May 2014 Happy Nurses Week from MNORN!

As we celebrate Nurses Week - and the birthday of Florence Nightingale - it is a good time to remember that nursing is a “team sport.” If Nightingale had gone to Crimea alone, no one would remember her. Because of the 38 nurses she brought with her, she was able to really help the sick and wounded soldiers. While Nightingale’s name is famous, how many can name the 14 Anglican sisters, the 10 Roman Catholic nuns, and the 14 “civilians” who had previous hospital experience? This week, as we celebrate Nurses Week, let is remember the name of at least a few of the nurses who served along side of Florence Nightingale. Let us remember: • Rebecca Lawfield • Eliza Roberts • Mary Clare Moore • Mary Stanislaus Jones • Mary Gonzaga One nurse can accomplish a lot - but a team of nurses can accomplish so much more! 1 May 2014 Please plan to attend the June 5th MNORN Member Meeting Time: 6 PM - 8:30 PM

Location: Carondelet Center, St Paul

In preparation for the 2014 ANA Membership Assembly, we will be discussing the following Dialogue Forum Topics.

These include:

1. Scope of Practice - Full practice authority for all RNs will address barriers to full practice at all levels of nursing (registered nurses and advanced practice registered nurses)

2. Integration of Palliative Care into Health Care Delivery Systems - Removing barriers and improving access will address needed reforms in hospice and palliative care reimbursement. Will also discuss the need for academic coursework and continuing education for nurses on this aspect of care.

3. High-performing Interprofessional Teams - will explore the emerging science of high-performing teams and evidence -based models of interprofessional education and patient-centered care.

Message from the MNORN Nominating Committee YOU are encouraged to run for office to join the MNORN Leadership This is an opportunity to shape the direction of MNORN and to be part of a dynamic organization that gives voice to the nursing profession in . MNORN Board Positions will include:….. • President Elections will be • 2nd Vice President held this Fall, with • Secretary terms starting in • 2 Directors We will also be electing two members to the 2015 Nominating Committee 2 May 2014

Names submitted for the ANA Membership Assembly ! ! Nightingale Tribute! ! ! Roberta Barclay - Roberta was a registered nurse who worked at HCMC in Senior Care. She actually died several years ago, but is being remembered now because she was so important in the life of the nurse who submitted her name. She said, “Roberta handled anticoagulation concerns and we called her the "Coumadin Queen". She took new hires (like myself) under her wing and made !us the best that we could be.” ! Virginia M. ‘Scotty’ Scattarelli - ‘Scotty’ received her diploma in nursing from St Catherine University. She was a WWII Cadet Nurse. She worked for 20 years in the nurse float pool at Abbott Northwestern. It was always a delight to be !working along side ‘Scotty.’

Bernice (‘Bee’) Dickson - She was the first Head Nurse of the Surgical ICU at the Hospital and Clinic when it opened in 1958 in response to the increasing number of patients undergoing open heart surgery. She continued as Head Nurse from 1958 until 1984, after which she returned to bedside nursing on the same unit for the duration of her work career. She is remembered fondly by friends and coworkers, and represented the !commitment to nursing and patient care that was described by Nightingale. ! Adeline Keller - Adeline was an RN in Mankato who died recently at the age of 98. She was described as “a kind nurse who supported young nurses and students.” She attended nursing program in Faribault, Minnesota with a RN Degree. She worked in the area from 1939 to 1944, then at Immanuel - St. Joseph Hospital from 1944 until she retired in 1980.

Therese Daniel - Therese was the last executive director of Third District Nurses. An entrepreneur, she created a suite of services that were attractive and helpful to members and nurses throughout the country. After she passed away from a form of sarcoma, the Third District Nurses and the Daniel's family established the Reign in Sarcoma Therese Daniel's Fund. To contribute, chose Therese Daniel !Fund from the drop down menu on the RIS donation page.

3 May 2014

MNORN member Joanne Disch has written this month’s editorial in the AJN - a timely piece for Nurses Week… Nothing provides greater pleasure than getting together with friends and coworkers who share our values, views, and love of nursing. It's heartening to hear “I know exactly what you mean!” and “Isn't that just the truth!” But sometimes exposing ourselves to people who don't share our values, or don't think like we do, or don't particularly appreciate our profession can be powerful. New insights can be gained. Tremendous growth can occur. Just as really hearing a patient's story can be the key to creating a therapeutic relationship, so too can spending time with a colleague with whom you strongly disagree. Learning that person's story may help foster a collegial relationship that becomes extraordinarily meaningful. I had that experience several years ago, as I began a new position as chief nursing officer at a large Midwestern medical center. One afternoon I visited the office of another member of the senior leadership team to introduce myself. As I waited for him to arrive, I noticed that his computer had a screen saver showing the word “nurse” with a slash through it. When I asked him about this, he said it was just a joke. Over time, though, it became clear that he seemed to have a profound reaction to nurses. For example, he regularly failed to show up for scheduled meetings with me and other nursing staff. I was puzzled and, as he continued to act dismissively toward me, I became intrigued. He hardly knew me. What was behind this behavior? So I launched a campaign to learn his story. I'd like to say that it took one lunch conversation; actually it took almost a year of great effort. I continued to schedule periodic meetings with him to discuss issues of mutual concern and, if he didn't show, I followed up. Although the operating room nurses reported to him, the majority of the nursing staff reported to me; so, when memos to the nursing staff were needed, I invited him to co-create and cosign them with me. I continued to speak respectfully of him in meetings with my staff, even when members of his staff told me he wasn't doing the same. Some members of the nursing leadership team told me to write him off: “He's never going to change!” But finding a way to connect had become a challenge. Periodically, I caught a glimmer of something—a shared sense of humor, a similar viewpoint—that gave me hope. The turning point

4 May 2014 came during a meeting with community leaders. I introduced myself as a member of the senior administrative team, rather than as the director of nursing, thus emphasizing the commonality in our roles and responsibilities. I then used this opening to learn more about him and his background, and he began to share his story. In time I came to understand the life experiences he'd had, the situations in which nurses had indeed been disrespectful, and his interpretation of my behavior. Eventually he became my closest colleague.

What did I learn? First, everyone has a story. Second, external behavior doesn't always match internal thoughts. People are often unaware of how they project their feelings. Third, taking the time to understand another person is almost always worth the effort. It can provide insight into one's own behavior—and this was the most powerful lesson for me. Now when someone evokes a strong negative reaction, I ask myself several questions: What is it about this person that irritates me? What does this say about me? What might I have done to contribute to the situation? (In this case, I had at first inadvertently conveyed that I considered myself a nurse first and foremost, and not a member of senior leadership; not true, but I could see how that impression was given.) And always, What can I learn from this situation? I also remind myself that while I don't have to agree with other points of view, it's important that I understand them. And while my feelings toward the person may not change, I might understand her or him better—and myself.

As we celebrate Nurses Week, I suggest we each take the time to * thank a colleague for help with a challenging task. * acknowledge a colleague's skill in a difficult patient situation. * praise a novice nurse for something done well. * send a note to a supervisor about something handled well. And perhaps most important, invite a colleague you disagree with to lunch—or at least to coffee. © 2014 Lippincott Williams & Wilkins. All rights reserved.

5 May 2014

! Free National Nurses Week 2014 Webinar! ! Transforming Health Care Through Nursing Leadership! Wednesday, May 7, 2014 - Noon CDT

Health care is constantly changing and evolving. Today, more than ever, nurses are stepping out of their comfort zones and becoming active contributors and innovators in the health care system. ANA’s Nurses Week webinar explores and discusses both the professional and personal attributes that characterize the creativity and innovation needed to lead the way in transforming the changing state of health care. The presentation will provide important information that contemporary clinical leaders need to deliver exceptional care in today's changing environments. - Learn how you can use five essential leadership characteristics to be a success in your professional pursuits

- Explore how to incorporate four critical attributes needed to lead care innovation

- Discover three important personal leadership skills vital for clinical leaders

Transforming Health Care Through Nursing Leadership! provides 1.0 contact hour. Learn more. ! Presenters! !

Tim Porter-O'Grady, DM, EdD, APRN, FAAN, FACCWS Senior partner, Tim Porter-O'Grady Associates Inc.; clinical professor and leadership scholar, The Ohio State University College of Nursing !

Bernadette Melnyk, PhD, RN, CPNP/PMHNP, FNAP, FAAN Associate vice president for health promotion and university chief wellness officer, The Ohio State University; dean, The Ohio State University College of Nursing ! !

For more information, go to http://nursingworld.org/nnw

6 May 2014

After contacting Blue Plate to remind them know that not all nurses wear scrubs or have badges, we got the following email: ! We'll accommodate a nurse with any reasonable ID for this promotion - we just figured a badge or uniform was the easiest. Hopefully we'll see you next Tuesday. ! Liked the email! And, Kathi Koehn, for one, will be celebrating Nurses Week at the Longfellow Grill next Tuesday evening! Hope to see you there, if you’re in the neighborhood!

7 May 2014

Next month, at the ANA Membership Assembly, Pearl McIver will be inducted to the ANA Hall of Fame. While she is best known as a Public Health Nurse, an ANA President, and the executive director of the AJN, she began her nursing career as a student nurse at the University of Minnesota School of Nursing. Here is her account of taking care of pediatric patients during the 1918 influenza epidemic at the University - a story she did not tell until 1958…. Pearl McIver, in her own words…. For several months during the fall of 1918 the University of Minnesota Hospital was open only to patients with influenza. The hospital was full to overflowing. Nurses and medical personnel were limited because of the war demands. The major course of medical and nursing care was student nurses and medical interns. The University of Minnesota School of Nursing was one of the few nursing schools of that day which required only eight hours of student practice per day. However, during the flu epidemic all personnel worked at least ten hours and often longer each day. Night duty was particularly strenuous. My night experiences during that period were extremely arduous and those days were vividly stamped on my memory. For about six weeks I was the only 9:00 p.m. to 7:00 a.m. nurse in pediatrics. In a ward on the top floor of the hospital, which normally housed fifteen or twenty patients, there were about 30 children varying in age from 2 to 10 years. All were desperately sick, many had been picked up by policemen from homes where the parents were found dead or in a dying condition from influenza. Often the sick and frightened children were bundled up and taken to the University Hospital in “paddy wagons.” Rules of the hospital required all personnel (doctors, nurses and maids) to wear masks, close fitting caps and white gowns supposedly to prevent the staff from contracting influenza. (It didn’t work!) Imagine the terror of those children to find themselves in a strange environment among a bunch of ghosts! When I reported for duty the first night at 9:00 p.m., the exhausted day staff was still on duty. All thirty children were standing in their cribs screaming their hearts out! The day staff felt they could not leave me (a junior student) alone with the ward in such bedlam! However, I had an idea (which I didn’t dare to express) so I begged them all to go off duty and leave me alone. As soon as the last nurse had left, I pulled off my mask and cap so I would look more like a human being. Then one by one I wrapped each child in his own blanket and rocked him in the old white rocking chair which was always in the pediatric ward. (What it was there for, I can’t tell you because “picking up” any child was strictly against pediatric regulations.) The exhausted children responded so well to seeing a person who looked like an ordinary person and who gave them a little cuddling, that each fell into a relaxed sleep within a few minutes. By midnight the children were all asleep. Then as they awakened, I again picked each child up and “forced fluids” which was the most important item in the treatment regimen. Four nights later as I was in the midst of the “rocking episode” the pediatric intern walked in! He looked horrified and said: “What on earth are you doing?” I was sure that my days as a student nurse were limited at that point, so I replied indignantly: “These children are scared stiff and I’m merely trying to make them feel comfortable and at home.” With that he replied: “Have you a second rocking chair?” Needless to say, he came up about ten o’clock every night for the following

8 May 2014 weeks. There was only one complication! We had to record the fluid intake for every child and the children took so much more liquid at night than they did during the day that some eyebrows were raised as to whether I was “padding” the record. But neither the intern nor I ever told a soul about our night routine in pediatrics. Thirty years later I met a pediatrician who looked strangely familiar. He was the former intern who had helped “rock the babies.” His remark was: “The only trouble was that you and I were twenty years ahead of the times!” July 9, 1958 (This story was transcribed from a mimeographed copy found on the University of Minnesota School of Nursing website) In observance of Nurses Week 2014, please join the Office of the Naonal Coordinator for Health IT for a webinar entled: “Ten Ways to Maximize Use of Technology: For You and Your Paents.” Tuesday, May 6th , !-2 pm CDT Technology in healthcare has become pervasive. Nurses in every type of healthcare seng are interacng with mulple modes of health IT as they care for their paents. This can be inmidang considering the rapid pace at which advances in technology connue to evolve.

Join us for this Live webinar that will: • Provide praccal ps to advance your IT skills • Increase your Health IT knowledge so that you can take advantage of Health IT potenal to improve care delivery.

Register Here

Featured Speaker: Patricia Sengstak, DNP, RN-BC, CPHIMS

Patricia Sengstack is the Chief Nursing Informacs Officer at Bon Secours Health System and President of the American Nursing Informacs Associaon (ANIA). Contact Fadesola A. Adetosoye, M.S. Public Affairs Manager, with quesons: HHS, Office of the Naonal Coordinator for Health IT| Pung the "I" in Health IT Phone: 202-260-0044 | Fax: 202-205-9467 | Mobile: 202-870-2469

9 May 2014

WAYS OF KNOWING™ DIALOGUES Transformative Thinking and Connecting

WEDNESDAY, JUNE 25, 2014 The Y Heritage Park

Marie Manthey and Bill Manahan welcome you to this exciting day of dialog with three recently published thought leaders in this community - Teddie Potter, Mary Koloroutis, and Mary Jo Kreitzer.

These authors synergistically describe future dimensions of being, thinking and connecting in healthcare and healing. The format of the day is a 20 minute Ted Talk style presentation followed by 20 minutes of table talk and 20 minute plenary sharing. Please register by June 11, 2014. WHEN: Wednesday, June 25, 2014 TIME: 8:30 am – 3:30 pm COST: $75 (Includes Continental Breakfast and Lunch) LOCATION: The Y Heritage Park 1015 4th Avenue North Minneapolis, MN 55405 (612) 821.2193 REGISTER: z.umn.edu/knowing

INTEGRATIVE

ancer touches nearly every one of us in some way. We all have a family member, work associate, Cor friend who has battled the disease. OXFORD UNIVERSITY PRESS PRESENTS THE Modern medicine has made incredible strides in the last WEIL INTEGRATIVE MEDICINE LIBRARY decades, developing more efective and less toxic therapies. INTEGRATIVE Yet people facing a new diagnosis of cancer are still unsettled by their prognosis and treatment options and often seek to integrate complementary modalities into ntegrative Medicine is defned as healing-oriented medicine that takes account of the whole person their conventional care plan, hoping to improve their DONALD I. ABRAMS, MD, a Professor of I(body, mind, and spirit) as well as all aspects of lifestyle; it emphasizes the therapeutic relationship chances of cure and decrease side efects. Many do so without informing their oncologist, for fear of alienating Clinical Medicine at the University of California, San and makes use of appropriate therapies, both conventional and alternative. Tis new series grows out of a NURSING them, or they are not convinced that their physician would Francisco, is the Director of Clinical Programs at the need to organize and make accessible to clinicians and the motivated “lay audience” the basic principles ONCOLOGY be informed about complementary therapies. Integrative UCSF Osher Center for Integrative Medicine and Chief of Oncology, the frst volume in the Weil Integrative Medicine Hematology-Oncology at San Francisco General Hospital. of Integrative Medicine in practical application to common health conditions. Each volume will focus Library from Oxford University Press, provides a wealth of Dr. Abrams is an active clinician, researcher, and educator, on a particular specialty and will feature well-recognized and authoritative editors and chapter authors. information for both practitioners and consumers on the and he serves as an ofcer in the Society for Integrative Te text is presented in an easy-to-read format featuring case histories, clinical pearls, side bars, and emerging feld of integrative oncology. An international Oncology and has served on Education Subcommittees of panel of experts has contributed up-to-date and extensively the American Society of Clinical Oncology. He has also useful tables, with all key information highlighted. referenced chapters on a wide spectrum of issues and chal- been a pioneer in HIV medicine. Te series editor is Andrew Weil, MD, Professor and Director of the Arizona Center for Integrative lenges, bound in one comprehensive, reader-friendly text in a format featuring key points, sidebars, tables, and a Medicine at the University of Arizona. Dr. Weil’s program was the frst such academic program in ANDREW WEIL, MD, is Lovell-Jones Professor two-color design for ease of use. It is destined to emerge as of Integrative Rheumatology, Clinical Professor of the U.S. and he is clearly the major name in integrative medicine, well known around the world. the defnitive resource in this emerging feld. Te text includes chapters reviewing diverse modali- Medicine, Professor of Public Health, and Director of the His program’s stated goal is “to combine the best ideas and practices of conventional and alternative Arizona Center for Integrative Medicine at the University ties used in integrative oncology—from nutrition to prayer, medicine intocost efective treatments without embracing alternative practices uncritically.” Each of Arizona. Widely regarded as the leading authority on exercise to acupuncture, meditation to massage. Many of the field’s controversies are discussed, including the Integrative Medicine in the United States, he has written volume in the series will be edited by a major name in that specialty. Upcoming volumes will include potential for botanicals to interact with chemotherapy, many scientifc and popular articles. He is also a best- Oncology; Psychiatry; Rheumatology, Asthma, and Immunology, Pediatrics; Women’s Health; S M A R B A D L A N O D AND the use of antioxidants during therapy, and the role of mari- selling author and editorial director of DrWeil.com, an Neurology; Gastroenterology; Emergency Medicine; and Men’s Health. juana in cancer care. An extensive chapter cautions against online resource for healthy living based on an integrative using unproven interventions as alternatives to conventional medicine philosophy. His books include Spontaneous ANDREW WEIL care, while another reviews the evidence supporting the Healing, 8 Weeks to Optimum Health, Eating Well for integration of botanicals and medicinal mushrooms in the Optimum Health, Te Healthy Kitchen, and Healthy Aging. anti-cancer armamentarium. Four chapters highlight inter- MARY JO KREITZER national systems of care ofen sought by patients but less jacket design: familiar to the U.S. practitioner—Traditional Chinese Jarrod Taylor Medicine, Ayurveda, Homeopathy, and Anthroposophic cover photos: Medicine. A concluding chapter from a patient who © Fancy | Veer | Corbis AND MARY KOITHAN © MM Productions | Corbis incorporated complementary therapies with conventional © Studio Eye | Corbis care reinforces the potential for integrative oncology to return a sense of control back to those on the front line of the battle against cancer.

WEIL INTEGRATIVE MEDICINE LIBRARY

csh.umn.edu 10 May 2014

The American Nurses Advocacy Instute is an annual program designed to help nurses gain polical competence. Since its launch, 108 nurses from 36 states have parcipated. You must be endorsed by your state nurses associaon in order to parcipate. Class size is limited to 24 per year.

What is expected of each ANAI endorsed candidate? • Aendance at the face-to-face sessions held in Washington DC. (beginning at 5:30 PM on Sunday, October 5th and concluding mid-aernoon on Tuesday, October 7th) • Parcipaon in conference calls held every other month. (mulple one-hour calls are scheduled to accommodate varying work schedules and me zones) Topics include: conducng a polical environmental scan; bill analysis; preparing and delivering tesmony; coalion building; and value of a PAC. • In collaboraon with your state nurses associaon, selecon of a policy issue and associated legislave / regulatory acvies that you will work on during the year • Reporng of acvies to the state and ANA mentors.

What are the associated expenses? (*) • The nurse candidate is responsible for transportation and any uncovered meals and incidentals. All but one meal is covered while in DC. ANA covers all other meals and hotel accommodations for two nights.

• The registration fee is $ 500. Payment method must be identified at the time of registration: credit card, check or money order.

(*) scholarship funds will be available through the ANF. Limited and subject to a match by the state or individual. More to follow…….

Contact Hours are awarded at the conclusion of the program. (2015)

Contact Kathi Koehn ([email protected] or 651-271-5863) for questions or consideration for this year’s class.

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