The Kansas

NURSEA Publication of the Kansas State Nurses Association January-February 2012 Advocacy

Centennial Celebration Oct. 11-13, Marriott Hotel, Wichita The Voice and Vision of Nursing in Kansas VOLUME 87 NUMBER 1 The Kansas The Kansas Nurse is the official publication of the Kansas State Nurses Association, 1109 SW Topeka Blvd., Topeka, Kansas 66612-1602; 785-233-8638. The journal is owned and published by the KSNA six times a year, in the odd months of the year. It is a peer re- viewed publication. The views and opinions expressed in the editorial and advertising material are those of the authors and adverstisers and do not necessarily reflect the opinions or recommendations of the KSNA, the Edito- rial Board members or the publisher, editors and staff of January-February 2012 Contents KSNA. Twelve dollars of every KSNA member’s dues is NURSE for an annual subscription to The Kansas Nurse. 3. From KSNA President Sandra Watchous, MN, RN Annual subscription is $50 domestic and $60 foreign. 4. From KSNA Executive Director Terry Leatherman It is indexed in the International Nursing Index and the 5. From KSNA Office Cumulative Index to Nursing and Allied Health Literature. 6. 2012 KSNA Board of Directors It is available on National Archives Publishing Company, 7. 2012-2015 KSNA Delegates at Large to ANA and 2012 KSNA District Presidents Ann Arbor, MI 48106. The policy of the KSNA Editorial Board is to retain copyright privileges and control of ar- 8. 2012 KSNA Committee/Council Assignments ticles published in The Kansas Nurse when the articles 12. KSNA Dates and Deadlines; Call for 2012 Resolutions and KSNA Awards & have not been previously published or the author retains Recognition copyright. 13. Welcome to New KSNA Members 14. KSNA Resolutions Policy and Procedures ADVERTISING 15. KSNA Awards and Recognition For information about adversting in The Kansas Nurse, 18. Legal Resources for Kansas Registered Nurses please refer to the KSNA Web site www.ksnurses.com 17. KSNA District 6 Report of Recent Activities by President Cala A. Lee and download the advertising contract and advertising 19. Duties and Responsibilities of Standing Committee, Council & Conference Group sizes. Acceptance of advertising does not imply endorse- ment or approval by the KSNA of the product advertised, Appointments the advertisers or the claims made. Rejection of an ad- 21. 2012 KSNA Nomination Form for Statewide Elections vertisement does not imply that a product offered for ad- 22. The Perception of the Role of the Nurse by Nursing and Medical Students by Colleen vertising is without merit, or that the manufacturer lacks Duggan, MSN, RN, Rebecca Saxton, PhD, RN, David S. Zamierowski, MD, FACS, integrity, or that KSNA disapproves of the product or its and Susan Huseman MS, RN use. The KSNA shall not be held liable for any conse- 26. Critical Thinking and Clinical Judgment Skill Development in Baccalaureate Nursing quences resulting from purchase or use of advertisers’ Students by Jeanne Mann, PhD, MSN, BSN products. 32. 36th Annual Day at the Legislature Event Agenda & Presenters’ Bios 34. Day at the Legislature Registration Form BOARD OF DIRECTORS President Sandra Watchous, MN, RN, Hays Past-president Patricia J. Plank, MSN, RN, Wichita Vice President Laura Sidlinger, MSN, APRN-C, Topeka Secretary Janet Ahlstrom, MSN, RN, ACNS-BC, Olathe Treasurer Marian Jamison, PhD, RN, MBA, Topeka Shirley Dinkel, PhD, ARNP, FNP-C, ANP-C, CNS, Mission Statement Topeka The Kansas State Nurses Association promotes professional nursing, provides a unified voice for Angella Herrman, BSN, RN, Olathe nursing in Kansas and advocates for the health and well-being of all people. Linda Luzier, BSN, BC, NE-BC, Newton Michael Nelson, BSEd, RN, Wathena Submission of Articles Brenda Patzel, PhD, ARNP, Lawrence Interested authors should send their written material to KSNA for review prior to possible publica- Bonnie Peterson, PhDc, RN, NEA-BC, Lawrence tion. Electronic submission is preferred with “For Publication in TKN” in the subject line of an email EDITORIAL BOARD addressed to [email protected]. Please provide the author’s complete contact information. A con- Carol Moore, PhD, ARNP, Editor & Chair firmation note will be sent to the submitting author and the article submitted will be peer reviewed. Bonnie Peterson, PhDc, RN, NEA-BC, Board Liaison Any decision regarding publication will be forwarded to the author. Questions regarding the process Linda Adams-Wendling, PhD, MSN, ARNP may be directed to KSNA at 785-233-8638 or [email protected] Marian Jamison, PhD, RN, MBA Deborah Lang, BSN, RN William Novak, MSN, RN KSNA is a Constituent Nina Shik, MSN, ARNP Member Association of HEADQUARTERS STAFF Terry Leatherman Kansas State (licensing) 785-296-4929 Executive Director Michele Reese Kansas Nurses Assistance Program 913-236-7575 Administrative Assistant & Managing Editor Kansas Tobacco Quitline 866-KAN-STOP  visit us at www.ksnurses.com The Kansas Nurse January-February 2012 Vol. 87 No.1 From the KSNA President

Sandra Watchous, MN, RN 45th KSNA President 2011-2013 As we begin a new year we look forward with a renewed A new survey conducted by ANA identified the same top sense of optimism at KSNA. We have a half time Executive three work concerns of nurses as in 2001: The acute or Director, Terry Leatherman, who was hired for his experi- chronic effects of stress and overwork; disabling musculo- ence in membership and legislation. Because he is half-time skeletal injury; and risk of contracting an infectious disease. the Board established priorities which include serving as a We must continue to address these issues at all levels if registered lobbyist for KSNA, and providing leadership in we are to recruit and retain nurses. As we strive to provide planning and coordinating our legislative, member recruit- expert care and advocate for our patients we must continue ment, Day at the Legislature, and convention activities. to keep ourselves and our patients safe. The Board also stressed the need to generate income with our building when we conducted interviews. We eagerly On the bright side, nurses have once again been voted anticipate his leadership in all of these areas. We continue the most trusted profession in America. Nurses have to thank our many members who provided the financial sup- ranked first for 12 of the last 13 years. This year eighty-four port for his position. percent of Americans rated nurses’ honesty and ethical standards as “very high” or “high.” It is very encouraging to The first Board meeting I had the privilege to chair, in late know that the public recognizes these core values of our November, was spent planning and organizing. We are profession. moving forward with the publication of a centennial book only if we have enough sponsors to cover the cost. The Board voted to send Sandy Praeger a letter of support for continuing to work toward establishing an Insurance Ex- change for the state. We are continuing to look at the issue of Districts having a separate federal tax ID or using KSNA’s tax ID. The Heritage Trust Fund Grant Application was com- pleted with volunteer help and submitted. If approved, the Grant will provide money to repair the roofs with a 20 per- cent match from KSNA. Twenty-five percent of any money contributed by KSNA may be received in tax credits which in turn may be sold. The Grant winners will be announced in February by the Kansas Historical Society.

ANA is working diligently to provide leadership development opportunities for the states and individual nurses. When Kansas State NKSNAurses Districts Association Map presentations are available I will forward the information to District Boundaries the District Presidents to share with the members. If anyone would like direct notification please let me know.

ANA has recommended the book Race For Relevance 12 13 by Harrison Coerver and Mary Byers for all boards and 15 16 18 membership committees. The book emphasizes the need 5 1 for ‘Radical Change’ in the structure and function of orga- 17 2 nizations to provide more value to the members. ANA is 11 4 9 implementing many of the strategies at the national level by 8 7 introducing bylaws changes that would reduce the size of the board and House of Delegates. They are also looking 19 6 10 21 20 at bringing back a convention in conjunction with the House 14 of Delegates. They are trying to make ANA more relevant to the membership which in turn should help each state.

Vol. 86, No. 6 January-February 2012 The Kansas Nurse visit us at www.ksnurses.com  From the KSNA Executive Director

Terry Leatherman KSNA Executive Director THE AMERICAN NURSES ASSOCIATION Advanced Practice Nurses and Physicians Assistants Ac- A Resource for Kansas Nurses cess Act, in order to improve the access to essential services and increase state flexibility while removing The second week of December took me to just outside current legal barriers to advance practice registered nurses. our nation’s Capitol, at Silver Springs, Maryland, to spend Another major issue is seeking Congressional supporters two days at the American Nurses Association. The ANA for the Safe Staffing Act, which would extended an invitation to me and four other “brand new” require establishment of hospital staffing systems that state Executive Directors to visit ensures appropriate Registered the National Headquarters and Nurse staffing levels for appro- meet the team of executives priate patient care. who direct the national opera- tion. • Continuing Education

The trip opened my eyes to The American Nursing Associa- what a valuable resource tion is dedicated to providing ANA can be to its members in the educational opportunities Kansas. Here are a few ar- nurses need to grow profes- eas I would encourage you to sionally. One of the benefits explore. of ANA membership is taking advantage of the hundreds of • The ANA Website course offerings from ANA, and to utilize the American Nurses In the last few weeks, the Credentialing Center to apply, American Nurses Association’s renew or verify your credentials. website has been totally revamped with member useful- ness in mind. I would encourage you to visit it at http://www. • ANA Member Benefits nursingworld.org/. After you log into the website as a mem- ber, you will be able to navigate your way to find the latest ANA is constantly refining its menu of member benefits it information nurses need to know, become involved in the offers. Through your membership, you receive discounts ANA’s important public policy agenda, and to take advan- on purchases through ANA of an array of items, such as tage of an array of member benefits. financial and insurance services, nursing related products and travel discounts. The ANA member “mall” of products • Government Affairs and services are highlighted on the ANA website.

The future course of health care in America is under con- Spending a few days with the leadership of the American stant attention and adjustment in Washington D.C. The Nurses Association revealed a culture exists at ANA that ANA is actively engaged in that public policy debate. A embraces: 1) the rich history nursing has in our history; team of lobbyists review legislative proposals and advocate and, 2) the ethical standards that guide the profession of on behalf of nurses across the country. The Washington nursing. For the Kansas State Nurses Association and its lobbying operation realizes the organization’s strength is members, we have an important role to play in working with the involvement of ANA members across the country in our the ANA in our shared mission to advance the profession of nation’s health care debate. As a result, the ANA lobbying nursing and thereby improve the health of all. team works hard to keep the membership informed about pending issues and involved by contacting their elected Picutered above (left to right): New Executive Directors officials. from Iowa, Montana, Nebraska, Kansas, and Louisiana

The big topics involving nursing currently under Congres- sional scrutiny are seeking co-sponsors of the Medicaid  visit us at www.ksnurses.com The Kansas Nurse January-February 2012 Vol. 87 No.1 From the KSNA Office Call for Position Nominations Legislative Update

The following KSNA leadership positions are open for The KSNA Board of Directors has approved providing the nomination this year. Please refer to the Bylaws, Article KSNA Legislative Update as a benefit to members begin- IV and Article V. Each candidate must complete a 2012 ning with the 2012 Kansas Legislative Session. To add an KSNA Nomination Form which may be found on page 21 of email address to your membership profile, please email this publication or downloaded from the KSNA website at KSNA at [email protected] or call the office, 785-233-8638. ksnurses.com and mailed to the KSNA office by April 30.

• President-elect & ANA Delegate at Large (4 yrs) KSNA Dues Tax Deductible • Secretary (2 yrs) • 2 members of the Board of Directors (3 yrs) The Omnibus Reconciliation Act of 1993 requires KSNA • 3 members of the Nominating Committee (1 yr) to notify members that the percentage of KSNA/ANA dues • 4 members of the Council on Economic & General which is allocated to lobbying expense is not deductible as Welfare (2 yrs) an ordinary and necessary business expense for federal • 3 members of the Council on Economic & General income tax purposes. The KSNA estimates that the non- Welfare Nominating Committee (1 yr) deductible portion of 2011 KSNA/ANA dues which are al- located to lobbying expenses is 10.95 percent. The deduct- Members of the 2012 Nominating Committee are Chair ible amount is $252. Patricia Joyce (District 1), Sonya Curtis (Federal Nurses & District 1), Carla Lee (District 6) and Kathy Neely (District 6). Members of the Economic & General Welfare Nomi- Educational Expenses Tax nating Committee are Terri Roberts (District 1) and Laura Sidlinger (District 1). Deductible Treasury Regulation 1.162-5 permits an income tax deduc- tion for education expenses to include registration fees, National Nurses Week costs of travel, meals and lodging undertaken to maintain or improve skills required in one’s employment or other trade or business. Registered nurses attending continuing edu- cation courses are permitted to itemize the expenses and report them on Schedule A, line 20, and claim the expenses as deductions.

In promoting the 2012 National Nurses Week, May 6-12, In Memoriam the American Nurses Association (ANA) and its members Willa Deane Gholson, RN, Dodge City, 83, died July 14, have selected the theme “Nurses: Advocating, Leading, 2011. She served in several leadership roles with KSNA. Caring. The selected logo (above) has been selected to A memorial fund has been established in her name at the promote the annual week. Kansas Nurses Foundation, P O Box 3899, Topeka, KS 66604. Often described as an art and a science, nursing is a profession that embraces dedicated people with varied Alma Fulton, BA, RN, Wichita, 85, died December 17, interests, strengths and passions because of the many op- 2011. She received the KSNA 2009 Honorary Recognition portunities the profession offers. Nurses have many roles - Award and served as KSNA District 6 President from 1972- - from staff nurse to educator to nurse practiioner and nurse 1976. A memorial service will be held in late January 2012. researcher -- and serve all of them with passion for the profession and with a strong commitment to patient safety. Correction Regrets May 6 is known as National Nurses Day and May 12 is the birthday of , founder of modern nurs- In the last issue of The Kansas Nurse, the credentials for ing. Visit the ANA website -- nursingworld.org -- for more Terri Johnson were listed incorrectly on page 14 under Hon- information about how you and your district can celebrate or A Nurse. The correction is Terri Johnson, MSN, APRN. this important week. And, please let the KSNA office know We regret the error. of your plans; photos of district activities are encouraged.

Vol. 86, No. 6 January-February 2012 The Kansas Nurse visit us at www.ksnurses.com  Kansas State Nurses Association 2012 Board of Directors President (2014) Bonnie Peterson, PhDc, RN, NEA-BC Sandra “Sandy” Watchous, MN, RN (2015) P O Box 293 4712 Wimbledon Dr. Hays, KS 67601 Lawrence, KS 66047 Cell 785-623-9755 Home 785-865-2789 Work 785-625-0055 Cell 816-804-3071 Fax 785-625-2144 Work 785-670-3519 [email protected] Fax 785-670-1032 [email protected] Past-president (2012) Patricia “Pat” Plank, MSN, RN Brenda Patzel, PhD, ARNP (2012) 10005 Lydia Ct. 1028 Rogers Pl. Wichita, KS 67209 Lawrence, KS 66049 Home/Cell 316-293-7172 Home 785-843-9489 Work 316-677-1097 Work 785-670-1532 Fax 316-677-9486 Fax 785-670-1032 [email protected] [email protected]

Vice President (2014) Linda Luzier, BSN, BC, CNA (2013) Laura Sidlinger, MSN, APRN-C 1424 SE 60th St. 5703 SW 33rd Ct. Newton, KS 67114 Topeka, KS 66614 Home 316-283-5075 Cell 785-554-7154 Cell 316-259-2788 Work 785-670-2179 Work 316-259-2788 Fax 785-670-1032 Fax 316-283-5075 (call first) [email protected] [email protected]

Secretary (2012) Michael Nelson, BSEd, BSN, RN Janet Ahlstrom, MSN, RN, ACNS-BC (2012) 15740 W 146th St. P O Box 351 Olathe, KS 66062 Wathena, KS 66090 Home 913-485-9184 Home 785-989-3551 Cell 913-485-9184 Cell 816-261-1102 Work 913-676-2032 Work 816-387-2645 [email protected] Fax 785-989-4782 [email protected] Treasurer (2014) Marian Jamison, PhD, RN, MBA Shirley Dinkel, PhD, ARNP, FNP-C, 3816 SW Nottingham Rd. ANP-C, CNS (2013) Topeka, KS 66610 1667 SW 28th Ter. Home 785-783-7847 Topeka, KS 66611 Cell 816-718-9204 Home/Cell 785-312-4534 Work 785-670-1205 Work 785-670-1529 Fax 785-670-1032 Fax 785-670-1032 [email protected] [email protected]

Angella Herrman, BSN, RN (2015) 14709 S Symphony Ct. Olathe, KS 66062 Home 913-940-3071 [email protected]

 visit us at www.ksnurses.com The Kansas Nurse January-February 2012 Vol. 87 No.1 2012-2015 KSNA Delegates at Large to American Nurses Association

ANA Delegates-at-Large (Alternate) District Telephone Alternate Phone(s) Email Sandra Watchous, Pres 16 785-623-9755 (w) 785-625-0055 [email protected] Pat Plank, Past Pres 6 316-293-7172 (w) 316-677-1097 [email protected] Susan Bumsted 6 316-516-6325 (w) 316-689-5264 [email protected] Sonya Curtis 1 316-207-8410 (w) 913-682-2000 [email protected] ext 52809 Loretta Forlaw 6 407-579-5971 [email protected] Laura Hamlin 10 316-541-2793 (w) 316-733-3237 [email protected] (c) 316-323-4158 [email protected] Cynthia Hornberger 17 785-842-8267 (w) 785-670-1213 [email protected] (c) 785-550-5304 Marian Jamison 1 785-783-7847 (w) 785-670-1205 [email protected] (c) 816-718-9204 Linda Luzier 4 316-283-5077 (c) 316-259-2788 [email protected] Laura Sidlinger (alternate) 1 785-554-7154 (w) 785-670-2179 [email protected]

2012 KSNA District Presidents

District President District Telephone Alternate Phone(s) Email Beth Browder 1 785-286-0616 785-354-6501 [email protected] Angella Herrman 2 913-940-3071 [email protected] Linda Luzier 4 316-283-5077 316-259-2788 [email protected] Marlene White 5 785-823-6023 785-452-7605 [email protected] Carla Lee 6 316-213-7865 316-992-4291 [email protected] Gaye Stach 7 620-663-2358 620-665-4935 [email protected] Merilyn Douglass 8 620-275-7296 620-275-3780 [email protected] Nancy Sinclair 9 913-898-2380 913-755-7154 [email protected] Deena Thurber 10 620-221-3047 620-221-2300 [email protected] Amanda Steffes 11 620-475-3639 620-343-6800 [email protected] Ruby Wood 13 913-367-0745 913-682-2000 [email protected] Sandra Watchous, 16 785-623-9755 785-625-0055 [email protected] Carol Gaumer 17 785-842-8713 785-749-6136 [email protected] Ken Sisley 18 785-776-1123 [email protected] Chery Giefer 20 620-724-3366 620-235-4438 [email protected]

Vol. 86, No. 6 January-February 2012 The Kansas Nurse visit us at www.ksnurses.com  2012 KSNA Committee/Council Assignments Chair, Board Liaison and Members

Bylaws Member/Email District Home Work Cell Chair Emma Doherty 5 785-827-2478 NA NA [email protected] Liaison Brenda Patzel 17 785-843-9489 785-670-1532 NA [email protected] Carla Lee 6 316-722-1535 316-992-4291 316-213-7865 [email protected] Judy Schrock 18 785-539-9464 NA 620-239-4251 [email protected] Connie Weber 4 316-283-8639 NA NA

Editorial Board Member/Email District Home Work Cell Chair Liaison Bonnie Peterson 17 785-865-2789 785-670-3519 816-804-3071 [email protected] Linda Adams-Wendling 11 620-343-6800 785-827-5541 816-931-2171 [email protected] Pat Brown 5 785-827-5193 785-827-5541 NA [email protected] Penny Chura 2 913-782-8448 913-469-8500 NA [email protected] or [email protected] Debra Lang 1 785-266-6683 785-233-1730 NA [email protected] Marilyn Masterson 18 785-539-2813 785-670-1814 785-313-0287 [email protected] Nina Shik 2 913-588-2758 NA NA [email protected]

Finance Member/Email District Home Work Cell Chair/Liaison Marian Jamison 1 785-783-7847 785-670-1205 816-718-9204 [email protected] Emma Doherty 5 785-827-2478 NA NA [email protected] Loretta Forlaw 6 NA NA 407-579-5971 [email protected] Cynthia Hornberger 17 785-842-8267 785-670-1712 785-550-5304 [email protected] Martha Stroot 6 316-838-4987 316-946-1721 316-650-4667 [email protected]

Legislation Member/Email District Home Work Cell Chair Sarah Tidwell 11 620-342-0651 620-343-6800 620-340-7464 [email protected] ext 5678 Liaison Terry Leatherman Ex Dr NA 785-233-8638 785-550-1856 [email protected] Terri Roberts 1 785-271-5302 NA 785-231-9511 [email protected] Bonnie Raines 2 913-839-9192 913-588-0263 NA [email protected] Linda Luzier 4 316-283-5075 NA 316-259-2788 [email protected]

 visit us at www.ksnurses.com The Kansas Nurse January-February 2012 Vol. 87 No.1 2012 KSNA Committee/Council Assignments Chair, Board Liaison and Members continued on next page

Legislation Member/Email District Home Work Cell Marlene White 5 785-823-6023 785-452-7605 [email protected] Carla Lee 6 316-722-1535 316-992-4291 316-213-7865 [email protected] Cindy Reazin 7 NA 620-665-2225 620-960-0359 [email protected] Merilyn Douglass 8 620-275-7296 620-275-3780 NA [email protected] Donna Darner 9 785-869-3246 913-755-7293 NA [email protected] Laura Hamlin 10 316-541-2793 316-733-3237 NA [email protected] Ruby Wood 13 913-367-0745 913-682-2000 NA [email protected] Karolyn Kells 16 785-628-8620 785-628-4519 NA [email protected] Brenda Patzel 17 785-843-9489 785-670-1532 NA [email protected] Judy Schrock 18 785-539-9464 NA 620-239-4251 [email protected] Mary Carol Pomatto 20 620-232-8252 620-235-4446 NA [email protected]

Membership Member/Email District Home Work Cell Chair Mary Holland 9 785-893-4245 NA NA [email protected] Liaison Laura Sidlinger 1 785-273-7154 785-670-2179 785-554-7154 [email protected] Beverly Reeves-Dudley 2 913-642-4231 NA NA [email protected] Kristina Luzier 4 316-288-6365 NA 316-259-2788 [email protected] Janice Spikes 5 785-537-3929 785-827-5541 NA [email protected] Carla Lee 6 316-722-1535 316-992-4291 316-213-7865 [email protected] Evelyn Parker 7 785-252-3529 620-792-9353 NA [email protected] Evelyn Bowman 8 620-275-8514 NA NA [email protected] Brenda Kuder 9 785-214-8827 NA NA [email protected] Jackye Feldman 10 620-229-9895 NA 620-229-3369 [email protected] Kari Hess 11 620-343-6877 620-343-6800 NA [email protected] Dorothy Pickman 13 913-367-0623 913-367-6611 NA [email protected] Sandy Watchous 16 NA 785-625-0055 785-623-9755 [email protected] Lynn Skinner 17 785-597-5160 785-505-2569 NA [email protected] continued on next page Vol. 86, No. 6 January-February 2012 The Kansas Nurse visit us at www.ksnurses.com  2012 KSNA Committee/Council Assignments Chair, Board Liaison and Members

Membership Member/Email District Home Work Cell Amy Miller 18 785-320-7504 785-477-8321 NA [email protected] C. Christopher Gossman 20 405-205-7567 NA NA [email protected]

Nominating Member/Email District Home Work Cell Chair Patricia Joyce 1 785-478-3341 785-670-1528 NA [email protected] Sonya Curtis 1 NA 913-682-2000 316-207-8410 [email protected] Carla Lee 6 316-722-1535 316-992-4291 316-213-7865 [email protected] Kathy Neely 6 316-351-5523 316-962-2033 316-789-5100 [email protected]

Resolutions Member/Email District Home Work Cell Chair Ken Sisley 18 785-776-1123 785-776-3322 785-313-2499 [email protected] Bd Liaison Janet Ahlstrom 2 913-485-9184 913-676-2032 913-485-9184 [email protected] Delyna Bohnenblast 21 620-784-5562 620-820-1217 NA [email protected] Michele Hinds 2 913-599-1791 816-942-0400 NA [email protected] Carla Lee 6 316-722-1535 316-992-4291 316-213-7865 [email protected] Naomi Nibbelink 1 785-272-8087 NA NA

Technology Member District Home Work Cell Chair Mary Menninger-Corder 1 785-233-0246 785-670-1204 785-220-2424 [email protected] Liaison Michael Nelson 13 785-989-3551 816-387-2645 816-261-1102 [email protected] Carol Gaumer 17 785-842-8713 785-749-6136 NA [email protected]

KSNA COUNCILS Continuing Education Member District Home Work Cell Chair/Liaison Pat Plank 6 NA 316-677-1097 316-293-7172 [email protected] Verda Deckert 4 316-283-3293 316-284-5374 NA [email protected] Mary Holland 9 785-893-4245 NA NA [email protected] Bonnie Patton 9 913-731-3000 913-755-7090 NA [email protected] Cindy Reazin 7 NA 620-665-2225 620-960-0359 [email protected] Marjorie Sams-Dillon 2 913-894-6735 816-276-9237 913-269-3905 [email protected] continued on next page 10 visit us at www.ksnurses.com The Kansas Nurse January-February 2012 Vol. 87 No.1 2012 KSNA Committee/Council Assignments Chair, Board Liaison and Members

Continuing Education Member/Email District Home Work Cell Marcella Smith 2 913-381-1436 816-235-8168 913-271-5849 [email protected]

Education Member/Email District Home Work Cell Chair Martha Butler 10 620-221-0282 620-229-6306 620-222-7686 [email protected] Liaison Shirley Dinkel 1 NA 785-670-1529 785-312-4534 [email protected] Pat Brown 5 785-827-5193 785-827-5541 NA [email protected] Jean Dedonder 18 785-320-7176 620-343-6800 [email protected] Susan Gray 1 NA 785-354-6595 785-543-1900 [email protected] Kathleen Harr 1 785-478-0214 785-354-5853 NA [email protected] Trish Hutchinson 10 316-522-7301 NA NA [email protected] Patricia Joyce 1 785-478-3341 785-670-1528 NA [email protected] Vicky McGrath 1 NA 785-270-4972 785-224-6682 [email protected]

Practice Member/Email District Home Work Cell Chair Heather Aranda 1 785-249-9548 785-295-8091 NA [email protected] Liaison Angella Herrman 2 913-940-3071 NA NA [email protected] Ronda Baker 4 NA NA NA [email protected] Leah Buthorne 1 785-273-1486 NA NA [email protected] Juliane Lynn 6 316-259-9930 316-858-0344 NA [email protected] Vicky McGrath 1 NA 785-270-4972 785-224-6682 [email protected]

KSNA Other Day at the Legislature Member/Email District Home Work Cell Chair Suann Luther-Ford 1 NA NA 785-221-7225 [email protected] Liaison Sandy Watchous 16 NA 785-625-0055 785-623-9755 [email protected] Brenda Engelbrecht (Legislation)KANS 316-300-8601 Student NA [email protected] Jackye Feldman 10 620-229-9895 NA 620-229-3369 [email protected] Liem Halim (PresIdent) KANS 626-709-7762 Student NA [email protected] continued on next page Vol. 86, No. 6 January-February 2012 The Kansas Nurse visit us at www.ksnurses.com 11 2012 KSNA Committee/Council Assignments Chair, Board Liaison and Members

Day at the Legislature Member District Home Work Cell Cindy Light 2 913-583-3449 785-354-5877 NA [email protected] Serena Stutzman 2 913-220-4928 NA NA [email protected]

Call for 2012 KSNA Resolutions

A resolution is a call for action on a subject of great importance to the member organization and is formally written. The KSNA Resolutions Committee stands ready to mentor individuals and groups who want to draft a resolu- tion this year. The 2012 Resolutions Committee, chaired by Ken Sisley (District 18) includes Janet Ahlstrom (Board Dates & Deadlines Liaison), Delyna Bohnenblast (District 21), Michele Hinds January 23 Discount Deadline for Exhibitors & (District 2), Carla Lee (District 6) and Naomi Nibbelink Vendors and Attendees for KSNA’s (District 1). The Resolutions Policy and Procedures are Day at the Legislature, Topeka located on page 14 of this issue or on the KSNA website. The deadline for submitting resolutions to the KSNA office January 28 KSNA Board of Directors meeting, is June 30. Topeka

February 3 Last Day to Register for KSNA’s Day at the Legislature, Topeka Call for 2012 KSNA Awards & Recognition February 9 KSNA’s Day at the Legislature, Topeka It is not too early to start considering your fellow KSNA February 15 Editorial Deadline for March-April members who are worthy of recognition at the next KSNA 2012 Issue of The Kansas Nurse Annual Convention -- this year, our Centennial Convention. March 12 KSNA Centennial Committee Information about KSNA’s annual awards are published in Conference Call-7 pm this issue on page 15 and are available on the KSNA web- site. To nominate someone, provide a written statement March 24 KSNA Board of Directors meeting, of the nominee’s value to nursing in Kansas and what they Topeka have specifically done to deserve the award. The deadline for receiving most award nominations at the KSNA office March 27-28 Kansas State Board of Nursing is June 30; the deadline for Honorary Recognition nomina- Meetings, Topeka tions is July 31. April 16 Editorial Deadline for May-June 2012 Issue of The Kansas Nurse and KSNA Centennial Committee Conference Call-7 pm Explore KSNA at ksnurses.com

May 5 KSNA Board of Directors meeting, Topeka

May 6-12 National Nurses Week

12 visit us at www.ksnurses.com The Kansas Nurse January-February 2012 Vol. 87 No.1 Welcome New KSNA Members Applications Received October, November and December 2011

District Name City District Name City 1 Gina Anderson Topeka 8 Sondra Lynn Patton Syracuse 1 Brooke E. Powell Topeka 8 Mary E. De La Rosa Garden City 1 David C. Ade Topeka 9 Rosemary M. Burke Osawatomie 1 Erin Nicole Nordgren Topeka 10 Melissa Kay Briscoe El Dorado 2 Mary K. Kincaide-Long- Leawood 11 Lori Ann Dobrisky Burlington hauser 12 Kelly Jean Otott Washington 2 Nicole R. McCulloch Lenexa 16 April Marie Basgall Hays 2 Carol Buller Lenexa 16 Brian J. Feldt Hays 2 Lisa Renee Padilla Olathe 17 Amanda Bhattachan Lawrence 2 Sharon Schwartz Military 18 Thereasa Ilene Stewart Wamego 2 Courtney Tenbarge Kansas City 18 Rebekah Jean Zinnecker Fort Lee, VA 2 Glenna Mahoney Leavenworth 18 Tanya M. Chengappa Manhattan 2 Bridget Shomin Kansas City 20 Laura S. Handshy Frontenac 2 Kristi Ross Olathe 21 Megan Anderson Humboldt 2 Brooke N. Lutz Overland Park 2 Teresa L. Ryan Grandview, MO 2 Serkalem Getahun Sisay Overland Park 2 Mary E. Carmitchel Basehor 2 Lisa Livingood Leawood 4 Duranda E. Hogan Newton 4 William Butch L. Luzier Hesston 5 Linda Blackwell Salina 5 Linda J. Henningsen Salina 5 Cecilia A. Moritz Salina 6 Jane Schlickau Argonia 6 Rachel R. Austin Wichita 6 Laurie Ann Holmes Dexter 6 Janis Petrie Wichita 6 Jacque J. McClendon Wichita 6 Dawn A. Zimmerman Belle Plaine 7 Aubrey Lee Winegarner Haven 7 Jane M. Youngers Garfield 7 Tina M. Enlow Lyons 7 Susan J. Sanderson Larned

Kansas State Nurses Association 100 Years of Nursing Advocacy Visit us on the Web: ksnurses.com

Vol. 86, No. 6 January-February 2012 The Kansas Nurse visit us at www.ksnurses.com 13 Kansas State Nurses Association Resolutions Policy and Procedures

1. Resolutions Committee Membership are submitted to the Resolutions Committee by June 30th. The Committee on Resolutions shall consist of no fewer b. Process for Emergency Submission than five persons appointed by the KSNA Board of Direc- 1. Resolutions qualifying under the terms given above tors. “Emergency” can be submitted to the Resolutions Commit- 2. Functions of Committee tee until 10:00 p.m. of the first day of Convention. Must be The Resolutions Committee shall: (according to KSNA By- accompanied by rationale for “Emergency.” laws, Article 13,Section 15.) 2. The Resolutions Committee Chairperson is respon- a. Establish a time schedule for submission of resolutions sible for notifying the membership of the procedure and which will allow time for reviewing and editing as necessary. place for submission of emergency resolutions. The original resolution must be submitted by June 30th. 3. The Resolutions Committee shall request the Board b. Receive proposed resolutions from districts, commit- of Directors to adjudicate on any dispute as to the emer- tees, structural units and/or individuals relative to appropri- gency nature of a resolution which, in the committee’s opin- ate issues. ion, is not an emergency resolution. c. Initiate resolutions as appropriate. 6. Process for Courtesy Resolution d. Review resolutions for content, relevance, appropriate- Courtesy Resolutions must be submitted to the Resolu- ness, timeliness, and scope. tions Committee prior to the final business session of the e. Submit proposed resolutions to the Board of Directors annual convention. for review. 7. Format for Resolutions f. Receive emergency resolutions at the convention until In typewritten form, all resolutions should: 10:00 p.m. of the first day. a. Have a title 3. Resolution Defined b. Tell who the submitter(s) is(are) A resolution is a call for action on a subject of great impor- c. Present the problem clearly and concisely in the where- tance, expressed in formal wording. It is designed to pro- as section. vide a democratic, orderly process for bringing issues to the d. Substantiate the problem with facts. Document when attention of the voting body. It also serves to establish or appropriate. make known the position of the Association on matters of e. State precisely the action desired and by whom, in the significance affecting nurses, nursing, and health care. resolved section 4. Types and Purposes of Resolutions f. Present a rationale a. Substantive g. Describe fiscal impact of implementation. 1. Set forth/request a new policy or position or a major h. Provide a bibliography when appropriate. Anyone change in Association policy or position. wishing assistance with development of a resolution should 2. Request action of the KSNA Board of Directors or contact a member of the Resolutions Committee, as pub- other components of the Association for change in program lished in The Kansas Nurse. or goals. 8. Disposition of Resolutions 3. Declare position on significant health matters. a. After receiving the submitted resolutions, the Commit- 4. Support or take issue with actions of other organiza- tee, at its spring meeting, will edit, review, and/or combine tions that involve or relate to nursing or nursing practice. resolutions (Originators of the resolutions are encouraged 5. Request individuals or groups to take action on be- to attend this meeting). half of nurses or nursing. b. Disapproved Resolutions may be referred to other b. Courtesy KSNA organizational units. Resolutions which honor persons or groups who have c. Resolutions with fiscal impact may be sent to the made outstanding contributions to the Kansas State Nurses KSNA Finance Committee for review and recommenda- Association and/or nursing practice in Kansas. (Not pub- tions. lished prior to convention.) d. The Committee may refer back to the originator for: c. Commemorative 1. Clarification A resolution to commemorate an important event. 2. Substantiation; and/or d. Emergency 3. Confirmation that the intent has been preserved af- A resolution on a matter of great importance which ter editing. could not have been known prior to the deadline dates for 9. The Committee may disapprove resolutions that: submission of resolutions, and cannot wait until the next a. They determine are not consistent with KSNA/ANA convention. philosophy or current positions. 5.Process for Submission of Resolutions b. Have either in spirit or actuality, been previously ap- a. Process for Substantive Resolutions proved and implemented by the Board of Directors or mem- 1. Following necessary research, proposed resolutions bership and are current.

14 visit us at www.ksnurses.com The Kansas Nurse January-February 2012 Vol. 87 No.1 c. Have either in spirit or actuality, been previously disap- them for distribution at the convention reference hearings at proved by the Board of Directors or membership. which resolutions are discussed. 10. The Resolutions Committee approved and disap- 12. Convention Responsibilities proved resolutions are sent to the Board of Directors a. At convention, resolutions may be presented and for their consideration discu ssed at a reference hearing. This hearing is a prelimi- a. The Board may disapprove resolutions for the same nary forum in which the submitters and members present reasons as the resolution committee as listed in #9. can freely discuss the resolutions, clarify and resolve issues, b. Approval of a resolution either by the Committee and propose an alternative if appropriate. (Reference Hear- or the Board implies that the resolution meets established ing Guidelines are published in the pre-convention issue of criteria and should be presented to the voting body of the The Kansas Nurse) membership, not that the Committee or Board endorse or b. The resolutions will be brought to the membership sanction the resolution. for approval during the annual business meeting. A majority 11. The following steps will be taken after the Board vote is required for passage of a resolution. has acted on the recommendations: c. Any member has the privilege of requesting consid- a. Originators of the resolutions will be advised by the eration of a resolution previously submitted to the Commit- Board, in writing, as to whether their particular resolution has tee which has been submitted in the required manner but not been approved for presentation to the voting body, substan- approved for presentation. A majority vote is needed to con- tially changed or not approved. If not approved, the reason sider the request and 3/4 vote of those present, required for will be stated. adoption of the resolution. Such motion for a request must b. KSNA staff will be responsible to see that copies of directly follow the resolutions report at the annual meeting. resolutions which have been approved will be presented to 13. Disposition and follow-up of adopted resolutions is the membership by printing in the pre-convention issue of the responsibility of the Board of Directors. The Kansas Nurse a. That KSNA members be informed of the disposition c. Forward copies of rejected resolutions, with the ap- of adopted resolutions annually. proval of authors, to District Presidents and also prepare

Kansas State Nurses Association Awards and Recognition

Honorary Recognition (60) or more CE hours over a two (2) year period. This award may be conferred at any convention of the association on persons who have rendered distinguished Tract II - Professional (RN) nurses who have the minimum services to the nursing profession at the district, state and/or thirty (30) hours plus an additional thirty (30) hours in one or national level. (Refer to KSNA By-Laws, Article XVIII.) Dead- more of these areas. line July 31. a. Program presentation = 2 hours for one hour pres- ented (KSBN Criteria) Nurse of the Month b. Publication of an article in a professional journal = A maximum of two nurses may be selected each month 20 hours for this honor. Their work of merit will be reported in The Kan- c. Participation in research: Data collection/research sas Nurse. Generally one will be a nurse in clinical practice assistant = 5 hours; Secondary Investigator = and one will be a . 15 hours; Primary Investigator = 30 hours.

Best District Newsletter Nurse Volunteer Award To honor editorial excellence and to encourage editorial The purpose of this award is to recognize a nurse who innovation. To encourage production of more informative contributes to social or civic organizations that benefit citi- and attractive district newsletter. All KSNA districts are en- zens or communities through non-compensated volunteer couraged to submit their newsletters. Entries: Five copies of services. 3 issues (the choice of the District) from the period beginning July 1, 2009 and ending June 30, 2010 of the District Nurses Media Award Association’s newsletter are to be submitted to KSNA, by the To give recognition to members of the communications district on or before the deadline of June 30. media who give accurate portrayals of nursing in Kansas.

Excellence in Continuing Education Award Patricia A. Devine Award for Excellence in Psychiatric Criteria: There are two (2) tracts to an achievement of excel- Mental Health Nursing Practice Award lence: The purpose of this award is to recognize the outstand- ing contribution of one psychiatric/mental health nurse and Tract I - Professional (RN) nurses who have acquired sixty to call this achievement to the attention of the members of

Vol. 86, No. 6 January-February 2012 The Kansas Nurse visit us at www.ksnurses.com 15 KSNA Awards and Recognition Continued from page 15 the profession as well as the general public. A plaque is Excellence in Writing for Publication awarded each year at the Kansas State Nurses Association Award: The award will be presented at the annual con- Annual Convention. vention of the Kansas State Nurses Association. A perma- Florence J. Nelson Outstanding Nurse Employer Award nent plaque at the KSNA headquarters will list the winners. To reward those employers who provide a good atmo- Purpose: To encourage scholarly development of manu- sphere for the practice of nursing. This award is given only scripts for submission to the Kansas State Nurses Associ- when the nominated employer meets the criteria; it will not ation (KSNA) for publication in The Kansas Nurse. Up to necessarily be given each year. The KSNA Board of Direc- two awards may be given annually. One award category is tors will select the Florence J. Nelson Outstanding Nurse reserved for a clinical topic and the other category is for a Employer Award based on the criteria below. non-clinical topic. 1. Nursing policies and practices are congruent with the Eligibility: Open to any nurse who submits a manuscript ANA Code for Nurses, ANA Standards for Nursing Practice, that has been peer reviewed by members of the KSNA edito- the Kansas State Nurse Practice Act, the Standards of the rial board and accepted for publication in The Kansas Nurse. voluntary accreditation body appropriate to the Agency, and If there is more than one author listed on a manuscript only the requirements of the regulatory the primary author is eligible for body appropriate to the Agency. this award. (These should apply as appropri- Manuscripts must have ate to all Agencies.) been published in The Kansas 2. Supports nurses’ member- Nurse between June 30 of last ship and active participation in year and July 1 of the current the professional organization and year. their attendance at association Submission: Publication meetings. (All Agencies.) of a manuscript in The Kansas 3. a. Nursing Administration Nurse constitutes submission of participates fully by title and ac- the article for this award. Authors tions in top level administrative will be given an opportunity to opt decision making and with the gov- out of submission upon request. erning body. (Large Institutions.) If an author has published more b. The nurse participates than one manuscript in any one in administrative decisionmaking. year, she or he will be asked to (Small/Private Employer.) choose only one manuscript for 4. Provides the opportunity for the nurse effectively to consideration for the award. recommend decisions on nursing care. (All Agencies.) Selection: Members of the KSNA Editorial Board will se- 5. Ongoing education for nurses is encouraged through lect authors to receive the Award for Excellence in Writing. promotion strategies, scholarship resources, continuing ed- Criteria: The manuscript will be judged according to: ucation, or other equivalent methods in order to meet the • A clear statement of purpose increasingly complex needs of patients and requirements of • A summary of the relevant literature high technologies. (All Agencies.) • Discussion of the problem and its relevance to nursing 6. The compensation system for nurses recognizes the • Writing that is clear, concise, flows well educational preparation, prior professional experience and Process: The editor of The Kansas Nurse will coordi- level of clinical competence, as well as length of service, nate the selection process. The manuscripts will be sorted commensurate with responsibility. (All Agencies.) into the clinical and non-clinical categories and distributed 7. The agency provides for adequate orientation and to members of the editorial board for critical analysis using support during the beginning months of nursing practice, a numerical rating system. One-half the members of the and further gives adequate support to permit the profession- editorial board will judge the clinical category and the other al practice nurses are educated to give. (All Agencies.) half of the members of the board will judge the non-clinical 8. The agency recognizes that nursing practice is a dis- category. tinct and separate entity from practices of other health care providers as well as an integral part of health care and pro- Nurse of the Year motes a collegial relationship between physicians and nurs- All award nominations are limited to KSNA members. A es. Nurse-to-nurse consultation is encouraged within the permanent plaque in the KSNA headquarters will list the win- outcomes of nursing care. (All Agencies.) ners. 12. Nurses receive administrative support in the role of patient advocate. (All Agencies.) Nurse of the Year Award—Education Provide a one-page summary of the nominee’s accomplish-

16 visit us at www.ksnurses.com The Kansas Nurse January-February 2012 Vol. 87 No.1 ments using the following criteria: • Serves as a role model • Uses innovative and creative teaching strategies • Has positive impact on patients, peers, and work set- • Demonstrates excellence in knowledge of subject area ting. • Serves as a role model • Has positive impact on students, staff, and patients. Nurse of the Year Award—Administration Provide a one-page summary of the nominee’s accomplish- Nurse of the Year Award—Practice ments using the following criteria: Provide a one-page summary of the nominee’s accomplish- • Uses innovative and creative management strategies ments using the following criteria: • Demonstrates excellence in leadership • Provides innovative and creative nursing care • Serves as a role model • Demonstrates excellence in knowledge of practice • Has positive impact on work setting. area • Serves as a role model Nurse of the Year Award—Research • Has positive impact on patients, peers, and work set- Provide a one-page summary of the nominee’s accomplish- ting. ments using the following criteria: • Demonstrates excellent research capabilities Nurse of the Year Award—Advanced Practice • Establishes relevance of research to the nursing pro- Provide a one-page summary of the nominee’s accomplish- fession ments using the following criteria: • Serves as a role model • Provides innovative and creative nursing care • Demonstrates positive research impact. • Demonstrates excellence in knowledge of practice area

KSNA District 6 Report of Recent Activities By President Carla A. Lee, PhD, MN, ARNP-BC, FAAN

We were active this past fall with preparation for KSNA’s Annual Convention; flyers were sent to all members in September encouraging them to attend. Convention included participation by our own Pat Plank, serving as President of KSNA and completing her two-year term. I attended the first Membership Reception at Convention, serving as a co-sponsor and District 6 Representative to the Membership Committee, where Life- time Affiliate, Retired and New members were honored. I also participated in the Districts Presidents Break- fast, and reported at the Annual Business Meeting as Chair of the Resolutions Committee. In addition, District 6 hosted an exhibit of American Nurses Association materials, standards, and benefits, along with Kansas rep- resentatives from the American Association of Retired Persons, another co-sponsor of the reception in coopera- tion with Charles Schwab and Company, Wichita. District 6 received the greatest percentage increase in KSNA membership award at the assembly. The district continues to support the Lois A. Newman Managed Scholarship Fund with the first award being given this year by the Kansas Nurses Foundation (see The Kansas Nurse, November-December 2011 issue) to Adriano Lozano, a nursing student at Baker University, Topeka. Lois Newman was the first nurse to establish ICU west of the Mississippie River and was active in the Illinois State Nurses Association. She was the last nurse to be involved with coordinating a nurse registry, owned and operated by District 6. District 6 continues to be active in the planning for the KSNA Centennial Celebration to be held in Wichita at the Marriott Hotel, October 11-13, 2012. We look forward to having the celebration in the city where KSNA was founded on February 8, 1912. I traveled to Topeka in November to share in signing of a proclamation by Kansas Governor Sam Brown- back, recognizing National Week, November 12-16, 2011. I’ve also been active in the statewide APRN Task Force which played a major role in changes to the Nurse Practice Act related to advanced practice nurses. I will attend the Wichita celebration later this month. Plans are underway for District 6’s 2012 Spring Program and our Annual Meeting in June. We will also hold a membership promotion meeting in the near future to help elevate membership in KSNA.

Vol. 86, No. 6 January-February 2012 The Kansas Nurse visit us at www.ksnurses.com 17 Legal Resources for Kansas Registered Nurses tice (06SSLNC) • : Scope and Standards of Practice (04SSNN) • Pain Management Nursing: Scope and Standards of Practice (05SSPM) • Plastic Surgery Nursing: Scope and Standards of Prac- tice (05SSPS) • Psychiatric - Mental Health: Scope and Standards of Practice (07SSPMH) Kansas Nurse Practice Act • Scope and Standards of Practice RNA and ARNP Laws (06SSPH) • Radiology Nursing: Scope & Standards of Practice Copies of these statutes are available from the Kansas (06SSRN) Board of Nursing. The cost is $10.00 for all. Kansas State • : Scope and Standards of Practice Board of Nursing, 900 SW Jackson, Suite 1051-South, To- (05SSSN) peka, KS 66612 Phone: 785.296.4929 Fax 785.296.3929. It • Scope and Standards for Nurse Administrators, Second is available free by downloading from the website www.ksbn. Edition (03SSNA) org . The statutes are also available at any public library in • Scope and Standards of Addictions Nursing Practice Kansas, citation as follows: K.S.A. 65-1113 through 1164. (04SSAN) • Scope and Standards of College Health Nursing Practice OSHA: The Occupational Safety and (ST-1) Health Act (OSHA) of 1970 • Scope and Standards of Diabetes Nursing Practice (2nd Edition) (DNP23) (“Act”) (29 U.S.C. 651-678) was enacted to “assure as • Scope and Standards of Practice, far as possible every working man and woman in the nation 2nd Edition (GNP21) safe and healthful working conditions.” Area Office serving • Scope and Standards of Hospice and Palliative Nursing Kansas is located in Wichita 316.269.6644. Practice (HPN22) • Scope and Standards of Neuroscience Nursing Practice Other References Kansas Hospital (NNS22) Licensing Regulations • Scope and Standards of Nursing Informatics Practice (NIP21) Hospital licensing and regulation is administered by the • Scope and Standards of Practice for Nursing Profession- Kansas Department of Health and Environment, Bureau al Development (NPD-20) of Child Care and Healthcare Facilities, Curtis State Office • Scope and Standards Of Vascular Nursing Practice Building, Suite 200, 1000 SW Jackson, Topeka, KS 66612- (04SSVN) 1365 Phone: 785.296.1240 Fax: 785.291.3419 • Standards of Addictions Nursing Practice with Selected Diagnoses and Criteria (PMH-10) Standards of Practice for Nursing Hospital Regulations Regarding Nursing Available from American Nurses Publishing, P.O. Box (excerpt only) 931895, Atlanta, GA 31193-1895, 1.800.637.0323, K.A.R. 28-34-7 Nursing Personnel www.nursesbooks.org or www.nursingworld.org/books (a) There shall be an organized nursing department, includ- • Corrections Nursing: Scope and Standards of Practice ing a departmental plan of administrative authority with writ- (07SSCN) ten delineation of responsibilities and duties of each catego- • Genetics/Genomics Nursing: Scope and Standards of ry of nursing personnel. Practice (06SSGG) (b) All registered nurses employed by the hospital to prac- • HIV/AIDS Nursing: Scope and Standards of Practice tice professional nursing shall be licensed in Kansas. (06SSHA) (c) All practical nurses employed by the hospital shall be li- • : Scope and Standards of Practice censed in Kansas. (978155) (d) There shall be a director of nursing services. • Scope and Standards of Practice (e) All licensed practical nurses and other ancillary person- (97815) nel performing patient care services shall be under the su- • Hospice and Palliative Nursing: Scope and Standards of pervision of a registered nurse. Practice (SCSPPH) (f) There shall be at least one registered nurse on duty in • Intellectual and Developmental Disabilities Nursing: the hospital at all times. Scope and Standards of Practice (04SSID) (g) Nursing care policies and procedures shall be in writing • Legal Nurse Consulting: Scope and Standards of Prac- and consistent with generally accepted practice and shall be 18 visit us at www.ksnurses.com The Kansas Nurse January-February 2012 Vol. 87 No.1 reviewed and revised as necessary. There must be supervisory and staff personnel for each de- (h) Private duty nurses shall be licensed in Kansas and shall partment or nursing unit to ensure, when needed, the im- be subject to the policies, rules, and regulations of the hos- mediate availability of a registered nurse for bedside care of pital in which they are employed. any patient. (i) Minutes shall be kept of nursing staff meetings. (1) The hospital must provide 24-hour nursing services furnished or supervised by a registered nurse, and have a CMS-Center for Medicare Services or registered nurse on duty at all Medicare Conditions of Participation times, except for rural hospitals that have in affect a 24-hour for Hospital Services nursing waiver granted under 405.1910(c) of this chapter. (2) The nursing service must have a procedure to ensure (Part 482-482.66) 482.23 Condition of Participation: Nurs- that hospital nursing personnel for whom licensure is re- ing Services. The hospital must have an organized nursing quired have valid and current licensure. services that provides 24-hour nursing services. The nursing (3) A registered nurse must supervise and evaluate the nurs- services must be furnished or supervised by a registered ing care for each patient. nurse. (4) The hospital must ensure that the nursing staff develops, (a) Standard: Organization. The hospital must have a well- and keeps current, a for each patient. organized service with a plan of administrative authority and (5) A registered nurse must assign the nursing care of each delineation of responsibilities for patient care. The director patient to other nursing personnel in accordance with the of nursing service must be a licensed registered nurse. He patient’s needs and the specialized qualifications and com- or she is responsible for the operation of the service, includ- petence of the nursing staff available. ing determining the types and numbers of nursing personnel (6) Nonemployee licensed nurses who are working in the- and staff necessary to provide nursing care in all areas of hospital must adhere to the policies and procedures of the the hospital. hospital. The director of nursing service must provide for the (b) Standard: Staffing and Delivery of Care. The nursing adequate supervision and evaluation of the clinical activities service must have adequate numbers of licensed registered of nonemployee nursing personnel which occur within the nurses, licensed practical (vocational) nurses, and other responsibility of the nursing service. personnel to provide nursing care to all patients as needed.

Duties and Responsibilities of Standing Committee, Council and Conference Group Appointments

Members who are interested in serving on committees and in a form on which action can most readily be taken. councils should notify the Executive Director or members of the Board of Directors in writing or submit the consent Responsibilities of the Chair to serve form mailed annually with ballots in August. Ap- pointments are made by the Board of Directors at the pre- 1. All Chairpersons are expected to attend the Annual convention meeting and they become effective January 1, Convention and be prepared to discuss their activities of the following year. All council appointments are for two and annual reports. years and all standing committee appointments are for one 2. Schedule meetings and clear meeting dates with head- year, except the Finance Committee which is a three year quarters. Polling Committee members at scheduled appointment and the Editorial Board which is a two year ap- meetings for future meeting dates is encouraged. pointment. Exceptions are E&GW Council and Nominating 3. There will be accountability for meetings considering fis- Committee which are elected by the membership. Appoint- cal and time responsibilities. There are several options ments are made based on expressed interest, continuity, for conducting business of committees and councils; geographic location, professional role and expertise. The conference calls, mailings, satellite meeting sites and Executive Director notifies in writing the person selected headquarters meeting site. The most efficient and cost- and insures that chairpersons and members of committees effective method will be employed considering the need or councils are sent information about their functions when for staff support, access to records and the nature of the they are appointed. business to transact. 4. Prepare agenda prior to each meeting and send to head- Functions of Committees and Councils quarters for mailing to members. Notice of the meeting should include plans for lunch– either members are to They function within the framework of the KSNA Bylaws, bring a bag lunch or the agenda is structured to allow respond to current issues and to requests from Board of Di- time to go out of the office for lunch. rectors. 5. Notify staff for materials and information needed prior to They also prepare proposals and recommendations as meeting. a result of investigation and present them to the organization 6. Conduct meeting according to Robert’s Rules of Order.

Vol. 86, No. 6 January-February 2012 The Kansas Nurse visit us at www.ksnurses.com 19 Duties and Responsibilities of Standing Committee, Council and Conference Group Appointments Continued from page 19

7. Designate recorder for each meeting if there is no elect- 4. Perform secretarial work of committee except corre- ed secretary. spondence between members. 8. Review minutes for accuracy prior to their being sub- 5. See that minutes received in proper form are distributed mitted to headquarters and see that approved minutes to members with in one week. reach headquarters within one week of meeting. 6. Maintain in headquarters the official file of the commit- 9. Minutes received in unusable form will be returned to tee/councils. the chair for correction. 10. Distribute travel vouchers to members to be completed Responsibilities of Special Appointees by adjournment of the meeting. 11. Cancellation of the scheduled meetings should occur at 1. Attend scheduled meetings. least five days prior to the meeting. Cancellations that 2. Regularly provide reports to the Board. occur less than five days before the scheduled date due 3. Prepare a written report for publication in The Kansas to preference of the chair are to be communicated to the Nurse to be submitted by July 15. members of the committee or cabinet by the chair, by telephone, with notification to headquarters. Functions of the Conference Groups 12. Submit goals, plans, and budget annually to the board and/or responsible structural unit. 1. Function within the framework of the KSNA Bylaws and 13. Report to board and/or responsible structural unit prior their own standing rules. Respond to current issues to or during their regularly scheduled meetings. and requests from the Board of Directors, KSNA, and 14. Prepare written annual report for publication in The Kan- from individual members of the respective group. sas Nurse to be submitted by July 15. 2. Prepare proposals and recommendations as a result of 15. Monitor attendance at meetings and notify Board and/ investigation and present them to the organization in a or responsible structural unit if a member misses more form on which action can most readily be taken. than two consecutive meetings without notice. 3. Coordinate and/or present continuing education pro- 16. Obtain authorization from the Executive Director for ex- grams at convention and clinical sessions. penditure of any KSNA funds and transmit promptly to headquarters any funds collected in the name of the As- Functions of the Executive Committee sociation. 1. All Executive Committee members shall attend annual Responsibilities of Council and Committee Members conference group meeting at convention. 2. Review and develop standing rules. 1. Respond promptly to communications regarding meet- 3. Submit an annual written report and others as request- ings and committee business. ed. 2. Attend scheduled meetings. Absence from two con- 4. Submit anticipated budget for the next calendar year to secutive meetings may mean deletion from committee the Finance Committee by July 1. roster. 5. Determine use of allocated funds in accordance with 3. Notify chair or headquarters if unable to attend meet- established guidelines for use of money. ings. (Reference – KSNA Policy Manual – II General C. 3 Absences) Taken from the 2007 KSNA Policy & Procedure Manual 4. Participate in discussion of committee business and share responsibility in any activity. 5. Follow Robert’s Rule of Order during committee discus- sions. 6. Prepare for informed discussion at meetings. 7. Resign if no longer able to attend.

Responsibilities of Staff to Committees

1. Assist chair and committee as necessary. 2. Provide materials and information requested by chair and committee. 3. Assist committee with implementation of decisions.

20 visit us at www.ksnurses.com The Kansas Nurse January-February 2012 Vol. 87 No.1 2012 KSNA Nomination Form for Statewide Elections (To be completed by the nominee; deadline April 30) Yes, I want to be considered for a KSNA leadership role at the State level. Place my name on the ballot.

Biographical Information (please print) Name______Credentials______Home Address______City, State, Zip______Current Employer______Position Title______Home Phone______Work Phone______Cell Phone______Fax Number______Email Address______KSNA District Number______

Nursing Education (Name of Institution, City/State, Degree Received) Associate______Diploma______BSN______Masters______Doctorate______Other Degrees______

Professional Nursing Experience Past Position______Job Responsibilities______Areas of Expertise______Areas of Interest______

KSNA Offices Held (Position and Years, current and past) National (ANA)______State (KSNA)______District (Local)______

Other Professional Nursing Activities (Organization, Position and Years) ______continue on back

Position Desiring ___President & ANA Delegate At Large ___Nominating Committee ___Secretary ___Council on Economic & General Welfare* ___Board of Director ___Nominating Committee, Council on E & G W* *Must must meet the definition of "non-supervisory," within the meaning of the National Labor Relations Act to run for these positions.

Consent to Serve: I consent to have my name placed on the KSNA ballot and am willing to actively participate if elected and to assume financial responsibility for my participation.

Signature______Date Signed______Send to KSNA, 1109 SW Topeka Blvd, Topeka KS 66612; FAX 785-233-5222 or Email [email protected]

Vol. 86, No. 6 January-February 2012 The Kansas Nurse visit us at www.ksnurses.com 21 The Perception of the Role of the Nurse by Nursing and Medical Students by Colleen Duggan, MSN, RN, Rebecca Saxton, PhD, RN, David S. Zamierowksi, MD, FACS, and Susan Huseman, MS, RN The analogy of a ship’s crew to the to cooperate and collaborate closely in crew positions. Positions consisted of members of the health care team is one the delivery of care (IOM, 2011). Mi- the “captain” who issues the “orders” that has been used in the health care chael Bleich, formally associated with and is the supreme authority in charge system. “Since the late nineteenth the University of Kansas, and now a of safe passage; the “navigator” who century, doctors have been consid- member of the “Initiative on the Fu- plots the course and ascertains the ered to be the ‘captain’ of the medical ture of Nursing,” posited that the role ship’s position on the map or plan; the ship. But they have made nurses— of the professional nurse is “more than “tactician” who assesses the strategy, and sometimes nurses have made knowing how to perform tasks and pro- changing the course when competing themselves—uneasy and sometimes cedures. It’s how to be a more effec- or impending forces are against the unwelcome sailors on that ship…What tive player on the healthcare team and ship; the “helmsperson” who keeps doctors have often forgotten is the crit- navigate clinical systems, and that’s hands on the wheel and maintains the ical role nurses play in the health care not traditionally taught in the class- course of the ship; the “sail packer” system” (Gordon, 2005, p. 10). Find- room. That’s a set of experiences that who works below deck catching the ings from the survey “Nursing Lead- must be added to the way we educate” sail as it is pulled down so it does not ership from Bedside to Boardroom: (Stokowski, 2011, section 3). Thus, fall off the boat, then repacks it so it Opinion Leaders’ Perceptions” (2010) it is imperative that curricular change can be pulled up without twisting on it- suggest one barrier to the professional self or fouling the lines and rigging; the nurses’ ability to improve health care “sail trimmer” who works above deck delivery is the perception that nurses with hands on the lines to the sails, are not perceived as key decision- pulling or releasing them to “trim” the makers. The critical role of nurses as sails to maximize their capture of the leaders was identified by the Institute wind; the “galley worker” who works of Medicine (IOM) and the Quality and below the deck to prepare the food; Safety Education for Nurses (QSEN) and, the “rail meat” whose only task is project. Both the IOM and QSEN en- to run from side to side of the ship and dorse competencies related to team- lean over the ship rails as human bal- work. The QSEN competency, team- last to compensate for the lean of the work and collaboration, is described as ship created by the wind. Sailing crew the ability to function effectively within positions can be described as those inter-professional teams, foster open which require analytical thinking or communication, and value shared are more task-oriented. The positions decision-making. In order to achieve of Captain, Navigator, Tactician, and the teamwork and collaboration com- Helmsperson require analytical think- petency, specific knowledge, skills and ing and leadership roles. attitudes have been identified. They in- include competency-based learning The questionnaire consisted of clude knowledge of the scope of prac- incorporating the knowledge, skills, two sections. In the first section, par- tice and role of each member, acquisi- and attitudes necessary to engage in ticipants were asked to select one best tion of skills necessary to assume the inter-professional collaboration and answer to match the role of the regis- role of ‘leader’ when appropriate, and teamwork. tered nurse with a specific sailing crew an attitude that recognizes the value of In an effort to explore Gordon’s per- member: Captain, Navigator, Tacti- teamwork and collaboration (Cronen- ception of the nurse as the “unwelcome cian, Helmsman, Galley Crew, Sail wett et al., 2007). sailor” and gain insight into the current Packer, Sail Trimmer and Rail Meat. In the landmark report “The Future perception of the role of the nurse in Operational definitions for each crew of Nursing: Leading Change, Advanc- the healthcare team, a descriptive role were not included. In this section, ing Health” (IOM, 2011) recommenda- study was conducted. Nursing and the authors wanted the participants to tions were made for curricular changes medical students were surveyed in a answer with their first impulse, without focusing on inter-professional collabo- large Midwest metropolitan area. A too much deliberation. An option of “no ration and teamwork, leadership, and questionnaire, the “Perception of the clue/don’t know/don’t understand” was professionalism. The authors also Role of the Nurse within the Health included for participants who were un- emphasized that although nurses and Care Team Survey” was developed. certain or not familiar with sailing terms. physicians are not typically educated The role of the nurse on the health care In the second section, which was not together, they are increasingly required team was compared to eight sailing visible when completing the first sec- 22 visit us at www.ksnurses.com The Kansas Nurse January-February 2012 Vol. 87 No.1 The Perception of the Role of the Nurse by Nursing and Medical Students by Colleen Duggan, MSN, RN, Rebecca Saxton, PhD, RN, David S. Zamierowksi, MD, FACS, and Susan Huseman, MS, RN tion, participants were again instructed ing students, 59% (n=374) were from extreme choices of supreme author- to select one best answer to match the baccalaureate degree programs and ity and task-oriented roles were elimi- role of the registered nurse with a spe- 41% (n=265) were from associate de- nated. Choices were similar between cific sailing crew member. However, gree programs. Eighty-five percent of ADN and BSN students. Gender was n o w the nursing students also found to be significant. Female there are (n=541) and 94% of students, both nursing and medical, only five the medical students more often viewed nurses in positions crew po- (n=360) were be- of analytical thinking compared to male s i t i o n s tween the ages of 18 nursing and medical students. to select and 35 years. See Although significant findings were from i.e. Table 1 (page 25) for found, methodological limitations ex- Naviga- comparison of first isted. One of the limitations included tor, Tac- and second choices. the questionnaire, which was not test- t i c i a n , See Tables 2 and 3 ed for validity and reliability. Another H e l m - (page 25) for com- limitation was that medical students sperson, parisons of first and surveyed were from only one school Sail Packer, and Sail Trimmer. Captain, second choices by profession. Using of medicine. In addition, since the Galley Crew, and Rail Meat were omit- Chi-Square test analysis, there was a participants were from schools in the ted from the selections. The authors significant association between par- Midwest, it is unknown if unfamiliarity chose to delete the extreme choices ticipants’ choice of crew position and with sailing terms may have impacted from both ends of the crew spectrum. whether they were a nursing student the responses. The role of Captain was deleted as it or medical student (x2 [8, N=1021] = The survey results support the ur- denoted the greatest leadership role; 241.373, p<.05 and x2 [5, N=1021] = gent need to provide opportunities for the assumption was that the physician 236.429, p<.05). No significant asso- inter-professional education and prac- took this role. Galley Crew and Rail ciations were identified between par- tice. In addition, nursing educational Meat were deleted because they de- ticipants’ choice of crew position and programs must embed leadership com- noted roles with the least leadership. age, and choice of crew position and petencies throughout curricula to en- Definitions were included for the five whether the nursing student was en- able graduates to become full partners crew roles to provide further clarity. rolled in an ADN or BSN program. Sig- in the delivery of healthcare. Dialogue Appropriate Institutional Review nificant associations were also noted among nursing leaders can provide Board (IRB) approval was obtained. between nursing a vehicle for Participants were recruited from elev- students’ first and improved com- en schools of nursing, including both second choice m u n i c a t i o n , Associate Degree in Nursing (ADN) (x2 (35, N=638) = respect, and a and Bachelor of Science in Nursing 302.103, p<.05), collaborative (BSN) programs, and one school of and medical stu- vision among medicine. Demographic character- dents’ first and the healthcare istics of the study sample and survey second choice(x2 team to create responses were analyzed using de- (40, N=382) = opportunities scriptive statistics. Chi-square tests 281.811, p<.05). for improved were performed to determine whether The signifi- patient care. associations existed between survey cant association Further, by responses and demographic charac- between choice of crew position and integrating recommendations from teristics. whether the participant was a nursing the Initiative on the Future of Nursing One thousand twenty nine surveys or medical student sheds light on how (2010), the IOM Report on Bridging the were returned; eight of which contained the role of the nurse is viewed by medi- Quality Chasm (2003) and the QSEN significant missing data. Hence, anal- cal students. On the first section of the recommendations and core competen- yses were performed on 1021 sets of survey, 89 % of nursing students chose cies, nurses as well as other members data. Six hundred thirty-nine of the crew positions that require analytical of the health care team can perceive data sets were from nursing students thinking compared to 73% of medical nurses as having the capacity to as- (63%); whereas 382 were from medi- students. A similar trend was found cal students (37%). Of the 639 nurs- on section two of the survey when continued on page 24 Vol. 86, No. 6 January-February 2012 The Kansas Nurse visit us at www.ksnurses.com 23 The Perception of the Role of the Nurse by Nursing and Medical Students by Colleen Duggan, MSN, RN, Rebecca Saxton, PhD, RN, David S. Zamierowksi, MD, FACS, and Susan Huseman, MS, RN sume leadership. It is clear from the perceive the role of the nurse as an in- Initiative on the Future of Nursing that fluential member of the team, the nurse leadership is needed at all levels within has the opportunity to engage as a full organizations and across all settings of partner. Nursing leaders, in practice health care delivery. Whether develop- and education, are in a unique posi- ing curricula or designing patient care tion to facilitate the role of the nurse as models, nursing leaders must focus on leader. When crew members under- providing patient-centered care; work- stand and support each other’s roles, ing in interdisciplinary teams; employ- communicate effectively, and share in ing evidence-based practice; applying decision-making, a ship can sail safe- quality improvement; utilizing informat- ly into port even when the waters are ics to reduce errors, manage knowl- rough. edge and information, decision-mak- ing, and communication (IOM, 2003). References All of the skills require analytical think- Benner, P., Sutphen, M., Leonard, V., ing and ability to adapt and respond, outcomes. The concepts can be de- & Day, L. (2010). Educating nurs- effortlessly changing from captain to signed into nursing curriculum. Placing es: A call for radical transformation. navigator, tactician to helmsperson, nursing students at the bedside in a pa- Stanford, CA: Jossey-Bass. dependent upon the situation. tient care unit with the expectation of The Future of Nursing, at the Institute How do nursing educators incor- being an integral part of the inter-pro- of Medicine. (2011). The future of porate these competencies into cur- fessional team and contributing to the nursing: Leading change, advanc- ricula? A group of nursing scholars, bedside conversation is an example of ing health. Washington, DC: Na- including the noted Patricia Benner, applying the concepts. Inter-profes- tional Academies Press. recently completed a national study sional learning with physicians can be Cronenwett, L., Sherwood, G., Barn- on nursing education, the last of which integrated through classroom discus- steiner, J., Disch, J., Johnson, J., occurred more than 40 years ago. The sions, shared clinical experiences, and Mitchell, P., Taylor Sullivan, D., & findings call for major transformation in post-conferences. Shared simulation Warren, J. (2007). Quality and the education of nurses (Benner, Sut- lab experiences between medical and safety education for nurses. Nurs- phen, Leonard & Day, 2010). The au- nursing students such as a code blue ing Outlook, 55(3), 122-131. thors concluded there has been “very scenario have great potential for team- Gordon, S. (2005). Nursing against the little formal attention to teaching stu- building and appreciation of one anoth- odds: How health care cost cutting, dents how to communicate with phy- er’s role. Whether in the patient care media stereotypes, and medical sicians regarding changes in patients, unit or simulation environment, nursing hubris undermine nurses and pa- concerns they have with a patient, or students can learn assertive and ef- tient care. Ithaca, NY: Cornell Uni- recommended changes in therapies. fective communication, build self-con- versity Press. Although many faculty acknowledge fidence, and appreciate the contribu- Institute of Medicine. (2003). Health the importance of being able to make tions of the other team members. professions education: A bridge to a case [for the care of the patient], they The analogy of a ship’s crew to the quality. Washington, DC: N a - typically do not use the classroom as healthcare team was a meaningful way tional Academies Press. a place to teach students how to con- to extract data regarding the perception Institute of Medicine. (2004). Keeping struct an argument, marshal and orga- of the nurse’s role within the context of patients safe: Transforming the nize evidence, and present the case” the health care team. Results of this work environment of nurses. Wash- (p. 148). Incorporating the IOM and study suggest that nursing students’ ington, DC: National Academies QSEN competencies to guide curricu- perceptions of their role varied from Press. lum development and using nursing medical students’. Nursing students Quality and Safety Education for Nurs- leaders who are able to role model and most often viewed themselves in crew es. (2003). Quality/Safety Com- facilitate learning may be the key. positions that require analytical think- petencies. Retrieved from http:// Nursing students need practice to ing; whereas, medical students select- www.qsen.org/definition gain proficiency in leadership, commu- ed these positions to describe the Reg- Robert Wood Johnson Foundation nication, teamwork, and collaboration; istered Nurse role less often. When (2010, January 20). Nursing lead- skills that are crucial for optimal patient nursing students and medical students ership from bedside to boardroom:

24 visit us at www.ksnurses.com The Kansas Nurse January-February 2012 Vol. 87 No.1 The Perception of the Role of the Nurse by Nursing and Medical Students by Colleen Duggan, MSN, RN, Rebecca Saxton, PhD, RN, David S. Zamierowksi, MD, FACS, and Susan Huseman, MS, RN Opinion leaders’ perceptions. Re- Table 1. Comparison of First and Second Choice Crew Positions Selected by Participants trieved from http://www.rwjf.org/pr/ Crew Member First Choice Second Choice product.jsp?id=54350 Frequency (Percent) Frequency (Percent) Stokowski, L. (2011, January 28). Captain 97 (9.5%) Not an option Overhauling nursing education. Medscape Nurses. Retrieved from Navigator 450 (44.1%) 310 (30.4%) http://www.medscape.com/view- Tactician 152 (14.9%) 261 (25.6%) article/736236 Helmsperson 155 (15.2%) 300 (29.4%) Colleen Duggan MSN, RN Galley crew 21 (2.1%) Not an option is a Professor at Johnson Sail packer 24 (2.4%) 29 (2.8%) County Community Col- lege in Overland Park, Kan- Sail Trimmer 53 (5.2%) 72 (7.1%) sas. Ms. Duggan received Rail Meat 1 (0.1%) Not an option her Bachelor of Science in Don’t Know 68 (6.7%) 49 (4.8%) Nursing from Northern Illinois University and her Master of Science in Nursing from St. Louis University. She has taught at St. Table 2. Comparison of First Choice Crew Positions by Profession Louis University, the University of Kansas, Crew Member First Choice Nursing Students First Choice Medical Students and Research College of Nursing in the un- Frequency (Percent) Frequency (Percent) dergraduate programs and has practiced in the area of medical-. Captain 91 (14.3%) 6 (1.6%)

Rebecca Saxton, PhD, RN Navigator 363 (56.9%) 87 (22.8%) is an Assistant Professor at Research College of Nurs- Tactician 75 (11.8%) 76 (19.9%) ing in Kansas City, Mis- Helmsperson 48 (7.5%) 107 (28%) souri. Dr. Saxton received her Bachelor of Science in Galley crew 7 (1.1%) 14 (3.7%) Nursing from Research College of Nursing, Sail packer 10 (1.6%) 14 (3.7%) her Master of Science in Nursing from the Sail Trimmer 10 (1.6%) 43 (11.3%) University of Missouri—Kansas City, and her Doctor of Philosophy in Nursing from Rail Meat 0 (0%) 1 (0.3%) the University of Missouri—Kansas City. Don’t Know 34 (5.3%) 34 (8.9%) David S. Zamierowski, MD, FACS, is a Medical Advis- Table 3. Comparison of Second Choice Crew Positions by Profession er to the Johnson County Crew Member Second Choice Nursing Second Choice Medical Community College School Students Students of Nursing, Overland Park. Frequency (Percent) Frequency (Percent) Dr. Zamierowski received his MD at Johns Hopkins and completed his Navigator 262 (40.8%) 49 (12.8%) Plastic Surgery Residency at the University Tactician 213 (33.2%) 48 (12.6%) of Kansas Medical Center. He was in pri- vate practice in the Kansas City area for 25 Helmsperson 116 (18.1%) 185 (48.4%) years and founded The Wound Care Cen- Sail packer 12 (1.9%) 17 (4.5%) ters of Kansas City and authored patents on wound care medical devices. Sail Trimmer 18 (2.8%) 54 (14.1%) Don’t Know 21 (3.3%) 29 (7.6%) Susan Huseman MS, RN is an Associate Professor of a medical surgical clinical educator and Nursing at Johnson County a medical surgical clinical nurse special- Community College. She ist, both in the acute care setting. Other received her Master of Sci- contributions to nursing are publications in ence in Nursing from the varous journals. She is a recipient of the University of Kansas. She has worked as Helen Tobin Writers Award.

Vol. 86, No. 6 January-February 2012 The Kansas Nurse visit us at www.ksnurses.com 25 Critical Thinking and Clinical Judgment Skill Development in Baccalaureate Nursing Students

by Jeanne Mann, PhD, MSN, BSN Abstract Critical thinking as a component exercises follow an instructional meth- of clinical reasoning that leads to clini- od, but students are not actually taught Critical thinking and clinical judg- cal judgment is essential to profes- how to use critical thinking and clini- ment have been identified as essential sional nursing practice (AACN, 2008; cal judgment in a healthcare situation. skills for practicing nurses (American Hoffman, 2008; Vacek, 2009). Critical These teaching strategies often do Association of Colleges of Nursing, thinking and clinical judgment have not assist the student in understand- 2008). While essential to nursing prac- been identified as essential skills for ing and applying the clinical reasoning tice, research has process or students indicated that the struggle to transfer majority of graduate the learning to new nurses are not capa- situations. Also, ble of meeting entry- many studies did level expectations for not reveal significant clinical judgment (del changes in critical Bueno, 2005; Hen- thinking, information scheid, 2008). Tan- about the change, or ner’s Theory of Clini- results were inconsis- cal Judgment (2006) tent (Abel & Freeze, provided a framework 2006; Daly, 2008; for this experimen- McMullen & McMul- tal, pre-, post-test, len, 2009; Walsh & mixed method study Seldomridge, 2006). to evaluate the ef- Some studies have fectiveness of an revealed no change educational strategy in critical thinking to develop clinical skill development judgment skills in in nursing students baccalaureate nursing students. Fol- practicing professional nurses (AACN; during a nursing program (Adams, lowing simulation techniques, students National League for Nursing, 2006). 1999; Riddell, 2007; Vaughan-Wrobel, resolved a healthcare dilemma as a However, while critical thinking and O’Sullivan, & Smith, 1997). Despite all discussion group. Lasater’s (2007a) clinical judgment are essential to pro- this research regarding the develop- Clinical Judgment Rubric was used to fessional nursing practice, research ment of critical thinking, studies show assess clinical judgment. Assessment has indicated that the majority of grad- that only approximately one-third of Technologies Institute’s Critical Think- uate nurses are not capable of meet- new graduate nurses have adequate ing Assessment was used to assess ing entry-level expectations for clinical critical thinking skills for entry-level critical thinking skills. judgment (del Bueno, 2005). While practice (del Bueno, 2005). Results indicated: No significant nursing students are capable of critical Simulation has been shown to be relationship between critical thinking thinking, the focus in preparation pro- effective in developing students’ con- and clinical judgment; no significant dif- grams has traditionally been on mas- fidence and cognitive skills (Brannon, ference between critical thinking scores tering content rather than applying criti- White, & Bezanson, 2008; Dillard, at the beginning of the nursing pro- cal thinking to situations (del Bueno; Sideras, Ryan, Carlton, Lasater, & gram or at the conclusion of the study. Fero, Witsberger, Wesmiller, Zullo, & Siktberg, 2009). It has been my ex- A significant difference was indicated Hoffman, 2008; Walsh & Seldomridge, perience that students appreciate the between intervention groups’ and the 2006). debriefing most. Relating their actions comparison group’s clinical judgment Making appropriate choices and to patient outcomes and interpreting scores, p<.10. Qualitative analysis in- decisions in the healthcare field is re- laboratory test results and medication dicated students were enthusiastic re- ferred to as “thinking like a nurse” (Tan- administration enables the students to garding the strategy supported by their ner, 2006). Students often do not have realize the interconnectedness of all comments related to working in small the opportunity to practice these deci- these factors. This reflection on action groups, group processing, and learn- sion-making skills except in the clinical has been identified by Tanner (2006) as ing from each other. environment. Typically, critical thinking part of clinical judgment and inherent

26 visit us at www.ksnurses.com The Kansas Nurse January-February 2012 Vol. 87 No.1 Critical Thinking and Clinical Judgment Skill Development in Baccalaureate Nursing Students

by Jeanne Mann, PhD, MSN, BSN in the learning process. While students with clinical faculty regarding students’ twice during their Level II semester in appreciate this alternative education- clinical judgment skills (Cato, Lasater, . The comparison group al practice, there are drawbacks to & Peeples, 2009; Dillard, Sideras, met once during their Level II semester. simulation education. Students often Ryan, Carlton, Lasater, & Siktberg, As a group, the students were asked to voice difficulty with the artificial situa- 2009; Nielsen, 2009). Given that criti- resolve a healthcare dilemma verbally. tion. Students struggle to differentiate cal thinking and clinical judgment are The healthcare dilemmas were taken between body sounds, such as heart multifaceted, Lasater (2007b) devel- from the Medical Educational Technol- sounds, from the ogies, Incorporated mechanical sounds (METI), Program for of the robotics. The Nursing Curriculum development and Integration (PNCI) maintenance of a and were developed simulation laborato- for Level II nursing ry is often difficult for students. The ses- nursing programs sion was videotaped. due to the high costs Information was pro- associated. vided to students The purpose at the beginning of of this investiga- the session that de- tion was to evaluate scribed a patient’s the effectiveness of healthcare status grand rounds as an that included physi- educational strategy cal assessment data, to develop critical healthcare provider thinking and clinical orders, laboratory re- judgment skills in sults, x-ray results, baccalaureate nurs- and medications. ing students using Lasater’s Clinical oped a rubric to assess clinical judg- Through interaction with each Judgment Rubric. Assessment Tech- ment based on the research of Tanner other, the students worked through the nologies Institute (ATI) (2003) devel- (2006). Lasater also identified four lev- dilemma. The researcher was present oped the Critical Thinking Assessment els of each clinical judgment concept to answer questions and to provide up- (CTA) to assess critical thinking skills from beginning to exemplary. dates on the patient’s condition or test of nursing students. The CTA was An experimental, pre-, post-test, results. After the second session par- standardized on nursing students and mixed method research design was ticipants were interviewed regarding follows the clinical reasoning process. employed in this study. Multiple sourc- critical thinking and clinical judgment, While the use of the ATI CTA in re- es of data including observations, inter- their perspective of the effectiveness search is limited (Whitehead, 2006), it views, and document reviews of school of the educational strategy as well as is often utilized by nursing programs to critical thinking assessments were uti- teaching strategies shown to develop assess students’ critical thinking ability lized. Subjects were a convenience these abilities, and their perspective of at the beginning and end of their nurs- sample of volunteers from the Level II how this strategy has influenced their ing program as part of program evalu- nursing class from a Midwest baccalau- class performance and clinical prac- ation. The Lasater Clinical Judgment reate school of nursing. This study was tice. Participants completed the ATI Rubric (Lasater, 2007b), based on the approved by the IRB at the educational Critical Thinking Assessment (CTA) at Tanner Clinical Judgment Model (Tan- institution. Participants were randomly the completion of the study. Current ner, 2006), was developed through assigned to an intervention group or scores on the CTA were compared to extensive observations of nursing stu- the comparison group. A group of three the scores on the same CTA that stu- dents in the Simulation Laboratory. to six students comprised an interven- dents completed at the beginning of The Lasater Clinical Judgment Rubric tion group. There were four interven- their nursing program to assess growth. has been used as a formative assess- tion groups. A separate group of four The comparison group did not receive ment tool for students in Simulation students comprised the comparison Laboratory as well as communication group. The intervention groups met continued on page 28

Vol. 86, No. 6 January-February 2012 The Kansas Nurse visit us at www.ksnurses.com 27 Critical Thinking and Clinical Judgment Skill Development in Baccalaureate Nursing Students

by Jeanne Mann, PhD, MSN, BSN the educational strategy. Participants in the intervention Clinical judgment data were ana- groups achieved higher scores on lyzed using content analysis by the the Clinical Judgment Rubric than the researcher and the Simulation Lab comparison group. In the intervention Coordinator using Lasater’s Clinical group 33% of the responses were at Judgment Rubric. Lasater’s Clinical the beginning level compared to 78% Judgment Rubric was converted to an for the comparison group. Clinical ordinal scale with 1 representing be- Judgment scores’ percentages at the ginning clinical judgment and 4 repre- developing level were higher for the in- senting exemplary clinical judgment. tervention groups, 38%, than the com- Inter-rater reliability was 98.49%. Inter- parison group, 22%. The comparison views were recorded and transcribed. group had no responses that could be Interviews were assessed qualitatively categorized as accomplished or exem- through content analysis by identify- plary. This contrasts with the interven- ing patterns, themes, and processes tion groups who had 24% responses at (Merriam, 2009). Participant scores’ the accomplished level and 5% of the on the ATI CTA at the beginning of the responses at the exemplary level. nursing program and at the end of the There was no significant differ- study were evaluated with paired t- ence between groups between the first tests (Polit & Beck, 2004). Participants’ what to anticipate. Participants in the CTA and the second CTA, t = .285, p scores between groups on the second intervention groups worked as a group = .794. In the comparison group, stu- ATI CTA were evaluated with indepen- to address the healthcare problems by dents’ scores indicated a decrease in dent t-tests. Spearman’s rho was used frequently dividing the tasks in access- critical thinking ability as assessed with to assess the relationship between ing information. This was completed the CTA. In other words, students who clinical judgment and critical thinking through group process without one received the educational strategy ex- (Polit & Beck). Participants’ scores person taking responsibility or delegat- hibited less decline in critical thinking on the Lasater Clinical Judgment Ru- ing tasks. Through open dialogue and than students in the comparison group, bric were assessed with independent discussion, participants in the interven- although this change was not signifi- t-tests. The data were analyzed with tion groups would problem-solve bring- cant. Participants’ scores on the CTA the Statistical Package for the Social ing into play material learned in class during the first week of nursing school Sciences (SPSS), version 16.0. Of the or through experience. Participants were higher in the intervention groups volunteers, 19 of the participants were would often develop a course of action (M = 76.95, SD = 6.28) than the com- female and three were male. Students’ together before advancing to the next parison group (M = 75, SD = 8.90). ages ranged from 19 years to 50 years patient state. This group processing Participants’ scores on the CTA at the (M = 27), for the intervention groups stimulated thinking in other members of conclusion of the study were higher for and 20 years to 33 years (M = 24.5) for the group. Often, it seemed as if what the intervention groups (M = 76.95, SD the comparison group. Students’ grade one participant said enabled another = 7.20) than the comparison group (M point average (GPA) ranged from 2.50 participant to recall material from class = 71.88, SD = 9.21). There was no sig- to 4.00 on a 4.00 scale for the interven- or their clinical experience that could nificant difference between CTA scores tion groups and 2.75 to 3.75 for the help clarify or provide more questions for the first administration, t = 5.22, p = comparison group. Since the sample to resolve the healthcare dilemma. This .607, or the second administration, t = size was small, caution should be used helped all group members recognize 1.217, p = .238. However, even though to evaluate and interpret the results. that they were all part of the team and the difference was not significant, the Participants in the intervention that it was not just one student in class scores for the second session indicated groups were more likely to discuss answering a question. Group process- greater gains in critical thinking skills openly the concerns they identified ing of the healthcare dilemma also pro- for the intervention groups. Scores on in the healthcare dilemma. They ac- vided an example to participants with the Rubric for the intervention groups cessed resources more often such as lower clinical judgment ability of the (M = 36.33, SD = 15.16) were higher their iPod to assess laboratory values type of thinking that is involved or the than scores for the comparison group or a medical-surgical textbook to better questions to ask and the information to (M = 22, SD = 5.66). There was no understand the disease process and seek. significant relationship between clinical

28 visit us at www.ksnurses.com The Kansas Nurse January-February 2012 Vol. 87 No.1 Critical Thinking and Clinical Judgment Skill Development in Baccalaureate Nursing Students

by Jeanne Mann, PhD, MSN, BSN judgment and critical thinking for the in- strategies (Sellappah, Hussey, Black- explanation that is more meaningful tervention groups, ρ = .163, p = .518, more, & McMurray, 1999; Sorensen & to students than faculty’s explanation or the comparison group, ρ = -.282, Yankech, 2008). Participants related as evidenced by peer tutors. Having p = .718. However, there was a slight that they did appreciate the question- faculty present to clarify meaning and positive relationship for the intervention ing from their instructors, especially in ensure correct learning is essential. groups while there was a negative rela- the clinical setting. This interactive pro- Faculty can also be present to provide tionship for the comparison group. In cess helps students recognize connec- an example of how thinking like a nurse other words, as critical thinking ability tions or to anticipate a patient condition would look (Walsh & Seldomridge, increased, so did clinical judgment for or outcome. Simulation allows for stu- 2006). Being able to reflect on the clini- the intervention groups. In contrast, as dents to be active participants in their cal reasoning process strengthens clin- critical thinking ability increased, clini- learning that is essential in constructiv- ical judgment (Tanner, 2006). This can cal judgment decreased for the com- ism learning (Rothgeb, 2008). Partici- be fostered by working in a group (La- parison group. Neither one of these pants, however, related that simulation sater, 2007a). Being in a small group relationships was significant. A signifi- helped them prepare for the clinical rather than a large class may have en- cant difference was found between the setting but did not feel it enhanced their couraged participants in the interven- intervention groups’ clinical judgment critical thinking or clinical judgment. tion groups to be more active in their scores and the comparison group’s Research by Lasater (2007a) revealed learning and to take more responsibility clinical judgment scores, t = 1.833, p that students liked working in a group in toward that goal. = .082. Students were enthusiastic re- Strategies have often shown mixed garding the grand rounds strategy. Be- results or results are short-lived. Tan- ing able to work as a group and learning ner (2006) and Lasater (2007b) have from each other while working through developed frameworks for developing a realistic patient situation were cited clinical judgment. Using the framework as benefits of grand rounds. Partici- may be helpful for novice practitioners pants appreciated the changes in pa- in the clinical setting. Since it is not tient status that provided for a realistic plausible to teach students all the con- setting. Students related having peers tent they might need, instructing them provide explanations was valuable, as in the use of a guiding framework may the peer often understood where the help them develop their critical thinking student was struggling to understand a and clinical judgment skills (Walsh & concept. Since all students bring a dif- Seldomridge, 2006) ferent background to a situation, they were able to help each other, to learn References from each other. Learning to listen to other students’ critical thinking and Abel, W. M. & Freeze, M. (2006). Eva- clinical judgment in process, helped luation of concept mapping in an develop those skills in students. Advan- associate degree nursing program. tages of grand rounds as recalled by Journal of Nursing Education, 45(9), participants were the discussion with simulation as this allowed them to hear 356-364. classmates and instructor, group pro- other students’ ideas. This resulted in Adams, B.L. (1999). Nursing education cessing, and the small group size. In a more flexibility in their thinking as well for critical thinking: An integrative small group, students who are less like- as learning from others’ experiences. review. Journal of Nursing Educa- ly to speak in a regular class, now feel Considering other possibilities in the tion, 38(3), 111-119. comfortable to express themselves. problem-solving process is a hallmark American Association of Colleges of Content for successful nursing of critical thinking (Walsh & Seldom- Nursing. (2008). The essentials of practice is voluminous and impossible ridge, 2006). Cooperative learning is baccalaureate education for profes- for students to master. Instead, nursing often preferred by students. This col- sional nursing practice. Washing- education should focus on developing laborative learning method often stimu- ton, D.C.: Author. graduates who have good clinical judg- lates ideas and provides support during Assessment Technologies Institute. ment. Critical thinking has been shown the learning process (Lasater, 2007a). (2003). Critical thinking assessment to improve with effective questioning Peers can often provide an alternate continued on page 30

Vol. 86, No. 6 January-February 2012 The Kansas Nurse visit us at www.ksnurses.com 29 Critical Thinking and Clinical Judgment Skill Development in Baccalaureate Nursing Students

by Jeanne Mann, PhD, MSN, BSN technical report. Retrieved from nal of Nursing Education, 46(11), of questioning strategies by clini- http://www.atitesting.com/global/ 496-503. cal teachers. Journal of Advanced faculty/critical-thinking-analysis-re- McMullen, M.A., & McMullen, W.F. Nursing, 28, 142-148. port.asp (2009). Examining patterns of Sorensen, H.A. J., & Yankech, L.R. Brannon, J.D., White, A., & Bezanson, change in the critical thinking skills (2008). Precepting in the fast lane: J.L. (2008). Simulator effects on of graduate nursing students. Jour- improving critical thinking in new cognitive skills and confidence lev- nal of Nursing Education, 48(6), graduate nurses. The Journal of els. Journal of Nursing Education, 310-319. Continuing Education in Nursing, 47(11), 495-500. Merriam, S.B. (2009). Qualitative re- 39(5), 208-216. Cato, M.L., Lasater, K., & Peeples, A.I. search: a guide to design and im- Tanner, C.A. (2006). Thinking like a (2009). Nursing students‘ self-as- plementation. San Francisco: John nurse: A research-based model of sessment of their simulation experi- Wiley & Sons, Inc. clinical judgment in nursing. Jour- ences. Nursing Education Perspec- National League for Nursing. (2006). nal of Nursing Education, 45(6), tives, 30(2), 105-109. Excellence in nursing education 204-211. Daly, W.M. (2008). The development model. New York: Author. Vacek, J.E. (2009). Using a conceptual of an alternative method in the approach with concept mapping to assessment of critical thinking promote critical thinking. Journal of as an outcome of nursing educa- Nursing Education, 48(1), 45-58. tion. Journal of Advanced Nursing, Vaughan-Wrobel, B.C. O‘Sullivan, P., 36(1), 120-130. & Smith, L. (1997). Evaluating criti- del Bueno, D.A. (2005). Crisis in critical cal thinking skills of baccalaureate thinking. Nursing Education Per- nursing students. Journal of Nurs- spectives, 26(5), 278-282. ing Education, 36(10), 485-488. Dillard, N., Sideras, S., Ryan, M., Carl- Walsh, C.M., & Seldomridge, L.A. ton, K.H., Lasater, K., & Siktberg, (2006). Critical thinking: Back to L. (2009). A collaborative project to square two. Journal of Nursing Ed- apply and evaluate the clini- ucation, 45(6), 212-220. cal judgment model through simu- Whitehead, T.D. (2006). Comparison lation. Nursing Education Perspec- of native versus nonnative English- tives, 10(2), 99-105. speaking nurses on critical thinking Fero, L.J., Witsberger, C.M., Wesmill- assessments at entry and exit. er, S.W., Zullo, T.G., & Hoffman, Nursing Administration Quarterly, L.A. (2009). Critical thinking ability 30(3), 285-290. of new graduate and experienced nurses. Journal of Advanced Nurs- ing, 65(1), 139-148. Henscheid, J.M. (2008). Preparing se- Nielsen, A. (2009). Concept-based niors for life after college. About learning activities using the clinical Campus, 13(5), 20-25. judgment model as a foundation for Hoffman, J. (2008). Teaching strategies clinicallearning. Journal of Nursing to facilitate nursing students‘ critical Education, 48(6), 350-354. thinking. Annual Review of Nursing Polit, D.F., & Beck, C.T. (2004). Nursing Education, 6, 225-236. research: principles and methods Lasater, K. (2007a). High-fidelity simu- (7th ed.). Philadelphia: Lippincott, lation and the development of clini- Williams, and Wilkins.Riddell, T. cal judgment: students’ experienc- (2007). Critical assumptions: think- es. Journal of Nursing Education, ing critically about critical think- 46(6), 269-277. ing. Journal of Nursing Education, Lasater, K. (2007b). Clinical judgment 46(3), 121-127. development: Using simulation to Sellappah, S., Hussey T., Blackmore, A. create an assessment rubric. Jour- M., & McMurray A. (1999). The use

30 visit us at www.ksnurses.com The Kansas Nurse January-February 2012 Vol. 87 No.1 Critical Thinking and Clinical Judgment Skill Development in Baccalaureate Nursing Students

by Jeanne Mann, PhD, MSN, BSN

Jeanne Man, PhD, MSN, BSN, began nursing in January 1977 as a LPN. Follow- ing completion of her BSN from Mark Your Wichita State University in May 1981, she worked in a variety of areas including: labor and delivery, Level II nursery, mother- Calendars NOW baby, community education, and medi- cal-surgical. She received her MSN in nursing education from Fort Hays KSNA’s Centennial State University and her PhD in edu- cation from The University of Kansas. She has been teaching at Baker Uni- versity School of Nursing since 2005. Celebration Currently she is an assistant professor teaching Health Assessment to Level 1 students and in the Simulation Labora- Thursday-Saturday tory for Levels 1-3. October 11-13 Wichita Marriott Hotel

Request yours today. Show your support. Call toll-free 1.866.438.6262 The Kansas State Nurses Association Platinum Plus® ® Visa Card. You can also visit www.newcardonline.com. Our members deserve the very best. That’s why we’re Use Priority Code VAAFDQ. pleased to present the Kansas State Nurses Association Platinum Plus® Visa® card from Bank of America. You’ll give something back to Kansas State Nurses Association with every purchase you make, and benefit from the attention to security our members expect.

* For information about the rates, fees, other costs, and benefits associated with this credit card program, please call the phone number or visit the website listed above. This credit card program is issued and administered by FIA Card Services, N.A. Visa is a registered trademark of Visa International Service Association and is used by the issuer pursuant to liscense from Visa U.S.A., Inc. Platinum Plus is a registered trademark of FIA Card Services, N.A. Bank of America and the Bank of America logo are registered trademarks of Bank of America Corporation © 2010 Bank of America Corporation AR93307-102309 MISC-09-07-0314.PL.3

Vol. 86, No. 6 January-February 2012 The Kansas Nurse visit us at www.ksnurses.com 31

Request yours today. Show your support. Call toll-free 1.866.438.6262 The Kansas State Nurses Association Platinum Plus® ® Visa Card. You can also visit www.newcardonline.com. Our members deserve the very best. That’s why we’re Use Priority Code VAAFDQ. pleased to present the Kansas State Nurses Association Platinum Plus® Visa® card from Bank of America. You’ll give something back to Kansas State Nurses Association with every purchase you make, and benefit from the attention to security our members expect.

* For information about the rates, fees, other costs, and benefits associated with this credit card program, please call the phone number or visit the website listed above. This credit card program is issued and administered by FIA Card Services, N.A. Visa is a registered trademark of Visa International Service Association and is used by the issuer pursuant to liscense from Visa U.S.A., Inc. Platinum Plus is a registered trademark of FIA Card Services, N.A. Bank of America and the Bank of America logo are registered trademarks of Bank of America Corporation © 2010 Bank of America Corporation AR93307-102309 MISC-09-07-0314.PL.3

Request yours today. Show your support. Call toll-free 1.866.438.6262 The Kansas State Nurses Association Platinum Plus® ® Visa Card. You can also visit www.newcardonline.com. Our members deserve the very best. That’s why we’re Use Priority Code VAAFDQ. pleased to present the Kansas State Nurses Association Platinum Plus® Visa® card from Bank of America. You’ll give something back to Kansas State Nurses Association with every purchase you make, and benefit from the attention to security our members expect.

* For information about the rates, fees, other costs, and benefits associated with this credit card program, please call the phone number or visit the website listed above. This credit card program is issued and administered by FIA Card Services, N.A. Visa is a registered trademark of Visa International Service Association and is used by the issuer pursuant to liscense from Visa U.S.A., Inc. Platinum Plus is a registered trademark of FIA Card Services, N.A. Bank of America and the Bank of America logo are registered trademarks of Bank of America Corporation © 2010 Bank of America Corporation AR93307-102309 MISC-09-07-0314.PL.3 36th Annual KSNA Day at the Legislature Thursday, February 9, 2012 Topeka Performing Arts Center Event Agenda and Presenters

9:00 a.m. Welcome to Day at the Legislature Liem Halim is President of the Kansas KSNA President Sandra Watchous Association of Nursing Students and a stu- KANS President Liem Halim dent in the Newman Division of Nursing, Kansas Lt. Governor Jeff Colyer, MD Emporia State University. He hold numer- ous scholarship and is an active member 9:30 a.m. Sarah Tidwell, MS, RN of the National Association of Nursing KSNA Legislative Chair Students, Phi Kappa Phi Honor Society Brenda Engelbrecht and Alpha Gamma Signma Honor Society. KANS Legislative Chair He was born and raised in Indonesia until the age of 17. 10:30 a.m. Break Jeff Colyer, MD, is a fifth generation 11:00 a.m. Keynote Speaker Kansan whose career has focused on Kit Wagar, Health Reform Specialist making a difference in people’s lives on U. S. Department of Health and Human the local, state, national and international Services, Region 7, Kansas City, MO levels. He grew up in Hays, a graduate of Thomas More Prep High School, and 12:15 p.m. Lunch Break earned his degrees from Georgetown Uni- versity, Cambridge University (England) 1:30 p.m. Mary Blubaugh, MSN, RN and the University of Kansas. He was Executive Administrator a White House Fellow under Presidents Kansas State Board of Nursing Reagan and H. W. Bush and assigned to the Executive Office of the President and Agency for International Devel- 2:15 p.m. Break opment. He volunteered in the International Medical Corps in numerous war-zones. His work has been featured on 2:45 p.m. Robert F. St. Peter, MD, President & CEO 60 Minutes, PBS and in People magazine. He has served Jim McLean, Vice President Public Affairs in the Kansas House of Representatives and the Kansas Kansas Health Institute Senate. As a freshman legislator, he was selected to serve as Chairman of the 2007 Legislative Health Reform Task 3:55 p.m. Wrap-up, Evaluations & Door Prizes Force and has authored major health reforms including expansion of the S-CHIP premium assistance, extending COBRA insurance for the unemployed and a plan to control health insurance costs.

Sarah Tidwell, MS, RN, has served as KSNA Legislative Chair for five years and is a registered lobbyist. She has a wealth of knowledge about the legislative process and issues relevant to registered nurses. Presenter Bios She is a graduate of Marymount College, Salina, where she earned her BSN; she earned a MS at the University of Kansas. Sandra Watchous, MN, RN, 46th President of the Kansas State Nurses She is an Assistant Professor at Emporia Association, was elected President-elect State University’s Newman Division of in 2010 and assumed leadership of the Nursing. She lives in Emporia. 1,115 member organization in October 2011. This is her first of a two-year term Brenda Engelbrecht is Legislative Chair for the Kansas as president. She lives in Hays where Association of Nursing Students and a student at Neosho she operates a home healthcare County Community College. business.

32 visit us at www.ksnurses.com The Kansas Nurse January-February 2012 Vol. 87 No.1 36th Annual KSNA Day at the Legislature Thursday, February 9, 2012 Topeka Performing Arts Center Event Agenda and Presenters

Kit Wagar is the U.S. Department Robert F. St. Peter, MD, is President of Health and Human Services’ out- and CEO of the Kansas Health Institute. reach specialist for Region 7, working He is a physician with experience in health with the regional director to explain the services research and health policy devel- department’s role in Missouri, Kansas, opment. He has served as a Senior Medi- Iowa and Nebraska. Wagar specializes cal Researcher at Mathematica Policy Re- in explaining the Affordable Care Act, the search and the Center for Studying Health landmark health reform legislation ap- System Change in Washington, DC. He proved by Congress in March 2010. He has also served as a Health Policy Adviser came to Health and Human Services after on the U. S. Senate Committee on Labor nearly two years as principal assistant to the director of and Human Resources during consideration of compre- the Missouri Department of Health and Senior Services. hensive health care reform legislation, 1993-95, and as the Before entering public service, Wagar spent 29 years as a Luther L. Terry Senior Fellow in Preventive Medicine for newspaper reporter and editor in Oregon, Idaho, Indiana, the U. S. Department of Health and Human Services. His Kentucky and Missouri. Wagar spent his last 10 years in research has been published in the Journal of the American newspapers as Missouri statehouse correspondent for the Medical Association, the New England Journal of Medicine, Kansas City Star. Health Affairs, Pediatrics and other journals. He is a gradu- ate of the University of Kansas and received his medical Mary Blubaugh MSN, RN, is the Ex- degree from Duke University. He is a Research Associate ecutive Administrator of the Kansas State Professor in the Department of Preventive Medicine at the Board of Nursing. Mary has been in this KU School of Medicine. position for 13 years. These 13 years she has spent numerous hours working on the Jim McLean is Vice President for Pub- legislative agenda for the board of nurs- lic Affairs at the Kansas Health Institute ing. Mary holds three nursing degrees and oversees the KHI News Service as from Fort Hays State University. Before well as the production and dissemination becoming the Executive Administrator of of KHI publications. He also directs KHI’s the Kansas State Board of Nursing she media relations. He has had a distin- was a practice specialist for a physician office, a regional guised career in journalism, serving as the manager for a home health agency, and a state surveyor news director and Statehouse bureau chief for the Kansas Department of Health and Environment. for Kansas Public Radio and a managing editor for the Topeka Capital-Journal. He has won numerous awards for journalistic excellence from the Kansas Press Association, regional chapters of the Society of Professional Journalists and the Kansas As- sociation of Broadcasters. He is a graduate of Washburn University.

Vol. 86, No. 6 January-February 2012 The Kansas Nurse visit us at www.ksnurses.com 33 36th Annual Day at the Legislature (DATL) Thursday, February 9, 2011, 9:00 a.m.-4:00 p.m. Topeka Performing Arts Center 214 E. 8th (8th & Quincy), Topeka, Kansas

EARLY BIRD REGISTRATION DEADLINE: Wednesday, January 25, 2012 (postmarked) — No Onsite Registration

Name______ Student (School) ______

Address______ RN License #______

City, State and Zip______RN Employer ______

Best Telephone Contact ( _____ ) ______Email Address______

KSNA Member _____ Non KSNA member _____ Student _____ Graduate Student _____ Fee $45 (Late $50) Fee $60 (Late $70) Fee $20 (Late $25) Fee with CE Hrs $40 (Late $45)

Boxed Lunch (Optional) ___Yes ___No ($7.50 extra—includes choice of sandwich wrap, fruit cup & cookie and also, water or soda; not availa- ble for purchase day of event)

Method of payment: ___check (Payable to KSNA) ___credit card (Visa/MC/Discover) Name on Card (if different from registrant)______

Credit card # ______Exp. Date (m/y) ______3-Digit Security Code on Card Back ______(All information is secure and will not be used except as authorized by the card holder)

Registration: No onsite registration day of event. Early registration Schedule of Activities: is recommended, see rates above. Deadline for receiving early bird registrations is Wednesday, January 25 (postmarked). REGISTRA- 8 a.m. Doors Open, Light Refreshments TION CONFIRMATION POSTCARDS WILL BE MAILED TO REGIS- Exhibitors/Vendors Booths Available TRANTS AND MUST BE PRESENTED FOR ADMISSION. No regis- trations will be accepted after Wednesday, February 1. Mail complet- 9 a.m. Welcome and Introduction ed registration with payment to KSNA, 1109 SW Topeka Blvd., Tope- KSNA President Sandra Watchous ka, KS 66612. Questions? KSNA, 785-233-8638/ [email protected] KANS President Liem Halem Kansas Lt. Gov. Jeff Colyer Contact Hours: KSNA is will provide 5.1 continuing education cred- its for RNs and LPNs. Provider number: LT0141-0927. 9:30 a.m. Review of 2012 Legislation KSNA Legislative Chair Sarah Tidwell, MS, RN Student Fees/CE Credit: Student registration is defined as those KANS Legislative Chair Brenda Engelbrecht taking nine college credit hours or more. Students who request con- tact hours must pay the higher fee (above). 10:30 a.m. Break

Refunds: KSNA will honor refunds if cancellation is received in writ- ing at KSNA no later than 48 hours prior to the event ($10 service 11 a.m. Keynote Address charge on all cancellations). No refunds after Monday, February 6. Kit Wagar, Health Reform Specialist U.S. Department of Health & Human Services Boxed Lunches: Pre-ordered boxed lunches are available to regis- Region 7 Kansas City, Missouri trants for $7.50 each. Not available for purchase day of event. 12:15 p.m. Lunch Break Location: The Topeka Performing Arts Center is located two blocks east of the State Capitol on the corner of 8th and Quincy. For direc- 1:30 p.m. Mary Blubaugh, MSN, RN tions, visit tpactix.org. Kansas State Board of Nursing

Parking: Available at various locations surrounding TPAC, including 2:15 p.m. Break parking garages. Participants are responsible for parking fees. Bring coins for parking meters. 2:45 p.m. Kansas Health Institute Robert F. St. Peter, MD, President and CEO Exhibitors/Vendors: Many booths will be available for registrants to Jim McLean, Vice President for Public Affairs visit and some offer special items for purchase. 3:55 p.m. Wrap-up KSNA Office: 785-233-8638 or [email protected] Evaluations Door Prizes (Must be present to win!)

34 visit us at www.ksnurses.com The Kansas Nurse January-February 2012 Vol. 87 No.1