SUMMER 2019 What Nurses Know About OPIOIDS THE FUTURE PROBLEM SOLVER • AN ATHLETE ADVANTAGE • ARE FITBITS THE ANSWER TO NURSE FATIGUE? ForwardNursing Volume 5, Issue 1 Summer 2019 EDITORIAL STAFF Jennifer Garrett, editor Alexander André Caitlin Clark PHOTOGRAPHY Alexander André, School of Nursing; UWSMPH Media Solutions; Jeff Miller/ University of Wisconsin–Madison. Uncredited photos are either stock or supplied photography. DESIGN UWSMPH Media Solutions SCHOOL OF NURSING ADMINISTRATION Linda D. Scott, Dean Susan Zahner, Associate Dean for Faculty Affairs Dan Willis, Associate Dean for Academic Affairs Barbara J. Bowers, Associate Dean for Research and Sponsored Programs Dundee McNair, Associate Dean for Administrative Affairs Karen Mittelstadt, Assistant Dean for Academic Affairs Kevin Check, Assistant Dean for Institutional Affairs NURSES ALUMNI ORGANIZATION Madeleine Wentzel, President 701 Highland Avenue Madison, WI 53705 [email protected] PROSPECTIVE STUDENTS Office of Academic Affairs 1100 Signe Skott Cooper Hall 701 Highland Avenue Madison, WI 53705 (608) 263-5202 [email protected] SUPPORT THE SCHOOL OF NURSING Norah Bushman Associate Director of Development Wisconsin Foundation & Alumni Association 1848 University Avenue Madison, WI 53726 (608) 630-5612 [email protected] www.supportuw.org CONTACT FORWARDNURSING ForwardNursing Editorial Staff 5181 Signe Skott Cooper Hall 701 Highland Avenue Madison, WI 53705 [email protected] Cover photography, inside front cover, back First-year BSN students recite the nurses oath at the annual white coat ceremony in September. cover: Alexander André/School of Nursing Growth Needed to Meet Demand for Nursing Education and Care One critical aspect of preparing for the future of care is addressing the shortage of nurses educated to provide healthcare in and beyond our state. Though we proudly develop nurses as leaders for the profession and society, there remains a daunting challenge: Wisconsin will need Bryce Richter/UW-Madison far more nurses than we can educate at our current size. The shortage of registered nurses is expected to widen in the coming decades. Wisconsin Dean Linda D. Scott nursing workforce projections from 2016 predict that the state nursing shortage will grow to 27,700 by 2040. At the same time, there is an abundance of qualified, passionate students who want to change lives as Badger Nurses. Each year we receive approximately 450 applications for the Traditional BSN (TBSN) program, which has the capacity to admit only 160 students. Similarly, the one-year Accelerated BSN (ABSN) program, launched with an inaugural cohort of 32 students in May 2018, receives three times more qualified applicants than we can serve. The convergence of Wisconsin’s critical need for nurses with the recurrence of unmet student demand for our programs makes clear that we must build capacity to enroll more students in the School of Nursing. I am proud that despite complex and costly growth constraints we have innovated to serve more students. But at our current size, we still have to decline too many qualified prospective nurses. Our limited capacity is a barrier for students who want to improve health through research, education and practice; and it limits our ability to improve the health of our state by meeting more of the need for nursing care. We have to find a solution. Building capacity to educate more nurses is not feasible without additional base resources. We are working closely with leaders on campus to secure the state funding necessary to increase our enrollment in the TBSN program by 25%. This is in addition to the planned expansion of our ABSN program, which will add eight students to the cohort size each year, reaching its maximum capacity of 64 students by 2023. If we are successful in securing funds for growth, we will make strides in meeting the healthcare and educational needs of our state. I am steadfast in my commitment to both. Sincerely, Linda D. Scott Dean and Professor At the University of Wisconsin–Madison, University of Wisconsin–Madison School of Nursing nurses lead. They lead to the future of health CONTENTS and healthcare, for Wisconsin and the world. WHAT NURSES AN ATHLETE FEATURES KNOW ABOUT ADVANTAGE OPIOIDS Support structures for Nurses are key to solutions student athletes may help IN THIS ISSUE to manage the impact of promote mental health for all students Dean's Corner addiction on individuals and 1 4 health systems 12 2 Nursing News Now THE FUTURE ARE FITBITS 9 In Practice PROBLEM THE ANSWER TO 18 Scenes SOLVER NURSE FATIGUE? Recent PhD graduate looks Wearables and other tools 20 Alumni News to public health to make an tell us how workplace 23 Achievements impact demands affect nurses 10 14 UNIVERSITY OF WISCONSIN–MADISON SCHOOL OF NURSING www.nursing.wisc.edu 1 NURSING News NOW Focus on Native Health The School of Nursing continues its commitment to Communities as Cornerstones Native American health with a new collaboration with of Public Health the School of Human Ecology and Nelson Institute for The United States Deputy Surgeon General, Rear Environmental Studies. Together, the three campus Admiral Sylvia Trent-Adams, visited the School units are recruiting to assemble an interdisciplinary of Nursing last fall to deliver the 19th Littlefield research team to work closely with Wisconsin Native Leadership Lecture, an annual speaking event that Nations to address tribal health, environmental and brings in a renowned nurse leader to share experiences social challenges. The three new faculty members will and ideas to educate and inspire the Madison-area collaborate closely with tribal communities and Native The free summit focused on educating nurses about nursing community. organizations to identify needs and determine priorities culturally responsive and trauma-informed care while advancing science. within Native communities. “There is evidence Trent-Adams’ talk framed public health as community health and called for authentic interaction with the The new positions are part of the campus-wide cluster that many Native communities struggle with the people that health policies and programs serve and hire program. Launched in 1998 as a partnership long-term effects of historical trauma,” says Audrey support. That means going where they are, listening between the university, state and the Wisconsin Tluczek, School of Nursing professor and conference and learning about their needs and challenges. Alumni Research Foundation, the cluster hire initiative coordinator. “Health professionals within those Native provides departments with seed money for building communities have taken the lead in developing Her remarks reflected her commitment to nursing’s faculty teams to address critical issues that span approaches to care that address community needs and holistic approach that looks beyond symptoms to multiple disciplines. are aligned with traditional tribal values and practices.” how individuals and their families live with illness and work toward improved health. She also called This Native American environment, health and The event also included information about pathways for a prioritization of health promotion, a culture of community faculty team evolved from a 2014 campus to the profession for middle and high school students, advocacy for health and healthy lifestyles rather than meeting where Wisconsin Native Nations and UW system career advancement opportunities within nursing, a culture that responds to disease and disorders as leaders met to discuss ongoing relationships, community and continuing education for registered nurses and they occur. concerns and opportunities for future collaboration. That advanced practice nurses. meeting led to the development of the Native Nations Mel Freitag, School of Nursing diversity officer, says “We don’t have a healthcare system. We have a sick UW Working Group and a strategic plan calling for this increasing the ranks of Native nurses is a priority care system,” Trent-Adams says. “I would like to see kind of interdisciplinary research team. for the school and the state. “We hear from Native us move in the direction of health. How do we keep “The School of Nursing is committed to contributing to communities that they want to better understand the people from getting sick in the first place?” various ways into and career paths within nursing— efforts to reduce health disparities experienced across That involves addressing social determinants of beginning with middle and high school students who society. Native American communities, in particular, health—things like housing instability, food and are starting to contemplate careers—so that is a big experience high incidences of many chronic conditions, employment insecurity, access to transportation, facet of the summit,” she says. “We also know that such as diabetes and depression,” says Dr. Linda D. and insurance—on a community level. Trent-Adams Native nurses want to play a more meaningful role Scott, School of Nursing dean and professor. “Nursing argued that we are more successful when we focus on in their healthcare systems, so we are incorporating science can lead to improved community health and health in the community rather than in the clinic. wellbeing, and collaboration across disciplines will learning opportunities to promote empowerment and lead to more sustainable and culturally appropriate leadership among Native nurses.” As Deputy Surgeon General, RADM Trent-Adams advises solutions that factor in environmental