The Florida Nurse - February 2024

THE FLORIDA NURSE

As we are gearing up to start the new year 2024, I want us to reflect on ways we treat each other as colleagues, lead, and promote positive professional connections. Being an active member of a professional nursing organization that affords us the opportunity to expand our knowledge, skills, and innovation is quite amazing! The Florida Nurses Association (FNA) gives us that platform to serve, innovate and advance the nursing profession in ways beyond our imagination. I had the opportunity to participate in the leadership summit hosted by the American Nurses Association (ANA) on December 5, 2023, where I learned about best practices for Board Governance, call to action, and commitment to move forward to a journey of excellence as president of FNA. As I sat in the room filled with diverse colleagues at the ANA Leadership Summit, I started reflecting on how to articulate, and share ideas, recommendations on how to advance the nursing profession efficiently alongside the Board of Directors, CEO, and staff. The summit provided me with best practices on board governance and how to address barriers/ethical challenges/threats to nursing practice, as well as the importance of engaging future generation of nurses, nursing staffing, and innovation.

I appreciate these two quotes by Mahatma Ghandi: “Be the change that you wish to see in the world.” “In a gentle way, you can shake the world.” I am sharing these two quotes to summarize the lessons learned from the

American Nurses Association (ANA) 2023 Leadership Summit that was aimed at exploring best practices that will result in the most effective Board and CEO partnerships; determining the current challenges, threats to the nursing profession; and exploring how the Work of Leaders model Vision-Alignment-Execution (VAE) can ensure role clarity and operational effectiveness amongst Board and the state association. I watched ANA President - Dr. Jennifer Mensik Kennedy, share her vulnerability about violence against nurses in the workplace as she gave special mention to the nurse colleague who recently died. Yes, I was in tears and touched by her tears, and her strong and compassionate leadership. This is one of the reasons she was recently voted as one of 100 influential leaders in health care. Another impactful moment and biggest takeaway for me were the topic of engaging future nurses and the importance of understanding the needs of Millennial and Z generation nurses and ensuring that ANA fosters innovative strategies that will solve MZ challenges and ensuring the success of future generations of nurses. After listening to the panelists of MZ’s, I fully understood that many MZ nurses don’t feel valued, listened to, or part of an inclusive environment. I am sharing these lessons learned and tools with our esteemed Executive Director – Willa Fuller, the Board and Regional Directors and members to continue this much needed dialogue on inclusivity, racial reconciliation, advocacy, challenges, and current threats to the nursing profession. I also had the amazing opportunity engaging with some of the most amazing leaders, networking, and shared some valuable insights into the dialogue. I acknowledge, appreciate, and give thanks to Dr. Kelly Bouthillet, LCEC Chair for her outstanding leadership, Marcus Henderson, ANA Board Liaison to

Marie Etienne, DNP, APRN, FNP, PNP, PLNC President FNA

Notes from the Executive Director

The Battle Against Bullying in Nursing: Perspectives Based on the ANA Code for Nurses

Willa Fuller, BSN, RN | Executive Director

Nursing is seen as a noble profession that calls for compassion, empathy, and a commitment to the well-being of patients.

Willa Fuller

The American Nurses Association (ANA) Code for Nurses has been designed to serve as guidance for ethical practice within the nursing profession. Unfortunately, the scourge of nurse bullying persists in some healthcare settings, creating a stark misalignment with the principles outlined in the ANA Code. Recently, through communication from members, students and others who participate in our groups and meetings it has been expressed that bullying is still prevalent and perhaps even amplified since the COVID-19 pandemic. This article explores the ANA Code for Nurses and examines how nurse bullying contradicts the core values and standards set forth by this essential document.

The

ANA

Code for Nurses

The ANA Code for Nurses is a comprehensive framework that outlines the fundamental principles and values that guide nursing practice. Adopted by nurses across the United States, the Code provides criteria for ethical decision-making and professional conduct. The Code comprises nine provisions, each addressing different aspects of nursing practice, including respect for human dignity, patient advocacy, and collaboration with other healthcare professionals.

Nurse Bullying: A Deviation from the Code Nurse bullying, unfortunately, remains a persistent issue in many healthcare environments. This destructive behavior can manifest in various forms, including but not limited to verbal abuse, intimidation, humiliation, and exclusion. It creates a toxic workplace culture that not only affects the mental and emotional well-being of the targeted individuals but also compromises patient safety and care quality. This is especially true as it relates to new graduates or nurses new to a specific unit or area. Nurses from various ethnic groups and nationalities have also reported experiences bullying related to their “differences”. And while new graduates have commonly experienced bullying, some older nurses also feel they are experiencing this behavior from their younger colleagues. An example of the effect on safety is the experienced nurse who encourages the novice nurse not to report a medication error or to perform a task that does not comply with hospital policy as a shortcut. A mentor or preceptor should set the standard for safe, ethical practice

Provision 1: The Nurse Practices with Compassion and Respect

The first provision of the ANA Code emphasizes the nurse’s responsibility to practice with compassion and respect for the inherent dignity, worth, and unique attributes of every person. This includes colleagues and co-workers. Nurse bullying directly contradicts this provision by demeaning and disrespecting colleagues. A workplace culture that condones or ignores such behavior is in direct violation of the foundational principles of nursing. Many nurses that have called the office in the past have shared that they have gone to their managers with specific examples only to be told that they

need to have “thicker skin”. In some cases, the manager was friends with the perpetrator and turned a blind eye to the negative behavior. In many cases, the nurses have no recourse to deal with this behavior within institutional policy in spite of a Joint Commission Sentinel Event Alert which gives specific safety actions for health care facilities related to this behavior.

Many nurses report leaving the work environment or leaving the professional entirely due to the bullying behaviors they experience. In the throes of a growing nursing shortage, this behavior only serves to contribute to the problem.

Provision 2: The Nurse’s Primary Commitment Is to the Patient

Nurses commit to advocating for their patients and ensuring their well-being in the second provision of the ANA Code. Nurse bullying creates an environment that detracts from this commitment by diverting attention and energy away from patient care. A culture of fear and hostility hampers effective communication and collaboration among healthcare professionals, ultimately jeopardizing patient outcomes. Imagine an environment where you do not feel comfortable or safe to ask for help or consult regarding patient care. Or an environment where you feel tense and stressed all day while trying to provide safe competent care to your patients.

Provision 5: The Nurse Owes the Same Duties to Self as to Others

Nurses are reminded to prioritize their own health and well-being in Provision 5 of the Code. Nurse bullying not only harms the targeted individuals but also negatively impacts the mental health and job satisfaction of the entire nursing team. A workplace that tolerates bullying fails in its duty to uphold the well-being of all its team members. Bullies must be made aware of their aggressive behavior on patient care as well as for their colleagues and an environment must be created where bullies receive consequences for such behavior based on policies and processes for reporting.

Conclusion

The ANA Code for Nurses is a useful tool that illuminates the path toward ethical nursing practice. Nurse bullying stands in stark contrast to the principles outlined in this essential document, compromising the well-being of nurses and the quality of patient care. It is imperative that healthcare organizations actively address and eliminate nurse bullying to create a workplace culture that aligns with the values of the ANA Code for Nurses and fosters a positive and collaborative environment for nurses.

Individually, nurses must engage in introspection and self-examination as they learn to fully understand the devastating effects of their actions on colleagues, the work environment and ultimately the patients we serve. By doing so, we can uphold the integrity of the nursing profession and ensure that every nurse can practice with compassion, respect, and dedication to patient welfare.

References

ANA Code for Nurses (view online)

https://www.nursingworld.org/practice-policy/nursingexcellence/ethics/code-of-ethics-for-nurses/coeview-only/ https://www.jointcommission.org/resources/news-andmultimedia/newsletters/newsletters/quick-safety/ quick-safety-issue-24-bullying-has-no-place-inhealth-care/bullying-has-no-place-in-health-care/

FLORIDA NURSE THE

Owned and Published by, Florida Nurses Association 1235 E. Concord Street, Orlando, FL 32803-5403

P.O. Box 536985, Orlando, FL 32853-6985

Telephone: (407) 487-2330

FAX: (407) 896-9042

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Website: http://www.floridanurse.org

Office Hours: 8:30 a.m. to 4:30 p.m., Monday thru Friday

For advertising rates and information, please contact Health eCareers, HEC_Nursing_Info@healthecareers. com. FNA and the Health eCareers reserve the right to reject any advertisement. Responsibility for errors in advertising is limited to corrections in the next issue or refund of price of advertisement.

Acceptance of advertising does not imply endorsement or approval by the Florida Nurses Association of products advertised, the advertisers, or the claims made. Rejection of an advertisement does not imply a product offered for advertising is without merit, or that the manufacturer lacks integrity, or that this association disapproves of the product or its use. FNA and Health eCareers shall not be held liable for any consequences resulting from purchase or use of an advertiser’s product. Articles appearing in this publication express the opinions of the authors; they do not necessarily reflect views of the staff, board, or membership of FNA or those of the national or local associations.

Published quarterly, February, May, August and November by FNA, a constituent member of the American Nurses Association.

Editor – Kaitlin Scarbary, 1235 E. Concord St., Orlando, FL 32803-5403

Subscription available at $20.00 plus tax, per year. Members of FNA receive the newspaper as a benefit of membership.

COPIES of The Florida Nurse are available on 35mm microfilm, 106mm microfilm, article reprints and issue copies through Bell & Howell, 300 North Zeeb Road, Ann Arbor, Michigan 48106

Board of Directors

2021–2023

Officers

Marie Etienne, DNP, APRN, FNP, PNP, PLNC, President Marcos Gayol, Ed.D, MSN, MPH, RN, President-Elect

Debbie Hogan, RN, BSN, MPH, Vice President Beverly Norman, MSN, RN-BC, Secretary George Peraza-Smith, APRN, RN, ADN, BSN, DNP, MSN, GNP-BC, GS-C, CNE, FAANP, Treasurer

Region Directors

Aminah Johnson, RN, Director of Recent Graduates

Andrea Hefner, DNP, BAS, APRN, FNP-BC, Northwest Region Director

Vacant, North Central Region Director

Amber Johnson, APRN, MSN, RN ,AG-CNS, Northeast Region Director

Kimberly Warren, MSN, BSN, RN, East Central Region Director Meghan Moroney, BSN, RN, West Central Region Director

Maritess Quinto, DNP, RN, NPD-BC, CMSRN, Southeast Region Director

Charene Adams, DNP, MSN, RN-BC, Southwest Region Director

Guillermo Valdes, DNP, MSN-HCS, PGC-Ned.-CMSRN, MED SURG-BC, South Region Director

Director of Recent Graduates

Aminah Johnson, RN

LERC Liaison

Marsha Martin, RN

FNA Office

Willa Fuller, BSN, RN, Executive Director

John Berry, Jr., Director of Labor Relations & Government Affairs

Kaitlin Scarbary, Director of Member Programs, Technology, and Marketing

Focus on the Foundation

Celebrating 40 Years of Impact

In 2023, the Florida Nurses Foundation reached a significant milestone – its 40th anniversary. This remarkable journey has been characterized by dedication, compassion, and unwavering support for the nursing community. As we look back at the past year 40 years, it becomes evident that the Foundation has made a lasting impact on the nursing profession. Here is a snapshot of some of that impact:

• 1,023 Nurses Awarded Scholarships & Grants

• $471,275 Scholarship Funds Awarded

• $82,375 Grant Funds Awarded

The Foundation looks forward to continuing this legacy by providing more scholarship and grant opportunities for nurses in the years and decades to come. In keeping with this trajectory, one of the most notable achievements of the past year was the establishment of three new endowed funds. These funds represent an investment in the future of nursing, providing support for education and research. These endowments ensure that the impact of the Foundation extends far beyond its anniversary year, fostering a legacy of excellence in nursing.

The Verse Family Nursing Education Scholarship will support RNs seeking higher education with a focus on nursing education.

The Patricia Ruth Messmer Research Grant will encourage and support historical research at the Masters and Doctoral levels.

The Palm Beach County Friends of Youth Services Nursing Scholarship will encourage Palm Beach County Residents to pursue a Registered Nurse education and study and work in Palm Beach County.

With the addition of these three new funds, the Foundation now has 44 endowed funds to award scholarships and grants. We are currently working establishing the 45th endowed fund, the Florian Roy and Deirdre Krause Fund.

The success of the Florida Nurses Foundation relies heavily on the support it receives from FNA members and the broader community. As we celebrate the 40th anniversary and the establishment of these endowed funds, there is a pressing need for continued financial support. Donations play a crucial role in sustaining scholarships, funding research projects, and assisting nurses in need.

Investing in the Future of Nursing: Why Your Donations to the Florida Nurses Foundation Matter

By donating to the Foundation, individuals are making a direct investment in the future of nursing. Supporting nursing education, research, and financial assistance ensures a robust and wellprepared nursing workforce that can address the evolving needs of our healthcare system.

As the Florida Nurses Foundation celebrates 40 years of service and looks forward to a future marked by new possibilities, your support becomes integral to its continued success. By donating to the foundation, you play a pivotal role in shaping the future of nursing, promoting healthcare excellence, and contributing to the well-being of communities across Florida. Together, let’s build a legacy of compassion, education, and innovation in nursing that will resonate for decades to come.

To make a one-time donation or to setup a recurring monthly donation, go to floridanurse.org/ giveback

Focus on the Foundation Scholarship and Grant Applications are Open!

The Florida Nurses Foundation is currently accepting applications for 2024 Scholarship and Grant cycle. Interested nurses and nursing students can apply online at www.floridanurse.org/ScholarshipsGrants . The application window is open from January 1 to June 1.

About our Scholarships: The Foundation has over 30 scholarships available for nursing students residing in Florida and currently enrolled in a nationally accredited nursing program. Applicants must have completed at least one semester in their nursing program to qualify. Some of the funds have specific application requirements such as geographic location or nursing specialty. The Foundation offers scholarships for all levels of study including basic nursing programs, master’s level, and doctoral programs.

Applications are available on our website and must be completed according to specifications to be considered. Applicants submit one generic application and upon review are paired with the scholarship that best fits their profile. Descriptions of available funds are listed on our website to give applicants a sense of some of the scholarships they could be paired with. It is important to submit a complete and thorough application to provide reviewers with the best information about the applicant.

About our Grants: The Florida Nurses Foundation has several opportunities for Nurse Researchers to receive grants. The purpose of the Florida Nurses Foundation (FNF) Research Grant Program is to encourage the research career development of nurses to advance the profession of nursing.

The principal investigator must be a registered nurse and be licensed to practice nursing in Florida. Applications for the research grant must be for a study (proposed or underway) that has not been completed prior to application deadline.

Empowering Nurses: Replenishing Funds for the Florida Nurses Political Action Committee this Election Year

The Florida Nurses Political Action Committee (FNPAC) allows nurses to join forces, amplify their voices, and advocate for positive change within the healthcare system. As we enter this election year, it is imperative that we rally behind the FNPAC and ensure it has the necessary funds to continue its impactful work.

The Significance of the Florida Nurses Political Action Committee

The FNPAC enhances nurses’ ability to advocate for policies that protect nursing practice, promote safe working conditions, improve the nursing workforce, and address the unique challenges faced by the nursing profession. Through fundraising and donations, the FNPAC supports candidates who prioritize healthcare issues, ensuring that nursing concerns are heard in the political arena. Each year, FNPAC Trustees interview candidates running for the Florida Legislature to determine their alignment with the priority legislative issues of the Florida Nurses Association.

Funds collected by the FNPAC enable nurses to:

1. Influence Legislation: By supporting candidates who champion nursingrelated causes, the FNPAC can influence the development and passage of bills that benefit patients and the nursing workforce. This allows nurses to have a direct impact on shaping healthcare policies and improving patient outcomes.

2. Foster Advocacy Efforts: Donations to the FNPAC facilitate grassroots advocacy campaigns, allowing nurses to engage with legislators, raise awareness about crucial healthcare issues, and fight for equitable solutions.

3. Strengthen Nurses’ Voices: With ample financial support, the FNPAC can increase its outreach and expand its network of nurses, empowering more professionals to engage in advocacy efforts.

Why Your Donation Matters

As we look towards the upcoming election year, the FNPAC faces a crucial challenge in replenishing its funds. Your donation, no matter how big or small, can make a significant difference in advancing nursing advocacy and improving healthcare for all. Here are a few reasons why your contribution matters:

1. Collective Power: Every dollar donated adds to the collective strength of nurses statewide. A well-funded PAC can make a more substantial impact on policymakers, leading to positive changes in healthcare policy.

2. Elevating Nursing Profession: Supporting the FNPAC elevates the nursing profession as a whole. It demonstrates that nurses are dedicated to advocating for their patients and communities, fostering greater respect for the profession.

3. Creating a Lasting Impact: Investing in the FNPAC means investing in the future of the nursing profession. Your donation will support candidates who prioritize healthcare and nursing issues, creating a lasting impact for generations to come.

As we gear up for the upcoming election, let us stand united in supporting the Florida Nurses Political Action Committee. By replenishing its funds, we empower nurses to continue advocating for meaningful change within the healthcare system. Together, we can safeguard patient rights, elevate the nursing profession, and ensure a healthier and more equitable future for all.

Your contribution matters. Donate to the PAC today and help us shape a brighter future for nursing and healthcare. To make a donation or learn more about the Florida Nurses Political Action Committee, please visit our website at www.floridanurse.org/FNPAC

LCEC, Dr. Debbie Hatmaker, ANA CNO, Tina McRae-Phelps, Director of Constituent Relations and Membership Support, Dr. Cheryl Patterson, Vice-President of Nursing Programs, Steve Fox, Vice-President, Membership and Constituent Relations, Dr. Patricia Lane, Organizational Affiliate Liaison, Board Members, Dr. Rumay Alexander, ANA, Senior Inclusion Advisor, and the ANA Board of Directors, Staff Members for their contribution to this great summit. I value and appreciate all of you!

One of the most important and critical factors for me as a leader is establishing trust and allowing others to approach me without fear. I intentionally share my vulnerability in that I don’t know everything, but am always willing to learn from my peers/colleagues with the outmost respect, kindness, and humbleness. I firmly believe with open and effective communication, cultural humility, empathy, and trust, we can overcome any challenges that come in our way. To begin my journey as president, I first requested a meeting to meet with all past Presidents of FNA seeking their input, guidance, wisdom, and pearls for best practices on how to best lead in FNA. They shared very insightful challenges, ways to take the association to newer heights, encourage engagement, and stay connected. I truly value these trailblazers/past FNA Presidents who were in attendance: Dr. Janice Adams, Immediate Past President, Dr. George Peraza-Smith, Dr. Marva Kear, Dr. Leah Kinnaird, Dr. Andrea Greggs, and Dr. Patricia Quigley. They have paved the way for all of us and left their own legacies. We also had the Board of Directors orientation, meeting and retreat at the beautiful Margaritaville Resort in Orlando, Florida on November 17 & 18, 2023. I was filled with gratitude and a heartfelt appreciation to Mr. Bob Harris, CAE for a great refresher on Fiduciary responsibilities, strategic planning implementation, etc., Willa Fuller, Executive Director for reviewing the leadership manual, Dr. George Peraza-Smith, Treasurer for the Budget review and approval, Katlin Scarbary for addressing Board Planning and Calendar, New Graduates Initiatives, membership updates, etc. and the entire Board/guests in attendance especially Mrs. Wanda Sims, FNA’s new Parliamentarian.

On Tuesday, November 28, 2023, I had the distinct privilege and opportunity to present the proposed “Protection from Surgical Smoke” Bill - HB 63 and SB 410 to the Miami-Dade County Legislative Delegation 2024 hearing on behalf of FNA. Special thanks to Representative Marie Paule Woodson, District 105 and Senator Ileana Garcia, District 36 who are the Sponsors of the Bill. We also appreciate Representative Alina Garcia, District 115 for Co-Sponsoring the House Bill. Thank you, Ms. Sandra SaintHilaire, MBA, Executive Director, Miami-Dade County Legislative Delegation Office of

2024 Calendar of Events

Some meetings such as committee meetings and recurring regional meetings are not included in the list below. View the Full FNA Calendar at www.floridanurse.org/events

14th Annual FNA South Region Symposium & Awards Ceremony

May 11, 2024 | Gulfstream Park, Hallandale Beach, FL

10th Annual FNA Nursing Research and Evidence-Based Practice Conference

July 27, 2024 | Harry P. Leu Gardens, Orlando, FL

2024 FNA Membership Assembly

September 25-27, 2024 | Marriott Hutchinson Island Beach Resort

Health Policy Special Interest Group

Every Second Tuesday | 7:00pm ET | Zoom Meeting

New Graduate Special Interest Group

Every Second Wednesday | 7:00pm ET | Zoom Meeting

Ethics Special Interest Group

*New Schedule* Every Second Thursday | 6:00 ET | Zoom Meeting

Holistic Nursing Special Interest Group

Every Third Thursday | 5:00 ET | Zoom Meeting

JEDI (Justice, Equity, Diversity and Inclusion) Special Interest Group

Every Fourth Wednesday | 6:00pm ET | Zoom Meeting

Interested in presenting for FNA? Go to www.floridanurse.org/speak Members of FNA/ANA will be given priority.

We welcome all nursing students and Registered Nurses regardless of membership status to all of our events unless otherwise noted. For registration and more information about FNA events, go to www.floridanurse.org/events

Intergovernmental Affairs Board of County Commissioners for her assistance in facilitating the smooth hearing process. It was great seeing my very own State Representative Christopher Benjamin, District 107, and Senator Shevrin (“Shev”) Jones, District 35 Legislative Aide - Ms. Patricia LaVasseur in attendance. FNA will continue to advocate for Smoke Evacuation Law to protect nurses and patients until this bill is officially passed in Tallahassee. I acknowledge and appreciate Mr. Jack Cory & Associates at Public Affairs Consultants, Inc., FNA Board of Directors, Ms. Willa Fuller, Executive Director of FNA and the amazing Staff for their hard work in advocating for the bill. For more information on this bill, please visit FNA at www.floridanurse.org. Our work is done until we have all actively participated in the legislative process by calling or writing to our lawmaker. I want to give honor and thanks to Miami Dade College (MDC) President - Mrs. Madeleine Pumariega and the entire MDC Team for their warm welcome to the Miami-Dade County Legislative Delegation and guests. I am very proud to work at MDC! Last but least, Kudos to Senator Ana Maria Rodriguez, District 40, Chair, Representative Kevin Chambliss, District 117, Co-Chair, and the entire Legislative Delegation for hearing the proposed HB 63 and SB 410.

On October 21, 2023, I had the opportunity to attend a Town Hall meeting along with Dr. Guillermo Valdes, Director of FNA South Region, and Dr. Trudy Gaillard, 1st Vice-President of Miami Chapter Black Nurses Association, member of FNA & 1st VicePresident of Miami Chapter – Black Nurses Association. We presented on the proposed bill as well as FNA hosted by State Representative Ashley Gantt, District 109 to present influence legislation for positive change to the Miami-Dade Delegation in supporting AORN and FNA’s position on the bill which stipulated the health hazards of surgical smoke and its impact on the health and well-being of nurses.

In closing, I would like to see all nurses actively engaged in the legislative process recognizing the important roles we play as transformative leaders who endeavor to influence and advocate for the nursing profession. Remember, in the leadership sphere/ environment, it is extremely important to have a trusting working relationship, which in turn creates innovation, collaboration, empowerment, and the positive changes we seek for in the outlook of things and the future.

FNA “A Voice for All RNs in the State of Florida”

To my colleagues in Baker, Clay, Duval, Nassau, Putnam, St. Johns counties, Happy New Year 2024! In my initial introduction I posed a question of “are you ready to share your concerns, opinions, creative energy, ideas, and contributions with our colleagues, community, and our nation? It’s now time to bring these energies to the table so that we may take advantage of the opportunity to be heard by our legislators. Our first Northeast region meeting of 2024 will be held in February. If you have not received it yet, a poll will be distributed to request your input regarding meeting modalities, and preferred day, time, and frequency. As so many of us are engaged in family, professional, and social engagements, I am in pursuit of being effective and efficient with our time together so that you will be comfortable with your commitment to the region. Please take time to utilize the FNA website. There is a phenomenal wealth of information and resources made available to you to support your nursing practice now and in the future.

What does advocacy look like for you?

Nursing advocacy is the act of ensuring patients are safe, cared for and heard. Advocacy is an essential aspect of nursing and can lead to improved patientfocused policies and better working conditions for nurses. Nurses instinctively advocate for their patients, in their workplaces, and in their communities; but legislative and political advocacy is no less important to advancing the profession and patient care. In our meetings let us collaborate on traditional and nontraditional methods of advocacy. If you have a bold innovative idea or if you have a tried-and-true method of advocacy let’s talk about it, plan it, and make it happen. Also, do not forget about your county the FNA Legislative Grassroots Program. The FNA needs membership representatives to present our platform with every opportunity available. Specific opportunities to engage are announced throughout the year. Again, thank you for your engagement and looking forward to our journey together!

Happy New Year, East Central FNA members!

As the newly elected East Central Regional Director, I attended the leadership board orientation in Kissimmee at the beautiful Margaritaville Resort. The experience was quite educational, and much information was absorbed. Themes for the fall 2024 Membership Assembly were discussed and voted on. Unanimously approved was “Nurturing Wellness: Creating a Safe & Healthy Workspace for Nurses”. The theme was chosen with the last three to five years in mind. Undoubtedly, these challenging years have shown the world that the focus of caring for our nursing workforce is critically overdue. The longstanding crisis around staffing shortage and career burnout (even during the pandemic) requires immediate attention and intervention. Healthcare systems must prioritize the development of policies and procedures that instill

systemic protection of their nursing employees. Nurses need to know they are cared for as much as, and possibly even more than, those in their compassionate care.

I am excited to let you know that the first meeting for members of the East Central district is March 13th at 6pm ET. We will discuss ideas and plan events for our region. I will also share an update from the January 24 & 25 Advocacy Days in Tallahassee. I am excited to meet members in the region and would love to hear stories of ways that your workplaces have shown their “care” for the nursing personnel.

In 2024, let the focus be on you and your own selfcare. Nurture and love yourself by indulging in joyous and relaxing activities. As always, feel free to contact me at info@floridanurse.org

All the Best, Kimberly Warren, MSN, BSN, RN

West Central Region Member Spotlight

Dr. Candace Burns, PhD, ANP-APRN, FAAOHN, retired Colonel (USA,) and Professor at the Colleges of Nursing and Public Health at the University of South Florida, hosted a panel discussion for the undergraduate course, NUR 3825: Introduction to Professional Nursing. This engaging event was attended by nursing students from both the Tampa and St. Petersburg campuses, both in person and virtually. The panel featured Devyn Bulger, President of the Student Nurses Association, Dr. Oscar Bernard, Vice President of Delta Beta at-Large-Sigma Theta Tau, and Meghan Moroney, FNA’s West Central Region Director. With such dedicated students, the future of nursing and the health of Floridians, as well as visitors, is indeed in excellent hands!

Isabel Francis, RN, a PhD student at the University of South Florida, and Charles Buscemi, PhD, APRN, WOCNF, Clinical Professor at Florida International University and member of the FNA South Region, have had their article, “The Invisible Minority: Stigma and Sexual and Gender Diversity in Health Care,” published in the peer-reviewed journal Creative Nursing (published by Sage Journals). Their analysis elucidates the concept of stigma in the sexual and gender diverse population, and how it impacts interactions with the health care system. Significant research into social determinants of health has given rise to a greater understanding of their impact on health care accessibility and utilization. The impact of stigma experienced by persons with diverse gender identities and sexual orientations has not been as widely studied. Utilizing Walker and Avant’s method of concept analysis and the Minority Stress Model, this article explicates stigma in an inclusive manner that directly addresses health care.

Isabel also authored and presented a Reference Proposal at FNA’s Membership Assembly upholding FNA’s commitment to the ANA’s Code of Ethics regarding ethical and unbiased care for all patients, and advocacy for marginalized populations. The proposal was adopted by unanimous vote.

Greetings Colleagues,

Happy New Year! FNA Southeast Region kicked off 2024 with a Meet and Greet and overview of our 2024 Southeast Region activities during our first Southeast Region Meeting on January 2, 2024 via Zoom. Thank you to our Southeast Region members who attended: Angela Bonaby, Deidre Krause, Gerri DeStefano, Gloria Massey, Mara Raggi, Maria Huling, Melba Jamison, Melissa Heath, Rebecca Terranova, Sylvia Acosta, Maxine Francis, and Timothy Parker. Our amazing FNA Director of Member Programs, Technology, & Marketing, Kaitlin Jordan was also in our meeting to provide support and meet our Southeast Region members.

If you missed our first region meeting, our bimonthly virtual meeting dates are (1st Tuesday of the specified month), with meeting dates as follows:

- January 2, 2024, 7:00 pm to 8:00 pm (virtual – via Zoom)

- March 5, 2024, 7:00 pm to 8:00 pm (virtual – via Zoom)

- May 7, 2024, 7:00 pm to 8:00 pm (virtual – via Zoom)

- July 2, 2024, 7:00 pm to 8:00 pm (virtual – via Zoom)

- September 3, 2024, 7:00 pm to 8:00 pm (virtual – via Zoom)

- November 5, 2024, 7:00 pm to 8:00 pm (virtual – via Zoom)

Check out your email to RSVP for our meetings. You may also log in to your FNA community portal to follow updates and events from our region.

Last year, on November 30, 2023, our Southeast Region presented the FNA Legislative and Regulatory Policy platform at the Palm Beach Legislative Delegation Committee.

With me in the Legislative Delegation Committee presentation were Deirdre Krause, Cynthia Tagliaferri, Mara Raggi, and Jack Cory. Thank you, Deirdre, Cynthia, and Mara, for proudly representing our members and for Jack for your continuous support!

With the year-long activities we have for our Southeast region in 2024, consider becoming a committee member or a chair of a committee! To be a committee member brings opportunities to grow your leadership skills and share your expertise with our nursing colleagues.

Our region needs:

1. Region Secretary

2. Legislative Committee Chair & Members

3. Program & Continuing Education Committee Chair & Members

4. Sponsorship Committee Chair & Members

5. Poster Abstracts Committee Chair & Members

If you want to become a committee member or chair, please use the link here (https://www. surveymonkey.com/r/JWBXTDN) to enter your response and contact information.

Be an active FNA Member and volunteer your time and talents to serve our fellow nurses!

Southeast Region Nurses, our region is strong because of YOU! We can work together to empower each other and uplift our nursing profession. Together, we will keep our region active and strong.

Thank you for sharing your voice and for being an active member to lead our nursing profession. I look forward to seeing you all at our Southeast Region events.

With Appreciation,

Maritess

M. Quinto

FNA Southeast Region Director

Hello Southwest Florida members,

I would like to welcome all our newest members. Thank you for choosing to be a part of such a great organization. I have been working with members of our region who are so graciously helping me out to get up and running and I encourage anyone interested in joining the team to please reach out. We sent a survey out that helped us to narrow down our set meeting schedule for the SWFL region. These meetings will be on the first Tuesday every other month from 5-6pm to not conflict with the other regions. This will officially begin on Feb 6th, 2024, at 5pm. I hope to see you all there. A survey was sent out and although we did not get many responses, the responses we got showed that staffing shortages, communication, more participation among members/more activities and CEU/ educational offerings are all important to our members. The FNA Advocacy Days was held Jan 24th -Jan 25th, 2024, in Tallahassee. During Advocacy Days, nurses from across the state gathered during legislative session to learn about current legislative issues and specific bills that may affect their practice or the overall healthcare environment in Florida. This was my first opportunity to attend, and I was excited at the idea of meeting our legislators and discussing issues that are so very important to nurses across the state. I hope some of you were able to join as well. Finally, I ask all of you to please help me to help you, reach out if you have some time and can help us to make our region more active.

In solidarity,

We are delighted to extend a heartfelt invitation to all nurses in South Florida to join us at our upcoming Symposium and Awards Ceremony on May 11. This event promises to be a transformative experience, bringing together nursing professionals, experts, and enthusiasts to celebrate achievements, share insights, and strengthen connections within the nursing community. The focus of the Symposium this year will be on creating healthy workspaces for nurses, with keynote presentations by leaders in healthcare.

Awards Ceremony: Recognizing excellence is at the heart of our event. Join us in celebrating the accomplishments of individuals and organizations that have demonstrated outstanding contributions to the nursing profession. Your presence will add to the spirit of this celebration of success in nursing. We are accepting awards nominations until April 15.

Digital Poster Displays: In the spirit of fostering a culture of continuous learning, the South Region provides this event as an opportunity for displaying nursing research and evidence-based practice projects. We are currently

accepting abstract submissions for digital poster display until April 15.

Scholarships: As part of our commitment to nurturing the future leaders of nursing, the FNA South Region offers several scholarship opportunities for nursing students in both undergraduate and graduate programs. Scholarships are awarded at the Symposium. Applications are open until April 15.

How to Register: To secure your spot at this mustattend event, please visit our website at www.floridanurse. org/SouthSymposium2024 and complete the registration process. Early registration is recommended to ensure availability. Organizations have the option to secure tickets for a table of ten at a discounted rate, ensuring their employees can partake in this enriching event together. Sponsorship Opportunities: If your organization is interested in supporting this event and gaining visibility among nursing professionals, consider exploring our sponsorship opportunities.

Join us at the 14th Annual FNA South Region Symposium to connect with fellow nursing professionals, build meaningful relationships, and expand your professional network. The Symposium provides a platform to create lasting connections that can enhance your nursing career! Your presence will contribute to the success of this Symposium, making it a memorable and impactful experience for all. We look forward to welcoming you to an inspiring day of learning, networking, and celebration. All forms needed for awards, posters, and scholarships can be downloaded at www.floridanurse.org/ SouthSymposium2024

Charene

Region News

South Region Member Spotlight

Congratulations to the Benjamin Leon School of Nursing at Miami Dade College for winning the 2023 FNA Icon Award Promoting an Environment of Excellence in Nursing.

Left to right: Kathy Muniz, RN, MSN (PhD in Nursing candidate FAU), Patricia Ruth Messmer, PhD, RN, NPDBC, FAAN Nominator of ICON award, Guillermo Valdes, DNP, PGC, NEd, CMSPN, Med-Surg, RN-BC, Giannina Santos, APRN, DNP and Andres Ciaffa, APRN, DNP. Yolanda Alvarez Nitti not present.

Navigating the Current Legislative Session: What’s on FNA’s Agenda

As the Florida legislation session unfolds, the Florida Nurses Association continues to advocate for the rights and professional interests of Registered Nurses and Advanced Practice Registered Nurses. Each year the FNA Board of Directors outlines a Legislative Agenda that directs and informs the grassroots efforts of our lobbying team and our members. Many issues remain on the platform year to year and some are added as concerns are brought forth by the membership. This year, several items were added to the Agenda based on member discussion at the 2023 FNA Membership Assembly.

Here’s a snapshot of the topics of focus during this year’s Legislative Session.

Surgical Smoke Evacuation Policy:

The FNA calls for a statewide policy requiring hospitals and ambulatory surgery centers to implement measures for evacuating surgical smoke, prioritizing the health and safety of both healthcare professionals and patients. There are two bills this session that address this issue - SB 410 and HB 62 Protection from Surgical Smoke. FNA members and our lobbying firm have worked hard to get these bills heard by lawmakers through providing testimonies to their local legislators and during committee hearings at the Capitol.

Scope of Practice:

The FNA strongly supports policies that protect and enhance RNs and APRNs ability to practice to the full extent of their education and experience. The FNA supports legislative measures that eliminate unnecessary collaborative practice agreements and supervisory language, while also supporting universal signature authority for advanced practice nurses. The aim is to create an environment where nurses can autonomously contribute to patient care, thereby streamlining healthcare delivery.

Support for Florida Center for Nursing:

The FNA advocates for recurring funding of the Florida Center for Nursing, which plays a pivotal role in studying supply and demand, making projections, and ensuring a safe nursing workforce for the citizens

of Florida. The Center’s annual reviews and reports provide essential data for healthcare planning and workforce projections.

Ensuring Safe Practice Environments:

The FNA supports legislation that provides meaningful information to users of health care about staffing and nursing resources in health care facilities including mental health resources for nurses.

Advocacy for Healthcare Professionals:

The FNA stands firm in supporting the rights, jobs, wages, pensions, health care coverage, and other benefits of state-employed healthcare professionals, recognizing their critical role in the state’s healthcare system.

Pandemic Management Coordination:

With an eye on pandemic preparedness, the FNA endorses a coordinated plan for managing pandemics in Florida. This includes provisions for adequate PPE, vaccine distribution, safe work environments, staffing levels, and nurse involvement in planning and coordination.

Safe Delegation of Nursing Care:

The FNA advocates for safe delegation of nursing care to qualified personnel, ensuring that patient care is delivered efficiently and effectively.

Oversight of Nursing Education Programs:

The FNA supports the oversight of Florida Nursing Education Programs by the Florida Board of Nursing, aiming to prevent the proliferation of fraudulent nursing schools and safeguarding the public interest.

Monitoring Nursing Program Outcomes:

Recognizing the nursing shortage in Florida, the FNA supports monitoring nursing programs’ outcomes on national licensing exams to address challenges and opportunities in the nursing workforce.

Environmental and Climate Education:

The FNA extends its advocacy to educating legislators about the impacts of environmental and climate effects on the state and the health of its residents, underlining the interconnectedness of environmental factors and public health.

As the legislative session unfolds, the FNA will actively track bills aligning with or diverging from its legislative agenda. Members can anticipate receiving legislative alerts through email, highlighting opportunities for engagement through the FNA’s Legislative Grassroots Initiative. Stay informed and be part of shaping the future of nursing legislation.

How Can You Increase Your Involvement?

The key to amplifying the voices of nurses lies in local grassroots advocacy. The adage that “all politics is local” holds true! Legislators are keen to hear from their constituents—the individuals they represent and those who either elect them into office or choose not to. This is where your role becomes pivotal! If you’re interested in being a voice for nurses in Florida, consider joining our grassroots program by engaging with your legislators.

Start by visiting them in their local offices, introducing them to the FNA Legislative Agenda, and expressing your readiness to advocate on nursing issues. When specific action is needed, FNA will alert you that it’s time to reach out to them again. Maintaining an ongoing connection with your legislator throughout the year is ideal.

To learn about FNA’s advocacy efforts and gain a comprehensive understanding of the topics outlined in our legislative agenda, visit www.floridanurse.org/ Advocacy. Under “Legislative Tools,” we’ve providing talking points on many of the topics in the agenda. Your active participation contributes significantly to advancing nursing in Florida.

State Healthcare Professionals Unit

Why Do We Need Our Bargaining Unit?

Why is the FNA Health Care Professional Bargaining Unit important?

There are many reasons!

Debbie Hogan

Every year, your Negotiating Team meets with the Governor’s representatives in Tallahassee to advocate for improvements in the state contract. This includes negotiating for an increase in salaries, shift differentials and fair pay for working during emergencies. The Team has stressed that increases in pay should deal with both inflationary changes and equalizing pay to support our long- term employees by minimizing the gap between them and new hires.

In addition, our union meets the immediate needs of our members in the workplace. When calls come in from our state health care professionals regarding concerns about their work environments and/or fair treatment issues,

the Florida Nurses Association provides us with important professional resources: John Berry, our Director of Labor Relations and Government Affairs, Bibi Lowton, Labor Relations and Government Affairs Program Specialist and Don Slesnick, our Labor Attorney. These professionals serve as advocates for our members working with the State to resolve the issues using our contract. Without the contract, we lose our protections in the workplace and without our Union, we lose our contract.

Without our FNA Bargaining Unit, if we do not reach our 60% membership by July 2024, these services, and more, will end. Time is Running out! What can you do? If you are already a member, Thank you!!! Now, take the next step-ask your colleagues to join. Our FNA bargaining Unit Staff, John Berry, and Bibi Lowton, can help with a group membership drive at your location. If needed, call 407-487-2230.

In Solidarity, Debbie Hogan, RN, BSN, MPH

LERC News

John Berry, Director of Labor Relations

Well, it’s that time of year again. We are in the second and final year of the current leadership in the Florida House and Senate. There is still much information to educate this leadership, and the rest of the legislature on, but clearly there is never enough time.

We become advocates because we are passionate about a certain issue or cause that can personally affect us, or others we know. There are no finer advocates than nurses when they are fighting for treatment of their patients. But the fight doesn’t just end there. Nurses need to take that fight to the halls of the legislature in Tallahassee. For those of you who have never attended in the past, I hope you did so, and that you were able to take away that it was a valuable experience. Legislators need to hear the personal stories from nurses on their daily fight in their health care institutions, to ensure that proper funding is provided to their facilities for patient care, for programs, and for their safety and their practice.

I know that as nurses, you are consummate professionals and display the utmost confidence in everything you do when advocating for your patients. But in unfamiliar surroundings, such as when first addressing a legislator, it can make anyone feel a little uneasy. Start out by introducing yourself to the legislator or his/her staff person. If you’re a constituent, make sure that you acknowledge that. We may not feel it at times, but as constituents, our word carries a lot of weight. It’s because we represent a vote, a family’s vote, a friend’s vote, a colleague’s vote and even an acquaintance’s vote. That’s how you’re viewed to an elected representative. Whether it’s a local, state, or federal representative. He or she knows that you have the power to elect them into office or to vote them out. Tell them where you work, what your job title is, and how long that you’ve worked there as well. You need to tell them your story, to educate, to make an impact on that legislator so that he or she has the proper information and knows how they should be voting on a particular piece of legislation. Sometimes you might not get to speak with the elected official because they could be in session already that day or an already scheduled committee meeting. It’s great to speak with your representative, but if you can’t, don’t be disappointed. There are plenty of staff that are more versed on the subject matter than your representative is. When your meeting concludes, make sure that you thank them for their time, and let them know that you can forward them any additional information that will help them make their decision on how to vote on the legislation that you’ve discussed. Also, make sure you leave your contact information as well.

This year, Governor DeSantis has already released his budget, and this year he has not provided pay increases for the state workforce. He has also made it a priority in the budget to “privatize” one of the facilities that we represent, Northeast Florida State Hospital (NEFSH). Our members have been meeting bi-weekly, and have put our plan in place. They’ve already been hard at work attending city council, and county commission meetings to get their support. The members have been getting petitions signed, and meeting with the representatives from that district as well. The legislature needs to know that privatizing a health care facility, such as NEFSH, has not increased the quality of care, but has ultimately made it worse by turning it into a for-profit facility.

By the time you’ve read this article, the Florida Nurses Association’s Advocacy Days will have already passed. Hopefully, we’ll have made our mark with the legislature and their staff. Don’t leave it up to someone else to make your voice heard.

Advocacy for your patients and health care professionals could never be at a more crucial point than it is today. All it takes is a phone call to your legislative representative. Maybe an email or a letter or an in-person visit to the legislators’ district office. Whatever you do, don’t sit on the sidelines waiting for someone else to do it. Please do your part, and get involved. Go to FNA’s Legislative page to find out more.

John Berry

New Grad Forum Student Forum

The recently inaugurated FNSA Board of Directors has commenced preparations for this year’s Convention and is thrilled to unveil the dates of November 3-5, 2024. We are set to return to the Embassy Suites Orlando Lake Buena Vista South for another impactful gathering. This year’s convention promises to be an exciting event as we reconnect with chapters from across Florida. Also be on the lookout for a newly designed website in the near future. Also the Preconvention Workshop will be held in the Convention Hotel this year with a tentative date of September 21. Stay tuned for theme announcements and additional details coming your way soon!

Recent Graduate Special Interest Group Explores Topics Impacting Early Career Nurses

Under the leadership of Recent Grad Director Aminah Johnson, the FNA New Grad SIG has recently commenced monthly meetings, providing a platform for emerging nurses to discuss and navigate the challenges they face in their early careers. The monthly meetings offer a space for recent graduates to share experiences, voice concerns, and seek guidance from seasoned professionals. These gatherings facilitate networking opportunities, allowing new nurses to connect with peers who understand the specific challenges faced during the transition from academia to clinical practice.

One topic that emerged in a recent meeting was regarding documentation requirements and how they may influence the quality of patient care. As the healthcare landscape evolves, so do the expectations and demands on nurses in terms of record-keeping and compliance. New graduate nurses expressed anxiety about striking the right balance between meeting documentation standards and providing high-quality patient care. Some fear that stringent documentation

Special Interest Groups

Special Interest Group Updates

Justice, Equity, Diversity and Inclusion (JEDI)

JEDI SIG has been actively engaged in exploring several potential projects, with enthusiastic participation and the exchange of many innovative ideas during meetings. They are currently seeking speakers to present in all areas of Justice, Equity, Diversity, and Inclusion, with the goal of creating a comprehensive speakers bureau on these topics. Additionally, the SIG is planning several participatory events for members. If this is an area of interest, you are invited to join the SIG by going to www.floridanurse.org/group/JEDISIG (member login required). If you need assistance, please email info@floridanurse.org

MEETING SCHEDULE Every 4th Wednesday of the month at 6pm ET (5pm CT)

Health Policy

Health Policy SIG continues to review current legislation and meet monthly. The SIG continues to encourage members to touch base with their legislators on a quarterly basis to check in and make themselves available as a resource for the profession. You can contact your legislator and send a quick email greeting on the legislative section of the website under Legislative Tools. If you have questions about what to speak to them about please email wfuller@floridanurse.org. With an election coming soon the SIG will be discussing the importance of nurses getting out to vote.

MEETING SCHEDULE Every 2nd Tuesday of the month at 7pm ET (6pm CT)

Recent Graduate (Early Career Nurses)

The Recent Graduate SIG has been having great discussions surrounding the work environment and the need for support and mentors for recent graduates. The SIG is looking for members who have graduated in the past five years as well as members who have an interest in creating a supportive environment for new graduates. We hope to build programs and resources for Recent Graduates. If this is your interest, please go to www.floridanurse.org/group/NewGradSIG (member login required) or email Iris Lopez at info@floridanurse.org and tell her that you wish to join the Recent Graduate SIG.

MEETING SCHEDULE Every 2nd Wednesday of the month at 7pm ET (6pm CT)

The Ethics SIG kicked off the new year with a new meeting schedule and a flurry of ideas for a theme to focus on this year. The group is discussing the possibility of hosting a Think Tank that would bring together nurses from different areas of practice and with varying years of experience to brainstorm solutions to some of the ethical challenges facing the workplace today. New members are invited to join the discussion! Go to the group page at www.floridanurse.org/group/EthicsSIG and join the group if you are not already receiving reminders.

Team.

NEW MEETING SCHEDULE Every 2nd Thursday at 6pm ET (5pm CT)

T he p r imar y goal s o f th e Florida Center for Nursing ar e to :

Develop a strategic statewide plan for the nursing workforce in the state of Florida.

Enhance and promote recognition, reward, and renewal activities for nurses in the state of Florida.

Convene various groups representative of nurses, other health care providers, business and industry, consumers, legislators, and educators.

MISSION

The Florida Center for Nursing is

SHAPING THE FUTURE: BECOMING NURSING FACULTY

The purpose of this continuing education program is to provide nurses in Florida the opportunity to explore the role of nursing faculty for those that may be interested in this important career path.

VISION

The Florida Center for

of nursing in

FLORIDA NURSES

The Florida Center for Nursing published the “Nursing Education Program Report for Academic Year 20222023.” Consistent with Florida statute §464.019(10), the report provides information about the nursing education programs in Florida, including the programs’ capacity, enrollment, graduates, and demographic data that potentially contribute to the state’s nursing workforce. Prelicensure nursing programs are the pipeline to the nursing workforce. It is critical for nursing programs to prepare candidates for success on the national licensure examination to fill vacant and new positions. A consistent inability for employers to fill vacant nursing positions may result in decreased access to quality and safe nursing care for the residents and visitors of Florida. The report is available to read and download at the Florida Center for Nursing website – flcenterfornursing.org

In October, The Florida Center for Nursing held the third and final “State of Nursing Education in Florida and Proposed Solutions Think Tank” event at the University of Miami School of Nursing & Health Studies. The workshop allowed for feedback and strategic planning regarding nursing education and workforce in Florida. The previous workshops were held earlier in the year at Florida State University in Tallahassee and Valencia College in Orlando. FCN is grateful to all three institutions for their support in hosting the events. An executive summary including proposed solutions gathered from attendees across all three events will be released in 2024.

Nursing Community Committees

In November, the Florida Center for Nursing also published a supplement to “The State of the Nursing Workforce in Florida” which takes a deeper dive into the workforce data. “Florida’s Nursing Workforce by County” provides a summary of the nursing workforce for each county in Florida. Nursing workforce characteristics at the county level are compared to the state and national workforce characteristics. Additionally, the county level nursing demographic characteristics are compared to state and national population characteristics per the U.S. Census Bureau. This report sheds new light on the extent to which the demography of the nursing workforce matches the communities they serve.

Florida Center for Nursing Executive Director, Rayna Letourneau, PhD, RN, presented findings from “The State of the Nursing Workforce in Florida” report to the Florida House Healthcare Regulation Subcommittee in Tallahassee on November 8th. Dr. Letourneau fielded questions from the representatives about the nursing workforce, nursing education program capacity, and NCLEX test results.

One of the key goals, as prescribed in Florida Statute 464.0195(2)(a)6, for the Florida Center for Nursing, is the development of Academic-Practice Partnerships. FCN continued its pilot of the Prelicensure Professional Networking Program to address transition shock. On November 8th, the Florida Center for Nursing connected over 120 nursing students at Keiser University Sarasota with experienced nurses from Sarasota Memorial Health Care System. The pilot program aims to facilitate networking, foster mentorship opportunities, and provide valuable insights into the nursing profession to prepare nursing students for their future careers. The Florida Center for Nursing looks to expand the pilot program in 2024.

Welcome New Committee Members!

FNA is pleased to announce and extend a warm welcome to the newest members of its committees, who will play a crucial role throughout the 2024 term. These are an integral part of the association, actively propelling its mission forward. Committees help to drive the association’s progress by fostering member engagement, initiating impactful activities, and striving for continuous improvement in serving the needs of our nursing community. Their commitment and collaborative efforts are pivotal in steering the association and addressing the evolving challenges within the nursing profession.

Awards: Omayra Alvarez, Jane DeMauro, Marsha Elson-Joseph, Kathleen Laurtano, Kelley Price

Bylaws: Arlyn Camacho, Deborah Delaney-Falls, Tami Falls, Melba Jamison, Erin Kelly, Aminah Johnson

Membership: Debbie Hogan (Chair), Lottie Cuthbertson, Berlyn Duclair, Aminah Johnson, Esther Martin, Valerie Morrison, Helene Salahuddin

Membership Assembly: Catherine Belden, Jennifer Cirner, Kim Giroux, Marsha Hartline, Nola Holness, Ladeirdre Lane, Amanda Murphy

Reference: Erin Kelly, Jody Long, Ruth Neese, Patrice Skjerve, David Smith

Highlights from 2024 FNA Advocacy Days

The Florida Nurses Association returned to Tallahassee on January 24-25 for the 2024 FNA Advocacy Days. Over 120 nurses attended the event and proudly wore their white lab coats to the State Capitol to meet with legislators and share FNA’s Legislative Agenda. Nurses attending the event divided into groups based on their legislative districts and were able to meet with over 37 legislators and/or their staff members.

Prior to hitting the halls of the Capitol, attendees were provided with education on grassroots legislative advocacy by Erin Ballas, Vice President of Public Affairs

Consultants, who taught them how to effectively advocate for FNA’s Legislative Agenda.

Once again featured on this year’s legislative agenda was advocacy for the mandated evacuation of surgical smoke in surgical settings. Currently, there is no Florida legislation mandating facilities offer an evacuation system for eliminating surgical smoke plumes. Surgical smoke contains over 150 hazardous chemicals and carcinogenic and mutagenic cells. Inhalation of surgical smoke can lead to health problems for both healthcare personnel and patients.

Nurses participating in Advocacy Days received education on the dangers of surgical smoke and were able to advocate for the passage of SB 410 and HB 63 Protection from Surgical Smoke.

New to this year’s legislative agenda were three topics brought forth by members at the 2023 FNA Membership Assembly: oversight of nursing education programs, monitoring nursing program outcomes, and education on the health impacts of climate change. Returning to this year’s agenda were issues related to scope of practice, funding for the Florida Center for Nursing, and protecting the rights of state-employed healthcare personnel.

FNA’s title partner, the Florida Nurse Practitioner Network, presented an educational session entitled “Breaking Boundaries: Navigating Nurse Practitioner Full Practice Authority in Florida and Nationwide.” During this session, participants gained valuable insights into the evolving landscape of nurse practitioner practice, both in the state of Florida and across the nation. The session focused on empowering nurse practitioners by addressing key aspects of full practice authority and providing strategies to navigate the challenges and opportunities associated with expanding their roles in healthcare.

Additional educational opportunities included an update from the Florida Center for Nursing and the Florida Board of Nursing.

Many of the attendees this year were new to advocacy and had never attended the FNA Advocacy Days. It was encouraging to see many nurses who are new to the profession joining in the advocacy events and voicing their concerns to legislators. Participation in grassroots advocacy ensures that nurses’ voices are heard by lawmakers. Thank you to everyone who participated in this event!

Thank you to our Premier Advocacy Sponsor, the Florida Center for Nursing.

The Florida Center for Nursing is a state workforce center established in Florida statute (F.S. 464.0195) to recommend strategies to balance the supply and demand of Florida’s nursing workforce. Their website informs, educates, and provides updates on nursing workforce issues. By collecting, analyzing, and reporting on the nursing workforce, the Center seeks to ensure an adequate supply of direct care providers for the health of the people of Florida. Learn more at www.flcenterfornursing.org

Thank you to our Title Partner, Florida Nurse Practitioners.

Florida Nurse Practitioners (FNPN) is the state organization for Florida NPs, across all specialties and settings. Florida Nurse Practitioners was founded in 2002 as a network of smaller nurse practitioner groups and is the premier organization for Florida’s nurse practitioners. Valuing collaboration, adaptability, excellence, diversity & equity, FNPN promotes excellence in practice, education, advocacy, and leadership to improve the health of our communities. Learn more at fnpn.org

Get Ready for the 2024 FNA Membership Assembly

Mark your calendars for September 25-27 for the 2024 FNA Membership Assembly at the Marriott Resort in Hutchinson Island! Preparations are underway for another exciting and enriching event for FNA Members! Here are some of the highlights you can look forward to:

• New Location: The Marriott Resort Hutchinson Island, nestled along the pristine shores of the Atlantic Ocean, provides an idyllic backdrop for our gathering. Attendees can anticipate a serene and conducive environment that encourages networking, knowledge exchange, and professional development.

• Educational Sessions: Elevate your knowledge through informative and engaging educational sessions on a range of topics, providing valuable insights into the latest advancements in nursing practice, education, and advocacy.

• Awards Ceremony: Prepare to be inspired and uplifted as we shine a spotlight on outstanding individuals in the nursing community at our Annual Awards Ceremony. A call for nominations will go out soon.

• Annual Business Meeting: Drive the association forward by participating in the Annual Business Meeting. Participate in discussions about industry trends, organizational updates, and collaborative initiatives.

• Networking: Connect with peers, industry leaders, and award recipients throughout the conference. Share experiences, exchange ideas, and build meaningful connections that can lead to collaboration and professional growth.

The theme of this year’s conference is “ Safeguarding Nurses: Creating a Path to Healthy Workspaces. ” The theme is designed to address the pressing need for healthcare organizations to prioritize the safety, health, and overall well-being of their nursing workforce. Topics highlighted throughout the conference will include promoting nurse well-being, prioritizing safety, encouraging work-life balance, supporting team collaboration, enhancing professional growth, embracing current research and innovations, and nurturing the next generation of the nursing workforce.

Registration for the conference opens on May 1. Secure your hotel room early by visiting our website at www.floridanurse.org/MA24 . There you’ll also find more information about the upcoming event!

Public Health Advocacy: What You Can Do to Reduce the Spread of Respiratory Illnesses this Season

Does it seem that everywhere around us we hear signs of cold or Flu - coughing, sneezing, and/or runny noses? After all, Fall brings the cold and Flu season, right?

As nurses, we are sure to get the questions about what can be done. As the most trusted of health professionals again this year, by staying informed, we can be important public health advocates.

WHAT YOU SHOULD KNOW IN 2023–2024

This year, in addition to the “common cold viruses,” there are three other viruses threatening: Influenza, COVID and RSV. There are important resources that we can suggest.

• There are safe, effective vaccines available to prevent Influenza, COVID and RSV.

• Testing is also available for Influenza, COVID and Strep, including home tests for COVID. With proper diagnosis, effective treatment can be initiated.

• Remember the importance of good air quality inside with proper interpersonal space or meeting outside if possible!

• Masking is an important means of protection when in large groups.

Respiratory viruses are expected to surge this fall and winter, causing illnesses like flu, COVID-19, and respiratory syncytial virus (RSV) Respiratory viruses can be very serious, especially among people who are at higher risk for severe illness. This includes older adults, infants and young children, pregnant people, people who have a weakened immune system, and people with certain underlying or chronic health conditions.

With these resources, we can prevent respiratory disease and promote health. This supports our advocacy roles!

Here is a great printable resource from the CDC: https://www.cdc.gov/respiratoryviruses/tools-resources/downloads/protect-health-your-everything-infographic.pdf

The Looming Healthcare Shortage: Now is the Time to Invest and Innovate

Edward Briggs, MS, DNP, APRN

The author Rita Mae Brown (not Albert Einstein) once said “The definition of insanity is doing the same thing over and over and expecting different results!”. This quote is exquisitely appropriate when we talk about the looming healthcare provider shortage that Florida, and our nation, faces. For decades health policy leaders have repeatedly invested in increasing the numbers of physicians to provide care in our state. Policy leaders have used financial incentives, grants, tuition forgiveness, licensing revisions and liability protections to increase the numbers of physician providers. Unfortunately, these efforts have demonstrated limited benefit in bringing physicians to our state., As the healthcare provider shortage becomes more urgent, we need new, innovative, and targeted solutions to this growing crisis.

With an aging Florida population, population growth and increasing rates of chronic illness our healthcare system will face dramatic demands. Attempts to attract, retain, and create physicians to address the problem is admirable, but will likely not be sufficient to meet Florida’s needs. It is projected that by 2030 Florida will have a physician shortage of 21,978 providers to meet the health needs of our state. A BMC study looking at physician availability has given Florida a grade of D and ranked Florida 42nd in our nation for healthcare access.1 This shortage will become more acute in specific healthcare areas such as rural care, primary care, geriatrics, psychiatry, emergency medicine and obstetrics/gynecology.

So how do we address the looming healthcare access crisis? The evidence demonstrates that creating more physician providers will neither meet the healthcare needs, nor improve healthcare outcomes for populations at risk.

This is where innovation and creativity play an essential role. Health policy leaders need to move away from historic solutions and consider solutions not predicated solely on increasing the numbers of medical providers.

First, we need to increase the numbers of ALL essential healthcare providers. The United States is facing significant shortages of nurses, pharmacists, physicians, physician assistants, therapists, and mental health providers. Tuition assistance programs, loan forgiveness, licensing revisions and retention incentives need to be developed for all essential professions. Such incentive programs should prioritize ensuring these healthcare providers are placed into communities with the greatest need. Such targeted interventions can include financial or loan forgiveness incentives. These must be significant incentives and must avoid the easy fix of decreasing the educational requirements for these professions.

To increase the numbers of students moving into health-related fields we must do a better job of encouraging high school students to seek careers in these professions. The COVID pandemic resulted in marked declines in college enrollment in healthcare related fields, particularly when we need them most. , Reaching out to students, particularly populations who previously saw a college education as unattainable, can increase the numbers of healthcare providers and increase diversity within the healthcare workforce.

In addition, nursing has persistently suffered a shortage of men entering the field. Approximately 12% of the nursing workforce are male. This statistic has changed little over the last 20 years. To adequately meet the nursing shortage schools, policy leaders and communities need to implement programs that attract male high school students into the profession.

Second, we need to move away from the hierarchical healthcare system where the physician is seen as the “captain of the ship”, to a healthcare model that allows the provision of healthcare services based on the needs of the patient, or community. Nurses, Advanced Practice Nurses, Pharmacists, and therapists should be allowed to practice to the full extent of their education and training. Evidence has clearly demonstrated these professions can provide safe, and effective, care without unnecessary “physician” supervision. (We need to be honest here, current systems of “physician supervision” rarely mean actual involvement of the physician in the provision of care but more represents the financial tethering of the other professionals to the physician.) Healthcare needs to move towards a multidisciplinary approach where each team member provides care based on their abilities to meet the unique needs of the patient at that instance.

In states where Advanced Practice Registered Nurses were allowed to practice to the full scope of their education and training resulted in increased access to care, especially in underserved and at-risk populations, without decreasing healthcare quality. A review of available research on Advanced Practice Nurses practicing without supervision found safety, efficacy, increased access, patient satisfaction and reduced costs.

There is also a growing body of evidence that demonstrates pharmacists can safely, and effectively, manage uncomplicated medical conditions without physician oversight. Research has demonstrated that in states where pharmacists can prescribe medications to treat conditions, adjust medication regimens, or prescribe/administer vaccines healthcare access increases and healthcare outcomes improve.,

Finally, we need to dramatically innovate our healthcare infrastructure. Currently our healthcare system operates within silos where patients have multiple healthcare providers and there is limited communication between providers. As a nation we need to develop an information infrastructure where providers can see the totality of health records for the patient they are caring for, and not just data within their silo. This would dramatically reduce cost and increase healthcare outcomes.

To provide fast, affordable, and convenient healthcare access policy leaders need to expand proven health systems. Telehealth, mobile clinics, communitybased clinics, and strong public health infrastructure has demonstrated increased access to care with improved health outcomes.,, Legislators need to target funds to incentivize the development of community-based clinics in underserved populations and remove barriers that inhibit the development of nurse led clinics. These systems need to recognize that transportation is a major barrier to care and bringing the care to the community has proven to be cost effective. ,

As policy leaders work to address healthcare provider shortfalls they need to recognize that the solution does not lie solely in increasing the numbers of medical providers. Targeted programs need to be implemented that encourage students to seek careers in all healthcare professions. Healthcare providers, in every field, must be given the authority to practice to the full extent of their education and training. And our current system of healthcare provision must shift to prioritizing convenient access to care for all populations, with attention to rural and at-risk populations. Persisting with long standing interventions will only demonstrate the same outcomes we have witnessed previously.

References

Zhang, X., Lin, D., Pforsich, H., & Lin, V. W. (2020). Physician workforce in the United States of America: forecasting nationwide shortages. Human resources for health, 18(1), 1-9. Mello, M. M., Frakes, M. D., Blumenkranz, E., & Studdert, D. M. (2020). Malpractice liability and health care quality: a review. Jama, 323(4), 352-366.

Florida Medical Association (2022) https://www.flmedical.org/florida/Florida_Public/ News/2022/Florida%E2%80%99s_physician_shortage.aspx#:~:text=IHS%20 projects%20that%2C%20by%202035,medicine%2C%20and%20geriatric%20 medicine%20physicians

Bodenheimer, T. S., & Smith, M. D. (2013). Primary care: proposed solutions to the physician shortage without training more physicians. Health Affairs 32(11), 1881-1886. Mbah, R. E. (2021). A possibility or just a wish? Assessing current perceptions on the potentials of a full student loan debt forgiveness legislation. Advances in Social Sciences Research Journal, 8(10), 365-392.

https://www.aacnnursing.org/news-data/all-news/article/new-data-show-enrollmentdeclines-in-schools-of-nursing-raising-concerns-about-the-nations-nursingworkforce

https://medschoolinsiders.com/pre-med/covid-19-effects-on-medical-school-admissions/ https://nursejournal.org/articles/male-nurse-statistics/#:~:text=According%20to%20 U.S.%20Bureau%20of,over%20the%20past%2010%20years

Yang, B. K., Johantgen, M. E., Trinkoff, A. M., Idzik, S. R., Wince, J., & Tomlinson, C. (2021). State nurse practitioner practice regulations and US health care delivery outcomes: a systematic review. Medical Care Research and Review, 78(3), 183-196.

Htay, M., & Whitehead, D. (2021). The effectiveness of the role of advanced nurse practitioners compared to physician-led or usual care: A systematic review. International Journal of Nursing Studies Advances 3, 100034.

Wu, J. H. C., Khalid, F., Langford, B. J., Beahm, N. P., McIntyre, M., Schwartz, K. L., ... & Leung, V. (2021). Community pharmacist prescribing of antimicrobials: A systematic review from an antimicrobial stewardship perspective. Canadian Pharmacists Journal/ Revue des Pharmaciens du Canada, 154(3), 179-192.

Goode, J. V., Owen, J., Page, A., & Gatewood, S. (2019). Community-based pharmacy practice innovation and the role of the community-based pharmacist practitioner in the United States. Pharmacy, 7(3), 106.

Yaqoob, I., Salah, K., Jayaraman, R., & Al-Hammadi, Y. (2021). Blockchain for healthcare data management: opportunities, challenges, and future recommendations. Neural Computing and Applications, 1-16.

Yu, S. W., Hill, C., Ricks, M. L., Bennet, J., & Oriol, N. E. (2017). The scope and impact of mobile health clinics in the United States: a literature review. International journal for equity in health, 16(1), 1-12.

Totten, A. M., Womack, D. M., Eden, K. B., McDonagh, M. S., Griffin, J. C., Grusing, S., & Hersh, W. R. (2016). Telehealth: mapping the evidence for patient outcomes from systematic reviews.

Brownson, R. C., Burke, T. A., Colditz, G. A., & Samet, J. M. (2020). Reimagining public health in the aftermath of a pandemic. American Journal of Public Health 110(11), 16051610.

Kim, H. S., Suh, Y., Kim, M. S., Yoo, B. N., Lee, E. J., Lee, E. W., & Park, J. H. (2019). Effects of community-based primary care management on patients with hypertension and diabetes. Asia Pacific Journal of Public Health, 31(6), 522-535.

Goode, J. V., Owen, J., Page, A., & Gatewood, S. (2019). Community-based pharmacy practice innovation and the role of the community-based pharmacist practitioner in the United States. Pharmacy, 7(3), 106.

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