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Volume 28 Number 1 JANUARY/FEBRUARY 2006 Inside FEATURES Page 3 The Nursing School Dilemma Qualified students are being turned away from nursing schools because of faculty shortage. Page 8 Update on Avian Influenza Pandemic Threat The risk of pandemic influenza is serious. Discover the latest steps that are being taken to help prevent a a worldwide influenza outbreak. Page 14 The Nurse Response Team: Carole Farley-Toombs, MS, RN, CNS University of Arizona, the American A Success Story Psychiatric Nurses Association (APNA) was In response to a recommendation The potential for violence in work set- from the Ontario Provincial tings is a significant issue. A careful assess- approached in 2004 to present a faculty government, one Canadian health ment of the potential risks is necessary for workshop at the National Student Nurses’ care facility transformed one of its the development of policies and strategies Association Annual Convention in Phoenix. campuses into an ambulatory care to promote prevention, early identification, The workshop was titled, “When Things center. Get Tense: Response vs. Reaction.” This arti- and effective intervention. Historically, the NEWS promotion and maintenance of safe work- cle reflects the content of that presentation. ing and care environments has been a cen- The OSHA General Duty Clause, Section Page 4-5 Ttral goal in Psychiatric Mental Health 5 (a, 1), states that “each employer shall AAACN 2006 Nursing practice. Review of the Psychiatric furnish to each of his employees employ- Annual Conference Mental Health Nursing literature on this ment, and a place of employment which is Make plans now to attend! topic reveals a focus on prevention and free from recognized hazards that are caus- Page 7 early intervention through attention to ing or likely to cause death or serious physi- Two AAACN Members environmental factors including clarity of cal harm. This includes the prevention and Appointed to JCAHO roles and expectations, education and control of the hazard of workplace vio- Committee training, and teamwork. After the tragic lence.” OSHA defines workplace violence as Congratulations to these two murder of three nursing faculty at the any physical assault, threatening behavior, members for their commitment to or verbal abuse occurring in the work set- serve on JCAHO’s PTAC Reprinted in part from Dean's Notes, Volume 25, Number ting. The workplace is defined as any loca- Committee. 4, pp. 1-3. Reprinted with permission of the publisher, Anthony J. Jannetti, Inc., East Holly Avenue/Box 56, tion whether permanent or temporary Page 16 AAACN Election Results Pitman, NJ 08071-0056; (856)256-2300; FAX: (856)589- continued on page 10 7463; Web site www.ajj.com Announced New Board of Directors members to The CE Evaluation Form and Objectives for this article appear on the AAACN Web site (www.aaacn.org). assume their responsibilities at the Please complete and submit this form to the AAACN National Office to obtain CE credit. close of the annual conference in Atlanta. The Official Publication of the American Academy of Ambulatory Care Nursing From the PRESIDENT The Obligation of Leadership The AAACN Board of Directors meets three times per year: at the annual conference, during the spring, Reader Services and in the fall. These meetings include but are not limit- AAACN Viewpoint ed to activities such as budget development and The American Academy of Ambulatory approval, strategic planning and evaluation, and Board Care Nursing East Holly Avenue Box 56 development activities. Monthly teleconference calls are Pitman, NJ 08071-0056 held during the remaining months to follow up and (856) 256-2350 • (800) AMB-NURS Fax (856) 589-7463 complete the work started at the face-to-face Board E-mail: [email protected] meetings. Web site: www.aaacn.org T In October 2005, the AAACN Board of Directors AAACN Viewpoint is owned and published Regina Phillips bimonthly by the American Academy of met in Chicago for the Fall Board Meeting. The weather Ambulatory Care Nursing (AAACN). The was beautiful and the meeting was very productive. During each meeting, the newsletter is distributed to members as a direct benefit of membership. Postage paid at directors engage in a Board development exercise. Board development consists Bellmawr, NJ, and additional mailing offices. of structured learning activities that are the joint responsibility of the Board Advertising chairperson, all Board members, and the executive staff (Nowicki, 1998). Contact Tom Greene, Advertising For this exercise, the Board reviewed “The Four Obligations of Leadership” Representative, (856) 256-2367. taken from the American Society of Association Executives (ASAE) January 2005 Back Issues symposium (Tecker Consultants, 2005). The Board discussed each obligation To order, call (800) AMB-NURS or (856) 256-2350. and how Board members have met them in the past. Next, we identified at Editorial Content least one action plan for each obligation to assure that we are successful in AAACN encourages the submission of news meeting them in the future. The first obligation is to ensure that the leadership items and photos of interest to AAACN mem- bers. By virtue of your submission, you agree team has access to a common stream of information from members and stake- to the usage and editing of your submission holders that allows them to understand their views of the world. The action for possible publication in AAACN's newslet- ter, Web site, and other promotional and edu- plan identified is for the Board to conduct followup telephone evaluations with cational materials. all task force volunteers once their assigned task is completed to give each vol- To send comments, questions, or article sug- unteer an opportunity to provide valuable feedback and suggestions to the gestions, or if you would like to write for us, contact Editor Rebecca Linn Pyle at Board for future tasks. [email protected] The second obligation is to provide a coherent stream of information back AAACN Publications and to members and stakeholders that allows them to understand not just what Products decisions have been made, but why. The action plan to help us meet this obli- To order, visit our Web site: www.aaacn.org. gation is to provide a written summary of the Board meeting activities to the Reprints SIGs and Committees via Board liaisons and to members via Viewpoint. In addi- For permission to reprint an article, call (800) AMB-NURS or (856) 256-2350. tion, the Board felt it was imperative that at least annually we provide a sum- mary and review of the strategic plan and goals to new and existing members. Subscriptions We offer institutional subscriptions only. The The third obligation is to bridge the gap between members’ and stake- cost per year is $80 U.S., $100 outside U.S. holders’ views of the world and the views held by those who seek to earn the To subscribe, call (800) AMB-NURS or (856) 256-2350. right to lead them. One way this obligation has been met is via the Leadership Indexing Symposia that are held during the annual conference. Moving forward, it is AAACN Viewpoint is indexed in the important to emphasize consensus among the SIGs, task forces, and commit- Cumulative Index to Nursing and Allied Health Literature (CINAHL). tee volunteers when there is disparity in views. In addition, it is imperative that © Copyright 2006 by AAACN. All rights we continue to provide ongoing opportunities for members to volunteer for reserved. Reproduction in whole or part, elec- and/or lead these groups in the future. tronic or mechanical without written permission of the publisher is prohibited. The opinions The last obligation of leadership is to understand that in the voluntary expressed in AAACN Viewpoint are those of the nature of associations, people choose to engage because they perceive that it is contributors, authors and/or advertisers, and do not necessarily reflect the views of AAACN, in their own self interest to do so. To meet this obligation, it is imperative that AAACN Viewpoint, or its editorial staff. we consistently recognize and demonstrate our appreciation for the work done Publication Management by by volunteers without whom AAACN and our products and services would not Anthony J. Jannetti, Inc. exist. It is also important that we continue to ask the question, “Why do you stay?” of each volunteer and member. This way, we can be assured of staying American Academy of Ambulatory Care Nursing continued on page 7 Real Nurses. Real Issues. Real Solutions. 2 VIEWPOINT JANUARY/FEBRUARY 2006 FEATURE The Nursing School Dilemma: Faculty Shortage Causes Potential Nursing Students to be Turned Away In December 2005, the American Association of increase student capacity this year included forming Colleges of Nursing (AACN) released preliminary survey alliances with hospitals, the business community, and data showing that enrollment in entry-level baccalaureate other stakeholders to address faculty and clinical space nursing programs increased by 13% from 2004 to 2005. constraints. Some schools have expanded or opened new Though this increase is welcome, surveyed nursing col- accelerated programs for second-degree seekers looking to leges and universities denied 32,617 qualified applications transition into nursing while others have taken advantage due primarily to a shortage of nurse educators. AACN is of state and federal funding aimed at strengthening the very concerned about the increasing number of qualified nursing workforce. In addition to these school-based initia- Istudents being turned away from nursing programs each tives, both Johnson & Johnson and the Nurses for a year since the federal government is projecting a shortfall Healthier Tomorrow coalition continued their national of 800,000 registered nurses (RNs) by the year 2020. media campaigns to encourage careers in nursing. According to research conducted by Dr. Peter Buerhaus from Vanderbilt University, enrollments in nurs- Qualified Students Turned Away Despite ing programs would have to increase by at least 40% Nursing Shortage annually to replace those nurses expected to leave the Though interest in nursing careers is strong, access to workforce through retirement.