AN AWARD WINNING PUBLICATION KENTUCKY NURSE APRIL, MAY, JUNE 2019 | VOLUME 67, NO. 2

CKY KENTU & LPNS IN RLY PUBLICATION DIRECT MAILED TO APPROXIMATELY 88,000 REGISTERED NURSES QUARTE Not sure you are a member? Call the KNA office 502.245.2843.

HAT’S INSIDE President’s Pen SEE W It is a delight to begin to share with you the Kentucky’s nurses and a many activities the Kentucky Nurses Association force in advocating for (KNA) has led since the last issue of Kentucky patients, nurses and our Nurse. In December, we conducted board and communities. leadership retreats to welcome new members to Each of you reading this the KNA Board, Cabinets and Committees and issue of Kentucky Nurse Ruth Carrico took the opportunity to strengthen our approaches has a role to play. First, if in support of our mission. That mission is to be the you are not a member of the KNA, your professional voice for nurses and work for a healthier Kentucky. association, please consider joining today. This An important aspect of that mission is advocating for provides you with the ability to connect with the legislation that aligns with our core values as nurses. other 90,000 nurses in Kentucky and the 4 million in To do that, KNA set to work planning the 2019 our nation. There are many opportunities to become MAKE PLANS TO ATTEND THE Kentucky Nurses Day at the Capitol Wednesday, active in KNA and we need your involvement. 2019 KNA SUMMIT February 6. More than 150 nurses, faculty, Participation in your local KNA chapter connects you PAGE 5 students, nurse practitioners, KNA board members, with others in your community and affords you the Kentucky Nurses Foundation (KNF) board members, opportunity to become involved in activities that are KNA members and non-members attended this important to those closest to you. The needs of our successful event. Six schools of nursing from across patients and those who care for them continue to the Commonwealth were represented. The KNA evolve and continue to become more complicated. lobbyist, Dr. Sheila Schuster, was impressed with Without your individual input and your individual the professional approaches and impact of those effort, these changes will continue to occur without present. In the words of our KNA Executive Director, fellow nurses hearing your voice. Publishing articles Delanor Manson, “it was a glorious day” for nursing. in Kentucky Nurse is our way of sharing information I completely agree with her statement since one in and keeping you informed, but it is not a substitute 45 potential voters in the United States is a nurse. for your involvement. Whether you are providing KNA is also planning for educational events and care at the bedside, in a support or leadership conferences. The Events Planning Committee is position, in academia, are a student, or are ending KNA LEGISLATIVE PRIORITiES busy working on the 2019 KNA Education Summit your active career as a nurse, it is important that PAGE 6 that will take place in Northern Kentucky on Friday, you have a say in the how the present and future of October 25. The focus will be on the healthcare nursing is shaped. workplace. This topic has spurred intense interest I hope that you will be compelled to join the and conversation. Workplace safety has been Kentucky Nurses Association, YOUR professional identified as a concern among nurses as they seek organization. KNA provides an opportunity for to care for their patients and patient families often you to be engaged in the growth and direction during times of intense stress. Sometimes this stress of YOUR profession. Dues include both KNA places nurses at physical risk. With projections and ANA membership. We want to ensure that indicating that we will need 1.1 million additional KNA represents all nurses in a fully inclusive and nurses in the next decade if we are to continue transparent way. If you are not a member, please our care of the nation’s population, we must be join us today. Simply Google, Kentucky Nurses, or involved in the elements of a safe and effective KNA, or go directly to our website Kentucky-nurses. healthcare work environment. Three key issues org and click on JOIN NOW! If you are already a 2018 KNA FALL CONFERENCE face us and our profession in the immediate future. member, please make sure you take the opportunity FOCUSED ON HEALING NURSES These include safe and adequate staffing; incivility, to be involved in KNA activities. I look forward to bullying and workplace violence; and safe patient continuing to represent you as a Kentucky Nurse. PAGE 11 handling and mobility. KNA remains the voice for INDEX

President’s Pen ...... 1 Second Annual A Taste of Health ...... 12 Non-Profit Org. KNA Chapter Leadership ...... 2 Check out the KNA Leadership Opportunities. 12 U.S. Postage Paid Chapter Updates ...... 3 KNA New Member List ...... 13 Princeton, MN Calendar of Events ...... 4 Join KNA and ANA for Just $15/Month . . . . . 13 Permit No. 14 Information for Authors...... 5 Kentucky Nurses Foundation Donor List . . . . 14 current resident or Make Plans to Attend the 2019 Quality Corner ...... 15 KNA Summit ...... 5 A Message of Thanks from One of Our KNA Visits Capitol on Nurses Day ...... 6 Donors about the Nightingale Program . . . . 16 KNA Legislative Priorities ...... 6 A Message from the Kentucky Board of Briefly Speaking...... 6 Nursing ...... 16-17 Call for Presenters ...... 7 KNA Centennial Video ...... 17 Poster Abstracts ...... 8-10 Importance of Joining a KNA Fall Conference Focuses on Professional Nursing Organization...... 18 Healing Nurses ...... 11 Closer to Home in Kentucky ...... 18 Kentucky Nurses Foundation ...... 11 KNA Membership Activation Form ...... 19 Letter to the Editor ...... 12 Human Touch Collection: Empathy ...... 19 Page 2 • Kentucky Nurse April, May, June 2019

“The purpose of the Kentucky Nurse shall be to convey KNA Chapter Leadership information relevant to KNA members and the profession of nursing and practice of nursing in Kentucky.” 2018-2019 Copyright #TX1-333-346 For advertising rates and information, please contact RIVER CITY CHAPTER (FORMERLY DISTRICT 1) TREASURER: Arthur L. Davis Publishing Agency, Inc., 517 Washington PRESIDENT: Katy Garth, PhD, RN H: 270-435-4544 Street, PO Box 216, Cedar Falls, Iowa 50613, (800) 626- Audria Denker, DNP, RN P: 502-544-6601 358 Butterworth Road 4081, [email protected]. KNF and the Arthur L. Davis 2707 Grinstead Dr. Murray, KY 42071 Publishing Agency, Inc. reserve the right to reject any Louisville, KY 40206 E-Mail: [email protected] advertisement. Responsibility for errors in advertising is limited to corrections in the next issue or refund of price of E-Mail: [email protected] advertisement. KENTUCKY NURSES REACH – RESEARCH, EDUCATE, Acceptance of advertising does not imply endorsement PAST PRESIDENT: ADVOCATE, CARE, HELP (FORMERLY DISTRICT 7) or approval by the Kentucky Nurses Foundation of products Christy Ralston, BSN, RN, CCMC P: 502-386-7261 PRESIDENT: advertised, the advertisers, or the claims made. Rejection 4300 Forest Bend PL W: 502-629-3617 Kim Bourne, PhD(c), MSN, C: 270-404-6189 of an advertisement does not imply a product offered for Louisville, KY 40245 RN, SANE, CNE O: 270-745-3052 advertising is without merit, or that the manufacturer lacks E-Mail: [email protected] 147 Bulldog Road integrity, or that this association disapproves of the product Glasgow, KY 42141-8845 or its use. KNF and the Arthur L. Davis Publishing Agency, TREASURER: E-Mail: [email protected] Inc. shall not be held liable for any consequences resulting Joann Mattingly, MSN, MBA, NE-BC P: 502-303-6225 from purchase or use of an advertiser’s product. Articles 7002 Colton Rd TREASURER: appearing in this publication express the opinions of the Crestwood, KY 40014 April Riney, BSN, RN P: 270-776-0635 authors; they do not necessarily reflect views of the staff, E-Mail: [email protected] board, or membership of KNA or those of the national or SECRETARY: local associations. Gabrielle Jaggers, MSN, RN P: 502-468-7488 SECRETARY : The Kentucky Nurse is published quarterly every January, 17025 Green Crest Ln. Myria Harris P: 270-901-1206 April, July and October by Arthur L. Davis Publishing Agency, Inc. for Kentucky Nurses Foundation and Association, P.O. Louisville, KY 40245 E-Mail: [email protected] Box 2616, Louisville, KY 40201, a constituent member of E-Mail: [email protected] GREEN RIVER CHAPTER (FORMERLY DISTRICT 8) the American Nurses Association. Subscriptions available at PRESIDENT: $18.00 per year. The KNF organization subscription rate will EVENT PLANNER: be $6.00 per year except for one free issue to be received at Lori Donahoo, President H: 270-993-9807 Renee Cecil, BSN, RN, CEN, the KNA Annual Convention. Members of KNA receive the CCCC, SANE, NREMT P: 502-544-5589 4390 State Route 764 newsletter as part of their membership services. Any material E-Mail: [email protected] Whitesville, KY 42378 appearing herein may be reprinted with permission of KNF. E-Mail: [email protected] (For advertising information call 1-800-626-4081, sales@ BLUEGRASS CHAPTER (FORMERLY CHAPTER 2) aldpub.com.) 16mm microfilm, 35mm microfilm, 105mm PRESIDENT: TREASURER: microfiche and article copies are available through University Melanie Adams-Johnson, DNP, RN P: 859-622-6335 Amy Wimsatt, MSN, RN H: 270-316-4262 Microfilms International, 300 North Zeeb Road, Ann Arbor, E-Mail: [email protected] 6789 Kingston Dr. Michigan 48106. Owensboro, KY 42303 EDITORIAL BOARD 2018 – 2019 SECOND VICE-PRESIDENT: E-Mail: [email protected] Amy Herrington, DNP, RN, CEN, CNE H: 859-619-2082 EDITOR: 312 South Hamilton Ida Slusher, PhD, RN, CNE (2016 – 2019) NIGHTINGALE CHAPTER (FORMERLY DISTRICT 9) Georgetown, KY 40324 PRESIDENT: MEMBERS: E-Mail: [email protected] Patricia Calico, PhD, RN P: 606-669-3638 Patricia Calico, PhD, RN (2018 – 2020) 85 Henry Clay Rd Sherill Cronin, PhD, RN-BC (2017 – 2020) TREASURER: Stanford, KY 40484 Vickie Ann Miracle, EdD, CCRC, RN (2016 – 2019) Tammy Harkleroad, RN C: 859-625-8404 E-Mail: [email protected] Kim Hawkins, PhD, APRN (2017 – 2020) 384 Reynolds Dr. Cathy H. Abell, PhD, MSN, MS, RN, CNE (2016 – 2019) Richmond, KY 40475 TREASURER: Connie Lamb, PhD, RN, CNE (2018 – 2020) E-Mail: [email protected] Gwyneth Pyle, BSN, RN P: 606-669-1167 REVIEWERS: 108 Vista Court SECRETARY Deb Chilcote DNP, RNC-MNN Stanford, KY 40484 Jill Cornelison, DNP, RN Dawn Garrett-Wright, PhD, MSN, RN Email: [email protected] 605 Covenant Dr. Elizabeth Johnson, PhD, RN Richmond, KY 40474 SECRETARY : Lisa Lockhart, RN, MSN, MHA, NE-BC E-Mail: [email protected] Denise Alvey, MSN, RN-BC 502-353-4223 Teresa Villaran, MS, MSN, APRN-BC, CCRN 1009 Bunker Hill Dr. KNA BOARD OF DIRECTORS NORTHERN KENTUCKY CHAPTER Lawrenceburg, KY 40342 President: Ruth Carrico, PhD, DNP, APRN, CIC, FSHEA (FORMERLY DISTRICT 3) E-Mail: [email protected] PRESIDENT: (2018 – 2020) Teresa Williams, MSN, RN, NE-BC H: 859-384-7170 NORTHEASTERN CHAPTER (FORMERLY DISTRICT 10) Immediate Past President: Kathy Hager, DNP, APRN, FNP- 10019 Golden Pond Dr. PRESIDENT: BC, CDE (2018 – 2020) Union, KY 41091 Christa Thompson MSN, RN-BC W:606-783-5370 Vice-President: Julie Ossege PhD, FNP-BC, FNAP-FAANP E-Mail: [email protected] Morehead State University Secretary: Misty Ellis, MSN, APRN-PC/AC (2017 – 2019) Department of Nursing Treasurer: Liz Sturgeon, PhD, RN, CNE TREASURER: CHER 201 HH (2018 – 2020) KJ Christensen, JD, MHA, MHI, P: 513-349-8203 316 W 2nd Street DIRECTORS-AT-LARGE: MSN, BSS, RN, CPHQ Morehead, Kentucky 40351 Kathy Mershon, MSN, RN, CNAA, ANEF, FAAN 1831 Euclid Ave, E-Mail: [email protected] (2018– 2020) Covington, KY 41014 Ann Christie, MSN, RN (2017 – 2019) E-Mail: [email protected] TREASURER: Jody Rogers, MSN, RN, NEA-BC (2017 – 2019) Theresa Jackson, PhD, RN P: 606-923-4718 SECRETARY: 10518 Laurel Ridge Rd. EDUCATION & RESEARCH CABINET: Monica Meier, MSN, RN, AHN-BC 859-620-4464 Ashland, KY 41102 Rachel Meier, MSN, RN 625 Brandtly Ridge Dr. E-Mail: [email protected] GOVERNMENTAL AFFAIRS CABINET: Covington, KY 41015-4227 Beth McCraw, DNP, APRN, ACNS-BC E-Mail: [email protected] SECRETARY: PROFESSIONAL NURSING PRACTICE & Michelle Brown, MSN, RN-BC ADVOCACY CABINET: HEARTLAND CHAPTER (FORMERLY DISTRICT 4) E-mail: [email protected] Lisa Lockhart, MSN, MHA, RN, NE-BC (2017 – 2019) PRESIDENT: KNA CE Administrator: Jennifer Shoemake, EdD, MSN, RN SCHOOL NURSES IN EVERY KENTUCKY SCHOOL CHAPTER Sonia Miller, BSN, RN P: 270-853-2684 KNF President: Jo Singleton, DNP, MSN, RN-BC CO-PRESIDENTS: E-Mail: [email protected] (2017-2020) Mary Burch, RN, ADN P:859-341-8337 TREASURER: 340 Creekwood Dr KANS Consultant: Patricia Spurr, EdD, MSN, CNE, FRE Kim Ray, BSN, RN Edgewood, KY 41017 (2018-2020) E-mail: [email protected] E-mail: [email protected] KNA STAFF

SECRETARY : Eva Stone, MSN, APRN P: 859-583-5078 Executive Director: Delanor Manson, MA, BSN, RN Missy Mortensen, BSN, RN E-mail: [email protected] Membership and Communication Director: PO Box 154 Hodgenville, KY 42748 Stephanie Smith, MA, BA E-Mail: [email protected] SECRETARY & TREASURER: Analyst and Webmaster: Savanah Kennedy Lois Davis, MSN, MA, RN P: 859-296-0252 Administrative Coordinator: Bridgette Williams WEST KENTUCKY CHAPTER (FORMERLY DISTRICT 5) 3140 Blenheim Way PRESIDENT: Lexington, KY 40503 Michael Gordon, MSN, APRN, RN, CNS E-Mail: [email protected] 373 Breezeel School Road P: 270-703-7320 Benton, KY 42025 EX OFFICIO MEMBER FOR ALL KNA CHAPTERS www.kentucky-nurses.org E-Mail: [email protected] Ruth Carrico, PhD, DNP, APRN, CIC (2018-2020) W: 502-852-6485 SECRETARY: E-Mail: [email protected] C: 502-640-8026 Nancy Armstrong, MSN, RN H: 270-435-4466 1881 Furches Trail W: 270-809-4576 Murray, KY 42071 Published by: E-Mail: [email protected] Arthur L. Davis Publishing Agency, Inc. April, May, June 2019 Kentucky Nurse • Page 3 Chapter Updates

KNA Bluegrass Chapter The Nightingale Chapter awards a $500 for the Camp for Courageous Kids. The chapter The KNA Bluegrass Chapter meets regularly scholarship for both spring and fall semesters. The will meet at 5 p.m. (CST) on Tuesday, April 9 at the on the third Tuesday of odd numbered months at deadline for submission for the spring semester Medical Center/ WKU Health Science Complex in the Chop House Restaurant on Richmond Road is Tuesday, April 30. For eligibility details and an Bowling Green. in Lexington. Meetings begin with social time at application contact Denise Alvey at alveylex2@aol. The Chapter continued its involvement in 5:30 pm and official member business begins at 6 com. community events with participation in Bowl for pm. Each meeting includes a continuing education Chapter President, Pat Calico, attended the Kids’ Sake in March and again partnered with Hurst offering. Chapter members encourage and welcome leadership retreat in Bardstown in December. Review to co-host an NCLEX Review Night for participation from members, students and guests. local nursing program students. Starting in April, The KNA Bluegrass Chapter Nursing Leadership KNA Northern Chapter members will sell tickets to a local Bowling Green conference “Lessons in Nursing Leadership: This year, members of the KNA Northern Chapter Hot Rods June baseball game with proceeds going How to Leverage Your Skills for Professional will focus on creating a safe and caring workforce. toward student scholarships. Advancement,” will be take place from 7:30 The speaker at its March meeting, Theresa Vietor, is For more information or to attend a meeting, am – Noon on Friday, April 12 at the University of the manager of forensics at St. Elizabeth Healthcare. contact Kimberly Bourne at Kimberly.bourne@wku. Kentucky’s Spindletop Hall in Lexington. To register, Future chapter meetings take place, 5 – 6:30 pm on edu visit Kentucky-nurses.org. Wednesdays, June 26; September 25 and December 11. KNA River City Chapter KNA Green River In November, the River City Chapter hosted its In December, the Green River Chapter inducted KNA Northeast Chapter inaugural educational event at Galen College of new officers for the 2019-2020 year: Northeast Chapter members stayed busy during Nursing. Kathy Burlingame, dean of online programs • Lori Donahoo, President the holiday season with the “Coats for Kids” at Galen, facilitated a presentation on Human • Debra Dronet President-Elect donation drive. The chapter partnered with St. Claire Trafficking for 2.0 contact hours. • Amy Wimsatt, Treasurer HealthCare, Morehead State University’s Student The officers of the River City Chapter recently • Marlena Buchanan, Membership and Nurses Association and the University of Charleston hosted a meeting to plan for the upcoming year. Nightingale Committee Chair Capito Department of Nursing in Beckley, W.Va. for The chapter needs more volunteers to help with • Amy Higdon, Secretary the coat donation drive. With surrounding county its identified goal areas including student support, businesses also participating, the Northeast Chapter community service, education and social activities. In The Green River Chapter recently hosted an donated more than 200 winter items to local schools 2018, chapter members participated in these related NCLEX Challenge at the Preston Arts Center in and church groups. The chapter also hosted a winter activities: Henderson. Eight teams of nursing students from basket fundraiser. Check for upcoming meetings at Student Support – sponsored the NCLEX Trivia Henderson Community College, Hopkinsville Kentucky-nurse.org. Day facilitated by the Kentucky Association of Community College, Ivy Tech Community College, Contact Christa Thompson, chapter president, Nursing Students. Madisonville Community College, Owensboro for more information about chapter activities at Community Service – served as an essential Community and Technical College, University of [email protected] or 606-783-5370. partner in the Hepatitis A initiative aimed at Evansville, University of Southern Indiana and preventing the spread of Hepatitis A among University of Louisville – Owensboro campus Louisville food service workers. The Chapter competed in the challenge. Participants and conducted Nightingale Tributes for colleagues who audience members earned continuing education are deceased. The families really appreciated the while having good food and fun. tributes and the experience touched the presenters The chapter would like to extend its gratitude to as well. the Preston Arts Center and these vendors: Educational – hosted the River City Chapter • Deaconess Inaugural Educational Event. • Kaplan Social – although the chapter did not host a • Methodist Hospital social event in 2018, plans are underway for a 2019 • Murray State University activity. • Owensboro Health Regional Hospital The River City Chapter needs members who • St. Vincent want to be involved in any of the areas listed above. • University of Evansville Specifically, the chapter is looking for members • University of Southern Indiana to chair the Nightingale Tribute Committee, the Educational Event Committee and the Social Event Committee. The River City special events officer will (Left): Northeast Chapter Members, Kristin work with each committee. Vinson, Randa Hall, Jill Grier, Christa Thompson, Those interested in becoming a committee president and Michelle Brown, secretary, chair, committee member or officer in the River enjoyed participating this annual drive. City Chapter, may contact Audria Denker, chapter president, at [email protected]. KNA Reach Chapter The REACH Chapter hosted its first meeting of KNA Western Kentucky Chapter the new year on February 12 at the Southcentral The Western Chapter recently met to discuss Kentucky Community & Technical College the possibility of co-sponsoring a Community main campus in Bowling Green. Leyda Becker, Chili Supper with the Marshall County Coroner to international communities liaison for the City of benefit the Bailey Holt Memorial Nursing Scholarship Bowling Green, presented a continuing education program (Bailey was murdered last year by her offering, “Working Effectively with Diverse classmate at Marshall County High School). Communities.” Chapter members collected items

Peter Naake The University of Southern Indiana team took Direct line: (502) 632-5288 home the first-place trophy for the second [email protected] consecutive year and Henderson Community College was the first runner-up. Worker’s Compensation Social Security KNA Heartland Chapter License defense No report

KNA Nightingale Chapter 2303 River Road. Ste 300 Future 2019 Nightingale Chapter meetings will Louisville, KY 40206 take place at 6:30 p.m. at the Ephraim McDowell www.pcnmlaw.com Regional Medical Center in Danville on Thursday www.PeterNaakeLaw.com May 9, Thursday August 8 and Thursday October 10. (Some legal work may be performed Chapter members will collect donations for a food by other lawyers in the firm.) bank at each meeting. This is an advertisement. Page 4 • Kentucky Nurse April, May, June 2019 Calendar of Events

KNA Board of Directors Meeting: July 2019 First Friday of the Month, 10 AM – Noon (EST) 1 KNA 2019 Final Call for Nominations Applications due KNA Governmental Affairs Cabinet Meetings: 9 Yearbook Call for 2019 Conference materials due First Monday of every Month, 3:30-4:30 PM (EST), conference call 25 Taste of Health Fundraiser, University of Louisville Kosair Charities Clinical & Transitional Research Building, 505 S Hancock St., Louisville KNA Chapter Leadership Conference Call Meetings: Third Monday of every month, 1 – 2 PM (EST) August 2019 KNA Elections Kentucky Nurses Foundation Board of Trustee Meetings: 5 Materials due to the KNA Office for the October 2019 issue Fourth Tuesday of every other month at the KNA office, Noon – 4 PM (EST), KNA Office Kentucky Nurse 8 KNA Nightingale Chapter Meeting KNA Membership Recruitment & Retention Committee Meetings: Second Monday of every Month, Noon – 1PM (EST), conference call September 2019 KNA Professional Nursing Practice & Advocacy Cabinet Meetings: First Wednesday of every month, 5 – 6:30 PM (EST), conference call 12 KBN Education Committee Meeting, 1 – 4:30 PM 17 KNA REACH Chapter, 5 PM (CST) dinner; 5:30 – 6:30 PM, meeting, KNA Event Planning Committee Meetings: location TBD Second Friday of every month, 12:30 – 2:30 PM (EST) KANS Conference & Exposition, TBD KNA office/Conference Call 25 KNA Northern Chapter Meeting KNA Finance Committee Meetings: Fourth Wednesday of every month, Noon – 1 PM (EST), conference call October 2019

10 Nightingale Chapter Meeting, 6:30 – 8 PM, location, TBD ***All nurses are welcome to attend any nursing event. These are open to KNA members*** 2019 ANCC National Management Conference, TBD 25 KNA Education Summit, St. Elizabeth Training and Education Center, Erlanger April 2019 November 2019 9 KNA REACH Chapter Meeting 12 KNA Bluegrass Chapter Bi-Annual Leadership Conference, 4 Materials due to the KNA Office for the January 2020 issue “Lessons in Nursing Leadership: How to Leverage Your Skills for Kentucky Nurse Professional Advancement,” The Club at University of Kentucky 7 KBN Education Committee, 1 – 2 PM Spindletop Hall, 3414 Iron Works Pike, Lexington 30 Deadline KNA Nightingale Chapter Scholarship Application. For information, contact Denise Alvey at [email protected]. December 2019 30 Deadline for KNA Summit Call for Presenters 6 KNA Board and Leadership Retreat May 2019 11 KNA Northern Chapter Meeting 6 Materials due to the KNA Office for July 2019 issue of Kentucky Nurse November 2020 9 KNA Nightingale Chapter Meeting 23 KNA Nominations Information Deadline 5-6 KNA Annual Conference, Holiday Inn Louisville East

June 2019 November 2021

22-23 ANA Membership Assembly, Washington, DC 26 KNA Northern Chapter Meeting 5 KNA Education Summit, TBA

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• Kentucky Nurse Editorial Board welcomes submission articles to be reviewed and considered 2019 KNA Summit for publication in Kentucky Nurse. • Articles may be submitted in one of the following categories: Creating a Safe and A. Personal opinion/experience, anecdotal (Editorial Review) Caring Workplace B. Research/scholarship/clinical/professional issue (Classic Peer Review) Plan to attend the KNA Annual Summit this C. Accent on Research (Editorial Review) October. D. Cultural Diversity (Editorial Review) Come and join your colleagues this fall for an E. Health Matters (Editorial Review) extraordinary summit sponsored by the Kentucky F. Student Spotlight (Editorial Review) Nurses Association (KNA), “Creating a Safe and Caring Workplace,” 8 a.m. – 4:30 p.m., • Information about IRB or Ethical Board approval is Friday, October 25 at St. Elizabeth Training and a requirement for Quality Improvement projects, Education Center in Erlanger, Ky. evidence practice based projects, and research studies. Workplace safety has been identified as a • All articles, except research abstracts, must be concern among nurses as they seek to care accompanied by a signed Kentucky Nurse transfer for their patients and patient families often of copyright form (available from KNA office or during times of intense stress. Sometimes this on website www.Kentucky-Nurses.org) when stress places nurses at physical risk. The KNA submitted for review. is committed to working with nurses across the state to ensure a safe and effective healthcare • Articles will be reviewed only if accompanied by work environment. the signed transfer of copyright form and will be KNA Summit attendees will learn about considered for publication on condi­tion that they various aspects of a fostering a safe and caring are submitted solely to the Kentucky Nurse. workplace through shared best practices and • Articles should be typewritten with double other learning modalities. spacing on one side of 8 1/2 x 11 inch white paper and submitted in triplicate. Maximum Now Open: Sponsorship opportunities and exhibitor length is five (5) typewritten pages. • Articles should also be submitted electronically registration for the 2019 KNA Annual Summit. • Articles should include a cover page with the author’s name(s), title(s), affiliation(s), and Get your business, school, program or organization in front of 500 nurse summit attendees. complete address. Sponsors and exhibitors are featured in the Kentucky Nurse newsletter that is mailed to more than • Style must conform to the Publication Manual of 80,000 Kentucky Nurses. the APA, 6th edi­tion. For sponsor/exhibitor information, call 502-245-2843; • Monetary payment is not provided for articles. email, [email protected] or visit us online at Kentucky-nurses.org. • Receipt of articles will be acknowledged by email to the author(s). Following review, the author(s) will be notified of acceptance or re­jection. Registration • The Kentucky Nurse editors reserve the right to make final editorial changes to meet publication deadlines. Early Bird until September 30 October 1 – October 24 Onsite $125 member $145 member $160 member • Please complete a manuscript checklist to ensure $150 non-member $165 non-member $180 non-member all requirements are met. You must provide $45 student $55 student $55 student a completed checklist when a manuscript is submitted. The Manuscript Checklist can be found at www.kentucky-nurses.org. Hotel Information • Articles should be mailed, faxed or emailed to: The KNA has blocked rooms at the Courtyard by Marriott Cincinnati Airport and Residence Inn Cincinnati Airport. Attendees must make their own hotel reservations: Editor, Kentucky Nurse, Kentucky Nurses Association,305 Townepark Circle, Suite 100, Courtyard by Marriott Cincinnati Airport – 859-647-9900 Louisville, KY 40243 $119 per night (502) 245-2843 • Fax (502) 245-2844 • or email: [email protected] Residence Inn Cincinnati Airport – 859-282-7400 $125 per night

For discounted rates, book by Tuesday, October 1.

NURSING INSTRUCTOR Owensboro Community and Technical College seeks applicants for a full-time 10-month Nursing Instructor to teach undergraduate nursing courses to start Fall 2019. A Master’s of Science in Nursing (MSN) and a Certified Nurse Educator (CNE) is preferred. Radcliff Veterans Center 100 Veterans Drive, Radcliff, KY 40160 A minimum of a Bachelor’s of Science (BSN) in Nursing with the Ph. 270-352-6700 expectation to earn Master’s of Science in Nursing (MSN) within 5 We have immediate openings for Registered Nurses, Shift Premiums: 15% increase for 2nd and 3rd years of hire and a minimum of 2 years’ experience as a registered shift; 25 % increase for Weekends and Holidays Licensed Practical Nurses and Nurse Aide State nurse (RN) within the past 5 years is required. Registered I (CNA’s) . Radcliff Veterans Center does not If interested please go to personnel.ky.gov, click on “find a job”, discriminate against any person on the basis For detailed job description create your profile, and search for openings in Hardin County. of race, color, national origin, disability, or age in admission, treatment, or participation in its and to apply visit: Check us out online: www.facebook.com/RadcliffVeteransCenter or programs, services and activities, https://careers.kctcs.edu/job- www.rvc.ky.gov or in employment. details?jobID=53155&job=nursing- instructor&collection=true

KCTCS is an equal educational and employment opportunity institution. Page 6 • Kentucky Nurse April, May, June 2019 KNA visits Capitol on Nurses Day KNA Legislative Priorities SUPPORT–NURSING PRACTICE SUPPORT–PATIENT/PROVIDER PROTECTIONS Check out KNA’s legislative priorities • SB 132 Removes the Collaborative Agreement • SB 18 Bans workplace discrimination based on for Prescriptive Authority for Controlled pregnancy, childbirth and related conditions. Substances (CAPA-CS) for APRNs after four years of prescribing controlled substances • SB 65 Establishes Palliative Care Council and with a CAPA-CS. programs, includes APRNs.

• SB 1 & HB 1 School safety bills include APRNs Vote in the Kentucky Primary Election – your and RNs as professionals to be added in voice matters schools.

SUPPORT–TOBACCO CONTROL/SMOKING CESSATION • SB 27 & HB 11 Prohibits tobacco use in schools and on public school property and activities (K-12).

SUPPORT–NO TAXES ON NON-PROFITS • HB 28 Corrects 2018 tax bill to exempt nonprofits from taxing event admissions.

SUPPORT–MAINTAINING MEDICAID SERVICES • SB 78 Requires Medicaid to maintain dental Be sure to cast your ballot in Kentucky’s Primary & vision services and non-emergency medical Election on Tuesday, May 21. For information visit transportation for all recipients. elect.ky.gov. Briefly Speaking More than 150 nurses, nursing students and nursing faculty joined KNA for Nurses Day at the Capitol. We thank all legislators who took the time to meet with our group. KNA/KNF News & Notes

With the smell of freshly cut grass and shedding (RN) or Licensed Practical Nurse (LPN) for RNs, LPNs, SRNAs needed. of winter coats, comes Spring in the Bluegrass. As their years of commitment and dedication To apply: Contact the facility at we change seasons and prepare for the greatest to nursing. Contact the KNA if you would 606-337-7071, speak with two minutes in sports, we wanted to offer like to honor a nurse in this special way. Kim Norton, DON or come by and you this brief summary of KNA/KNF activities: complete an application • As we speak, KNA chapters across the state are • Make plans to attend the KNA Bluegrass 39 Ferndale Apts. Rd | Pineville, KY 40977 competing in the Second Annual Membership Chapter 2019 Spring Conference, “Lessons Challenge. If you aren’t already a KNA member, in Nursing Leadership: How to Leverage don’t be surprised if one of your nursing Your Skills for Professional Advancement,” colleagues contacts you filled with details 7:30 am – Noon, Friday, April 12 at The about the benefits of joining our organization. Club at UK’s Spindletop Hall. The conference www.mountainviewnursingcenter.com is approved for 4.2 contact hours for nurses. • Along with funding nursing scholarships, To register, visit Kentucky-nurses.org. Kentucky Nurses Foundation (KNF) funds support the Nightingale Tribute Program. This • Mark your calendars now to attend the special program includes a brief ceremony KNA Annual Summit on October 25 at St. to honor any deceased Registered Nurse Elizabeth Training and Education Center in Northern Kentucky. Read more about that on page 5. Also, don’t forget that the deadline for Call for Presenters is Tuesday, April 30.

• We continue our outreach to student nurses through our relationship with the Kentucky Association of Student Nurses (KANS) and encourage all students to join KNA upon receiving their nursing licenses. In addition, our chapters are hosting NCLEX challenges across the Commonwealth.

• The staff members at the KNA office are available as a resource to you if you have questions about your membership, need help addressing clinical or educational issues or want to make your voice known within Kentucky’s nursing community. Stop by our office. Call us. Visit us on social media. We want to hear from you.

NURSING INSTRUCTOR (2) NURSE AIDE INSTRUCTOR (1) Please visit our website at https://hopkinsville.kctcs.edu/faculty-staff/index.aspx for additional information. Application deadline is April 15, 2019.

KCTCS is an equal opportunity employer and education institution. April, May, June 2019 Kentucky Nurse • Page 7 CALL FOR PRESENTERS “Creating a Safe and Caring Workplace”

2019 Kentucky Nurses Association (KNA) • When developing a proposal application, a balanced program in Annual Summit accordance with the KNA Summit Theme, “Creating a Safe and Caring 8 a.m. – 4:30 p.m. Friday, October 25, 2019 Workplace” should be provided. St. Elizabeth Training and Education Center Erlanger, KY HANDOUTS & POWERPOINT PRESENTATIONS • Handouts may be appropriate, depending on the complexity of the topic The Kentucky Nurses Association (KNA) seeks dynamic, engaging and and will be shared with attendees electronically. knowledgeable presenters for the 2019 KNA Annual Summit, “Creating a Safe • A conference PowerPoint template will be used for all presentations. and Caring Workplace.” KNA members and non-members are welcome to PowerPoint presentations are encouraged and will also be made available submit applications to present; however, KNA members will be given preference. to attendees electronically. Those selected to present will be contacted by Monday, July 1. All PowerPoint presentations and electronic handouts are TARGET AUDIENCE & CONTINUING EDUCATION due by Monday, September 16 (No exceptions). • The primary conference audience of more than 400 attendees will include multiple levels of professional nurses, nursing educators, licensed practical FEES & PRESENTER BENEFITS nurses, nursing students and nursing leaders. • As a 2019 presenter, your conference session registration is • Continuing Education will be offered. Presentation content must include complimentary; however, if you would like to attend any other session, expected outcomes, presenter’s vita and a teaching plan. receive continuing education credit and join us for lunch, you must pay the conference fee. • The Fall 2019 issue of Kentucky Nurse, which is mailed to more than SUBMISSION DETAILS 80,000 readers, will include the names of all presenters. • KNA will also publicize presenters’ names via website, Facebook and its Materials Needed Format electronic newsletter, E-News, that is distributed to its 2,200+ members. Presenter Application/CE Form WORD documents only; PDFs/JPEG will not be accepted. A NOTE CONCERNING HONORARIA Resume/CV WORD documents or PDFs are KNA has a tradition of using educational conference/summit sessions as acceptable platforms for innovation in the spirit of networking and sharing. Therefore, we Head shot High resolution 300 dpi JPEG file, full look for contributors who are willing to share their expertise without expectation color of an honorarium or reimbursement of expenses. Deadline: Tuesday, April 30 (No exceptions) PRESENTER EXPECTATIONS By participating in the conference, presenters give KNA permission to record their session and take photos. We ask that presenters be available for media The KNA will not consider late, incomplete or those applications submitted in interviews upon request. the wrong format. Please note: Sponsorship and exhibitor participation is appropriate for groups or persons with commercial interests. The KNA will reach out to those groups TYPES OF PRESENTATIONS under separate cover. • Poster presentations and oral presentations • Panel presentations KNA CONTACT – WHERE TO SUBMIT YOUR APPLICATION & ASK • Time length: 25-50-minute segments QUESTIONS • Sessions may be panel discussions, lectures, research based, hands on, Email application in Word format. You may email your headshot and vita or interactive, creative, dynamic and feature best practices in nursing relevant send via US mail on a non-returnable jump drive to: to the conference theme. Kentucky Nurses Association OBJECTIVES: 305 Townepark Circle, Suite 100 At the end of program, the attendees should be able to: Louisville, KY 40243 • Describe knowledge and skills about various aspects of a safe and caring [email protected] workplace as stated in the KBN contact education form and how it relates Deadline: Tuesday, April 30 to the future development of the attendee or nursing practice. Questions? Call us at 502-245-2843. • Presentations should provide attendees with educational value and refrain from promoting a specific business, product or service. Page 8 • Kentucky Nurse April, May, June 2019 KNA Conference 2018: Poster Abstracts

Communication: Strategic Dialogue When the Stakes Are High

Andrea Houser, PHD, MSN, BSN, RN Background: Findings: Associate and Baccalaureate Faculty Effective communication is required to meet The first theme discovered was that facilitating Galen College of Nursing positive patient outcomes in professional nursing. political advocacy requires program directors to Communication skills should be assertive and have both leadership skills and years of nursing Objective: empowering to advocate for patients but also to experience. Additional findings were that The goal of this presentation is to present advocate for one another. Nurses in every specialty transformational leadership skills are preferable one of the themes discovered in a qualitative are advocates and that for patients, self, and or to encourage faculty and staff accountability to research study. The theme of communication others. Being an advocate requires knowledge of program outcomes. will be presented as strategic dialogue; which is the system and politics of the organization so that The second theme was communication. an assertive communication technique used by change can be implemented. Participants statements included that expert nursing professionals in nursing practice, nursing On the other hand, miscommunication has communication skills should be strategic. Hence the education, and or nursing leadership roles. Strategic been found to have deleterious effects on patient term Strategic Dialogue. All forms of communication Dialogue is a component of the transactional theory outcomes and for relationships with whom we work. (oral, written, and electronic) are required to facilitate of communication and was determined to be a Distractors can interfere with communication efforts BSN program standards, meet the demands of component of political advocacy in BSN nursing and predispose patients and nursing staff to errors nursing practice and fill vacancies due to the nursing education. and misunderstandings. Nurses, employed in all shortage. Participants stated that communication areas of the nursing profession, are communicators efforts should be purposeful containing a strategy By the end of the presentation, you should of information and are particularly vulnerable to for effect. be able to: errors due to miscommunication. Miscommunication The last theme was how the participants 1. Define strategic dialogue and its uses in the is caused by distractors. Emotions can distract described the relationship between communication health care setting. decision making as well as interruptions. Distractors skills and the impact on the workforce. It was 2. Describe how miscommunication has can occur around the message, sender and or described that using a working knowledge of politics deleterious effects on patient outcomes. the receiver so to the point that the message is helped to implement strategic dialogue in the 3. Discuss communication techniques promoting misunderstood. It is a combination effect influencing college. Participants described how political issues positive patient outcomes and developing the receiver’s ability to hear, comprehend the may impact the school of nursing such as funding, interprofessional collegiality. message and his/her perceptions of the sender also how nursing students are educated to be practicing 4. Evaluate the nurse’s role in conflict and impact communication. There is no true sender or nurses, or how to fill vacancies in the nursing creating positive relationships with clients and receiver, communication is in constant flow back shortage, recruitment and retention of students, the interdisciplinary health care team using and forth according to the Transactional Model of NCLEX pass rates, faculty qualifications, professional self-reflection. Communication. development, community image of the program and many other political issues. Participants shared Significance to the Field of Nursing: Methodology: that miscommunication may occur from a lack of a Nurses are advocates. Historically, advocacy The research question was as follows: how do working knowledge of politics and participating as is rooted in political action. As advocates, program directors facilitate political advocacy in a an advocate for change. communication skills are required to plead the cause BSN education program? A basic qualitative research of others. There are times that while advocating design was utilized with a constructivist approach. Implications for Nursing Practice: for self or others, emotions can get in the way Critical theory theoretical framework was used to The implication for practice is to educate nurses of effective communication efforts. Nurses need support the study. IRB approval was obtained. A and nursing students that communication skills training and education to be able to detect moments sample of 10 BSN program directors were volunteers should be strategic. Emotional decision making when emotions run high predisposing them to who consented to participate in the study. Data can be hazardous. Lack of communication skills ineffective communication patterns resulting in was collected by the researcher using an Interview may hinder leader effectiveness and block efforts consequences at the bedside. Miscommunication guide. The interview guide was IRB approved as well as change agents. Ineffective communication skills is one of the leading causes of medical errors. as peer reviewed by three professional researchers. lead to conflict, hostility, anger, frustration, incivility Even when we are not speaking, we are sending Participants signed consents to participate in semi- and burn out. We need to integrate Strategic messages to others with our body language. Often structured interviews in their office on site except Dialogue into faculty and professional development our non-verbal communication delivers a louder for two participants who were remotely located. programs in nursing schools or hospital education message than our verbal communication does. It is Participants were assured confidentiality. Interviews programs. Conduct simulation to develop curricula imperative to implement assertive communication were audio recorded and manually transcribed into or professional programs to integrate strategic skills to achieve good patient outcomes. verbatim transcripts. After transcription occurred, dialogue to improve professional communication the researcher emailed the transcripts to participants skills. Integrate political issues, political theory, and to review for accuracy. Data saturation occurred at or political skills as components of advocacy or 10 interviews. The researcher conducted member assertiveness education or empowerment training. checking, used an audit trail, used a reflexive journal and used theoretical triangulation to ensure Conclusions/Recommendation: credibility, reliability, and validity of the study. Data Participants agreed that whether the nurse was analyzed by the constant comparison method. is a leader at the bedside or the boardroom, Three themes emerged: nursing experience and communication requires strategy and a working leadership, communication and advocacy. knowlege of political skills. April, May, June 2019 Kentucky Nurse • Page 9 KNA Conference 2018: Poster Abstracts

Development of Psychological Empowerment over Time and with Experience

Debbie Hampton, Methods: important to enable them to be successful in PhD, MSN, RN, FACHE, NEA-BC, CENP Objective One: This study employed a the challenging healthcare landscape (Spencer & descriptive cross-sectional design using an online McLaren, 2016). PE has been positively correlated Background and Significance: survey. with job satisfaction and organizational Psychological Empowerment (PE) fosters a PE was measured using two scales, a 10 item commitment (Ouyang, Zhou, & Qu, 2015), proactive approach to life, knowledge about PE instrument (Hampton, 1996) that consisted and is thus important for focus in leadership how to achieve goals, and an understanding of of two dimensions (Cronbach’s alpha .91 for this development programs. As leaders, we need how to cope in the sociopolitical environment. study) and a 12 item PE instrument (Spreitzer, to help build a toolkit to prepare ourselves and Empowered individuals gain mastery over their 1995). The 12 item PE in the workplace scale our team to best cope with workplace stressors, lives and have higher perceptions of personal measures a motivation construct composed of such as psychological violence and other control (Zimmerman, 1995). A PE person four sub-dimensions: meaning, competence, negative experiences. A focus on strengthening “believes that he or she has the capability self-determination, and impact. These cognitions empowerment is one way to do this. to influence a given context (interpersonal reflect an active orientation to work where component), understands how the system works the person feels able to shape their work. This References in that context (interactional component), and scale has been used in more than 50 studies Dahinten, V. S., Macphee, M., Hejazi, S., Laschinger, H., engages in behaviors to exert control in the (Psychological Empowerment Instrument, n. Kazanjian, M., McCutcheon, A., ... & O’Brien-Pallas, context (behavioral component)” (Zimmerman, L. (2014). Testing the effects of an empowerment- d.) and has been demonstrated to have good based leadership development programme: part 2–staff 1995, p. 590). PE is a dynamic variable that can reliability and validity (Cronbach’s alpha .93 for outcomes. Journal of nursing management, 22(1), 16-28. change over time; people may become more this study). Hampton, D. C. (1996). The Effect of Nursing Coordinated empowered over time and after varied life Objective Two: A literature review was done to Care Delivery Models on Patient Empowerment and experiences (Zimmerman, 1995). determine the impact of leadership development Selected Clinical Outcomes. Doctoral dissertation, In relation to leadership, PE can be considered and experience on PE. University of Cincinnati, Cincinnati, Ohio. a motivational construct reflecting an active MacPhee, M., Dahinten, V. S., Hejazi, S., Laschinger, H., Kazanjian, A., McCutcheon, A., ... & O’Brien-Pallas, L. orientation toward one’s work that included Results: (2014). Testing the effects of an empowerment – based four aspects: meaning, competence, self- Objective One: Age was positively associated leadership development programme: part 1–leader determination (autonomy) and impact (Meng, Jin, with PE. The correlation between age and outcomes. Journal of nursing management, 22(1), 4-15. & Guo, 2016; Spreitzer, 1995). Meaning refers to PE, as measured by the Spreitzer PE scale was MacPhee, M., Skelton-Green, J., Bouthillette, F., & the association between work goals, beliefs and as follows: overall PE (r = .27, p = .0004); Suryaprakash, N. (2012). An empowerment framework values. Competence relates to beliefs about work for nursing leadership development: supporting competence (r = .29, p < .0001); meaning (r evidence. Journal of advanced nursing, 68(1), 159-169. effectiveness based on acquired skills. Autonomy = .24, p < .001); self-determination (r = .16, Meng, L., Jin, Y., & Guo, J. (2016). Mediating and/or or self-determination refers to perceived control, p = .04); and impact (r = .22, p = .004). The moderating roles of psychological empowerment. and impact relates to the influence one thinks correlation between age and PE as measured by Applied nursing research, 30, 104-110. they have over work situations or decisions the Hampton PE scale was .15 (p = .05). Ouyand, Y., Zhou, W., & Qu, H. (2015). The impact of (Spreitzer, 1995). psychologica empowerment and organisatioinal Objective Two: Education focused on commitment on Chinese nurses’ job satisfaction. empowerment leads to increased self-reported Contemporary Nurse, 50(1), 80-91. Purpose/Objectives: use of empowering behaviors, the employment of Psychological Empowerment Instrument. (n. d.). Objective One: The first aim of this study was empowering behaviors when working with others http://webuser.bus.umich.edu/spreitze/Pdfs/ to determine if there was a relationship between (MacPhee et al, 2014; MacPhee, Shelton-Green, EmpowerInstrument.pdf experience/age and the development of PE for Bouthillette, & Suryaprakash, 2012), and a more Spencer, C., & McLaren, S. (2017). Empowerment in nurse nursing leaders at the executive, director, and leader groups in middle management: a quantitative committed workforce (Dahinten et al, 2014). comparative investigation. Journal of clinical nursing, manager levels. 26(1-2), 266-279. Objective Two: An additional objective of Conclusion/Implications for Nursing Practice: Spreitzer, G. M. (1995). Psychological empowerment in the the study was to understand if continued PE is an evolving “leader strength” that workplace: Dimensions, measurement, and validation. leadership development, obtained over time/with can change over time and as an outcome of Academy of management Journal, 38(5), 1442-1465. experience, can strengthen leader PE. leadership development, as demonstrated by Zimmerman, M. A. (1995). Psychological empowerment: Issues and illustrations. American journal of community the results of this study. Continual efforts to psychology, 23(5), 581-599. foster PE of today’s nurse leaders is critically

https://www.quitnowkentucky.org/en-US/Just- Looking/Health-Professional Page 10 • Kentucky Nurse April, May, June 2019 KNA Conference 2018: Poster Abstracts

Hands-Only Cardiopulmonary Applying Disney® Organizational Resuscitation (CPR) Training Principles to Transform a College Culture

Increases Participants’ Expressed Audria Denker, DNP, MSN, RN Executive Vice President of Prelicensure Willingness to Initiate CPR Galen College of Nursing Joan Frey, EdD, MSN, BS, ANEFF Shawn Nordheim, Ed.D., RN, CNE Academic President Galen College of Nursing Faculty, School of Nursing Tracy Ortelli, PhD, RN, CNE, ANEF Northern Kentucky University Executive Vice President of Postlicensure Nursing Galen College of Nursing Background: Fewer than half of individuals with out-of-hospital cardiac arrest receive bystander CPR before the arrival of professional rescuers (American Objective: Describe the factors that led to the decision to transform the Heart Association, 2018). Bystanders are often fearful to begin CPR due to the culture of the college. Delineate the actions that were taken to transform the presence of body fluids and not knowing the victim. In 2010, American Heart culture of the college. Discuss the outcome of this initiative and next steps. Association issued new guidelines for Hands-Only CPR. It was hypothesized in this study that Hands-Only CPR training would be associated with greater Background: In 2017, a single purpose nursing college embarked on a bystander willingness toward CPR initiation. Objective: The objective of journey to transform a college whose employees, students, and healthcare this study is to examine the impact of Hands-Only CPR training on bystander partners were ‘satisfied,’ into an organization known for its extraordinary expressed willingness to initiate CPR. Methods: A school nurse taught seventh culture. This was a significant undertaking which required vision and the and eighth grade students Hands-Only CPR during their scheduled health class. creation of a framework to guide this work. To begin, the college leadership, If the students’ parents were willing to participate in the study, the student comprised of the chief executive officer, chief operating officer, academic brought the Hands-Only CPR Training DVD home for their parents to view. The president, and all senior-level vice presidents representing academics and student could act as a resource to their parents since they were trained recently operations, collaborated to evaluate the current culture and envision the at school. Pretest and posttest surveys were used to determine the differences preferred culture. Their work was facilitated by an expert in this area who was a in willingness to initiate CPR before and after CPR training. Parent participants former leader at Disney®. (n=101) were presented with eight scenarios where victims required CPR. Victims The next step in this process was to develop the cultural architecture, which were categorized as: 1) relative, 2) neighbor 3) stranger, and 4) an unknown focused on leaders, employees, customers, reputation, and improvement. Each person with a slight amount of body fluids on their face. Findings: Study of these areas was further developed into meaningful topics which brought the results revealed significant differences for the likelihood of initiating CPR (Pre to framework to life. Included in this work was the creation of a Vision Statement, Post) among the four types of victims (p-value <0.0005). The most significant Unifying Goal, and the non-negotiable, prioritized, elements of the College’s increases in CPR willingness after training occurred among strangers and victims decision tree. Following the creation of the cultural architecture, the college with body fluids on their face. Therefore, Hands-Only CPR training can change leaders created a day-long, interactive workshop which was attended by all participants’ expressed willingness to initiate CPR in those types of victims. faculty and staff. During the workshop, employees were provided practical Significance to Nursing: It may take emergency services up to 30 minutes to tools that could be immediately used to help transform the culture. The ultimate arrive in the rural areas of Kentucky. Early bystander CPR can double or triple goal of this endeavor was to engage all employees in creating an environment the victim’s chance of survival (AHA, 2018). This study offered a creative way for that offers students an experience that is more than an education, while also school nurses to train more individuals with this life-saving skill. establishing the college as an extraordinary place to work. This session will conclude with insights gained throughout the process, the impact of this Reference: initiative on transforming the culture, and future plans for continuing with this American Heart Association. (2018). CPR facts and stats. Retrieved from American Heart work. Association website: https://cpr.heart.org/AHAECC/CPRAndECC/AboutCPRECC/ CPRFactsAndStats/UCM_475748_CPR-Facts-and-Stats.jsp Significance to the Field of Nursing: This program will describe an initiative designed to transform the culture of a single purpose nursing college from ‘satisfactory’ to ‘extraordinary’. The reasons for embarking on this journey, the actions taken to transform the culture, the application of Disney® organization principles, the outcome of these efforts, and plans for the future will be presented. The work is also transferable to other organizations such as healthcare agencies.

Findings and Implications: The school was in the top 25 Best Places to Work in Kentucky which is determined by employee survey about the culture.

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Kim Evans, MSN, BSN, APRN, RN Pamela recently returned to Kentucky to Owner, Institute for Integrative Medicine facilitate two follow-up lectures to give nurses KNA Conference Co-Chair who participated in the APO E testing their results and to help them understand the tenets of the Conference and testing could serve as model for APO E gene diet program. This was an exciting the country opportunity for these nurses and will create lasting The Kentucky Nurses change in not only their health, but the health of Inspired by the Healthy Nurse, Healthy Nation their families. Foundation Highlights (HNHN) initiative, the Kentucky Nurses Association Nurses also had the opportunity to experience (KNA) presented its fall 2018 conference, “Reclaim three integrative modalities of their choice such Activities and Nursing: Heal, Empower and Inspire,” November 1 as massage therapy, Feldenkrais, chair yoga, Reiki, Accomplishments and 2 in Louisville, KY. mindfulness meditation, art therapy, Jin Shin The first day of the conference focused on Jyutsu or Healing Touch to learn the value for As we look toward Spring in the Bluegrass, we healing nurses and transforming nursing. Pamela personal health or professional use, when referrals wanted to offer you this re-cap of KNF activities: McDonald, FA, WHCNP-BC, APCNP, PNP, FNP, one are appropriate. More than 50 practitioners • We are happy to report that our first- of the keynote speakers, presented her ground- volunteered their time to provide these sessions. ever one-day fundraiser, “Love a Nurse” breaking APO E gene diet. To provide real lasting Nurses with expertise in nutrition carefully Valentine’s Day campaign garnered more than change for Kentucky nurses’ health, attendees planned delicious meals and snacks for the event – $2,000. Thanks to all our faithful donors for were offered an opportunity to have the APO E a different slice from traditional conference fare. making this happen. gene testing at a significantly discounted price. Kim Evans, MSN, BSN, APRN, RN, KNA • Along with funding nursing scholarships, Seventy-five nurses chose to take advantage of Conference co-chair, concludes, “If this type of Kentucky Nurses Foundation (KNF) funds this opportunity to learn about their APO E gene educational opportunity and testing can affect support the Nightingale Tribute Program. This and receive a diet based on their genetics. When change that will improve the health of Kentucky special program includes a brief ceremony to a person fuels his or her body with the right nurses, imagine this as a model to change the honor any deceased Registered Nurse (RN) or combination of healthy fats, carbohydrates and health of nurses across the country. This is a huge Licensed Practical Nurse (LPN) for their years proteins based on their APO E, inflammation is step in creating healthy nurses and a healthy of commitment and dedication to nursing. reduced, reversed and prevented. nation!” Since our fiscal year started in July, we have honored 16 nurses in this special way. We are stepping up our efforts to expand this program. • Contact the KNA if you would like to honor a nurse through the Nightingale Tribute Program. • If you’re already thinking about summer, mark your calendars now for our Second Annual “A Taste of Health” fundraiser on Thursday, July 25. See page 12 for more details. We hope to see you there! • As you consider charitable contributions for the remainder of this year, be sure to make your tax-deductible donation to our “Honor a Nurse –Remember a Nurse” campaign. We’ve made online giving easy; check out our website to learn more.

Please, give generously. Sincerely, Jo Singleton, DNP, RN-BC Joined by their colleague Mary Ann Osborne, Nurses took advantage of the opportunity for DNP, MSN, Pamela McDonald and Kim Evans massage and additional healing therapies. P. S. spoke to more than 300 nurses at the KNA Check out our list of donors on page 14. Conference about creating optimal health of body, mind and spirit.

School of Nursing & Health Professions INSTRUCTOR / ASSISTANT PROFESSOR Full time - open until filled The School of Nursing has two open positions for the 2019-2020 academic year. RESPONSIBILITIES: • Clinical and didactic teaching • Scholarship • Participation on committees • Recruitment and advising • University/regional service of students REQUIRED QUALIFICATIONS: • Masters of Science in Nursing or Graduate Degree in Nursing. • Minimum of three years of clinical experience in adult health. • Must be able to physically supervise student nurses in the clinical area for an 8 hour shift. • Eligible for RN licensure in Kentucky. NOW OFFERING RN·BSN ONLINE PREFERRED QUALIFICATIONS: UNION'S ONLINE RN-BSN PROGRAM INCLUDES: • Preferred doctorate in nursing or related field. • CLASSES ARE 100% ONLINE • Preferred teaching experience at the collegiate level. •T UITION ONLY S225 PERCREDITHOUR For first review, please • FINANCIAL AID AVAILABLE APPLY BY MAY 1, 2019 • ABILITY TO FINISH IN LESS THAN 24 MONTHS To apply please visit: www.murraystatejobs.com/postings/8466 Women and minorities are encouraged to apply. Murray State University is an equal education and employment opportunity, M/F/D, AA employer. Page 12 • Kentucky Nurse April, May, June 2019 Letter to the Editor

Say it Isn’t So: The Other Kentucky Health Epidemic

Janie Heath PhD, promote moral resilience and ethical practice, the • Engage with moral ethics APRN-BC, FAAN, FNAP, FAANP closer we will get to reducing the needless number Learning skills to build confidence in one’s Dean and Warwick Professor of Nursing of youth suicides. ability to establish or re-establish a moral University of Kentucky College of Nursing We believe stronger “town and gown” and value or standard and preserve integrity. “town and organization” partnerships can make a • Engage with moral courage Although Kentucky is known for lives lost from difference until legislation requires placing a nurse Learning skills to stay emotionally balanced, to accidental drug overdoses, there is a silent epidemic and/or health professional in every school as part of befriend fear or uncertainty, and to stand up of youth suicide also rapidly rising. It is sad to hear a comprehensive health and education system. We for individual/collective values and principles. in our very own communities and especially at such believe health profession colleges and organizations • Engage with self-stewardship young ages, as reported recently in Central Kentucky, in Kentucky can individually and collectively look at Learning skills to know oneself and five lives under 14 years old were needlessly lost. innovative partnerships to address mental wellness compassionately respond to individual/ We will probably never know the circumstances for students. collective limits and choose healthy and and what brings students to the point of not seeing What if more college campuses had “health wholesome behaviors. or hearing a message of HOPE and LOVE. What we clinics” that were within footsteps of students (in do know is that the American College of Health residence halls) and/or within a key pad punch of We believe the work we do individually and Association continues to report that throughout virtual/mobile mental health wellness or treatment collectively can promote moral resilience and ethical the country one out of six college students are access? What if more colleges prepared faculty and practice in our stressful learning and working depressed, one out of three college students are student peers on “what to say” or “what to do” if environments and will help prevent suicides. on mental health medications and one out of four they encounter someone threatening to take his or Ultimately, what we do to help our students AND college students self-injure. her own life? OURSELVES manage stress and prioritize self-care Stress runs deep and wide among our students. We believe moral distress and mental health will give us greater capacity to help those we serve Whether it is from struggling to matriculate through suffering can be countered through preventive professionally and personally. a rigorous program of study to facing social justice measures via programs and practices such as these: While the Kentucky Nurses Action Coalition issues to managing peer pressures such as bullying • Engage in suicide prevention training works closely with legislators to actively engage to balancing extracurricular activities and family / Learning skills to assess those with suicidal in driving policy to strengthen safety and resilience professional lives, it is real. We cannot allow local ideation and learning how to listen and guide in our schools, what can we do as educators and and state budgets to short change supporting the youth to professional help. community leaders? Let’s start with a simple PAUSE mental wellness of students. • Engage in mindful practices to assess our individual roles at home and in our Now more than ever, it is critical for communities Learning skills to pay attention to the present communities to address the challenges our students to invest more resources to support student moment without judgment and in service of face today. It is up to us to let them to know there is academic success and promote mental wellness. The self-understanding and wisdom. always HOPE for better days! earlier we reach out to our youth to educate and

School Nurses are Vital to School Health and Safety Check out these Every School Needs a Nurse Every Day! KNA Leadership Opportunities Patricia Burkhart, FAAN, PhD, RN • As a part of a school health and safety team, Lois Davis, RN, MSN, MA school nurses play an active role in mental The Kentucky Nurses Association (KNA) Carol Komara, MSN, RN health screening that includes bullying, Nominating Committee is looking for a diverse attention deficit hyperactivity, conduct and slate of candidates to serve in open offices. • A professional nurse, as an integral team eating disorders, substance abuse, and other Those interested must be KNA members to member, is an essential funded position for disorders that have a physical as well as participate. every public school in Kentucky. behavioral component. For information including these 2019 forms: • School-based nurses play an important role in • School safety is paramount, and school nurses Nominations, Biographical Consent to Serve decreasing absenteeism, promoting physical have the education, skills and expertise to and Responsibilities of Elected Officials, visit and behavioral health, assessing and referring recognize potential threats through a team Kentucky-nurses.org. students, managing chronic health problems, approach with other school and mental health See election timeline: and maintaining adherence to mandatory professionals to prevent violence. health requirements. • School health and school safety cannot be Nominations close • Because of their regular access to students, separated, and for the total well-being of Prepare email and June school nurses recognize that positive physical children, full-time professional nurses need paper ballot and behavioral health and a safe learning to be a part of every school community every mailing environment are fundamental to the academic day. success of students. Candidates posted July on digital media and social media Email electronic August ballot

September Voting closes

Notify winners and other candidates

New officers October sworn in

Announce new officers

New board/ December leadership member orientation April, May, June 2019 Kentucky Nurse • Page 13 KNA New Member List (January-February 2019)

Rebecca Adams Nicholasville, KY Roza Gale Glasgow, KY Christine Marret Lawrenceburg, KY Teresa Agtuca Prestonsburg, KY Stephanie Garrett Mount Vernon, KY Dena McCoy Shepherdsville, KY Angela Angus Elizabethtown, KY Nicole Garritano Lexington, KY Kayleigh McQuerry Elizabethtown, KY Patricia Arnett Mayslick, KY Deidre Gault Louisville,KY Tracey Milburn Shelbyville, KY Darlene Baker Catlettsburg, KY May Ghanim-Moustafa Lexington, KY Michelle Mullen LA Grange, KY Debra Barrett Richmond, KY Lennea Gies Coxs Creek, KY Whitney Nash Louisville, KY Jennifer Bauman Lexington, KY Heather Gilchrist Georgetown, KY Rene Obrien Union, KY Melissa Baumgardner Elizabethtown, KY Baylee Glick Bowling Green, KY Ashley Oney Lexington, KY Tiffany Bennett Flatwoods, KY Tracy Goodman Richmond, KY Jessica Pandolfi Dawson Springs, KY Kimberly Bentley Wilmore, KY Terry Graham Louisville, KY Jacqueline Pardue Bowling Green, KY Kathy Blair Ashland, KY Ginger Greene Farmington, KY Patricia Patton Princeton, KY Sharon Blair Berea, KY McKenzie Griffin Villa Hills, KY Jennifer Peppiatt Lexington, KY Adam Booth Louisville, KY Kelly Renee Griner Elizabethtown, KY Sarah Petty Calvert City, KY Sheila Bostick Hopkinsville, KY Robyn Hakala Fort Thomas, KY Erica Price Mayfield, KY Penny Brown Columbia, KY Indira Halkic Lexington, KY Matthew Proud Lexington, KY Sandra Brown Hopkinsville, KY Lanita Hall Garrison, KY Kelly Rainwaters Russellville, KY Rachel Burr Lexington, KY Ann Hannan Louisville, KY Cathy Ramey Ashland, KY Arlene Chapman Kimper, KY Stephanie Hargis Somerset, KY Cynthia Reusch Independence, KY Elizabeth Chapman Berea, KY Kelley Hawkins Lexington, KY Jacey Rice Louisville, KY Jade Chatman Louisville, KY Sheila Heighter Louisville, KY Amy Richardson Salt Lick, KY Melissa Chesser Boston, KY Mary Hibbitt Louisville, KY Mariln Roberts Manitou, KY Cheryl Chrzanowski Franklin, KY Pamela Hopper Calvert City, KY Danielle Root Winchester, KY Jill Clemmons Lexington, KY Rebecca Hubbard Richmond, KY Heather Russell Sadieville, KY Mary Corbett Louisville, KY Anthony Hurst Lexington, KY Trina Sandusky Lebanon, KY Lanizelle Crawley Louisville, KY Sharee Jackson Lexington, KY Alton Sepp Lexington, KY Danyelle Crowe Winchester, KY Kelsey Jobe Lexington, KY Laurine Sexton Calhoun, KY Karen Crume Waddy, KY Margaret Johnson Hopkinsville, KY Winifred Shouse Louisville, KY Karen Damron Pikeville, KY Alicia Karam Bowling Green, KY Adriene Simpson Lexington, KY Sally Davenport Danville, KY Ashley Kester Richmond, KY Hope Smith Crofton, KY Janet Davis Lexington, KY Casie Kichler Louisville, KY Maleaha Stommel Lexington, KY Brandy Dix Louisville, KY Mary Kilcourse Louisville, KY Amanda Suell Mount Washington, KY Kristi Dixon Independence, KY Claire Knott Hardinsburg, KY Alisa Thompson Catlettsburg, KY Rebecca Doll Lexington, KY Kyle Laferty Louisville, KY Lisa Tucker Columbia, KY Sherri Dotson Richmond, KY Sheri Lancaster Gracey, KY Gina Vaught Science Hill, KY Deborah Duvall Scottsville, KY Sydney Langmann Erlanger, KY Kelli Watts Louisville, KY Christopher Easton Ashland, KY Machiko Lehrman Richmond, KY Michele Wilbers California, KY Maria Luisa Elefante Louisville, KY Rosie Le Page Elizabethtown, KY Erica Wilder Danville, KY Christopher Enz Lexington, KY Lashawnda Lee Greenville, KY Elizabeth Wilson Lexington, KY Patricia Estes Lexington, KY Siobhan Lister Lexington, KY Sarah Wilson Sedalia, KY Kathleen Feighery Burlington, KY Denise Livers Louisville, KY Paula Works Sadieville, KY Melissa Fitzpatrick Lexington, KY Jeanne Loving Shelbyville, KY Tonya Wright Verona, KY Kristy Fleming Greenville, KY Tabitha Maenz-Decarlo Lexington, KY Karen Wynn Lily, KY Tammie Zeigler Lancaster, KY Join KNA and ANA for just $15/month! Membership Has Its Privileges

Membership in KNA and ANA is now only nursing practice, education, scholarships and a • Access to members only events, monthly E-News $15/month or $174/year. Joining KNA and ANA variety of additional topics newsletter and the KNA mentoring program. is a smart choice to achieve quality patient care, • Network and connect with new peers and • Complimentary resume review and assistance. advance your career and elevate our profession. colleagues in many areas: practice, legislation, • Priority consideration for conference presentation academics, research, etc. selection. When you join you'll have access to resources • Discounts for the KNA Convention, Summit and that will help you: all other programs offered by the KNA regarding Best of all, your voice will be heard when we • Gain access to KNA staff to help with nursing practice, leadership, legislative activities speak out on nursing issues. Together with KNA, information and resources related to nursing, and other important issues. ANA represents the largest and most inclusive • Become eligible for nomination to state boards, group of registered nurses in the country. commissions and agencies. Now is the best time to join to advance your • Have a voice in Frankfort and the nation's capitol career, your profession and your patient care. to ensure that nursing has a voice in legislative See our Membership Form on page 19 or join activities. by visiting us online at Kentucky-nurses.org. • Access to KNA's members-only section of the KNA website.

Carmel Manor HOME SWEET LOAN New Nurse? About to Graduate? Seasoned Nurse? “Six Decades of Loving Care!!!” We offer Personal, Skilled Care and Rehab Services 100% Programs Available Located just outside of Cincinnati—we have a beautiful location overlooking the Ohio River. FHA, VA, USDA, Conventional Serving the Northern Kentucky/greater Cincinnati area. Carmel Manor is a 145-bed nursing facility—looking for RNs Call me for FREE Credit Help for a “long term” commitment. Schedule a visit with us—you will feel the difference!! Like to learn more? Julia Wheat | 502-471-1521 Carmel Manor Rd. 859-781-5111 Sr. Loan Officer, NMLS 60814 Ft. Thomas, KY [email protected] Page 14 • Kentucky Nurse April, May, June 2019 Kentucky Nurses Foundation Donor List November 1, 2017 – March 1, 2019

Thanks to these generous donors for their contributions to the Kentucky Nurses Foundation through our “Honor – Remember a Nurse” and our “Love a Nurse Campaigns.” Funds go toward nursing research, educations and scholarships throughout the Commonwealth:

Janet Coillins-Becker Kathy Hager Ann Lyons Bev Rowland In Honor of a Special Nurse Kimberly Bourne’s sister-in-law Dee Ann Totten & All Nurses In Honor of a Special Nurse Ruth Carrico Paula Bentley Ruth Carrico’s father Delanor Manson Kathryn Salee Beatrice Miller Sandy Ford Kimberly Bourne’s sister-in-law Evelyn Gellar Pam Hagan Pam Hagan Ruth Carrico Kathy Hall Kathy Hager Jo Singleton In Honor of a Special Nurse In Honor of a Special Nurse (6) Julie Huron In Honor of a Special Nurse Teresa Huber Sharon Mercer Spencer Cole Carol Komara Marge Perrin Stephanie Smith Christy Branham Delanor Manson All Hosparus Nurses Joan Prentice Julie Marfell Christie Coe Mary Romelfanger In Honor of a Special Nurse Sheila Spence Billie Coe Kelly Ramey In Honor of a Special Nurse Bev Rowland Brandy Matthews Patricia Spurr Kyran Daughtery Jo Singleton In Honor of a Special Nurse Donna Gough Faquir Pam Lynch Ida Slusher Kathy Mershon Ruth Staten Lois Davis Janie Heath Cheryl Booth Mary “Kay” Robinson (sister-in-law) In Honor of a Special Nurse In Honor of a Special Nurse Julie Brothers Kasey Scheper (daughter) Marge Keller University of Kentucky College Juanita Clary Eva Stone of Nursing Alumni Dr. Ruth Cocoran Liz Sturgeon Delanor Manson Lisa Evans Susan Jones Michele Dickens In Honor of a Special Nurse Nancy Puckett Marcia Hern Bridgette Irvin Tukea Talbert Lynne Hall Elizabeth Marcil In Honor of a Special Nurse Ann & Clarence Duncan Marge Perrin In Honor of a Special Nurse Marcia Hobbs Kristen Sherrad Linda Thomas In Honor of a Special Nurse Robin Szcapinski In Honor of a Special Nurse Dorothy Duncan Christie Therkel In Honor of a Special Nurse Connie Hubbard Susan Thornton Thought Leader Select Joyce Hubbard April Walker Ruth Carrico John and Geanne Ervin Abby Ervin Teresa Huber Monica Meier Kathy Tussey In Honor of a Special Nurse J. Patrick Meier Kay Ross Kim Evans Rachael Meier In Honor of a Special Nurse Leslie Jeffries Sharon Utterback Anita Kvinta Tracey Melburn In Honor of a Special Nurse Michael Gordon Teri Goodlett Jane Earline Elkins Savanah Kennedy Rhonda Vale In Honor of a Special Nurse Network for Good Mary Jennette Martin Kathleen Hall All Kentucky Nurses In Honor of a Special Nurse Carol Komara Judy Ambrose Vittitow Kathy Hager Nightingale Chapter Barbara Nell Pat Calico Garden Hardy Daves Lisa Lockhart Brenda Sherwood Mary Lou Baumgardner JoAnn Wever In Honor of a Special Nurse Nurse in Every Kentucky School Agnes Black Carol Komara Kathy Hager In Honor of a Special Nurse Betty Olinger Dottie C. Luther In Honor of a Special Nurse Marion McKenna Louise Zegeer Betty Porter In Honor of a Special Nurse Gracie Wishnia Nathan Goldman (retirement) Christy Ralston Ann Lyons & Ruth Carrico In Honor of a Special Nurse Jane Younger Mary Romelfanger Pat Burge Wass Brady Martha Ann Marrillia, SCN

Go-Hire Employment and Development, Inc. NOW HIRING FULL-TIME, PERMANENT PLACEMENT POSITIONS FOR FNPs, APRNs, RNs and LPNs in various work settings across Kentucky: • Local/District Health Departments Highly competitive • Community Mental Health Centers salary & benefit (Psychiatric designation required for most) package • Rural Health Clinics EOE/AA To view full position details and apply online go to: www.gohire.org “This institution is an equal opportunity provider and employer.” Work assignments may be funded in part or whole through Federal, CHFS and/or State Funds April, May, June 2019 Kentucky Nurse • Page 15 Quality Corner Health Alerts Demonstrate Need for Nurse Involvement in Vaccine Administration

Ruth Carrico, PhD, DNP, APRN, CIC, FSHEA outbreak involves hundreds and perhaps many more nurse, wear your credentials proudly. There should be no President, Board of Directors patients who relied upon the delivery of safe and question that you are a nurse. There should also be no Kentucky Nurses Association evidence-based care. Currently available information opportunity for someone to imply that they are a nurse indicates that this did not happen. Another unintended either by lack of a visible credential or through vague In the last issue of Kentucky Nurse, we added a new consequence is the possibility that some in our identification of their roles and responsibilities. column called the “Quality Corner” where we can share community may lose confidence in their ability to receive Be aware that the Kentucky Board of Nursing and learn about healthcare quality activities occurring safe immunization. As we are experiencing outbreaks of responds to situations where there is a ‘nurse imposter.’ in the Commonwealth. In that first article, members of measles across the United States due to anti-vaccination KRS 314.031(1) states that it is “illegal for any person in the Kentucky Hospital Association shared information sentiments and practice, we cannot afford to have the the Commonwealth of Kentucky to represent or hold about the activities that are present and impacting care poor practices of some lead to vaccine hesitance and herself or himself out to the public to be a nurse without provided in the more than 120 hospitals in Kentucky. subsequent illness in our communities. having obtained proper licensure as a nurse by the In this issue, I want to share information regarding There are two activities that every nurse in Kentucky Board of Nursing.” quality failures that reportedly occurred in communities Kentucky should do. First, ensure you are competent in Please visit the KNA website at Kentucky-nurses. across Kentucky and surrounding states. Hopefully, performance of safe injection practice. If you are unsure org for information regarding an educational review of each of you are aware of the Health Alerts sent from of your knowledge and skill, then seek continuing safe injection practice as well as tools and resources you the Kentucky Cabinet for Health and Family Services education and skill validation. If injection of any kind is may use in your own professional development. Share Department for Public Health in December 2018 and performed, there should be a nurse involved in practice this information with others you feel may benefit. There again in January 2019. These alerts addressed a cluster review, policy development, skill validation, and outcome are also infection preventionists working in hospitals, of adverse vaccination reactions including multiple local evaluation. long term care facilities, and other healthcare settings site infections with a mycobacterium species. The alerts The following is a general review of safe injection who have specific expertise in infection prevention and stressed that there is NO EVIDENCE to suggest that practices that must be present as part of immunization. control. Reach out to them for assistance as a trusted these reactions occurred because of the vaccine or the Injection safety is described in more detail at the CDC colleague with whom you can partner. Remember that, syringes used to administer the vaccine doses. Instead, website https://www.cdc.gov/injectionsafety/ : again, the general public has recognized nurses as the the evidence suggests that these reactions were due to • Performance of hand hygiene prior to vaccine most trusted profession. Continue to earn that trust the handling and administration of vaccine doses by a handling and preparation; and make sure patients are cared for in safe manners. single healthcare provider and those working as part of • Knowledge of the vaccines to be administered, Clearly, this latest health alert shines a bright light on the that vaccination office. If you have not read these alerts, their preparation, handling, and administration; importance of nurses and the consequences that may you may review these documents at https://chfs.ky.gov/ • Safe handling of vaccines including cold chain occur without our expertise. News/Documents/nrvaccination.pdf management in the office setting and as part of Apparently, there were no nurses involved in this mobile clinics or outreach; process. Although you may, at first, be glad there • Selection, use, and disposal of needles and were no nurses involved. However, upon further syringes used during immunization; consideration, this is a cause of deep sadness because • Patient education before and after the vaccine is it means that the provider did not include the skill administered; set that is present in those of us who are trained to • Documentation of the vaccine(s) provided Knowledge for Life perform procedures involving safe injection practice. including vaccine brand name, lot number, USI nursing promotes: The prevention of infection is a foundational element expiration date, anatomic location of the • highly sought workplace skills • flexible course delivery of nursing care and this outbreak is a stark reminder to administration site, date of administration, name • online education • valuable practice experiences those within our profession as well as the community. and credentials of the person administering, and We are currently offering the following degrees: Every setting where healthcare is delivered should date on the Vaccine Information Statement (VIS) • Bachelor of Science in Nursing • Post MSN Certificate include the knowledge and competencies of practice that was provided to the patient; and • RN-BSN • Doctor of Nursing Practice • Master of Science in Nursing that are part of nursing care and nursing education. • Response to any adverse reactions are identified Our programs focus on: Despite having positions that may be called “the office or reported. nurse,” all too often that person is not a licensed • practice experience practical or registered nurse, although the public may • proven student outcomes on licensure/certifications Second, be an advocate for the presence of a nurse • nationally recognized faculty think they are being cared for by a nurse. This current in every setting where healthcare is delivered. As a For more information about these programs, please visit our website at http://USI.edu/health Page 16 • Kentucky Nurse April, May, June 2019 A Message from the Kentucky Board of Nursing

Thank you for the opportunity to provide information about the • Obtain written consent of patients for treatment with Kentucky Board of Nursing (KBN) and its adherence to its opioids, after a frank discussion about the risks of mission of protecting the health and safety of the public. addiction and overdose I am providing an overview of the processes related • Cancel refills for an initial prescription if a to the oversight and regulatory activities regarding different prescription for a controlled substance for the prescribing of controlled substances by the same purpose is substituted APRNs. • Require the patient to dispose of any remaining The Kentucky Board of Nursing licenses unconsumed medication approximately 85,000 nurses. Of that number, • Not issue multiple/same day prescriptions for controlled 6,600 are Advanced Practice Registered substances whenever refills are prohibited Nurses (APRNs) licensed as nurse anesthetists, • Adhere to the prescribing limits of hydrocodone-combination nurse midwives, clinical nurse specialists and nurse controlled substances based on the management of acute vs. chronic practitioners. pain with substantiating documentation APRNs have been authorized to prescribe controlled substances since 2006 • Provide evidence of DEAx registration to the Board in order to provide with DEA registration and a collaborative agreement with a physician licensed medication assisted treatment per the federal law in Kentucky for prescribing purposes only. Currently there are just over 3000 • Report practice address changes to the Board within 30 days APRNs in Kentucky with authority to prescribe controlled substances. • Report changes to a CAPA-CS in writing to the Board within 30 days In 2012, in response to the heightened concern over opioid addiction in • Not prescribe with a collaborating agreement with a physician with a the Commonwealth, the General Assembly enacted more requirements on suspended license prescribers of controlled substances. The KBN implemented regulations and • Conduct a self-assessment of the comprehensive prescriber KASPER investigative and enforcement processes to ensure that all APRNs abide by report (reverse KASPER) no less than once every six months those requirements. • Correct data errors in KASPER with the pharmacy, and report suspected fraudulent activity to law enforcement or the OIG’s Office of Drug Enforcement and Professional Practices branch • Support electronic prescribing of controlled substances • Discuss effects of controlled substances on the ability to safely operate a vehicle • Obtain the patient’s history of substance use • Obtain baseline drug screens and random screens as warranted

These are just some of the things that APRNs are required to do to prescribe.

How is an investigation of complaints conducted? First and most importantly, investigation of complaints of APRN prescribing irregularities and noncompliance are prioritized above other complaints received by KBN and a notice of charges is issued within 120 days.

*Data through 10/2018 The enacted protections corresponded with a decrease in prescribing of opiates by APRNs, physicians, and dentists, as shown below. A message of thanks from

What are the requirements for APRNs who prescribe? The Kentucky Administrative Regulation 201 KAR 20:057 Scope and one of our donors about the Standards of Practice for APRNs has been amended eight times since 2012 with changes that address various aspects of practice on the part of the Nightingale Program licensee and scrutiny by the Board. For example, APRNs shall: • Report all DEA registrations to the Board “One week ago, our • Query KASPER prior to prescribing controlled substances and document family member was in the patient’s record laid to rest. The ladies • Record ID numbers or retain the KASPER report in the chart for each of the KNA Nightingale query Program paid tribute to our loved one in Glasgow….It was a lovely part of the service and we wanted to honor her by sending a memorial gift. We trust the funds will to give other nurses the same honor. It was meaningful to us. May God continue to bless this program.” The Kentucky Nurses Foundation supports the Nightingale Program. To donate in memory or in honor of a special nurse in your life, visit Kentucky-nurses.org.

Hope Starts Here Located in Lexington, Kentucky, in the heart of the Bluegrass, The Ridge provides exceptional treatment and services to children, adolescents, adults and senior adults for psychiatric and substance use disorder related issues. Full Time RNs. • Annual Retention Bonuses • Competitive Salaries and Shift Differentials • Excellent Medical, Dental, and Vision Plans • Prescription Drug Plan • 401k with Company Match • Tuition Reimbursement Visit our website and apply online at ridgebhs.com. Click on careers, View Open Positions. For more information contact Sonia Joyner, Human Resources Director, at (859) 268-6477. April, May, June 2019 Kentucky Nurse • Page 17 Complaints against APRNs are initiated by the KBN in a number of ways, • 10 immediate temporary suspensions, and many of those being driven by KBN. The Board routinely reviews KASPER • nine suspensions or revocations data to identify potential illegal trends in prescriptions, and combs through The KBN currently has three contested hearings pending final disposition information gathered from other investigations, shared through phone calls, related to prescribing controlled substances. emails, and media accounts. This is all in addition to the information provided Thanks to action taken by the General Assembly in 2018 at KBN’s request, by our partners and others at: the KBN will implement a Jurisprudence Exam in 2019, which will be a • DEA requirement for APRN licensure thereafter, and will focus on the laws and • Local and state law enforcement agencies regulations specific to prescribing of controlled substances. • Office of Inspector General, Drug In addition, by year end the KBN expects to complete an audit of all APRNs Enforcement and Professional Practices Branch to ensure compliance with the requirements of the law to make certain that • Cabinet for Health and Family Services collaborative agreements, DEA, KASPER registration, etc. is on file with the • Kentucky Board of Medical Licensure Board. • Kentucky Board of Pharmacy These are some of the things that the Board is doing to address its bad • Pharmacists actors.

We also receive information from: On the positive side, how are Nurse Practitioners, specifically, and • Employers APRNs are helping in the battle against opioid addiction! • APRNs Prior to January 18, 2018, no APRNs had the authority to prescribe • Patients buprenorphine, a controlled substance, used as a treatment for opioid • Public at large addiction. Then Congress enacted Public Law 114-198. The law provided temporary authority for NURSE PRACTITIONERS only, to prescribe Investigations are conducted by experienced nurse investigators. The Board buprenorphine for medication assisted treatment. uses its subpoena powers and makes on-site practice investigations when In response, KBN filed 201 KAR 20:065 Professional standards for warranted. prescribing Buprenorphine-MonoProduct or Buprenorphine-Combined- The Board is currently in the process of identifying and hiring a dedicated with-Naloxone by APRNs for medication assisted treatment for opioid APRN Nurse Investigator. use disorder to clearly lay out the parameters for this additional prescribing To this point, the Board had contracted with APRN expert witnesses over the authority. The regulation was effective January 18, 2018. To meet these past three years to review documents and records, offer opinions and present requirements nurse practitioners are required to complete 24 hours of specified expert testimony at hearings. APRN experts will continue to be a valuable training to apply for the DEA waiver. Nurse Practitioners are allowed to resource for the Board. prescribe for only 30 patients in their first year of this authority. After one year, Since 2012 (HB1), the KBN has investigated and closed 270 cases in response they may apply for additional patients up to 100. to complaints filed against APRNs that involved inappropriate prescribing of Since January 2018, 167 Nurse Practitioners have met the requirements and controlled substances in Kentucky. The majority of these proceedings resulted may prescribe for 30 patients. In addition, 68 Nurse Practitioners have met the in requirements for fines and education. Currently there are 44 cases pending requirements that allow them to prescribe for 100 patients. before the Board in the investigation and litigation phase. Of the 314 open and On October 24, 2018, recognizing that Nurse Practitioners were helping in closed cases, Board staff filed agency-initiated complaints in over 70%. the battle against opioid addiction, President Trump signed Public Law 115-271 To date, KBN has taken the following actions: that permanently allows ALL APRNs who meet the requirements to prescribe • 40 reprimands buprenorphine for medication assisted treatment for opioid addiction. • 15 limitation/probation actions Amendments to 201 KAR 20:065 which will allow all APRNs the opportunity to seek the training and apply for the waiver will go before the Administrative Regulations Review Subcommittee next month. Currently 29 of Kentucky’s 120 counties do not have MD or APRN providers practicing in those counties prescribing medication-assisted treatment. With the proposed changes, more treatment for Kentuckians with opioid addiction will become available. KNA Centennial Video Thank you for the opportunity to provide this information to you.

Lest We Forget Respectfully, Kentucky’s POW Nurses

This 45-minute video documentary is a KNA Centennial Program Planning Pamela C. Hagan, MSN, RN Acting Executive Director Kentucky Board of Committee project and was premiered and applauded at the KNA 2005 Nursing 502-429-7181 Convention. “During the celebration of 100 years of nursing in Kentucky—Not To [email protected] Remember The Four Army Nurses From Kentucky Who Were Japanese prisoners for 33 months in World War II, would be a tragedy. Their story is inspirational and it is hoped that it will be shown widespread in all districts and in schools throughout Kentucky.

POW NURSES Earleen Allen Frances, Bardwell • Mary Jo Oberst, Owensboro Sallie Phillips Durrett, Louisville • Edith Shacklette, Cedarflat

______DVD Price: $25.00 Each ______Total Payment Name______Address______City______State, Zip Code ______Phone ______Visa * MasterCard * Discover Credit Card # ______Expiration______CIV: ______Signature______(Required)

Kentucky Nurses Association 305 Townepark Circle, Suite 100, Louisville, KY 40243 Phone: (502) 245-2843 Fax: (502) 245-2844 • Email: [email protected] Page 18 • Kentucky Nurse April, May, June 2019 KNA Highlights the Importance of Joining a Professional Nursing Organization

Benita Chatmon, PhD, MSN, RN, CNE of 13 million nurses around the world (Matthews, 2012). socialization of the nursing role. Mentoring also Instructor, LSU School of Nursing Since 1896, professional nursing organizations, provides support, while guiding transformation of such as the ANA, set a standard level of practice for the mentee into their new role (Jian Lin, Yi Rong Nicole Thomas, MSN, RN, CCM the profession of nursing. ANA is at the forefront Chew, Ying Pin Toh, & Radha Krishna, L., 2018). Instructor of Clinical Nursing at Louisiana State in improving the quality of health care, providing The nursing profession is evolving. In 2010, the University advocacy for nurses on federal and national levels, Institute of Medicine (IOM) released its report The educating nurses on areas of opportunities to Future of Nursing: Leading Change, Advancing Members of the Kentucky Nurses Association increase knowledge via continuing education, Health. These key messages came out of that report: Editorial Board extends its thanks to Benita Chatman and cultivating opportunities for nurses to engage • Nurses should practice to full extent of their and Nicole Thomas, members of the Louisiana Nurses in discussion to share knowledge (American education and training. Association, for use of this article. Our team has Nurses Association, n.d., p. 2). One benefit of • Nurses should achieve higher levels of included membership information specific to Kentucky. joining ANA is the continued opportunity for education and training through an improved American Nurses Association (ANA) and the professional development of individual nurses. education system that promotes seamless International Council of Nurses (ICN) are the only Moreover, ANA offers a virtual mentoring academic progression. organizations that provide services to all nurses. ANA program designed to connect new nurses with • Nurses should be full partners, with physicians is a national organization representing the interest of a more experienced nurse. With the challenges and other health care professionals, in four million nurses across the United States, while ICN that exist within the nursing profession and the redesigning healthcare in the United States. is an international organization representing more complexities of healthcare, mentoring has been • Effective workforce planning and policy making than 130 national nurses’ associations. ANA is the U.S. shown to assist nurses in the development and require better data collection and an improved representative for ICN, an organization that comprises information infrastructure (IOM, 2011, pg. 1).

Closer to home in Kentucky

The Kentucky Nurses Association (KNA) stands behind ANA by representing its members to provide advocacy through collaboration with state legislators. Specifically, KNA hosts an annual convention or summit, myriad of continuing education offerings and Nurses Day at the Kentucky State Capitol. Its members serve on state and national policy councils and boards. In addition, KNA members have more access to peers and mentors than any other professional member organization in Kentucky. KNA membership benefits include: • Access to staff for help with information and resources related to THE POWER OF nursing, nursing practice, education, scholarships and a variety of NURSING additional topics. • Eligibility for nomination to state boards, commissions and EXCELLENCE agencies. • Liaison information to state agencies, healthcare organization UK HEALTHCARE and the media. • Discounts for the KNA Convention, Summit and all other We are currently recruiting RNs in all areas at UK programs offered by the KNA regarding nursing practice, HealthCare’s Chandler, Good leadership, legislative activities and other important issues. Samaritan and Kentucky • Discounts on KNA products and services. Children’s hospitals. We are • Opportunities to participate in campaign activities through KYN- also recruiting for Adult and Pediatric Operating Room PAC. nurses. • Networking opportunities in many areas: practice, legislation, academics, research, etc. To apply, visit: • Access to KNA’s members-only section of the KNA website. ukjobs.uky.edu • Full-time lobbying representation in Frankfort and at the nation’s capital to ensure that nursing has a voice in legislative activities. THE COLLEGE OF • Eligibility to apply for KNA scholarships. NURSING OFFERS: • Access to members only events, monthly E-News newsletter and the KNA mentoring program. 2ND CAREER • Complimentary resume review and assistance. ACCELERATED BSN | • Priority consideration for conference presentation selection. RN-BSN ONLINE | MSN • Access to mentorship. ONLINE | BSN-DNP | MSN-DNP | PHD While the role of nurses is one that is complex, nurses must Seeking future nurse demand a seat at the table. With the assistance of professional nursing scientists. Our highly- organizations, nurses are mentored in career development, healthcare funded PhD faculty prepare policy, and the use of evidence in clinical practice. Join KNA and ANA, students to conduct clinical where you become the catalyst for change in the profession of nursing. research that generates new knowledge applicable to nursing practice. Our students References are prepared to assume American Nurses Association. (n.d.). The importance belonging. Retrieved from https:// roles in a variety of settings www.nursingworld.org/education-events/faculty-resources/ana-programs/ – from the private sector, to Institute of Medicine [IOM]. (2011). The future of nursing leading change advancing community colleges, to top health: Report recommendations. Retrieved from http://nationalacademies.org/ research-intensive nursing hmd/~/media/Files/Report%20Files/2010/The-Future-of-Nursing/Future%20of%20 schools affiliated with major Nursing%202010%20Recommendations.pdf Jian Lin, Yi Rong Chew, Ying Pin Toh, & Radha Krishna, L. K. (2018). Mentoring in academic health centers. nursing: An integrative review of commentaries, editorials, and perspectives papers. uky.edu/nursing Nurse Educator, 43(1), E1–E5. https://doi.org/10.1097/NNE.0000000000000389 Kentucky Nurses Association [KNA]. (n.d.). Membership Information. Retrieved from https://kentucky-nurses.nursingnetwork.com/page/69731-member-center Matthews, J. H. (2012). Role of Professional Organizations in Advocating for the Nursing Profession. Online Journal of Issues in Nursing, 17(1), 1. https://doi- org.ezproxy.lsuhsc.edu/10.3912/OJIN.Vol17No01Man03 April, May, June 2019 Kentucky Nurse • Page 19 JUST BECAUSE YOU Human Touch RECEIVED THIS NEWSLETTER Collection: DOESN’T MEAN YOU’RE A E M P A T H Y JOIN MEMBER OF KNA. 1/2 11/16 ! VISIT WWW.KENTUCKY-NURSES.ORG OR Actual Size 2 x 1 ” COMPLETE THIS APPLICATION. “EMPATHY”© is a fine jewelry signature piece of TODAY the Human Touch Jewelry Collection. The title connotes caring, compassion, affinity, sympathy and Understanding between two person – “What comes from the heart touches the heart” (Don Sibet) Membership Activation Form EMPATHY was designed by professional nurses working in concert with nationally renowned silversmith Joseph Schmidlin. Membership Activation Form Can be worn as a Pin or a Pendant. Membership Activation Form Gold Only MembershipFor dues rates and other information, Activation contact ANA’s Form Membership Billing Department at (800) 923-7709 Foror e-mail dues ratesus at [email protected] other information, contact ANA’s Membership Billing Department at (800) 923-7709 Cost $125.00 orFor e-mail dues ratesus at [email protected] other information, contact ANA’s Membership Billing Department at (800) 923-7709 Membership Activation Form Tax $4.50 orEssential e-mail usInformation at [email protected] EssentialFor dues Informationrates and other information, contact ANA’s Membership Billing Department at (800) 923-7709 TOTAL $129.50 FirstEssentialor e-mail Name/MI/Last Informationus at [email protected] Name Gender: Male/Female First Name/MI/Last Name Gender: Male/Female Payment Method: ______Cash Essential Information MailingFirst Name/MI/Last Address Line Name 1 CredentialsGender: Male/Female _____ Check (Make check payable to: Mailing Address Line 1 Credentials First Name/MI/Last Name Gender: Male/Female KNA – River City Chapter) Mailing Address Line 21 PhoneCredentials Number Circle preference: Home/Work Credit Card: ______Visa ______MasterCard ______Discover Mailing Address Line 2 Phone Number Circle preference: Home/Work Mailing Address Line 1 Credentials City/State/ZipMailing Address Line 2 EmailPhone Address Number Circle preference: Home/Work Number: ______City/State/Zip Email Address Exp. Date: ______/______CIV: ______Mailing Address Line 2 Phone Number Circle preference: Home/Work City/State/Zip Email Address Country Mail to: ______Country City/State/Zip ProfessionalCountry Information Email Address ______Professional Information ______ProfessionalEmployerCountry Information Current Employer Status: (ie: full-time nurse) Phone Number:______Employer Current Employer Status: (ie: full-time nurse) Professional Information TyEmployerpe of Work Setting: (ie: hospital) Current PositionEmployer Title: Status: (ie: full-time(ie: full-time nurse) nurse) Send Payment to: Jewelry Amount Kentucky Nurses Association Type of Work Setting: (ie: hospital) Current Position Title: (ie: full-time nurse) Tax Employer Current Employer Status: (ie: full-time nurse) 305 Townepark Circle, Suite 100 TyPracticepe of W Area:ork S (ie:ett inpediatrics)g: (ie: hospital) Required:Current Position What is Title: your (ie: primary full-time role nurse) in nursing (position description)? 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Nurse/Staff Nurse Executive (including Director/CNO) KNA at (502) 245-2843 ANA$15.00 and Monthly State Membership or $174.00 Annual Dues: NurseNot currently Manager/NurseEducator working or Professor Executive in nursing (including Director/CNO) Clinical Nurse/Staff Nurse W$15.00ANAays to and JMonthlyo inState Membership or $174.00 Annual Dues: NotNurseAdvanced currently Educator Practice working or Professor Registered in nursing Nurse (NP, CNS, CRNA) Limited Availability Membership$15.00 Monthly Dues or $174.00 Annual Nurse Manager/Nurse Executive (including Director/CNO) ANA and State Membership Dues: AdvancedNotOther currently nursing Practice working position Registered in nursing Nurse (NP, CNS, CRNA) ANA-PACContributionMembership Dues (optional)...... 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UofL Institutional Review Boards IRB Number: 18.0319 IRB APPROVAL DATE: 01/22/2019

Join the Race Against Cancer in the Commonwealth

Play a Role in Research by Volunteering for this Study

We are interested in improving understanding of the causes of cancer and methods for non-invasive early detection of cancer in men and women. This study will involve a one-time visit to complete a brief health survey and a small blood sample. Results from this study will be used to guide us in making decisions about the development of a long-term Kentucky-based study to improve cancer outcomes. UofL Institutional Review Boards IRB Number: 18.0319 IRB APPROVAL DATE: 01/22/2019

You may be eligible to participate in this study if you: • Have lived in Kentucky for the past 3 years • Currently reside in Christian, Fayette, Hart, Jefferson, Perry, or Powell County • Are between 40 and 79 years old • Have no history of cancer The interview will take about 35-40 minutes & participants will be compensated.

For more information or to take part in this study, please contact: Dr. Richard Baumgartner, Dr. Kathy Baumgartner or Dr. Stephanie Boone at the University of Louisville by email or phone ([email protected], [email protected] | 502-852-1894 [email protected] | 502-852-2257)

In Collaboration with: