November 2015 Newsletter

MNORN Newsletter November 2015 ELECTION DAY, NOVEMBER 3RD, IS OVER, New Book by BUT THERE IS STILL TIME TO VOTE IN THE Beatrice MNORN ELECTION! Kalisch Published by ANA Built on 10 years of extensive research, Errors of If you haven’t voted in the MNORN election yet, ﬁnd your email Omission: How Missed Nursing Care Imperils Patients offers an in-depth from Election-America that has all the information you need to review of the correlation cast your ballot. between missed nursing care —standard, required nursing Voting will not take you long. Besides electing MNORN leaders, care that is left undone—and you will have the opportunity to tell us what topics you think adverse outcomes in both patient care and nurse staff ANA should be discussing next summer at the 2016 Membership retention. Assembly. We look forward to seeing what you think! Errors of Omission provides Please take a moment to vote! guidance to help better understand the repercussions (If you didn’t get an email from Election-America, please contact of missed nursing care. It Kathi Koehn at [email protected]) unveils key strategies to help you avoid making future errors of omission. • Key areas of missed nursing care • Consequences of not providing care • Methods of studying missed care • The role of leadership and management in addressing missed nursing care This is a must-have book for all nurses. Staff nurses and managers will find this book extremely valuable for their work in providing the highest standards of safe and quality care. !1 MNORN Newsletter November 2015 Save The Date for the Next MNORN Member Meeting The Next MNORN Member Meeting will be held Tuesday, December 15th at 6PM at the Carondelet Center in Saint Paul. Topic: an Update on What is Being Done To Advance Health Equity in Minnesota. Our speaker will be ThaoMee Xiong JD, MPH. ThaoMee is the director of the Center for Health Equity at the MN Department of Health. She previously held the position of policy director with the Minnesota Housing Partnership. She has experience in professional legal advocacy and public policy on issues related to poverty, immigration, refugee resettlement, domestic violence, housing, and civic engagement. The format of our member meetings will allow ThaoMee the chance to talk about what is currently being done on the issue of health equity in MN and for her to hear from our members about what nurses are doing, and could be doing, about this very important issue. What is Health? From WHO 1948 and Ottawa Charter for Health 1986 “Health is a state of complete physical, mental and social well-being and not merely the absence of disease or inﬁrmity. Health is a resource for everyday life, not the objective of living.” !2 MNORN Newsletter November 2015 Marie Manthey remarks upon receiving the Academy’s Living Legend Designation last month. 75 years ago a nurse named Florence Marie Fisher colored in a little girl’s coloring book. The little girl was scared…worried she wouldn’t see her family again; she was confused and she felt abandoned. I was that little girl, and Florence Marie Fisher’s act of caring has been a constant source of a focused energy that has driven my every accomplishment—big or small— for my entire professional life. 35 years later I was in charge of a nursing unit management improvement project on a medical unit at the University of Minnesota Hospital that resulted in the creation of Primary Nursing. Even though I wrote the book on Primary Nursing, I can’t take credit for creating it. Primary Nursing was the result of staff nurses being permitted to design a care delivery system that was congruent with their values and education. It was a care delivery system that took power away from a faceless bureaucracy that could never really know or care adequately for patients and their families and gave it to the staff nurse at the bedside who could. This was a time of great learning for me. It was then that the necessity for a culture built on each caregiver’s acceptance of “Responsibility + Authority + Accountability” became clear to me in both meaning and in universality. I learned how important it is for these elements to be clear and to be commensurate and how they apply to literally everything….from organizational structures of both hospitals and academia, and even more importantly, how they apply to the lives of all of us. I learned that in order to experience legitimate authority, one has to accept responsibly….and that in doing this, an individual is empowered and can leave victim thinking behind forever. Consciousness of choice can permanently replace victim thinking… As my life evolved, I began to have a problem with substance abuse that led to addiction and loss of a job I loved …and was quite good at. Most of the work for which I am being recognized today took place while I’ve been in recovery from alcoholism. Today I am grateful to have my health and to be able to stand in my profession with the capacity to reflect fully on the past and to look thoughtfully into the future. They say, “Where you stand determines what you see.” I am so grateful to be here today, seeing all of you, and still being in love with the profession Florence Marie Fisher invited me to join—through nothing more than her highly attuned care of me as a person—when I was five years old. !3 MNORN Newsletter November 2015 The American Nurses Association Advocacy Institute Experience 2015 - by ANAI fellow, Heidi Orstad Imagine twenty-five nurses from across the country in one hotel in Washington DC representing their state’s nurses’ association: California, North Dakota, Maine, Minnesota, North Carolina, Nebraska, Arizona, New York, Missouri, Tennessee, New Mexico and more. One might think that the nurses called to this year-long Fellowship would come from fields of nursing steeped in policy. In fact, the career paths held by the nurses in the room proved to be as varied as the states represented. Present was a DNP Nursing Professor from Vanderbilt, a nurse attorney from Seattle, an ICU nurse from St. Louis, a long term care nurse from Nebraska, a geriatric NP and Nurse Midwife from North Carolina, an OR nurse manager from Arizona, a pediatric CNS from Michigan, a leader of care coordination for a health plan in MN, a FNP from Wyoming, and a hospice founder from New Mexico…. the list could go on and on. What is the ANAI? The American Nurses Association explains “the American Nurses Advocacy Institute (ANAI) is designed to develop nurse's political competence, thereby expanding nursing policy leaders and grassroots capacity for the profession and health care. Endorsed by a state nurses association (SNA), each ANAI Fellow will provide counsel to the SNA in establishing legislative & regulatory priorities with recommended strategies to achieve, as well as contribute, to execution of actions to advance policy. Fellows will also serve as mentors to other SNA members. The year– long mentored program begins with the face-to-face sessions in Washington, DC and is supplemented with routinely scheduled conference calls, emails, and provision of support materials. Subjects such as bill analysis and preparing for and delivering testimony are examples of topics covered during calls. Each participant is asked to identify goals or a project they intend to address for their sponsoring SNA over the course of the months following the sessions in DC. ANA staff and volunteer mentors facilitate delivery of the DC program as wells as provide project support throughout the year.”(1) The first night together as Fellows, solidarity grew. The nurses sought to understand how to represent the needs of their state association: “How do we understand the positions held by the ANA?”…”How do we understand the related bills before Congress? “…”How do we know how to articulate to our legislators effectively on !4 MNORN Newsletter November 2015 The American Nurses Association Advocacy Institute Experience 2015 (cont.) behalf of our state association? “…”What do we say?... What do we NOT say?... And to Whom?” The Senior Associate Director of State Government Affairs for ANA and ANAI leader Janet Haebler, MSN, RN effectively anticipated these important questions and many more over the course of the three-day Advocacy Institute. She also introduced three influential nurse leaders to the Fellows: Minnesota House Representative Erin Murphy, RN, Mary Behrens, RN, MS, FNP-BC former Wyoming Legislator, and Dr. Irene Trowell- Harris, RN, Ed.D. Major General USAF, Retired, the former Director of the Department of Veterans Affairs Center for Women Veterans. These political leaders spoke about their paths in nursing and what lead them towards political leadership and public policy. They also helped the Fellows to understand the ebb and flow of the political process. The next day, the ANAI leaders introduced experts in Public Relations to demonstrate how the Fellows could effectively present messages to political leaders and the media. The Fellows then met with ANA lobbyist, Michelle Artz, to better understand the two bills the ANA is actively seeking co-sponsorship for in the US Senate. After the lobbyist presentation, the Fellows gathered into teams to prepare for the “Day on the Hill”. After an evening of fellowship, sight seeing, and dinner on the town, the ANAI teams woke early to walk to the Capitol where groups of 4-5 Fellows met with Senate teams from each state represented. Each nurse proposed the bills up for consideration and asked for the support of the Senator from their state, articulating why the bill made sense for the state’s citizens.

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