Texas Nursing 2024 Issue 3

texa s nu r s e s .o rg

TEXASNURSING M A G A Z I N E 2024

OF TEXAS NURSING

HONOREES: Dr. Jennifer D. Cook, Dr. Kathleen Stevens Hamilton, Dr. Myrna Armstrong, Kathy A. Thomas, and Dr. Eloisa G. Tamez

T N A : E m p o w e r i n g Te x a s N u r s e s t o a d v a n c e t h e p r o f e s s i o n | I s s u e 3 , 2 0 2 4

ISSUE 3, 2024 Volume 98, Number 3 EDITOR IN CHIEF: Serena Bumpus, DNP, RN, NEA-BC MANAGING EDITOR: Darrick Nicholas COPY EDITORS: Natalie Hill, Gabi Nintunze

BOARD OF DIRECTORS OFFICERS: Amy McCarthy, DNP, RNC-MNN, NE-BC, CENP, President Joyce Batcheller DNP, RN, NEA-BC, FAONL, FAAN, Past President Gloria Lorea, DNP, RN, NEA-BC, Treasurer

4807 Spicewood Springs Rd., Bldg 3, Suite 100, Austin, TX 78759-8444 P: 800.TNA.2022 or 512.452.0645; F: 512.452.0648 tna@texasnurses.org | texasnurses.org

MISSION

Missam Merchant, MBA, BSN, RN, CENP, CCRN-K, PCCN, CV-BC, GERO-BC, MEDSURG-BC, NE-BC, Secretary DIRECTORS: Kit Bredimus, DNP, RN, CNML, NE-BC, CENP, NEA-BC, FACHE, FAONL, FNAP

Empowering Texas Nurses to advance the profession

Lucindra Campbell-Law Ph.D., APRN, ANP, PMHCNS, BC Patricia “Pat” Francis-Johnson DNP, RN, CDP – Lubbock Edtrina Moss, Ph.D., RN, NE-BC, AMB-BC, LSSGB Mary Vitullo, MBA, MSN, RN, CV-BC, PCCN, NE-BC, CLSSBB

VISION Nurses transforming health TEXAS NURSING (ISSN 0095-36X) is published quarterly— Winter, Spring, Summer, Fall—by the Texas Nurses Association, 4807 Spicewood Springs Rd., Bldg. 3, Suite 100, Austin, TX 78759-8444 Periodical postage is paid in Austin, Texas.

One-year subscriptions: $30 (nursing schools, libraries, hospitals, non-nurses, out-of-state nurses), foreign $35; single copy $3.00.

Subscription is not available to non-member Texas nurses.

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TEXAS NURSING is indexed in The Cumulative Index to Nursing and Allied Health Literature and in the International Nursing Index.

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Statements of fact and opinion are made on the responsibility of the authors alone and do not imply an opinion on the part of the officers or the membership of TNA. POSTMASTER Send address changes to TEXAS NURSING, 4807 Spicewood Springs Rd., Bldg. 3, Suite 100, Austin, TX 78759-8444.

ARE YOU MOVING? Need to change your address? If so, provide it quickly and easily in the Members Only section of the TNA website, texasnurses.org.

Or mail your new address—at least six weeks prior to your move— to Texas Nurses Association headquarters. We’ll make sure your TEXAS NURSING makes the move with you.

LVN REPRESENTATIVE Adam Ramirez, LVN, WCN-C, IV-C CHIEF EXECUTIVE OFFICER: Serena Bumpus, DNP, RN, NEA-BC

TNA DISTRICT PRESIDENTS Dist. 1:

Sarah Yvonne Jimenez, PhD, RN, syspellings@gmail.com

Dist. 3:

Christopher Rougeux, MSN, RN, NEA-BC, crougeux99@gmail.com; District office: Jamie R. Rivera, JamieRivera@texashealth.org

Dist. 4:

Robert Castillo D.N.P., M.H.A., RN, CCRN, R.T.(R)(T)(ARRT), tnad4.nursingnetwork.com; President-Elect: Marie Lindley Ph.D., RN, CNE District Secretary: Lori Batchelor, batchelorb@prodigy.net

Dist. 5:

Beverly Walker, DNP, RN, NEA-BC, Chelsea Vaughan, MSN, RN, chelseareneevaughan@gmail.com

Dist. 7:

Connie Barker, APRN, Ph.D., FNP-C, crbarker1@yahoo.com, tnadistrict7@gmail.com

Dist. 8:

Nelson Tuazon, DNP, DBA, RN, NEA-BS, FNAP, FACHE, FAAN, nelsonactuazon@gmail.com

Dist. 9:

Terry Throckmorton, Ph.D., RN, tathrockmorton@gmail.com District office: tna9@tnadistrict9.com, tnadistrict9.com

Dist. 17:

Renae Schumann, renaeschumann20@gmail.com

Dist. 18:

Rebecca Clark, DNP, RN, CNE, MEDSURG-BC, rebecca.clark@ttuhsc.edu

Dist. 19:

Dixie R. Rose, Ph.D., RN, ACUE, dixiegtc@gmail.com

Dist. 35:

Karen Koerber-Timmons, Ph.D., RN, CLNC, CNE, NEA-BC, CCRN, RN-BC, mkkoerbertimmons@gmail.com

At-Large: Contact TNA, 800-862-2022, ext. 129, brichey@texasnurses.org

FEEDBACK EMAIL OR LETTER GUIDELINES TEXAS NURSING will select emails/letters on the basis of readership interest and relevance to current nursing/health care events. TEXAS NURSING reserves the right to edit all letters. Guide: Limit to 200 words; focus on single issue; include writer’s name, mailing address, and daytime phone. Send to: editor@texasnurses.org.

Copyright 2024 © Texas Nurses Association

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ADVOCACY

AT ITS HIGHEST

By Laura Kincheloe, Ed.D., MSN, RN, NE-BC

14

22

2024

OF TEXAS NURSING

10

Contents IN EVERY ISSUE

ARTICLES AND FEATURES

5

8

18

20

24

TNA MEMBERS GET FREE CNE tna.ce21.com

PRESIDENT’S NOTES

CEO CORNER

TNA STAFFING SUMMIT

ANNUAL MEETING PROVIDES PROMISING UPDATES TO MEMBERS

#DRIVECHANGE

Our growing online catalog is your one-stop shop for continuing education! Explore dozens of modules relevant to your practice and current nursing issues, and stay tuned as more are added.

Writing a New Chapter

Dream Big and Do Big Things

7

9

TNA MEMBER NEWS

WHAT'S NEW AND NEXT

Kudos

Committee Appointments

Emerging Themes and the Nurse Staffing Statute

By Jack Frazee, J.D.

A Vision for TNA's Future

TPAPN Champions Mental Wellness for Nurses

By Brittney Majefski, MSN, RN, PMH-BC

By Serena Bumpus, DNP, RN, NEA-BC

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President’s Notes Amy McCarthy, DNP, RNC-MNN, NE-BC

WRITING A NEW CHAPTER

My Story and Creating Ours Together

HELLO TEXAS NURSES! As I begin my term as president, I want to start off by thanking you for the trust you have placed in me to lead. I am excited to see what we will accomplish together over the next two years!

Relationships mean a lot to me. I love connecting with others and hearing their stories. It’s one of the things I am most excited to do in this role—to listen to, and learn from, all of you. I look forward to discussing your ideas and working together to better TNA for all nurses.

So what’s my story? I’m a first-generation Indian American, a millennial, born and raised in Dallas, TX. I’ve spent most of my career in Women’s & Infants, helping to create programs that fully support women from conception to postpartum.

Today, I focus on creating environments where nurses can thrive and removing barriers that stop nurses from practicing to the full scope of their license. I believe nurses must insert themselves in new spaces and ensure the nursing voice is considered in our ever-changing landscape of healthcare. It was with this in mind that I recently accepted the position of inaugural Chief Nursing Officer for Hippocratic AI. I’m excited to work with this team to create generative AI tools to augment the nurse’s role, decrease the burden placed on nursing, and ultimately create healthier communities. I also hope to use this knowledge to better inform and educate nurses on AI in healthcare while ensuring thoughtful and intentional implementation of these technologies.

I’d be remiss if I didn’t mention my incredible support system. My husband Nick and I have been together for 17 years, and together we have 17-year-

old son, Mikey, and puppy, Jakey. They, along with friends and mentors, have been an instrumental part of this journey.

There’s a lot to learn from a person’s story.

It helps you understand who they are, what’s important to them and how to create a space where they feel valued.

For associations to thrive, they must create spaces where nurses feel welcomed, where their ideas can flourish, and most importantly, where they feel safe. Texas nurses, our work moving forward must be centered on creating a space for ALL. We are stronger together, more innovative together and we make change at a more rapid pace, united together. As nurses, we are the fiercest advocates for our patients, but when it comes to each other, we can be downright hostile. We must do better. Failure to work together leads to further fragmentation, toxicity and incivility in nursing. It leads to more nurses walking away from the profession.

It leads to us repeating history as opposed to charting a new path forward, unified as one voice.

Our goal moving forward must be to break out of this pattern and write a new chapter focused on solutions to these issues—a chapter that showcases that inclusivity is at the heart of all that we do. Where the conversation around the mental health of our nurses becomes a priority and we ensure that Texas nurses do not suffer in silence. Where nurses feel safe at work, and where their clinical expertise is utilized in shaping our care systems. Where nurses play an active role in designing and implementing the technology that helps remove the burdens so many feel in their roles. A chapter where nurses of all ages become

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actively involved in our association and find a place where they feel valued, respected and empowered to change our profession.

While there is a lot to accomplish, I believe we must dream big to do big things.

And if anyone can do big things, it’s Texas nurses. From creating the Nurse Friendly Program (that later became the Pathway to Excellence), to advocating to have safe harbor, whistleblower and workplace violence protections, Texas nurses have led the nation in redesigning our care environments and advocating for stronger policies and safer workspaces. We have the power and expertise to enact change in our communities and healthcare systems, but we MUST believe that we can. We must be able to tell our story in a way that ensures those outside of nursing understand the value we bring to all healthcare conversations. We are and have been way more than superheroes in blue scrubs. It’s only when we can speak as one strong voice that the change we so badly seek will start to occur.

As we embark on this journey together, I am reminded of one of my favorite quotes: “Change will not come if we wait for some other person or some other time.

We are the ones we've been waiting for.

We are the change that we seek.”

Texas nurses, I believe this is our moment.

This is our opportunity to create a new chapter of history. It won’t be easy work.

But it is within our reach. Thank you for all the work you are currently doing to improve the health of your communities and work environments, and for the immense honor and privilege it is to serve alongside you as the next president of the Texas Nurses Association. i

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TNA MEMBER NEWS SPOTLIGHT ON YOU KUDOS Congratulations to the following members for being inducted into the ‘American Academy of Nursing 2024 Class of New Fellows’: Ninotchka Brydges, PhD, DNP, MBA, APRN, ACNPBC, FNAP – University of Texas Medical Branch Department of Internal Medicine Heather E. Cuevas, PhD, APRN, ACNS-BC – The University of Texas at Austin School of Nursing

Congratulations to the following members for being named to the American Association of Colleges of Nursing Jonas Scholar 2024-2026:

Congratulations to the following members for being inducted to the District 9 Board: Terry Throckmorton, President

Martha Brown, University of Texas at Austin, PhD, Scholar Focus Area: Underserved Populations

Angie Rangel, PresidentElect

Latonya Holman, Prairie View A&M University, DNP, Scholar Focus Area: Health Policy

Melanie Truong, Treasurer Christi T. Nguyen, DNP, RN, FACHE, NEA-BC – UT Southwestern Medical Center

Lori Rhodes, University of Texas Medical Branch Galveston, PhD, Scholar Focus Area: Preventative Care Maribel Bhojani, Director

Angela Ross, DNP, RN, MPH, PMP, DASM, PHCNS-BC, FHIMSS – University of Texas Health Science Center Houston McWilliams School of Biomedical Informatics Cheryl A. Thaxton, DNP, APRN, CPNP, FNP-BC, CHPPN, FPCN, FAANP – University of North Texas Health Science Center College of Nursing

Ryan Schalles, University of Texas at Tyler, PhD, Scholar Focus Area: Veteran's Health Davida Chatman, Director Congratulations to Carolyn Hudson, MSN, for being named Northwest Texas Healthcare System’s new Assistant Chief Nursing Officer. i

Emily Weber, Director

Congratulations to the following organizations :

For receiving ANCC’s Magnet redesignation: The Children's Hospital of San Antonio, San Antonio, Texas.

For receiving ANCC’s Magnet designation: St. David's Round Rock Medical Center, Round Rock, Texas

Elaina Diaz, MSN, RN, NPD-BC, CMSRN, has joined TNA staff as the new Director of Nursing Professional Development

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If you are a TNA member and you’ve, been promoted, received an award, or been elected or appointed to a board or community organization, we’d like to hear from you. Please send submissions to editor@texasnurses.org.

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CEO Corner Serena Bumpus, DNP, RN, NEA-BC

DREAM BIG AND DO BIG THINGS Bringing the Dream to Reality It’s now August, and I am still on a high from TNA’s Annual Conference, Gaining Traction: Nurses Driving Change. With over 400 nurses in attendance, 70 exhibitors, 50 poster presentations, 16 podium presentations and multiple dynamic keynotes, the energy at the event and on the app was palpable, and I will be fueled by it for many months to come.

Thank you to everyone who attended!

My vision is to grow this event year after year. I want TNA’s annual conference to be something that Texas nurses look forward to. It’s a venue for nurses to share best practices through poster and podium presentations, where they can learn from the best and brightest in the profession. I want our annual conference to be an event that nurse leaders support and prioritize sending their staff to because they see it as a top alternative to conferences like the ANCC National Magnet Conference.

Be on the lookout for details about next year’s conference, scheduled for June 5-7 in Austin, TX. We are making room for 600 attendees, 100 exhibitors, 75 posters

I am still on a high from TNA’s Annual Conference, Gaining Traction: Nurses Driving Change. With over 400 nurses in attendance, 70 exhibitors, 50 poster presentations, 16 podium presentations and multiple dynamic keynotes, the energy at the event and on the app was palpable, and I will be fueled by it for many months to come. and two days’ worth of concurrent podium presentation sessions.

The call for abstracts will go out by early November, so be prepared! We want you to share the great work happening in your organizations.

Let’s make the 2025 TNA conference an opportunity to share all the GOOD that’s happening in nursing!

TNA’s Annual Conference offered attendees multiple educational, inspirational and peer engagement offerings.

I continue to challenge each of you to get five of your nursing colleagues to join TNA. Don’t forget about the LVNs! Consider sponsoring their TNA member-

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ship for a year. TNA has a lot of exciting things ahead and we want you and your friends to be part of it. i

WHAT'S NEW AND NEXT LET YOUR VOICES BE HEARD COMMITTEE APPOINTMENTS ANNUALLY THE TNA BOARD OF DIRECTORS makes two-year appointments to TNA’s structural committees. Below are the members who have been appointed for 2024-2026. These members will join members currently serving on the committee through the 2025 TNA fiscal year.

Additionally, the Board created three new committees this year:

Early Career Nurse;

Nursing Practice; and

Diversity, Equity, Inclusion and Belonging.

Thank you for serving .

AUDIT & FINANCE COMMITTEE

GOVERNMENT AFFAIRS COMMITTEE

SCHOLARSHIP COMMITTEE

Carolyn Tran, Liberty Hill Siobahn Abraham, Dallas

Sarah McKinnon, Liberty Hill

Isidro Bella, San Antonio

Brian Armstrong, Clifton

Colea Owens, Dallas

Shinu Joy, Missouri City

Cory Church, Grandview

Radiance Bean, Dallas

Eugenia "Jeanie" Zelanko, Mesquite

HEALTH INFORMATION TECHNOLOGY (HIT) COMMITTEE

AWARDS COMMITTEE

Anna McMillan, Austin

Shaneice Andrews, Fort Worth

Julie Wright, Lubbock

Katie Bush, Knox City Lori Forbus, Midland Diane Grimm, New Braunfels Amanda McCormick, Alvin Cornelius Metili, Irving Bina Stitt, Desoto Heather Guest, Abilene Irene Salinas, Lubbock

COMMUNICATIONS COMMITTEE Kambree Baxter, North Richland Hills Alicia Cervantes, Weatherford Sarah Shellenberger, Odessa Bethany Yearty, Lorena

EARLY CAREER NURSE COMMITTEE Amber Austin, Corpus Christi Renae DeVere, Marshall Emily Francia, Houston Brianna Garza, Dallas Lauri Hix, Fort worth Christopher Vestal, The Colony

Lori Michel, Kerrville Lauren Thompson, Forth Worth

DIVERSITY, EQUITY, INCLUSION AND BELONGING (DEIB) Sandra Welling, Hawley

LVN COMMITTEE

Katie Choy, Frisco

Tara Douglas, Coriscana

Crystal Smith, Wylie

Richard Gibbs, Mesquite

Gina Alvarez, San Antonio

Andrea Jackson, Dallas

Jim Allard, Dallas

Nancy Ornelas, Midland

Jessica Gonzalez Wagner, Harlingen

NURSING PROFESSIONAL DEVELOPMENT (NPD) COMMITTEE Emily Goolsby, Abilene

Carolyn Anne Miller, Austin Cindy West, Pearland J. Taylor Dotson, Fort Worth Elena Garcia, Brownsville

Judy Ho, Manvel

Marlene Porter, Temple

Cari Kemp, Joshua

Paula Jarmon, DeSoto

Ivette Valadez, Dallas Kate Williams, Georgetown

POLICY COUNCIL COMMITTEE

NURSING PRACTICE COMMITTEE

Farah Buck, Houston

Shameya Ceasar, Pearland Shirin Chunara, Richmond

Theresa Escobar, Edinburg i

Susan Haddox, Mesquite Tina Hampton, Arlington Wellington Mhango, Plano Kimberly Rosbrook, Rockdale

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Saluting the

2024

E

OF TEXAS NURSING

very two years, the Texas Nurses Foundation recognizes extraordinary Texas nurses who inspire and energize us — the Leaders & Legends of Texas Nursing.

the association between the years of 1960 and 2000 that significantly contributed to TNA and health transformation locally, statewide and nationally.

To be eligible, Texas Nurses Association members, living or deceased, must have exhibited volunteer service to

An evening reception during this year’s TNA Annual Conference honored the Leaders & Legends of 2024.

The 2024 Leaders & Legends of Texas Nursing (from left to right): Jennifer D. Cook, PhD, MBA, RN; Kathleen Stevens Hamilton, RN, MS, EdD, ANEF, FAAN; Myrna Armstrong, EdD, RN, FAAN, ANEF; Kathy A. Thomas, MN, RN, FAAN; and Eloisa G. Tamez, RN, PhD, MSCJ, FAAN.

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MYRNA ARMSTRONG

JENNIFER D. COOK

EdD, RN, FAAN, ANEF

PhD, MBA, RN

Joining TNA in 1982, Dr. Myrna Armstrong’s work in the association centered on the evolution of the nursing profession. She cites TNA and its emphasis on continuing education for being instrumental in paving the way for collegiality and encouraging nurses to be life-long learners.

Joining TNA in 1978, Dr. Jennifer Cook has been involved in many areas of the organization including the Board of Directors. Her most profound activity centered on the Government Affairs Committee, allowing her to testify during hearings, meet with state legislators and help to push through TNAbacked bills furthering the nursing profession in Texas.

“[By] serving on many committees and task forces, writing articles, conducting CNE activities, and by believing in the mission and vision of the association… [she encouraged] her many students to follow her example and join and become engaged.”

On the district level, Dr. Cook has been considerably active as well. She served as vice president, chair to multiple committees and a TNA House Delegate and vice president.

As a professional leader and organizer, Dr. Cook has been involved with other professional organizations, especially with the Sigma Theta Tau, Delta at Large Chapter, since 1984.

These four decades of professional advocacy for scholarly work illustrate her love of lifelong learning. She has served as secretary, treasurer, and committee chair.

Highlights of her TNA involvement include the following:

A member of the TNA Education Committee and active within her district;

A respondent for the Institute of Continuing Education, Provider Accreditation Visit Member;

Chair for both the Council on Education and the Institute of Continuing Education; and

Recipient of multiple awards and accolades including serving as a fellow for both the Academy of Nursing Education and the American Academy of Nursing.

Throughout her career, Dr. Armstrong has received 32 professional honors, published 117 peer reviewed articles and 27 non-reviewed articles; written two books and contributed to an additional 20 books. She has managed 5 funded grants and 20 other funded research projects as well as serving as a grant reviewer for 22 other grants.

“These four decades of professional advocacy for scholarly work attest to her love of lifelong learning… Dr. Cook’s genuine interest in the nursing profession, especially in TNA, is unquestionably monumental.”

Other professional organizations have also benefited from Dr. Cook’s involvement including the National League of Nurses, the American Association of College of Nursing, the Hispanic Nurses Association, and San Antonio Nurses in Advanced Practice.

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KATHLEEN STEVENS HAMILTON

ELOISA G. TAMEZ

RN, MS, EdD, ANEF, FAAN

RN, PhD, MSCJ, FAAN

Dr. Kathleen Stevens Hamilton has been a TNA member since 1972. Throughout the years, she served the association in multiple positions, including as a Board of Directors member, a member of multiple TNA committees, and executive director of District 9. In 2004, she was named “TNA Nurse of the Year” for the contributions she had made.

Although her nursing practice took her to Ohio, South Dakota and Puerto Rico, Dr. Eloisa Tamez always stayed connected to her childhood ties with the Rio Grande Valley community. Since returning to the area in 2000, she has shared with young people in her community the importance of selfreliance and never giving up on your vision.

As a TNA member, Dr. Tamez had multiple stints as president for two districts, served on the TNA Continuing Nursing Education Committee and was a provider applicant reviewer.

“As a nurse educator, researcher, scientist, and leader, Dr. Stevens is committed to the advancement of nursing care and the nursing profession.”

She is the co-founder of the National Association of Hispanic Nurses and the International Association of Latino Nurse Faculty/Nurse Leader. Some of her honors and awards include:

Dr. Stevens Hamilton’s investment in the future of nursing and healthcare is reflected in her honors and placements, including:

Appointment to the Advisory Committee on Disability Compensation at the U. S. Department of Veterans Affairs;

Being a Fellow in the Academy of Nursing Education and a Fellow of the American Academy of Nursing,

A Fellow of the American Academy of Nursing;

Fellowships with the Department of Health and Human Services-Hispanic Association of Colleges and Universities and the International Center of Research for Women;

Receiving the National League for Nursing Award, Excellence in Nursing Education Research,

Serving multiple terms on the board of governors of nursing’s leading education professional association, the National League of Nursing,

Being named a Frederick Douglass 200 Diplomat with American University’s Antiracist Research and Policy Institute;

Receiving the Episteme Laureate award from Sigma Theta Tau International Nursing Honor Society, the highest research award in nursing,

A recipient of the Henry B. Gonzalez Civil Rights Award.

Being inducted into the International Nursing Research Hall of Fame.

Dr. Tamez encourages membership because TNA advocates for all nurses and the profession. She takes pride in having played a part in some critical moments in Texas nursing that were made possible by the efforts of TNA.

She has won eight national education-focused grants to design, offer, and evaluate professional development. Her efforts center on amplifying the voice and views of nurses in local, regional, and national translational science endeavors.

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“Dr. Tamez does not leave any student or nurse behind… Her compassion, empathy, and commitment to our community have always impressed me.”

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KATHY A. THOMAS MN, RN, FAAN

Since joining the Texas Board of Nursing as an education consultant in 1989, Kathy Thomas has held multiple leadership positions, including serving as executive director from 1995 to 2023.

Her TNA involvement included the Continuing Education Committee and district work. During her career, she also served on the National Council of State Boards of Nursing and the Texas Health Professions Council. Specific to nursing workforce issues, Thomas spent time on the Center for Nursing Workforce Studies Advisory Committee, monitoring trends in education and employment.

“Her dedication, leadership and tireless efforts to serve the public and her profession have left an enduring legacy for nurses in Texas and beyond.”

Another theme in her career direction is the power of collaboration. Regarding her ties to both the Texas Board of Nursing and TNA, Thomas said that the value of the relationship between those two groups was listening to each other—doing the thing in the best interest of the profession and the public.

This collaboration led to the passing of the nurse licensure compact, something she thinks had the most profound impact on both the profession and the public.

She was also a fellow of the American Academy of Nursing, and received the R. Louise McManus Award for significant contributions through the highest commitment and dedication, from the National Council of State Boards of Nursing. i

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ADVOCACY

AT ITS HIGHEST

By Laura Kincheloe, Ed.D., MSN, RN, NE-BC

During ANA Hill Day in June, Texas nurses visited Capitol Hill to advocate for all nurses!

HUNDREDS OF NURSES gathered in Washington, D.C. on June 27 for the American Nurses Association Hill Day, ready to advocate for several critical national nursing issues. Among the advocates were twenty Texas nurses who visited numerous legislative offices in Washington, D.C. While we didn’t have coverage from every district in Texas, we made sure to complete drop-offs on behalf of Texas nurses from even the most rural areas of the state. Afterwards, we attended the ANA Membership Assembly from June 28

to the 29. The assembly was full of lively discussions and ample networking opportunities, and the Texas representatives ensured that the voices of Texas nurses were heard loud and clear.

AMERICAN NURSES ASSOCIATION HILL DAY At ANA Hill Day, the nurses focused on four primary legislative priorities: 1.

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The Nurse Faculty Shortage Reduction Act is closely tied to

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The assembly was full of lively discussions and ample networking opportunities, and the Texas representatives ensured that the voices of Texas nurses were heard loud and clear. the efforts Texas nurses undertook during the 88th Texas legislative session to advocate for the incentivization and retention of

nurse educators and the increase of nursing student enrollment. This federal initiative aims to extend funding and support faculty salaries, enhancing efforts made at the state level. The goal is to create a pilot program for nursing schools to apply for grant funding totaling over $28 million.

2.

The ICAN Act is a bipartisan bill designed to increase access to care by removing certain barriers for Advanced Practice Registered Nurses (APRNs) by updating outdated details in the original legislation. Although it is not considered a “scope bill,” it allows APRNs to practice to the full extent of their education and licenses. the updated language would enable APRNs to order nutritional consultations, diabetic foot care orthotics, and provide better access to hospice care, among other services.

3.

Protecting Timely Access to Quality Nursing Care in Long-Term Care Facilities addresses the need for a minimum safe staffing standard in long-term care facilities. This rule set forth by CMS, requires long term care facilities to have a minimum number of hours per resident day and a RN onsite 24/7.

4.

Finally, nurses advocated for the Restricting Mandatory Overtime for Nurses (H.R. 7546/S. 3862) initiative.

While Texas is one of eighteen states that already prohibit mandatory overtime, this national initiative would extend protections to nurses across all states. The proposed legislation includes whistleblower protections for nurses advocating for safety. Nurses would still have the option to work voluntary overtime but would be protected from mandatory overtime requirements.

KEY TAKEAWAYS AT MEMBERSHIP ASSEMBLY The 2024 Membership Assembly (MA) is the highest governing body of the American Nurses Association (ANA) and is responsible for identifying future policy positions for ANA and making decisions that impact the organization and its

TOP: TNA’s elected membership assembly representatives are engaged in dialogue to identify urgent priorities we they prepare for voting. BOTTOM: TNA member Vanessa Trevino (center right, in dark blazer) speaks with U. S. Sen. John Cornyn's office about access to care and ensuring that Texans are able to receive access to nursing care, especially in rural and underserved communities.

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members. TNA’s membership assembly representatives are elected by our members during the annual election process.

This year, MA representatives engaged in dialogue forums focused on nursing workforce well-being, improving care for veterans, and reviewing revisions to the 2025 ANA Code of Ethics. All dialogue forums allowed nurses from across the United States the ability to provide feedback and recommendations on these important issues.

Following open discussion and dialogue, new business was presented. The new business items consisted of the following: MEMBERSHIP DUES: Discussion surrounded a requirement that the ANA Board of Directors increase transparency on how membership dues are spent and better consideration of investment partnerships. Both items were voted on and approved by the MA. POLITICAL ENDORSEMENTS: The last item of new business incited extensive dialogue around whether the ANA Board of Directors should consider endorsing a U.S. presidential candidate, which was voted down by the MA. Texas representatives were vocal in sharing the impact this decision would have on the profession.

The dues escalator policy is on cycle to be reviewed every five years where the MA representatives vote to raise ANA membership dues or not. There was a lot of discussion about this decision and ultimately it was decided the dues escalator would take place effective January 2025.

DUES ESCALATOR: One of the more impactful decisions the MA representatives made was whether the Dues Escalator would be approved. The dues escalator policy is on cycle to be reviewed every five years where the MA representatives vote to raise ANA membership dues or not. There was a lot of discussion about this decision and ultimately it was decided the dues escalator would take place effective January 2025. More

The Texas Nurses Association celebrates Dr Nelson Tuazon for his recognition by the American Nurses Association as a Nursing Pioneer receiving the Luther Christman Award.

communication and details about the dues increase will be forthcoming.

This year’s Membership Assembly representatives included:

Monaliza Gaw Gayle Dasher Christopher Vestal Regina Thompson Courtney Thompson Vanessa Trevino Amy McCarthy Joyce Batcheller

TNA’S NURSE DAY AT THE CAPITOL Advocacy is essential at all levels.

Beyond patient advocacy, we have an ethical obligation to advocate for legislative changes at the local, state,

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Join us for TNA's Nurse Day at the Capitol in Austin on March 3-4, 2025 to advocate for critical issues affecting their profession. and national level. Following the conclusion of Hill Day and MA, the next step in advocacy is to prepare for Nurse Day at the Capitol in Austin, Texas, on March 3 and 4, 2025. This event brings together nurses from across Texas to advocate for critical issues affecting their profession. It offers an invaluable opportunity for hundreds of nurses to learn about legislative matters impacting their practice and to understand how to effectively advocate to Texas legislators. We look forward to seeing you in March! i

SAIL FROM GALVESTON!

Special Pricing for Texas Nurses 7 Nights W. Carribbean Jan. 12 or Feb. 9, 2025 4 Nights W. Carribbean Apr. 25 or Jul. 31, 2025

To book: GettysburgTravelCo.com/texasnurses

SPONSORED CONTENT Sul Ross State University (SRSU) offers an RN to BSN program designed to empower registered nurses (RNs) with enhanced skills and knowledge to advance their careers in nursing. This program is tailored to meet the needs of working professionals, providing flexibility and accessibility through online coursework. In as little as 10 months and for an estimated total cost of just over $7,800, RNs can begin coursework in January, June or August.

The RN to BSN program at SRSU is structured to accommodate the busy schedules of nurses already in the workforce. With all courses available online, students have the flexibility to balance their studies with professional and personal commitments. This format allows RNs from diverse geographic locations to pursue their BSN without needing to relocate or disrupt their current employment.

One of the key advantages of the RN to BSN program at SRSU is its focus on expanding the RN’s scope of practice. The curriculum is designed to deepen understanding in areas such as evidence-based practice, leadership, community health, and healthcare informatics. By integrating theoretical knowledge with practical applications, the program equips graduates to deliver high-quality patient care and take on leadership roles in various healthcare settings.

Faculty at SRSU are experienced professionals in the field of nursing, committed to supporting students throughout their academic journey. They bring real-world insights into the virtual classroom, fostering an engaging learning environment that encourages critical thinking and professional growth. Students benefit from personalized attention and mentorship, ensuring they develop the necessary skills to excel in their careers.

Moreover, the RN to BSN program emphasizes the importance of lifelong learning and professional development. Graduates are prepared not only to meet current healthcare challenges but also to adapt to future trends and advancements in the field. This commitment to continuous learning enhances the value of the BSN credential and prepares nurses for advanced practice or graduate education if desired.

SRSU’s RN to BSN program welcomes students from various backgrounds and experiences, fostering a rich learning environment that promotes cultural competence and sensitivity in healthcare delivery. This holistic approach prepares graduates to serve diverse patient populations effectively and advocate for health equity.

In conclusion, SRSU’s RN to BSN program stands out for its flexibility, quality education, and commitment to preparing nurses for leadership roles in healthcare. By offering a convenient online format, a comprehensive curriculum, and dedicated faculty support, the program equips RNs with the skills and knowledge needed to advance their careers and make a meaningful impact in the field of nursing.

For more information about the RN to BSN program at Sul Ross State University, visit www.sulross.edu/rn-bsn, email nursing@sulross.edu or call 432.837.8337.

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TNA STAFFING SUMMIT Emerging Themes and the Nurse Staffing Statute

By Jack Frazee, J.D.

At TNA's 2024 Annual Conference, the Texas Nurses Association asked members about nurse staffing using the World Café model to support discussions of the issues with nurses from a myriad of practice settings.

Here is what we learned.

TO OPEN OUR 2024 ANNUAL CONFERENCE, the Texas Nurses Association held a summit with our members dedicated entirely to the topic of nurse staffing, the nurse staffing statute, and whether the spirit of the law was holding up in practice.

The summit used the World Café model to layer presentations and panels with audience roundtable discussions of the issues. Nurses from a variety of practice settings and positions participated in the event.

These observations came with self-reflection on the role nurses play in the process as well. Many participants reported difficulty in recruiting front-line staff to participate in nurse staffing committees or offer feedback.

Altogether, participants’ observations reflect a broader theme we have observed in the literature and in our conversations and surveys of members: Nurse staffing requires a significant amount of coordination among all involved. From the governing body of the organization to front-line nurses, there needs to be a clear, consistent plan to address the staffing needs of the facility. This level of coordination is difficult to achieve when a facility is overtaxed and under-resourced.

Nonetheless, it is imperative to improve upon current practices to protect nurses and patients alike.

TNA has a significant role to play in improving this situation.

Participants in the summit echoed concerns we have heard universally throughout the state: The current laws have not been adequately enforced. As nurses and facilities refocus

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When minimum standards are not met, the state should intervene and protect this vital healthcare workforce. Without adequate support, nurses will continue to experience burnout, turnover, and ultimately leave the profession. This pattern is not sustainable and squanders the taxpayers’ investment in the education pipeline. on their staffing policies and plans, state agencies have an important role to play in enforcing minimum standards under existing law. The public health emergency declaration in effect during COVID facilitated crisis staffing during a time when it was desperately needed. Now, nurses find the return to prepandemic order has been slow, uneven, and lacking a state enforcement response when facilities fail to meet the standards imposed by law and regulation.

In a time when the state is making enormous investments in nursing education, it is imperative that facilities do their part to protect and retain licensed nurses. When minimum standards are not met, the state should intervene and protect this vital healthcare workforce. Without adequate support, nurses will continue to experience burnout, turnover, and ultimately leave the profession. This pattern is not sustainable and squanders the taxpayers’ investment in the education pipeline.

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EMERGING THEMES

While ther is much work to do, there were many examples of facilities engaging in best practices, and nurses who worked for those facilities reflected on the positive impacts on their work-life balance and patient outcomes.

Noteworthy themes surfaced from the members in attendance, including: The significant lack of awareness and knowledge around the Texas nurse staffing statute. Many agreed that Texas nurses would benefit from more education about the staffing law; State mandated ratios are inflexible and do not account for patient acuity; Sufficient staffing has a significant impact on nurse satisfaction and patient outcomes and remains a top priority; “Sufficient staffing” differs depending on the facility, with rural and urban settings presenting different needs; Reimbursement models fail to adequately capture the value of nursing services; The importance of maintaining nurse agency and autonomy; Insufficient staffing is a significant driver of stress, burnout, moral distress, psychological safety, and turnover;

Many participants also confirmed the enormously positive impact of adequate staffing. There were many examples of facilities engaging in best practices, and nurses who worked for those facilities reflected on the positive impacts on their work-life balance and patient outcomes. Nurses reported many innovative practices adopted by their facilities that demonstrated there is no one-size-fits-all solution to staffing problems.

Nursing schools have a significant role to play in training students to understand the state’s staffing law and how to leverage the tools available; Facilities need to coordinate nursing, finance, and HR more closely to address staffing challenges, so that each department understands the needs and constraints of the other;

Nurses who reported positive experiences with staffing were often able to point to facility policies that facilitated their positive experiences, reinforcing the notion that good policy, when well communicated and meaningfully enforced, makes a difference.

Reporting from staffing committees should flow up to governance and back to front line staff to maintain consistent communication; Administrative burden is significant and increases demands on short staff;

Nurses who reported positive experiences with staffing were often able to point to facility policies that facilitated their positive experiences, reinforcing the notion that good policy, when well communicated and meaningfully enforced, makes a difference. TNA will continue to advocate for safe staffing and engaging state policymakers in this effort. Keep an eye out for more information on TNA’s policy recommendations as the 89th Legislative Session, scheduled to begin in January 2025, approaches. i

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Weak enforcement of nurse staffing laws leads to lax implementation in practice; The experience level of nurses on staff can significantly affect what is considered “adequate staffing” for a unit; and Insufficient staffing is a significant driver of medical errors.

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ANNUAL MEETING PROVIDES PROMISING UPDATES TO MEMBERS

By Serena Bumpus, DNP, RN, NEA-BC

TNA’S 2024 ANNUAL BUSINESS MEETING was held during the TNA Conference on Friday, May 31. Dr. Joyce Batcheller welcomed attendees and gave her final address as TNA President, where she reflected on the work accomplished during her two years in office. She spoke of her role in leading the search for TNA’s new CEO, the creation of TNA’s new strategic plan, and summarized the top challenges heard during the TNA Roadshows related to staffing, workplace violence, and turnover. Dr. Batcheller ended her address with the passing of the baton…or was it a wand…to incoming President, Dr. Amy McCarthy.

We were fortunate this year to invite representatives from the Texas Nursing Student Association (TNSA) to attend the conference and participate in the annual meeting. TNSA Vice President, Sciovahn Lydston-Barron addressed the audience and offered words of wisdom to attendees. She encouraged supporting new nurses and embracing students, and shared her enthusiasm and concerns about entering the profession.

TNA’s Board Secretary Missam “Sam” Merchant stepped in for TNA Treasurer Gloria Loera to provide an update on TNA’s finances. While TNA currently operates with a deficit budget, we have a

TNA’s incoming President Dr. Amy McCarthy shared her vision for the future. Nursing is stronger when we work together. healthy overall financial outlook ending last year with $6,617,241 in net assets. The organization has a goal to achieve a balanced budget by Fiscal Year 2028.

Since starting, CEO Dr. Serena Bumpus has shaved 35% off the deficit from her start in 2022.

TNA’s Director of Government Affairs Jack Frazee recapped the 88th leg-

PROTECT YOUR PRACTICE A TNA Member Benefit

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ABOVE: Members of the Texas State Nurse Honor Guard lead an “In Memoriam” ceremony.

OPPOSITE: TNA President Amy K. McCarthy, DNP, RNC-MNN, NE-BC, CENP, delivers her inaugural address.

Texas Nurses Foundation Board President Kit Bredimus, DNP, RN, CNML, NE-BC, CENP, NEA-BC, FACHE, FAONL, FNAP, presents the foundation report.

islative session for the audience and updated them on next steps. There are several relevant interim charges related to increased workforce funding, increasing access to care through regulatory reform and increasing mental health resources. In addition, TNA’s policy council is crafting policy recommendations centered around additional education funding, clinical education development, staffing, anti-retaliation protections, full practice authority for APRNs, Schedule II prescriptive authority, increased access to mental health care and much more.

chair, and we welcomed Donna Hedges and Brandy Pitts as new members of the Leadership Succession Committee.

TNA also recognized the recipients of the inaugural A. Louise Dietrich Scholarship. Those individuals were Calli Wood and Jamie Clemons. Congratulations to these nurses, and we wish them well on their journey toward higher education!

This year, TNA invited the Texas Nurse Honor Guard to pay tribute to our fallen

colleagues. It was a beautiful tribute to those who gave their all to the profession of nursing. Thank you Kathy Daniels, Frankie Phillips, Gail Shevlin, Jamie Shurdin, Elizabeth Sjoberg, Retha Jane Woods and Donna Wright, for your service. We will take it from here.

TNA will say farewell to Dr. Edtrina Moss as her term on the board ended June 30, 2024. We want to thank Dr. Moss for her dedication to TNA and most importantly for the ideas and direction she provided for the organization during her time on the board. You helped lay the foundation for the future of TNA in a time of great transition.

The meeting also welcomed the new TNA Board Director Dr. Lucindra Campbell-Law and welcomed back Treasurer, Dr. Gloria Loera, Director, Dr. Kit Bredimus and Director, Mary Vitullo for a 2nd term. Dr. Sarah Williams was re-elected as Leadership Succession committee

The meeting ended with an address from TNA’s incoming President Dr. Amy McCarthy, who shared her vision for the future, which centered around togetherness. Nursing is stronger when we work together, and she pointed out that when we work against each other, it challenges our profession and leads to further fragmentation and toxicity. She further emphasized that we must believe in our power and expertise to make meaningful change in our communities and in healthcare. She ended her address with this quote, “Change will not come if we wait for some other person or some other time. We are the ones we’ve been waiting for. We are the change that we seek.”

Please join us in making that change— together. i

THE UNIVERSITY OF TEXAS MEDICAL BRANCH A Reputation for Excellence!

As a nationally ranked program, our teaching innovations result in graduates who are leaders in providing patient-centered care. Today, our vision continues to be our mission—to be the best in nursing education, research and practice in order to improve health for people around the world.

Programs Offered • Bachelor of Science in Nursing • Traditional BSN (on campus) • RN-BSN (online) • Master of Science in Nursing (online) • Certificate (online) • Doctor of Nursing Practice (online) • Doctor of Philosophy in Nursing (online)

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Congratulations!

TNA IS HONORED TO ANNOUNCE the 2024 Outstanding 25 Texas Nurses annual awards.

Arturo Rodriguez, DNP City of Brownsville

Elizabeth Barnett, MSN, RNCOB, NABC Houston Methodist The Woodlands

Beth Stewart, RN, BSN, CEN Texas Health Harris Methodist Hurst-EulessBedford

Gayle Timmerman, PhD, APRN-CNS, FNAP, FAAN The University of Texas School of Nursing

Charissa "Megan" Jackson, BSN, RN, NE-BC Baylor Scott and White- McKinney

Genevieve Aloro, RN, CMSRN Audie Murphy Veterans Hospital

Cornelius Metili, BSN, RN, PMHN-BC Childrens Health Dallas

Golda Manalili, DNP, RNC, PNAP University Health

The award is open to all nurses in Texas and recognizes nurses who excelled, innovated or went above and beyond in the prior year.

The honorees for 2024 are nurses who created a culture of care, who played a vital role in supporting health and wellness, and who found new and creative ways to support their patients and communities.

For more information on their specific achievements, please visit our website: texasnurses.org/page/outstanding25.

Amber High, DNP, APRN, CRNA, NC-BC The University of Texas Medical Branch

Amy Davis, BSN, RN Baylor Scott & White Medical CenterMcKinney

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Katie Choy, DNP, RN, NEA-BC, NPD-BC Baylor Scott and White - Plano Regional Medical Center

Lorrie Kirby, MSN, RN, CMSRN Ascension Seton Highland Lakes

Nicole Hodges, DNP, MBA, RN, NE-BC Baylor Scott and White- McKinney

Kim Godawa, MSN, RN, CCRN Baylor Scott and White-Plano

Maria E. Sanchez, MSN, BSN South Texas Veterans Health Care System

Nora Leadbetter, BSN, RN, RN-BC Ascension Seton Highland Lakes

Laura Griffin, DNP, APRN, CPHQ, ACNP-BC HCA Healthcare Gulf Coast Division

Mary Carmen Villareal Baker, RN Memorial Hermann Southwest

Lemone Brady, MBA, MSN- L, CVRN-BC Memorial Hermann Hospital Sugarland

Misty Daugherty, BSN, RN, CPHQ Children's Health Dallas

Leticia Flores Canchola, PhD-ED, RN, PMHN-BC University Health San Antonio

Nico Steel Osier PhD, BSN, BS, RN The University of Texas School of Nursing

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Ruben Castillo, DNP, RN, CCRN, NE-BC UTSW Clements Hospita

Sharon Staton, MS-SSEM, BSN, RN, CPHON Texas Children's Hospital Houston

Sherron FranksMeeks, PhD, BSN, MPA, BA, RN, CNE-cl, CNE Texas Tech University HSC School of Nursing

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#DriveChange TPAPN CHAMPIONS MENTAL WELLNESS FOR NURSES

By Brittney Majefski, MSN, RN, PMH-BC, TPAPN Program Director

WHEN IT COMES TO ADVOCACY in nursing, the place to be is the Texas Nurses Association’s annual conference. Texas Peer Assistance Program (TPAPN ) for Nurses had the great privilege to exhibit a booth and giv-e a poster presentation at the 2024 conference. The environment was stirring, with nurses from all backgrounds coming together to learn, network and advocate for the profession.

Upon arriving, we walked into an impressive environment bustling with over 400 nurses. Within minutes, the positive energy in the exhibit hall was radiating with passionate nurses working to #DriveChange and make positive contributions to the profession. Our team showed up with great enthusiasm to share all the things that TPAPN is doing to help support nurses struggling with mental health conditions or substance use disorder (SUD).

Our team engaged in constructive and dynamic conversations with nurse lead-

Discussions gave TPAPN a platform for discussing topics such as stigma, the effects of trauma, advocacy, and overall well-being within the profession. ers, directors, direct care nurses, educators, advocates, and more around how we can work together to ensure that our nursing peers that are struggling with SUD or mental health conditions get the support and help they need to be healthy, recover, and stay in practice.

These discussions gave TPAPN a platform for discussing topics such as stigma, the effects of trauma, advocacy, and overall well-being within the profession.

In addition to both exhibiting and attending all the amazing conference sessions, we represented TPAPN during the poster presentations. TPAPN has partnered with Texas Tech Health

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Science Center to discover how the pandemic played a role in the recovery of nurses within the TPAPN program. Dr. Wanda Hilliard is leading the project as we try to engage all nurses and get their perspective on what most benefits them in relation to interventions for overall well-being and mental health, as well as the role trauma may play in SUD or the mental wellbeing of nurses.

We want to hear directly from nurses to ensure that nurse voices are represented at the table when efforts are made to support effective prevention strategies and overall wellbeing in the profession.

The TNA conference was an incredible experience for those who are working to #DriveChange in all things nursing.

The networking that TPAPN was able to do here has led to many positive opportunities to spread awareness about TPAPN’s program and the work we do through guest lectures and presentations throughout the state. We also had

LEFT: TPAPN staff attending the TNA Annual Conference, from left to right: Brittney Majefski, MSN, RN, PMH-BC-TPAPN Program Director, Becca Segura, BSN, RN -TPAPN Case Manager, Stacy McColl, MSN, RN-TPAPN Case Manager, and Amy Harris, BSN, RN, PMH-BCTPAPN Case Manager.

and volunteer as peer support partners.

Our peer support partners are assigned to nurses that are in the TPAPN program and serve as a beacon of support and hope throughout the nurses’ journey to recovery. If you are interested in hearing more about volunteering to help fellow nurses, please reach out to us. We offer training and free CE in relation to our peer support program.

nurses applying to become peer support partners.

We are grateful to TNA, TNF and all Texas nurses for leading the way in fostering positive change. Every nurse can step up and stand up for peers that need

help. By working together, improving resources, and fostering supportive environments for nurses to seek help, we can keep #DrivingChange.

Here at TPAPN there are opportunities for nurses across the state to get engaged

Texas Peer Assistance Program is a nonprofit, referral-based program of the Texas Nurses Foundation. We are the alternative to discipline program for nurses in the state of Texas. If you or your organization would like to learn more about the TPAPN program or get involved, we would love to come talk to you.

Reach out at tpapn@texasnurses.org and let us know how we can help. i

GET SUPPORT AND SAFEGUARD PATIENTS

Nurses Helping Nurses

TEXAS PEER ASSISTANCE

PROGRAM FOR NURSES

If you, a coworker, or a family member need help with a substance use or mental health issue, call the Texas Peer Assistance Program for Nurses. TPAPN case managers provide guidance, support, and monitoring to help nurses recover and maintain their licenses. And TPAPN peer advocates provide an empathetic listening ear. You and those you care about are not alone!

www.tpapn.org

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The Texas Nurses Association has partnered with TriEagle Energy to offer affordable, straightforward electricity plans that make sense for your home and your budget.

Nurses who sign up with TriEagle Energy will support the Texas Nurses Association, where a portion of what members pay for electricity goes back to the TNA. “TriEagle Energy is proud to offer electricity plans exclusively for members of the Texas Nurses Association, with simple rates and no hidden fees,” said Sam Sen, vice president of TriEagle Energy solutions. “We look forward to serving this community through our innovative energy products and customer-first mindset—all while supporting an association that serves as a powerful voice for nurses in Texas.”

With helpful tools like weekly usage reports and smart thermostats, TriEagle Energy gives you the power to take control of your electricity usage and save money month after month, year after year.

SMART Energy plans come with a smart Wi-Fi thermostat and Home Optimization which work together to increase energy efficiency in your home.

To learn more or enroll today, visit: trieagleenergy.com/tna