MAMAssachusettsssachusetts RReporteport onon NNursingursing MARN is the Affiliate of the American Nurses Association

Vol. 10 No. 1 The Official Publication of the Massachusetts Association of Registered Nurses, Inc. March 2012 PO Box 285 • Milton, MA 02186 • 617-990-2856 • [email protected] Quarterly Circulation 114,000

MARN Seeking RN Mentors & Mentees for New Mentoring Program Health Policy Unique opportunity for experienced nurses Legislative Forum to mentor new RNs and RNs in transition Thursday, March 29th to enhance their career. Page 3 More info: www.MARNonline.org.

2012 Living Legends and 2012 Living Legends in Excellence in Nursing Awards Dinner Massachusetts Nursing Friday, April 27, 2012 Four Points by Sheraton, Norwood, MA Frances Portnoy PhD, RN Rachel Tierney, PhD, RN Join MARN as we celebrate the BEST in by Linda Dumas, PhD, RN, ANP-BC by Rothlyn (Rorry) Zahourek, PhD, PMHCNS-BC, Nursing in Massachusetts! AHN-BC and the Adjunct Faculty at the University Cocktail Reception Frances L. Portnoy of Massachusetts School of Nursing 6:00 pm – 7:00 pm has been active in the Dinner and Awards Ceremony nursing profession for Rachel Tierney, is a 7:00 pm – 9:30 pm over 50 years. As a cadet Western Massachusetts nurse during WW2, she native who has had a life- attended the Massachusetts long calling: to be a nurse. Living Legends in General Hospital School of Her experience is broad: Massachusetts Nursing Nursing. Dr. Portnoy eagerly clinician, educator, policy Rachel Tierney, PhD, RN embraced opportunities to maker, and administrator. experiment, try out new She is also a person deeply Frances Portnoy, PhD, RN roles, and initiate change in committed to community practice and in education. and volunteer involvement. After graduation, in 1948, Fran, her husband Her early family ethos Excellence in Nursing Research Harry and their year old child went to Israel, was one of compassion Katherine E. Gregory, PhD, RN where she worked as an infant nurse in a kibbutz and caring. “My grandmother was a Methodist Patrice K. Nicholas, DNSc, DHL(Hon.), MPH, MS, in the Galilee. When she returned to the United deaconess who believed in serving people. That BSN, RN, NP-C, FAAN States, she completed her baccalaureate degree in really set the tone for me and my family.” Nursing at the University of Pennsylvania. After Rachel completed all her education at Excellence in Nursing Education graduation, Fran found her first passion working University of Massachusetts, Amherst. First, a Helen C. Fagan, RN, MSN as a visiting nurse in Philadelphia. On her return bachelor’s in nursing, a master’s in psychiatric and Josephine M. Gaviola, MSN, RN, CRRN to , she taught at Massachusetts General mental health nursing and finally a PhD in public Hospital before completing her Master of Science health (Health Policy and Management). Focusing Excellence in Nursing Practice degree in community nursing at . on caring for people with psychiatric illnesses, Brid Walsh, RN Soon she was teaching psychiatric and community Rachel has been a trail blazer; creating new roles, Shirley Lucier nursing at Boston University where her dean was programs and liaisons between education and Dr. Anne Kibrick. service that have advanced both nursing education Ruth Lang Fitzgerald Fran joined the excitement of the 60’s as joint and practice. She is an outstanding educator Memorial Scholarship director of a training program for indigenous leading and developing nursing programs at both Cynthia Vella, RNC/NP health workers at . Then American International College and University of she took advantage of an opportunity to complete Massachusetts. Mary A. Manning her PhD through a grant from the Department of Rachel is a founding member of MARN Nurse Mentoring Award Health and Human Services, choosing Sociology (serving on the bylaws and legislative committees) Cecilia McVey, RN, MHA, CNA as her discipline in order to enlarge the scope of and was co-founder and leader in the Western her knowledge in health policy. With the new PhD Mass Psychiatric Mental Health Clinical Nurse in hand, Dr. Portnoy joined the Boston University Specialist group that has been meeting since 1993. faculty at the Massachusetts Mental Health Center. She served on Massachusetts Board of Registration Spring Convention continued on page 2 When Fran heard that Dean Anne Kibrick in Nursing from 1995-2002, chairing it from 2000- was recruiting for the new Baccalaureate 2002 and was a member of the National Council of program in Nursing at Boston State College State Boards of Nursing, the Practice Committee, Presort Standard US Postage in 1978, establishing the first public the Education and Regulatory Compliance Task PAID sector nursing program in Boston, she Force, and the Nominating Committee. Rachel Permit #14 eagerly became a part of this exciting and Chaired the Complaint Committee from 1998- Princeton, MN challenging opportunity. Boston offered 2000 and is a reviewer for the Substance Abuse current resident or 55371 a setting that supported Dr. Portnoy’s Rehabilitation Evaluation Committee (Holyoke, interest in developing new programs and MA). She is active in several community groups experimenting with new pathways. With a often chairing committees including: media grant, Fran, a movie buff, was able to • The Alzheimer’s Association, Pioneer Valley develop expertise in creating documentaries Chapter, Springfield, MA. (2010-11- Co-chair, for the purposes of nursing education: Pioneer Valley Walk to End Alzheimer’s. Among them were “Community Nursing,” • The West Springfield (MA) School “Strike” and “A portrait of the Elderly.” Committee Frances Portnoy continued on page 5 Rachel Tierney continued on page 5 Page 2 • MAssachusetts Report on Nursing March 2012 Spring Convention continued from page 1

Download and return registration form and check to: Annual Spring MARN, PO Box 285, Milton, MA 02186. Convention CALL FOR POSTERS Saturday, All convention participants are welcome to Board of Directors submit an abstract for poster presentations. President April 28, 2012 Posters will be displayed in the exhibit area Anne Manton, PhD, RN, PMHNP-BC, FAEN, FAAN Four Points by Sheraton to increase visibility and opportunities to interact with attendees. All abstracts will be Vice President Norwood, MA Susan Conrad, PhD, RN reviewed by the Conference Committee. To submit an abstract and for guidelines, go to Secretary ‘Innovative Approaches to www.MARNonline.org Karen Manning, MSN, RN, CRRN, CHPN Educating Nurses Across All Treasurer Practice Settings’ Tara Tehan, MSN, MBA, RN Keynote Speaker: ANCC contact hours pending approval by Dorothy A. Jones, EdD, RNC, FAAN Rhode Island State Nurses Association Directors Christina Buettner, BSN, RN Director, The Yvonne L. Munn Center for Nursing *100% attendance and Program Evaluation required Gino Chisari, DNP, RN, MSN Research, Massachusetts General Hospital, Maura Flynn, RN, DNC Professor, Adult Health Nursing, William F. www.MARNonline.org Leesa-Lee Keith, MSN, BS, RN Connell School of Nursing, Boston College 617-990-2856 Beth Kinsella, RN Gayle Peterson, RN Patricia Ruggles, BSc, RN, CRNO Conference Faculty: Margie Sipe, MS, RN Gilda Cain, BSN, RN: Nurse Manager at the VA Gail Winning, BSN, RN Boston Healthcare System Photo Op Photographer, Tip Lydon of R. Gino Chisari, RN, DNP: Director, Norman —Committee Chairs— Tip’s Photography in Plainville, Awards Knight Nursing Center for Clinical and MA will be on site at the conference Maura Fitzgerald, MS, RN Professional Development, Massachusetts for attendees to sit for professional General Hospital photographs (while sharing a portion of Continuing Education Sheila Grossman, PhD, APRN-BC: Professor & the proceeds with MARN!) Judy Sheehan, MSN, RN Nurse Peer Review Leader Director, Family Nurse Practitioner Program Support MARN and take advantage of Fairfield University School of Nursing this valuable opportunity! Co-Chairs Peggy Griffin Bretz, MSN, RN Registration Information PRO Photo Package $49.99 Jeanne Gibbs, MSN, RN Register and pay by credit card (1) 8x10 (1) 5x7 (2) 4x6 (4) wallets Health Policy online at www.MARNonline.org Special requests are welcome. Maura Flynn, RN, DNC or call 617-990-2856. Fran Sculley, MS, RN

Membership Committee Janet Ross, RN

Conference Planning Committee Cynthia Ann LaSala, MS, RN

Bylaws Cammie Townsend MS, RN, MBA

Nominations & Elections Karen Manning, MSN, RN, CRRN, CNA www.MARNonline.org ANA Liaison to MARN Jennifer Davis, BSN, RN

Newsletter Editor Myra F. Cacace, MSN, RN, GNP/ADM-BC, CDE

MARN Staff Executive Director Diane Rollins Jeffery

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Acceptance of advertising does not imply endorsement or approval by the MAssachusetts Association of Registered Nurses 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. MARN 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, Find your perfect nursing career on board, or membership of MARN or those of the national or local nursingALD.com associations. MAsschusetts Report on Nursing is published quarterly every March, Registration is free, fast, confidential and easy! June, September and December for the MAssachusetts Association You will receive an e-mail when a new job posting of Registered Nurses, P.O. Box 285, Milton, MA 02186, a constituent matches your job search. member of the American Nurses Association. March 2012 MAssachusetts Report on Nursing • Page 3 2012 Awards for Excellence in Nursing Once again, MARN will honor nurses from the Wound, Ostomy and Continence (WOC) nurse Brid Walsh, RN, BSN Commonwealth for excellence in various areas since 1993. by Beth Kinsella RN, BSN important to the Nursing profession. These nurses Shirley’s keen insight into family dynamics is a are nominated by peers and are honored for their true benefit to her patients. In particular, Shirley MARN has the venerable privilege of celebrating dedication and service to patients, families and is dedicated to assisting patients to die at home. Brid Walsh, the 2012 awardee of the MARN each other. The MARN Awards Committee and She supports the family, while advocating for Excellence in Nursing Practice Award. Graduating Leadership Team are proud to present these the care plan changes that will provide comfort from Salem State College with her BSN, Brid awards to really wonderful nurses! to the patient. Inappropriate interventions and began her career as a staff nurse at Lahey Clinic. diagnostic studies are eliminated and families are Later joining Beth Israel Deaconess Medical Center Excellence in Nursing Practice taught how to provide the necessary physical care (BIDMC) on its cardiac and thoracic surgery unit, and symptom relief. Brid was quickly noted for her high clinical and Award Shirley lives the patient advocacy role of a leadership skills. When the floor transitioned to Shirley Lucier MSN, RN, CWON, CNL & nurse. She does not hesitate to work with other a new thoracic and interventional pulmonology clinicians, in particular the physician, to help Brid Walsh, RN, BSN unit, Walsh was handpicked to be the resource them understand what the patient really wants nurse for the floor almost entirely staffed with and what care would be most appropriate. Shirley new graduate nurses. In her current role, Walsh Shirley Lucier MSN, RN, CWON, CNL is a “pick up the phone” type of nurse. If it needs is a resource nurse for BIDMC’s colorectal surgery to be done or said, now is the time to do it. Nothing floor. Throughout her many roles, Walsh has by Susan A LaRocco PhD, RN, MBA, CNE is gained by sitting back and waiting to see what continually raised the bar of nursing practice tomorrow will bring, or hoping someone else will excellence. Shirley is a recent graduate of the Clinical take care of the problem. If you have the fortunate opportunity to meet Nurse Leader Masters program at Curry College Shirley is reflective in her practice as well as Walsh, you will quickly realize why she deserves in Milton, MA and a 12 year employee of the VNA in her in personal life. Not only does she excel in this award. With her sweet approach, Walsh Care Network. She has worked in a variety of patient education, Shirley enhances her colleagues’ beams positivity and unwavering desire to help inpatient and outpatient settings. She is a graduate ability to provide appropriate care by generously others. Despite her humility, she is greatly known of School of Nursing; in sharing her knowledge. Her sense of humor makes for her vast clinical knowledge, expertise and 1982 she received her baccalaureate degree from every situation just a little bit better. wisdom. She works well under pressure and leads Fitchburg State College. She has been a certified gracefully in times of calmness and crisis. Walsh, however, is not only known by the high level of her clinical abilities but by the generosity with which she shares them. She will undertake any task, albeit how large or small, to ensure the health and happiness of the medical center’s patients and her colleagues. She gives 150% every day to make sure that all those around her are supported, learning, and growing. If she knew it could be of any help to another human being, Walsh can be found stopping her own important work to give a bed bath, to pass medications, to teach a nurse how to complete a difficult procedure, to pick up a caseload for a coworker, to stay late so that the oncoming shift of nurses can safely tend to an influx of admissions, or to travel to another unit to check on a floating nurse. New graduate nurses remark on how Walsh has stayed with them until 1am to help them through a crisis, be the first Massachusetts Association of Registered Nurses person to tell them that they were doing a great job, and then to drive them home. In the words of 2012 Health Policy Committee Legislative Forum this colleague, “Brid is everything to everyone.” 2012 Awards for Excellence continued on page 4

When: Thursday, March 29, 2012 Where: Great Hall - Boston State House Time: 8:00 AM – 12:30 PM

Join us for a continental breakfast with Massachusetts’ legislators Find a nursing career where you can become a star! and an educational program ‘Getting involved in legislative action – Nurses at the Table’ Including an in-depth discussion of the Nurse Licensure Compact bill

Featured Speakers: Community Health Richard Moore Network Massachusetts State Senator Janet Haebler Associate Director of State Government Affairs, American Nurses Association

Carol Gleason, MM, RN, CCM Kathleen McDonough, RN, MS Care Coordination Nurse, Brigham and Women’s Hospital President and CEO A Nurse Staffing Agency Specializing in Homecare, Hospice and Case Management for Over 20 Years... THIS EDUCATIONAL ACTIVITY IS PENDING APPROVAL BY THE RHODE ISLAND STATE NURSES • Jobs with flexibility ASSOCIATION WHICH IS ACCREDITED AS AN APPROVER OF CONTINUING NURSING EDUCATION BY THE • Great health benefits AMERICAN NURSES CREDENTIALING CENTER’S COMMISSION ON ACCREDITATION • NO weekends (unless you want them!) *100% attendance and Program Evaluation required We are always hiring experienced staff throughout MA and NH. • Home Care Nurses For more information, please contact: [email protected] • Hospice Nurses • To Register, go to: www.MARNonline.org Case Managers Please call (888) 627-1508 COMMUNITY Fax your resume (508) 429-8408 (617) 990-2856 HEALTH NETWORK Email [email protected] www.chninc.com EOE Page 4 • MAssachusetts Report on Nursing March 2012 2012 Awards for Excellence continued from page 3 what excellence was. She felt obliged to use that and passion for the roles they are about to or have excellence for others. In the early days of her assumed. In their Excellence in Nursing Education Walsh not only provides excellent nursing professional life, Fagan used that excellence Model (NLN, 2006), the National League of Nursing care to staff and patients alike, but she does for patients and their families. They became outlines the necessity for nurse educators to excel so with compassion, patience, optimism, and the source and summit of her professional life. in preparing our nurses to the highest caliber in thoughtfulness. In the words of her colleagues: Being there with them, as they dealt with the order to provide exceptional quality care to their “Brid has always been someone that I can count uncertainties of their situation became the basic patients. In my experience of knowing both Joy on… both professionally and personally.” “Brid is principle of her practice. Her presence privileged and her highly-trained unit staff, she exemplifies someone who all nurses look up to and all nurses the patient in his totality as a person. nurse educator excellence by incorporating aspire to be like.” “She is an unsung hero.” “The Later Fagan became a presence for students, high caliber, evidence-based, student-centered morale boost that she provides creates a stronger standing with them as they mastered nursing’s educational offerings which motivate those to team, and I think produces quality nursing complex reasoning and intricate skills. Only embrace innovation, integrate technology and care.” “Brid is constantly comforting patients after students had become proficient in analysis foster leadership in nursing as outlined by the and families; families leave reassured that their and action did they fully realize that Fagan’s NLN (2006). family member is in good hands.” “Our unit and presence had made that mastery possible. What’s According to the recent study of nurse educator our hospital owe the high quality of patient care more, students discovered they had made Fagan’s excellence by Johnson-Farmer and Frenn (Sept to Brid, as patients have either experienced her principle of nursing presence a part of their own 2009), “five major themes [of being an excellent excellent compassion and care directly or have practice. Patients became persons of immeasurable nursing educator] emerged: (a) engagement, (b) experienced the excellent compassion and care of worth. Patients’ response to care influenced relevance, (c) student centeredness, (d) facilitation the hundreds of staff that Brid has mentored or students’ maturation as professionals. of learning, and (e) dynamic process.” As a unit- supported throughout her career.” As for her own Fagan’s excellence was a quiet thing. She did not based educator, Joy Gaviola embodies all five of career, Walsh is applying to the Simmon’s College seek nor need attention. She focused on educating these qualities of nursing educator excellence. Joy MSN in Nursing Administration, with which we students, that is, drawing out of each of them her engages her nurses by being approachable, patient know she will excel. Without further ado, the or his own excellence, and helping them with the and always-available to them. She draws them into MARN Award Selection Committee is honored to steep climb to the top. In fostering the excellence a love of learning with her exuberance and passion present the 2012 MARN Nursing Practice Award of her students, she kept her own excellence in for hands-on teaching by clearly communicating to Brid Walsh. We look forward to hearing of good form. relevant evidence-based information, objectives her future endeavors and are proud to call her a As self-contained as Fagan was, she was not and outcomes. She centers and focuses her both colleague. Congratulations, Brid. without pride. She gloried in the 2000 plus nurses innovative and practical teaching strategies St. Elizabeth’s had given to the profession. She around the students strengths and abilities while enjoyed the recognition they gained for their coaxing out their weakness in order to facilitate Excellence in Nursing Education respect for the humanity of their patients and how optimal learning. She welcomes active questioning their competence was grounded in compassion. Helen C. Fagan & and incorporates interactive, diverse learning Janet Pizzi who graduated in 1981 testifies to the in the process of making knowledge discovery Josephine M. Gaviola, MSN, RN, CRRN endurance of lessons Fagan taught. “[Helen Fagan] enjoyable. was truly legendary. Her role as mentor and leader For our lucky nurses, Joy makes learning a Helen C. Fagan (1929-2011) of SEHSON helped create a lasting generation of dynamic process. I have often overheard many of by Maryellen Doona RN, MS successful nurses, one of which I am proud to be…. her nurses bestowing unsolicited compliments We have been graced by her presence and she will on her teaching to those around them. It is not The Massachusetts live on in each of us as we care for our patients uncommon to hear a nurse relaying to another how Association of Registered and live her legacy every day.” his/her clinical practice unit-based orientation Nurses presents its 2012 from Joy was far superior to that which was Excellence in Nursing received in school. “When Joy found out that I had Education Award to the Josephine M. Gaviola, MSN, RN, CRRN never changed a sterile dressing, she immediately late Helen Cecilia Fagan by Diane Hanley taught me the steps from the policy and brought (12/25/29-8/30/11), Director me in to a patient where I successfully performed of the St Elizabeth’s Hospital On our medical-surgical units, which are often one!,” is one of many acclaims I have overheard. School of Nursing from the starting place for new graduates, newly-hired Or “I aspire to be the kind of nurse that Joy is,” is 1977-2000. nurses as well as present staff enjoy the tutelage yet another common elucidation. Not surprisingly, Fagan’s excellence as of their ever-motivating nurse educator. As the in a sleep-inducing new hire orientation, I an educator originated Helen Fagan nurse educator for several of these units on the immediately see attendees wake-up with interest in her own excellence as Lawrence Memorial Hospital campus, Joy Gaviola, when Joy begins presenting her topic. Indeed, as a person. It was not enough for Fagan to know envelops her nurses with knowledge, confidence 2012 Awards for Excellence continued on page 5

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of Veteran’s health care. Chris, VA Nurse Follow VA Careers March 2012 MAssachusetts Report on Nursing • Page 5 2012 Awards for Excellence continued from page 4 researchers. Although still early in her career, Dr. Frances Portnoy continued from page 1 Gregory is clearly accomplishing both of these both a bystander and an audience participant, I objectives. In addition to her highly respected clinical When Boston State College was closed, see others around me, as well as finding myself, investigations, she is already serving as a mentor for the nursing school moved to the University truly inspired by her presentations. In a climate the next generation of nurse researchers. Currently of Massachusetts Boston, Dr. Portnoy and of nursing educator shortages and impassioned she serves as the Haley Nurse Scientist at Brigham members of the Sociology, Anthropology and burn-out, Joy is noteworthy for her many past and, and Women’s Hospital where she mentors staff nurses Psychology Departments initiated a Program of what I believe to be, future years of embracing a engaging in clinical research activities. Her sustained Health Studies. Having developed an interest in truly immeasurable passion for nursing and of excellence in nursing research elicits excitement for Gerontology through the completion of a research bestowing it tirelessly to educate and advance the a better future for premature infants with NEC and study of the elders of Newton for the Newton expertise of those around her. their families. Health Department, she taught the Sociology of Aging in the new PhD program in Gerontology. She subsequently received a joint appointment Patrice K. Nicholas DNSc, DHL (Hon.), in Gerontology and Nursing and later served Excellence in Nursing Research MPH, BSN, RN, ANP-C, FAA as Interim Dean of the College of Nursing. A Katherine E. Gregory, PhD, RN & by Diane Mahoney PhD, APRN, BC course in Gerontology was first in her newly Patrice K. Nicholas, DNSc, DHL(Hon.), developed Master’s Degree in Nursing, and later MPH, MS, BSN, RN, NP-C, FAAN Dr. Patrice K. Nicholas, DNSc, DHL (Hon.), MPH, developed and taught in the PhD in Nursing, MS, BSN, RN, NP-C, FAAN is a professor at the MGH with an emphasis on Health and Health Policy. Publications and research in Gerontology were Katherine E. Gregory, PhD, RN Institute of Health Professions School of Nursing in Boston and Director, Global Health, at Brigham and expanded further when she received a Fulbright by Barbara Wolfe PhD, APRN, FAAN Women’s Hospital, Division of Global Health Equity Scholar Award in Norway where she studied and Center for Nursing Excellence. Since 1989, she Elder Care in the Welfare State. She returned to Dr. Katherine Gregory is recognized for her has been involved in HIV/AIDS research. Dr. Nicholas the university and continued to teach until her pioneering efforts in helping premature neonates has made unique and enduring contributions to the retirement in 1997. born with necrotizing enterocolitis (NEC), a primary quality of life of those affected by HIV disease. After Fran’s retirement, she continued to serve cause of morbidity and mortality in the most fragile As a member of the UCSF International HIV/ on dissertation committees, lecture at the College, infants. This includes her novel work focused on AIDS Nursing Research Network, Dr. Nicholas has collaborate with colleagues to develop long term care identifying specific biomarkers, the microbiome and established her own program of research related modules in baccalaureate nursing curricula and to metabolomics, in premature neonates with NEC in to neuropathy-related symptoms in HIV/AIDS and publish articles and book chapters in her field. order to better predict which infants are at risk for self-care strategies. In her work, she has focused Dr. Portnoy now resides in a CCRC (continuing developing this grave disease. This groundbreaking on symptom-related quality of life issues for those care retirement community) where she serves on research is both critical and exemplary of nursing’s living with neuropathy, including those with both the health committee, the technology task force, contribution to translational research and serves HIV and TB disease. She served as a Fulbright and continues to publish and lecture about the as a model for nurse-led investigations cultivating Senior Scholar at the University of KwaZulu-Natal sociological underpinnings of Nursing and Health key collaborative, interdisciplinary, and cross- (UKZN) in Durban, South Africa. This area is the Policy. She has had an extraordinary career academic (Boston College, , epicenter of HIV infection in South Africa and Dr. and her many contributions are integral to the Washington University of St. Louis, University Nicholas both developed her neuropathy research foundation and mission of the College of Nursing of Washington, and Virginia Commonwealth and mentored junior faculty at UKZN. The Durban and University. University) and clinical (Brigham and Women’s Consul-General described Dr. Nicholas as the Hospital, Children’s Hospital Boston, Massachusetts “Model Fulbrighter” and “a scholar who offered General Hospital) institutional efforts for solving contributions to the University of KwaZulu Natal, one of the most significant and common neonatal the research community, community health workers, morbidities experienced by premature infants. other universities including those serving the most Rachel Tierney continued from page 1 Dr. Gregory’s work is of such quality that she impoverished areas of KwaZulu-Natal, and teaching has been continually funded since completing her lay health workers about symptom management and dissertation, including two highly competitive grants • Town meeting member West Springfield quality of life.” (MA) from the Harvard Clinical Nutrition Research Center Her research is cited in many papers related and the Harvard Catalyst as well as funding from • The Advisory Board, Pioneer Valley Area to neuropathy in HIV disease such as the ANAC Health Education Center, Springfield, MA. the National Institutes for Health/National Institute Symptom Management Guidelines for neuropathy for Nursing Research. The results of her work are management. Her manuscripts also advance the published in prestigious nursing and medical Rachel truly is a living legend because of her understanding of mitochondrial toxicity and diverse, fruitful lifelong calling as a nurse. The research journals. Furthermore, Dr. Gregory has neuropathy as well as quality-of-life implications and extraordinarily unique ability and commitment Western Massachusetts Psychiatric and Mental of neuropathy symptoms. The issues of pain and Health Clinical Specialist group are proud to to make this very complex revolutionary material neuropathy-related pain are critical quality-of-life accessible and understandable to the practicing have nominated her for the MARN Living Legend issues for those with HIV disease. Dr. Nicholas has Award. clinician through her publications in clinical published over seventy research, clinical and policy journals. papers, as well as book chapters related to improving The strength of a researcher is not only measured the quality of life of those living with HIV disease. In by the quality and the clinical applicability of 2008, she was inducted as a Fellow in the American the research, but also in the individual’s ability Academy of Nursing for her contributions to global to educate and mentor the next generation of HIV research and nursing.

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[email protected] Request for PDF to be put Holding Tank in WorkZone We provide a welcoming and supportive environment for employees of all Revisions: AE/AC: ______W.S.#: www.worcester.edu/gradnursing ethnic backgrounds, cultures, ages, lifestyles and physical abilities. tdieducation.dartmouth.edu Page 6 • MAssachusetts Report on Nursing March 2012 Career Connections Program: New Graduate President’s Message Nurses Need Your Help President’s Message By Beth Kinsella, RN

Do you have a few minutes a week or an hour a month to give back? Join MARN’s Career Anne Manton PhD, RN, PMHNP-BC, FAEN, FAAN published conference highlights to name a few. Connections program. Nursing students and new Some learning approaches are less formal such as graduate nurses need your help. Let me ask you this: sharing new knowledge with co-workers, journal This revolutionary program, founded in January when you completed your clubs, or posting interesting articles in the break 2011 by MARN member Myra Cacace, links initial nursing education, room. Serving as a preceptor is a wonderful way to experienced nurses (known as Career Guides) with passed your licensure participate in lifelong learning. Being a preceptor senior nursing students or new nurse graduates examination, and were creates situations that may challenge one’s own (Career Seekers) to help them navigate landing finally an RN, did you think practice or trigger self-reflection. Serving as a their first nursing position. Helping a new graduate your nursing education was mentor provides opportunities for growth in nurse with his or her resume, providing interview complete (except perhaps knowledge and understanding. tips, or suggesting where to look for employment for an occasional in-service A commitment to lifelong learning is essential can make the difference in launching a colleague’s related to new equipment in nursing, but how that knowledge is obtained career. or policies)? Personally, I is up to the individual nurse. As you seek to meet In October 2011, I had the pleasure of assuming your personal learning needs, think about these the leadership of this important and innovative thought I would return to Anne Manton school to obtain my BSN elements of positive lifelong learning (whether in program. Since that time I’m energized by the and then I’d be finished. I nursing or in life): positive feedback the program elicits from both was wrong! I guess by now you too have learned • it’s continuous (it never stops) Career Guides and Career Seekers. The more that in nursing, as long as you continue to practice, • it’s supportive (it’s often better with others) I learn and witness, the more I believe in the it’s not possible to be finished with nursing • it’s stimulating and empowering (self- mission and success of this program. education—EVER. Of course that doesn’t mean directed and active not passive) In this difficult economy, I am saddened to read that your ongoing learning is part of a degree- • it incorporates knowledge, values, skills and the recent data from the NSNA which states that granting program. There are many, many ways for understanding (it goes beyond just what we 31% of 2011 nurse graduates still had not found a us to learn throughout our lives. The important know to how we use what we know) job four months after graduation (Mancino, 2011). element is that we seek knowledge that will inform • it spans a lifetime (from our first breath to This unfortunate delay for graduate nurses to enter and improve our practice. our last) their first nursing jobs, could mean a potential MARN’s mission statement reads, “The • it’s applied (it’s not just for knowledge’s loss of acquired clinical skills. What is worse is Massachusetts Association of Registered Nurses sake) that we are unable to welcome new nurses with (MARN) is committed to the advancement of • it incorporates confidence, creativity their wonderfully diverse backgrounds to the the profession of nursing and of quality patient and enjoyment (it’s a positive, fulfilling profession. This is especially mind-boggling in a care across the Commonwealth.” Inherent in that experience, it generates a sense of climate of the projected nursing shortage that will mission is the commitment to provide educational accomplishment) continue as our economy recovers and the aging opportunities for nurses. To advance the profession • it’s inclusive of all roles, circumstances, and workforce retires (Buerhas, Auerbach, & Stagler, of nursing, nurses must be armed with the most environments (it applies not only to learning 2009). current information available. The public looks related to nursing, but to one’s entire life) The American Nurses Association (ANA) and to us to be knowledgeable not only about clinical (Collins 2009). National Student Nurses’ Association (NSNA) issues, but also about health care policy, available are hard at work with other organizations to help resources, payment systems, and so much more. To May you find joy in your learning and may you address the employment hardships that new improve the quality of patient care as our mission use it well to enrich the lives of all in your care— nursing graduates are facing. By volunteering to suggests, nurses must be aware of best practices and about whom you care. be a Career Guide for a nursing student or new and how to implement them in the clinical setting, nurse graduate, YOU can make the difference in and how to influence policy whether in a health Collins J. (2009). Lifelong learning in the 21st century a colleague’s career as well as for our profession. care organization or in legislation. and beyond, RadioGraphics, 29, 613-622. In the program, you will be given the resume While MARN’s annual Spring and Fall and contact information for a Career Seeker and conferences and Health Policy Forum have enabled to build a relationship that works best fulfilled many of the learning needs of nurses for you and your Career Seeker (e.g., over coffee, Contact MARN at phone, e-mail). You will, also, be given resources in Massachusetts, it is the responsibility of RNs PO Box 285 to undertake a number of strategies to ensure with which to assist your Career Seeker. The Milton, MA 02186 effective lifelong learning. Technology affords program requires very little time, but has the many learning opportunities such as webinars, 617- 9 9 0 -2856 potential for large impacts. If you are interested in on-line and traditional home study offerings, and [email protected] making a difference, please contact Beth Kinsella to join the program: [email protected]. edu.

References Buerhaus, P.I., Auerbach, D.I., Stagler, D.O. (2009). The recent surge in nurse employment: causes and implication. Health Affairs, 28(4), 657-668. Retrieved Move from http://www.healthstaff.org/documents/surge in nurseemployment.pdf Mancino, D. (2011). Inaction is not an option. Dean’s your career Notes, 33(2),1-3. Retrieved from http://www.ajj.com/ forward services/publishing/deansnotes/nov11.pdf With cutting-edge curriculum and a world- Congratulations to Seeker, Lynda Torrento, class faculty, the MGH Institute of Health RN, (University of Massachusetts in Lowell Professions in Boston offers a graduate education that will empower you to deliver 2011) who joined the operating room nursing care on an entirely new level – and allow you staff at Massachusetts General Hospital in to redefine your future on your own terms. February 2012! Doctor of Nursing Practice for: Bachelor’s prepared RNs Master’s prepared RNs Master’s prepared nurse executives Master of Science in Nursing for: Simplify your nursing research... RNs with Bachelor of Science in Nursing RNs with BS/BA (or higher degree) in with access to over another field www.mghihp.edu 10 years of nursing Direct-Entry Master’s in Nursing publications at your Accelerated Bachelor fingertips. of Science in Nursing Certificates of nursingALD.com Advanced Study Simply click on the Newsletter tab on the far right and enter your search term. March 2012 MAssachusetts Report on Nursing • Page 7 LettersLetters toto thethe EditorEditor EditorialEditorial

Dear Editor, used by many other professions, including, chiropractors, optometrists, psychologists Old Before My Time I am writing in response to recent publications and professors to name a few. I have run into indicating that there may be reasons why nurses misunderstandings; some patients are confused by Myra F. Cacace MS, GNP-BC should not be addressed as Doctor. I want to by the title; I take this opportunity to educate describe my personal experience and provide them, after all, education is one of the main tenets The American Nurses Credentialing Center support for those who earn the doctoral degree. I of our profession. Many are pleased feeling that (ANCC) is retiring the Gerontological Nurse hope to begin a public dialogue on this topic since the increased education is a demonstration of Practitioner (GNP)! Graduates of nurse practitioner I believe that this issue will only become more excellence; most don’t care, stating satisfaction programs from now on will not be offered the important in the future. with their care as their main concern. opportunity to sit for the gerontological NP certification exam. Since I am not ready to retire, Professional Titles, Career, and Sincerely, it is fortunate that there is a provision that I can Discipline Development Dr. Barbara Pinchera, DNP, ANP-BC still practice as long as I continue to renew my Published editorials in mainstream media claim certification. Talk about feeling old before my use of the title Doctor by nurses is confusing to the time! In May, I will celebrate my 18th year as a public. Yet confusion, discomfort, even concern NP. When I entered that phase of my profession, may exist over use of the title among our own I was one of the first of my kind…at least in the ranks as nurses. Opportunities for open dialogue Dear Editor, Fitchburg/Leominster area. The NP movement may begin to shed light on reasoning behind its was still young and I spent much of my early use. Experience as a graduate faculty member In my practice as an NP, I’ve found that patients, days educating colleagues and patients about teaching APRN courses leading to CNS and NP staff, and the general public may not understand my expanded role in nursing. I never considered degrees provides context for the claim that the the scope of an advanced practice nursing role, myself a “pioneer”…until NOW! title is appropriately applied when the number and especially in terms of prescription writing As a clinical preceptor for NP students, I witness quality of college credits assigned to the degree of and patient care management. This allows an their eagerness to learn and their dedication to nurse practitioner are examined. opportunity to inform, educate and demonstrate the nursing profession, especially in the current While meeting in the mid 1990s to discuss the credibility. Advanced practice degree programs climate of health care reform and a new entry number of theory and clinical course credit hours typically carry a credit load equivalent to doctoral level preparation to become a NP…yes I am talking required for a nursing master’s degree on the degrees in other health professions. A DNP about the Doctor of Nursing Practice (DNP). Amherst campus, it became clear that numbers education provides clinical, organizational and So, what’s in a name? How are nurses using the were suitable in all specialties noting that those leadership skills to improve health care outcomes “Doctor” title? in the NP track exceeded all others. Based on while meeting the demands of an evolving health Please read the Letters to the Editor about NP faculty perception of relationships between care system. this on this page. The discussion about the DNP increased number and quality of precepted According to the Doctors of Nursing Practice is heating up since the first DNP gradates are clinical credit hours and student success in the website: “Historically, the title “doctor” refers to called “Doctor.” Inge Corless, a member of the credentialing process, the assignment of college both academic (PhD) and professional (MD, DDS, MARN Newsletter editorial staff writes, “My credits for clinical practice was determined to DPM) degrees and acknowledges a higher degree use of “Doctor” is dependent on the situation. I be correct. Meanwhile nationally, concern over of educational attainment in an area. Traditionally, usually introduce myself to nurses as Inge Corless, disproportionate numbers of credits required for only medical doctors practicing in the hospital to patients as Dr. Corless. I’m a nurse, and to success as an NP was the subject of examination setting were called “doctor.” It has been suggested physicians—it depends again on the situation. by a Task Force of the American Association of that patients may become confused if other Whether I do or don’t mention Dr. I always Colleges of Nursing (AACN). healthcare workers are addressed as “doctor,” introduce myself as a nurse and sometimes as a Extensive review of graduate degree curricula and trust in the doctor-patient relationship will sociologist. No one size fits all situations. Different and assignment of the proper title to degree earned be eroded. No evidence exists that patients are situations call for different responses. Where was underway. AACN members representing confused about who is an MD (medical doctor) or everyone is using professional credentials, or at baccalaureate and higher degree granting DO (doctor of osteopathy) and who is not. Nurses a first meeting, I use Dr. and where they are just colleges of nursing approved the Task force are proud to be nurses and routinely identify the using names that’s what I do.” recommendation that the title Doctor of Nursing nature of their profession and practice, regardless MARN President Anne Manton also shared Practice was appropriate to the role. Further study of the particular degree they possess. There is her views: “I know I personally do not introduce and consensus was reached envisioning scholarly no credible evidence that nurses who currently myself as “Doctor” to patients (even though by capstone projects by DNP students to require hold doctorates use their credential and title in educational preparation I could be) because I utilizing translational research methodology a way that misleads patients. Additionally, many know the general public thinks of “doctor” as a to bring the findings of previously conducted states require an advanced practice nurse of any physician, and also because I’m quite proud to nursing research to the practice setting rather than specialty or background to identify themselves as introduce myself as a nurse practitioner. On the dissertation. nurse practitioners to patients.” other hand, when I was in the faculty role—and Whether applied to someone with a degree in As a faculty member in academia, I have other non-clinical roles, I was very used to being dentistry, medicine, pharmacy, physical therapy, received collegial support from peers; I have also called Dr—and that was O.K. because there was nursing or another discipline, the title represents encountered positive feedback from colleagues in no confusion.” the achievement of educational preparation clinical practice settings. The AACN recommends I suppose what I am calling, “old before my signifying successful completion of a terminal that all advanced practice nursing degrees become time is,” is considered to be “progress” by those degree in the discipline. Discussion may help DNPs to address the complexities of health care. who will carry the torch when I am gone…change professionals conclude that the title doctor is As a recent DNP graduate (2011), I am proud to is inevitable What do you think? I encourage you awarded by academic degree and the person introduce myself as a doctorally-prepared nurse to join in the discussion and share your views who earns the title is entitled to be addressed as practitioner. about this or any other topic of interest. Send your Doctor. These websites provide further insight and comments to me at [email protected]. information about the DNP: As a reminder, during 2012 we are encouraging Thank you, http://www.aacn.nche.edu/dnp/talking-points nurses to share their stories about Palliative Care Eleanor Vanetzian, PhD, RN, CS, Professor http://www.doctorsofnursingpractice.org/faqs. Nursing. Please see the first article about this on Emeritus, University of Massachusetts, Amherst php and http://www.aacn.nche.edu/dnp/talking- page 10. The concept has matured and a greater points understanding of palliative care nursing will improve the lives of our patients, the families Dr. Maureen O’Shea, ANP-BC, GNP-BC we serve and inevitably ourselves when the time Assistant Professor, Nursing Division, Curry comes…but for now. Happy Spring! Dear Editor, College, Milton, MA

With the emergence of the Doctor of Nursing Practice (DNP) degree, a clinical practice doctorate, more attention has been given to the use of the title doctor by non physicians. As nurse practitioners are prepared at the doctoral level, many are now Psychiatric using the title doctor in their practice setting. The American Medical Association (AMA) is Clinical Nurse resisting this trend quite vocally, naming truth Specialist in advertising and patient confusion as their Program of Assertive Community Treatment (PACT) rationale. Seeking 20-24 hours per week psychiatric clinical nurse specialist/advanced practitioner • Nationally accredited for community-based PACT in southeastern MA. Work in tandem with program director • No campus visits Happily, I have not met the same resistance and multidisciplinary team serving adults with serious mental illness. with my physician colleagues. Since graduating • Competitive Tuition Community Counseling of Bristol County is a full-service mental health center • Liberal Credit Transfers in 2009 with my DNP, I have consistently used the serving southeastern Massachusetts. AAEOE title doctor in my practice. I introduce myself to Courses that fit your schedule. Enroll today! patients and colleagues with: “I am Dr. Pinchera, Send Resumes to: Andrew Dawley, LICSW Community Counseling of Bristol County Go to: http://bsn-linc.wisconsin.edu the nurse practitioner caring for you.” The title One Washington Street, Taunton, MA 02780 Toll Free: 1-877-656-1483 doctor refers to an academic degree and is freely [email protected] Page 8 • MAssachusetts Report on Nursing March 2012 as was done in state hospitals. Nurses were assigned to the night shift indicating that patient care was a 24-hour phenomenon and more than a matter of custody. These changes were not without conflict. There were wholesale discharges and un- repented resignations of attendants of moderate skill, reported Southard, some of little or no value and others of real harm. Under Gerrin’s leadership hours spent on nursing duties rose and those spent on domestic tasks fell. Significantly, with better Clio’sClio’s CornerCorner nursing care, the number of accidents fell. Gerrin reported her findings on the differences between watching patients (vigilance nursing) and caring for them (constructive nursing) at the conference, Modern Development in Mental Nursing at the Psychopathic Hospital, held at the BPH Nursing’s Beginnings At The February 16, 1914. When her paper was published that fall in the Boston Medical and Surgical Boston Psychopathic Hospital Journal (precursor to the New England Journal of Medicine), an analysis of the changes accompanied the narrative.4 M. Adelaide Nutting, representing by Mary Ellen Doona care proved a poor fit. Attendants there were used the national nursing community, presented as well. to the custodial care of patients where domestic More than likely Parsons suggested this speaker. The finishing touches were being placed on duties dominated the real nursing care. Although The former head of nursing at the Johns Hopkins the new building at 74 Fenwood Road as 1912 women attendants were called nurses none had Hospital and its nurses training school, Nutting was began. The four-story red brick building was been trained in a nursing school. Southard did the first professor of nursing at Columbia’s Teachers modest compared with the Great Quadrangle of not approve of the nursing care provided and saw College. Only four years before as President of the five marble buildings that since 1906 had housed it primarily as vigilance nursing. He felt that they Society of Superintendents of Training Schools Harvard’s Medical School nearby on Longwood were not qualified for the nursing care required in for Nurses, she had rejected Parsons’ proposal to 2 Avenue. Millions in private philanthropy financed BPH’s active treatment setting. educate nurses for psychiatric care. At the BPH those buildings as millions more funded the Peter Sara E. Parsons, the nursing superintendent at conference, however, she stated “such instruction Bent Brigham Hospital with its graceful Grecian the Massachusetts General Hospital, knew what was should form a part of the general training of all columns that would open in 1913. required. After graduating from the training schools nurses.”5 The Commonwealth of Massachusetts ensured at the MGH and the McLean Hospital, she practiced Eventually the profession concurred. The BPH, that psychiatry would be part of medicine’s at the Butler Hospital in Providence, Rhode Island, later renamed the Massachusetts Mental Health scientific revolution in what would become the the Adams Nervine Asylum in Jamaica Plain Center, became the clinical site for hundreds Longwood Medical Area. Though to a lesser extent and the Sheppard and Enoch Pratt Hospital in and hundreds of nursing students, first from the than other state hospitals across the country, the Baltimore. She wanted nothing less than the best diploma programs and then from universities. At Commonwealth’s hospitals had become “quasi- care for the mentally ill but the superintendents of the BPH/MMHC centennial in 2012, they learn to prison” establishments, where psychiatrists were training schools at their 16th annual convention care for patients in MMHC’s new building at 75 unquestioned and un-criticized “far from the in 1910 rejected the idea of educating nurses to Fenwood Road across the street from its original healthy conflicts and honest rivalries that keep provide high quality psychiatric care. Summarizing site. [doctors] up to the mark.”1 The Commonwealth’s the discussion, the president said that as much as response was the Boston Psychopathic Hospital superintendents would like to care for the mentally ______(BPH) accessible by foot, trolley and car that opened ill, “their urgent necessity of nursing every patient June 1912 at 74 Fenwood Road in partnership with in our hospitals, every hour of the day and night by 1 S. Weir. Mitchell, “Address before the 50th Annual Harvard’s Medical School. means of our student body” made it impossible to Meeting of the American Medico-Psychological Elmer E. Southard personified the unity of that provide an affiliation in a psychiatric hospital or Association, May 16, 1894,” Journal of Nervous and Mental Diseases, 21, 1894, 413-437. relationship as superintendent of the Hospital and introduce psychiatric care into the diploma school 2 3 Elmer E. Southard, Third Annual Report of the as Harvard’s Bullard Professor of Neuropathology. curriculum. Psychopathic Department of Boston State Hospital He moved the psychopathic department from It only stood to reason that the mentally ill year ending November 30, 1914, 20-22, 32-34. the Boston State Hospital to the BPH. With Emil should be as well cared for as the physically 3 Sara E. Parsons. “Report of the Committee on Kraepelin’s careful observation and distinct ill. Though Southard intuitively knew that the the Nursing of the Nervous and the Insane,” in categorization at his Munich clinic as a model, mentally ill should be as well cared for as the Proceedings of the Sixteenth Annual Convention of Southard focused the BPH on: first care, observation physically ill, that ideal was still a long way off in the Society of Superintendents of Training Schools and short intensive treatment; studying patients on the future as Southard tried to tackle the nursing for Nurses, (Baltimore: Maryland, 1910), 98-104. 4 the wards and investigating brain function in the problem at the BPH. He hired Mary L. Gerrin, Mary L. Gerrin, “Impressions of a general hospital laboratory; providing consultation and out patient a graduate of the Boston City Hospital Training nurse on beginning work in the Psychopathic Hospital (Boston, MA),” Boston Medical and Surgical services; and, educating doctors, nurses, researchers School for Nurses as superintendent, nine graduate Journal, 171 (September 24, 1914), 483-485. and other special workers. nurses and 30 attendants. No longer would patients 5 M. Adelaide Nutting, “The training of the If Southard’s research was readily transferred and attendants be separated by gender with women psychopathic nurse,” in A Sound Economic Basis for from Boston State Hospital, its model of nursing caring for women, men caring for men and men not Schools of Nursing, (New York: G. P. Putnam’s Sons, answerable to the female nursing superintendent 1926), 133-140. March 2012 MAssachusetts Report on Nursing • Page 9

Unfinished Business The Continuing Education Unit The MARN 2011 Fall Conference: Innovative Practices in Palliative Nursing Across the In order to save space, we are offering the Continuing Education unit Continuum was held at Lombardo’s in Randolph upon request. To see the entire CE unit, please contact newsletter@ on Friday, November 4, 2011…too late to marnonline.org and it will be sent to your computer. be included in the previous edition of the MAssachusetts Report on Nursing…but we want If you want to receive the unit by conventional mail please send your to take the opportunity to formally thank the name and address to: Sponsors and Exhibitors who helped make the conference a great success. Newsletter Editor P O Box 285, Milton MA 02186

Thank you to our Sponsors (Please allow 4 weeks for delivery by conventional mail). Arthur L. Davis Publishing Agency Children’s Hospital Boston Requesting the CE unit in this way does NOT imply an obligation to complete the unit and there is no cost until you complete the Application and CE test. Thank you to our Exhibitors Beacon Health Care Products, LLC Cambridge College Developing a Nursing IQ – Part III: Cambridge Eating Disorder Center Curry College - Division of Continuing & Graduate Studies A Picture of Thought Emmanuel College – RN to BSN Program, MSN Programs Old Colony Hospice and INDEPENDENT STUDY Hospice of the Good Shepherd Regis College Graduate Programs This independent study has been developed for nurses to better U.S. Army Health Care Team understand the public’s perception of nursing. 1.61 contact hours will be awarded for successful completion of this independent study. Thank you to Nurses Sponsoring Students to Attend Myra Cacace The Ohio Nurses Association (OBN-001-91) is accredited as a provider Susan Conrad of continuing nursing education by the American Nurses Credentialing Mary Ellen Doona Center’s Commission on Accreditation. Carol McKenna Judy Sweeney Expires 12/2013. Helen Taylor

Golden-Age Opportunity for Nurses MARN is the Massachusetts affiliate of the American Nurses Take what you know and what you’ve Association, the longest serving and done to generate income with your own business by helping seniors and largest nurses association in the country their families. Join us at www.marnonline.org Seniors Helping Seniors® is a franchise that helps seniors live independently in their own homes, Contact us at: 617-990-2856 or [email protected] providing non-medical services (light housekeeping, grocery shopping and companion care). Mission Statement: Empowering individuals to realize their potential in the We are looking for a qualified communities where they live individual to bring SENIORS HELPING and work. SENIORS® in-home services to NURSING OPPORTUNITIES your community. If you are looking The Overlook at Northampton for financial growth and personal • Director of Nursing • RNs & LPNs satisfaction, join the Seniors Helping The Overlook Life Care Community ® • RNs Seniors team. Pediatric Nursing Overlook Visiting Nurse Association Opportunities!! Find out more about this unique and Hospice Services Seeking RNs & LPNs to make opportunity. Take the initiative. • RNs & Hospice RNs a difference in a child’s life! If you have the commitment We offer Call Lynn Today 860-413-9050 ❤ Sign-on Bonus may apply for Vent Experience: [email protected] and enthusiasm to work for $1,200 for F/T, $750 for P/T. Must meet qualifications. our organization - please ❤ Competitive wages ❤ Flexible Schedules visit our website or send a ❤ Personalized Training www.seniorshelpingseniors.com ❤ Excellent benefits including: PTO, Med/Dent/Vision, cover letter and resume to Short-Term Disability and More! the HR Department. ❤ Sign-on bonus for OVERNIGHT NURSES with Trach and Vent Experience. $1,000 for Full-Time & $500 for Part-Time >> must meet qualifications! ❤ 2 branch locations Worcester & Springfield Contact the Human Resources Department Contact: Gaile Pranckevicius • Phone: (508) 614-0099 at [email protected] email: [email protected] Loving Care is licensed and accredited by CHAP www.mhs-mass.org www.lovingcareagency.com Page 10 • MAssachusetts Report on Nursing March 2012 FeaturedFeatured ArticlesArticles SectionSection

For the year 2012, the MAssachusetts Report on Nursing will delve into the thoughts and stories. Our hope is to shed light on this important concept world of Palliative Care Nursing. We start with a great article by Maureen and to improve the care we give to people at the most vulnerable times of O’Shea who studied this as part of her DNP program. As in the past, we their lives. Please send all articles, comments and stories to newsletter@ encourage all nurses who have a story to tell to feel free to submit their marnonline.org. Palliative Care: Part I What It Is and Who Can Benefit From It Maureen O’Shea, DNP, ANP-BC, GNP-BC improve the “humanization” of the patient-family failure, COPD, dementia, chronic renal failure, care experience (Meghani, 2004). and diseases affecting neurological function such While many people may be familiar with the New patterns of chronic illness trajectories are as Parkinson’s, dementia, multiple sclerosis and term, hospice care, the meaning and concept becoming more evident as the population ages amyotrophic lateral sclerosis; better symptom of palliative care is less well understood by and more people are living for longer periods management can lead to an improved quality of healthcare providers and the general public. The of time (Ferrell & Coyle, 2002; Amella, 2003). life, and in some instances, even contribute to a word palliative comes from the Latin root: palliare, Healthcare providers, particularly nurses, must longer life. to cloak, cover, or mask, as in to protect from the have an increased awareness of the benefits of a elements. Hospice, like hospitality, is also derived palliative care approach sooner in the course of an References from Latin: hospitium, a shelter, place of refuge, or illness trajectory (End of Life Nursing Education Amella, E. J. (2003). Geriatrics and palliative care: guesthouse for weary and sick travelers to rest on Consortium [ELNEC], 2008). This is particularly Collaboration for quality of life until death. Journal a life journey. relevant for nurses caring for older adults who of Hospice and Palliative Nursing, 5, (1), 40- 48. The National Consensus Project for Quality experience multiple repeated hospitalizations, End of life nursing education consortium. (2009). Palliative Care, a task force of the Hospice and as the essence of nursing is to relieve suffering American Association of Colleges of Nursing. www. Palliative Care Coalition, defines palliative care (Ferrell & Coyle, 2008). What characterizes the aacn.nche.edu/elnec/. Accessed September 14, 2010. Ferrell, B. R., & Coyle, N. (2002). An overview of as both a system and a philosophy of care with meaning of a better quality of life and death is palliative nursing care. American Journal of Nursing, a focus on the prevention and relief of suffering different and personal for each individual living 102(5) 26-31. by improving quality of life, functional status, with serious illness. Nurses have the potential Ferrell, B. R., & Coyle, N. (2008). The nature of suffering decision making, and personal development for to greatly influence the overall quality of life and the goals of nursing. Oncology Nursing Forum patients and families. Palliative care supports for older adults through salient advocacy and 35(2) 241-247. the best possible quality of life for patients and enhanced communication. Kapo, J., Morrison, L. J., & Liao, S. (2007). Palliative care their families regardless of the stage of their Palliative care is appropriate for anyone with for the older adult. Journal of Palliative Medicine, disease or need for other treatment (World Health serious illness, especially for older adults. Older 10(1), 185-209. Organization [WHO], 2002). persons have less physiologic reserve with a Matzo, M. L. (2004). Palliative care: Prognostication Both hospice and palliative care focus on the corresponding decreased ability to withstand and the chronically ill. American Journal of Nursing, active management of pain and other physical bodily insult, recover, and “bounce back” 104(9), 40- 49. symptoms, as well as psychological, social and from illness (Amella, 2003). Chronic illness Meghani, S. H. (2004). A concept analysis of palliative spiritual issues often experienced by persons and associated debilities often contribute to a care in the United States. Journal of Advanced living with serious illness or who may be near protracted course of illness exacerbations with Nursing 46(2), 152–161. the end of life. Hospice care typically involves frequent hospitalizations leading to a gradual National Palliative Care Research Center. (2010). What is palliative care? Retrieved from http://www.npcrc. acknowledgement of a terminal diagnosis with decline, disability, and eventual death (Ferrell & org/about/about_show.htm?doc_id=374963 an expected prognosis of six months or less Coyle, 2002; Kapo, Morrison & Liao, 2007; Matzo, National Consensus Project for Quality Palliative to live, along with agreeing to forego curative 2004). A pragmatic approach to healthcare for Care. American Academy of Hospice and Palliative treatment. Palliative care is broader in scope in older adults acknowledges the need for a realistic Medicine. http://www.nationalconsensusproject.org/ that it can be introduced early in the course of humanistic perspective regarding lifespan, Pavlish, C., & Ceronsky, L. (2007). Oncology nurses’ an illness, even at diagnosis, does not depend chronic illness and quality of life. The potential for perceptions about palliative care. Oncology Nursing on life expectancy, and can be provided along improving individual care circumstances through Forum, 34(4), 793-800. with curative care measures. Palliative care can early palliative care involvement for older adults World Health Organization. (2002). WHO Definition of assist with decision-making and establishment is an important issue. For example, many older Palliative Care. Retrieved from: http://www.who.int/ of goals of care for persons living with serious, persons live with chronic illnesses such as heart cancer/palliative/definition/en/. complex life-limiting illness (National Palliative Care Research Center, 2010; Pavlish & Ceronsky, 2009). The fundamental goal of palliative care is to This chart compares and contrasts palliative care with hospice care. The major distinctions are foregoing curative treatment and a prognosis of less than 6 months with hospice care.

Palliative Care Hospice Care

Symptom management Symptom management Comfort measures Comfort measures *Any illness/condition *Terminal illness/condition

*Not dependent on prognosis *Limited prognosis: death expected within 6 months

*Can receive curative treatment *Cannot receive curative treatment No restrictions Care aimed at comfort

Acute Care Acute Care Long Term Care Long Term Care Skilled Nursing Skilled Nursing Assisted Living Facilities Assisted Living Facilities u Outpatient Clinics Outpatient Clinics Inpatient Hospices Inpatient Hospices u Home Home u u Interdisciplinary team approach Interdisciplinary team approach

Medicaid Medicaid Medicare Medicare Private insurance Private insurance March 2012 MAssachusetts Report on Nursing • Page 11 Taking a Stand to MassHealth is Moving to Reform Care Received Protect Massachusetts by those Eligible for Medicare and Medicaid Residents by Craven & Ober Policy Strategists, LLC operate in any one of five geographic services areas across the state. The ICO will be responsible MARN has joined a campaign to protect A new demonstration program is being for the delivery and management of all covered Massachusetts residents from breathing polluted developed by the Massachusetts Executive services for each enrollee and will receive a global air, which impacts both our health and health-care Office of Health and Human Services (EOHHS) payment for carrying out these responsibilities, dollars. Office of Medicaid (MassHealth). Under the draft with one portion coming from Medicaid and the The Clean Air Act, which is a 40-year-old proposal released December 7, 2011, services other coming from Medicare. According to the bipartisan law that protects the air we breathe, to individuals eligible for both Medicare and MassHealth draft proposal, ICOs will be required is in jeopardy of being significantly weakened by Medicaid coverage—commonly referred to as to demonstrate core competencies across disability Congress, putting everyone at risk, particularly “dual eligibles” will be better integrated clinically, types and to maintain relationships across those who are most vulnerable, including the administratively and financially.i The new community based support organizations that young, elderly and people who suffer with heart program is one component of the broader effort in focus on independence for people with disabilities disease, diabetes, COPD and asthma. Massachusetts to transform the delivery of health and other populations with unique needs, such as Massachusetts has the unfortunate distinction care by restructuring how care is delivered and dialysis for members with end stage renal disease. of being downwind from air pollution blowing how care is reimbursed. The long term goal is to MassHealth allowed the public to comment in from power plants in other states, leaving us reward quality care, improve health outcomes and on the draft proposal through January 10, 2012. unfairly exposed to secondhand smog. The only more effectively utilize our health care dollars. In addition to testimony from stakeholders control we have to limit our exposure is the Clean The fundamental problem is that lack such as providers, independent living centers, Air Act, which requires that these plants upgrade of access to needed services increases the and community support organizations, dual their equipment to reduce the pollution they spew dependence of dual eligible adults, ages 21 to 64, eligible members testified verbally at hearings out. on less appropriate and more costly care. Nurses on December 16, 2011 and January 4, 2012 Although it may not always be visible to experience this first hand every day. The current regarding their expectation that they can the naked eye, our state needs protection from reimbursement structure supporting the care continue relationships with the providers who pollution. In the American Lung Association’s for dual eligibles frequently puts Medicare and have demonstrated expertise in serving those 2011 State of the Air report, every Massachusetts Medicaid at financial odds with one another. with such complex medical needs. The draft County with an air monitor, from the Berkshires to If MassHealth were to enhance access to these proposal acknowledges MassHealth’s commitment Provincetown, received a “D” or “F” grade for the necessary services on its own, additional costs to preserving members’ desired connections to high number of days that ozone reached unhealthy would fall to the state funded Medicaid program, current providers and for those members selecting levels. while the savings from reducing acute care an ICO they will have information about each ICO’s Asthma, which can be exacerbated by episodes would mainly financially benefit the provider networks and whether they include their air pollution, affects one in 10 people in federal Medicare program. Until now, making current providers. Enrollment in the ICO will be Massachusetts. This is one of the highest rates necessary care improvements, therefore, has completely voluntary and an unbiased third party in New England and above the national average. been financially unfeasible under the current will be responsible for providing the information Asthma is also one of the leading causes of school arrangement. In addition, dual eligible members and details about ICO benefits. In addition, dual absences and emergency room visits for the over are challenged by communications from two eligible members will have the opportunity to opt 120,000 kids in Massachusetts who currently different government programs with different out of the demonstration program and select the suffer with it. administrative processes and rules. traditional fee for service option at any time. Some in Congress argue that upgrading Massachusetts has been selected by the Center If you are interested in following the equipment will harm the economy, but over half of for Medicare and Medicaid Services (CMS) as development of this new program, EOHHS has a the nation’s power plants have complied without one state to work creatively together with them, specific website dedicated to the project at http:// a problem. In fact, a New Jobs—Clean Air Part II to combine Medicare and Medicaid funding for www.mass.gov/masshealth/duals. report from UMass-Amherst states that the Clean this population. The draft proposal envisions Air Act will actually benefit the economy by a new “Integrated Care” model for dual eligible Craven & Ober Policy Strategists, LLC is a full investing over $500 million in pollution control individuals across the state. The model’s design service Massachusetts-based government relations equipment and directly and indirectly creating is intended to financially align the incentives firm dedicated to credible, assertive advocacy over 3,600 jobs in the state by 2015. for providing care to this population that best and to the dissemination of reliable public policy It is also necessary to consider that health care meets individual needs. MassHealth is looking to information. costs are driven up by the health consequences contract with “Integrated Care Organizations” or of breathing toxic air. Over 60% of preventable “ICOs” that will provide care in a person centered ______hospitalizations due to asthma were paid for medical home, coordinate Medicare and Medicaid 1 by taxpayers, according to the Massachusetts “Integrating Medicare and Medicaid for Dual Eligible requirements and funding to eliminate program Individuals,” Massachusetts Executive Office of Department of Health. conflicts, support dual eligible members’ needs, Health and Human Services, accessed January As an organization concerned about health, we expand benefits and more efficiently utilize 5, 2012 at http://www.mass.gov/eohhs/provider/ felt it was important to add our voice to the many federal and state resources. As used in the draft guidelines-resources/services-planning/national- who are defending the Clean Air Act and the proposal, ICO means either an insurance-based health-care-reform-plan/federal-health-care-reform- promise for a healthier future. or provider-based health organization that may initiatives/integrating-medicare-and-medicaid. Call Sens. Brown and Kerry and ask them to fight for healthy air. To learn more about this campaign or to get involved, go to www. fightingforair.org or http://www.facebook.com/ MassHAC. Angie has the voice of an angel. She loves to sing along with the greats — Ella, Billie, Nina.

I should know... I’m her Nurse. Amedisys Home Health and Beacon Hospice, an Amedisys company, understand why you became a nurse – because you love taking care of people and being at the heart of quality health care. If you Psychiatric Mental Health Graduate Nursing Program have not considered a career in home health or hospice care, you should. When you’re a member of the Amedisys and Beacon teams, you’ll build those patient relationships Our Master’s degree program can lead you to a satisfying role as a by caring for your patients where they want to be, at home. You will also be delivering the highest quality Family Psychiatric Mental Health Nurse Practitioner. care possible through evidence-based clinical programs that result in positive patient outcomes. Recruiting now for the following positions to serve patients across Massachusetts: Northeastern University Beacon Hospice (10 locations in MA): Amedisys Home Health (9 locations in MA): 360 Huntington Ave • Case Manager RN • Clinical Manager Boston, MA 02115 • Clinical Manager • Psychiatric Registered Nurse • Nurse Practitioner • Registered Nurse • RN On-Call (Evenings/Weekends) For information regarding Home Health positions For information regarding Hospice positions please contact Mary Ann Pereira at 877-263-9613. Call 617-373-5587 please contact Dana Branim at 866-998-7565.

See our website Apply online at amedisys.com/careers. http://www.childpsychiatricnursing.neu.edu/ EOE M/F/D/V Page 12 • MAssachusetts Report on Nursing March 2012 Bulletin Board

Save the date! Announcements MARN Mission Statement Massachusetts Association of Registered Nurses (MARN) is committed to the Nurses Retain Rank as Most advancement of the profession of nursing Trusted Profession in Gallup Poll and of quality patient care across the Nurses Keep Top Spot for Honesty and Ethics Commonwealth. This mission shall be unrestricted by consideration of age, The following continuing nursing For the 12th year, nurses were voted the most color, creed, disability, gender, lifestyle, education activities were approved by the trusted profession in America in Gallup’s health status, nationality, race, religion, Massachusetts Association of Registered Nurses, annual survey that ranks professions based or sexual orientation. Inc., an accredited approver by the American on their honesty and ethical standards. Nurses Credentialing Center’s Commission on Eighty-four percent of Americans rated Accreditation. nurses’ honesty and ethical standards as “very high” or “high.” Research Study: Nurses With Disabilities “The public’s continued trust in nurses is Update of Massachusetts Health well-placed, and reflects an appreciation for Leslie Neal-Boylan, PhD, RN, Professor Care Reform/Innovations in Payment the many ways nurses provide expert care of Nursing at Southern Connecticut and Health Care Reform and advocacy” said ANA President Karen A. State University, is conducting a study March 28, 2012 Daley, PhD, MPH, RN, FAAN. “Major national of registered nurses with permanent 6:30-8:30pm policy initiatives also show trust in nurses. physical and/or sensory disabilities. Regis College, Alumnae Hall, 235 The Affordable Care Act and the Future of The study’s purpose is to explore how Wellesley St. Weston, Massachusetts 02493 Nursing recommendations call on nurses to closely nurse job descriptions match take more leadership roles and collaborate the actual expectations of the job. This An update on health care reform on fully with other professionals in providing study is part of an ongoing program of both the state and national level will essential health care to a growing number research regarding the work life of nurses be presented by experts. The particular of people who will have greater access to with disabilities. The study involves one focus will be on the proposed changes in services.” interview of approximately one hour. payment reform and health care delivery. What does this mean for consumers and If interested, please contact health care providers? Dr. Neal-Boylan for further information at Fee: none Massachusetts Nurse Practitioners 203-392-6480 or For more information: [email protected]. Contact Amy Anderson, EdD, RN, Celebrate National Nurse Practitioner Week: Coordinator of the President’s Lecture November 13-19, 2011 Series on Health [email protected] National Nurse Practitioner Week was took Telephone: 781-768-7120 on a special meaning for Massachusetts New! ANA Revised NPs because this year Governor Deval Ethics Webpage Contact Hours: 2 Patrick formally acknowledged the week with a signed proclamation in response to Check out the new expanded and the hard work done by the leadership team re-designed ethics sections on the ANA of the Massachusetts Coalition of Nurse web site: http://gm6.nursingworld.org/ Update on Cardiac Treatment for Practitioners (MCNP). MainMenuCategories/EthicsStandards Women and Men The Center for Ethics and Human April 25, 2012 Senator Steven Baddour, (D-Methuen) Vice Rights 6:30-8:30pm Chair Senate Committee on Ways and Means, presented the MCNP with a signed The Center is committed to addressing Regis College, Alumnae Hall, 235 copy of the proclamation in a ceremony at the complex ethical and human rights Wellesley St., Weston, Ma. 02493 the State House on Monday November 14th. issues confronting nurses and designing activities and programs to increase the This lecture will focus on the differences Key legislators were on hand to hear ethical competence and human rights between women and men in response excerpts from the IOM (Institute of sensitivity of nurses. Through the Center, to standard cardiac treatment. Research Medicine) Report on the Future of Nursing ANA’s abiding commitment to the human findings will be discussed as well as new and the role of advanced practice nurses. rights dimensions of health care is treatment modalities. In an invitation to Massachusetts Nursing demonstrated. Organizations, MCNP President Barbara For More Information: Rosato MSN, ANP, writes, “This is a great Contact Amy Anderson EdD RN, honor and tremendous opportunity for us to educate our legislators and share the many Coordinator of the President’s Lecture ANA Releases New Social contributions NPs make in the provision of Series on Health Networking Principles Email Presidents.lectureseries@ health care services to the citizens of the Commonwealth.” regiscollege.edu Given the pervasiveness of social media, Telephone: 781-768-7120 the American Nurses Association (ANA) Congratulations to our has released its Principles for Social Nurse Practitioner Colleagues! Contact Hours: 2 Networking and the Nurse: Guidance for the Registered Nurse, a resource to guide Fee: None nurses and nursing students in how they maintain professional standards in new media environments.

The MARN Approver Unit “The principles are informed by The only Professional Nursing professional foundational documents Organization ANCC Approver Unit in the including the Code of Ethics for Nurses Commonwealth and standards of practice. Nurses and Fully Accredited Through 2015! nursing students have an obligation to understand the nature, benefits, and Program reviewers: available to review potential consequences of participating in your nursing education programs any time. social networking,” said ANA President Karen A. Daley, PhD, MPH, RN, FAAN. For up to date information about how to From left to right: Rep. Jeffrey Sanchez, Dr. “These principles provide guidelines become an approved provider Margaret Ackerman, Sharon Gale, Barbara for nurses, who have a responsibility to (for a single activity or as an organization) Rosato, Rep. Kay Khan, and Sen. Steven maintain professional standards in a please visit the MARN Website Baddour. world in which communication is ever- www.marnonline.org changing.” March 2012 MAssachusetts Report on Nursing • Page 13 Bulletin Board

MARN Vision Statement MEMBER BENEFITS

As a constituent member of the American Your guide to the benefits of ANA/MARN membership... Nurses Association, MARN is recognized It pays for itself as the voice of registered nursing in Massachusetts through advocacy, • Dell Computers—MARN and ANA are Promote yourself: professional development education, leadership and practice. pleased to announce a new member benefit. tools and opportunities MARN and ANA members can now receive 5%-10% off purchases of Dell Computers. To • Members save up to $140 on certification take advantage of this valuable offer, or for through ANCC. Announcements more details, call 1-800-695-8133 or Visit • Online continuing education available at Dell’s Web site at www.Dell.com. a discount or free to members. continued • Walt Disney World Swan and Dolphin Hotel • Conferences and educational events at • GlobalFit Fitness Centers—Save up to 60% the national and local level offered at a savings on regular monthly dues at GlobalFit discount to members. Fitness Centers. • Member discounts on nursesbooks.org— • Professional Liability Insurance—a must ANA’s publications arm. have for every nurse, offered at a special • Up to 60% savings on regular monthly member price. dues with GlobalFit Fitness program. • Nurses Banking Center—free checking, • Find a new job on Nurse’s Career online bill paying and high yield savings Center—developed in cooperation with all available to you 24/7 to fit any shift or Monster.com. schedule. at an affordable price—Liability/ FOSTER PARENTS NEEDED Malpractice, Health Insurance, Dental and Stay informed: publications “One person can make a difference” Vision. that keep you current • CBCA Life and Health Insurance Plans— Kennedy-Donovan Center is seeking Disability Income, Long Term Care, Medical • Free subscription to The American loving homes throughout Southeastern Catastrophe, Medicare Supplement, Cancer Nurse—a $20 Value. Massachusetts, Cape Cod, Worcester Insurance and Life Insurance Plans provided • Free online access to OJIN—the Online County and Metro-West for children and by CBCA Insurance Services. Journal of Issues in Nursing. adolescents with developmental and / or • Discounts on auto rental through Avis and • Free subscription to the MAssachusetts medical disabilities. Budget: Report on Nursing—a $20 value • Free Training Call Avis 1-800-331-2212 and give ID# • Free access to ANA’s Informative • 24 Hour Support B865000 listserves including—Capitol Update and • 14 Days Respite / Vacation Call Budget 1-800-527-0700 and give ID# Members Insider. • Tax Free Daily Rate X359100 • Access to the new Members Only web • Clothing Allowance • Save on your hotel stays at Days Inn, Ramada site of NursingWorld.org. • Holiday and Birthday Stipend Inn, Howard Johnson and more. • Free access to MARN’s Member-Only • Weekly home visits • Online discounts on all your floral needs Listserve through KaBloom. For more information or questions, please contact: • Worcester, MetroWest: Charlene Delgado at 508-473-5700 ext. 109 or E-mail [email protected] • Southeastern, MA: Jeffrey Mendes at 508-997-5875 ext. 1218 or MARN News is an up-to-date information E-mail: [email protected] service about a variety of issues important Members Only • Cape Cod: Yvonne C. Hitchens at to nurses in Massachusetts. You must be a 508-385-6019 ext. 108 or E-mail: MARN member to be included, so join today! [email protected] The MARN Action Team— MARN member: Have you gotten your MARN News message? If not, then we don’t have your MAT cordially invites you to join this new correct email address. If you want to begin and exciting team, when you join you will MTS2012: The American Lung receiving this important information, just be lending your voice to those matters Association of New England send a email to: [email protected] with affecting all nurses in Massachusetts. Massachusetts Thoracic Section “AD” and your name on the subject line. 67th Annual Meeting Contact www.marnonline.org April 4, 2012, from 7:45 am - 5:00 pm We also welcome any pictures that show for more information Marriott Boston Newton Hotel MARN members in action...at work or at Fee: $115 play. Interested persons, please contact Myra Cacace at [email protected]. MTS2012 is a large and lively Policy for Accepting interdisciplinary meeting of health care Announcements for the Newsletter: professionals interested in respiratory disease and critical care medicine. MARN encourages organizations of higher education to submit announcements about continuing education opportunities and For further details including up-to-date upcoming events that are of interest to nurses. information on nursing contact hours, Fees must be included with submissions. visit the annual meeting website at www. massthoracic.org, email Sarah M. Phillips The Fee Schedule is as follows: at [email protected] or telephone 781- Non-MARN Approved Providers/Sponsors—$50 314-9003. MARN Approved Providers/Sponsors—$25

Payment can be mailed to MARN, PO Box 285, Milton, MA 02186. Please include a copy of the Important Nurse announcement and contact information (name, Licensure Information: MARN is the Massachusetts address, telephone, Email) with the check. BORN Goes Green! affiliate of the American Nurses Association, Please email copy to www.MARNonline.org. the longest serving and largest nurses association Renew Nursing Licenses On Line 24/7! Announcements are limited in the country to 75 words. The Board of Registration encourages all nurses to renew their nursing licenses on Join us at www.marnonline.org ATTENTION POTENTIAL PROGRAM line at www.mass.gov/dph/boards! You ADVERTISERS will receive a one page reminder to renew Contact us at: 617-990-2856 Please be sure to clearly state if your your license with instructions about how or [email protected] to renew 90 days before your license will educational program is approved by the MARN expire. Approver Unit in all program submissions! Page 14 • MAssachusetts Report on Nursing March 2012 2012 Omnibus Appropriations Bill and Title VIII Nursing Workforce Programs

On Friday, December 16, 2011, in the last These are the nursing related conference levels reported: hours before a short term Continuing Resolution funding the government agencies was set to Advanced Education Nursing $64.046 million (Same as FY 2011) expire, Congress approved a Fiscal Year (FY) 2012 Omnibus Appropriations bill. A House and Senate Nurse Education, Practice, and Retention $39.653 million (Same as FY 2011) conference committee hammered out an agreement on the nine remaining federal departments’ Nursing Workforce Diversity $16.009 million (Same as FY 2011) budgets. The final Omnibus included the Labor- HHS budget, which covers nursing workforce Loan Repayment and Scholarship Program $83.292 million ($10 million decrease from FY 2011) development funding (http://nursingworld.org/ DocumentVault/GOVA/Federal/Federal-Issues/ Comprehensive Geriatric Education $4.539 million (Same as FY 2011) NursingWorkforceDevelopment.aspx). Saturday, December 17, 2011, the Senate voted (62 – 32) to Nursing Faculty Loan Program $24.848 million (Same as FY 2011) adopt this conference report. Fortunately, during these tough economic Subtotal, Title VIII $232.387 million ($10 million decrease from FY 2011) times, the final funding for Title VIII programs fared better than an earlier House proposal, which Nurse Managed Health Centers No funding in FY 2012 would have slashed Title VIII funding, including the Loan Repayment and Scholarship Program NINR $145.043 million entirely. Unfortunately, the final funding levels are well below the President’s budget request, and $10 million below 2011 funding. Congress also voted to adopt a Disaster Relief Appropriations bill. After Senate consideration and For the detailed explanatory statement for adoption of the Disaster Relief Appropriations bill, the Senate rejected a resolution H. Con. Res.94 (43- the House appropriations bill click on this link, 56) which would have offset the cost of the $8.1 billion in disaster aid and recovery assistance with an http://rules.house.gov/Media/file/PDF_112_1/ across the board cut of 1.83% to all FY 2012 discretionary spending. The rejection of this amendment legislativetext/HR1540crSOM/psConference%20 eliminated the potential for an 1.83% rescission to the Title VIII funding outlined above. This was a Div%20F%20-%20SOM%20OCR.pdf. positive outcome for our Title VIII workforce programs.

MASTER OF SCIENCE in NURSING

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Summer Camp RN/NPR Position Buck’s Rock Performing and Creative Arts Camp in New Milford, Connecticut, 85 miles from NYC, seeks RNs and Nurse Practitioners. Unique co-ed, residential program for creative teens. Opportunity to work in stimulating artistic environment: 300 campers/200 staff. Two full time nurses per session in well equipped health center. Opening for full summer (June 18 - August 20; salary: $5000) and Second Session (July 21 - August 20; salary: $2500). Includes private room, board, laundry, extras and tuition for one camper aged child. Website: www.bucksrockcamp.com Buck’s Rock Complete staff application at the following link: Performing & Creative http://www.bucksrockcamp.com/office/staff.php Arts Camp

summer camp positionS: • RN • LPN If you are a qualified nurse who enjoys working with kids, consider a summer at Songadeewin of Keewaydin for girls or Keewaydin Dunmore for boys on beautiful Lake Dunmore in the heart of the Green Mountains of Vermont. Newly renovated Health Centers and private areas for Nurses. Keewaydin’s website is www.keewaydin.org. Contact Ellen Flight at (802) 352-9860 or by email at [email protected]

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MARN SEBAGO LAKES REGION c/o American Nurses Association Registered nurses needed for a traditional sleep-away PO Box 504345 camp for boys and girls ages seven to fifteen. St. Louis, MO 63150-4345 Enjoy the summer working at Camp Nashoba North. • Three registered nurses, MD on call • Four or eight week sessions available • Camper aged siblings welcome • Modern, friendly lakeside environment

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Camp Half Moon in the Berkshires—Camp Nurse positions available. RN, LPN. Beautiful lakefront setting with heated pool. Salary, room, board and travel—families welcome. Partial summer available. Season dates: June 23rd-Aug. 17th. Must enjoy working with children in a camp setting. Day Camp & Sleepover Camp, coed, ages 3 to 16. Write to P.O. Box 188 Gt. Barrington, MA 01230 888-528-0940 www.camphalfmoon.com email: [email protected]

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