The Nursing Voice September 2019

The Nursing Voice

September 2019

Page 1

The Official Publication of the Illinois Nurses Foundation Quarterly publication direct mailed to approximately 185,000 RNs in Illinois.

VOLUME 7 | NUMBER 2 | SEPTEMBER 2019

Beginning with our December 2019 issue, The Nurse Voice will be distributed as part of ANA-Illinois membership services and will be available as an electronic publication to non-members.

Several years ago, ANA-Illinois & the Illinois Nurses Foundation adopted an environmentally friendly approach to our events and meetings. We use online communications for events and programs instead of paper, we have reduced the amount of paper the

Association and Foundation use at events and meetings, and we encourage ride-sharing as a more efficient means of transportation to our events.

With this in mind, the Illinois Nurses Foundation will be transitioning the distribution of our quarterly newsletter starting with our December Issue of The Nursing Voice.

Whether you want to go green or just like reading on your tablet, signing up for the online version of The

Nursing Voice is easy! Instead of receiving a printed copy, you’ll get a copy in your email inbox (and you will get it faster, too). Register your email and sign up to receive The Nursing Voice electronically.

Sign up for electronic version of The Nursing Voice http://bit.ly/NursingVoice If you have any questions or comments about The Nursing Voice, please email them to syswart@ana-illinois. org

American Nurses Association Elects National Leaders SILVER SPRING, MD – Today, the voting representatives of the American Nurses Association (ANA) Membership Assembly elected leaders to serve on the board of directors and nominations and elections committee. All terms of office begin on January 1, 2020.

ANA’s Membership Assembly elected the following members to serve on the 9-member board of directors: Vice President Susan Swart, EdD, MS, RN, CAE, of ANAIllinois; Treasurer Jennifer Mensik, PhD, RN, NEA-BC, FAAN, of the Oregon Nurses Association; Director-atLarge James Watson, DNP, RN, NEA-BC, of the Texas Nurses Association; Director-at-Large, Recent Graduate Marcus Henderson, BSN, RN, of the Pennsylvania State Nurses Association.

Those continuing their terms on the ANA board in 2020 are: President Ernest Grant, PhD, RN, FAAN, of the North Carolina Nurses Association; Secretary Stephanie Pierce, PhD, MN, RN, CNE, of the Louisiana State Nurses Association; Director-at-Large Tonisha J. Melvin, DNP, CRRN, NP-C, of the Georgia Nurses Association; Directorat-Large Varsha Singh, DNP, APN, RN, of the New Jersey State Nurses Association; Director-at-Large, Staff Nurse Jennifer Gil, BSN, RN, of ANA Massachusetts.

Elected to serve on the Nominations and Elections Committee are: Larlene Dunsmuir, DNP, FNP, ANP-C, of the Oregon Nurses Association; Laure Marino, DNP, APRN, FNP-BC, GNP-BC, of the West Virginia Nurses Association; Sara McCumber, DNP, APRN, CNP, CNS, of the Minnesota Organization of Registered Nurses; and Gayle Peterson, RN-BC (chair-elect), of ANA Massachusetts.

Index current resident or

Non-Profit Org. U.S. Postage Paid Princeton, MN Permit No. 14

INF Message. . . . . . . . . . . . . . . . . . . . . . . . . . . . . 2 2019 INF Scholarship Winners. . . . . . . . . . . . . 2 ANA President's Message. . . . . . . . . . . . . . . . . 3 2019 ANA-Illinois Candidates Announced. . . . . 4 Nurses and Other Stakeholders Went to the Hill to Advocate. . . . . . . . . . . . . . . . . . . . . . . 7 Increasing the Frequency of Delirium Assessment of Hospitalized Patients . . . . . . . . 8 Illinois Association of School Nurses . . . . . . . . . . 10 IBHE and Nursing Workforce Center Recognize 2019 Nurse Educator Fellows. . . . . 11

Illinois NAHN. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 12 The 31st Annual National Black Nurses Day Celebration Honoring Nurses in Dialysis and Transplantation . . . . . . . . . . . . . . . . . . . . . . . . 14 SNAI Update. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 IASN Save the Date . . . . . . . . . . . . . . . . . . . . . . . . . . 15 In Memory. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 15 Continuing Education Offering. . . . . . . . . . . . . . . 16 IllinoisDocAssist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 18 GIC HIMSS Scholarship Announcement. . . . . . . 18 Honor a Nurse. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 19

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September 2019

The Nursing Voice

The Nursing Voice

INF MESSAGE To my fellow Nurses, On behalf of the Board of the Illinois Nurses Foundation, we hope you are enjoying this beautiful summer. I am writing to you for the first time in my new role as Vice President of the Foundation. My inspiration for this letter derives from those who share and take on the mission of the INF. In the coming months, the INF is hosting its annual 40 under 40 event where the stories of nursing professionals are shared and celebrated because of their inspiring contribution to the communities they serve. This is 40 under 40’s fifth year, and it is incredible to hear the stories of young emerging leaders that have been nominated by their communities.

Being under 40 myself, I am encouraged by the participants, their success, and their profound impact on the communities they serve. Nursing has evolved so much over the years, and when I hear the stories of those nominated, it reminds me of just how far a nursing degree can take you. That is what 40 under 40 is all about – celebrating those nominated and recognizing the impact they have made to the Illinois nursing community.

As the INF continues to expand its roots to every part of our state, its mission is to provide the support by means of scholarship and educational initiatives. Nursing is a profession founded on the principals of trust and compassion and the need to serve. It requires teamwork and support from one another. It relies heavily on the sharing of knowledge from those who have served for years – walked the walk – to those who are just beginning their journey. It is a profession that allows oneself to be challenged intellectually, professionally, and emotionally.

This is why the INF and the work we do matters so much.

Being a part of this foundation and having the opportunity to connect with my colleagues across the state has inspired me to be more involved. Moreover, there are so many ways to do that. So here is a call to action for nurses everywhere. Join our mission. Reach out to the foundation and get involved.

On behalf of the INF, we want to thank you for your continued support.

Sincerely, Brandon Hauer MSN, RN

2019 INF Scholarship Winners The Illinois Nurses Foundation gave a total of $12,000 in scholarship awards in June 2019. We are pleased to be able to support these nurses and/or student nurses.

Wendy Burgess Scholarship

Audrey Paitz

Loyola University Chicago

South Suburban Scholarship

Sara Ismail

Saint Xavier university

Sonne Scholarship

Shea Demonteverde Aurora University

North Suburban Scholarship

Jackie Falotico

Northern Illinois University

D21 Scholarship

Janeshia Robinson

Bradley University

D2 Scholarship

Justin Jasper

University of St. Francis

Davis Scholarship

Yougkwan Song

University of Illinois at Chicago

Centennial Scholarship

Jayro Cortez

Millikin University

ANNA GALLAGHER/AMERICAN NURSES FOUNDATION SCHOLARSHIP

Lanette Stuckey

Capella University

FRESENIUS KABI/AMERICAN NURSES FOUNDATION SCHOLARSHIP

Charitee Rummage

University of Illinois at Chicago

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Registered Nurses (ER, AC, OB & PC) Manager of In-Home Support Program RN Contact Recruiter@nshcorp.org or 877-538-3142 for more information Nome, Alaska

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INF Board of Directors Officers Cheryl Anema PhD, RN. . . . . . . . . . . . . . . . . . . . . . . . . . President Brandon Hauer MSN, RN . . . . . . . . . . . . . . . . . . . . Vice President Cathy Neuman MSN, RN. . . . . . . . . . . . . . . . . . . . . . . . . Secretary Karen Egenes EdD, RN. . . . . . . . . . . . . . . . . . . . . . . . . . . Treasurer Directors Maria Connolly PhD, RN, CNE, FCCM, ANEF Maureen Shekleton PhD, RN, DPNAP, FAAN Alma Labunski PhD, MS, RN Linda Olson PhD, RN, NEA-BC Melissa Bogle DNP, APRN, FNP-BC, ACNP-BC Linda Doling MSN, RN ANA-Illinois Board Rep Karen Egenes EdD, RN Bonnie Salvetti BSN, RN

ANA-Illinois Board of Directors Officers Dan Fraczkowski, MSN, RN-BC. . . . . . . . . . . . . . . . . . . . . President Karen Egenes EdD, MSN, MA, RN. . . . . . . . . . . . . . .Vice President Pam Brown, PhD, RN, ANEF. . . . . . . . . . . . . . . . . . . . . . . Treasurer Vacant. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Secretary Directors Lauren Martin, RN, CEN Colleen Morley, MSN, RN, CMCN, ACM Crystal Vasquez, DNP, MS, MBA, RN, NEA-BC Kathryn Weigel, MS, RN, GCNS Stephanie Yohannan, DNP, MBA, RN, NE-BC Editorial Committee Editor Emeritus Alma Labunski, PhD, MS, RN Chief Editors Lisa Anderson-Shaw, DrPH, MA, MSN Karen Mayville, MSN, PhD, RN Members Kathy Long-Martin, BSN, MSN, RN Linda Olson, PhD, RN, NEA-BC Lisa Hernandez, DNP, RN, CENP Nancy Brent, RN, MS, JD Executive Director Susan Y. Swart, EdD, MS, RN, CAE ANA-Illinois/Illinois Nurses Foundation Article Submission • Subject to editing by the INF Executive Director & Editorial Committee • Electronic submissions ONLY as an attachment (word document preferred) • Email: kristy@sysconsultingsolutions.com • Subject Line: Nursing Voice Submission: Name of the article • Must include the name of the author and a title.

• INF reserves the right to pull or edit any article / news submission for space and availability and/or deadlines • If requested, notification will be given to authors once the final draft of the Nursing Voice has been submitted.

• INF does not accept monetary payment for articles.

Article submissions, deadline information and all other inquiries regarding the Nursing Voice please email: kristy@sysconsultingsolutions.com Article Submission Dates (submissions by end of the business day) January 15th, April 15th, July 15th, October 15th Advertising: for advertising rates and information please contact Arthur L. Davis Publishing Agency, Inc., 517 Washington Street, P.O. Box 216, Cedar Falls, Iowa 50613 (800-626-4081), sales@ aldpub.com. ANA-Illinois and the Arthur L. Davis Publishing Agency, Inc. 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 ANA-Illinois and Illinois Nurses Foundation 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. ANA-Illinois and the Arthur L. Davis Publishing Agency, Inc. 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 ANA-Illinois or those of the national or local associations.

The Nursing Voice

September 2019

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AN A PRE S I D E N T ' S M E S S A G E Dan Fraczkowski, MSN, RN-BC

NURSING: THE FUTURE IS OURS! DONNA CARDILLO, MA, RN, CSP, FAAN

Donna Cardillo, MA, RN, CSP (Certified Speaking Professional), FAAN (Fellow in the American Academy of Nursing) is The Inspiration Nurse. She travels the world helping individuals to be happy in their lives and careers and to reach their full potential. She does that as a keynote speaker, columnist, author, and cut-up. Her accomplished career combines over 25 years of clinical, managerial and business experience, not to mention her stint as a professional singer. Donna’s clinical experience includes emergency and psychiatric nursing. Donna holds a diploma in nursing, a BS in Health Care Management and an MA in Corporate and Public Communication. She is an Expert Blogger at DoctorOz.com, the original ‘Dear Donna’ columnist at Nurse.com, and former “Healthcare Careers Expert” at Monster.com.

Other Sessions Include: Don’t Just Lean In: Stand Up and Stand Out Karen Kelly, EdD, RN, NEA-BC Combating Microaggressions Against Nurses of Color in Healthcare Patti Ludwig-Beymer, PhD, RN, CTN-A, NEA-BC, CPPS, FAAN Transformational Leadership Competencies for New Nursing Managers Rebekah Hopper, MSN, MBA/HCM, RN-NEA-BC Ashley Pond, MSN, RN-BC Staffing - Empowering Nurses to Drive Change Susan Y. Swart, EdD, MS, RN, CAE Interested in presenting a poster of your project or research – submit details http:// mysysapp.com/applications/apply/ana-illinois/abstract 6.5 hrs CE

Greetings With summer in full swing, we hope you have an opportunity to enjoy the weather, time with friends and family. Our Healthy Nurse, Healthy Nation team has participated in 5K races, and Chicago Summerdance, along with other activities. Do not forget to join our Healthy Nurse, Healthy Nation - ANA - Illinois group on Facebook for the latest updates.

I would like to congratulate a few RN's who are ANAIllinois members who have recently begun serving in local government. Rebecca Abraham was elected to the Village Dan Fraczkowski of Skokie Board of Trustees, while Jenifer Vinezeano was MSN, RN-BC appointed to serve as 4th Ward Alderwoman for the city of Rolling Meadows. As nurses, we can play a transformative role in our communities through participation in local government.

At the June ANA Membership Assembly, our executive director, Susan Swart, Ed.D., RN, was elected to serve as Vice President for the national ANA Board of Directors. Your elected ANA Membership Assembly representatives, Terri Gallagher, Eli Heicher, Nancy Reiland, and Tracy Viers voted on crucial actions to shape the direction of ANA and our profession. The assembly recommended nursing students who are Deferred Action for Childhood Arrivals (DACA) recipients be allowed to take the NCLEX in all states without facing barriers, while also approving ANA to send a letter to the U.S. Department of Health and Human Services secretary sharing grave concerns about unmet health care needs, unsanitary and unsafe conditions at government detention facilities. The association also strengthened its position on vaccination, in light of recent disease outbreaks. As the most trusted profession, we must communicate the critical need for immunization and undisputed science backing vaccine safety and efficacy to the public.

Members also called on ANA to establish an ad hoc committee to study the issue of nurse suicide in the United States, and the association adopted a Presidential Election Engagement Policy as we move away from the traditional presidential endorsement.

The new policy includes reaching out to each declared candidate with information on ANA; educating members and the public on presidential candidates’ positions on ANA’s policy agenda and priorities; and aggressive promotion of voter registration and voting among RNs, as well as other engagement efforts.

Looking forward to the fall, ANA-Illinois elections will be held online from September 15, 2019, to October 2, 2019. Watch your email for information about voting, and take some time read more about the candidates, and cast your ballot to elect members of the Board of Directors.

Finally, I hope you can join us at our annual Professional Issues Conference in Springfield, Illinois on Saturday, November 2, 2019, where Donna Cardillo, the Inspiration Nurse will share Nursing – The Future is Ours! Also, for pre-licensure students and faculty, the Student Nurses Association of Illinois (SNAI) is hosting their annual conference on Saturday, October 5 in Springfield, Illinois. As SNAI-Co Consultants, Amanda Buechel and I, along with other board members, will be there to support our future student nurse leaders in their transition to the professional role.

Registration fee Members & Organizational Affiliate Members $75.00 NonMembers $125.00 Pre-Licensure Student $25.00 CE* is jointly provided by the Illinois Nurses Foundation and ANA-Illinois.

This activity has been submitted to the Ohio Nurses Association for approval to award contact hours. The Ohio Nurses Association is accredited as an approver of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. (OBN-001-91)

FOR SOME OF OUR MOST ELITE SOLDIERS, THE PATIENT’S HEALTH IS THE PRIMARY MISSION. Becoming a nurse anesthetist and officer on the U.S. Army health care team is an opportunity like no other. It’s a chance to provide specialized care to patients requiring general anesthesia, respiratory care, cardiopulmonary resuscitation and fluid therapy. Within this multidisciplinary team, you will be a leader - not just of Soldiers, but in health care.

See the benefits of being an Army medical professional at recruiting.army.mil/mrb or call 847-541-3685.

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September 2019

The Nursing Voice

N O N UNCED A S E T A 2019 ANA - I INOIS CANDID LL

The election for the ANA-Illinois Officers and Directors will be held online September 16th thru October 1st.

The election will be conducted electronically. Watch your email and the ANA-Illinois website www.ana-illinois. org for the additional details.

All terms are for two years.

2019 ANA-Illinois slate of candidates.

Candidates for President Elizabeth Aquino Ph.D., RN

Associate Director, Master's Entry to Nursing Program Assistant Professor, Nursing DePaul University School of Nursing I am seeking your vote of confidence to serve as your ANAIllinois President. Through my practice, research, teaching, and service, I have worked to improve the health of vulnerable populations and to advance the nursing profession. I would like to continue to advance that work with ANA-Illinois. I am ready to serve and collaborate with you. I have been a nurse for 12 years with clinical experience as a surgical-trauma ICU nurse at a Chicago level 1 trauma center. Having earned my Ph.D. at UIC, I transitioned to academia and now serve as the Associate Director of the Master’s Entry to Nursing Practice program at DePaul University. As President (2017–19) of the National Association of Hispanic Nurses (NAHN)-Illinois Chapter, a strong affiliate of ANA-Illinois, I mastered critical aspects of running a mission-driven non-profit; communication with members and leaders; partnering with hospitals and nursing schools; strong fundraising; and professional development. Under my leadership, the Illinois chapter more than doubled its operating budget and membership and is now the largest in the US. On NAHN Education and Policy & Advocacy committees, I developed expertise in conference planning, educational programming for nurses, and advocacy on strategic policy issues for public health and the nursing profession. Annually I help engage nurses and students to participate in the ANA-Illinois Nurse Lobby Day and Student Nurse Political Action Day. I have used my service on local and national boards— the American Heart Association, Catholic Charities, Prevention First, and NAHN—as platforms for advocacy and change. As ANA-Illinois President, I will work to grow membership, promote and inspire active involvement, expand partnerships and alliances, represent all nurses, and increase ANA-Illinois visibility. I will amplify our nursing voice where decisions are made concerning our profession and the health of all communities. I will enhance current initiatives and bring new ideas. I vow to keep the ANA mission and Illinois member needs at the forefront of my decisions and to uphold the values of integrity, consistency, and transparency. It would be an honor to have your vote to serve as ANA-Illinois President and, together, we will accomplish great things. #VoteForLiz #LizforLeadership

Amanda Buechel BSN, RN, CCRN

Surgical Trauma Intensive Care Registered Nurse Advocate Christ Medical Center Hello, my name is Amanda Buechel BSN, RN, CCRN, and I am seeking your vote for the office of ANAIllinois President. I currently sit on the American Nurses Association board of directors as Director at Large-Recent Graduate. I am a previous ANA-Illinois’ board member serving as Directorat-Large. I work as a staff nurse at Advocate Christ Medical Center in Oak Lawn, Ill., as a CCRN-certified surgical trauma intensive care registered nurse. I sit on my hospital’s staffing/retention committee, unit high-reliability safety committee lead coach and unit council treasurer. As president, I would work to recruit nurses from across the state to join ANA-Illinois and engage and empower them to be active participants in our initiatives. I want to continue to bring relevant information and content to the forefront of our association to make an impact in our state and beyond. I am a reliable, detail-oriented, innovative leader who strives to serve Illinois once again. I started my nursing leadership journey as a student at the University of St. Francis in Joliet, Ill. I was very active in student nursing leadership, holding several positions at the school chapter level, including a term as 1st vice president of the

Student Nurses Association of Illinois (SNAI) in 2014. In 2015, I graduated with my BSN and transitioned to serving as the Elected Executive Consultant for SNAI, holding that position from 2015-16. I was then appointed to the ANA-Illinois Board of Directors in 2016 as a director and served until the end of 2017. During my time on the ANAIllinois Board, I traveled up and down the state speaking at multiple nursing schools to inform students on the Nurse Practice Act Sunset and to encourage them to fulfill their duty as nurses and get involved with their state’s professional association. I also spoke to several hospital systems educating RNs and APRNs on Nurse Practice Act Sunset updates and answering their questions on what the updates meant for their practice. In 2017, I ran for and won a seat on the ANA's board of directors, serving as Director at Large-Recent Graduate. I am currently serving in that role until the end of 2019. In this position, I have participated as an ANA-PAC board of trustees member, committee on honorary awards member, committee on appointments member and this year I was appointed to chair the committee on appointments, the first recent graduate to serve in that role. With the ANA, one of my main goals was to increase the engagement of recent graduates at the annual Membership Assembly. I accomplished this goal and was able to double the number of recent graduates that attended and had the highest number of recent graduates participate this past June at the 2019 Membership Assembly. Concurrently, I hosted an early career leader networking breakfast to encourage conversation among recent graduates. The breakfast helped ANA better understand the mindset of these recent graduates, as we seek to encourage them to become engaged and involved ANA members. During that session, I received energizing feedback that I will implement on the national level and bring back to Illinois. My experiences as a student, ANA-Illinois board member, and as an ANA board member have helped me develop the skills needed to dutifully serve as ANA-Illinois President. I can thoroughly understand finance and recognize the importance of keeping a healthy reserve to secure the association for the future. I am a strategic and forward-thinking leader and will make decisions to keep the association ahead of practice and development. I listen and consider every point of view before coming to up with conflict-resolving solutions. I want to serve in this position to advocate and speak on behalf of the association and serve as a leading and visible voice for our fantastic state’s nurses.

I respectfully ask you to vote for Amanda Buechel BSN, RN, CCRN for President of ANA-Illinois. I am available and happy to answer all questions you have and look forward to bring your ideas to our association. So Illinois, let’s Excel with Buechel for President in 2019.

Onyeisi Stephen Ogbomeh DNP, MSN-L, MSN-FNP, BSN, RN, NE-BC

Director, Harvest Team “Hello my friends, I am Dr. Onyeisi Stephen Ogbomeh, and I want you to vote me as your President for ANAIllinois.

While my years as a Registered Nurse (just over 7 years) doesn’t tell a lot, but my background and experience do. I have been a leader my entire life, since my teenage years when I took up the responsibility of being a music director as a pianist in my local community church (which I still am); and with my strategic initiatives, our church grew from membership of tens to thousands within a short period – I understand what it takes to serve and lead a team to success. This is one of the key virtues I possess, which i bring to the table for this position.

I am currently the Director of Operations at Harvest Team and Healthcare Initiatives, where I coordinate various activities and initiatives (healthcare and others) that assist citizens, immigrants, under-served individuals and families within Rogers park and across Chicago land.

Prior to, and in conjunction with, I have been a staff nurse, charge nurse, nurse supervisor, nurse manager, and director in various healthcare institutions within Chicago and across, where I lead various initiatives such as community education/health fairs, heart walks (breast cancer and others), food pantry, just to name a few. I have always been an asset to every organization I have worked with.

I am an active member of ANA, and I continue to support her mission and vision for nursing by lobbying and sending letters & correspondings to federal, state, and local government official in matters that affect nurses – my most recent being the “Protecting JOBs Act

(S. 609)”. Also, I am a recipient of the 2019 ANA 40 under forty, Emerging Nurse Leader Award.

I bring fresh new ideas, creative innovations, and result – I am accountable for result. I am a person of execution, who always get the job done, on time, and on budget! I have the capacity to walked the talk, and the ability to create pattern that is focused on result. There is absolutely no match to speed, and my model is speed to business/organizational result! I have the charisma and character to role model, engage and positively influence talented people of diverse nationality and cultures who initially may not have interest in healthcare profession or nursing. Using my personal life as an example, I migrated to the United States in September of 2007 at age 24, and started pursuing a career in nursing by January of 2008. Within 11 years of non-stop academic curriculum, I went from being a Certified Nursing Assistant (CNA), to becoming the formidable leader I am today – I completed my ADN in 2012, BSN in 2014, MSN (Leadership) in 2016, DNP in 2018, and Post Masters FNP in 2019; through hard-work, dedication, & consistency, No doubt, I am a voice to reckon with, and an inspiration to both young and seasoned nurses all around the world – I model the America values, and I inspire excellence!

I am seeking this position because it provides me the opportunity to serve for a bigger course and be able to influence positive changes within the metaparadigm (nursing, person, health, and environment) of the nursing profession. Moreover, this position aligns and supports my personal & professional objectives, which include taking ownership and responsibility of key initiatives that affect the progress and well-being of nurses, individuals/ families in Illinois and across.”

This Candidate has withdrawn her consent and will not appear on the ballot.

Kathryn M Serbin DNP, MS, BSN, CCM

Associate Chief Nurse, Surgery Capt James A. Lovell Federal Health Care Facility My name is Kathryn Serbin, DNP, MS, BSN, CCM and I am seeking to be elected as President of ANAIL. I am currently serving on the ANA-IL Board as Secretary and have been in this role for two consecutive terms. I also serve on the Illinois Nurses Foundation (INF) as the ANA-IL Board liaison.

While serving on INF, I have been the Chair of the Illinois Nurses Foundation Holiday Gala and Fundraiser. I have also served as Chair and other roles on the Commission for Case Manager Certification (CCMC). While serving as Chair for CCMC, the organization expanded eligibility criteria for the Certified Case Manager (CCM) exam, launched CCM Body of Knowledge and was approved as a reimbursed credential for the Department of Veterans Health Affairs. I have been a nurse for over thirty years and have worked in a variety of health care settings. I served in the military and retired in 2015 at the rank of Nurse Corps CAPT (06). I am the Health Talk writer for the Association of the United States Navy and have volunteered in this role since 2010. I am currently the Associate Chief Nurse for Surgical Services at the CAPT James A. Lovell Federal Health Care Facility in North Chicago. I am married to Donald, and we have three adult children and three four-legged kids. Having served for many years on Boards in varying capacities, I have the requisite knowledge and skills to be successful in the role of President. I believe membership in ANA-IL unites us, and when nurses unite, we have a much stronger voice in the political arena on local, state, and national levels. I am not only a strong patient advocate but a strong advocate for nurses and the nursing profession. I am passionate about Nursing and believe that patients interests are best served when health care professionals work together to deliver safe, effective, and affordable care.

Candidates for Secretary Colleen Morley DNP, RN, CMCN, ACM-RN

Director of Case Management West Suburban Medical Center As a leader in Nursing, I know the importance of our mission to our members: we are “advocates for the advocates,” My name is Dr.

The Nursing Voice Colleen Morley, and I am submitting my consent to serve for the office of Secretary on the ANA-Illinois Board of Directors. I have worked in healthcare/Nursing for more than and in Case Management for over 15 years. I have a wide breadth of experience across the continuum of care and in a wide variety of settings. I am currently the Director of Case Management; overseeing the staff of two urban, acute care hospitals in the Chicago area. For the past decade I have served in various leadership roles, in acute care, managed care and community care; as a Director for ANA-Illinois, serving as Legislative Committee Chair and PAC Trustee, for Case Management Society of America, Chicago chapter; where I currently hold the office of President-Elect, have served as Secretary and Membership Secretary and have been recently elected to the CMSA National Board. ANA-Illinois must be as strong as possible to: • support and promote Nursing and nurses at all levels, in all practice settings, • protect our scope of practice; and • help our members advocate for our patients/clients. My broad experience, leadership skill, and passion for, not only Nursing but ANA-Illinois, position me to be a strong, resourceful, and productive leader. As an example, in just the past 12 months, I have helped to lead CMSA Chicago to increase our membership by 70%, expanded our educational offerings, planned and executed our most successful local conference in our history and continue to build an energized and engaged chapter. I would be honored to serve as Secretary for ANA-Illinois and support the nurses of Illinois in the same manner.

Onyeisi Stephen Ogbomeh DNP, MSN-L, MSN-FNP, BSN, RN, NE-BC

Director, Harvest Team I am seeking this position because I want to serve and be able to influence positive changes within the metaparadigm (nursing, person, health, and environment) of the nursing profession. Moreover, this position aligns and supports my personal & professional objectives, which include taking ownership and responsibility of key initiatives that affect the progress and wellbeing of my community.

Candidates for Director This Candidate has withdrawn her consent and will not appear on the ballot.

Aney Abraham DNP, RN

Associate Vice President of Nursing Rush University Medical Center I am a seasoned nurse with over 30 years of nursing experience. I have been in progressive leadership roles from nurse manager to Chief Nursing Officer. Currently, I hold the position of Associate Vice President, Nursing at Rush University Medical Center and Associate Faculty at Rush College of Nursing. I am also serving as the President of the Indian Nurses Association of Illinois. I am seeking the position at ANA because I want to help influence policies that impact nurses and patients. I want to be abreast of legislation that impacts nursing practice. I want to share my expertise and skills to support decision making.

Judah Donaldson BSN, RN

Clinical Informatics Manager Horizon Health My overall goal in my career is to serve. This is why I became a nurse.

Since becoming a nurse in 2012, I have been able to serve people, care for people, participate in the healing of people, and it has become my passion. I now participate in the care of the patients from a supervisory role or a high-level vantage point, meaning that I am able to influence and guide the care that others provide the patients at my facility. As my career has grown and my experience has continued to shape me, my focus transitioning to the current and future generations of nurses that I hope to influence and encourage. I am currently finishing my Master of Business Administration degree, and with that degree, I desire to continue to use my influence to create a safe and evidence-based environment for the nurses that look up to me, and the patients that we care for. By serving at a state level in any capacity I feel that my influence and voice will have a greater impact in the future of nursing. Thank you for any and all consideration.

September 2019 Loretta K Dorn MSN RN CRNI

Director of Nursing Consultants Fresenius Kabi I have been a member of ANA for several years. Today I am a member of the ANA-Illinois legislative committee.

Over the years, I have been a strong nursing voice for education and public health. I currently serve on the Lake County Opioid Initiative board whose mission is to combat the epidemic of deaths that we are seeing across our nation. I have also served in the past as the President of the Illinois Chapter of the Infusion Nurses Society and as a member of the National Committee on Education for the Infusion Nurses Society. Today I am in school working on my psychiatric practitioner post master’s certificate. I believe that advanced practice nurses will continue to have a strong role and voice in our health care system and must be supported. It was never an actual choice to become a nurse for me. I was born wanting to be a nurse. Everything I accomplished in my life was dedicated to the goal of being the best nurse I could. I started with volunteering to care for the sick nuns when I was 12, then volunteering at a hospital I became a certified nursing assistant in high school. I felt certain that nursing was the highest level of caring for humanity that could be provided. My first degree was an ADN at a local Junior college. I worked at our local community hospital for many years quickly finding my passion in ICU nursing. I later transitioned to infusion home care and received my CRNI. I was promoted to a leadership position as director. I also became very involved with the Infusion Nurses Society including teaching IV classes and PICC insertion classes After being a nurse for a decade and after my children were past the very young stage I made the decision to go back to school to get my BSN. While I was a great nurse as an ADN I knew I needed to get my BSN to be able to continue to promote professional growth. It took me almost five years to get my BSN one class at a time, but I kept moving forward. I learned that I loved leadership and mentoring other nurses and strongly beloved in the nursing voice in quality patient care. I decided that getting my MSN would help achieve that voice. I received my MSN in 2012 after a long journey and became an official MSN program mentor with the university I attended. I also received my certification as a Quality Manager in Operational excellence through the American Society of Quality to better understand the change process and how to bring about best practices for a quality outcome to service our patients better. I have run in a local election for a board position at the Junior College where I got my initial ADN which was an amazing experience. I recently worked for the local health department (Lake County Il) as the director of clinical operations using the nursing process to promote public health. In all these positions I managed large budgets and was responsible to the directly to the public for those funds at the health department. I believe that I have the experience and love of nursing as well as a history of working with public law makers and managing budgets. I also believe that nursing must have a stronger voice in our country in the health of our citizens and how we provide healthcare to our most vulnerable population. Nurses can impact the social determinants of health in a way that no other body of health professionals can accomplish with our collective voices. I believe that I will be an asset to the ANAIllinois as a nursing advocate and voice of Illinois nursing.

Susana Gonzalez MHA, MSN, RN, CNML

Nurse Educator, ASI Home Care Agency My name is Susana Gonzalez MHA, MSN, RN, CNML. I believe that as nurses, we are a powerful workforce.

ANA-Illinois provides a platform to allow our voices to be heard and helps advance the nursing profession. I would like to assist ANA-Illinois with its endeavors to identify and encourage strong leaders who want to be a member of ANA-Illinois. I feel grateful and have a sense of readiness to offer my service to the board of director for ANA-Illinois.

My career in nursing has provided me with opportunities I never thought possible. Sharing these experiences to help others is an honor. I will facilitate communication between ANA-Illinois members, the board, colleagues, and health care stakeholders. I will be a liaison with the community to promote ANA-Illinois’ vision; I commit to promote enriching the lives of our members through the promotion of learning and professional advancement. Most recently, I have served for two terms as the president of the Illinois Chapter of the National Association of Hispanic Nurses from 2013-2017.

Under my leadership, we developed and led countless of collaborative initiatives that today continue to serve our community with a servant-leadership presence and spirit.

Illinois chapter has been active and visible at many national conferences with poster and podium presentations. Our local membership and engagement continue to grow; we are involved in several national grants. Under my leadership,

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our chapter became fully active and engaged with ANA-IL, and I served on the Illinois Healthcare Action Coalition. In addition, I was an active member of ICNO. I am active on the Illinois Organization of Nurse Leaders policy committee.

At the National Association of Hispanic Nurses, I have served on the board of directors and co-chaired the Policy Committee and now the Membership Recruitment and Retention Committee. Life is about timing and purpose, and this, for me is the right time to serve ANA-Illinois as a board member. I bring to the table years of experiences, skills, and knowledge and strong ethical leadership. I am able to dedicate time and energy to the board of directors and role model the vision of ANA-Illinois. I value the leadership and respect their membership; I have supported many of their initiatives. I am committed to mentor a new generation of healthcare professionals. I believe that as a member of ANAIllinois, we are the role models. I pledge my commitment to serve in this capacity and work hard to facilitate and expand opportunities at all levels for the membership. I welcome the opportunity to help the organization realize its mission, vision, and purpose in conjunction with the esteemed executive leadership.

Casey Ketchum BSN,RN, CCRN

Clinical Nurse Associate – Neurosurgery Dept University of Chicago Medicine To Whom It May Concern: It would be an honor and a privilege to serve as a board member for the American Nurses Association of Illinois, (ANA).

I have been a critical care nurse since 2012, and my expertise includes clinical ethics, neuroscience, trauma, behavioral health, and palliative care. My current role as a Clinical Nurse Associate within the neuroscience department at the University of Chicago encompasses the diversity of my professional responsibilities, and this role requires interdisciplinary team coordination, management of ancillary staff and services, keen collaboration skills with hospital finance, administration, and third-party providers.

As well as clinical research, my duties include patient care plan oversight, and progressive follow up care. I have established myself as an engaged and holistic professional nurse who observes the values the ANA has set forth to maintain professional growth and clinical competence. I support and encourage my colleagues to obtain national certification, and have myself obtained Critical Care Registered Nurse Certification, (CCRN) in 2016. As a board member and director for Meals on Wheels of Illinois, I participate in crucial initiatives to promote community health and safety, and I aim to reduce health disparities in our most vulnerable populations. The promotion and integration of health policy and diplomacy and social justice are crucial to the future of established professional nurses and the populations we serve. Throughout the years, I have offered my time and services to support the mission and goals of the ANA. Historically, I attended the Nurse in Washington Internship (NIWI) in 2016, and the annual ANA Hill Day in Washington, D.C. I have also, volunteered on behalf of the ANA during the National Conference of State Legislatures (NCSL) in 2016. I hope the consenting committee recognizes the value that my forefront experience can bring to the ANA, Board of Directors. My career philosophy emphasizes progressive community outreach standards: evidence-based practice embodied by a holistic and individualized approach to the populations we serve. As a nursing professional within the sphere of modern healthcare, I hope to enhance and honorably represent my nursing cohort for years to come. Sincerely, Casey Ketchum BSN, CCRN

Nicole Lewis DNP, APRN, FNP-BC

Family Nurse Practitioner SSM Good Sam As a candidate and an active member of the ANA-Illinois/American Nurses Association. I bring twentyfive years of nursing experience.

I worked long-term care, acute care, within the government, and clinical setting. I practiced in every level of nursing before completing my terminal degree. I am a veteran of the United States Army and started in health care as a combat medic. After five years of service, I was honorably discharged. I then pursued my nursing career.

I obtained my nursing assistant certificate and then my practical nursing certificate, ultimately completing my associate degree in nursing before pursuing my BSN, MSN, and DNP. I completed my bachelors, master, and a doctorate degree in five years. I knew I needed to further my education. Practicing is just a piece of how to influence practice and policy change. Education at each level gave me a different perspective on to approach policies and procedures. As I advanced my education, 2019 ANA-Illinois Candidates...continued on page 6

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September 2019

2019 ANA-Illinois Candidates...continued from page 5 I was able to identify barriers and influence change among peers. To change practice, the development of policies that sustain positive outcomes are critical to the future of nursing. My clinical scholarship project focused on policy change and education to reduce lateral violence within the nursing profession and improve the retention of nurses. I will bring the same determination used to obtain my doctorate in nursing practice as a member of the board. My knowledge and experiences can bring a new perspective and ideas and an understanding of how evidence and policies can change practice to improve nursing and patient outcomes. This opportunity offers me a chance to be part of something great. As a resident of southern Illinois and a nurse practitioner, my long-term goal is to influence future nurses to advocate for their profession and decrease barriers in patient care.

Linda Lowry RN

Director of Nursing Fair Oaks Rehabilitation & Care Center I am seeking the position of Director because I feel I can utilize the volumes of seasoned leadership I have paired with the experience of a somewhat newer nurse to help "grow up" nurses seeking advanced positions within the nursing industry. It is my hope to provide invaluable resources and opportunities that will promote an ownership position while developing 'nursepreneur' mindsets.

Onyeisi Stephen Ogbomeh DNP, MSN-L, MSN-FNP, BSN, RN, NE-BC

Director, Harvest Team I am seeking this position because I want to serve and be able to influence positive changes within the metaparadigm (nursing, person, health, and environment) of the nursing profession.

Moreover, this position aligns and supports my personal & professional objectives, which include taking ownership and responsibility of key initiatives that affect the progress and wellbeing of my community.

PRESENTED BY: SUE CLARK, ANA-ILLINOIS LOBBYIST, AND SUSAN Y. STEWART EdD, MS, RN, CAE, ANA-ILLINOIS EXECUTIVE DIRECTOR

Join us for breakfast for an in depth, behind the scenes look at what is at stake in the next year as we approach the 2020 election cycle Tickets - $25* *The cost of the ticket will be donated to the Nurses PAC http://bit.ly/BreakfastBriefing2019

The Nursing Voice

Candidates for Nominating Committee Onyeisi Stephen Ogbomeh DNP, MSN-L, MSN-FNP, BSN, RN, NE-BC

Director, Harvest Team I am seeking this position because I want to serve and be able to influence positive changes within the metaparadigm (nursing, person, health, and environment) of the nursing profession.

Moreover, this position aligns and supports my personal & professional objectives, which include taking ownership and responsibility of key initiatives that affect the progress and wellbeing of my community.

Katrina Soto RN

Staff Registered Nurse Adventist Hinsdale Hospital I would love to continue to serve the profession.

PHOTO NOT AVAILABLE

Kathryn Valentine BSN, CVRN-BC

Staff Nurse Memorial Medical Center I would like to run for the Nominating committee so I can learn more about leadership, stay involved in current Illinois legislation, and have another way to advocate for my patients by being a part of the Illinois chapter of the American Nurses Association.

The Nursing Voice

September 2019

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Nurses and Other Stakeholders Went to the Hill to Advocate

ANA President Ernest Grant, ANA Enterprise CNO Debbie Hatmaker, U.S. Rep. Lauren Underwood (D-IL), ANA Enterprise CEO Loressa Cole on Hill Day The power of nursing makes itself known on Capitol Hill.

As part of ANA’s annual Hill Day, nurses, students and other leaders met with members of Congress and their staff to build support for federal legislation addressing workplace violence, funding for nurse workforce development programs, and APRNs’ ability to order home health care services.

Over 325 participants—with more expected – from 48 states shared their perspectives and expertise during hundreds of scheduled visits on Capitol Hill. And thousands from across the country urged federal policymakers to support ANA-backed legislation on workplace violence prevention as part of a Virtual Hill Day event.

First up, participants attended a breakfast briefing, where they learned more about ANA-supported legislation and were welcomed by ANA President Ernest Grant, PhD, RN, FAAN. “The broader public needs you to be advocating [on Capitol Hill today] just as much as an individual patient needs their nurses advocating for them at the bedside,” said Grant, who will join participants in meeting with federal lawmakers, including U.S. Sen. Richard Burr from his home state of North Carolina. “Rest assured, the people with whom you’re meeting are relying on nursing’s perspective, so they can better serve you and your patients.”

In a new event, Grant held ANA’s Hill Day version of a “fireside chat” with the newest nurse to join the 116th Congress, U.S. Rep. Lauren Underwood (D-IL).

“I have been a member of ANA for a long time, and it is a thrill and honor to be here,” said Underwood, MSN, MPH, RN, who worked on implementing the Affordable Care Act while serving in the Obama administration. It was her concerns about several legislative attempts to repeal the ACA and take away protections for people with preexisting conditions that led her to run for Congress.

“Health care was the No. 1 issue in our elections, and health care is a human right,” said Underwood who continues to push for efforts to protect and ensure people’s access to affordable care.

She also addressed the “biggest challenge” – the Senate’s refusal to take up bills sent from the House for consideration. So Underwood encouraged nurses to compel Senators – both Republican and Democrat – whom they are meeting with today to support the Title VIII Nursing Workforce Reauthorization Act. “There is nothing controversial about Title VIII and having more nurses in our country,” Underwood said.

She also urged participants to meet with their representatives in Congress in their home district offices.

“Make it your business to find out who your Congress member is and meet with them,” Underwood said. “Talk about what is important to you. Talk with confidence.

You are the experts.”

She added that the most powerful thing nurses have is their patient stories, and all the factors that affect someone’s health.

The three key bills that Hill Day attendees called attention to were: • The Workplace Violence Prevention for Health Care and Social Service Workers Act (R. 1309/S. 851) • The Home Health Care Planning Improvement Act (R. 2150/ S. 296) • The Title VIII Nursing Workforce Reauthorization Act of 2019 (R. 728/S. 1399) Additionally, participants addressed the importance of nurse staffing as ANA continues to work with federal policymakers on this critical nurse and patient safety issue.

Food is Always the Best Medicine Jennifer Grenier, DNP, CNML, RN-BC & Nicole Wynn, DNP, RN-BC Food insecurity is a social issue that is becoming more common across the nation. Individuals identified as food insecure potentially do not have enough food in quantity and/or quality, or they may have limited access to obtain the food they need, and/or have all of the above. As one of the many Social Determinants of Health, food insecurity is a social condition that impacts a person’s overall health. At Rush University Medical Center in Chicago, as part of a greater Anchor Mission and Community Health Improvement Plan, an interdisciplinary team of nurses, care managers, social workers, dietitians, and volunteers are working to improve the health of the West Side Community in which they serve on a daily basis. Rush University Medical Center has a threepronged approach dedicated to improving the overall health of food insecurity levels of individuals on the West Side of Chicago. The plan is designed to address the needs of the community, the employees, and the patients.

Through three programs, individuals are getting the assistance they need all because of the Rush’s mission to improve health.

The first program created was the Rush Surplus Project. This program was founded in 2015 and helps to decrease the amount of waste from hospital cafeterias and catering department; it also increases the amount of surplus food provided to the community. This program utilizes volunteers who are certified food handlers and help package meals three times a week to be donated to the local homeless shelters. Through the creation of this program, we have decreased the amount of compost food from the cafeteria by 75 tons annually, and have donated approximately 15,000 meals over the past year.

This program is sustained through the dedication of

volunteers from all disciplines in the Hospital. The Surplus Project is active at both Rush University Medical Center, Rush Oak Park Hospital, and other areas in the state of Illinois who have modeled programs after this.

The second program is Top Box Foods. This program benefits the employees. Through Top Box Foods, employees have the opportunity to purchase a 15-pound box of produce for the small fee of 15 dollars. Each box contains a mixture of produce from local vendors, benefitting the community, but also benefitting the employees. The boxes are available for purchase on a scheduled basis and are available to all staff members.

Additionally, during special occasions, the boxes include special additions to make celebrations sweeter.

These items include meats, desserts, and other special items. The employees benefit from this program because it is a healthy option for a reasonable price from local vendors.

The final program is the Food is Medicine Program.

This program benefits the patients admitted to the hospital. Patients who are admitted to the hospital are screened upon being admitted to the unit for the basic social determinant of health needs (primary care and insurance, food insecurity, housing, utilities, and transportation). Once the screening is completed by asking the eight different questions, patients are flagged in the electronic medical record based on their responses to the questions. For each of the needs, there are different solutions implemented at the Medical Center.

Specific to food insecurity, if patients screen “positive” for being food insecure, they are provided with a bag of food from the Hospital-based food pantry, delivered to their bedside. The food is brought to the Hospital through a partnership with the Greater Chicago Food Depository and is housed in the Central Kitchen. The same volunteers involved with the Rush Surplus Project help to package

these bags of food and make sure there is an adequate supply available for the patients. Included in this bag is a month’s worth of non-perishable food items, and a menu of how to portion out the items, which can be specific based on health conditions from which a patient may suffer.

Additionally, upon discharge, the patients are provided with other resources they can utilize once they are home. These patients are enrolled in a database, called NOWPOW, which connects the patients to local pantries close to their place of residence to ensure they can follow up there. They are also enrolled in the database for NOWPOW, which allows them to gain assistance in enrolling themselves in other subsidized food options.

Through the implementation of these programs, there has been a huge focus on improving the health of the individuals on the West Side. By providing healthy food options to the community, the employees, and the patients who live in the community we serve, the Program helps not only food insecurity but decreases the number of the people struggling. Through the active participation and commitment of nurses throughout the Medical Center to ask these tough questions to the patients, they are making a difference. These questions are challenging and are a topic that should be talked about. The continuation of talking about this program is not only beneficial to the nurses but the patients because it proves to the patients the importance of these topics and how impactful getting help for them can be.

American Hospital Association. (2017). Social determinants of health series: Food insecurity and the role of hospitals.

Chicago, IL: Health Research & Educational Trust. Accessed at www.aha.org/foodinsecurity.

Grenier, J., Wynn, N., (September 30, 2018) "A Nurse-Led Intervention to Address Food Insecurity in Chicago" OJIN: The Online Journal of Issues in Nursing Vol. 23, No. 3, Manuscript 4.

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September 2019

The Nursing Voice

Increasing Frequency of Delirium Assessment of Hospitalized Patients: Mixed Method Educational Project

By Viktoriya Schild RN-BC Advisors - Lori Sprenger PhD, RN, CLNC and Sheila Capp PhD Delirium affects 18-35% (about a third) of the patients in hospital settings, and it is not assessed appropriately by registered nurses (RNs). Nurses often notice a difference in patients’ behavior but do not have enough knowledge to document the finding using appropriate screening tools. Therefore, interventions for prevention often do not get implemented. The risks of delirium can be diminished if interventions start as soon as the first symptoms are observed (Bauernfreund, Butler, Ragavan, & Sampson, 2018). The CAM screening tool has been effective in identifying delirium in hospitalized patients and has a sensitivity of 95% and specificity of 89% (Holly et al., 2014).

This project brought information to RNs about the importance of early identification of delirium during hospital stays. The project goals were to increase knowledge about delirium and awareness of CAM tool.

RNs received education via a Power Point presentation about delirium, the CAM delirium screening tool, how to access it in the electronic medical records, and how to identify patients at risk for delirium. The project aim was to get 50% of the RNs, who often work with geriatric patients, knowledge about delirium.

The literature review suggests the urgent need to prevent delirium in hospital settings. Delirium associated with the risks of premature death, longer hospitalizations, risks of readmissions, and a great increase in care cost (Aziz et al., 2018). Despite the complications that delirium can cause, it often goes undiagnosed in healthcare settings by healthcare professionals (Holly, Rittenmeyer, & Weeks, 2014). Review of literature reveals that educating nurses regarding delirium is one of the most efficient ways to improve delirium screening and patients’ outcomes in healthcare settings (March & Imgrund, 2017).

Before project implementation, patients on medicalsurgical units were not screened for delirium. During project implementation, nursing staff was educated about delirium, delirium screening, CAM, and the importance of performing delirium assessments on every shift. The CAM screening tool is not being utilized because nursing staff does not receive education about the importance of the delirium screening tool during the orientation process on a regular basis. CAM is a validated instrument that is easy to use and is already installed in electronic medical records in the hospital where research took place.

Results A total of 53 registered nurses participated in the educational project. All of them completed a pre and post educational survey. Results were placed in different tables to analyze qualitative and quantitative data and evaluate the effectiveness of the study. Results showed that nursing knowledge and awareness about delirium and CAM tool improved after educational intervention.

Quantitative Pre-Educational Results • Results showed that 91% of registered nurses who participated in the educational activity reported that they were aware of the meaning of delirium and understood the importance of assessing for delirium symptoms before the educational sessions started.

• Before the educational activity, 83% of RNs were familiar with signs and symptoms of delirium.

• Results show that 51% of RNs were aware that delirium could be prevented.

• Before the educational activity, only 28% of RNs reported that they were confident in delirium assessment.

• Results show that 32% of RNs were familiar with interventions that could prevent delirium before the educational activity.

• Most RNs were not familiar with the documentation process for delirium assessment.

Only 42% of RNs were aware before the educational intervention started.

• At the beginning of the educational interventions, 57% of RNs reported that they were familiar with the CAM tool.

• Only 40% of RNs were aware of how to use the CAM tool.

• Before the educational activity, 91% of RNs reported that they understood the importance of delirium assessment.

Quantitative Post-Educational Results • After the educational activities, 100% of RNs reported that they knew the meaning of delirium and understood the importance of assessing for delirium.

• 100% of nurses mentioned that they are familiar with signs and symptoms of delirium.

• Results showed that all 100% of RNs reported that they are aware that delirium can be prevented after the PPT presentation.

• The most notable improvement was in RNs confidence of delirium assessment skills. Results show that RNs confidence increased by 70% after the educational session.

• Notable improvement was reported in RNs knowledge about interventions that could help prevent delirium. After the education activity, 100% of RNs reported that they are aware of interventions to prevent delirium. Results improved by 68%.

• After the educational activity, 100% of nurses reported that they are familiar with the documentation process about delirium findings.

Results improved by 58%.

• All participants reported that they became familiar with the CAM tool after the delirium education activity and results improved by 43%.

• After the educational activity, 100% of RNs reported that they became familiar with how to use the CAM tool. Results improved by 60%.

Qualitative Results The survey included two open-ended questions that were answered with narrations by participants.

Table 2 and 3 summarizes quotations from participants’ responses from the pre-educational surveys. Qualitative data were summarized into several themes.

Pre-educational responses.

In the pre-educational survey, two out of 53 registered nurses reported time is an issue when using the CAM tool. The most challenges with the CAM tool fitted in knowledge categories where nurses reported “lack of education on this topic.” They never were shown how to assess for delirium, were not sure how often to assess, unfamiliar with assessment tool, did not know it was there, and understanding the assessment tool. Several nurses reported misunderstanding of assessing for delirium. They thought that delirium assessment should only be performed in critical care units. Two nurses reported technical difficulties when performing patients’ assessment. They stated, “file is not mandatory and computer system skipped them through.”

Most registered nurses realize that the CAM tool would help to diagnose delirium if used appropriately according to their responses on pre-educational survey.

Nurses realize that CAM is helpful to use “when patient is declining, helpful in early detection of delirium, to prevent delirium before problems arise, useful in conducting thorough delirium assessment, and helpful in providing better patient care.”

Before the educational intervention, many RNs recognized the benefits of using the CAM tool. All responses were categorized in four themes: identification of delirium, interventions to prevent delirium, patients’ outcomes, and prevention of delirium. Some participants reported that they are aware the CAM tool is used to assess for delirium. The quotes in Table 3 provide examples of participants’ responses about the CAM tool.

Post-Education Responses.

The challenges of using the CAM tool that nurses reported after delirium education are documented in Table 4. Fewer challenges were reported about the use of the CAM tool that fit in the knowledge theme. Nurses mentioned that the education on this topic was not provided previously. One of the nurses reported that hopefully she will not have any challenges with the CAM tool in the future because she was educated on the topic.

New theme “remembering” was added after education to sort narrated responses. Three nurses reported that after they got education on delirium they had a challenge to remember the tool and remembering to do delirium assessments.

After the educational activity, most nurses recognized the benefit of the CAM tool. Nursing responses about the benefits of the CAM tool are documented in Table 5.

The largest number of responses were in identification section. After delirium education, most nurses become aware that they can recognize delirium symptoms sooner if they use the CAM tool that is already installed in electronic records. The next largest section was about prevention. After the education, nurses realized that they can prevent delirium in at-risk patients.

Discussion Delirium is a frequent problem and mostly gets undiagnosed and missed in clinical settings (Holly, Rittenmeyer, & Weeks, 2014; Hshieh et al., 2015; Kukreja, Gunther, & Popp, 2015; Mufti & Hirsch, 2017; Shi, Warren, Saposik, & MacDermid, 2013). The educational PPT was developed to educate nurses about delirium and bring it to attention that delirium is very important to recognize and prevent in hospitalized patients. The main objectives of the educational project were to provide education to RNs and confirm that educational activities with PPT presentations are effective in increasing nursing knowledge about delirium. After education, most RNs reported that delirium assessment is very important, the CAM tool is easy to use, and will help in identifying symptoms of delirium sooner. RNs noted that they will use the CAM tool more often since they understand the meaning of it.

Data Collection and Intervention The educational sessions were held on medicalsurgical units and 53 registered nurses were educated on the topic. Each nurse completed pre and post educational surveys and the data from surveys were used to compare the findings before and after education.

Most of the RNs reported lack of knowledge on the pre-educational survey. Registered nurses reported improved knowledge about delirium, CAM tool, delirium assessment skills, knowledge about interventions to prevent delirium, and where to document assessment findings in the electronic records after the PPT. Positive effects of the educational activities were noted in both the qualitative and quantitative responses of the surveys.

RNs reported fewer challenges with using CAM tool and less misunderstanding about where and how to use.

Educational activities had positive effects on nurses’ awareness about its simplicity, the benefits of using CAM, and identifying symptoms of delirium earlier.

Framework for the Educational Activities The framework for this educational project is based on Barrett’ Power as Knowing Participation in Change Theory.

Barrett’s theory correlates with the research project as it gave nurses the choice to knowingly and voluntarily participate in educational sessions to learn about delirium

Table 1. QUAN Data: Pre and Post Education Survey Questions:

pre yes pre no post yes post no

1. Do you know the meaning of delirium?

91%

9%

100%

0%

2. Are you familiar with the signs and symptoms of delirium?

83%

17%

100%

0%

3. Are you aware that delirium can be prevented?

51%

49%

100%

0%

4. Are you confident of your delirium assessment skills?

28%

72%

98%

2%

5. Are you familiar with the interventions that could help prevent delirium?

32%

68%

100%

0%

6. Do you know where to document delirium assessment finding?

42%

58%

100%

0%

7. Are you familiar with the Confusion Assessment Method (CAM) screening tool?

57%

43%

100%

0%

8. Do you know how to use the CAM tool?

40%

60%

100%

0%

9. Have you ever used the CAM tool?

42%

58%

53%

47%

10. Do you understand the importance of assessing for delirium symptoms?

91%

9%

100%

0%

Note. (nursing responses in % before and after educational interventions)

The Nursing Voice from the PPT. After learning about delirium, the CAM tool, and interventions to prevent delirium episodes, nurses have the power to change the process of patients’ care by recognizing delirium in hospitalized patients sooner and improving patients’ outcomes.

Quality and Safety Education for Nurses Correlations The educational project also correlated with the Quality and Safety Education for Nurses (QSEN) in quality improvement competencies (Frances Payne Bolton School of Nursing & Case Western Reserve University, 2018). The goal of QSEN is to improve safety, increase nursing knowledge, continue to improve quality of care on an everyday basis, and improve skills and attitudes that are necessary for better outcomes. QSEN supports clinical initiatives by providing a framework focused on improving quality of patient-centered healthcare in all areas of nursing (Altmiller, 2013).

Administrative Support of the Educational Activities Several features contributed to successful educational sessions. Unit managers from medical surgical units were supportive after learning the objectives of the project as it would improve patients’ outcomes in the hospital, fewer chances of readmission, less need to find long term care facilities after discharge from the hospital, and shorter hospital stays. Medical-surgical unit educator sent e-mails and posted advertisement about the opportunity to learn several weeks in advance of the educational activities. Registered nurses who participated in the study met the readiness for learning stage that is very important for effective learning process.

Small group sessions make nurses feel comfortable in learning situations and are encouraged to ask questions that further facilitated learning. During project implementation, nursing staff got appropriate support and encouragement from the principal investigator (PI) and leadership of the units.

Future Considerations To help nurses facilitate change, increase use of the CAM tool, and recognize delirium early, the development of policies and guidelines about delirium screening and interventions would be beneficiary. Follow up education is necessary to help improve nursing knowledge and provide opportunities for questions. A check list might be necessary to develop or send emails to remind nurses to do delirium assessment every shift until use of CAM tool gets hardwired into their practice. Also, a delirium education and assessment skill check off may need to be included in the orientation process for new hired staff.

The yearly nursing education with CBL and a short test at the end might be necessary to assure understanding of the topic by nursing staff.

September 2019 Table 2. QUAL Data: Pre-Education

Table 4. QUAL Data: Post-Education

11. What are Some Challenges to using the CAM tool?

Responses

11. What are some Responses: challenges to using the CAM tool?

Time

Time (x2)

Knowledge level

Not enough assessment info Was not educated on this before (x4) Never used/experienced Not used to it Knowledge deficit (x 2) Not sure how often to use. Don’t have a whole lot of education on the CAM tool Focus on priority, which patients qualify Never been trained on it (x2) Did not know it was there What to do after Lack of understanding (x2) Unsure of parameters for answers, unsure what to do if yes How to determine if it is delirium or dementia Unfamiliar with assessment tool (x2)

Technical Issues

Misunderstanding

Did not realize the CAM was meant to be used throughout hospital or what it was Thought it was for critical care (x4) Not consistent Have not used in years Knowing the patients’ baseline

Table 3. QUAL Data: Pre-Education 12. What are Some Benefits to Using the CAM tool? Categories:

Participants Replies

Identification

To help diagnose Whenever you use a tool it provides more consistency No accurate delirium assessment To identify when a patient is declining or might have possible infection Early detection (x2) Better assessment Documenting delirium Useful in conducting thorough delirium assessment Screen patients’ baseline and identify changes in patient condition Helps assess patients’ mental status Allow to see changes in baseline and monitor progress Help to see the signs of delirium especially with post op patients before they are worse Better assessment of patients with acute confusion Documents changes Keeping a record of patient’s delirium and their mental status Check patient for sign leading to delirium

Limitations for the Project The limitations of the project were that the educational project took place during normal work hours and most nurses were responsible for multiple patients during educational activities. The interruptions of educational session inadvertently happened to some nurses even when most employees were aware about the program and tried to find time that would be less distracting. Most interruptions were related to patients’ family meetings that happened unexpectantly when the nurse was already participating in the research. Other interruptions happened because of sudden patient decline and phone calls from surgery that could not wait, and the needed nurse had to stop participating in the research. There was a suggestion for the next educational activities to provide it on off days in combination with other mandatory in-services such as skill check off that nurses must participate in. When nurses come to mandatory in-services, the ten minutes for delirium training will not be a big issue.

Conclusion The project results indicated the effectiveness of the educational interventions with the PPT by improving nursing knowledge about delirium, delirium screening, and use of the CAM tool. The long-term project goal of increasing the frequency of delirium assessment of hospitalized geriatric patients has the potential to improve because of the positive results on the increase of nursing knowledge about delirium assessment. The frequency of delirium assessment is minimal at present, and it needs to be increased to help patients avoid complications of delirium. The results of the study may be useful as this study showed improvement in nurse understanding and perception about delirium after the educational intervention. It may be necessary to provide more educational interventions to educate nurses about delirium yearly during the skill check off or during the orientation process in order to be consistent with the frequency of delirium screening of hospitalized patients.

Not mandatory field in our computer system Section gets skipped and frequently staff forget to chart

Interventions

Outcomes Prevention

Knowledge level:

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Not previously educated on the topic Did not know of it until now To know what medication to use Did not previously know how to use, wasn’t trained on it Understanding symptoms People unaware of its importance I was never trained on it Knowledge Nurse to nurse assessment changing

Technical issues:

Computer system skips over Charting system skips over

Misunderstanding: Misinformation Remembering:

Remembering to use especially when patient has confusion on admission Remembering to do Remembering new tool

Additional theme:

Hopefully none now because I have been taught

Table 5. QUAL Data: Post-Education 12. What are Participants Replies: some benefits to using the CAM tool?

Categories: Identification:

Provide info to next shift More effective treatment and quicker diagnosis Early detection (times 11)

To fix problem To provide treatment earlier Prevent and treat delirium Get patients treated quickly Close monitoring Early treatment Monitor/determine delirium Catch or prevent delirium Improve patients’ outcomes Providing better patients’ care To prevent delirium before problem arise Prevent delirium

Can identify patients at risk for developing delirium Helps monitor patients at risk, identify early Better delirium assessment, consistent documentation Identify delirium We can catch early Identifying delirium in patients Diagnose changes in behavior sooner Track changes in patient status Find sign and symptoms of delirium early Only four questions Short assessment Easy, short, not time consuming Interventions

Intervene appropriately Treating delirium early Early treatments Can let MD know if highly suspected?

Treat delirium

Prevention

Prevent delirium (times 9) Helps patients before major issues may arise Prevention of symptoms Start of prevention of delirium Early prevention of delirium

Outcomes

Improve patients’ outcomes Help improve care Better outcomes Help patients

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September 2019

The Nursing Voice

Illinois Association of School Nurses Submitted by: Linda A. Vollinger MS, BSN, RN, PEL/school nurse, President, Illinois Association of School Nurses For the past few years, the Illinois Association of School Nurses has been involved in a major transition from our board structure to the services we strive to provide our members and nurses working in schools.

While change is not easy, it creates growth personally, professionally, and as an Association. We remain focused on WHY we have gone through this restructuring process and the “why” is to serve our members more efficiently, effectively, and to grow as an Association. No matter what we do over time, the “why” remains the same. We are committed to focusing on partnerships on the Board, with our members, NASN, and other stakeholders.

At the April 2017 meeting of the IASN Board of Directors, the Board voted unanimously to make some changes in both the structure and governance model of the Association. At our Annual Business Meeting held in October 2017, the membership approved a bylaws change that began the two-step process to implement these changes. In November 2017, Division structure was dissolved and changed to a unified statewide organization. At the October 2018 Annual Meeting, the membership approved bylaws changes to continue the restructuring. As a result, the IASN Board of Directors was reorganized for efficiency and effectiveness and went into effect in October 2018. The Board voted to have current officers continue to serve on the IASN Board until October 2019 as we transition into our new governance model and structure. Current committee chairs and members also remain in their current roles/positions as we transition IASN to the new governance model and structure.

The following people are currently serving in these board positions on the IASN Board through October 2019:

President - Linda Vollinger Education Coordinator (and President-Elect) - Juanita Gryfinski Advocacy/Legislative Coordinator (and Illinois Director to NASN) - Cam Traut Marketing/ Communications Coordinator - Maryann Tolzien Governance Coordinator (and Treasurer) - Joan Kittler IASN Foundation Liaison - Linda Kimel Elections were held in Spring 2019, and the following were elected and will be installed at the IASN Annual Business Meeting on October 25, 2019, in conjunction with our Annual Conference October 25-26, 2019 in Hoffman Estates: President - Juanita Gryfinski (2019-2020) President-Elect - Gloria Barrera (2019-2020; President 2020-2022) Education Coordinator - Laura Robinson (2019-2021) Advocacy/Legislative Coordinator - Jessica Gerdes (2019-2021) Marketing/ Communications Coordinator - Bridget Heroff (2019-2020) Governance Coordinator - Karen Madura (2019-2021) Treasurer - Maryann Tolzien (2019-2020) IASN Foundation Liaison - Linda Kimel (appointed position) Illinois Director to NASN - Cathy Yonkatis (2020-2024) Leadership Identification Committee (formerly Nominating Committee): Jeanne Burke (Chair), Brandy Kirby, Martha Dewey Bergren In mid-February, the Board accepted the resignation from our IASN Executive Secretary. The Board voted to contract with an outside provider to perform the duties formerly performed by the Executive Secretary at overall cost savings to IASN. We are excited to share that in July 2019, we have contracted with SYS Consulting Solutions,

Inc. to provide these services. We feel that this will allow us to focus on our members and move towards becoming a transformational board and not just task-driven. It will also allow consistency over time as board members join and leave the board without decreasing service to our members.

This summer, many Illinois school nurses attended the NASN 2019 Conference in Denver, Colorado. There were also quite a few Illinois School Nurses that presented on a range of topics. We also had the opportunity to recognize school nurses from Illinois receiving awards: Dr. Julia Muennich Cowell received prestigious recognition as she was inducted as a NASN Fellow; Dr. Robin Shannon was named Outstanding School Nurse Educator; Dr. Cathy Yonkaitis and Dr. Robin Shannon along with Dr. Janice Selekman (Delaware) were recognized by NASN President Nina Fekaris with the 2019 Presidential Recognition Award for their herculean efforts in editing the most recent School Nursing textbook titled School Nursing: A Comprehensive Text. In addition to attending a variety of sessions to enhance school nursing practice, Illinois attendees enjoyed the opportunity to network and visit with one another after the NASN Annual Meeting concluded. NASN 2020 will be held in Las Vegas, Nevada at The Cosmopolitan of Las Vegas from June 30 - July 3, 2020. Start making your plans to attend!

Please consider offering your skill set and serving on the IASN board and committees. There is something to suit everyone interested, and the benefits of belonging to your specialty professional organization are numerous!

If you are interested in serving on the IASN Board or committees, please contact me at LVollinger.iasn@gmail. com or Juanita Gryfinski at JGryfinski@gmail.com.

If you are not yet a member of IASN, I encourage you to join. More information is on our website (iasn.org) or the National Association of School Nurses website (nasn.org). IASN news and information can be found on Facebook, Twitter (@ilschoolnurses), and Instagram (iaschoolnurses).

New Continuing Education (CE) requirement for Illinois LPN, RN and APRN license renewal beginning in 2020 The sexual harassment prevention training is required of all persons who hold a professional license issued by the Division of Professional Regulation and are subject to a continuing education (CE) requirement. These licensees shall complete a one-hour CE course in sexual harassment training. This requirement shall become effective for all applicable license renewals occurring on or after January 1, 2020. http://www.ilga.gov/commission/jcar/ admincode/068/068011300E04000R.html How many hours of Continuing Education (CE) will I need for 2020 license renewal?

This 1 hour of sexual harassment prevention training CE course is intended to fit into the licensee’s regular CE requirements. RNs will be renewing their licenses in 2020, 1 of the 20 hours of required CE must be a sexual harassment prevention training course. APRNs will be renewing their licenses in 2020, 1 of the 80 hours of required CE must be a sexual harassment prevention training course. LPNs will begin renewing their licenses in late fall 2020, and 1 of the 20 hours of required CE must be a sexual harassment prevention training course.

What are the new CE rules for Illinois LPNs, RNs and APRNs renewing their licenses in 2020?

The new Rules regarding a sexual harassment prevention training course indicate that such courses shall only be provided by existing Division-approved

LPN/RN/RN-Trainer Full time/Part time/PRN/All Shifts

continuing education providers or sponsors or by persons or entities who become Division-approved continuing education sponsors.

How do I know if the sponsor is approved or licensed?

Is there a list of approved CE Sponsors and Programs for Illinois nurse license renewal in 2020?

CE sponsors must either be pre-approved per Rule 1300.130 or must have a CE sponsor license. The list of pre-approved CE Sponsors and Programs is in the Rules for the Administration of the Nurse Practice Act, Section 1300.130: http://nursing.illinois.gov/NursingCE.asp c) Pre-Approved CE Sponsors and Programs 1) Sponsor, as used in this Section, shall mean: A) Approved providers of recognized certification bodies as outlined in Section 1300.400(a).

B) Any conference that provides approved Continuing Medical Education (CME) as authorized by the Illinois Medical Practice Act. C) American Nurses Credentialing Center (ANCC) accredited or approved providers.

D) Illinois Society for Advanced Practice Nursing (ISAPN).

E) American Academy of Nurse Practitioners.

F) Nurse Practitioner Association for Continuing Education (NPACE).

G) American Association of Nurse Anesthetists, or National Board of Certification and Recertification for Nurse Anesthetists.

NEW GRADS WELCOME!

H) National Association Specialists (NACNS).

New higher wages of $20.19 for LPN and $25.38 for RN with a weekend differential.

I) American College of Nurse Midwives.

SIGN ON BONUS AFTER 6 MONTHS AND 1 YEAR.

EXCELLENT BENEFITS!!

Resumes can be sent to hr@milestone-inc.org Apply online at Monster.com or in person at: Milestone, Inc., 4060 McFarland Rd., Rockford, IL 61111 815-654-6100

of

Clinical

Nurse

J) Illinois Nurses Association or its affiliates K) Providers approved by another state's board of nursing L) Nursing education programs approved under Section 1300.230 or 1300.340 wishing to offer CE courses or programs.

M) Employees licensed under the Hospital Licensing Act (210 ILCS 85) or the Ambulatory Surgical Treatment Center Act (210 ILCS 5) N) Any other accredited school, college or university, or State agency that provides CE in a form & manner consistent with this Section.

Please note that this is not a complete list. In addition, organizations may obtain CE sponsor licenses issued by the Department.

License Look Up: type in: Nurse CE Sponsor: https:// www.idfpr.com/LicenseLookUp/LicenseLookup.asp This is my first time renewing my Illinois LPN, RN or APRN license – do I need to complete the 1 hour of sexual harassment prevention training CE prior to license renewal in 2020?

No, a renewal applicant shall not be required to complete 1 hour of sexual harassment prevention training prior to the first renewal of an Illinois LPN, RN or APRN license.

How long is the sexual harassment prevention training course?

The sexual harassment prevention training course must be at least one hour or 60 minutes, which is 1 CE. What is the fee for Illinois LPN, RN or APRN license renewal in 2020?

The fee for the Illinois RN or APRN license renewal in 2020 shall be calculated at the rate of $40 per year, or $80 at the time of renewal. For Illinois LPNs, whose license renewal begins in late fall 2020 and ends January 31, 2021, the fee for the renewal shall be calculated at the rate of $40 per year, or $80 at the time of renewal.

Additional Continuing Nursing Education information, including a FAQ sheet and a list of pre-approved CE sponsors is available on the Illinois Nursing Workforce Center Website http://nursing.illinois.gov/NursingCE.asp

The Nursing Voice

September 2019

Page 11

IBHE and Nursing Workforce Center Recognize 2019 Nurse Educator Fellows SPRINGFIELD – Pursuing doctorate degrees, research on heart attacks in women, the Certified Nurse Educator exam, and more. These are examples of how nurse educators in Illinois are using fellowship dollars.

The Illinois Board of Higher Education (IBHE) and the Illinois Nursing Workforce Center (INWC) Advisory Board are proud to acknowledge the 2019 Nurse Educator Fellow recipients, each of whom is awarded $10,000 to help promote excellence in nursing education. “We are grateful to state lawmakers, who funded this program in recognition of the many benefits it provides to the educators, their colleges and universities, and their students,” said Nyle Robinson, interim executive director of IBHE. “The list of projects, research, and plans for additional degrees and certifications that this group is pursuing is beyond impressive.”

Many recipients use the funds to join professional organizations, attend continuing education conferences, or conduct research and present findings. Illinois Department of Financial and Professional Regulation Secretary Deborah Hagan said, “This group of 19 outstanding professionals are educating and training the nurses of tomorrow. Nursing is a critical profession and it is heartening to see the dedication and ambition that educators exemplify. Congratulations to each of them.”

Other projects include studying a multi-disciplined approach to intimate partner violence (IPV), cardiovascular disease in rural Haiti, medical adherence in older adults with heart failure, and quality and safety initiates in inter-professional approaches to health care in Glasgow, Scotland. Some of the fellows are using the funding to join professional organizations, attend conferences, take certification exams, and access professional journals on nursing.

The awards were given at recognition ceremonies in Chicago and Springfield. Those attending in Chicago:

Those recipients attending in Springfield, left to right: Angela Andrews, Ph.D., RN, Southern Illinois University Edwardsville, Susan M. Carl, MSN, RN, Heartland Community College, John R. Blakeman, MSN, RN, PCCN-K, Millikin University, Not photographed:, Lydia A. Bertschi, DNP, APRN, ACNP-BC, Illinois Wesleyan University, Catherine Folker-Maglaya, DNP, APRN, CNM, IBCLC, Malcolm X College, Heather Lea Heilman, MSN, RN, CHSE, Kishwaukee College, Autumn Mels, MSN, RN, Trinity Christian College, Ariel Wright, MSN, RN, Lakeview College of Nursing, Toula Kelikian, MS, PhD (c), MS, RN, Morton College, Cicero Illinois and the nation must address the healthcare demands of a growing and aging population at the same time that many experienced nurses will be reaching retirement age. This exacerbates the demand for registered nurses. To help address this concern, Illinois state government is helping to provide the resources necessary to train more highly-skilled nurses in Illinois by retaining qualified faculty.

Front row, from left: Keith Bakken, MS, RN, North Park University, Angela M. Lepkowshi, DNP, RN, NCSN, PHNA-BC, University of Illinois at Chicago, Kara Fenne, MSN, RN, PEL-CSN, Aurora University, Nancy M. Petges, Ed.D., MSN, RN, CNE, Northern Illinois University, Karen M. Roberson, DNP, RN, Joliet Junior College, Ashley Hasselbring, MSN, RN, CCRN, University of St. Francis Back row, from left: Elizabeth A. Davis, DNP, RN, CNL, RN-C MNN, Elmhurst College, Lindsey Garfield, Ph.D., RN, WHMP, Loyola University Chicago, Brooke Lyn Piper, MSN, RN, Olivet Nazarene University, Charlene Bermele, NDP, RN, CNE, Saint Xavier University, Melissa Jarvill, Ph.D., RNC-NIC, CHSE, CNE, Illinois State University

Illinois School Nurses, I am sure your school year has started with a bang! The Illinois Association of School Nurses (IASN), in collaboration with the National Association of School Nurses (NASN), is asking for your help.

We are currently collecting school health services data regarding staffing, student enrollment, and health office usage and disposition from the 2018-19 school year. This de-identified, aggregated data will be shared with IL school nurses and can then be used at the local, state, and national level to identify and advocate for needed resources.

To access and complete the Illinois 2018-19 Every Student Counts! The survey, go to https://survey.az1.qualtrics.com/jfe/form/SV_0oojyKYj2KqLgBD You can access the specific definitions for the data collection points here: https://higherlogicdownload.s3.amazonaws.com/NASN/3870c72d-fff9-4ed7833f-215de278d256/UploadedImages/PDFs/Research/2018_2019_Data_Points. pdf Please complete the survey by September 30, 2019, and feel free to contact me with any questions at denalhinkle@gmail.com Thank you, Dena Hinkle, MEd, RN, PEL-CSN

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September 2019

The National Association of Hispanic Nurses-Illinois Chapter attended the 44th Annual NAHN Conference in Reno this past July 2019. The conference was titled "A Climate of Change: Nurses Taking Action to Achieve Health Equity” and featured breakout sessions relevant to the Latinx Nurse. Several of our members were recognized for their efforts at the conference. Our Treasurer, Gloria E. Barrera, MSN, RN, PEL-CSN, was honored at the Gala and named this year’s recipient of the Henrietta Villaescusa Community Service Award for her distinguished community health practice and her commitment to improving child health outcomes, especially in our most vulnerable populations.

Though Gloria’s leadership role in school nursing and teaching, she is making a positive change in our Latinx communities. Our Past President, Dr. Liz Aquino, Ph.D., RN received recognition from Dr. Susan Hassmiller, Ph.D., RN during her keynote for moderating the Future of Nursing 2030 Town Hall Meeting in Illinois this past June that focused on social determinants of health.

Under our President’s leadership, Lupe Hernandez MSN, FNP-BC, we received the 2019 Viajero Award for being the largest chapter in the nation with the highest growth! Lastly, Susana Gonzalez MHA, MSN, RN, CNML received recognition as the Ambassador of the Year for supporting membership growth, and our member Edith B. Barnes received a United Health Group Foundation Scholarship. We are proud of our chapter’s recognition in fulfilling our mission and are excited to see what next year will bring. All are welcome to attend our next meeting on September 19, 2019, at St. Mary & Elizabeth Medical Center, RSVP online through our website https:// www.nahnillinois.org/.

The Nursing Voice

Illinois Nurses Lead the Way at the National Academy of Medicine Town Hall Meeting: Social Determinants of Health into Nursing Education, Research, and Practice, ChicagoJune 7, 2019

The National Academy of Medicine (NAM) Committee on the Future of Nursing 2020-2030 hosted the first of 3 town hall meetings at Malcolm X College on June 7, 2019. The NAM Committee is interested in nurses’ insights on how to advance the profession of nursing to help our nation create a culture of health, reduce health disparities, and improve the health and well-being of the U.S. population in the 21st century. The committee will examine the lessons learned from the Future of Nursing Campaign for Action as well as the current state of science and technology to inform their assessment of the capacity of the profession to meet the anticipated health and social care demands from 2020 to 2030. Each meeting features panel discussions around a specific topic, followed by limited public comment. Additional NAM information https://nam.edu/publications/thefuture-of-nursing-2020-2030/ The Illinois Healthcare Action Coalition (IHAC) provided outreach which maximized registration at Malcolm X College at 450 the week before the meeting

and had 2,000 signed up to listen by webcast. The IHAC co-leads: Illinois Nursing Workforce Center (INWC), Illinois Organization of Nurse Leaders (IONL) and ANAIllinois were well represented at the meeting: INWC Chair Dr. Kathy Delaney, Manager Linda B. Roberts; IONL President Dr. Jennifer Grenier; ANA-Illinois President Dan Frackowski, Vice-President Dr. Karen Egeness and EO Dr. Susan Swart. Other organizational leaders: ANA Board member Amanda Buechel; IACN President Dr. Judy Neubrander; IODN President Dr. Julie D’Agostino; NAHNIL President Lupe Hernandez, Past Presidents Dr. Liz Aquino and Susana Gonzalez; State Board of Nursing Chair Dr. Catherine Miller and Nursing Coordinator Michele Bromberg, and many, many others. The above picture is of some of the Illinois nurses in attendance on June 7.

The Illinois Nursing Workforce Center is a resource to find information on education options, workforce reports from data collected with biannual online re-licensure as well as continuing education and re-licensure resources. http://nursing.illinois.gov/Default.asp

THE LOGIC OF NURSING A Teaching-Learning Methodology Juanita Malonson Holliman, RN PhD A Philosophy and Theory of Teaching As Nurse Educators, we teach to change the world for the “Common Good.” Most systems of education in America are deeply rooted in time tested standards.

Nurse Educators are continually assessing students to insure that they will enter into the world fully educated in positive values and ideals, with a high degree of knowledge, skills, and abilities that one is expected to know and understand, upon completion of a course of any study to become a professional nurse.

Regulatory bodies, accrediting nursing programs, such as the National League for Nursing Accreditation Commission (NLNAC), State Boards of Nursing, the American Association of Colleges of Nursing (AACN), and the Higher Learning Commission (HLC) offers sound guidelines and established criteria, to program administrators and faculty, engaged in a host of activities related to course objectives, student learning outcomes, level objectives, and course content, level objectives, teacher qualifications, and overall, curricular designs, towards Implementing and ensuring the effectiveness of the curriculum. It is worth noting that the so-called vertical “curriculum strains” integrated within organizing frameworks in schools of Nursing include: Critical Thinking, Therapeutic Communication, Therapeutic Intervention, and Professional Roles. Each has to be defined in accordance with accrediting organizations.

Most importantly, faculty continue to strive to ensure that students have achieved learning outcomes across curriculum, across program levels, and the achievement of terminal program objectives. Thus, the search for wisdom and knowledge to answer the following Question: “How do I teach students, to use logic and reasoning as a technique to attain a through the grasp of content, while achieving intellectually deep, and lasting learning outcomes is forever in the minds of nursing instructors.

Socrates, one of the greatest educators of all times, challenged his students to think critically and to embrace the art of questioning everything.

Socrates viewed education, properly so-called, as a complex process requiring active disciplined engagement in learning. In his view, the only way students can learn important and meaningful ideas is by engaging their minds intellectually To move toward the accuracy and completeness of thinking that pushes students to critique point of views, by asking questions to draw out answers.

Sadly, Greek Philosophers who controlled academia at the time criticized his approach to teaching, and he was asked to change, of which he refused and was poisoned with hemlock. Instead, Socrates professed his commitment to teaching by adhering to the following quote: “The Unexamined Life Is Not Worth Living.” A simple interpretation is that life’s journey is an ongoing search for Meaning and truth and that search commands us, to take charge of our Thinking by REASONING through everything: subjects, content, ideas, Issues, research, relationships, love, trust…EVERYTHING

The Nursing Voice

September 2019

Page 13

IDFPR/Illinois Nursing Workforce Center and Illinois Board of Higher Education Nurse Educator Fellowship Program, Faculty Retention Survey FY2007-FY2019 Ninety six percent of the Illinois Nurse Educator Fellows responding to the survey are currently employed in nursing education; only 4% (or 4) are not. This program began in 2007 and has been funded for ten of the past thirteen years. A survey was conducted in April 2019, found 156 of the 189 Fellows, and 114 (or 73% of the 156) responded to the survey. This statistic indicates that this program is meeting its intended purpose, i.e., to help ensure the retention of well-qualified nursing faculty at Illinois institutions of higher education.

The purpose of the Nurse Educator Fellowship Program is to ensure the retention of well-qualified nursing faculty in pre-licensure RN programs offered by Illinois institutions of higher learning. This is a competitive program.

•

84% (or 96 of the 114 respondents) are employed by the school that nominated them; the remaining 18 (or 16%) answered as follows: o 6 teach at another Illinois nursing school (6 of the 114, or 5%) o 6 teach at an out-of-state nursing school (6 of the 114, or 5%) o 5 are retired (5 of the 114, or 4%) o 1 is other employment (1 of the 114, or <1%) 2 Pie Charts to illustrate employment in April 2019 (114 respondents)

Pie Chart to Illustrate Roles in Nursing Education (110 respondents)

The Nurses Political Action Committee (Nurses- PAC) makes sure Springfield gives them the resources to do that.

Help the Nurses-PAC, help YOU! So. . . . . . . if you think nurses need more visibility . . . . . . . . . if you think nurses united can speak more effectively in the political arena . . . . . . . . . if you think involvement in the political process is every citizen’s responsibility.

Become a Nurses-PAC contributor TODAY!

Nurse Educator Fellowship Program • Created by General Assembly in 2007 • To help address the on-going need for registered nurses in the workforce • To help established nursing schools in Illinois retain their highly qualified educators to train registered nurses. Challenges are the high number of faculty nearing retirement age and salary enticements by hospitals, clinics, and research facilities • Schools of nursing nominate educators for a $10,000 fellowship based on their contributions to the nursing program. Nominees are evaluated on a competitive basis. Board of Higher Education approves, in consultation with the IDFPR/Illinois Nursing Workforce Center. Amount of the appropriation determines number of fellowships to be awarded, 15-22 fellows per year • General assembly appropriates general revenue funds to fellowship program [$1,733,098, over 10 years or 2007-14 and 2018-19, fellowships not awarded in 2015-17; total of 189 fellowships awarded] • Fellowship funds are salary supplements that, at the discretion of the Fellow, may be used for expenses related to professional development, conference expenses, continued education, professional dues, and recognition meeting.

• Community colleges, public universities, and private, not-for-profits participate in program Illinois Nursing Workforce Center Survey (Division of Professional Regulation / IDFPR) • Conducted survey in April 2019, found 156 of the 189 fellows, and 114 (or 73% of the 156) responded to the survey.

• 96% (or 110 of the 114 respondents) of the fellows responding are currently employed in nursing education; only 4% (or 4) are not. The 96% identify in one of the following roles: o 65% (or 71) are employed as faculty o 29% (or 32) are working in dual arrangements as faculty and administrator o 6% (or 7) are now in administration

Nurses want to provide quality care for their patients.

❑

I wish to make my contribution via personal check (Make check payable to Nurses-PAC).

❑

I wish to make a monthly contribution to NursesPAC via my checking account. By signing this form, I authorize the charge of the specified amount payable to Nurses-PAC be withdrawn from my account on or after the 15th of each month.

(PLEASE INCLUDE A VOIDED CHECK WITH FORM)

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I wish to make my monthly Nurses-PAC contribution via credit card. By signing this form, I authorize the charge of the specified contribution to Nurses-PAC on or after the 15th of each month.

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I wish to make my annual lump sum Nurses-PAC contribution via a credit or debit card. By signing this form, I authorize ANA-Illinois to charge the specified contribution to Nurses-PAC via a ONE TIME credit/debit card charge.

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Mastercard ❑

VISA

________________________ ____________ _________ Credit card number Expires CVV  Signature:______________________________________ Date:__________________________________________ Printed Name:___________________________________ E-Mail:________________________________________ Address:_______________________________________ City, State, Zip Code:_____________________________ Preferred Phone Number:__________________________

The results of the survey show that the majority of fellows (excluding those that have retired) have remained at their nominating institution (81%).

Though the majority of respondents are in a tenure track position, some institutions do not offer tenure track, and a few were already tenured faculty. The respondents indicated that receipt of the fellowship funding supported activities such as attending a national or international meeting and presenting, publication, data collection, a sabbatical, NIH bootcamp, successful grant application, pay a statistician, and learn complex computer applications and simulation – “cutting edge” at the time. Respondents indicated that these accomplishments often supported their path towards tenure.

This information was gathered through an April 2019 survey conducted by the Illinois Nursing Workforce Center as requested by the Illinois Board of Higher Education. All FY19-FY14 fellows were located and surveyed about their current job and location. Seventytwo per cent of the FY13-FY07 fellows were located and surveyed about their current job and location.

Please mail completed form & check to: ANA-Illinois Atten: Nurses-PAC PO Box 636 Manteno, Illinois 60950

Illinois League for Nursing Fall Conference “Educating the Nurse for the 21st Century” Friday, October 11, 2019 Registration online and on site: https://www.illeaguefornursing.org/events College of Lake County Grayslake, IL Keynote Speaker: Mr. Bryan Wagner Hot Topics: LGBTQ Issues; Genomics and Nursing; Social Determinants of Health

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September 2019

The Nursing Voice

The 31st Annual National Black Nurses Day Celebration Honoring Nurses in Dialysis and Transplantation For the fourteenth year the National Black Nurses’ Day Committee celebrated their annual National Black Nurses Day at the Apostolic Faith Church, Chicago, Illinois. CCNBNA applauds Bishop Horace Smith, Jermaine Anderson CEO, Sister Geraldine Peacock, RN, Minister Ray McGee, Brother Patrick Green and the entire AFC Health Ministry for their ongoing support of this celebration. Dr. Sandra Webb-Booker, National Black Nurses Day (NBND) Planning Committee Chair was also the Mistress of Ceremonies.

A coalition of nurses’ associations sponsored the event: Chicago Chapter National Black Nurses Association, Alpha Eta Chapter of Chi Eta Phi Sorority, Inc, Beta Mu Chapter of Lambda Pi Alpha Sorority, Beta Alpha Undergraduate Chapter of Lambda Pi Alpha Sorority, and the Provident Hospital Nurses’ Alumni Association.

Dr. Yvonne Ruff opened the program with the song: “Lift Every Voice and Sing.”

A Member from Apostolic Health Ministry welcomes everyone to the 31st Annual Celebration.

“God Chose me to be one of his Miracles.” Morris knows that she has a story to tell and she is thankful to God for allowing her to do just that. Here is her story on February 23. 2016 her son’s 45th birthday, she was forced to stop at Elmhurst Hospital due to a cough and while there the doctor suspected a heart related issue. She was transferred to the University of Chicago Hospital where she was diagnosed with Congestive Heart Failure. The disease affects roughly 670.000 people each year. It is the leading cause of hospitalization in people older than 65. If left untreated, CHF can lead to heart attacks and death.

Reports show that the average heart patient waits at least six months for as donor, Morris received a matching heart in 27 days. During the time she waited for a new heart she was attached to the NuPulse CV pump, a device that provides long term support for those with advanced heart failure. She was the 4th person and the first women in the world to use the device, which was designed by Dr. Jeevanandam, her cardiologist. He is a professor and chief of cardiac surgery at the University of Chicago Medicine. On August 25, 2016 Dr. Jeevanandam led a team of doctors who, for five and half hours, carefully implanted the organ in Morris’ chest. Morris’s husband, the Rev. Frank Walton of Third Baptist Church in Beverly, stayed outside the operating room the entire time. Her son, John Morris was also there. She was discharged from the hospital on September 22, 2016, she had been in the hospital for 57 days. According to her she is a living walking miracle. Mrs. Pam Morris- Walton, encouraged the audience to be organ donors, she thanked Mario and his family for giving her a chance to live. Additionally, she thanked Jack Lynch and the Gift of Hope for the work that they do.

This is our future: undergraduate students from: Chicago State University, RN-BSN; CCC School of Nursing at Malcolm X, RN-ADN; Illinois Central College, RN-ADN; CAAN, Academy of Nursing, LPN; First Step to Excellence Healthcare Training Academy, LPN Guests at the Celebration: Jack Lynch, Gift of Hope Senior Advisor: “As I look around the audience my attention is drawn to the white coats”. He spoke directly to the nursing students. He told them to dream of those things that they only share with themselves. Mr. Lynch encouraged them to not let naysayers define what their lives should be. “Dream of becoming that director, running that unit. He told them to never get comfortable with what they had already achieved and that they could go so much further if they believed in themselves. He spoke of the great work that he and Kevin Cmunt, President/ CEO were doing as part of the Gift of Hope organ and Tissue Donor Network.

Keynote Speaker: Pam Morris-Walton, WVON 1390 Gospel Radio Announcer and Heart Transplant Recipient.

Nursing Program Coordinator Rock Valley College is seeking a Nursing Program Coordinator.

This is a newly created position which is responsible for the overall administration, organization, direction, and continuous improvement of the Registered Nursing Program. Maintain program accreditation through the Accreditation Commission for Education in Nursing (ACEN) and State program standards, as well as approval through the Illinois Department of Professional Regulations (IDFPR).

Please visit: https://www.applitrack.com/rvc/onlineapp/default.aspx for a complete job description and to apply.

National Black Nurses Day Planning Committee: (LR): Toni Oats, RN, President Alpha Eta Chapter- Chi Eta Phi Sorority; Dr. Sandra Webb-Booker, CCNBNA, Mistress of Ceremonies; Ellen Durant, MS, RN CCNBNA President; Rev Patricia Price, RN, President Beta Mu Chapter of Lambda Pi Alpha Sorority; Louise Hoskins Broadnax, RN, President Provident Hospital Nurses Alumni Association; Jackie Smith, RN , Chi Eta Phi Sorority, Carolyn Rimmer-Owens, RN, CCNBNA.: Rev. Evelyn Collier Dixon, RN, CCNBNA ( delivered the opening and closing prayer), Mr. Ronald Campbell, RN,CCNBNA, and Marilynn Parker, RN. Lambda Pi Alpha Sorority

L-R: Honorees: J. Kevin Cmunt, President/ CEO Gift of Hope; M. Carmel Menard, RN – Transplantation; Cadeisha Payne, RN – Dialysis; Guest Speaker: Pam Morris-Walton; Brian Fondren DNP, RN – Transplantation; Sharice Metcalf, RN – Dialysis; Maurice Muse RN – Dialysis.

L-R: NAHN-IL President-Elect: Lupe Hernandez, MSN, RNP-BC; President Elizabeth Aquino, PhD, RN; Linda B. Roberts, MSN, RN-Illinois Nursing workforce Center; Susana Gonzalez, MSN, MHA, CNML, RN, NAHN-IL Past President: Ellen Durant, MSN, CCNBNA President, and Lori Rincon, Student ,CCNBNA. The National Black Nurses Day was proclaimed February 3, 1989 by US Representative Charles Rangel, to applaud black health care practitioners.” February is the month that we have set aside to honor the contributions made by black Americans to this country, therefore it is fitting that black nurses be recognized and honored for their outstanding contribution to our community and country “.

Submitted by, Carolyn Rimmer-Owens BSN, RN Public Relations Chair for NBND Committee and Linda B. Roberts, MSN, RN-Illinois Nursing workforce Center.

For additional information please contact us at http:// chicagochapternbna.org

The Nursing Voice

September 2019

Page 15

SNAI UPDATE Over the summer the Student Nurses Association of Illinois (SNAI) have been preparing for the 70th annual conference, The Nursing Journey: “Difficult roads lead to beautiful destinations,” on October 5th, 2019 in Springfield Illinois. The conference will be held at Memorial Hospital. We are also encouraging students and any other NSNA members to join us in bringing toiletry items to donate to those in need at the homeless shelter. In addition to bringing the toiletries, we will have a competition of what school or affiliation will bring the most items for a chance to be recognized and receive a certificate. There will also be a chance to meet future employers, learn more about associations, win raffle items, and a chance to win a scholarship! There will also be an NCLEX review during the conference. We are encouraging young students from high school to faculty members to join us for this event more information feel free to contact breakthrough2nursing@snaillinois.com or visit our website at snaillinois.com for more information and a chance to apply to scholarships.

The Illinois Association of School Nurses welcomes all nurses who work in schools and other related settings to their upcoming Annual Conference themed “New Trends in School Nursing Changing Practices to Meet our Students’ Needs.” Join school nurses from Illinois and beyond on October 25th and 26th at the NIU Center in Hoffman Estates to learn, connect, and be inspired! IASN has curated a CNE rich program that addresses the many challenges school nurses face in their practice in order to help school nurses improve student health outcomes and build their network with other nurses who share their compassion and commitment. Elevate your practice with fresh content, innovative technology, new practice guidelines, research, and networking opportunities by registering in this two-day opportunity for learning. Additionally, you will not want to miss the opportunity to hear nationally renowned keynote speaker Katie Duke and other experts, colleagues and peers as they deliver sessions in a variety of formats to fit your learning style. Visit our website www.iasn.org or the event site at http://bit.ly/ IASN2019Conference for registration details. We hope to see you at the conference!

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IN MEMORY Roberta Ann Fruth, Ph.D., RN, FAAN, longtime ANA, and ANA-Illinois member passed away on June 12, 2019. The Illinois Organization of Nursing Leaders described Dr. Fruth, a past president, as a fierce feminist warrior, passionate writer, lover of laughter and song, lifelong student, mentor, activist, and nurse extraordinaire. Dr. Fruth earned her degrees at Belleville Area College (ADN), St. Louis University (BSN), Rush University (MSN), the University of Illinois at Chicago (Ph.D.), and once again the University of Illinois at Chicago (MSPSL). Education became a guiding tenet of her life. The other was her lifelong passion for nursing and patient care. Until her last days, she was still working to help improve the quality of patient care and safety where she could.

She had extensive experience as a nurse executive and served as chief nursing officer at Presence St. Joseph Hospital in Chicago. As an educator, she held faculty appointments at Rush University, Chicago, and the University of St. Francis, Joliet, Illinois. Dr. Fruth was elected to the world’s largest specialty nursing organization’s national board of directors, the American Association of Critical Care Nurses (AACN) and served from 1993-1996. Dr. Fruth was a fellow of the Johnson & Johnson Wharton Nurse Executive Program, Philadelphia, and was inducted into the American Academy of Nursing in 2007.

Her nursing influence was extended internationally through her work at Joint Commission Resources. Dr. Fruth traveled the world over from Canada and Chile to Saudi Arabia and Singapore. Her contributions to the nursing profession are innumerable, and her presence will be greatly missed by her nursing colleagues and friends.

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Page 16

September 2019

The Nursing Voice

CONTINUING EDUCATION OFFERING Human Trafficking Pam Di Vito-Thomas, PhD, RN, CNE

Objectives: 1. Describe the status of human trafficking in the U.S and Globally.

2. Identify the role of the health care provider in addressing human trafficking.

3. Discuss caring as compassion through assessment and intervention of human trafficking victims.

The Status of Human Trafficking in the U.S and Globally The clandestine plague of human trafficking (HT) has spread throughout the U.S. Although; there is no official estimate of the total number of human trafficking victims in the U.S. estimates reach into the hundreds of thousands when numbers are aggregated for both adults and minors, sex, and labor trafficking (Polaris). Globally, HT is believed to be the third-largest international crime industry behind illegal drugs and arms. HT generates profits ranging in $32 billion every year, with $15.5 billion made in industrialized countries (DoSomething.org).

The magnitude of HT obligates the interagency level as it involves both U.S. citizens and foreigners alike with no demographic restrictions (FBI).

HT is a form of human slavery which involves forced labor, domestic servitude, and commercial sex trafficking. The US Department of State defines HT as the recruitment, harboring, transportation, provision, or obtaining of a person for labor or services through the use of force, fraud, or coercion for the purpose of subjection to involuntary servitude, peonage, debt bondage, or slavery. Importantly, the health, safety, and security of HT victims is directly impacted by these atrocities directly undermining and inflicting numerous physical, psychological, and spiritual health problems.

Current trends project that there will continue to be an increase in the numbers of persons trafficked into the U.S. from Mexico, East Asia, South Asia, Central America, Africa, and Europe. The common ways that girls and women become victims of trafficking include: abduction, meet traffickers advertising modeling jobs, promises of marriage, education, employment, responding to ads to work or study abroad, sold to traffickers by parents or significant others, or for a better life. Scenarios that hold victims captive and unable to walk away involve debt bondage, control of the victim’s money, and confiscation of passports, visas, and identifying documents. Also, victims are moved from place to place to prevent the likelihood of the victims being recognized and blocking the formation of relationships. https://www.ncbi.nlm.nih. gov/pmc/articles/PMC3125713/

The Role of the Health Care Provider in addressing Human Trafficking An estimated 88 % of HT victims are seen by health care providers who are uniquely positioned to provide physical and psychological care during and after captivity.

In June 2018, the Joint Commission (TJC) released Quick Safety Issue 42 on identifying human trafficking victims to dispel “the misconceptions and a lack of awareness that have caused many providers to “inadvertently send victims back to their captors;” “Human trafficking is modern-day slavery and a public health issue that impacts individuals, families, and communities,”…“The alert provides health care professionals with tips to recognize the signs of human trafficking, including a patient’s poor mental and physical health, abnormal behavior, and inability to speak for himself/herself due to a third party insisting on being present and/or interpreting” (September 2018).

The National Human Trafficking Resource Center’s method of screening should be used to help increase the degree at which patient victims are identified within the health care setting (https://www.acf.hhs.gov/ sites/default/files/orr/fact_sheet_national_human_ trafficking_resource_center.pdf); (Kiernan, 2018). Some of the health problems encountered by the victims of HT are incurred as a result from deprivation of food and sleep, extreme stress, hazards of travel, violence (physical and sexual), and hazardous work. By the time victims reach a health care provider it is likely that health problems are well advanced due to 1) lack of access to health services and 2) non-identification with HT making the victims difficult to recognize and treat.

Primarily, women are at high risk for acquiring multiple sexually transmitted infections and the sequelae of multiple forced and unsafe abortions. Physical abuse and torture can result in broken bones, contusions, dental problems (e.g., loss of teeth), and/or cigarette burns. Also, psychological violence results in high rates of posttraumatic stress disorder, depression, suicidal ideation, drug addiction, and a multitude of somatic symptoms. The victims of HT are known to be less stable, more isolated, have higher levels of fear, more severe trauma, and greater mental health needs than other victims.

A Case Study A 2nd generation Italian teenage girl lived in a blended family with a sister who was 8 years older, and a brother who was three years old. Neither her mother or stepfather, were keeping track of her coming and going due to

their heavy work schedules. In the early fall of her junior year in high school, a handsome man began to follow her to and from school, smiling and offering her a ride. And, on one chilly rainy day, she accepted the ride not knowing the real identity of the driver. Once in the car, the driver grabber her arm and said, “you will go with me and do as I say, or I will burn your house down with everyone in it!” The female was paralyzed by fear, and never did get to high school that morning, her family was panicked.

Hours passed into days, then months, and then years but their searching to find her was to no avail. And, within a period of five years in a place far from her home, the girl had developed migraines, severe weight loss, three forced abortions, a substance abuse disorder, STD, a lack of an emotional response, and a polyvagal reaction from stress.

She felt that she had evaporated and disappeared from life. She cried, …and cried… and one night she managed to escape catapulting herself with all her might onto an open car on a passing freight train. Three days later her half-clothed weakened body was discovered by rail way workers during their rounds in a dirty open freight car.

The workers removed her from the freight car, and carried her to the local clinic in the bed of a pick-up truck. When arriving at the clinic, the workers laid her on a stretcher in the doorway, and left. Soon, a nurse gently and nonjudgingly approached the frail girl deposited on the stretcher who was coiled in a fetal position…

The role of the health care provider in addressing human trafficking is in a comprehensive systems assessment, screening, and developing a person-centered plan of care. In addition, referrals and interagency interventions are needed to be integrated into the plan of care in order to begin the long-journey ahead to hope and healing for the HT victim (See Systems Assessment, Screening questions, and (https://www.acf.hhs.gov/ sites/default/files/orr/fact_sheet_national_human_ trafficking_resource_center.pdf).

Caring as Compassion Through Assessment of Human Trafficking Victims Systems Assessment o

Neurological conditions – traumatic brain injury, headaches or migraines, unexplained memory loss, vertigo of unknown etiology, insomnia, difficulty concentrating

o

Cardiovascular/Respiratory conditions-arrhythmia, high blood pressure, acute respiratory distress Lee (exacerbated by stress),

o

Gastrointestinal conditions –irritable bowel syndrome (exacerbated by stress), dental decay

The Nursing Voice

September 2019

o

Dietary health problems – severe weight loss, malnutrition, loss of appetite

o

Reproductive health issues – sexually transmitted infections, pelvic pain\inflammation, genitourinary issues, repeated unwanted pregnancy, no prenatal care, forced abortions, genital or oral trauma, sexual dysfunction, retained foreign body, hormone therapy not under care provider for transgender patients

o

Substance abuse disorder-alcohol, drugs (prescription and/or street), recently increased drug use

o

Other physical health issues- communicable diseases (tuberculosis, hepatitis)

o

Mental health issues – depression, anxiety, withdrawal, fear, hostility, self-harm\manipulation, lack of emotional response, hypervigilance, memory loss, disassociation, extreme timidity, guilt, suicide ideation or attempts

https://humantraffickinghotline.org/sites/default/ files/Comprehensive%20Trafficking%20Assessment.pdf National Human Trafficking House (2016) & U.S. DOS (2017) Labor Trafficking Assessment o

Abused at work or threatened with harm by supervisor

o

Not allowed adequate break time, food or water

o

Not provided equipment

o

Required to work in different areas than currently working

o

Required to live in housing provided by employer

o

Debt to employer or recruiter that he/or she cannot pay off

o

Not being paid, wages withheld, someone takes all/part of earnings

adequate

personal

protective

Sex Trafficking Assessment

in America lives the healthiest life possible” (LavizzoMourey, 2015, para.2). Frontline nurses, interdisciplinary healthcare providers, and interagency organization members can lead the nation in the identification, assessment, and intervention of health needs, and planning protocols for victims of HT (Dovydaitis, 2010; Lee, 2018). Together, with rapid assessment and intervention of HT victims we can break the chains of HT and join voices with the proclamation from the 2018 Report Secretary of State; This year’s report focuses on effective ways local communities can address human trafficking proactively and on how national governments can support and empower them. Local communities are the most affected by this abhorrent crime and are also the first line of defense against human trafficking. By engaging and training law enforcement, religious leaders, teachers, tribal elders, business executives, and communities, we become more vigilant and learn to identify and address vulnerabilities swiftly. Proactive community-driven measures strengthen our ability to protect our most vulnerable and weaken a criminal’s ability to infiltrate, recruit, and exploit. I have experienced firsthand that individuals closest to a problem are often the best resource to solving it, which is why the Department prioritizes equipping and empowering front-line civil society leaders. "Modern slavery has no place in the world, and I intend to ensure, through diplomatic engagement and increased action, that the United States government’s leadership in combating this global threat is sustained in the years to come." – Secretary of State Michael R. Pompeo References Dovydaitis, T. (2010). Human Trafficking: The Role of the Health Care Provider. J Midwifery Womens Health, 55(5):462-467.

DoSomething.org ht tps://ucr.fbi.gov/crime-in-the-u.s/2017/crime-in-theu.s.-2017/additional-dataGuidance on spotting possible victims of human trafficking; http://www.hospitalsafetycenter.com/content/331749/topic/ ws_hsc_hsc.html https://www.greenwichtime.com/opinion/article/Mary-Lee-AKiernan-op-ed-Human-trafficking-in-12476037.php

o

Person is under the age of 18 and involved in the sex industry

o

Tattoos or other forms of branding, “Daddy,” “Property,” “ For Sale,” –having sexual innuendos

o

Reports of unusually high number of sexual partners

Lavizzo-Mourey, R. (2015). Joint statement on the institute of Medicine’s progress report on the Future of Nursing.

Retrieved from https://www.rwjf.org/en/library/articlesand-news/2015/12/statement-on-nursing-report.html

o

Does not have appropriate clothing for the weather or venue

https://inpublicsafety.com/2014/07/know-the-language-ofhuman-trafficking-a- glossary-of-sex-trafficking-terms/

o

Uses language common in the commercial sex industry

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3125713/

ht tps://inpublicsafet y.com/2014/07/know-thelanguage- of-human-traf ficking-a-glossar y- of-sextrafficking-terms/ Intervention; Screening Questions 1. Can you leave your job or work situation?

2. Is your communication monitored- or minded

ever

restricted

or

3. Are you provided with protective equipment at work (gloves, glasses, masks, helmets)?

4. Are you able to access medical care?

5. Are you allowed to leave the place where you are living/working? Under what conditions?

6. Is your movement outside of your residence/ workplace monitored or controlled?

7.

What do you think would happen if you left the situation?

8. Do you feel it is your only options to stay in the situation?

9. Were you physically abused (shoved, slapped scratched, punched, burned, etc.) by anyone?

10. Are you ever sexually abused (sexual assault, unwanted touching, exploitation) by anyone?

11. Sometimes people trade sex for things they need to survive. Is this happening to you?

12. Has anyone medications?

introduced

you

to

drugs

or

13. Has anyone forced you to do something physically or sexually that you did not feel comfortable doing?

Nurses are “a critical linchpin in building bridges among healthcare, the community, and social supports needed to create a Culture of Health -so that everyone

Leslie, J. (2018). Human Trafficking: Clinical Assessment Guideline. http://WWW.JOURNALOFTRAUMANURSING. COM 25 (5) 282.

National Human Trafficking House (2016) & U.S. DOS (2017) Secretary of State Michael R. Pompeo https://www.state. gov/j/tip/rls/tiprpt/2018/282570.htm https://polarisproject.org/

Page 17

CE Offering 1.0 Contact Hours This offering expires in 2 years: May 15, 2021 Learner Outcome: 80% of those reading the article and completing the post-test will self-report increased knowledge in the assessment/intervention of Human Trafficking victims.

HOW TO EARN CONTINUING EDUCATION CREDIT This course is 1.0 Contact Hours 1. Read the Continuing Education Article 2. Go to https://www.surveymonkey.com/r/ HumanTrafficking22329 to complete the test and evaluation. This link is also available on the INF website www.illinoisnurses.foundation under programs.

3. Submit payment online.

4. After the test is graded, the CE certificate will be emailed to you.

HARD COPY TEST MAY BE DOWNLOADED via the INF website www.illinoisnurses.foundation under programs DEADLINE TEST AND EVALUATION MUST BE COMPLETED BY May 14, 2021 Complete online payment of processing fee as follows: ANA-Illinois members- $8.00 Nonmembers- $15.00 ACHIEVEMENT To earn 1.0 contact hours of continuing education, you must achieve a score of 80% If you do not pass the test, you may take it again at no additional charge.

Certificates indicating successful completion of this offering will be emailed to you.

The planners and faculty have declared no conflict of interest.

ACCREDITATION This continuing nursing education activity was approved by the Ohio Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation. (OBN-001-91) CE quiz, evaluation, and payment are available online at https://www.surveymonkey.com/r/ HumanTrafficking22329 or via the INF website www.illinoisnurses.foundation under programs.

Page 18

September 2019

The Nursing Voice

IONL’s Annual Conference Explores the Changing Face of Leadership Join the Illinois Organization of Nurse Leaders for their Annual Conference, held September 19-20 at the DoubleTree by Hilton Chicago in Oak Brook, Illinois. Over two days of exploring the theme, “The Changing Face of Leadership” expert presenters from around the world of healthcare will share their expertise on Leadership Engagement, Care Coordination Strategies, Community Health Initiative Case Studies, and more!

The conference will also feature an opening keynote presentation from Cynthia Clark, Ph.D., RN, ANEF, FAAN on fostering healthy work environments as well as a closing keynote from Anton Gunn, MSW, CDM, CS on increasing your impact as a leader.

Before the conference, IONL will be holding three full-day workshops. The Aspiring Nurse Leader Workshop, designed for staff nurses, charge nurses, nurse coordinators, nurse managers, and directors, will help those who aspire to achieve greater heights in their career. The Midwest Institute for Healthcare Leadership Workshop, geared toward managers and directors, will teach essential business techniques and demonstrate how to apply them to the healthcare field in Illinois. Finally, the Finance Workshop, designed for staff nurses, charge nurses, nurse coordinators, nurse managers, and directors, offers a perfect course for those who want to learn more about specific financial topics related to nursing administration. All workshops take place on September 18 at the conference hotel.

Register today at ionl.org/conferences and take the next step in your career as we move towards creating a more fulfilling and diverse workplace for all healthcare workers.

Primary care settings are often the de facto mental health provider for many Illinois children and their families. One of every five children, ages nine to seventeen, have a diagnosable mental health problem. There is a good chance as a nurse, you or one of your colleagues, see these children in your practice. So how do you manage this when the physical symptoms do not measure up, and the clock is ticking against you with a packed waiting room?

Enter Illinois DocAssist, a virtual psychiatric consultancy based at the University of Illinois-Chicago (UIC), which provides free, telephonic mental health case consultations, workshops, webinars, tools, and resources to support primary care providers, who find themselves working in areas of great need, but outside their areas of expertise.

As primary care providers know, 20-30% of children in primary care settings have behavioral/emotional problems that impair their function, but they do not meet criteria for any disorder. Although children are the identified patients, intervention often needs to be directed at the underlying issues rather than the child’s behavioral or emotional state. Additionally, 15-30% of women experience depression, anxiety, post-traumatic stress disorder of obsessive-compulsive disorder during pregnancy or postpartum; yet only half of these women are identified with a perinatal mental health disorder.

Across the state of Illinois, nurses, family practitioners, pediatricians, and other health care providers depend on Illinois DocAssist to help sort through complicated mental health issues beyond the immediate scope of their expertise. Using a collaborative care approach, DocAssist consultants-composed of child psychiatrists and social workers-provide education and information on medications, diagnosis, screening tools, effective interventions, and treatment planning. Healthcare providers who treat children, adolescents, and perinatal women in the state of Illinois have access to speak directly with an Illinois DocAssist psychiatric consultant during normal business hours. DocAssist provides real-time research, support, and expertise that can enhance and amplify what a nurse or other clinician is able to do by working with children and adolescent patients, and their perinatal mothers.

DocAssist provides resources and coaching that can inform a provider’s next move in behavioral and mental health situations. However, most importantly, DocAssist supports primary care providers and lets them know they are not alone. If you have any mental health-related questions, concerns, or a need for guidance contact Illinois DocAssist Monday through Friday 9am-5pm at 866-986-2778. Visit the Illinois DocAssist website for more information, resources or to schedule a consultation at docassistillinois.org.

About Illinois DocAssist Our mission is to help primary care clinicians screen, diagnose, and treat the mental health and substance use problems of children, adolescents, and perinatal women through consultation, training and referral assistance.

GIC HIMSS Scholarship Announcement The Greater Illinois Chapter of the Health Information Management Systems Society (GIC HIMSS) would like to invite those currently enrolled in a higher education program with a focus in Health Information Technology (HIT) to apply for its annual scholarship. GIC HIMSS will award scholarships to two students in the amount of $2500 each, one at the undergraduate level and the other at the graduate level. In addition to the scholarship, winners also receive a free membership to the GIC HIMSS Chapter. As part of its mission to assist and promote education, GIC HIMSS has awarded over $30,000 in scholarship to support those within the HIT industry. To learn more about GIC HIMSS and our Scholarship, visit us at www.greaterillinois.himsschapter.org. For direct inquires about the scholarship, email Aaron at Aaron@gichimss.org Chad Carroll DNP, MS, RN Board Member, Professional Development Director Greater IL Chapter of HIMSS Chad@gichimss.org www.GICHIMSS.org

Editorial Judy Neubrander, Dean MCN June 2019 Recently, the Academies of Medicine hosted a town hall meeting on “The Future of Nursing” at Malcolm X College in Chicago. I was awed by the attendance at this historic event.

The meeting featured nurse leaders and other professionals who focused on integrating social determinates of health into nursing education, research, and practice. Many of the presentations featured innovative and future-forward practices and research. These presentations, orchestrated by the committee formed by the Robert Wood Johnson Foundation and led by the Academies of Medicine, were thoughtful and addressed important needs in our country and our nursing profession.

I passionately believe that these town hall meetings are yet another in a series of events that should challenge and inspire us as nurses to take the lead in creating the future of nursing for the state of Illinois. The nursing profession in our state, like much of the country, sits at a fork in the road. In addition to the information that the Committee shared with us, we need to look at nursing in Illinois and assess: • What is our future?

• Where do we want to go?

• How can we, as nurses, take the lead in shaping the future of health care and nursing?

It is time that we rise up and lead—we must not let others lead for us. Nursing, not legislators, college presidents, healthcare administrators, or other

healthcare providers, must be the ones determining the future of nursing. We need to come together, talk, and engage in respectful and thoughtful conversation about the future. We should invest time, energy, and resources into creating a bright new world for the young nurses who follow in our footsteps.

We have major issues facing us now and into the future. Issues like: • The nursing shortage in rural areas and certain practice settings • Nursing faculty shortage • Patient/nurse ratios • Education/Practice gap • Nursing education – levels and outcomes, standardized curriculum • Nursing compact I look forward to watching the next two town hall meetings to see what other issues the Committee chooses to highlight. But, for the State of Illinois, my call to action is this: We must create a planning committee of nurses to talk about the issues facing Illinois.

While many of these issues will be the same ones that the nation is facing, some may not. It is critical that we develop a plan for engaging the nurses of Illinois in dialog about the issues facing nursing and to plan the future of nursing for Illinois.

The state of Illinois, the time is now my friends! There is no longer time to wait or waste.

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“Public Health” vs. “Population Health” in the Contemporary Healthcare Lexicon Ellen Durant, MS, BS, RN (Retired), President Chicago Chapter National Black Nurses Association The term population health is much more widely used now than in 2003 when it was first introduced. (Kundig, D., 2015.)

Compared with the conventional term, public health, the term population health is concerned with both the definition of measurement of health outcomes and the pattern of such healthcare determinants. It incorporates “medical care, public health interventions, genetics, and individual behavior, along with components of the social (e.g., income, education, employment, culture) and physical (e.g., urban design, clean air, water) environments” (Falk, L.D., N.D.). Rather, public health is concerned more broadly with what “we as a society do collectively to assure the conditions in which people can be healthy” (Institute of Medicine, 1988).” Clearly, as illustrated by these contrasting points, public health and population health are not the same.

According to the Center for Disease Control, Public health is “the science of protecting and improving the health of families and communities through the promotion of healthy lifestyles, research for disease and injury prevention and detection and control of infectious diseases. Overall, public health is concerned with protecting the health of entire populations. These populations can be as small as a local neighborhood, or as big as an entire country or region of the world.” (Center for Disease Control, 2017).

As a retired community health nurse, it is interesting to observe that due to many recent policy changes in healthcare (changes brought on for the most part by an increasingly strong influence of politics on the healthcare industry), a new “buzz” term, “population health management,” has been coined by the political and healthcare “powers that be.” Rationale, ostensibly justifying these changes, has been variously argued as 1) providing greater access to healthcare for all segments of the population, and/or 2) improving the quality of healthcare services, while 3) lowering the cost of healthcare delivery.

To better understand the term and the relevancies of these points, it is necessary to consider the prevailing definition of population health. It is defined by industry researchers as being “a cohesive, integrated, and comprehensive approach to health care that considers the distribution of health outcomes within a population, the health determinants that influence the distribution of care, and the policies and interventions that impact and are impacted by the determinants” (Nash, D.B., et al., 2016, p. 4).

Essentially, what this means is that specific health outcomes have been identified and associated with specific segments of the population. Outcomes may be

achieved through the proper management, namely, the distribution, of outcome determinants, i.e., outcome determining factors such as healthcare interventions.

These include professionally prescribed interventions, such as professionally managed treatment therapies and pharmaceutical prescriptions, and of late self-care interventions, such as behavioral change strategies and other self-managed treatment strategies.

For example, the utility of self-care interventions relating to the diabetic population shows that these interventions may be easily achieved by teaching members of this population to become involved with their medical/healthcare providers in identifying care strategies for implementation, then effectively managing these strategies themselves. Clearly, the overall diabetic population, as well as the public, in general, will benefit from the effective management of diabetic self-care strategies; it will help to reduce the demand for followup care through greater compliance with healthpromoting behaviors and reduce their healthcare risks through ongoing communications with their primary care providers.

Similarly, as related to behavior change strategies, it is relatively easy to see that population health outcomes can be achieved by patients who modify interventions such as physical and mental determinants, and habitual and cultural considerations, that may affect their behavior.

When paired with usual health care and reinforced through an inter-disciplinary approach and implemented by non-physicians who will educate patients, support them, provide follow-up, and evaluate the efficacy of efforts health outcomes may improve.

In the end, whether it has more utility than the term public health, or not, the term population health certainly provides a more discernable scientific, thus empirical, basis for addressing specific healthcare issues by population; and, on this basis, it is a more precise term and, clearly, a 21st Century healthcare term that is here to stay.

References Center for Disease Control (CDC). What is public health?

Retrieved from https://www.cdcfoundation.org/content/ what-public-health Falk, L.D. (N.D.). What is Population Health and How Does It Compare to Public Health? Retrieved 06/05/2017 from https://www.healthcatalyst.com/what-is-population-health/ Institute of Medicine (1988). The Future of the Public’s Health in the 21st Century. Retrieved 06/05/2017 from https://www. ncbi.nlm.nih.gov/books/NBK221233/ Kindig, D. (2015). What Are We Talking About Population Health.

Retrieved from http://healthaffairs.org/ blog/2015/04/06/what-are-we-talking-about-when-we-talkabout-population-health/ Nash, D. B., Fabius, R. J., Skoufalos, A., Clarke, J. L., & Horowitz, M. R. (2016). Population health: Creating a culture of wellness (2nd ed.). Burlington, MA: Jones and Bartlett.

Harper College and DePaul University to Launch Master’s Degree in Nursing DePaul University will launch a new Registered Nurse to Master of Science in Nursing program this fall at the University Center at Harper College in Palatine, making it the first master’s degree to be offered at Harper’s campus.

Current RNs with an associate degree will be able to move directly into DePaul’s highly regarded and innovative graduate program in nursing. Students will first complete a Bachelor of Science in Nursing degree and then choose one of three professional tracks at the master’s level: family nurse practitioner, adultgerontology nurse practitioner or nurse educator.

“This initiative will help associate degree nursing students move into high-demand positions of leadership, teaching, advanced practice and research roles,” said Julie D’Agostino, director of nursing at Harper.

The program will be offered in a hybrid model, with one course per term at the University Center and one offered online. This format allows working nurses the flexibility they need to balance the demands of work, home, and school. The program takes three to four years depending on the track.

The decision to offer an RN to MS program stemmed from the shared commitment to ensuring that nursing professionals have the opportunity to achieve their optimal career progression with advanced degree credentials.

For more information, visit harpercollege.edu/university.

Each generation has its heroes. We grow up hearing stories of superheroes – the caped crusaders who leap tall buildings and use their powers in extraordinary feats.

Heroes make things look easy.

Nurses are some of the hardest working individuals in the healthcare industry. They are the so-called unsung heroes, the angels among us, and they deserve to be celebrated.

But sometimes it is the normalcy of a person that makes them special - makes them a hero.

Nurses have the most interesting stories - they witness pain and heartache on a daily basis - Nurses make the world a better place.

The Honor a Nurse/Nurse of the Year award is a program that gives friends, family and colleagues a way to share the story of a nurse who has made a difference.

Donate and honor a nurse who has inspired you, mentored you, fought for the advancement of the profession, stood by you, or who deserves recognition for their commitment to their patients and the work nurses do every day.

With a donation of at least $25 – the Honoree will be listed on the INF website, in the December issue of the Nursing Voice and will also be entered as a nominee for the “Nurse of the Year” award* which will be awarded during the Illinois Nurses Foundation December Holiday event. *Donor must submit story about honoree to be eligible for the Illinois Nurse of the Year.

In Honor donations can be made on the Illinois Nurses Foundation website www.illinoisnurses.foundation and at https://ilnursesfoundation.wufoo.com/forms/honor-anurse/

To access electronic copies of the Illinois Nursing Voice, please visit http://www.nursingald.com/publications

Learn more at ucnursing.online

The Nursing Voice

September 2019

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September 2019

The Nursing Voice