grant of $1,500 to support nursing year. The work of Nursing is honorable and trusted. In addition, Dominicans make adaptive changes in research. Since my last column, a member asked to Help us keep the good work of the IFN moving their traditional health practices when they migrate, be provided with information on IFN income and forward. but their generic (folk) care practices are largely expenses. Readers may note that the complete line unknown to people outside of their community. Health items in IFN financial statements are available at the care providers lack knowledge and understanding of NJSNA/IFN offices. A brief summary is herewith traditional Dominican beliefs and practices that can provided. create barriers for migrants seeking professional health For the fiscal year June 2014-May 2015, total care. In order to provide culturally appropriate care and income for the IFN was $910,242.95 (95.92% risk-reduction interventions, nurses must understand of projected budget). Total expenditures were Dominican health practices in their new environment. $918,555.06 (97.63% of projected budget). The IFN www.esatm.edu entered the current fiscal year with an $8,312.11 Purpose: This study aimed to discover and describe deficit. migrant Dominican cultural beliefs and practices A disconcerting finding when reviewing the Expand your health care practice! related to health, the ways that migrant Dominicans financial report reveals that fund raising efforts The Eastern School of Acupuncture is take care of their health in their new environment, and reached only 80% of the projected goal; registration accepting applications! their experience with professional health care in the fee income for IFN events only reached 72.65% of northeastern United States. projected goal, and most disappointing of all, Annual Our student clinic offers affordable acupuncture giving by NJSNA Members reached only 40.5% of treatments available to the public. Design: This descriptive qualitative study was projected goal. guided by Leininger’s Theory of Culture Care Diversity Upon examination of expenditures, most line Established in 1997, the professional and Universality and four-phase analysis method. items were fairly close to budget with salaries of staff diploma in the Acupuncture program of The health-related beliefs, practices and experiences coming in at 117% of budget; occupancy expenses the Eastern School of Acupuncture and of a convenience sample of 15 self-identified adult for the building came in at 114%; programs, facilities Traditional Medicine is Accredited by the Dominicans living in the United States for six months and food came in at 116%. As you can see, there isn’t Accreditation Commission for Acupuncture or more were explored in three focus groups, assisted much wiggle room to cut expenses. and Oriental Medicine (ACAOM). by trained culturally appropriate interpreters. The Additionally, during this fiscal year the IFN which majority of the participants were older females who had owns the NJSNA/IFN headquarters has encountered lived in the United States an average of 29 years. Most the need to replace the building air conditioning, as 440 Franklin St. Suite 500 | Bloomfield, NJ 07003 spoke Spanish at home, and preferred to participate in it has failed after several decades of use. The phone the focus groups using Spanish language. system has developed “issues,” as it has been patched together through the years and we have analog Findings: Data analysis of focus group transcripts hardware connected to a digital system. The IFN also and observations revealed four themes: (a) stress affects carries the $250,000 remortgage on the building, when health and well-being, (b) family support and faith in upgrades to the meeting space and lavatories were God are essential for healing, and promoting health required to meet building codes a couple of years back. and well-being, (c) migrant Dominicans use both folk Decreasing revenue does not bode well for the care and professional care to treat illness and promote IFN. Strategies that the IFN Board must now consider healing, health, and well-being, and (d) perceptions are: expanding revenue streams, seeking a wider about the quality of professional care are affected by pool of donors beyond NJSNA members, attractive access to care, cost, communication and expressions of fund raising events that appeal to a wide range of caring practices. members, offering educational products that are offered in multiple formats, and reconfiguring long Discussion and Conclusion: Findings from standing events that no longer draw the numbers this study may lead to more culturally responsive professional health care for Dominicans, and help reduce health disparities in this group. Better understanding may improve the quality of care provided, and may also improve patient- provider trust and communication, as well as help patients adhere to prevention and treatment plans. Implications and recommendations for nursing practice, education and research include specific strategies for culturally responsive care of Dominicans, and the use of qualitative methods to learn about targeted populations using specially trained culturally appropriate interpreters as gatekeepers and cultural brokers, and as assistants for recruitment, obtaining consent, data collection and interpretation. Design and implementation challenges from this study, and strategies used to bridge cultural and linguistic barriers, may guide others in planning research with similar populations. I welcome your questions or comments: [email protected] Page 12 New Jersey Nurse & Institute for Nursing Newsletter January 2016

Region News

Region 1 Morris, Passaic, Sussex, Warren

Isolte A. Valentine BSN, RN VP Communication

REGION ELECTIONS AND COMMITTEES: Presently, we are in need of a Passaic County Coordinator to complete the present term (through July 31, 2016) by appointment of the Region 1 Board of Directors. Interested nurses should email Mary Ellen Levine (Region 1 President).

MEETINGS: Please join us at our meetings that are rotated to all the counties represented by Region 1: Morris, Passaic, Sussex, and Warren. We cover topics such as upcoming events, meetings, finances, committees, and volunteer opportunities. It’s a great way to network! Our next meeting will be on January 17th, 2016 to be held at St. Joseph’s Hospital-Wayne in Passaic County in the Meyers Conference Room, 1st Floor. Please bring a canned food item for donation as Region 2 part of our ongoing community outreach. Additional information on these meetings is available on www. Bergen, Union njsna.org and on our Facebook page at www. facebook.com/NJSNARegion1. Florence Jennes, RN, MSN VP Communications EVENTS: Region 1 was well represented at the 113th Annual NJSNA/IFN Convention held in Bally’s Atlantic City. Along with various educational opportunities, Miss Colorado graced us with her presence. She has become a public platform representing nursing, and with that she has the ability to heal the ignorance the public has about the nursing profession. This platform has given us that recognition that we needed and national attention for nursing. Region 1 enjoyed her company, and strive to continue the momentum that she has created for the nursing profession.

MENTORSHIP PROGRAM: The Region schedule over the last few months has The Mentorship program is designed to assist included a general meeting on September 16th at the the novice nurse by providing him or her with an V.A. Home. There was a Board of Directors meeting experienced nurse mentor. The mentee will have to in Trenton which was attended by Patricia August, be a member of New Jersey State Nurses Association JoAnn Penn, Patricia Fonder and Mary Carroll. Region 1 to apply for this program. We invite you to September 27th a walk was held for the American our January meeting for more information including Heart Association, September 29th was a dinner at handouts on our program and applications forms. For the Chart House in Weehawken which included a talk more information please contact Charlene O’Sullivan on Case Management of Schizophrenia to Improve (creator of program) or Isolte Valentine (Vice President Outcomes. Region 2 members collected a car full of Communications) for more information. of food for the food bank at St. Joseph’s church in Bogota. We need to thank Mary Carroll. She was COMMUNITY SERVICE: instrumental in heading campaign to end hunger. Region 1 had representation at the Sharing October 11th JDRF walk, October 18th for Breast Network Street Fair in Nutley, NJ organized by Cancer, all held at Overpeck Park in Ridgefield Park Barbara Carrig, former Passaic County Coordinator. with several Region 2 members walking. The Region Cassie Liobe, the Sussex County Coordinator, lead also raised many donations to help fund research. the team for the Out of the Darkness Walkathon for October of course included the NJSNA conference/ Suicide Awareness held at Waterloo Village. We have convention at Atlantic City which was well attended. upcoming community service events with Trinity The Region would like to give a big thank you to Lutheran Church in Dover organized by the Morris Fatima Sanchez, RN, MSN for all her assistance County Coordinator, Josie Sanchez. Stay tuned for in making the convention a success. Many thanks event updates. to Nanci Skowronski RN,BSN,MA for donation of a gift basket as well as one from Patricia August, CONNECT with REGION 1: RN, MSN. The money raised from the baskets was Communication is key. Please connect with donated to IFN. We would also like to mention that us through the NJSNA website, on our Facebook Region 2 members helped set up the NJSNA table page, or e-mail our president, Mary Ellen Levine. at the Convention; Helen Donovan and myself. The Join us at one of our General Meetings to network, convention had many interesting topics, many CEU’s to participate in great discussions regarding health and networking opportunities. care policy, and to enjoy light refreshments. If you are looking for an enjoyable way to earn continuing education hours or attend an educational presentation, we invite you to go to our website for Region 3 information on upcoming programs held during our meetings. E-mail us with any concerns impacting nurses or nursing practice, or if you have any ideas or Essex, Union opportunities for Region 1 to serve our communities. This past year has been a groundbreaking year in Varsha Singh, MSN President terms of positive image promotion for the nursing profession as Miss Colorado, Kelley Johnson, has NJSNA Region 3 had great presence at NJSNA become a public nursing figure. She has made convention at Bally’s Atlantic City. At the Region 3 history for nurses around the country. It is up to us business meeting, Region 3 President Varsha Singh to continue the movement. We are proud to make a made a proposal to establish scholarships for Region difference, whether it is big or small, and we cannot 3 members. The idea is to foster professional growth do it without you. Be a part of the movement, of the region members by providing some support spreading positivity and making a difference. Join our towards higher education. A new committee for team and let’s work together. Thank you. scholarship was created. Past president Rose Rosales January 2016 New Jersey Nurse & Institute for Nursing Newsletter Page 13

Region News

In November, we elected new members to our Region 5 board! The commitment of the additional members allows us to create strategies to help meet the purpose and functions of NJSNA. If you are interested in a Burlington, Camden, Cumberland, position, it would be great to hear from you. Gloucester, Salem With a region of this size, I would like to establish good communications. Up until now, you should have Anita Murphy, PhD, RN – President been receiving communications from me, through your email. The emails are in the NJSNA directory. The President’s message: If you haven’t received them, please reach out to Happy New Year! Hope this update finds you Sandy Kerr at NJSNA to verify your address. In the healthy and motivated to spend some time and energy meantime, I would like to learn from you what method in interacting in Region 5! you prefer to receive communications. I am happy to report that Region 5 had a chance Lastly, are you aware that four out of our five to network with other members and talk about our counties in NJ are near the distal rankings for health open board positions last September when we held a outcomes, according to RWJF health rankings for the Meet, Greet and Eat at Virtua Hospital in Voorhees. State? I implore you, to visit www.countyrankings. During that same meeting we were delighted to have org. Think about the determinants of health: what a very experienced behavioral health specialist, Scott small measures can Region 5 nurses take to promote Cohen MSW, provide an interactive presentation on healthier outcomes? will guide the scholarship committee chair Mark Polon Motivational Interviewing. He gave us evidence-based Sharing your ideas and concerns is welcomed. to establish the criteria. tools and tips to help us coach patients with changing Thank you for your support; contact me by email: [email protected] Anita Murphy, NJSNA On October 17, Alana Cueto (President Garden behaviors. The night was casual and it felt comfortable State NAHN & NJSNA VP of Institute) with her team being with nurse colleagues who were looking for Region 5 President. hosted the very first and successful Garden State ways to become connected and involved. Our next NAHN educational symposium at Prudential Center. live program will be in March 2016…..Stay tuned for November was a also very eventful month where the details! the NJSNA board members got prestigious awards. Alana Cueto received the prestigious Elizabeth Ann Seton Young Alumni Award on October 5th at Seton Hall Haley Awards night. Oct 24th Alana Cueto also received the Health Advocate Award which is a three part award consisting of a Special Congressional Recognition by Senator Nilsa Cruz-Perez, a Joint Legislative Commendation, and a gold ribbon medal commemorating the honor. Rutgers School of Nursing–Camden Receives Robert NJSNA President Elect, Lynda Arnold-Davis, received New Jersey League for Nursing 2015 Nurse Wood Johnson Foundation Grant to Improve Health Recognition award at the NJLN Gala on November 6. NJSNA President Varsha Singh was selected as Outcomes for Camden Teens. 2015 winner in Advance Practice Category March of the Dimes Nurse of the year award. Students and faculty at the Rutgers School of “This grant supports comprehensive, population- It was an inspiring quarter and Region 3 looks Nursing–Camden will help to improve the health and focused health education with nursing students forward to another dynamic year with a lot more well-being of Camden teens and their families thanks and faculty working alongside LEAP educators to activities. to a $199,969 grant from the Robert Wood Johnson promote LEAP students’ healthy sexual choices that Foundation under its New Jersey Nursing Initiative. can have a lasting impact on the health and well- The funding will allow Rutgers–Camden to establish being of the surrounding community,” says Nancy a health education program at the LEAP Academy Pontes, an assistant professor of nursing at Rutgers– Region 4 University Charter School in Camden. Camden and director of the Rutgers/LEAP Health and The New Jersey Nursing Initiative encourages Wellness Center. Hunterdon, Mercer, Middlesex, educators throughout New Jersey to reshape curricula The new initiative allows students studying at the and clinical experience in order to better prepare nurses Rutgers School of Nursing–Camden to shift their Somerset to meet the emerging demands of providing community- focus to preventative care rather than acute care as based care and improving population health. healthcare has changed in such a way that patients are Regina Adams, BSN, RN, CNOR President Population health refers to improving health spending less time in the hospital, says Angela Kelly, outcomes for a specific group of people. In this case, a clinical professor of nursing at Rutgers–Camden and Region 4 bylaws were last updated in 2004. Mary Rutgers–Camden students are targeting adolescent co-investigator on the grant. Carroll reviewed bylaws prior to the annual meeting. and pre-adolescent students at LEAP to improve “Only the sickest patients remain in the hospital, Unfortunately, the speaker went over and we were sexual health by decreasing the incidence of sexually so the goal now in nursing education is to expose unable to address the proposed bylaws changes. A transmitted diseases and teen pregnancy. more students to community settings, to preventative review bylaw changes at the December 14, 2015 To achieve this, Rutgers–Camden is implementing a care, and to focus more on population health and meeting was held after the education presentation. Teen Outreach Program (TOP), a nationally recognized on changing the health outcomes of a set population Region 4 had a region meeting at convention, only evidenced-based program that will allow Rutgers– rather than trying to improve upon a condition once 6 members attended. We discussed educational ideas Camden nursing students to mentor LEAP students to illness has already occurred,” Kelly says. for upcoming meetings. President-Elect Sue Fowler reach three essential goals: healthy behaviors, life skills, The grant will allow Rutgers–Camden to integrate a organized the December 14th meeting. The speaker and a sense of purpose. population health model into its baccalaureate nursing was Nancy Snook, RN, BSN, MAS. Nancy is a staff “The project will allow us to focus on improving curriculum that will teach students different aspects of nurse at Morristown Memorial Hospital. Topic was the health of Camden adolescents and their families,” community health nursing. Diets and Behavioral Theories: Match of Mismatch? says Robert Scoloveno, an assistant professor at the “The hope is that our students realize that a great Contact hours were applied for. Rutgers School of Nursing–Camden and the principal deal of what nurses do actually takes place outside February meeting topic is Palliative Care and investigator on the grant. “It’s about empowering of the acute care setting — the hospital —and that a POLST. Speaker is Rachel Hughs, BSN, RN. them to make the right choices and engage in nurse’s role in preventative care is extremely important Application for contact hours will be submitted. healthy practices, but it’s also about working with the and can influence the health and well-being of an entire Plans to continue Region 4 “Day at the State community to grow a healthy, strong, and vibrant community,” she says. House.” June seems to work well with the legislative Camden.” calendar and weather. More information on this event Gloria Bonilla-Santiago, a Rutgers University Board to follow as the June date approaches. of Governors Distinguished Service Professor and Continue to share information via Facebook. Like founder of the LEAP Academy University Charter UNIVERSAL TRAINING INSTITUTE our FB page as this can reach nurse friends that are School, says LEAP is excited to partner with Rutgers– not members. Camden nursing faculty and students on the teen IMMEDIATE OPENINGS wellness initiative. Practical Nurse School located in “This is a reciprocal engaging moment for our Perth Amboy, NJ is looking for LEAP youngsters and the Rutgers–Camden faculty and full and part-time nursing faculty. students who together will explore important healthy • BSN Required choices and practices that will impact the entire family • Must have NJ license • Experience a plus and community in our city,” Bonilla-Santiago says. In addition to the student mentorship aspect of the Please forward resumes to program, Rutgers–Camden nursing faculty will work [email protected] with LEAP faculty to help incorporate the health education model into LEAP classrooms. 732-826-0155 Page 14 New Jersey Nurse & Institute for Nursing Newsletter January 2016

A merican Nurses Association

ANA Sets ‘Zero Tolerance’ Policy for Workplace Violence, Bullying Position Statement Calls on Health Care Employers to Implement Violence Prevention Programs

SILVER SPRING, MD – The nursing profession “will no longer tolerate violence of any kind from any source,” the American Nurses Association (ANA) declared in a new position statement on violence in health care workplaces released today. “Taking this clear and strong position is critical to ensure the safety of patients, nurses and other health care workers,” said ANA President Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN. “Enduring physical or verbal abuse must no longer be accepted as part of a nurse’s job.” ANA’s position statement, developed by a panel of registered nurses (RNs) representing clinicians, executives and educators, addresses a continuum of harmful workplace actions and inactions ranging from incivility to bullying to physical violence. The statement defines bullying as “repeated, unwanted harmful actions intended to humiliate, offend and cause distress,” such as hostile remarks, verbal attacks, threats, intimidation and withholding support. The statement calls on RNs and employers to share responsibility to create a culture of respect and to implement evidence-based strategies. The statement cites research showing that some form of incivility, bullying or violence affects every The American Nurses Association (ANA) is pleased to announce that ANA nursing specialty, occurs in virtually every practice and academic setting, and President Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN, has been chosen extends into all educational and organizational levels of the nursing profession. as one of Modern Healthcare’s 100 Most Influential People in Healthcare. This RNs who belong to many of the more than 30 nursing specialty organizations program honors individuals in health care who are deemed by their peers and an affiliated with ANA provided input for the position statement. expert panel to be the most influential individuals in the industry. Cipriano and A recent ANA survey of 3,765 RNs found nearly one-quarter of respondents ANA’s efforts to add more nurses to health care decision-making boards are also had been physically assaulted while at work by a patient or a patient’s family highlighted in the magazine. member, and up to half had been bullied in some manner, either by a peer (50 The “100 Most Influential” honorees come from all sectors of the industry, percent) or a person in a higher level of authority (42 percent). including hospitals, health systems, physician organizations, insurance, Among the position statement’s recommendations to prevent and mitigate government, vendors and suppliers, trade and professional organizations, and violence, in addition to setting a “zero tolerance” policy, are: patients’ rights groups. Cipriano and the other honorees are currently highlighted • Establishing a shared and sustained commitment by nurses and their in the Aug. 24 print edition of Modern Healthcare and online at http://www. employers to a safe and trustworthy environment that promotes respect and modernhealthcare.com/community/100-most-influential/2015/. dignity; • Encouraging employees to report incidents of violence, and never blaming employees for violence perpetrated by non-employees; • Encouraging RNs to participate in educational programs, learn organizational policies and procedures, and use “situational awareness” to American Nurses Association anticipate the potential for violence; and • Developing a comprehensive violence prevention program aligned with Makes New Recommendation federal health and safety guidelines, with RNs’ input.

To prevent bullying, among ANA’s recommendations are that RNs commit that All Nurses Should be to “promoting healthy interpersonal relationships” and become “cognizant of their own interactions, including actions taken and not taken.” Among Immunized Against Vaccine- recommendations for employers are to: • Provide a mechanism for RNs to seek support when feeling threatened; Preventable Diseases • Inform employees about available strategies for conflict resolution and respectful communication; and • Offer education sessions on incivility and bullying, including prevention SILVER SPRING, MD – The American Nurses Association (ANA) is calling for strategies. all individuals, including registered nurses (RNs), to be immunized against vaccine- preventable diseases, with the only exemptions being for medical or religious ANA has several resources to help RNs and employers address and prevent reasons. bullying in the workplace, including the booklet, Bullying in the Workplace: ANA’s new position on immunization aligns with recommendations from the Reversing a Culture, and a bullying “tip card.” Centers for Disease Control and Prevention (CDC) and the Advisory Committee on Immunization Practices (ACIP), a CDC panel of medical and public health experts that advises vaccine use. ANA’s re-examination of its position was prompted partly by outbreaks of measles cases this year that affected unvaccinated adults and children. “ANA’s new position aligns registered nurses with the best current evidence on immunization safety and preventing diseases such as measles,” said ANA President Pamela F. Cipriano, PhD, RN, NEA-BC, FAAN. “A critical component of a nurse’s job is to educate patients and their family members about the effectiveness of immunization as a safe method of disease prevention to protect not only individuals, but also the public health.” During the first seven months of 2015, the CDC said 183 people from more than 20 states were reported to have measles, with five outbreaks resulting in the majority of those cases. In 2000, the United States had declared that measles was eliminated from the country as a result of an effective measles vaccine and a strong vaccination program for children. Health care personnel who request exemption for religious beliefs or medical contraindications – a condition or factor that serves as a reason to withhold an immunization due to the harm it would cause – should provide documentation from “the appropriate authority” supporting the request. Individuals who are granted exemption “may be required to adopt measures or practices in the workplace to reduce the chance of disease transmission” to patients and others, the new policy says. ANA’s position on immunization for health care personnel aligns with the newly revised Code of Ethics for Nurses with Interpretive Statements, which says RNs have an ethical responsibility to “model the same health maintenance and health promotion measures that they teach and research,” including immunization. The CDC recognizes August each year as National Immunization Awareness Month to emphasize the importance of immunization across the lifespan. The week of Aug. 16-22 is focused on adult immunization and the following week (Aug. 23-29) on infant and child immunization. January 2016 New Jersey Nurse & Institute for Nursing Newsletter Page 15

A merican Nurses Association

Navigating the World of Social Media

Provided by the American Nurses Association potential to either enhance or undermine not only the individual nurse’s career, but also the nursing The number of individuals using social networking profession. sites such as Facebook, Twitter, LinkedIn, and YouTube is growing at an astounding rate. Facebook Benefits reports that over 10% of the world’s population has a • Networking and nurturing relationships Facebook presence while Twitter manages more than • Exchange of knowledge and forum for collegial 140 million Tweets daily. interchange • Dissemination and discussion of nursing Nurses are making connections using social and health related education, research, best media. Recently, the College of Nurses of Ontario practices reported that 60% of Ontario’s nurses engage in social • Educating the public on nursing and health networking (Anderson & Puckrin, 2011). related matters 4. Nurses should take advantage of privacy settings and seek to separate personal and Social networks are defined as “web-based services Risks professional information online. that allow individuals to 1) construct a public or semi- • Information can take on a life of its own where 5. Nurses should bring content that could harm public profile within a bounded system; 2) articulate a inaccuracies become “fact” a patient’s privacy, rights, or welfare to the list of other users with whom they share a connection; • Patient privacy can be breached attention of appropriate authorities. and 3) view and traverse their lists of connections and • The public’s trust of nurses can be 6. Nurses should participate in developing those made by others within the system” (Boyd and compromised institutional policies governing online conduct. Ellison, 2007). • Individual nursing careers can be undermined References: These online networks offer opportunities for ANA’s Principles for Social Networking Anderson, J., & Puckrin, K. (2011). Social network rapid knowledge exchange and dissemination among 1. Nurses must not transmit or place online use: A test of self-regulation. Journal of Nursing many people, although this exchange does not come individually identifiable patient information. Regulation, 2(1), 36-41. without risk. Nurses and nursing students have an 2. Nurses must observe ethically prescribed Boyd, S., & Ellison, N.B. (2007). Social network obligation to understand the nature, benefits, and professional patient — nurse boundaries. sites: Definition, history, and scholarship. Journal consequences of participating in social networking 3. Nurses should understand that patients, of Computer Mediated Communication, 13(1), of all types. Online content and behavior has the colleagues, institutions, and employers may 210-230. view postings.

5 Considerations for RNs Facing Ethical Challenges on the Job

The American Nurses Association has declared 2015 to be the Year of and adjunct associate professor of Bioethics and Humanities at the University Ethics and in January released a new edition of its Code of Ethics for Nurses of Washington School of Medicine, and a Washington State Nurses Association with Interpretive Statements, so now is the perfect time for RNs to re-examine member. the essential role ethics plays in the nursing profession. Having a strong ethical foundation is a key component to a successful career. Yet, even the best nurses Check in with others may find themselves struggling with ethical concerns on the job. Having said that, Shannon said it’s important to remember that the gut is “a Here are five considerations for nurses when facing ethical challenges. great barometer but a lousy compass.” Just because you know you’re in an ethical quandary doesn’t mean you know what the next step is. Consult with others, such Know yourself as your shift manager or head of nursing, when a sticky ethical situation arises. It’s important to have a strong sense of personal ethics to build Translating ethical decision-making into everyday nursing practice is upon in your profession. “Knowing who you are and what you stand challenging. Building a network of colleagues who can help you think through for personally and professionally provides a foundation to speak up ethical situations is a priceless resource. A great place to connect with experts and speak out about issues that support or compromise your values,” and building your network is the 2015 ANA Ethics Symposium being held in said Cynda Hylton Rushton, PhD, RN, FAAN, Anne and George L. Baltimore, MD, June 4-5. Bunting Professor of Clinical Ethics at the Berman Institute of Bioethics/School of Nursing and a professor of nursing and pediatrics at Johns Hopkins University, Practice with respect and a Maryland Nurses Association member. “Without this clarity, your responses The first provision of the revised Code highlights each nurse’s responsibility may be reactive, unreflective and potentially damaging to you and to others.” to practice with “respect for the inherent dignity, worth, unique attributes and human rights of all individuals,” said Carol Taylor, PhD, RN, professor of nursing Live your values at Georgetown University and senior clinical scholar at the Kennedy Institute of Just knowing your values and ethics isn’t enough, Rushton said. “We are Ethics, and an ANA member. Upholding that worth can provide a foundation for required to speak them and live them in our daily actions. This takes courage, ethical action. wisdom and resilience. Living our values means that we have to take seriously “Taken seriously, this means that each of us must practice with zero tolerance the fifth provision of the ANA Code — our obligation to care for ourselves so for disrespect, for our patients, their family members, our colleagues and that we can care for others.” Because ethical issues are part of daily nursing ourselves,” Taylor said. Taylor recommended practicing responding to a colleague practice, every nurse has an obligation to have the knowledge, skills and abilities who describes a patient in negative terms to make it easier to speak up next to recognize and address them. time, such as by saying, “I’m no goody two-shoes, but I’m trying hard to meet each patient with respect.” If disrespect is a widespread problem, huddle and call Listen to your gut attention to your organization’s zero-tolerance policy for disrespect to empower If you know yourself and are consistent about living your values, you’ll be everyone to bring quick attention to violations. able to rely on that voice inside your head saying something is wrong. “One of For additional resources go to ANA’s Career Center at http://careers.ana.org. the things I talk to my students about all the time is that you need to listen to your gut,” said Sarah Shannon, PhD, RN, associate professor of Biobehavioral Reprinted with permission of The American Nurse. Nursing and Health Systems at the University of Washington School of Nursing Page 16 New Jersey Nurse & Institute for Nursing Newsletter January 2016