The Official Publication of the Virginia Nurses Foundation

August 2019 Quarterly publication direct mailed to approximately 106,000 Registered Nurses Volume 27 • No. 3

We are pleased to provide every registered nurse in Virginia with a copy of Virginia Nurses Today. To learn about the Virginia Nurses Foundation and the Virginia Nurses Association, please visit www.virginianurses.com.

Fall Conference Stigma Busters Five Steps to Follow: Board Service Nurses Running for Office

Page 4 Page 9 Page 10 Page 12 Health Practitioners ANA Membership Assembly Monitoring Program: An Alternative to ANA Membership Assembly Tackles Discipline Pressing Issues

Peggy Wood, Health Practitioners Monitoring One of the ANA Membership Assembly’s most • Removal of Outdated ANA Language to Program, DHP Program Manager important responsibilities is to set policies and Increasing Access to Vaccination Compliance positions for ANA. The policies and positions • DACA Recipients' Eligibility to take the NCLEX Contact Hours available for reading this article! approved by the Membership Assembly provide • Visibility of Nurses in the Media See page 8 for more information. guidance to the profession of nursing and establish • Human Trafficking: A Nursing Perspective on ANA’s point of view on relevant nursing practice Solving a Public Health Crisis A safe, effective clinical environment requires that issues, health policy, and/or related social concerns. every nurse be at his or her best. The nurse’s own Strategic policy topics and proposals discussed at Information about each topic has been provided well-being is paramount to the delivery of quality this year’s ANA Membership Assembly held in June, below by your VNA’s voting representatives to the healthcare. In general, healthcare professionals included: ANA Membership Assembly. often see the needs of others before their own. Sadly, many suffer an impairing condition, a mental health problem or addiction in silence. To avoid stigma, a person may focus on hiding symptoms from family, colleagues and patients rather than seeking help. Recommendations for Nurses in the Fight The individual may become more isolated. Very soon, the ability to safely practice can be affected. Against Human Trafficking This path delays early intervention, leads to conflict, legal issues, and workplace incidents. We all know By Linda Shepherd, MBA, BSN, RN criminal enterprise turning profits to the tune of an that the earlier problems are addressed, the better VNA President and 2019 ANA Membership estimated $150 billion worldwide. the outcome. The Health Practitioners’ Monitoring Assembly Voting Representative She has also dedicated her life’s work to Program (HPMP) is a pathway to be embraced, not educating the public on the prevalence of human avoided. During this dialogue forum, Tammy Toney- trafficking in the U.S.; identifying potential victims; HPMP does not provide treatment for mental Butler, RN, CEN, TCRN, CPEN, CSEC, Florida understanding the impact of trafficking inclusive health, substance misuse, or physical conditions; Nurses Association member and sexual assault of physical, emotional, and psychological trauma it facilitates referrals for appropriate treatment nurse examiner, presented on “Human Trafficking: as well as long term effects if not appropriately and monitors the recovery and practice of its A Nursing Perspective on Solving a Public Health addressed should the victim survive specifically practitioners, and it has for over 20 years since Crisis.” Through her presentation, Toney-Butler, on children as this is the predominant group authorized by the General Assembly in 1998. The shared her own personal story of survival at the being trafficked; and the role each individual or ultimate goal for all participants is the return to safe hands of abuse and trauma as a child, discussed the organization can play in helping address the human and productive clinical practice. Adverse Childhood Experiences (ACE) scoring tool, trafficking crisis. In her dialogue, she outlined Any licensed health professional—any nurse— and her own ACE score of 8 out of 10 (the higher the key roles nurses as healthcare providers can is able to volunteer or self-refer into the program. the score, the more severe the trauma), as well as specifically play in addressing the issue. HPMP does not report a voluntary participant information and statistical data outlining the public Toney-Butler cited compelling information from to the Board (unless a complaint is made to the health crisis of human trafficking. Based on her own published reports and studies relative to this crisis. Health Practitioners Monitoring...continued on page 18 experiences and in an attempt to create a holistic In one report issued by the International Labor approach to this worldwide problem, Toney- Organization in 2016, the report stated that human Butler works collaboratively with multiple trafficking revenue grossed less than that generated organizations as a means to leverage the scale from the drug trade, but, greater than that generated Non-Profit Org. by the sale of illegal arms. In turn, information U.S. Postage Paid against this fight, citing human trafficking as Princeton, MN an immediate public health concern that is cited by the U.S. State Department estimated that Permit No. 14 irrespective of gender, socioeconomic status, the revenue generated through human trafficking current resident or age, race, demographics, etc. It serves as a “surpasses the profits of Google, Nike, and Starbucks combined” with income of the controller or trafficker topping as much as $32,833 per week dependent on geographic location. The revenue generated through Toney-Butler also shared that multiple sources human trafficking “surpasses estimate that 4.5 million individuals are coerced into sexual exploitation with 20% of this group the profits of Google, Nike, and being children ranging from 11-14 years in age with Starbucks combined.” Recommendations for Nurses...continued on page 15 Page 2 August, September, October 2019 Virginia Nurses Today www.VirginiaNurses.com VNF President's Message Plan now to advance your is the official publication of the Virginia Nurses leadership acumen with Nurse Foundation: 2819 N. Parham Road, Suite 230, Richmond, Virginia 23294, VNF’s affiliate, the Virginia Nurses Association, is a constituent of Leadership Academy the American Nurses Association. Terris Kennedy www.VirginiaNurses.com [email protected] by Terris Kennedy, PhD, RN Nurse Leadership Academy Phone: 804-282-1808 President, Virginia Nurses Foundation Agenda-at-a-Glance The opinions contained herein are those of the There’s something very exciting on the horizon Day 1: Fundamentals of Effective Leadership individual authors and do not necessarily and it’s called the VNF Nurse Leadership Academy! • Program Overview reflect the views of the Foundation. For well over a year, nurse leaders from throughout • Keynote: Fundamentals of Leadership Virginia have been convening to create what I’m • Understanding Your Leadership Style* Virginia Nurses Today reserves the confident will be a top-notch leadership program • Taking Care of You right to edit all materials to its style designed for new and emerging nurse leaders across and space requirements and to • Promoting Effective Leadership all healthcare settings. clarify presentations. The first six months of this year-long program will * Including an individual assessment of be dedicated to live didactic sessions and webinars. your leadership style aimed at raising your VNF Mission Statement Participants will focus the subsequent six months on self-awareness to help you achieve better To support the advancement of nursing through their applied leadership project with virtual check- outcomes as a leader. recognition, research, and innovation. in points along the way, with support from their mentor, who is chosen by the candidate and has also Day 2: Organizational Culture & Facilitating a VNT Staff committed to the success of their mentee and the Professional Environment Janet Wall, Editor-in-Chief program. • The Transition from Frontline Leader to a Kristin Jimison, Managing Editor Additional coaching opportunities with program Formalized Leadership Role leadership and peer-to-peer engagement via a virtual • Human Resources Challenges Virginia Nurses Today is published quarterly community will round out the list of resources aimed every February, May, August and November by at ensuring every participant’s success. The program Day 3: Driving High Reliability Patient and Nurse the Arthur L. Davis Publishing Agency, Inc. culminates in month 12 with presentations from Culture Copyright © 2012, ISSN #1084-4740 participants on their applied leadership projects. Subscriber rates are available, 804-282-1808. The steering committee (which includes • Transforming Patient Outcomes through QI, EBP, and Research representatives from the Board of Nursing, For advertising rates and information, please • A Culture of Readiness Department of Health, health systems throughout contact Arthur L. Davis Publishing Agency,

Virginia, hospice, and long-term care and reflects Inc., 517 Washington Street, PO Box 216, Day 4: Influencing Change: Driving Outcomes & all healthcare environments) has developed a Cedar Falls, Iowa 50613. (800) 626-4081, phenomenal curriculum and exciting line-up of Strategic Action [email protected]. proposed state, regional, and national presenters. • The Highly Effective Team See our tentative Agenda-at-a-Glance below. • Tools for Change VNF and the Arthur L. Davis Publishing While we’re not able to share a launch date or • Applied Leadership Project Agency, Inc. reserve the right to reject any tuition with you just yet, we can tell you it will be advertisement. Responsibility for errors in during 2020. For now, our focus is on working with Day 5: Money Matters advertising is limited to corrections in the next the steering committee to fine tune the program, • Relationship-based Care issue or refund of price of advertisement. ensuring that nurses will attain the knowledge and competencies they need to excel in healthcare • Fiscal accountability- The basics Acceptance of advertising does not imply leadership no matter what healthcare environment endorsement or approval by the Virginia Nurses they have chosen for their nursing career. Foundation of the products advertised, the advertisers or the claims made. Rejection of an advertisement does not imply that a product offered for advertising is without merit, or that the manufacturer lacks integrity, or that this association disapproves of the product or its use. VNF and the Arthur L. Davis Publishing Agency, Inc. shall not be held liable for any consequences resulting from purchase or use of advertisers’ products. Articles appearing in this publication express the opinions of the authors; they do not necessarily reflect views of the staff, board, or membership of VNF, or those of the NOW HIRING RNs & LPNs national or local chapters. Sign on Bonus at some locations!

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Keeping our finger on the pulse of our will go a long way in connecting nurses with their VNA Strategic Plan membership is crucial to ensuring that our work peers and topic experts. • Increase nursing meets and exceeds members’ needs and continues engagement in the to advance the profession of nursing. Although Communications & Outreach – Members association. we engage you throughout the year, our member identified a need for a more intuitive website, • Establish Janet Wall satisfaction survey is particularly important in more advance notice of chapter CE and meetings, and promote assessing how we’re doing, where we can improve, and fewer ANA/VNA communications to address interprofessional collaboration. and what you believe our priorities should be moving information overload. • Address healthcare workforce shortages. forward. In fact, it serves as the underpinning for Last year, we abruptly and unexpectedly found both our association’s and our foundation’s three- ourselves in a position of needing to identify a VNF Strategic Plan year strategic plans. Those strategic plans were new web host and develop a brand new website • Seek funding and identify grant opportunities recently completed during a retreat of both our VNA and online community platform. While we came to advance VNF Work. Board of Directors and VNF Board of Trustees. up with a workable temporary solution, we’re • Improve awareness of VNF. Before I unveil our new 2019-2022 strategic excited to announce that we are launching a brand • Provide opportunities for increased priorities, I’d like to share the insights we gained new website later this year. Although the web community-at-large engagement. from our members shared through our most recent development process will take several months, we’re satisfaction survey. confident that the final product will check all of your Combined Strategies Survey respondents represented a variety of work boxes! The new website will combine an appealing, • Create solutions for healthier communities. settings (including 44% from hospitals and 15% intuitive design with a comprehensive portfolio of • Advance leadership development opportunities from higher education) and positions (including 35% the resources, toolkits, and information you need & resources. frontline, 19% faculty, and 9% executives). Twenty- to improve your practice. For those of you on the • Ensure the importance and value of VNA & nine percent of respondents had been members go, it will be completely mobile-responsive for both VNF diversity/inclusivity and advance diversity for more than 10 years and another 29% had been smartphones and tablets. and inclusion in nursing. members less than two years. When asked why they were a member, “updates Continuing Education – Members indicated a We will periodically share updates with you on on nursing issues” topped the list with 93% of desire for expanded CE offerings focused on all levels our progress in achieving each of the goals identified respondents ranking it as extremely or very and areas of nursing to reflect the way in which above and, as always, invite your ideas, questions, important, followed by “legislative and regulatory healthcare is expanding. Our annual What Keeps and engagement to ensure our success! You can advocacy” (84%), and “continuing education” (73%). You Up at Night survey, which drives the development reach me at [email protected]. “Local/chapter meetings and networking” rounded of our CE programming, just closed and is now out the list at 44%. This lower ranking will require a being analyzed so that a new education plan can Our Missions closer look and may be due in part to the newness of be formalized. If you didn’t participate in this year’s many of our chapters and their programming. survey, please plan to do so next year as this is Survey participants identified five broad areas, how we ensure that we’re meeting your educational listed in no particular order, in which VNA could needs. improve upon existing services and benefits: More CE focused on leadership development was 1. Affordability also requested. If you haven’t already heard about 2. Accessibility the Nurse Leadership Academy we’re currently 3. Engagement developing, please read the article on page 2 by VNF 4. Communications & Outreach President Terris Kennedy, PhD, RN. Promoting advocacy and education, 5. Continuing Education advancing professional practice and Strategic Planning for the Future influencing the delivery of quality care. Affordability – Those completing the survey Our strategic planning retreat was both shared that you’re seeking more CE that is energizing and productive, and having members affordable and/or free. We agree that it’s very of both boards at the table ensured that both important to provide affordable continuing education organizations will advance on complementary and, toward that end, we have been providing trajectories. free on-demand programming to members, for the We began with a reminder of our organizational past year (and on-demand CE at a nominal fee for missions (see Our Missions at right) a review of nonmembers). We plan to continue to develop our VNA’s membership satisfaction survey results; and Supporting the advancement of inventory of educational offerings. an environmental scan to consider political, social, nursing through recognition, research, We were also excited to introduce both an early geographical, and healthcare elements impacting and innovation. bird discount for this year’s fall conference, Mind the work that lay ahead. Great dialogue ensued, Matters: Improving Mental Healthcare Delivery Across with board members and staff discussing what Special emphasis on ensuring the Settings, and a significant price drop of $50 off last success would look like in 2022. By day’s end, we optimal health of our communities. year’s registration rate for our fall conference. had defined the VNA and VNF strategic buckets, a You also told us you’re interested in discount few combined strategies, and a few that will allow programs. We currently have several partnerships us to achieve our identified strategic goals, shown offering discounts on auto and liability insurances, below. We will periodically share updates with you home benefit offerings, and more. Plus, we’re in the on our progress toward achieving each of the goals midst of discussions about new discount programs identified shown at right. that we believe you’ll find exciting. Stay tuned!

Accessibility – Survey respondents expressed a desire for our conferences to move around the state (vs. always being held in Richmond), more and continuing satellite locations for CE & chapter meetings, and more virtual education. Great news: Our 2020 and 2021 fall conferences will be held at the Renaissance Portsmouth-Norfolk Waterfront Hotel, and we’re already researching other fall conference locations for future years. Our spring conference, while always held in Richmond, included two live-streamed satellite locations for the past two years: Radford University in southwestern Virginia and George Mason University in northern Virginia. Our On Demand Library also continues to expand, offering a growing inventory of free and accessible virtual education to our members (and nonmembers for a nominal fee). In 2019/20, we will also offer satellite locations in our three most densely populated regions for our live streamed chapter webinars.

Engagement – Members shared that they wanted more networking and opportunities for the exchange of ideas at chapter meetings, and more online discussions including groups focusing on specialty areas. We’re working on both aspects and believe the virtual groups we are in the process of launching Page 4 August, September, October 2019 Virginia Nurses Today www.VirginiaNurses.com

Saturday's Keynote was scheduled to be presented by Dr. S. Hughes Melton, Com