Feb, March, April 2020 Official peer reviewed publication of Idaho Alliance of Leaders in Nursing & Idaho Center for Nursing IDAHOVolume 42, • No. 4 Quarterly publication direct mailed to approximately 26,000 RNs and LPNs in Idaho.
These organizations are members of the Idaho Center for Nursing. EXECUTIVE DIRECTOR REPORT INSIDE THIS ISSUE Randall Hudspeth PhD, APRN, FRE, FAANP nursing even though her nursing expertise has LETTER FROM THE EDITOR: Executive Director, Idaho Center for Nursing benefitted the Senate Health and Welfare Committee The Year of the Nurse [email protected] where she is a member. Sara F. Hawkins, PhD, RN, CPPS PAGE 2 We know that most nurses in Idaho are registered NLI Elects New Board Members PAGE 4 Today, there are more voters. If the Idaho population demographic holds than 30,000 Registered and true for nursing in terms of political party affiliation, FEATURE: Licensed Practical Nurses we can say that nursing has a fairly equal distribution The 2020 Census will Impact Idaho’s Healthcare Dollars Juanita Risch PAGE 4 licensed in Idaho. Nearly between republicans and democrats. Still, the 22,500 of them are actually sheer numbers of nurses who vote could impact Save the Dates PAGE 4 Idaho residents. Clearly an election. But the nursing vote is invisible. Idaho FEATURE: nurses are, and have been, nursing does not openly endorse candidates and Risks for Developing Internet Gaming Disorder In Adolescents the single largest component does not have a political action committee (PAC) Cara Gallegos, PhD, RN of Idaho’s healthcare that offers any candidate funding, and candidates Kelley Connor, PhD, RN, CHSE workforce. for office are themselves oblivious to nursing issues, Brynn Peters PAGE 5 February is the month do not seek nursing input and have not overtly Nurses on Boards Coalition: Be Counted PAGE 5 nurses focus on legislative Randall Hudspeth supported the few issues that nursing has brought issues and hold both FEATURE: forward. ECHO Idaho: Free CE Opportunity for Nurses Nurses Day at the Capitol and the annual Legislative More importantly, the nursing voice is silent in Michelle Cullinan, PMHNP PAGE 6 Conference. This year those events are on Thursday, terms of public policy formation in Idaho. Nursing February 20 and open to all Idaho nurses whether as a profession has shown itself to be out for the PRACTICE MATTERS: or not they are members of a nursing association. Coming Back from the Unthinkable: Substance Use Disorder betterment of patient care and the improvement Katie Stuart, CIP PAGE 7 February is also an anniversary month for me of health for Idahoans. Idaho public policy has marking five years since I retired as a CNO and commonly focused on how healthcare is paid for. AWARDS AND RECOGNITIONS: began my affiliation with the Idaho Nursing Action A Living Legend: Margaret St. Clair Plastino PAGE 8 For nursing services provided, nurses do not receive Daisy Award Recipients PAGE 8 Coalition for two years and now as Executive Director direct payments from third party payors such as 2019 Celebrate Nursing Gala PAGES 9-11 for the past three years. Thus, February prompts insurance, Medicare and Medicaid, unless they are me to ponder what I have seen and know about APRNs functioning as direct providers. Even then, the IDAHO CENTER FOR NURSING PARTICIPATING the status of nursing in Idaho and how nurses are ORGANIZATION UPDATES: majority of APRNs generate the billing but are paid a ANA IDAHO PRESIDENTIAL REPORT positioned to have a voice in public policy. salary as an employee. Brie Sandow, MSN, RN, NEA-BC, RNC-OB Nursing has been the most trusted profession Healthcare policy in Idaho is driven by physicians Dori Healey, MSN, RN, MBA, CPPS PAGE 12 both nationally and in Idaho for the past 17 straight and non-clinical administrators who have a primary NLI/IALN Presidential Report years, and I am told that Idaho legislators have a responsibility to their agencies or themselves and Joan Agee, DNP, RN, CNOR, FACHE PAGE 13 very positive view of nursing as a profession and who have a vested interest in payment mechanisms. IDANA Update consider nurses to be generally interested in the Nursing is more focused on the social determinants Gus Powell, MSN, CRNA PAGE 13 public good, versus being self-serving. However, the that specifically impact health beyond payment NPI Presidential Report biggest healthcare workforce in Idaho is basically mechanisms. In Idaho these have included a focus M. Christine Henesh-Lyle, invisible in public policy forums and to our elected on tobacco and drug use, exercise, nutrition, PhD candidate, MSN, NP-C PAGE 14 representatives and state government. Why? The screenings, care related to sexual activity, home Idaho Legislature only has one RN elected to office. FEATURE: safety, immunizations, and issues impacting children Developing Nursing Student Communication and She is a State Senator. Nursing is lucky to have her Teamwork Skills: Automating Peer Assessment in the senate, but she is not elected to represent Executive Director Report continued on page 3 Rob Anson, PhD Shelle Poole, PhD, PMP, MBB Angela M. Fairbanks PAGE 15
Non-Profit Org. FEATURE: U.S. Postage Paid The Idaho Nurses Foundation Transitions to an Princeton, MN LIKE US ON FACEBOOK Education Fund for Multiple Purposes PAGE 16 Permit No. 14 current resident or FEATURE: The Color Code – Part II: How to Effectively Work and Communicate with all the Colors? Megan Guido PAGE 17 www.facebook.com/IdahoNursesAssociation/ In Memorium PAGE 18 RN Idaho Remembers a Nursing Legend FOLLOW US ON TWITTER Alyce Kazuko Sato, PhD, RN PAGE 18
@IDAHONURSES An Essay on Faculty Roles and Productivity Sara F. Hawkins, PhD, RN, CPPS PAGE 19 Page 2 • RN Idaho February, March, April 2020 LETTER FROM THE EDITOR
The Year of the Nurse IDAHO RN Idaho is published by Idaho Alliance of Leaders in Nursing Sara F. Hawkins PhD, RN, CPPS nurses in Idaho. By elevating the narrative about what Editor, RN Idaho & Idaho Center for Nursing nurses do and the knowledge it takes, we can gain Email: [email protected] 6126 West State St., Suite 306 public support, political support, visibility, and voice. Boise, ID 83703 What can you do? While observing nurses Direct Dial: 208-367-1171 1. Inform the public about nursing. Use taking care of patients, Email: [email protected] #yearofthenurse on social media or submit an journalist Suzanne Gordon Website: www.idahonurses.nursingnetwork.com article. (2005) marveled at how little 2. Make public communication and education RN Idaho is peer reviewed and published by communication between a part of your work. In conversations with the Idaho Alliance of Leaders in Nursing & the caregivers in the context patients and others, educate about the scope Idaho Center for Nursing. RN Idaho is distributed of nursing reflected the to every Registered Nurse and Licensed Practical of your work or the significant aspects of what complexity of the work Nurse licensed in Idaho, state legislators, employer you are doing. they did. Further, despite executives, and Idaho schools of nursing. The total 3. Communicate in ways that highlight nurses’ representing the largest quarterly circulation is over 26,000. RN Idaho is knowledge rather than simply their virtues. healthcare profession, published quarterly every February, May, August, Emphasize the importance of making Buresh and Gordon (2006) Sara F. Hawkins and November. observations and acting on them. found nursing to be virtually Editor: invisible in healthcare reporting and media. Imagine Sara F. Hawkins, PhD, RN, CPPS Nursing care is consequential. As we celebrate how things would be if the voice and visibility of nurses in 2020, we would like to hear your story! Editor Emerita: nursing were commensurate with the size and Submit a manuscript to [email protected]. Barbara McNeil, PhD, RN-BC importance of the workforce (pg. 11). The World Health Organization (WHO) (2019) Executive Director: References designated 2020 as the “Year of the Nurse and Randall Hudspeth, PhD, MBA, MS, APRN-CNP, Buresh, B., & Gordon, S. (2006). From silence to voice: FAANP Midwife.” With the aim to improve health globally, What nurses know and must communicate to the networks of nursing leaders and stakeholders public. Ithaca, New York: Cornell University Press. Editorial Board: are seeking to raise the status of nurses through Gordon, S. (2005). Nursing against the odds: How Michelle Anderson, DNP, APRN, FNP-BC, FAANP detailed reporting on nursing workforce, education, healthcare cost cutting, media stereotypes, and Sandra Evans, MAEd, RN regulation, practice, and leadership. The “Nursing medical hubris undermine nurses and patient care. Pamela Gehrke, EdD, RN Now” campaign (WHO, 2019) is part of the Ithaca, New York: Cornell University Press. Beverly Kloepfer, MSN, RN, NP-C collaborative effort to ensure that nurses and The World Health Organization. (2019). Executive board Karen Neill, PhD, RN, SANE-A, PF-IAFN Gus Powell, MSN, CRNA midwives have a prominent voice in health policy- designates 2020 as the “Year of the Nurse and Midwife.” Retrieved from https://www.who.int/hrh/ Katie Roberts, MSN, RN making; encouraging greater investment in the Laura J. Tivis, PhD, CCRP nursing workforce; recruiting more nurses into news/2019/2020year-of-nurses/en/ The World Health Organization. (2019). Nursing now leadership positions; conducting research; and RN Idaho welcomes comments, suggestions, campaign. Retrieved from https://www.who.int/hrh/ sharing best practices (para. 2). and contributions. Articles, editorials and other news/2018/nursing_now_campaign/en/ submissions may be sent directly to the Idaho Over the course of 2020, look to RN Idaho to Center for Nursing office via mail or e-mail. represent nursing organizations and practicing JOIN ANA IDAHO TODAY WE NEED YOU! Membership application elcomes New & Returning Members http://nursingworld.org/joinana.aspx ANA Idaho W For advertising rates and information, please contact Arthur L. Davis Publishing Agency, Inc., 517 Washington Street, PO Box 216, Cedar Falls, Iowa 50613, (800) 626-4081, [email protected]. IALN and September 3 - December 1, 2019 the Arthur L. Davis Publishing Agency, Inc. reserve New Plymouth the right to reject any advertisement. 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The affiliated nursing organizations and the Amanda Kampf Bonnie Kofi Idaho Falls Moscow Arthur L. Davis Publishing Agency, Inc. shall not be Aldon Colby Jennifer Thomas held liable for any consequences resulting from Rigby purchase or use of an advertiser’s product. Caldwell Malinda Matkin Nampa Cathy Lewis Articles appearing in this publication express Gia Swope the opinions of the authors. They do not Laura Fry Trisha Martin Jerome necessarily reflect views of the staff, Cocolalla Samantha Skogsberg Amy Bradley Sandpoint board or membership of affiliated Tracy Bradshaw Florentina Vulcan Tracy Autler nursing organizations, or those of the Kimberly Bethany Hazel national or local associations. Coeur D Alene Donald Rider Christina Grant Chrissy Paul Sherry Kroon Shelton Jenkins Lewiston Margie Campbell Pamela Sly
Eagle McCall Pamela Strohfus Thea Campbell February, March, April 2020 RN Idaho • Page 3 Executive Director Report continued from page 1 and elders. Nurses tend to volunteer as workers in projects related to these topics, but nurses are seldom present on boards or in policy discussions that guide their formation and implementation. How has the absence of an informed nursing voice impacted public policy? Here are some examples. Nursing education in Idaho is threatened. Certainly, Idaho’s nursing workforce numbers support that we need to graduate more nurses to meet the demands from an increasing population and from an aging and retiring existing nursing workforce. Idaho’s ten existing programs that produce RNs and the numerous LPN programs are increasing enrollments, but these programs face three major challenges: 1. faculty, 2. clinical placement for student experiences, and 3. classroom space.
Nursing faculty are underpaid. The most heard comment is that a new graduate RN can start working in a hospital at nearly as much or more than a graduate prepared and experienced nursing faculty makes. Additionally, Idaho’s nursing graduate programs that prepare faculty are limited. Thus, Idaho schools rely on in- migration of qualified faculty versus having easily obtainable faculty resources within the community. Clinical placement is limited with schools and facilities cooperating to maximize utilization, but high numbers of students can overwhelm facilities. Classroom space is limited and that further inhibits program expansion because it is costly to rent off-campus and increased the class time to access the sites. The pending nursing shortage in Idaho is an incentive for out of state proprietary schools to open in Idaho. The political climate is supportive of new businesses coming to the state, including proprietary schools of nursing. We know that there are students available to attend these new schools because Idaho’s existing nursing programs consistently report between 7 to 10 qualified applicants for every student slot available. What we do not know is where these new schools will get faculty and how they will compete with existing schools for clinical space. Evidence from other states and from our own Idaho experience supports that new schools opening in Idaho hire faculty away from our state schools because they can pay more. In terms of a major public policy initiative, Governor Little has appointed the Healthcare Transformation Council of Idaho (HTCI). The goal of this committee is to promote the advancement of person-centered healthcare delivery to improve the health of Idahoans and align payments to achieve improved health, healthcare delivery and lower cost. I am a member of this council, but not because I am an RN or an NP. I am a member because of my healthcare research background and my personal relationship of 20 years with the chairman. There are 11 physicians or representatives of physician groups on the council along with payer representatives, rural health and the hospital association. Nursing is noticeably absent. How is Idaho nursing supported by the elected Idaho delegation in Washington DC? Basically, not so much! In November 2019, federal legislation addressing the protections for healthcare workers, including nurses, known as HR-1309, Workplace Violence Prevention for Healthcare and Social Service Workers Act, passed the House and was sent to the Senate. The ANA-Idaho president, president-elect, and the ANA-I legislative chair met with all four Idaho Congressional members. Only Senator Risch took time to meet with them personally; the other meetings were with staffers. At each meeting the ANA-I officers explained the importance of this and other legislation to Idaho nurses. In the spring 2019 Idaho nursing survey conducted by ANA-I, nurses identified workplace bullying and violence as their number one issue. Many had been the victims of violence. Legislative staffers listened but gave no indication of support or not. At the end of the day, neither Representative Simpson nor Representative Fulcher voted to support this legislation and neither office communicated with the nursing organization why they did not support nursing. The federal Title VIII Nursing Workforce Reauthorization Act of 2019 (H.R.728) did pass the House in October 2019, but neither Representative Simpson nor Representative Fulcher were signed on as being among the 130 co-sponsors, even though they were asked by Idaho nurses to do so. It is unclear why our representatives ignored nursing again because the bill is a bi-partisan effort and the sponsor was Republican Rep. David Joyce from Ohio. Neither our Representatives nor our Senators have been much support for nursing, although we must credit Senator Risch for his focus on nursing when he was Governor. The visibility of nursing participation at the state level is not much better. It is difficult to identify nurses as members of state government advisory or decision-making committees. Nurse Practitioners are absent from provider focused groups, nurses are not on health planning committees, and community boards concerned with health issues rarely seek a nurse to participate. What is nursing’s culpability with this situation of being absent on duty? Nurses have some responsibility for it. As a profession, nursing is not engaged in the political and public policy arena, nurses have not driven the conversation and nurses have been acquiescent to the leadership of smaller groups that are motived by their own self-interest. Nursing has to acknowledge this situation and has to change it. If not, others will decide that the nursing voice, and possibly even nursing’s professional presence overall, is not an essential component to the healthcare delivery system. It is time for 30,000 plus Idaho licensed nurses, who are voters, to make their voice heard. To improve awareness of political and public policy issues that impact nursing, the nursing organizations will increase information postings on the websites and communicate them to members and followers of the websites, as well as provide quarterly legislative updates in RN Idaho. How can individual nurses become better informed? There is a simple solution for individual nurses. Even if you choose not to support membership in a nursing association, go the website and register yourself as a “follower” of the website. In that way you can receive the information just like you receive RN Idaho. Page 4 • RN Idaho February, March, April 2020 NURSE LEADERS OF IDAHO ELECTS NEW BOARD MEMBERS SAVE THE DATES
Beginning terms on January 1, 2020 are: • Region 7 Representative: Sara Hawkins, PhD, National Nurse Recognition Dates • President Elect: Carolyn Hansen, MSN, RN, CPPS, Director of Patient Safety, Eastern Certified Nurses Day APRN-CNP, Chief Nursing Officer, Bingham Idaho Regional Medical Center, Idaho Falls Thursday, March 19 Memorial Hospital, Blackfoot. • Treasurer: Margaret Henbest, MSN, RN, Other board members who will return Nurses Week elected to a second term as treasurer. are: Karen Neill, PhD, RN, SANE, 2017-2019 Wednesday, May 6 through Tuesday, May 12 • Region 1 Representative: Tari Yourzek, president who became immediate past president; RN, Chief Nursing Officer Boundary County , DNP, RN, CNOR, FACHE president; Joan Agee Idaho Nurse Recognition Event during Hospital Claudia Miewald, DNP, APRN-PMHCNS, • Region 2 Representative: Jason Steik, MSN, continuing as secretary; Krista Harwick, D N P, Nurses Week RN, Chief Nursing Officer, St. Joseph Regional RN, continuing as CNEL representative; and Tuesday, May 12, 5:30-9PM, Medical Center, Lewiston Shelley Harris, DNP, RN, continuing as Region 4 Stueckle Sky Center, Boise State University • Region 3 Representative: Claudia Sanders, Representative. Albertson Stadium MSN, MPH, RN, Supervisor, Saint Alphonsus Members who retired from the board are: 2020 Nurse Recognition Dinner Medical Group Clinical Operations Joan Simon, MSA, BSN, RN, CENP, NEA-BC, • Region 5 Representative: Erinn Neilsen, BSN, FACHE, Immediate Past President; Tracy Watt, Monday, November 9, 2020, RN, Chief Nursing Officer, Minidoka Memorial MSN, RN, Region 3 Representative; and Susan Riverside Hotel, Boise Hospital, Rupert Narasimhan, MSN, RN, Region 5 Representative. American Nurses Association of Idaho Nurses Day at the Idaho Capitol Thursday, February 20 8AM-Noon, Boise Legislative Conference in Boise Thursday, February 20 1300-1600, FEATURE Red Lion Hotel, Boise ANA Delegate Assembly June 19-20, Washington DC The 2020 Census will Impact Idaho’s Annual Conference with LEAP 2020 Monday & Tuesday, November 9-10, Healthcare Dollars Riverside Hotel, Boise
Juanita Risch Nurse Leaders of Idaho Partnership Specialist, Nurses Day at the Idaho Capitol Los Angeles Regional Census Center Thursday, February 20 8AM-Noon Legislative Conference The 2020 Census is right around Thursday, February 20 1300-1600, the corner. By April 1, 2020, every Red Lion Hotel, Boise home will receive an invitation to AONL National Meeting participate in the 2020 Census. You will have three options for responding, March 18-21, Nashville, TN online, by phone, and by mail. The Leadership Course 2020 Census is the first time you Monday-Wednesday, May 4-5-6 can respond online. You can even College of Eastern Idaho, Idaho Falls respond on your mobile device. The decennial census was first LEAP 2020 taken in 1790, as mandated by the Monday & Tuesday, November 9-10, Constitution. It counts our population Riverside Hotel, Boise and households, providing the basis for reapportioning congressional seats, redistricting, and distributing Nurse Practitioners of Idaho more than $675 billion in federal funds NPI Winter Conference annually to support states, counties and Saturday, February 29, Coeur d’Alene Resort communities’ vital programs that impact AANP Health Policy Conference housing, education, transportation, March 8-10, Washington, DC employment, health care and public Help your community policy. AANP National Conference For the 2020 Census, the U.S. stay healthy. June 23-28, New Orleans, LA Census Bureau plans to provide Responses to the 2020 Census inform how over 2020 Fall Conference the Internet Self-Response and $675 billion is distributed to communities nationwide Friday & Saturday, October 16-17, Boise. Census Questionnaire Assistance each year, meaning more hospitals and clinics in in 12 non-English languages; places that need them most. enumerator instrument, bilingual For more information, visit: Idaho Association of Nurse paper questionnaire, bilingual mailing, 2020CENSUS.GOV Anesthetists and field enumeration materials D-PO-HC-EN-028 IDANA Annual Spring Conference in Spanish; and language guides, language glossaries, and language Friday-Sunday, April 3-5, Grove Hotel, Boise identification card in 59 non-English languages. Reference Idaho received $3.6 billion in federal funding, based The George Washington Institute for Public Policy. (2019). Idaho Board of Nursing on data derived from the 2010 Census (The George Counting for dollars 2020: The role of the decennial Meeting Dates in Boise Washington Institute, 2019). Nurses can impact the census in the geographic distribution of federal funds. April 23-24 census by making certain that their family information Retrieved from https://gwipp.gwu.edu/counting- is collected, that they individually complete their own dollars-2020-role-decennial-census-geographic- July 30-31 forms if they are single, and by assisting with data distribution-federal-funds collection for patients who live in facilities where they Idaho Hospital Association work. October 5-7, Sun Valley February, March, April 2020 RN Idaho • Page 5 FEATURE
Risks for Developing Internet Gaming Disorder In Adolescents
Cara Gallegos, PhD, RN1 with ADHD spent more hours playing video games predictors of the negative outcomes associated with Associate Professor on weekdays and had higher rates of compulsive playing MMOGs (massively multiplayer online games). [email protected] game use than those without ADHD (Kietglaiwansiri Computers in Human Behavior, 25, 1306-1311. https:// 1 Kelley Connor, PhD, RN, CHSE & Chonchaiya, 2018). However, as an outcome of doi:10.1016/j.chb.2009.06.002 Associate Professor Müller, K. W, Janikian, M., Dreier, M., Wölfling, K., Beutel, 1 gaming, adolescents with IGD had higher levels of Brynn Peters anxiety and depression (Yu & Cho, 2016). M. E., Tzavara, C., … Tsitsika, A. (2015). Regular Research Assistant gaming behavior and internet gaming disorder in In conclusion, despite gender differences in European adolescents: Results from a cross-national prevalence, individuals with IGD experience negative Approximately 64 million, or 91% of children representative survey of prevalence, predictors, and effects of gaming. It is important for nurses to ages 2 to 17 in the United States, participate in psychopathological correlates. European Child & understand that IGD may impact mental health, online gaming (Forsans, 2017). Estimates suggest Adolescent Psychiatry, 24(5), 565-574. https://doi. relationships, and daily functioning. Based on the between 1.6% (Müller et al., 2015) to 23.7% org/10.1007/s00787-014-0611-2 evidence, risk factors for IGD include male gender, Statt, N. (2018). Fortnite now has 125 million players (Wartberg, Kriston, & Kammerl, 2017) of players a mental health diagnosis, being bullied, negative just one year after launch. Retrieved from https:// develop problematic gaming. In 2013, the American relationships with friends and family, frequent www.theverge.com/2018/6/12/17456814/fortnite- Psychiatric Association listed internet gaming and consistent gaming, and nighttime waking to battle-royale-epic-games-125-million-players-first- disorder (IGD) in the DSM-5 as a potentially addictive game. While nurses should be aware that IGD year-e3-2018 condition warranting further study. The World Health is problematic, they should understand that the Vadlin, S., Aslund, C., Hellstrom, C., & Nilsson, K. W. Organization (2018) defined gaming disorder as: (2016). Associations between problematic gaming diagnostic criteria of IGD has not been established … a pattern of “behavior characterized by and psychiatric symptoms among adolescents in two as reliable or valid and there is disagreement whether impaired control over gaming, increasing priority samples. Addictive Behaviors, 61, 8-15. https://dx.doi. IGD is a true addiction. Further research should be given to gaming over other activities to the extent org/10.1016/j.addbeh.2016.05.001 done regarding the social impact and treatment of that gaming takes precedence over other interests Van Rooij, A. J., Kuss, D. J., Griffiths, M. D., Shorter, G. W., IGD. and daily activities, and continuation or escalation Schoenmakers, M. T., & Van de Mheen, D. (2014). The (co-)occurence of problematic video gaming, substance of gaming despite the occurrence of negative References use, and psychological problems in adolescents. consequences.” (para 1) Forsans, E. (2017). The video game industry is adding 2-17 Journal of Behavioral Addictions, 3(3), 157-165. https:// year-old gamers at a rate higher than that age group’s doi.org/10.1556/JBA.3.2014.013 Massively multiplayer online role playing games population growth. Retrieved from https://www.afjv. Wartberg, L., Kriston, L., & Kammerl, R. (2017). (MMORPGs) is a genre of games that have become com/news/233_kids-and-gaming-2011.htm Associations of social support, friends only known popular and has fueled concern about IGD (Gentile Frolich, J., Lehmkuhl, G., Orawa, H., Bromba, M., Wolk, through the internet, and health-related quality of et al., 2017). MMORPGs may increase IGD risk K., & Gortz-Dorten, A. (2016). Computer game misuse life with internet gaming disorder in adolescence. because of their interactive, collaborative, and social and addiction of adolescents in a clinically referred Cyberpsychology, Behavior, and Social Networking, nature (Liu & Peng, 2009). MMORPGs allow players study sample. Computers in Human Behavior, 55, 9-15. 20(7), 436-441. https://doi.org/10.1089/cyber.2016.0535 to interact as a team to achieve a common goal https://doi.org/10.1016/j.chb.2015.08.043 World Health Organization. (2018). Gaming disorder. within the game through the same console, wirelessly Gentile, D. A., Bailey, K., Bavelier, D., …. Young, K. (2017). Retrieved from https://www.who.int/features/qa/ gaming-disorder/en/ with several consoles, or through the Internet. Internet gaming disorder in children and adolescents. Pediatrics, 140, S81-S85. https://doi.org/10.1542/ Yu, H., & Cho, J. (2016). Prevalence of internet gaming Examples of MMORPGs include Fortnite™, Call of peds.2016-1758H disorder among Korean adolescents and associations Duty™, and Halo™. Fortnite™ has become a cultural Hawi, N. S., Samaha, M., & Griffiths, M. D. (2018). Internet with non-psychotic psychological symptoms, and phenomenon growing to more than 125 million gaming disorder in Lebanon: Relationships with age, physical aggression. American Journal of Health players worldwide in less than a year (Statt, 2018). sleep habits, and academic achievement. Journal Behavior, 40(6), 705-716. https://dx.doi.org/10/5993/ Little is known about risk factors for developing IGD. of Behavioral Addictions, 7(1), 70-78. https://doi. AJHB.40.6.3 The purpose of this paper is to discuss factors that org/10.1556/2006.7.2018.16 Zhu, J., Zhang, W., Yu, C., & Bao, Z. (2015). Early increase the risk of IGD. Kietglaiwansiri, T., & Chonchaiya, W. (2018). Pattern of adolescent internet game addiction in context: How Sixteen studies were found to be eligible for video game use in children with attention-deficit- parents, school, and peers impact youth. Computers inclusion in this evidence review. The most consistent hyperactivity disorder and typical development. in Human Behavior, 50, 159-168. https://dx.doi. finding was that male gender was significantly Pediatrics International, 60(6), 523-528. https://doi. org/10.1016/j.chb.2015.03.079 associated with IGD (Müller et al., 2015; Wartberg et org/10.1111/ped.13564 Lee, C., & Kim, O. (2017). Predictors of online game The authors declare that there is no conflict of al., 2017; Vadlin, Aslund, Hellstrom, & Nilsson, 2016; addiction among Korean adolescents. Addiction interest. Frolich et al., 2016; Van Rooij et al., 2014; Yu & Cho, Research & Theory, 25(1), 58-66. http://dx.doi.org/10.10 1 School of Nursing, Boise State University, 1910 University 2016; Lee & Kim, 2017). Age was not a significant 80/16066359.2016.1198474 Dr., Boise, 83725 factor in predicting or protecting from IGD (Müller et Liu, M. & Peng, W. (2009). Cognitive and psychological al., 2015; Frolich et al., 2016; Wartberg et al., 2017), however, two studies found that being older may be a protective factor (Hawi, Samaha, & Griffiths, 2018; Vadlin et al., 2016). While it remains unclear if time spent gaming increases the chance for developing an addiction, studies found that adolescents with Nurses on Boards Coalition: Be Counted IGD played daily (Frolich et al., 2016; Yu & Cho, 2016), spent more time during the week gaming (Kietglaiwansiri & Chonchaiya, 2018), and woke up at night to game (Hawi et al., 2018). In addition, online gaming versus offline gaming is associated with higher rates of IGD (Van Rooij et al., 2014). Adolescents with problematic gaming are more likely to have been bullied (Vadlin et al., 2016), have lower self-perceived social support (Wartberg et al., 2017), and less satisfaction with relationships (Lee & Kim, 2017). Adolescents with high addiction scores (as measured by scales such as the Internet Gaming The Nurses on Boards Coalition was formed of the major work initiatives of the Idaho Center for Disorder Scale, (Lemmens, et al., 2015) game alone as an outcome from the 2010 Institute of Medicine Nursing. ANY BOARD MEMBERSHIP COUNTS! more often than those with lower scores and have recommendations on the future of nursing. Each THIS IS NOT LIMITED TO NURSING BOARDS OR a higher number of friends known only through the state association is tasked to help get more nursing NURSING ORGANIZATIONS – but they do count internet (Frolich et al., 2016; Wartberg et al., 2017). presence as members of community and statewide too – SCHOOL BOARDS, COMMUNITY BOARDS, Poor parent-child relationships (Zhu, Zhang, Yu, boards. The goal is to improve the health of CHURCH BOARDS and others ALL COUNT! & Bao, 2015) or lower parental attachment (Lee & communities through the service of nurses on boards Idaho has 32 nurses counted and a goal of 55 Kim, 2017) was associated with higher incidence and other bodies. All boards benefit from the unique nurses to be on boards. We have attained 58% of the of problematic gaming. Mental health appears to perspective of nurses to achieve the goals of improved Idaho goal. If you have not registered, please visit the affect the development of IGD and may also be a health and efficient and effective health care systems “Nurses on Boards” website and register your board result of problematic gaming. Symptoms of ADHD, at local, state and national levels. representation at www.nursesonboardscoalition.org/ depression, and anxiety all increased the probability Promoting the work of the Nurses on Boards be-counted/ of problematic gaming (Vadlin et al., 2016). Individuals Coalition to get nurses represented on boards is one Page 6 • RN Idaho February, March, April 2020 FEATURE
ECHO Idaho: Free CE Opportunity for Nurses
Michelle Cullinan, PMHNP utilize motivational interviewing techniques to help patients facilities, and more. In 2018-2019, ECHO Idaho trained Sage Health Care facilitate positive change. 83 individual nurses from 53 organizations in 25 [email protected] ECHO Idaho’s current, ongoing tracks include communities, and these nurses collectively earned Behavioral Health in Primary Care and Opioid Addiction 494 CME credits. Access to specialized care, particularly behavioral and Treatment. Each track hosts two, free one-hour Heather Bartlett, RN from Bonners Ferry, ID, health and substance use disorder services, continues conferencing sessions per month, which include a brief says she joined ECHO after deciding to pursue a to be a challenge, especially for the one-third of patients didactic lecture as well as a review and discussion of Psychiatric Mental Health Nurse Practitioner degree. in Idaho who live in rural communities. Idaho sits above patient cases submitted by participants. Annie Hawkins, She states, “ECHO has provided me the opportunity the national average for prevalence of substance use a nurse practitioner new to Hope, ID, says that ECHO to learn as I grow into the provider role.” When asked disorders and serious mental illness in both adults and “has been a great way for me to learn about who and if participating has helped her nursing practice, children (SAMHSA, 2018). Challenges faced by the what are available as resources. The wide range of she states, “I have gained a deeper understanding underserved recipients of Idaho’s specialty healthcare are topics presented,” she continues, “educate and keep me and empathy for the needs of my patients.” Jerri only compounded by the rural nature of our state. updated in substance use disorder and the mental health Woodworth, RN in Boise, ID, joined ECHO after Nurses play a vital role in addressing these challenges. issues often seen in primary care.” opening a clinic for women with substance use Nurses specialize in taking a holistic approach to care, The Behavioral Health in Primary Care track started disorders at St. Luke’s Maternal Fetal Medicine in identifying the physical, emotional and educational needs in September 2018 and is led by six specialty panelists Boise states: of patients. Mental illness and substance abuse are seen including a psychiatric nurse practitioner, psychiatrist, I use the information I have learned in the ECHO in all fields of nursing and are an important part of care family practice physician, psychologist, licensed clinical program every day when working with my patients. planning and assessment practices. Approximately 40% social worker and pharmacist. The didactic lectures As someone who is relatively new to the behavioral of patients who receive care in the hospital setting will have included safety planning, post-partum depression, health and addiction care field, I have learned basic have a mental illness, and at least 50% will be prescribed dementia, ADHD, cognitive behavioral therapy, chronic points such as the right words to use and more opioid medication, which could put them at risk for opioid medical conditions and mental health, self-care for complicated topics such as pharmacokinetics. I dependence. helpers, and community resources for mental health also really like the case presentations because we It is a monumental challenge to bring specialty crises. get to hear thoughts from all different disciplines healthcare education and access to every corner of the The Opioid Addiction and Treatment track started on what can be done to help that particular client/ state. ECHO Idaho can provide the mentorship needed in March 2018. These sessions are led by a panel patient. That’s where I see the value in nurses to allow nurses and all members of the healthcare team including a psychiatric nurse practitioner, psychiatrist participating in ECHO. I really feel that the role of continuing education (CE) opportunities designed to who specializes in addiction, pain management the RN brings together a little bit of all the other facilitate confidence in new treatment approaches. ECHO physician, family practice and addiction physician, health care disciplines: medical, social work, Idaho is a multidisciplinary collaborative effort linking licensed clinical social worker, and pharmacist. counseling, pharmacy, etc. When you bring the RN nurses, pharmacists, doctors, counselors, and others with The didactic lectures have included pain control into the discussion, they are usually very adept at specialized care professionals through video conferencing in geriatrics, safe opiate prescribing, motivational putting together the whole picture for the patient. for interactive continuing education, mentoring and interviewing, harm reduction, adolescents and consultation. addiction and diversion. Medication for Addiction In addition to the vast amount of knowledge Treatment (MAT) waiver trainings are also held twice shared through ECHO Idaho, it also provides free per year for providers who want to prescribe and CE credits to all who join, which is a great asset to dispense buprenorphine. nurses in meeting new CE requirements for licensure ECHO Idaho’s lecturers include not only the certification. One CME credit can be earned after each esteemed panelists but also specialists from the session by completing a post session survey. With community. One presenter is Abhilash Desai, MD, ECHO Idaho, participants can sign up at any time to whose specialty is geriatric psychiatry and who gave a join the next session. There are two ways to join: in- lecture on pharmacological and non-pharmacological person in Boise or from anywhere in the state using interventions for patients with dementia. Another free Zoom video conferencing technology. Sessions presenter was John Reusser, LCSW, who spoke on are recorded and are available on demand at uidaho. community resources for mental health crises, most edu/echo. notably the Idaho Suicide Prevention Hotline. Nurse participants not only learn from ECHO but also share our expertise and enhance the conversation. In this cross-disciplinary environment, nurses can teach other medical and social service ECHO Idaho is an amazing opportunity for nurses professionals; talk about their role in the care team; to learn about important issues, utilize new tools in their and share ideas on how to provide quality patient assessment practices, collaborate with specialists, and care by collaborating across disciplines. Nurses gain confidence in identifying the needs of patients are the largest and most trusted profession in the experiencing a mental health or substance use crisis. For healthcare workforce (American Hospital Association, example, one ECHO participant reported learning new 2018; Institute of Medicine, 2009). As nurses, we have ways to help dementia patients who become agitated invaluable insights into the needs of the community by implementing calming sensory or environmental and barriers to healthcare that our patients often face interventions. Another participant said they learned how to because we spend a great amount of time providing If you would like to be involved in ECHO Idaho, care directly to patients. As a panelist and future please visit our website to view the schedule of presenter myself, I am able to utilize knowledge upcoming trainings at uidaho.edu/echo or email us at gained not only from my years of nursing experience [email protected]. in inpatient psychiatric hospitals and substance abuse facilities but also my new experiences as a psychiatric References nurse practitioner. As a psychiatric nurse practitioner, I American Hospital Association. (2018, January 10). have the opportunity to work in many different settings Nurse Watch: Nurses Again Top Gallup Poll of Trusted including a detox/mental health stabilization facility, Professions and Other Nurse News. Retrieved from outpatient care, partial hospitalization programs, and Insights and Analysis: https://www.aha.org/news/ consultation services for patients experiencing mental insights-and-analysis/2018-01-10-nurse-watch-nurses- again-top-gallup-poll-trusted-professions health crisis while in the hospital. My addition to the Institute of Medicine. (2009). Roundtable on Evidence- ECHO is a welcome responsibility and one in which Based Medicine. Leadership Commitments to Improve I take pride. My goal is to bring a nurse’s voice and Value in Healthcare: Finding Common Ground: perspective to our discussions. Workshop Summary (p. 6). Washington DC: National From certified nursing assistants to doctors of Academies Press. nursing practice, nurses in a variety of settings have SAMHSA. (2018, November 28). 2016-2017 NSDUH State attended ECHO Idaho, including nurses from Tribal Estimates of Substance Use and Mental Disorders. Health services, the VA, community hospitals, long- Retrieved from SAMHSA: https://www.samhsa.gov/data/ term care facilities, family practice clinics, substance report/2016-2017-nsduh-state-estimates-substance- use disorder programs, behavioral health care use-and-mental-disorders February, March, April 2020 RN Idaho • Page 7 PRACTICE MATTERS
Coming Back from the Unthinkable: Substance Use Disorder
Katie Stuart, CIP By August, I was using opiates multiple times daily and couldn’t function Associate Director for Alternative Programs without them. I was not eating. I was not socializing at all. I just wanted to Idaho Board of Nursing stay home. I was lying to my family and my coworkers. My marriage was in [email protected] serious trouble and I wasn’t paying as much attention to my kids as they needed. I would do anything imaginable to keep using. I had already tried The current opioid crisis in the United States (US) has placed increased for quite a while to stop and I often said to myself, “today, I’m not going to focus on medication diversion and substance use disorder among healthcare do it.” But I broke that promise to myself within about five minutes of making professionals, including nurses. The prevalence of employed nurses who it. I didn’t understand why I couldn’t control this thing, and it was really are identified as having substance use disorder or who have enrolled in scaring me. I just knew that I would lose my job if I said a word to anyone. alternative to discipline programs in the US is lower than among the general I didn’t want to face any of this. Things at work were closing in on me and population (Monroe, Kenaga, Dietrich, Carter, & Cowan, 2013). However, the it was getting harder to hide things and keep up with narcotic counts. I felt American Nurses Association (ANA) (2016) estimates that up to 10 percent such incredible shame for what I had been doing and taking advantage of of nurses use alcohol or drugs to an extent that is sufficient to impair my precious career like this. professional performance. Hence, substance use disorder is one of the most There was a physician at my workplace whom I knew was in a recovery serious problems facing nursing today. program. I was so low, and on this particular day I found the courage to go and find him. I told him everything, for some reason. I think it was because I thought he may not judge me. I cried and cried. He knew about the Idaho SIGNS AND SYMPTOMS FOR HEALTHCARE Program for Recovering Nurses (PRN) and put me in touch with them that PROFESSIONALS WHO MAY BE DIVERTING DUE TO A very day. He didn’t judge me, nor did any of the other people along this path. I started the process of recovery that day in that doctor’s office. PRESCRIPTION DRUG SUBSTANCE USE DISORDER CAN The PRN gave me support, and a road map back to sanity and a road INCLUDE THE FOLLOWING: map back to healthy practice of my career. The five years of monitoring were tough – lots of things to do and requirements to meet. I met other nurses in • Coming to work on days off recovery at support group meetings, saw a counselor, became a member of my local recovery community, got a sponsor, and did random drug testing. • Volunteering for overtime It was a challenge, but it kept me safe. I don’t think I could have gotten • Incorrect narcotic counts better on my own. I was able to go back to work soon after joining the PRN. • Volunteering to administer medications There are many recovery-friendly workplaces for nurses. The PRN wanted • Waiting to be alone to open a narcotic cabinet me to succeed… this is why it’s there: To protect the public safety and also to support re-entry of nurses into the workplace. • Not having witnesses to verify the waste of unused I’m forever grateful for sobriety and the PRN, and for being able to medications. practice my craft again. I was never a bad person. Substance Use Disorder is not uncommon in medical professionals. I have the disease of addiction; not a moral failing. Because of the PRN and sobriety, I am a better nurse, a better wife and mom, and I get chances to help others find recovery. Four risk factors most associated with substance use disorder among nurses include: access, attitude, stress and lack of education. Nurses have This remarkable story of a nurse colleague demonstrates the value of easy availability to substances, training in administration, and familiarity programs like the Idaho Program for Recovering Nurses. Idaho is one of 21 (Trinkoff, Eaton, & Anthony, 1991; Trinkoff, Storr & Wall, 1999; Luck & other states plus District of Columbia and Guam that offer Alternative to Hedrick, 2004). Nursing practice is extremely stressful, with long hours, Discipline programs. The Idaho Program for Recovering Nurses has helped staffing shortages, and injuries. Unreported issues remain problematic and over 200 nurses enter into recovery and return to the nursing profession. researchers predict that between 14% and 20% of nurses will suffer from If you or someone you know is struggling with substance abuse or mental substance misuse nationally (Monroe et al, 2013). health issues, please reach out to Katie Stuart, CIP, Associate Director for Alternative Programs at the Idaho Board of Nursing.
NEGATIVE IMPACTS ON PATIENT SAFETY MAY RESULT References FROM ANY OF THE FOLLOWING: American Nurses Association (2016). Substance use among nurses and nursing students. Retrieved from https://www.nursingworld.org/practice-policy/nursing- excellence/official-position-statements/id/substance-use-among-nurses-and- • Impaired judgement nursing-students. • Slowed reaction time Monroe T.B., Kenaga H., Dietrich M.S., Carter M.A., Cowan R.L. (2013). The prevalence of employed nurses identified or enrolled in substance use monitoring programs. • Diverting drugs from patients who need them Nurs Rec. 62(1):10–15. • Falsification of records (fraud) Luck, S., & Hendrik, J. (2004). The alarming trend of substance abuse in anesthesia providers. Journal of PeriAnesthesia Nursing, 19(5), 308-311. Trinkoff, A. M., Eaton, W. W., & Anthony, J. C. (1991). The prevalence of substance abuse among registered nurses. Nursing Research, 40, 172-175. Trinkoff, A. M., Storr, C. L., & Wall, M. P. (1999). Prescription-type drug misuse and The Idaho Board of Nursing has been proactive in the development of a workplace access among nurses. Journal of Addictive Diseases, 18(1), 9-16. formal recovery and alternative to discipline program in the early 1980’s. The Program for Recovering Nurses (PRN) has successfully supported nurses in obtaining treatment and returning to practice in Idaho. For most nurses, the thought of jeopardizing their career due to substance abuse is inconceivable. However, the following account is a real-life story from an Idaho nurse demonstrating just how easily the impossible can become possible: It happened so fast… I did things that were unthinkable. I didn’t intend for it to happen. I had been in practice for 14 years, enjoying success with my career and family life. I absolutely loved everything about being a nurse and an advanced practice nurse. I knew of some people in my career field that had fallen into addiction, I think I figured that I had been doing this long enough that it wasn’t something I needed to worry about. I had surgery in April and I sure did love the pain pills. They made me feel happy, energetic, in control, relaxed, and at ease. I quickly escalated to taking them more than prescribed. I was able to get refills, and soon I was getting pills from other people, buying them “on the street,” etc. I went back to work in May, and by this time I didn’t want to live life without narcotics. One day I had no pills on me and taking medications from work was the absolute most logical solution to this problem in my mind. In the blink of an eye I was taking medications from work, taking medications at work, and doing all the lying and stealing necessary to maintain the process. Page 8 • RN Idaho February, March, April 2020 AWARDS AND IDAHO NURSING RECOGNITIONS MARGARET ST. CLAIR PLASTINO A Living Legend: The Idaho Center for Nursing honored Margaret be County Nurse, a role tetanus shots and other medications. It is not Plastino for her years of dedicated commitment and she served in for 10 years. only Margaret’s quiet and steady joy of life that service at the eighth annual Nursing Recognition Gala At that time, the County makes her such a remarkable woman, but also her held in Boise on November 4, 2019. Margaret, to our Nurse was the public health incredible knowledge base, genuine kindness, and knowledge, is the oldest living Registered Nurse in system. When Medicare capacity for empathy that set her apart today. Idaho. At 102 years old, Margaret was acknowledged was enacted, she became Scan the QR Code by her peers and presented with an official copy of a the first home health nurse to watch a compilation Congressional Record read and signed by Senator in southeastern Idaho of interview soundbites Jim Risch. and served for many which gives a glimpse to Margaret Plastino years. She was one of the events punctuating was born in 1917 and the few nurses that had the extraordinary life of moved to Shelley, Idaho experience in home health Margaret Plastino. Her as a young girl. Margaret care until her retirement story is not only a story knew she wanted to be a from District 7 Health & Welfare in 1985. of a very dedicated nurse from a very young Margaret continued to volunteer in the nursing Registered Nurse, but also age – bandaging and field for another 25 years – taking her second a story which represents unbandaging her dolls. A retirement at the age of 90. A career in nursing much of the history of local doctor encouraged that parallels the history of healthcare and nursing nursing in Idaho. her in that pursuit and in Idaho is a gift. Margaret practiced during the Margaret graduated time after the war when penicillin became more from the Idaho Falls wildly available, changing the course of medical LDS Hospital School of treatment dramatically. She distributed the Salk Nursing in 1939, marking her 80th anniversary from this vaccine to school children when it first became milestone. available and utilized new technologies to test After working at the LDS Hospital, she was hired hearing. When the Teton Dam Broke, Margaret in 1942, by the Bonneville County Commissioners to answered the call to serve by administering
JOHN DAVLIN RN CAMILLE SOMMER, BSN RN DAISY AWARD RECIPIENTS Nampa Rexburg We brought my On behalf of St. Luke’s Editor’s Note: An acronym for Diseases 99-year-old dad here Nampa and the whole Attacking the Immune System, The DAISY with a broken hip. St. Luke’s system, we Foundation was formed in November 1999, by the We were here for five want to thank John family of J. Patrick Barnes who died at age 33 of days and Camille was for being a wonderful complications of Idiopathic Thrombocytopenic here attending to him example of excellence Purpura (ITP). The nursing care Patrick received all through his days. I in patient centered care. when hospitalized profoundly touched his family. have never seen such a It is through his daily They started The DAISY Foundation and the DAISY knowledgeable, happy, efforts and extraordinary award to “ensure that nurses know how deserving positive person as she dedication, that we they are of our society’s profound respect for the was. She was able to John Davlin was are able to serve our education, training, brainpower, and skill they put answer all our questions and did everything she into their work, and especially for the caring with presented the Daisy community in the manner Award by Losa could to make my dad, as well as his 95-year-old which they deliver their cares” (accessed https:// it deserves. Manuokafoa. wife and all of our family members who were here, www.daisyfoundation.org/about). feel at ease. She was so very kind and tender to my dad; she seemed to understand what all of us were going through and helped with all of our concerns. Camille was very attentive to us but extremely attentive to what she was doing: i.e. meds, IVs, catheter, pain meds to my dad. Not an easy feat as dad doesn’t talk much and it’s always a guessing game of what he needs. Dad also had radiation wounds, and everything was hurting and uncomfortable. She was ever so attentive to every pain he experienced in such a professional manner. She is such an amazing and caring person and she greatly helped our stay to be one of as much comfort as possible. Love this lady!
Idaho Sexual Assault Nurse Examiner (SANE) Trainer / Sexual Assault Response Team (SART) Coordinator Currently licensed as an RN in Idaho. Please view all job qualifications and apply online at: https://isp.idaho.gov/hr/ (then click Employment Opportunities) If you have questions, please contact us at: Email: [email protected] | Phone: (208) 884-7018 February, March, April 2020 RN Idaho • Page 9 AWARDS AND IDAHO NURSING RECOGNITIONS
Nurses from across Idaho were recognized at the November, 2019, Nurse Leaders of Idaho eighth annual “Celebrate Nursing20192019 Dinner” held in Boise. CelebratCelebrat This event serves to celebrate the accomplishments e and effortsNursing of all nurses in Idaho. Gala
CANYON HOME COLLEGE OF MADISON HEALTH AND HOSPICE EASTERN IDAHO MEMORIAL HOSPITAL KOOTENAI HEALTH KOOTENAI HEALTH KOOTENAI HEALTH
Dianne Kinney, RN Jodene Trimble, Stephanie Hart, RN Shannon Wendy Tabitha Dole, RN Excellence in MSN, RN Advocate for Clinical Arrendale, RN Ferguson, RN Daisy Award Winner Gerontology Outstanding Faculty Education Daisy Award Winner Nurse Innovation of the Year
KOOTENAI HEALTH KOOTENAI HEALTH KOOTENAI HEALTH KOOTENAI HEALTH KOOTENAI HEALTH KOOTENAI HEALTH
Erin Fay, DNP, RN Sharon Funkhouser, Tara Avriett, RN Daniel Kasza, RN Robyn Walters, RN Kim Beckman, RN Daisy Award Winner MSN, RN Daisy Award Winner Daisy Award Winner Daisy Award Winner Daisy Award Winner Daisy Award Winner
KOOTENAI HEALTH KOOTENAI HEALTH KOOTENAI HEALTH ST. LUKE’S ST. LUKE’S ST. LUKE’S
Charlee Magnus, RN Karen Bryan Ann Ealy, RN and Carrie Sweet, Alayna Swafford, RN Allison Burns, RN Daisy Award Winner and Wendy Ken Mills, RN DNP, RN Student Nurse Nursing Excellence Grassman, RN Amazing Preceptor Preceptor Program Award Daisy Award Winners and Mentor
ST. LUKE’S ST. LUKE’S ST. LUKE’S ST. LUKE’S ST. LUKE’S ST. LUKE’S
Ashley Alyssa Abel, RN Arisha Karren, RN Brittany Carmen Leahu, RN Claire Hanson, RN Wadsworth, RN Student Nurse Outstanding New McFarland, RN Nursing Research and Nurse Leader Student Nurse Preceptor Program Graduate RN Nursing Excellence EBP Fellow Preceptor Program Award
2019 Celebrate Nursing Gala continued on page 10 Page 10 • RN Idaho February, March, April 2020 AWARDS AND IDAHO NURSING RECOGNITIONS
201920192019 Celebrate Nursing Gala CelebratCelebratcontinued from page 9 e Nursing Gala ST. LUKE’S ST. LUKE’S ST. LUKE’S ST. LUKE’S ST. LUKE’S ST. LUKE’S
Faith May, RN Jake Taylor, RN Jamey Slayden, Jason Lori Buttars, RN Laura Franz, RN Student Nurse Student Nurse MSN, RN Blomquist, RN Nursing Excellence Daisy Nurse and Preceptor Program Preceptor Program Exemplary Practice Nurse Leadership Award Multiple Nominations Award
ST. LUKE’S ST. LUKE’S ST. LUKE’S ST. LUKE’S ST. LUKE’S ST. LUKE’S
Lynda Peel, RN Maddy Helfrich, RN Marci Mattoon, RN Meghan Melissa Berry, RN Nancy Lee, RN Excellence in Clinical Student Nurse Student Nurse Cardoza, RN Clinical Excellence Daisy Award Education Preceptor Program Preceptor Program Nurse Leader
ST. LUKE’S ST. LUKE’S ST. LUKE’S ST. LUKE’S ST. LUKE’S ST. LUKE’S
Patty O’Neill, RN Rina Wilkes Robin Schmidt, RN Teresa Holbrook, Teresa Stanfill, Thea Campbell, RN President’s Award Guidicelli, RN Nursing Excellence MSN, RN DNP, RN, NEA-BC Nursing Excellence Student Nurse Award Excellence in Clinical Innovation in Award Preceptor Program Education Health Care
FAMILY MEDICINE FAMILY MEDICINE FAMILY MEDICINE FAMILY MEDICINE FAMILY MEDICINE STEELE MEMORIAL ST. LUKE’S RESIDENCY OF IDAHO RESIDENCY OF IDAHO RESIDENCY OF IDAHO RESIDENCY OF IDAHO RESIDENCY OF IDAHO HOSPITAL
Troy Albright, RN Cordelia Marijo Clark, RN Carissa Isabel Bruce, RN Megan Dotson, RN Shannon Nursing Leadership Ogunrinola, RN Clinical Excellence and Woodruff, RN Certificate in Moderate Certificate in Moderate Rivers-Gydesen, and Innovation Certificate in Case Certificate Certificate in Moderate Sedation Sedation RN Management Sedation Outstanding Rural Nurse Leader February, March, April 2020 RN Idaho • Page 11 AWARDS AND IDAHO NURSING RECOGNITIONS 20192019 CelebratCelebrat e Nursing Gala ST. LUKE’S MAGIC IDAHO STATE IDAHO STATE VALLEY ST. LUKE’S NAMPA ST. LUKE’S NAMPA ST. LUKE’S NAMPA UNIVERSITY UNIVERSITY
Jenny Hopkins, RN Teresa Hall, MHA, BSN, Megan Painter, RN Lauren Boyd, RN Mary Nies, Kristy Crownhart, Excellence in Clinical CEN, NEA-BC Nurse Innovation Nurse Excellence PhD, RN DNP, APRN-FNP Education Leadership of Emergency Award Research Excellence Nurse Leader Department, Lab, and Radiology Services
SAINT ALPHONSUS SAINT ALPHONSUS SAINT ALPHONSUS SAINT ALPHONSUS SAINT ALPHONSUS SAINT ALPHONSUS
Terri Blackburn, Jolie Pharis, RN Jeremiah Nabarrette- Heather Annie Fratusco, Crystal MSN, RN Clinical Excellence Stuart, RN Hernandez, RN MSN, RN Fessenden, RN Nurse Leader Excellence in Nursing Clinical Excellence Excellence in Nursing Use of Life-Saving Leadership Leadership Skills in the Wilderness
BOISE STATE BOISE STATE BOISE STATE BOISE STATE SAINT ALPHONSUS SAINT ALPHONSUS UNIVERSITY UNIVERSITY UNIVERSITY UNIVERSITY
Cory Dorman, RN Amy Day, RN Rosemary Macy, Linda Libby, Edward Zepeda, Ann Hubbert, Excellence in Nursing Excellence in Nursing PhD, RN MSN, RN BS, RN PhD, RN Leadership Leadership Champion of Distinguished Adjunct Distinguished Adjunct Divisional Dean, Simulation Education Faculty Member Faculty Member Visionary Leader
BOISE STATE LEWIS-CLARK LEWIS-CLARK WEISER MEMORIAL UNIVERSITY VALOR HEALTH VALOR HEALTH STATE COLLEGE STATE COLLEGE HOSPITAL
Sheri Holthaus, Angie Phillips, Beth Sutton, RN Michelle Pearson- Jenna Chambers, Mark Cox, RN RN, CCRN MSN, RN Nurse Leader Smith, MSN, RN MSN, RN 2018 Employee Inspirational Nurse Leader Outstanding Faculty Aspiring Nurse Leader of the Year Community Educator Member Page 12 • RN Idaho February, March, April 2020 ANA IDAHO PRESIDENTIAL REPORT
Brie Sandow, MSN, RN, NEA-BC, RNC-OB will advance the opportunities for nurses when nurses provide the same services ANA-Idaho President and the profession. In order to achieve under the same billing codes. Dori Healey, MSN, RN, MBA, CPPS, this, ANA enterprise will leverage strategic • Develop nurses to lead and innovate. ANA-Idaho President-elect partnerships to elevate the professional role Further the role of nurses and nursing in [email protected] of nurses globally. driving innovation and leading transformative • Grow and diversify credentialing portfolio. change by defining, delivering and Two important things With healthcare becoming more complex communication innovation research and happened for ANA- and specialized, it is increasingly important projects that demonstrate the future of the Idaho in December. ANA for individual registered nurses, programs, profession and its impact on healthcare national notified state and organizations to build credibility transformation. constituent organizations by demonstrating competence and a about the success of the commitment to excellence. Goal 4: Enable Transformational Capabilities new membership pricing • Build a body of evidence to demonstrate through Operational Excellence program that moved from how ANA enterprise products and programs • Deliver optimal technology capabilities for a pilot program to a regular positively impact the practice environment the ANA Enterprise technology services. membership dues status across diverse settings. To support the Align IT resources with business strategy to in 2019. ANA-Idaho has Brie Sandow growing emphasis on measuring and create stable, secure, effective technology been identified as leading reporting outcomes we will demonstrate that delivers value to customers, creating the nation as the state nursing association with how ANA Enterprise products and programs engaging and innovative experiences. the greatest membership growth for 2019. This drive improvement in practice work • Promote equity, diversity and inclusion is because of the increasing numbers of Idaho environments and patient outcomes globally. throughout the profession and across the nurses who have joined ANA and who share a ANA Enterprise to encourage culturally common goal to advance the profession at a time Goal 2: Engage All Nurses to Ensure informed care and workplace practices. when Idaho is focused on healthcare transition, Professional Success The ANA Enterprise will create and role Medicaid expansion, community issues with social • Deliver Data-driven Personalized Programs, model the highest standards and potential, determinants of health and how to impact the Products, and Services to Nurses to influence and help others adopt high future shortage of nurses and meet the healthcare Throughout their Careers. ANA enterprise performing, equitable, diverse and inclusive needs of Idahoans. will continue to leverage data-driven insights work environments and cultures. Also, Brie Sandow, ANAI President, and Dori to provide the most relevant programs, • Apply a comprehensive project management Healey, ANAI President-elect, attended the 2019 products, and services to deliver the approach to ANA Enterprise resource American Nurses Association (ANA) Leadership greatest value to nurses throughout their prioritization, planning, and optimization. Summit in Alexandria, Virginia. We had the careers. Create a comprehensive project opportunity to build leadership skills and network • Increase Customer Loyalty with the ANA management capability to ensure that ANA with nursing leaders from across 45 states. The Enterprise. Create relevant customer-centric Enterprise’s resources are planned for, following is a focus summary of the Leadership journeys and experiences based on data prioritized and optimized. Summit, themed “Thinking about our thinking: A and voice of the customer. day of building leadership skills and education.” • Identify and Grow Priority Nurse Segments. In January, ANCC is launching an exciting Marsha Hughes-Rease, MSN, MSOD, PCC, As healthcare evolves, and APRN’s become new recognition called “See You Now.” They from Quo Vadis Coaching and Consulting, spoke even more central to new modes of care are partnering with Johnson and Johnson and on diversity issues in nursing. She is a navy delivery, the ANA Enterprise will ensure highlighting nursing innovations via podcasts. veteran and an experienced nurse in the field of that its policies, programs, and the other They will focus on how nurses are driving change unconscious bias. Her primary message was offerings add value to this important in the daily lives of patients, providing insights and that diversity, equity and inclusion can significantly segment of nurses. discoveries. Nurses are truly on the fore front of influence our understanding, actions, and decisions innovation. The podcasts will spotlight nurses that in an unconscious way. Goal 3: Evolve the Practice of Nursing to have created innovative solutions to change the The ANA Enterprise Strategic Plan was reviewed. Transform Health and Healthcare future of nursing and increase patient outcomes. The ANA Enterprise includes ANA, the American • Advance workforce priorities and improve We will be sharing the podcasts with you on our Nurses Foundation and the American Nurses the work environment across diverse social media platforms starting in January 2020. Credentialing Center (ANCC). practice settings: ANA will continue to ANA provided updates on nurse staffing and the Vision: A healthy world through the power of advocate for and empower nurses and work over the past 20 years to create improved nursing organizations with resources to create staffing models. ANA believes that providing Mission: Lead the profession to shape the healthy, productive, and effective work appropriate nursing resources must account future of nursing and healthcare environments. To do this we will advance for human factors including a nurse’s years of Values: Trusted, Inclusive, Innovative, and solutions to address nurse staffing, advance experience, knowledge, education, skill set and Empowered solutions to address workplace violence, patient mix, acuity and intensity. This flexible and improve nurses’ health by advancing approach to nurse staffing is associated with Goal 1: Elevate the Nursing Profession Healthy Nurse Healthy Nation year three improved patient outcomes, including reduced Globally goals. mortality rates, shorter stays, lower readmission • Elevate the image of nursing in healthcare • Evolve nursing programs and practice rates and reduced incidents of hospital-acquired and with consumers. As health care priorities. As healthcare delivery becomes conditions. Direct-care nurses, collaborating with continues its transformation to a consumer- increasingly complex, ANA will continue to nurse and operational leaders, are the optimal driven model, enhancing consumer help nurses assume new and expanded team to accomplish this important work. awareness of and engagement with nursing roles in emerging areas of practice. In 2020, we will celebrate “The Year of the • Expand coverage and payment to reform Nurse” and innovate, lead, and excel. One ANA healthcare. ANA will continue advocating plan is to celebrate by promoting “what’s your for equitable payment for nursing services, story?” ANA will be launching a platform on the allowing nurses to practice at the top of ANA website whereby members can tell their their license, and equal reimbursement rates nursing story effectively and efficiently to others across the globe. To participate in this activity, go to the ANA website at https://www.nursingworld. org/ and click on the rotating banner, or Google Ashton Living Center, a skilled nursing facility, “year of the nurse” or follow ANA Idaho on social is now hiring for RN Charge Nurses media to learn more. Full time or part time positions available. In Idaho we will celebrate the year of the nurse We do pay a travel perk to anyone who drives more than with activities in both May and November. May 10 miles one way to work in our facility. will see activities during Nurses Week, May 6-12, Full time benefits for 32 plus hours average a week - with an event to be held on the BSU campus on includes PTO and insurance benefits. Tuesday, May 12, at the Stueckle Sky Center and 208-239-1481 Part-time - modified benefit package if working at least in November, at the annual Nursing Recognition 20 hours average a week. Dinner on Monday, November 9. Visit the ANAI Apply online at ashtonmemorial.com or and NLI websites for more information about these submit resume to [email protected] Call Suzanne at 208-652-7461 # 1020 for more information. upcoming events. February, March, April 2020 RN Idaho • Page 13 NLI AND IALN PRESIDENTIAL REPORT
2020 – The First International Year of the Nurse
Joan Agee DNP, RN, CNOR, FACHE our profession. Since growing up on a farm in the ever International Year of the Nurse and Midwife. President NLI and IALN Midwest and thinking that I needed to run to the According to WHO (2019), nurses and midwives Chief Nursing Officer and COO, rescue whenever any minor injury occurred, I was a account for nearly 50% of the world’s health St. Luke’s Nampa nurse from the get-go. Now, as the Chief Operating workforce. I believe the mission of NLI and IALN is and Nursing Officer at the St. Luke’s Health fully aligned with the WHO’s global strategy which I am honored to serve System in Nampa, nothing makes me prouder than includes: in the role as the President to wear my RN badge in my workplace and in the • Ensuring an educated, competent and of the Nurse Leaders of community. motivated nursing and midwifery workforce Idaho (NLI) and the Idaho As the new President of NLI and IALN, I think within effective and responsive health Alliance of Leaders in it is only fair that you know a little bit about me. I systems at all levels and in different settings; Nursing (IALN). For the have a beautiful family, consisting of my husband • Optimizing policy development, effective past two years as past Gene and two grown children, David and Michelle. leadership, management and governance; president, Karen Neill Ph.D., I love the outdoors and enjoy hiking with my two • Working together to maximize the capacities R.N., SANE-A, DF-IAFN dogs, Heidi the German wire-haired retriever and and potentials of nurses and midwives has led the associations Abby, the rat terrier. I have more than 30 years of through intra and interprofessional through strong growth experience in nursing and healthcare leadership. collaborative partnerships, education and and participation. I intend Joan Agee I graduated with my Doctor of Nursing in Health continuing professional development; and to continue this focus Systems Leadership from Gonzaga University, • Mobilizing political will to invest in building on engaging our membership which benefits my master’s degree in Nursing Administration effective evidence-based nursing and both the organization and the profession. The from Idaho State University, and my bachelor’s midwifery workforce development mission of NLI & IALN, to assure a quality nursing degree in Nursing from the University of Alaska workforce for Idaho’s future and to promote in Anchorage. I am certified as a fellow of the In my new role as the President of NLI & IALN, I engagement in nursing education and scholarship American College of Healthcare Executives and a am very excited about my opportunity to serve and is aligned with my values and goals as a nurse Certified Operating room nurse. work with my fellow nurses in Idaho. Together with leader. To achieve this mission, nurses from I would be remiss if I did not take this our partners in the Idaho Center for Nursing (Idaho education, practice, research and industry need opportunity to highlight 2020 as being dedicated Nurses Association; Idaho Association of Nurse to be engaged because together we can make a to Nursing! The year 2020 was chosen to honor Anesthetists; Nurse Practitioners of Idaho; and difference. I can’t think of anything more exciting the 200th anniversary of the birth of Florence the Idaho Nursing Action Coalition), we have the than collaborating and brainstorming on how to Nightingale and has been designated by the capacity to advance the profession of nursing and grow and advance our nursing workforce and World Health Organization (WHO) as the first address issues that impact the overall health of Idahoans. I have included the link highlighting the WHO 2020 activities for your review: https://www. who.int/hrh/nursing_midwifery/nursing-midwifery/ en/
IDANA UPDATE References The World Health Organization. (2019, January). Executive board designates 2020 as the “year of the Gus Powell, MSN, CRNA group of speakers covering topics involving OB, nurse and midwife.” Retrieved from https://www.who. Immediate Past President, IDANA trauma, medical billing, and others. Also, a separate int/hrh/news/2019/2020year-of-nurses/en/ Email: [email protected] fundraising and networking party is scheduled during that weekend on the evening of Saturday, April 4th. The Idaho Association of We look forward to seeing many colleagues and old Nurse Anesthetists (IDANA) has friends to catch up and network during the meeting. a long history of representing For more information on this upcoming event, or Certified Registered Nurse if you would like more information on how to serve, Anesthetists (CRNAs) throughout please visit our website, www.idahoana.org, or reach our state. The mission of IDANA out to a board member today! Program for Recovering Nurses is to advance patient safety and protect the profession of nurse anesthesia in Idaho. In Addiction Intervention and Recovery addition, our role includes actively Services for Nursing Professionals advocating for our profession and offering diverse educational Gus Powell Do you know a nurse or a colleague who needs help for opportunities for CRNAs to drugs/alcohol or mental health problems? maintain and expand their professional practice. IDANA Please contact us for assistance. This program is an alternative to disciplinary action offered by the BON. utilizes multiple committees and groups to address the ongoing needs within our profession. For immediate assistance, please call us at 800-386-1695 This said, we need you! IDANA continues to seek the www.southworthassociates.net talents and expertise of CRNAs in Idaho. Although life NOW HIRING schedules may make it difficult to commit and serve as a board member, there are still plenty of smaller projects RNs & LPNs that need volunteers and don’t require as much of a time commitment, otherwise known as micro-volunteering. Idaho Falls Village Micro-volunteering is a great way to help in specific ways 840 E Elva St, Idaho Falls, ID 83401, that still benefit our great profession without entering into a (208) 523-4795 long-term commitment. As an example of our advocacy efforts, we had Silver Wood Village the privilege of hosting our third annual legislative 405 W. 7th St., Silverton, ID 83867, reception to coincide with CRNA Week in January. (208) 556-1147 We also participated in our annual Capitol Day event where we hosted a table in the Capitol rotunda. Both of these events allowed us to educate and inform Apply at legislators about CRNAs and how we benefit patients SEEKING LPNs & CNAs and facilities across Idaho. https://bit.ly/38ZJ4BR Looking ahead to April, IDANA is holding our annual spring meeting in Boise. This important event will be held at the Grove Hotel on April 3-5, 2020 and will Sign On Bonuses Available for offer 14 CEUs for CRNAs. Included in this meeting will be anesthesia relevant presentations from a diverse Full & Part-Time Positions Page 14 • RN Idaho February, March, April 2020 NPI PRESIDENTIAL REPORT Silence is Not Golden
M. Christine Henesh-Lyle, the way for the practice environment we have communication skills that have been perfected PhD candidate, MSN, NP-C today? In 1971, Idaho was the first state to give under stressful situations commonly encountered President, Nurse Practitioners of Idaho formal and legal recognition to expanding the role in healthcare, a rare set of skills that are easily Boise VA Medical Center of nurses (Brom, Salsberry, & Graham, 2018) and transferable to the political world are born. [email protected] in 2004, Governor Dirk Kempthorne signed H659, “Qualities such as strong negotiation and which removed physician supervision requirements communication skills, patient advocacy, clinical With the turn of the new year and the beginning and granted full practice authority to Idaho expertise, and attentiveness and empathy… of 2020, I am honored to take the helm of Nurse advanced practice registered nurses (APRNs) managing diverse personalities, responding to Practitioners of Idaho (NPI) and serve as your (Wainswright Henbest, Evans, & Hudspeth, n.d.). unstable circumstances, and conflict management” president. I succeed Melanie Nash, DNP, APRN, These significant advances were born when nurses are necessary for success in political activism and FNP-C, who has served as NPI president for recognized a problem, identified a solution, and are the very reason that nurses are so perfectly 2019 and is now NPI past president. NPI exists to fought for a change. positioned for this next career step (Woodward, advance, support, and promote the role of nurse Nurses are often fearful of voicing their concerns Smart, & Benavides-Vaello, 2016, p. 54). practitioners (NPs). We do this in various ways and realities of their workplace due to historically Nursing has an ethical responsibility to advocate to include promoting accessible, quality health ingrained ideologies. However, this can change for our patient population. In honor of 2020 being care provided by NPs through legislative and when nurses find their voices. Voice allows one the 200th anniversary of the birth of Florence educational efforts. I have nearly two decades of to share truths with another. It may come from a Nightingale, take up the challenge to become more nursing experience with six of those as a nurse single person but has the power to reflect on involved in the legislative arena. Here are a few practitioner. The vast majority of my nursing relationships between society, self, history, and ways to do so: experience has been in the emergency department culture (McMillan, 2016). Voice can speak the 1. Visit the “Nurses on Boards Coalition” and this is where I continue to serve now. The truth regarding politics, fear, limits, and hopes. website. entirety of my NP career has been at the Boise VA McMillan (2016) said, “If nurses do not speak their 2. Attend legislative days throughout the year. Medical Center, so our Nation’s Veterans hold a truth, their knowledge and experience will not be Nurse Practitioners of Idaho held theirs on special place in my heart. incorporated into dominant organization discourse. January 24, 2020, so watch the NPI website In addition to my clinical work, I am working [This] phenomena… will thus remain grounded in for the 2021 date. Nurse Leaders of Idaho toward my Ph.D. in nursing with plans to graduate perspectives that do not reflect the realities and and ANA Idaho will co-sponsor a legislative May 2020. My dissertation is on the role transition complexities of nurses’ work” (p. 267). day on February 20, 2020. new graduate NPs experience and factors that At nearly four million, nursing is the nation’s 3. Start attending the Idaho Board of Nursing contribute or inhibit this transition. I am eagerly largest healthcare profession (American Meetings (BON). Meeting dates are found on analyzing the data from my survey and looking Association of Colleges of Nursing, 2019). Can the Idaho BON website. forward to what is discovered and the potential you imagine the impact if even one-quarter of 4. Attend your local city council meetings or impact this information could have on our nurses took the plunge into the political arena? hospital board meetings. profession. Registered nurses outnumber physicians three 5. Become involved in a state or national As an advanced practice registered nurse to one in the US, function in a variety of settings, advocacy group. Advocacy and education pursuing a Ph.D. in nursing research and current deliver most of the long-term care in the country are cornerstones of Nurse Practitioners president of Nurse Practitioners of Idaho, I as well as functioning as the primary provider in of Idaho. NPI has various committees on wholeheartedly believe in the adage “if you aren’t hospitals across the nation, and have the option to which members can serve, including the at the table, you are on the menu.” The focus area obtain terminal degrees (American Association of finance committee, legislative committee, of the RN Idaho February 2020 edition is to raise Colleges of Nursing, 2019). membership and marketing committee, the status of nursing. To me, this is a call to action This extensive experience often hones an and the conference committee. More for Idaho nurses to become more involved in local, excellent knowledge base, including the real- information is found on our website npidaho. statewide, and national legislative issues. world operation of health care facilities, including enpnetwork.com. Did you know Idaho has a legacy of politically extended care facilities, hospitals, and primary active advanced practice nurses that have paved care offices. When this experience is met with This article is a call to action. Nursing was born to make effective change!
References American Association of Colleges of Nursing. Nursing Fact Sheet (2019). Retrieved from https://www. THE NEUROSCIENCE OF ADDICTION: aacnnursing.org/News-Information/Fact-Sheets/ Nursing-Fact-Sheet Brom, H. M., Salsberry, P. J., & Graham, M. C. (2018). CARING FOR THE ADDICTED POPULATION Leveraging health care reform to accelerate nurse practitioner full practice authority. Journal of the American Association of Nurse Practitioners, 30(3), 120-130. doi:10.1097/JXX.0000000000000023 McMillan, K. (2016). Politics of change: The discourses 2020 INAC s BOISE, ID PO BOX 5801, BOISE, ID 83705 that inform organizational change and their capacity to silence. Nursing Inquiry, 23(3), 223-231. doi:10.1111/nin.12133 Wainswright Henbest, M., Evans, S., & Hudspeth, R. Join us July 27, 28, & 29, 2020 S. (n.d). Overcoming barriers to full APRN practice. Retrieved from https://onlinenursingpapers.com/ at the Red Lion Hotel for: overcoming-barriers-full-aprn-practice-essays/ Woodward, B., Smart, D., & Benavides-Vaello, S. (2016). • Addiction research updates Modifiable factors that support political participation • Pain management by nurses. Journal of Professional Nursing, 32(1), 54- 61. doi:10.1016/j.profnurs.2015.06.005 • Discharge patient education • Current nursing interventions • Neuroimaging Full-Time Surgical Services RN Benefits competitive compensation package, including company paid medical, dental, vision, life 20 CEUs ISBN APPROVED and short term disability insurance Apply online www.wchcd.org REGISTER ONLINE: IDAHONAC.ORG Contact: Robin 541.426.5415 | Jennifer 541.426.5309 February, March, April 2020 RN Idaho • Page 15 FEATURE Developing Nursing Student Communication and Teamwork Skills: Automating Peer Assessment
Rob Anson, PhD suggestions for improvement. In education peer outcomes. By incorporating this new style of peer Boise State University assessment is often used to motivate students to feedback, we can prepare new nurses to work and Emeritus Professor engage with their teams, especially when grades communicate effectively as a team, improving the College of Business and Economics: weigh in the balance (Adwan, 2016; Brutus & quality of care and patient satisfaction (Lerner, et Department of Information Technology Donia, 2010; Kaufman, Felder, & Fuller, 2000). al., 2009). Management Although team engagement is an immediate (208) 869-2801 benefit, logistical obstacles can impede more Email: [email protected] References substantial student learning. When students Adwan, J. (2016). Dynamic online peer evaluations to Shelle Poole, PhD, PMP, MBB complete peer assessments via paper or email, improve group assignments in nursing e-learning Boise State University the instructor is tasked with processing the environment. Nurse Education Today, 41, 67–72. Associate Divisional Dean College of Health feedback into meaningful information. Given the http://dx.doi.org/10.1016/j.nedt.2016.03.028 Sciences: School of Nursing time and effort required, instructors often take two Allport, G.W. (1954). The nature of prejudice. Addison- Wesley, 29-47. College of Business and Economics: shortcuts. First, they conduct an assessment only Department of Management American Academy of Pediatrics Committee on once, after the project is over. Second, they assign Pediatric Emergency Medicine, American College of (208) 426-4132 a grade but provide little or no formative feedback Email: [email protected] Emergency Physicians Pediatric Emergency Medicine to the individual student to improve their teamwork Committee, Emergency Nurses Association Pediatric skills. These shortcuts interfere with the impact Angela M. Fairbanks Committee. (2016). Handoffs: Transitions of care for timely feedback can have on learning, as discussed children in the emergency department. Pediatrics, Boise State University Technical Writing Intern College of Health by Hattie and Timperley (2007), dramatically 138(5), Article e20162680. http://doi.org/10.1542/ Sciences: School of Nursing reducing long-term benefits for student growth. peds.2016-2680 Email: [email protected] Brutus and Donia’s (2010) study explored the Anson, R. & Goodman, J. (2014). A peer assessment longer-term learning effects of peer assessments, system to improve student team experiences. Journal but with a twist. An automated system enabled of Education for Business, 89(1), 27-34. http://doi.org/ Clinical skills form the core of nursing practice 10.1080/08832323.2012.754735 instructors to quickly return formative peer while soft skills such as leadership, collaboration, Brutus, S., & Donia, M. (2010). Improving the and communication help shape the quality of feedback to students. They used the system effectiveness of students in groups with a centralized care and patient satisfaction (Kroning, 2015). in two consecutive required classes involving peer evaluation system. Academy of Management Nursing practice in turn informs nursing education, group projects. Some students took a team peer Learning & Education, 9(4), 652-662. encouraging schools to develop a balance between assessment, receiving feedback, in both classes; Freytag J., Stroben F., Hautz W., Eisenmann, D. & these clinical and soft skills. The goal is to prepare the rest did so only in the second class. Brutus Kämmer, J. (2017). Improving patient safety through nurses to collaborate within and across disciplines and Donia (2010) found that students who received better teamwork: How effective are different methods to promote patient safety and community health. repeated feedback performed better in the second of simulation debriefing? Protocol for a pragmatic, Salas related teamwork directly to patient safety, project than those receiving it only once. In this prospective and randomised study. BMJ Open, 7. http://doi.org/10.1136/ bmjopen-2017-015977 stating “team training and teamwork must be part study, repeated peer feedback helped students improve their team behaviors. Halm, M.A. (2013). Nursing handoffs: Ensuring safe of the DNA of healthcare” (Salas, 2008 as cited passage for patients. American Journal of Critical A new cloud-based tool called PeerAssessment. in Lerner, Magrane, & Friedman, 2009, p.328). Care, 22(2), 158–162. http://ajcc.aacnjournals.org/ For example, teamwork issues can contribute to com (https://peerassessment.com) automates content/22/2/158.long mistakes that happen during shift transitions (Halm, the peer assessment process, making it easier to Hattie, J., & Timperley, H. (2007). The power of 2013; American Academy of Pediatrics Committee provide that repeated, periodic feedback (Anson feedback. Review of Educational Research, 77(1), 81- on Pediatric Emergency Medicine, American & Goodman, 2014). Its goals align with the Brutus 112. College of Emergency Physicians Pediatric and Donia (2010) system, providing feedback to Kaufman, D., Felder, R., & Fuller, H. (2000). Accounting Emergency Medicine Committee, Emergency students and assisting the instructor, but additional for individual effort in cooperative learning teams. Nurses Association Pediatric Committee, 2016). features enhance its ease of use, efficiency, and Journal of Engineering Education, 89(2), 133--140. Manser (2009) reviewed various studies of flexibility. It takes less than five minutes to set up Kroning, M. (2015). Fostering soft skills is a must for nurse leaders. American Nurse Today, 10(2). https:// incident, malpractice, and adverse event reports, a team assessment, and the tool does the rest: launching the assessment, sending reminders, www.americannursetoday.com/fostering-soft-skills- concluding, “... communication and teamwork must-nurse-leaders/ distributing personalized feedback to students, and issues [are] among the most frequent contributory Lerner, S., Magrane, D., & Friedman, E. (2009). Teaching factors (i.e. in 22–32% of reports).” (p.145). calculating individual scores. teamwork in medical education. Mount Sinai Journal Various studies have linked interprofessional Tools like PeerAssessment.com make it practical of Medicine, 76, 318-329. http://doi.org/10.1002/ communication and teamwork problems to poor for an instructor to put students back at the center msj.20129 patient outcomes (Freytag, Stroben, Hautz, of peer assessment. Periodic assessments, while Manser, T. (2009). Teamwork and patient safety in Eisenmann, & Kämmer, 2017; Thistlethwaite, the project progresses, provide timely feedback dynamic domains of healthcare: A review of the 2012). When colleagues from varied disciplines for individuals and teams to self-correct and grow. literature. Acta Anaesthesiologica Scandinavica, 53, and backgrounds work together, timely and Challenges faced by interprofessional teams, 143–151. constructive peer feedback is critical to enable including workflow, distribution of responsibility, Poole, S., Walters, R., & Fairbanks, A. (2019, August) Collaborative perspectives: Interdisciplinary the team to adjust and improve (Freytag et al., and scheduling (Thistlethwaite, 2012) can be examined more closely. In an academic education to improve healthcare. RN Idaho, 42(2), 3. 2017). Structured team communication also Retrieved from https://s3.amazonaws.com/nursing- environment, instructors can tie peer assessment helps promote equal responsibility among team network/production/files/88764/original/RN_IDAHO_ members, an important detail of collaborative to a final grade so that students have an additional AUG_19.pdf?1566486344 decision-making in interprofessional teams (Allport, investment in learning how to contribute effectively. Salas, E. (2008). Does team training work? Insights and 1954). At Boise State University, we used warnings for health care. Paper presented at National Hattie and Timperley (2007) suggest, “Feedback Peerassessment.com to conduct assessments AAMG Meeting, San Antonio, TX. is among the most critical influences on student during our interprofessional education project, Thistlethwaite, J. (2012). Interprofessional education: A learning.” By implementing timely and constructive in which nursing and business students work review of context, learning and the research agenda. feedback in nursing curricula, educators can together on a large healthcare industry issue Medical Education, 46, 58 –70. http://doi.org/10.1111/ prepare nurses to be effective team members (Poole, Walters, & Fairbanks, 2019). After j.1365-2923.2011.04143.x before they enter the healthcare industry. In introducing the project itself, we orient students particular, peer feedback can help students to PeerAssessment.com and its rationale, develop clinical, collaboration, communication, and emphasizing the value of specific and meaningful leadership skills (Lerner et al., 2009; Allport, 1954). feedback to help students learn and improve their Peer assessment has been a teaching tool teamwork. Mid-project feedback allows students used for many years. It is frequently used in and teams to apply what they learn to the next interprofessional projects with nursing and phase of their work. When the project ends, each business students at Boise State University (Poole, student receives a grade proportionate to the final Walters, and Fairbanks, 2019). Students are feedback from their peer-assessed contributions to asked to assess their team members’ (and their the team. own) participation and contribution behaviors, Team-based projects help students improve using open and closed questions, and provide collaboration, communication, and leadership skills, which are linked to improved patient Page 16 • RN Idaho February, March, April 2020 FEATURE
The Idaho Nurses Foundation Transitions to an Education Fund for Multiple Purposes
The ANA-I board of directors approved changes to the Idaho Nurses The largest single donation came in 1982 from the estate of Marie Wiggim, Foundation (INF) based on a new relationship with the Idaho Center for Nursing. RN, for $50,000. She had been the nursing supervisor at the Arco site for the The old Foundation was dissolved and the funding became part of the newly Atomic Energy Commission. formed Idaho Nursing Education Fund at the Idaho Center for Nursing. The Sadly, by 2000 the majority of outstanding loans were less than $500 and Idaho Nurses Foundation (INF) had formally existed since 1984, but the funds most were delinquent. The INF board did not want to take nurses to collection that comprised the foundation had been established at various times since for that small amount. Thus, loan funds were changed to scholarship funds 1956. The foundation was changed from a loan fund to a scholarship fund in and all delinquencies were forgiven. Between 2001 and 2009 nursing student 2000 because the amount that could be borrowed was less than $500 and scholarships were given based on the income generated from the core fund most loans had become delinquent and non-collectible. investment. At the same time, the INA became managed out of state and To fully understand how the foundation has transitioned it is important transitioned through several groups. Along the way the required IRS and Idaho to know its history. In 1983, the Federal Internal Revenue Department ruled Secretary of State (ISOS) filings were sporadic and missed, and the ISOS that monies held by non-profit organizations in the form of a tax exempt declared the fund inactive and it lost the 501c3 status. foundation could not be co-mingled with funds of a foundation’s parent In 2018 the Idaho Nurses Association, now renamed as the ANA-Idaho, re- membership organization; in this case that parent organization was the Idaho established an Idaho office. Part of establishing the ANAI within Idaho involved Nurses Association (INA). In 1984 the INA formed the separate Idaho Nurses the control of the INF. The funds had been invested over the years, but the Foundation and brought all of the small funds under one INF. investment company had sold several times and actual contact with them The scholarship monies had come from the donations of Idaho nurses and had been lost. After much record searching and legal review, the ANA-Idaho from memorial donations made by families and friends of nurses who died. For board of directors, acting in the absence of any INF board, made the following 43 years, loans were awarded to one or two nursing students at each Idaho decisions: school based on the student meeting eligibility criteria. These low interest rate 1. Dissolve the INF formally as detailed in the articles of incorporation filed loans were used to cover tuition costs and payments began after graduation with the ISOS and notify both the Idaho SOS and Attorney General’s from nursing school. office. The first fund collection had been started in 1956 by Idaho nurses who 2. Establish a relationship with the Idaho Alliance of Leaders in Nursing and wanted to memorialize Florence Whipple. She was the RN hired in 1947 by Idaho Center for Nursing, a nursing philanthropy, that has an Education Idaho Governor Charles Robbins, MD, who felt that Idaho needed a coordinated Fund and a current 501c3 status that are in good legal standing. state health department because of the major issues impacting public health by 3. Transfer all existing funds, $98,383, from the INF to the Nursing tuberculosis and polio. She was the first director and supervisor of the public Education Fund of IALN/ICN effective June 30, 2019, and formally notify health department that has now become the Idaho Department of Health the ISOS of these actions. and Welfare. She died on Christmas Day 1955 and nurses throughout Idaho donated to a memorial fund established to further her goal of increasing BSN This means that the board was able to salvage the inactive funds from the education, because at that time a BSN was considered necessary to be a INF and combine them with an existing Idaho Nurses Education Fund that has a public health nurse and very few Idaho nurses had a BSN. Each year at the similar purpose. In 2020, the IALN/ICN has a focus to use educational funds to Idaho Nurses Association Convention there was the Florence Whipple Luncheon support rural nurses in obtaining continuing education credits that can be used that generated donations to maintain the education fund. Over the years, the to meet nurse re-licensure requirements in Idaho. Florence Whipple Education Loan Fund grew to almost $200,000. Additional support for the Idaho Nurses Education Fund is generated through When the St. Luke’s Hospital School of Nursing in Boise closed in 1956, the annual Nurse Recognition Dinner that is held in the fall of each year. This graduates of that program started the Helen Ada Smith Fund to assist Boise year, 75 Idaho nurses were recognized and the dinner event generated over students who were attending the newly formed Boise Junior College nursing $8,000 for the education fund. The 2020 event will be held Monday evening, program. Miss Smith had been the longest serving director of the St. Luke’s November 9, 2020 at the Riverside Hotel in Boise. SON for 21 years before her death in 1941. That fund had a maximum value of $10,000 and by 1990 it had decreased to $5,600 because donations had ceased as St. Luke’s graduates who knew Helen Smith had retired or died. In 2000 the INF board exercised the Helen A. Smith articles of fund dissolution and gave the remaining fund balance to the Boise State University Friends of Nursing. SURVEY ON SEXUAL ORIENTATION AND GENDER IDENTITY DISCLOSURE (SOGI)
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The Color Code – Part II: How to Effectively Work and Communicate with all the Colors? Editor’s Note: This article is the second in a • Yellows are motivated by fun – enjoying the be fixed so if you want to vent about something; do three-part series on, “The Color Code.” The third experience whether it’s working or playing. that before your appointment with a Red. article will cover using Color Code to build effective They are charismatic and often noisy! Is your Blue co-worker too sensitive? Are teams and meeting the needs of your staff. you afraid you are going to hurt a Blue’s feelings or In my first article, I introduced you to Color Code So how do you effectively talk to these different worse, that they will cry? Blues are sensitive souls and the four colors and their driving core motives. personalities when their motive or what drives them and this can be a blessing and a curse. They care As a refresher, here they are: is different than yours? Well I don’t want to give deeply so appeal to their sense of purpose and • Reds are motivated by power – getting away everything I teach in a full-blown Color Code morality. Find a way to direct that passion into a things done and being productive. They seek workshop that I offer, but I can give you some hints. project that needs to get done or by asking them to positions of authority because they see that’s Does your Red boss intimidate you? Reds work on a particularly delicate situation. They have how you can make things happen! are strong personalities and power through life often a lot of finesse. Acknowledge their hard work and • Blues are motivated by intimacy – building mowing everyone down in their path. They can let them vent or process out loud. They often don’t relationships and connecting with people. have tunnel vision and not pick up on social ques. want you to solve a problem; they just want you to The most controlling of the colors, they are The best way to approach a Red is ask to make an listen. passionate and pride themselves on the appointment to discuss a topic. Be specific. Tell How do I light a fire under a White quality of their work. them what you want to talk about. Come to the personality? Whites are very even keel – by • Whites are motivated by peace – finding and meeting prepared. Tell them the problem and what design. They don’t let many things bother them maintaining balance in their lives. They are you’d like them to do. Reds are fixers. They want so that they can keep everything in balance. It quiet and reflective. They will often go along to fix a logical problem. Feelings or emotions can’t may seem like they aren’t passionate about many to get along. things but don’t mistake their easy-going nature for apathy. If you engage them in a fair, kind and less formal manner, Whites will produce the results that you want. Remember, they prefer straight forward communication and this can be done via email versus face to face. They are logic based so don’t expect them to understand emotions. In fact, a good way to get a White to run and hide is getting mad or emotional. Joining Your Professional Organization Why are Yellows so flighty? Try to keep in mind that you might consider a Yellow’s behavior as flighty but Yellows are just doing their best and trying to live their best lives. With a motivation to have fun, try to keep the conversations and meetings upbeat. Remember they are easily “The rising tide raises all ships…” Engaging with your professional organization distracted so give them information in small doses has many benefits for both you and the profession as a whole. No one is expected to join and a variety of tasks. Don’t tell them they screwed every organization but choose the one that best meets your professional needs and join up or disappointed you. Yellows are also sensitive it. Membership is important and it sustains the organizations which in turn benefits every souls but they don’t like to feel “bad” emotions so professional nurse and helps promote and benefit the profession as a whole. they will flee from any uncomfortable situation. Ask It can be accomplished on the organization website. Visit the website them to do the social jobs that involve working with Joining is easy! other people. HOME PAGE of the association you want to support and follow the instructions how to join. All of the nursing organizations listed below participate in the Idaho Center for Nursing. Megan Guido is the Chief Marketing & Community Relations Officer at Pullman Regional Hospital, where she teaches Color Code at new RNs: employee orientation. She is idahonurses.nursingnetwork.com/ a certified Color Code trainer and conducts workshops and presents on Color Code to professional and community organizations. Megan Guido Listen and subscribe to her Nurse Practitioners: podcast moinhealthcare. com on Apple podcasts. You can learn more at npidaho.enpnetwork.com/ www.colorcode.com or if you are interested in holding a Color Code workshop for your team, please contact her at [email protected].
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RN Idaho is pleased to honor Registered Ennis, Darlene, 1941-2019, Boise. Darlene Mayo, Irene Connors, 1924-2019, Buhl. Irene Nurses and Licensed Practical Nurses who graduated from O’Connor School of Nursing at graduated from the Christ Hospital School of Nursing served our profession and are now deceased. Santa Clara University in 1962. She moved to and Rutgers University, Jersey City, NJ in 1946. The names will be submitted to the American her husband’s hometown of Boise in 1967. She Following graduation, she served in the U.S. Navy Nurses Association for inclusion in a memoriam returned to work as a RN in 1980. until 1958. She served on the hospital ship USS held in conjunction with the ANA House of Repose during the Korean conflict. Delegates. Gere, Michele Elaine Wise, 1959-2019, Boise. Michele graduated from Boise State Newhouse, Charles Max Jr., 1932-2019, Amodie, John Edward, 1938-2019, Boise. University and worked in Washington and as a Boise. Although Charles was not a nurse, he was John graduated with a BSN from the University of travel nurse. She worked as a RN at St. Luke’s in very active in community organizations and he Rhode Island. He served in the Air Force and was Boise for almost 15 years. served as Director and Chairman of the Visiting buried at the Idaho State Veterans Cemetery. Nurses Association for many years. Grunig, Charlotte June, 1933-2019. Beebe, Camille, 1950-2010, Wallace. Camille Montpelier. Charlotte worked as a nurse in Nickerson, Nancy, 1929-2019, Idaho Falls. graduated from North Idaho College and then Montpelier before retiring. Nancy graduated from Deaconess Hospital School obtained her BSN from Lewis Clark State College. of Nursing School in Spokane, WA. Gurney, Julia Ann Stokes, 1934-2019, Bradford, Victoria, 1965-2019, Blackfoot. Boise. Julia worked as a critical care nurse at Olsen, Heather, 1980-2019, Blackfoot. After graduation from Idaho Falls High School Holy Rosary Hospital, Ontario, OR, and at Saint Heather worked as a RN in eastern Idaho. Victoria graduated from ISU’s LPN program. Alphonsus for 30 years. Powlus, Stella, 1926-2019, Twin Falls. Stella Brassey, Isabel Jones, 1926-2019, Boise. Hosking, Anita, 1932-2019, Idaho Falls. Anita graduated from the College of Southern Idaho Isabel was not a nurse, however she served on the graduated from the Michael Reese Hospital School and worked for many years as a nurse and nursing Idaho Board of Nursing as the consumer member. of Nursing in Chicago in the 1950s and moved to supervisor at Magic Valley Regional Medical Center. She was also engaged with the Boise State Idaho Falls in 1967. An education fund in her name was established at University School of Nursing advisory board. In 1977 CSI. was recognized as a Distinguished Citizen by the Jennings, Marilyn, 1953-2019, Boise. Marilyn Idaho Stateman. graduated from Borah High School in 1971, she Prawitz, Jennie, 1925-2019, Emmett. Jennie graduated with her BSN from Boise State University obtained her Licensed Practical Nurse certificate Cutshall, Marlys Rae, 1946-2019, Nampa. and spent her career as a nurse in Idaho. in 1958 and worked many years as an LPN in Gem Marlys graduated from the Boise State LPN program County. and worked at Mercy Medical Center. Moss, Vesta Myrtle Jones Johnson, 1925- 2019, Pocatello. Vesta graduated from the Sattler, Mary Beth, 1955-2019, Boise. Mary Davidson, Kathleen, 1952-2019, Idaho Falls. Pocatello General Hospital School of Nursing in the Beth graduated from Boise State with her associate Kathleen graduated from Ricks College with an early 1940s and worked many years as a RN before degree in nursing. associate degree and completed a BSN at Idaho raising her family. State University. Stephens, Sonja, 1914-2019, Nampa. Sonja Katsma, Carolyn “Carrie,” 1937-2019, Idaho obtained her nursing degree at age 50 and remained Davis, Doris Rae Hawk, 1934-2019, Nampa. Falls. Carrie graduated with her BSN from Idaho active until age 104. Doris graduated from St. Mark’s Hospital School of State University and worked as both staff and Nursing, Salt Lake City in 1955. She was a surgical head nurse in Labor & Delivery and Postpartum Sutton, Heddy, 1946-2019, Sunnydell. Heddy RN at Bannock in Pocatello, Good Samaritan in throughout her career. graduated from Ricks College with her associate Phoenix, Gritman in Moscow, and Mercy Medical degree and worked 20 years in a physician office Center in Nampa. She was a practicing RN for 33 Kerns, Karen J., 1946-2019, Boise. After and seven years for Hospice of Eastern Idaho. years. graduating from Boise High School in 1964 Karen attended Saint Alphonsus Hospital School of Woodcock, Holly Elizabeth, 1962-2019, Dokken, Marrilee, 1925-2019, Lewiston. Nursing and graduated as valedictorian. She served Idaho Falls. Holly became an LPN in the 1990s, Marilee attended nursing school in Salt Lake City in the Army Nurse Corps as a First Lieutenant. and then obtained her BSN and completed an during WWII and later worked in several north Idaho MSN in 2017. She taught at Eastern Idaho Technical communities. College as the director of the CAN program.
RN Idaho Remembers a Nursing Legend Alyce Kazuko Sato, PhD, RN
Alyce Sato, PhD, MSN, RN, a Master’s in Curriculum Development from Idaho State four-year term. In 2006 she was named an Idaho Nursing a well known Idaho nurse died University in 1976, and then a Master’s degree in Nursing Legend and also received the Distinguished Career in Sunday, December 15, 2019, from the University of Portland in 1979. She worked Nursing recognition by the March of Dimes. in Pocatello. She described at hospitals in Pocatello and became the In-service Colleagues describe Alyce as: herself as a life-long learner Education Director at St. Anthony Hospital. That prompted "A true friend and colleague dedicated to the and she attributed that to her her to become interested in teaching. Alyce then joined the preparation of caring and competent nursing graduates." childhood and family. She was nursing faculty at Idaho State University where she taught "A terrific teacher, such a strong student and nursing born March 7, 1931, to Japanese for 28 years. During her time at ISU she obtained a PhD in advocate with a great sense of humor!" immigrant parents who did not Educational Administration from the University of Utah and "She will always be remembered by the students speak much English, and in became the Chairperson for the Department of Nursing. she taught and the faculty with whom she worked. My their home they only had a small During her tenure at ISU, the Master’s program in Nursing memories of her will always make me smile." radio. Thus, Alyce became a frequent visitor to the Public expanded to remote areas of the state, and graduate “She was a devoted wife, supportive mother and Library. She said that reading was her adventure and that education in Idaho increased. Her many contributions grandmother. She loved inviting guests in and preparing she could not remember a time in her life when she did not have impacted nursing education and the careers of wonderful Japanese cuisine which was a real treat. have a library card. Reading prompted her desire to learn. generations of Idaho nurses. Alyce was instrumental in Somehow, between on-going education, ISU obligations, She loved reading about nurses and it was a natural move moving the Department of Nursing to a School of Nursing and BON responsibilities, she also managed to sew for her to become a nurse. and loved ISU. special outfits for the children as needed!” She is remembered in part for her contributions to Dr. Sato received many honors during her career. In nursing over several decades, and Idaho State University 1981, she was appointed by Governor John Evans to the Alyce was dedicated to the nursing profession and College of Nursing where she holds Professor Emeritus Idaho Board of Nursing (BON). In 1983 she was elected patients, and made outstanding and valued contributions status. She first practiced as an LPN, and then went to chairman of the BON and she served in that role until 1987 to building the profession of nursing at ISU and across Idaho State University where she obtained her Bachelor’s when her term expired. In 1995, she was again appointed Idaho. She will be greatly missed. degree in Nursing in 1969. She followed this degree with to the BON by Governor Cecil Andrus, and she served a February, March, April 2020 RN Idaho • Page 19 An Essay on Faculty Roles and Productivity
Sara Hawkins PhD, RN, CPPS Research Intensive versus Teaching Intensive appear to prove that it is not a lack of productivity [email protected] Workload Design that may hinder student learning, but rather it is the Beginning in the 1950’s, research began to be high levels of workplace pressures, considerably The rich culture and tradition of higher education favored over instruction. Consequently, faculty lower salaries than in industry practice, and in the United States (U.S.) is showing signs of work and accomplishment in research linked the thinning faculty workforce that present the deterioration and decay as academic institutions directly to rewards such as hiring, promotion, problems (Durham, Merritt, & Sorrell, 2007; & June, deal with changing societal values, increasing tenure, and compensation (Bartels, 2007; & Ehrlich, 2011). global technologies, and declining professorates 2003). Professors sought out more release time (Honan & Teferra, 2001; & Slaughter & Leslie, and could “buy out” of class with grant monies, Imagining the Ideal 1997). As stakeholders debate educational reforms, leaving the direct instruction to teaching assistants In a study by Doughty, May, Butell, and Tong the discussion tends to concentrate upon the role and non-tenured faculty (June, 2011). (2002), the perception of nurse faculty found of faculty as central to issues of quality, fiscally that the pressure they experienced, exceeded sound education. Inevitably, resultant campaigns Workload Linked to Mission their expectations. In an ideal world, there would for reform call for adjustments to the workload Workload models may vary widely from be transparency in new faculty assignments, and role of faculty as policy makers and financial institution to institution and may be best reflected orientation to the roles and responsibilities, stakeholders call into question “what is it that… in the mission statement of the facility. Mission collegiality and collaboration, and a clear process faculty members really do?” (American Association statements directly guide the curriculum and for accountability (Durham et al., 2007). Faculty of University Professors [AAUP], 1993, para.1). overall program and student learning outcomes. rewards such as tenure would foster accountability Added to the misperception and Mission statements relate the expectations and innovation instead of squelching it. misrepresentation of faculty workload, is a growing of what is required to do on the part of those Faculty need to be the best in teaching and best shortage of doctoral prepared educators. For with stewardship over program and course for the profession in terms of scholarship (Bartels, example, the discipline of nursing is facing a development (June, 2011). Hence, the value 2007). In an ideal environment, faculty members projected loss of almost 30% of nurse faculty to on instruction versus research or even service would embrace technology and innovation and retirement by the year 2026 without an adequate becomes clear. formal mechanisms for faculty development and reserve of younger educators to fill these What also becomes clear is that the standard role consolidation would exist (Bartels, 2007). positions (Keefe, WIN Conference 2013). A lack metrics of credit hours or number of courses does of understanding of these dynamics may further not accurately, nor equitably demonstrate the Conclusion aggravate the infrastructure of higher education true elements of faculty productivity. The defining The role of educator is fundamental for and actually stifle involvement, innovation, and features of research, teaching, and service are advancing practice, scholarship, and policy. autonomy of existing educators (Doughty, May, much more complex. Despite the “silver tsunami” phenomenon Butell, & Tong, 2002). described as occurring in nursing, I am confident Here, I will compare and comment on the Research, Teaching, and Service that the pool of novice educators will develop and influence of an institution’s mission and type on Long held productivity models apply to facilitate the transformation of nursing education faculty workload. I use the term workload to mean teaching effort only, making them inefficient into the future (Keefe, WIN Conference 2013). In the three faculty roles of research, teaching and and unwise (Wolf, 2011, p. 247). The AAUP this paper, educator roles have been explored, the service (AAUP, 1993; Bartels, 2007; & Wolf, 2010). (1990) issued a statement on faculty workload role of the faculty as teacher explicated, and an Then, after a more detailed examination of the addressing inequities caused by such a narrow ideal for the future identified. teaching role, I will reflect on my personal vision for scope of practice. The statement outlines a more I suggest that efforts to eliminate workplace teaching in an ideal academic environment. representative description of faculty roles and pressures, foster collegiality and collaboration, and productivity. value accountability are imperative. Control of the Institution and Mission Determine Faculty Workload Research and Scholarship References There are three categories used to describe In the traditional sense, research includes American Association of University Professors. (1990). colleges and universities: public versus private, discovery and publication, including creative work Statement on faculty workload with interpretive research intensive versus teaching intensive, and activities. This traditional view does not take into comments. Retrieved from http://www.aaup.org/ religious versus secular. Differences in these types account serving on dissertation committees, report/statement-faculty-workload-interpretive- comments hinge primarily upon control of the institution, supporting colleagues in their scholarly work, American Association of University Professors. (1993). that is, revenue sources. For instance, the major applying new knowledge in course work or even The work of faculty: Expectations, priorities, and source of funding for public universities and the pursuit of doctoral education. rewards. Retrieved from http://www.aaup.org/report/ colleges are local and state governments, while work-faculty-expectations-priorities-and-rewards private institutions generate revenue through Teaching Bartels, J. E., (2007). Preparing nursing faculty for higher tuition costs and private sources (Honan & Teaching is the most basic activity of the faculty baccalaureate-level and graduate-level nursing Teferra, 2001). Religious universities are connected and encompasses laboratory and classroom programs: Role preparation for the academy. Journal to a religious faith and cater to special student instruction, advising, mentoring graduate students of Nursing Education, 46(4), 154-158. populations, benefiting from tax-exempt status and (AAUP, 1993). Teaching effectively requires huge Doughty, J., May, B., Butell, S., & Tong, V. (2002). Work subsidies from the parent organization. However, investments in preparation, innovative pedagogy environment: A profile of the social climate of nursing in today’s turbid economic climate, all colleges and strategies in the classroom. The teaching faculty in an academic setting. Nursing Education Perspectives, 23(4), 191- 196. Retrieved from http:// and universities are feeling the pinch and calling role extends far beyond the classroom in advising galenet.galegroup.com.ezproxy.lib.utah.edu/servlet/ for more efficient use of assets while increasing students, answering emails and maintaining office IOURL?locID=sal56940&ste=6&prod=HWRC&docNu student capacity. The call for frugality directly hours, grading, attending meetings, and covering m=A90306182 impacts faculty workload as workloads were others during times of illness. Durham, S., Merritt, J., & Sorrell, J. (2007, August). originally designed to shape the actual budget Implementing a new faculty workload formula. (Honan & Teferra, 2001). Service Nursing Education Perspectives, 28(4), 184-189. Faculty work includes examples of both internal/ Ehrlich, T. (2003). The credit hour and faculty Public versus Private Workload Allocation institutional service and external/community instructional workload. New Directions for Higher Historically, public institutions faced more service. Internal service may include participation Education, 122, 45-55. stringent workload standards and accounting in shared governance and other committee Honan, J. P., & Teferra, D. (2001). The US academic procedures given the governmental oversight. memberships, peer mentorships and reviews, profession: Key policy challenges. Higher Education, 41, 183-203. Workload or productivity was defined by the hours participation in faculty conferences and exchanges. June, A. W. (2011, July 10). Efforts to measure faculty per week of formal class meetings; the credit hour External service may involve active participation workload don’t add up. The Chronicle of Higher (AAUP, 1993; Ehrlich, 2003; & Wolf, 2010). Ehrlich in professional organizations and the community Education (2003) points out that this measure of credit hour partnerships. According to Bartels (2007) service Keefe, M. R. (2013). Future of nursing education. meant that faculty were expected to teach for a also encompasses continued competency and Western Institutes of Nursing Conference, given number of credit hours per semester. The expertise in practice. unpublished manuscript. workload focus was teaching with no expectation Slaughter, S. & Leslie, L. (1997). Academic capitalism: for research. Expanding on the Role of Teacher Politics, policies, and the entrepreneurial university. In contrast, workload standards for private June (2011) describes how there is public [abstract]. Baltimore: The Johns Hopkins University institutions were not made public and were perception and criticism that teaching is not a Press. Retrieved from http://eric.ed.gov.ezproxy.lib. regulated directly by department chairs and deans priority for university faculty and that students utah.edu/?q=Academic+Capitalism%3a+Politics%2c +Policies%2c+and+the+Entrepreneurial+University.&i (Ehrlich, 2003). While the workload focus remained consequently suffer because of it. Through a d=ED409816 with teaching, it was calculated not with credit variety of anecdotal stories from professors, June Wolf, A. (2010). Orientations to academic workloads hours but rather based on the number of courses drives home the perspective that the public and at department level. Educational Management taught each semester. lawmakers miss; that of “there are many more than Administration & Leadership, 38, 246-262. three hours involved in teaching three hours” (para. Doi:10.1177/1741143209356362 45). The realities of the modern-day educator St. Luke’s is looking for talented nurses like you to join the team! We have Registered Nurse openings in specialties including: • Emergency Department • Labor & Delivery/Postpartum • Intensive Care Unit • Medical/Surgical • Rehab
St. Luke’s Health System is Magnet Recognized and for the sixth consecutive year has been named one of the Top 15 Health Systems in the U.S. by Watson Health! If you’re looking for a place where you can grow in your personal life, career, and community, St. Luke’s may be just the place for you.
We would love to speak with you more about your experience and the opportunities we have available. Please visit us on line at www.stlukesonline.org to learn more about the exciting opportunities that await.