National Association of Clinical Nurse Specialists NEWS

Notes From the Board President’s Message

ANGELA P. CLARK, PhD, RN, CS, FAAN, FAHA

Renaissance and published in the journal. One member CNSs are resilient! A resilient per- Resilience aptly said to me: “When I come to this son or group is one characterized as (a) conference, I am with my people!” So capable of withstanding shock without true. We have much to celebrate as we permanent deformation or rupture and We are marching forward into 2004. At continue to highlight the contribu- (b) having an ability to recover from or the time of this writing, I have just tions we make to patients and the adjust easily to misfortune or change.1 returned from our NACNS national con- healthcare system, but we must con- Sound like us? A decade ago, organiza- ference in San Antonio, Tex. The confer- tinue to remove barriers to effective tion restructuring and cost contain- ence theme was “Renaissance in CNS CNS practice and education. NACNS ment affected the numbers of CNSs Practice: Transforming in the extends a big thank-you to the confer- that were available in many settings. 21st Century” and the meeting was quite ence planners—Dr Sue Davidson and Today, CNSs are recognized as vital to a celebration. The word renaissance Dr Karen Lyon. Next year, we will be healthcare to improve the culture of means “rebirth” and represents a period at a beautiful hotel in sunny Orlando, patient safety, and to provide expert in European history where many para- Fla, so plan to attend. specialty practice. Our value is demon- digm shifts occurred—in art, science, lit- The past year was critically impor- strated daily, but we must maintain vis- erature, religion, and philosophy. It was a tant for NACNS in many ways. ibility to patients, families, and other fitting title to reflect the new revitalization Guided by your leadership and a very stakeholders. Kathleen Vollman, one and demand for clinical nurse specialist strong board of directors, NACNS of our acute care CNSs in the organi- (CNS) practice that we are seeing around rose to meet many philosophical, leg- zation, suggests that every CNS have a the country. islative, and regulatory challenges. 2-minute elevator sound bite of what a The annual conference was a fabu- We sponsored our first Regulatory CNS is and does for patients. lous meeting and such an uplifting Summit in July 2003 with invited The new Statement on Clinical experience for those who were able to members from about 15 national Nurse Specialist Practice and Educa- participate this year. The abstracts are organizations. We are planning the tion (2004) is hot of the press and second one for July 16, 2004, to be available for purchase and your read- held at Sigma Theta Tau headquarters ing pleasure. Please help us to dissem- NACNS Statement on Clinical Nurse again. We are continuing the member inate it widely in the and Specialist Practice and Education mandate to represent CNSs in get our messages out to places that This document articulates the competencies req- national arenas around the country. will benefit CNS practice. Many uisite to CNS practice, outlines the necessary This year, after the conference was thanks to the Statement Task Force outcomes of nursing, and provides direction to over, the new NACNS board met for for the days and hours spent in dia- schools of nursing regarding the preparation of 2 more days—a total of 3 board logue about the conceptual issues, the CNSs. You can purchase your copy of this land- meetings in 1 week! It was something CNS competencies in each sphere, and mark document through the NACNS Office. The akin to a marathon. Nationally, many educational preparation of the CNS cost is $15 per copy for members of NACNS and challenges continue to come our way, graduate student. Educators, get those $25 per copy for nonmembers. Discounts are of- requiring thoughtful discussions and textbook orders in for fall semester! fered on purchases of 15 copies or more. Contact analysis of issues. The new board of The Task Force was chaired by Sue the NACNS Office today to order your copy of the directors is enthused and already at Davidson, and myself, Kathleen Bald- Statement. work for you. win, Janet Bingle, Karen Clark, Nancy

VOLUME 18 | NUMBER 3 109 Dayhoff, Jan Fulton, Peggy Gerard, looking at the whole document it nursing. Arista3, a series of conferences Barbara Hasbargen, Brenda Lyon, struck me how valuable I, as a CNS, held around the world, brought nearly Theresa Murray, Jo Ellen Rust, and was to the profession of nursing at 200 experts on nursing and healthcare Beverly Tidwell. large to make this a reality. Maybe you together during the last 3 years. Our members are our reason to think this is a strong statement. But, “We were proud to be able to bring exist. We are so glad that you are part then again, I believe you are also just nurses, physicians, health ministers, of NACNS. as valuable in this future of nursing as economists and others together to dis- I. We are all practicing CNSs. As such cuss the discuss the future of health Reference our contributions to nursing and care across the globe,” said Nancy 1. Merriam-Webster’s Online Dictionary. healthcare abound each and every day Dickenson-Hazard, MSN, RN, FAAN, 2004. Accessed February 28, 2004. we practice in our nursing profession. chief executive officer of the Honor In reviewing the remainder of the Society of Nursing, Sigma Theta Tau Arista 3 Information document I also recognized the ever International. “The focus on creating familiar areas of opportunity that we healthy communities through the con- Recently I had the pleasure of talking have been facing for years. These tribution of nursing underscores the with Nancy Dickenson-Hazard, RN, include differing cultures and associ- collaborative aspect of nursing and cre- MSN, FAAN, the chief executive offi- ated values, differing population- ates awareness that maximizes the con- cer of Sigma Theta Tau, regarding the related health needs, research chal- tribution of our profession.” newly released Arista 3 Report. The lenges to develop nursing, access to Arista 3: Nurses and Health: A Global and distribution of resources, and Future1 is the result of a series of many more. Again, these may seem regional meetings among the 5 differ- unique to some areas of global nurs- ent world regions: the Americas and ing communities but for many of us 2004 the Caribbean; the Pacific Rim and they are common challenges we have National Association of Southeast Asia; Africa and the Near faced for years. East; Northern, Western, and Eastern Many of the recommended actions Clinical Nurse Specialists Europe; and Southern Europe and the would benefit from the experience Board of Directors Mediterranean. Multiple issues were and leadership/facilitation of the President under discussion with one of the CNSs. As the experts from around the Angela Clark results being the identification of 4 world recommend profession restruc- components of nursing’s preferred turing and delivery of holistic, Immediate Past President future. Roles identified in which humane, and culturally appropriate Jan Fulton nurses can make the strongest contri- care, I suggest that the CNSs (you in President-Elect butions are the delivery of evidence- particular) around the world take Theresa Posani based care, policy development, and note of this valuable report and seek Vice-President professional advocacy. ways in which we can make valuable Nancy E. Dayhoff My first glance through the 13- contributions to the global future of page executive summary of this nursing and healthcare. You, the Treasurer extremely valuable contribution by actively practicing CNS, should make Peggy S. Gerard 109 expert participants from nursing, note of these recommendations and Secretary medicine, economics, healthcare make your own strategic action plan Kelly A. Goudreau delivery and administration, govern- to make a difference in your piece of ment economics, and private industry the global picture. Plan your work Directors was that they have identified the and work your plan to make a differ- Kathleen Baldwin essential components of nursing at ence in nursing. Theresa Murray large. In fact, the very roles identified Barbara Munroe Pat Bielecki as making the strongest contributions Reference in the quest to achieve this preferred 1. Arista3: Nurses and Health: A Global Newsletter Editor nursing were those common to clini- Future. Sigma Theta Tau Theresa Posani cal nurse specialists (CNSs). We, clin- of Nursing; 2004. ical nurse specialists, are ideal facilita- Submitted by NACNS Staff tors of evidence-based nursing, strong Theresa Posani, RN, CNS contributors to policy development, Executive Director and in ideal professional advocacy Arista3: Prestigious Christine Carson Filipovich arenas. Maybe I am a bit prejudiced Conference on the Future NACNS toward the multifaceted roles and of Nursing Attracts 2090 Linglestown Rd, Suite 107 influences of the CNS in practice. Profession’s Leaders Harrisburg, PA 17110 These participants also identified Telephone: 717-234-6799 health promotion and disease preven- The Honor Society of Nursing, Sigma Fax: 717-234-6798 tion as activities where nurses make Theta Tau International concludes a E-mail: [email protected] strong contributions. Sound familiar global study of the role, future, and Internet: http://www.nacns.org to you from your practice? In fact, challenges facing the profession of

110 CLINICAL NURSE SPECIALIST® Among the findings of Arista3: other Arista conferences, the first of acquired bone marrow failure dis- which was held in 1987, following the eases, specifically aplastic anemia, • The nursing shortage is global US Department of Health and Human myelodysplastic syndromes, and although the causes of it are differ- Services release of the publication paroxysmal nocturnal hemoglobin- ent in different parts of the world. Fifth Report to the President and uria can apply for 2-year awards of • United States and — Congress on the Status of Health Per- $60,000 ($30,000 a year; with second aging of the nursing work force sonnel in the United States: Nursing, year pending progress in first year). • Africa and Near East—AIDS- March 1986. The deadline for receipt of the com- related deaths among nurses “We are proud of the Arista con- pleted application package is Novem- • Newly Independent States— ferences and the fact that we not only ber 30, 2004. Awards will be recruitment of nurses out of the represented, but also served, nurses by announced March 2005 for research region undertaking a global analysis of the to begin July 2005. role, future and challenges facing the • The challenges facing nursing in dif- profession,” said Dickenson-Hazard. ferent parts of the world are more “This is not something that we con- similar than different. sciously embarked upon back in 1987 New Researcher Award • There is a general consensus during our first Arista conference. Yet New investigators conducting among nurse-experts that the pre- with each step we took, the next research in acquired bone marrow ferred future for nursing involves became obvious and the need to take failure diseases, specifically aplastic a partnership with nurses, even if it overwhelming. We are happy, anemia, myelodysplastic syndromes, the profession must be restruc- pleased and humbled to be able to and paroxysmal nocturnal hemoglo- tured for this to occur. make this contribution.” binuria can apply for 2-year awards of • Similarly, care should be cultur- An executive summary of Arista3 $60,000 ($30,000 a year; with second ally appropriate, evidence-based, is available at no cost and the full year pending progress in first year). holistic, and humane. report is available for purchase at The deadline for receipt of the appli- • Care should be delivered to max- www.nursingsociety.org. cation package is November 30, imize the health of individuals, About the honor society: The Honor 2004. Awards will be announced families, and communities. Society of Nursing, Sigma Theta Tau March 2005 for research to begin July • Nurses should work to achieve International is a not-for-profit organi- 2005. equitable health outcomes across zation whose mission is to improve the Download applications and a lifetime. health of people worldwide through information at www.aamds.org/ leadership and scholarship in practice, grants.shtml. For questions, contact • There were a number of interesting education, and research. Founded in geographic and culture-related 800-747-2820 or baker@aamds. 1922, the Honor Society of Nursing org. findings. has inducted more than 345,000 mem- • In the Pacific Rim, nurses found bers. Members are active in more than they had to balance traditional 85 countries and include practicing eastern practices with more nurses, instructors, researchers, policy- Atlanta Area CNSs Got modern practices and research. makers, entrepreneurs, and others. The Their Group Back! • In , the focus was honor society’s 433 chapters are more on gender-related issues located at 512 institutions of higher Altanta Area CNS Group has reor- and inequality. education throughout the United ganized and membership is stronger • In many areas, the focus was on States, as well as in , than ever! After the “Revitalization” the brain drain as schools educated , , Canada, , meeting in June 2003, the group nurses only to have them leave the Korea, , the , decided to meet bimonthly (exclud- country to work elsewhere. , South Africa, Swaziland, ing summer months) at different • In more developed countries, the , and . More informa- locations across the metro Atlanta focus is on workforce issues and tion about the honor society can be area. Since then, membership has occupational hazards. found online at www.nursingsociety.org. grown and meeting attendance is steadily increasing. Meetings usually Arista3 is the third Arista confer- last 2 to 3 hours and include a pres- ence. The 5 sessions were held in The Aplastic Anemia & entation by a speaker or roundtable March of 2000 in Miami, Fla (cover- MDS International discussion regarding various CNS- ing the Americas-Caribbean); in May Foundation, Inc, related topics, lunch or dinner, and of 2001 in Hawaii (Pacific and South- Announces 2 Awards for lots of networking and information east); in February of 2002 in Dart- 2005 sharing. The Atlanta Area CNS ros- forth, England (a conference on ter has approximately 100 members Europe, immediately followed by a from various hospitals and practice conference on Africa and the Near settings, as well as CNS instructors East); and March of 2003 in Sorrento, Established Researcher Award and students. Italy (Southern Europe-Mediter- Investigators with established track Meetings are held bimonthly on ranean). The Arista3 series followed 2 records conducting research in the first Friday of the month. The

VOLUME 18 | NUMBER 3 111 next meeting will be held on May 7, • We anticipate that each reviewer General Information 2004 (time and location TBA). If you will look at approximately 10 have any questions about the Atlanta abstracts. Abstracts will be considered for both Area CNS Group or would like to be • We need a total of 50 reviewers concurrent session and poster presen- added to the roster, please contact to sign up by July 1, 2004. tations. Authors may submit abstracts one of the following facilitators: of completed work, work in progress, Response: Yes, I want to serve as Jackie Boyd, e-mail: JBYRD@ or work presented at local or regional an abstract reviewer for the 2005 gmh@edu, (404) 616-5213; Philidah meetings. Do not submit abstract con- NACNS Conference. Please send your Seda, e-mail: pseda@ rockdale.org, taining information that has been pub- name, address, e-mail address, tele- (770) 918-3686. Hope to see you in lished previously or presented to phone number, and content expertise May! national or international nursing audi- area(s) to Sue Davidson or NACNS ences. The primary author is responsi- office by FAX (717) 234-6798, by ble for obtaining consent from all New Marketing Ideas! mail to NACNS, 2090 Linglestown authors and any employer clearances Rd, Ste 107, Harrisburg, PA 17110, before submitting the abstract. or via e-mail on the NACNS Web site Paper presentations will be made in Unveiled at the March 2004 annual at www.nacns.org. concurrent session formats and will be meeting were 2 new products for all 55 minutes in length. Authors of clinical nurse specialists: accepted abstracts must be available to CNS lapel pins: Stand out in a Call for Abstracts present for the designated period dur- crowd; identify yourself as a CNS; ing the conference and are responsible buy a lapel pin to wear on your cloth- for paying their own conference ing; put on a tote bag or purse; use as NACNS 2005 Annual Conference expenses. For abstracts with multiple a gift for your collegues; give as a CNS Leadership: Navigating the authors, the authors must decide on prize at your local meetings. Call the Health Care Environment the presenter. Poster presentations will national office at (717) 234-6799 or Toward Excellence by be table top posters. Abstracts from see the Web site for more details. Advancing Nursing Practice students are invited for poster presen- New and revised 2nd Edition of the March 9–12, 2005 tations. Abstracts may focus on the Statement on Clinical Nurse Specialist conference theme or scholarly inquiries Practice and Education. New and The Rosen Plaza Hotel Orlando, Fla into evidence-based practice, clinical updated. Look for full-page ad in improvement projects, or outcomes the journal or look to our Web CNSs practice nursing at an related to enhancement of the CNS’s site (www.nacns.org) for more details advanced level. The outcomes of CNS practice or role. During the poster of how to order your own copy. practice contribute to quality, cost- sessions, at least one author must be $25.00 for members and $45.00 for effective outcomes for clients and available to dialogue with participants. nonmembers. advance the practice of nursing within Presenters are expected to register nursing’s autonomous legal scope of for the day of their presentation and Call for Abstract practice. This conference will focus on pay all expenses associated with the Reviewers for 2005 the outcomes and competencies of presentation. NACNS Conference CNS practice for clients, nurses, Abstracts should be submitted via nursing practice, and health care sys- mail or e-mail to NACNS, 2090 tems. The conferences will highlight Linglestown Rd, Ste 107, Harrisburg, Please consider serving as an abstract new strategies to change organiza- PA 17110. Phone (717) 234-6799. reviewer for the 2005 NACNS tional culture, uncover system com- E-mail: [email protected]. Deadline for conference. plexity, identify resiliency in nurses submission of abstracts is Monday, • Abstracts will be received from and other health personnel, and July 12, 2004. Deadline for submis- mid-July through the beginning bridge gaps so that quality outcomes sion of abstracts for student posters is of August 2004. are achieved. January 14, 2005.

112 CLINICAL NURSE SPECIALIST®