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An Official Publication of the Illinois Nurses Association The Voice of Illinois Nursing for more than 100 Years<br />

Volume 6 • No. 1 Quarterly circulation approximately 187,000 to all RNs, LPNs, and Student Nurses in Illinois. January 2010<br />

current resident or<br />

Snapshots from Convention<br />

Pages 6 & 7<br />

Presort Standard<br />

US Postage<br />

PAID<br />

Permit #14<br />

Princeton, MN<br />

55371<br />

District 2 Presents the<br />

Foundation with a Check<br />

Page 9<br />

<strong>INA</strong> <strong>Wel<strong>com</strong>es</strong> <strong>Our</strong> <strong>New</strong> Board of Directors for 2009-2011<br />

President<br />

Pam Robbins<br />

Director at Large<br />

Mary Bortolotti<br />

Director at Large<br />

Ruby Reese<br />

We are pleased to present the new Illinois Nurses Association Board of Directors to our members and readers!<br />

1st Vice President<br />

Mildred Taylor<br />

Director at Large<br />

Pam Brown<br />

Director at Large<br />

Bonnie Salvetti<br />

2nd Vice President<br />

Roosevelt Gallion<br />

Director at Large<br />

Dan Fraczkowski<br />

Director at Large<br />

Krystal Spivey<br />

Secretary<br />

Queen Gallien-Patterson<br />

Director at Large<br />

Paula Kagan<br />

Director- Staff Nurse<br />

Gloria Simon<br />

Treasurer<br />

Sharon Zandell<br />

Director at Large<br />

Karen Kelly<br />

Director- Staff Nurse<br />

Joe Williams<br />

Director at Large<br />

Cheryl Anema<br />

Director at Large<br />

Pam Para<br />

Director- Staff Nurse<br />

Terri Williams<br />

<strong>New</strong> Board continued on page 3<br />

<strong>MEMBERSHIP</strong> <strong>MYTH</strong>:<br />

“I must be a member, I get ILLINOIS NURSE”<br />

The truth is Illinois Nurse is published and distributed<br />

to all nurses in Illinois. If you are not paying dues, you<br />

are not a member of <strong>INA</strong>. (please see page 15 for other<br />

Membership Myths & Misconceptions)


Page 2 January 2010 The Illinois Nurse<br />

President’s Message<br />

Transition Strategies: Not Just<br />

For Advance Practice Nurses!<br />

Pam Robbins BSN, RN<br />

President, Illinois Nurses Association<br />

Registered professional nurses<br />

who <strong>com</strong>plete graduate education<br />

achieving an advance practice<br />

nursing (APN) degree deserve a<br />

nod for scholarly progression. As<br />

if educational ac<strong>com</strong>plishment<br />

is not enough, the marketing of<br />

oneself as a new APN graduate<br />

may be the next level of challenge<br />

as one transitions from academic<br />

safety zone to the real work world.<br />

There are many resources to assist<br />

the nurse practitioner with the<br />

“how-to” building of their practice Pam Robbins<br />

ranging from marketing strategies<br />

and service reimbursement basics, billing, the legal specifics<br />

of regulation and collaboration agreements with physicians<br />

(Hamric, 2009) (Buppert, 2008). If that was not enough,<br />

how does one stay centered amongst the rigors of business<br />

and maintain any remnant of your so called life? How does<br />

one seek a work-life balance as the payoff for your efforts of<br />

educational and professional ac<strong>com</strong>plishment? We must look<br />

into our own profession and education preparedness to answer<br />

such questions and heed the same sage advice for ourselves<br />

as we would offer to our patients. The key to reigning-in<br />

anxiety is by valuing self and spirit first. This may sound<br />

selfish and untraditional from the usual sacrifice we as nurses<br />

tend to suffer on the vocational cross. We put everyone ahead<br />

of ourselves, but in all honesty, nurses will burnout using up<br />

everything for others. Who will then provide the healing<br />

strategies to our patients if we do not address what is best for<br />

“self” first?<br />

<strong>Our</strong> successfully <strong>com</strong>bined Illinois Nurses Association/<br />

Illinois Society of Advance Practice Nursing (<strong>INA</strong>/ISAPN)<br />

convention this year featured a motivational speaker, Greg<br />

Risberg CSP, MSW. A social worker at heart, he shared his<br />

insight on how we as a group of nurses view ourselves. He<br />

began his session with a question. “When someone asks<br />

you how are you, what is your immediate response?” The<br />

crowd of registered nurses and APN’s shouted out “fine!”<br />

You and I know, “fine” may be the farthest from the truth,<br />

but for various reasons, nurses, avert attention from self,<br />

and rarely share their true feelings. Greg suggested that<br />

“fine” could be an acronym for F=frustrated, I=irritated,<br />

N=neurotic and E=exhausted. The crowd roared with<br />

laughter, and at the same time the heads in the room<br />

began nodding in affirmation. If “fine” is your acronym<br />

for frustrated, irritated, neurotic and exhausted, then<br />

I re<strong>com</strong>mend considering the five strategies by Bolles<br />

(2002) to fortify yourselves. During transitional periods of<br />

life, whether from academia to practitioner, new parent or<br />

finally embracing a life decision to seek work-balance, you<br />

must sustain a positive outlook with time for self value and<br />

recognition!<br />

• Keep physically fit by developing an action plan that<br />

makes time for positive self-care<br />

• Deal with emotions by building an effective support<br />

network<br />

• Monitor mental stamina, and focus on positive views<br />

• Utilize spiritually for support in difficult times<br />

• Keep active by using time and talents within the<br />

<strong>com</strong>munity<br />

One aspect of nursing is we seem to give away all,<br />

leaving but crumbs for self. We run our proverbial<br />

tank down to empty…expend all of our fuel for one last<br />

“run,” only to find ourselves physically, emotional and<br />

spiritually drained. The term burnout is <strong>com</strong>mon place.<br />

Nurses must achieve a balance of work and life if we truly<br />

want to sustain ourselves in nursing. One nurse spoke to<br />

Greg Risberg and said she felt the response of “fine”<br />

could also reflect an acronym for “feelings inside not<br />

expressed.” Think on how to incorporate Bolles (2002)<br />

re<strong>com</strong>mendations to sustaining a positive outlook during<br />

transitional periods. Find a balance of work and life<br />

that will sustain you. These strategies can be beneficial<br />

not only for APN graduates but for anyone in transition.<br />

Taking care of self is the first place to start! Work towards<br />

answering the question that describes that you are more<br />

than just “fine!” Value self by taking measures to stay<br />

positive and physically fit. Re-energize with emotional and<br />

spiritual connections that keep you healthy and transition<br />

to “anywhere” successfully!<br />

References<br />

Bolles, R.N.(2002). What color is your parachute?<br />

Walnut Creek, CA: Ten Speed Press.<br />

Buppert, C. (2008). Nurse Practitioner’s business<br />

practice and legal guide. (3rd ed.). Sudbury, MA: Jones<br />

and Bartlett.<br />

Hamric, A., Spross, J., & Hanson, L. (2005). Advanced<br />

nursing practice: An integrative approach (4th ed.).<br />

Philadelphia: Elsevier Saunders.<br />

Risberg, Greg CSP,MSW. “You make a Difference”<br />

2009 <strong>INA</strong>/ISAPN convention.<br />

IL L I N O I S NU R S E S AS S O C I A T I O N<br />

President<br />

Pamela Robbins, BSN, RN: pamrobbins@urban<strong>com</strong>.net<br />

First vice President<br />

Mildred Taylor, BSN, RN: m.taylor.rn@<strong>com</strong>cast.net<br />

Second vice President<br />

Roosevelt Gallion, M.Ed, BSN, RN: RG2194@aol.<strong>com</strong><br />

Secretary<br />

Queen Gallien-Patterson, RN: qpatterson@aol.<strong>com</strong><br />

treasurer<br />

Sharon Zandell, RN: sharon.zandel@med.va.gov<br />

Board of Directors:<br />

Cheryl Anema: tccnurse@aol.<strong>com</strong><br />

Mary Bortolotti, RN: mandkbort@aol.<strong>com</strong><br />

Pam Brown: pbrown@brcn.edu<br />

Dan Fraczkowski: dfraczkowski@yahoo.<strong>com</strong><br />

Paula Kagan: pkagan@depaul.edu<br />

Karen Kelly, EdD, RN, CNE-BC: kkellys@aol.<strong>com</strong><br />

Pamela J. Para RN, MPH, CPHRM, ARM, FASHRM:<br />

pjpara2001@yahoo.<strong>com</strong><br />

Ruby P. Reese RN PhD<br />

Bonnie Salvetti: bonnie.salvetti@sih.net<br />

Gloria Simon: galyaodi@yahoo.<strong>com</strong><br />

Krystal Spivey: kspiveyrn@aol.<strong>com</strong><br />

Joe Williams: sangamojoe@aol.<strong>com</strong><br />

Terri L. Williams RN: sewpro9370@aol.<strong>com</strong><br />

District Presidents<br />

1 Roosevelt Gallion: RG2194@aol.<strong>com</strong><br />

2 Mary Bortolotti: mandkbort@aol.<strong>com</strong><br />

3 Sharon Peterson: speterson@crusaderclinic.org<br />

5 Royanne Shultz: royanneschultz@hotmail.<strong>com</strong><br />

8 Ann O’Sullivan: aosullivan@blessinghospital.<strong>com</strong><br />

9 Terri Williams: sewpro9370@aol.<strong>com</strong><br />

10 Jane Bruker: jkbru@aol.<strong>com</strong><br />

13 Janet Lynch: lynch.janet08@gmail.<strong>com</strong><br />

14 Martha McDonald: Martha.mcdonald@sih.net<br />

15 Eunice Mumm: emumm@webtv.net<br />

17 Ann Smith: nevann@<strong>com</strong>cast.net<br />

18 Vacant<br />

20 Cheryl Anema: tccnurse@aol.<strong>com</strong><br />

21 Sandra Webb Booker: stethes@yahoo.<strong>com</strong><br />

E & gW Commission<br />

Sandra D. Robinson, Chair: nursemoney06@yahoo.<strong>com</strong><br />

Linda Briggs: lindasbriggs@yahoo.<strong>com</strong><br />

Nicola Carter: colakola@hotmail.<strong>com</strong><br />

Sandy Fischer: fish23w@yahoo.<strong>com</strong><br />

LaGretta Green: ltg1106@aol.<strong>com</strong><br />

Judith K. Hopkins: Sicu40@aol.<strong>com</strong><br />

Thomas Magana: ndirish01@sbcglobal.net<br />

Virginia Rockett: momynator@yahoo.<strong>com</strong><br />

Christine H. Szkarlat: Christine.Szkarlat@va.gov<br />

Local unit Chairpersons/Co-Chairs<br />

City of Chicago: Timothy Hudson<br />

RC-23 State of Illinois: Lee Goehl<br />

Co-Chair Bill Schubert<br />

St. Joseph: Marlene Murphy and Chris Daly<br />

Union Health Services: Sophie Heldak<br />

University of Chicago: Karen Keller and Tom Magana<br />

University of Illinois: Marcia Hymon (D20), Leo Sherman<br />

VA Hines: Gail Robinson<br />

Christine Szkarlat (D9)<br />

VA North Chicago: Thelma Fuentes<br />

VA Westside: Murrie Davis (D01)


The Illinois Nurse January 2010 Page 3<br />

IL L I N O I S NU R S E S AS S O C I A T I O N<br />

illinois nurses Association/<br />

illinois nurses Foundation<br />

105 W. Adams, Suite 2101 911 S. Second Street<br />

Chicago, iL 60603 Springfield, iL 62704<br />

312/419-2900 217/523-0783<br />

Fax: 312/419-2920 Fax: 217/523-0838<br />

www.illinoisnurses.<strong>com</strong><br />

Executive Director:<br />

Susan Swart, MS, RN: Ext. 229, sswart@illinoisnurses.<strong>com</strong><br />

Chief Financial Officer:<br />

Rick Roche: Ext. 230, rroche@illinoisnurses.<strong>com</strong><br />

Program Director, EgW:<br />

Elwood R. Thompson: Ext. 228, ethompson@illinoisnurses.<strong>com</strong><br />

Deputy Executive Director:<br />

Sharon Canariato, MSN, MBA, RN, Ext. 235<br />

scanariato@illinoisnurses.<strong>com</strong><br />

Director of marketing and member Services:<br />

Deb Weiderman, MS, RN, Ext. 232<br />

dweiderman@illinoisnurses.<strong>com</strong><br />

Associate Director, Continuing Education:<br />

Kemi Ani, Ext. 240 kani@illinoisnurses.<strong>com</strong><br />

E&gW Staff Attorney:<br />

Alice Johnson, Ext. 239, ajohnson@illinoisnurses.<strong>com</strong><br />

E&gW Staff Specialists:<br />

Rick Lezu, 217-523-0783 rlezu@illinoisnurses.<strong>com</strong><br />

Ray Scavone, Ext. 245, rscavone@illinoisnurses.<strong>com</strong><br />

Pam Brunton, Ext. 224 pbrunton@illinoisnurses.<strong>com</strong><br />

Abass Wane, Ext. 249 awane@illinoisnurses.<strong>com</strong><br />

E&gW Coordinator:<br />

Rhonda Perkins, Ext. 223 rperkins@illinoisnurses.<strong>com</strong><br />

Coordinator, Springfield<br />

Staci Moore, 217-523-0783 staci@illinoisnurses.<strong>com</strong><br />

Staff Accountant:<br />

Toni Fox, Ext. 243 tfox@illinoisnurses.<strong>com</strong><br />

Administrative Assistant:<br />

Brenda Richardson, Ext. 248 brichardson@illinoisnurses.<strong>com</strong><br />

Melinda Sweeney, Ext. 222 msweeney@illinoisnurses.<strong>com</strong><br />

Editorial Committee<br />

Theresa Adelman, RN<br />

Alma Labunski, EdD, MS, RN, Chair<br />

Margaret Kraft, RN, PhD<br />

Linda Olson, PhD, RN<br />

Lisa Anderson Shaw DPH, MA, MSN<br />

Mary Shoemaker, PhD, BS, MS, RN<br />

The Illinois Nurse is published quarterly (4 issues yearly) by the<br />

Illinois Nurses Association, 105 W. Adams, Suite 2101, Chicago,<br />

IL 60603.<br />

For advertising rates and information, please contact Arthur L.<br />

Davis Publishing Agency, Inc., 517 Washington Street, PO Box<br />

216, Cedar Falls, Iowa 50613, (800) 626-4081, sales@aldpub.<strong>com</strong>.<br />

<strong>INA</strong> and the Arthur L. Davis Publishing Agency, Inc. reserve<br />

the right to reject any advertisement. Responsibility for errors in<br />

advertising is limited to corrections in the next issue or refund of<br />

price of advertisement.<br />

Acceptance of advertising does not imply endorsement or approval<br />

by the Illinois Nurses Association of products advertised, the<br />

advertisers, or the claims made. Rejection of an advertisement<br />

does not imply a product offered for advertising is without merit,<br />

or that the manufacturer lacks integrity, or that this association<br />

disapproves of the product or its use. <strong>INA</strong> and the Arthur L.<br />

Davis Publishing Agency, Inc. shall not be held liable for any<br />

consequences resulting from purchase or use of an advertiser’s<br />

product. Articles appearing in this publication express the<br />

opinions of the authors; they do not necessarily reflect views of<br />

the staff, board, or membership of <strong>INA</strong> or those of the national or<br />

local associations.<br />

Executive Director’s Update<br />

Susan Y. Swart, MS, RN<br />

<strong>INA</strong> Executive Director<br />

As this new biennium begins<br />

several things are keeping us busy<br />

at the association. We are assisting<br />

in the preparation for a summit<br />

in April. An invitation has been<br />

extended to multiple organizations<br />

to present a summit on the topic<br />

of Educational Advancement for<br />

Registered Nurses. This event will<br />

be open to those interested and will<br />

be held at Heartland Community<br />

College in Normal. I wish to take<br />

a moment to thank Heartland and<br />

their Dean Catherine Miller who Susan Swart<br />

have generously agreed to host<br />

this event.<br />

The Illinois Nurses Foundation is planning its first<br />

“Wisdom of Giving” Benefit. A late spring, early summer<br />

date is in the works. Please keep your eyes out for this<br />

<strong>New</strong> Board continued from page 1<br />

Other individuals elected to office for the 2009-2011<br />

term include:<br />

Congress on Health Policy & Practice<br />

Catherine Neuman<br />

P. Joan Larsen<br />

Ann Smith<br />

Commission on Continuing Education<br />

Kim White<br />

Debra Goodard<br />

Committee on Nominations<br />

Judith Nykiel<br />

Alma Labunski<br />

Patricia Lewis<br />

Mary Petrella<br />

announcement, as we are sure this will be the event to attend.<br />

Proceeds for this brunch will go to expand the scholarship<br />

programs of the Foundation.<br />

A new board was elected at the 80th Biennial Convention<br />

held in Lombard in October. I am pleased to introduce them<br />

to you on the front cover of this issue. A lot of challenges will<br />

be faced by this group as <strong>INA</strong> begins to plan for both the<br />

changing world of healthcare as well as the changing world of<br />

associations. Empowerment of the individual nurse member<br />

will be our focus as we begin to re-define our programs and<br />

services.<br />

The next big project for <strong>INA</strong> will be the launch of our<br />

new publication “CHART.” This journal will be dedicated to<br />

scholarly articles focused on various clinical and professional<br />

issues facing the nurses of Illinois. This will mark a beginning<br />

for <strong>INA</strong> as we shine a spotlight on innovative nursing practice<br />

throughout Illinois. We are reaching out to all clinicians and<br />

educators to submit articles that will help to bring attention on<br />

nursing in Illinois and our impact on the profession. <strong>Our</strong> first<br />

issue will be distributed in the spring of 2010. Please be on the<br />

lookout for the NEW and IMPROVED CHART.<br />

I am sure this will prove to be an exciting year as we<br />

progress into 2010. Please take a few minutes to look through<br />

this issue and discover the work of your colleagues. If you are<br />

not a member of the Illinois Nurses Association, I invite you<br />

to join TODAY. For a meager $4.80/week you can be<strong>com</strong>e<br />

a member of the only nursing association in Illinois that is<br />

dedicated to working on behalf of all nurses throughout this<br />

great state.


Page 4 January 2010 The Illinois Nurse<br />

<strong>New</strong> Illinois Law<br />

Allows Innovative<br />

STD Treatment<br />

Method<br />

John Peller, Director of Government Relations,<br />

AIDS Foundation of Chicago<br />

jpeller@aidschicago.org<br />

Remember that patient who came back again and again,<br />

infected with chlamydia or gonorrhea, because her partner<br />

never got treated? Thanks to legislation recently enacted in<br />

Illinois and supported by the Illinois Nurses Association, a<br />

solution is on its way.<br />

Beginning January 1, 2010, a sexually transmitted<br />

disease (STD) treatment method called expedited partner<br />

therapy (EPT) will be allowed under Illinois law. EPT is<br />

re<strong>com</strong>mended by the U.S. Centers for Disease Control and<br />

Prevention (CDC) and is permitted in 20 states and one<br />

city, Baltimore. 1<br />

With EPT, providers are permitted to prescribe<br />

antibiotics to the partners of patients diagnosed with<br />

chlamydia or gonorrhea, without examining the partner.<br />

Providers can give patients medications or prescriptions to<br />

give to their partners. Providers will be required to counsel<br />

patients and give an information sheet along with the<br />

prescription or medication.<br />

EPT addresses the problem that more than half of<br />

partners of patients diagnosed with chlamydia and<br />

gonorrhea are usually never treated, often because they<br />

are asymptomatic. Both STDs are treated with single<br />

doses of widely-tolerated antibiotics, azithromycin and<br />

cefpodoxime.<br />

Chlamydia and gonorrhea are the two most <strong>com</strong>mon<br />

reportable STDs in Illinois and across the nation. In 2007,<br />

over 55,000 chlamydia cases and over 20,000 gonorrhea<br />

cases were reported in Illinois. STDs can cause severe<br />

and life-long health problems for women, including<br />

pelvic inflammatory disease (PID), infertility, and ectopic<br />

pregnancy.<br />

Illinois’ newest STD treatment law came after a twoyear<br />

effort led by the AIDS Foundation of Chicago (AFC)<br />

and a broad coalition that included the Illinois Nurses<br />

Association. The bill, SB 212, sponsored by State Sen.<br />

David Koehler (D-Peoria) and State Rep. Sara Feigenholtz<br />

(D-Chicago), was signed into law in August by Governor<br />

Pat Quinn. Read the bill text at http://tinyurl.<strong>com</strong>/yfmfpe4.<br />

Significantly, the law gives healthcare providers<br />

protections from lawsuits when providing EPT to patients,<br />

although there are few concerns with the safety of the<br />

treatment method. The immunity provision was negotiated<br />

with the Illinois Trial Lawyers Association, which agreed<br />

that the prescription provided to the partner was free care<br />

seen as a “good Samaritan” act. The state association has<br />

long agreed that providers who give free care should be<br />

immune from lawsuits.<br />

The law requires the Illinois Department of Public<br />

Health to publish guidelines on the practice of EPT.<br />

The guidelines should be available before January 1,<br />

2010, when the law be<strong>com</strong>es effective. In the meantime,<br />

nurses should familiarize themselves with the CDCs<br />

STD treatment guidelines, available at www.cdc.gov/std/.<br />

Advanced practice nurses should review agreements with<br />

supervising physicians to ensure that the agreements allow<br />

for STD treatment or EPT, and update as needed.<br />

For more information on EPT, including guidelines<br />

from other states, visit www.cdc.gov/std/ept/, or visit the<br />

AFC’s website at www.aidschicago.org.<br />

1 U.S. Centers for Disease Control and Prevention,<br />

“Legal Status of Expedited Partner Therapy (EPT)”,<br />

http://www.cdc.gov/std/ept/legal/default.htm, accessed<br />

September 29, 2009.<br />

by Sharon V. Canariato, MSN, MBA, RN<br />

<strong>INA</strong> Deputy Executive Director<br />

In 2008, ANA introduced<br />

an action report which supports<br />

the advancement of a nurse’s<br />

education. <strong>INA</strong> followed with a<br />

position paper supporting ANA’s<br />

action report. Different from<br />

entry into practice, this concept<br />

of advancing a nurses education,<br />

recognizes the value of multiple<br />

points of entry into nursing<br />

education, with the ultimate<br />

goal being baccalaureate<br />

education within ten years of<br />

initial licensure. This approach Sharon V. Canariato<br />

continues to recognize all<br />

educational entries into the<br />

profession while acknowledging the changing healthcare<br />

environment and associated <strong>com</strong>petencies necessary to<br />

adapt to those changes.<br />

A group of nursing leaders from across the state have<br />

formed a task force challenged to develop a nursing<br />

summit to discuss this very issue. Leaders representing<br />

various nursing associations, educators of associate and<br />

baccalaureate nurses and nurse managers have gathered<br />

in a collaborative effort to facilitate a statewide discussion<br />

regarding the feasibility of moving forward with this issue.<br />

The date for this open forum has been set for April 20,<br />

2010 at Heartland Community College. Further details<br />

Practice Corner<br />

Nursing Leaders Gather to Discuss Legislation That Would<br />

Require a Nurse to Attain a Baccalaureate Degree in<br />

Nursing within Ten Years of Initial Licensure<br />

regarding this event, are not yet available. <strong>Our</strong> website<br />

will list the details of the meeting as it be<strong>com</strong>es available:<br />

www.illinoisnurses.<strong>com</strong>.<br />

Some key points regarding the educational advancement<br />

of RN’s include:<br />

• The purpose of requiring the baccalaureate degree for<br />

continued licensure as a registered nurse within ten<br />

years of initial licensure is to be responsive to meet<br />

the increasingly <strong>com</strong>plex health care needs of the<br />

residents of Illinois.<br />

• This preserves associate, diploma and baccalaureate<br />

nursing education. No associate degree or diploma<br />

program would be closed.<br />

• Applies only to future educated graduates of associate<br />

and diploma nursing programs.<br />

• Nurses who are already licensed and students who<br />

have applied to or are enrolled in nursing schools<br />

would be exempt. Due to this clause, the nursing<br />

shortage would not be intensified.<br />

• Seeks to advance the education of nurses to levels<br />

closer to that of the majority of health care disciplines<br />

• There are many avenues for RNs who want to earn<br />

a bachelors degree. In Illinois, there is increased<br />

availability of program articulation.<br />

Rollo May stated, “Communication leads to <strong>com</strong>munity,<br />

that is, to understanding, intimacy and mutual valuing.”<br />

Mark your calendars to join your nursing <strong>com</strong>munity for<br />

this respectful discussion of this important issue.


The Illinois Nurse January 2010 Page 5


Page 6 January 2010 The Illinois Nurse<br />

Snapshots from Convention


The Illinois Nurse January 2010 Page 7<br />

Snapshots from Convention


Page 8 January 2010 The Illinois Nurse<br />

<strong>INA</strong> 2009 HOD Votes to<br />

Influence Health Care<br />

Reform<br />

Below is the letter sent to President Barack Obama and<br />

the US Congress:<br />

Dear President Barack Obama;<br />

On October 17, 2009, the Illinois Nurses Association’s<br />

2009 House of Delegates voted to send letters to President<br />

Barack Obama, the United States Senate, and the House<br />

of Representatives stating that: The Illinois Nurses<br />

Association seeks to influence the Federal Administration,<br />

the U.S. Senate and U.S. House of Representatives to pass<br />

a bill that provides a robust public health insurance option<br />

with fiscal responsibility, no denial of health insurance due<br />

to a pre-existing condition, no loss of coverage due to an<br />

illness, and affordable premiums.<br />

The Illinois Nurses Association has a long history<br />

in support of health care as a right, including accessible,<br />

affordable quality healthcare for all. The American<br />

Nurses Association, of which Illinois Nurses Association<br />

is a constituent member, as well as the United American<br />

Nurses/AFL-CIO, are in support of national health care<br />

reform legislation.<br />

Thank you for listening to the Illinois Nurses<br />

Association,” The Voice of Illinois Nursing for over 100<br />

years”.<br />

The Illinois Nurses Association<br />

2009 House Of Delegates<br />

<strong>INA</strong>-PAC<br />

Illinois Nurses Association Political Action Committee<br />

Nurses want to provide quality care for their patients.<br />

The Illinois Nurses’ Association Political Action Committee (<strong>INA</strong>-PAC)<br />

makes sure Springfi eld gives them the resources to do that.<br />

The work of <strong>INA</strong>-PAC is supported through the generous contributions of its members. In the <strong>com</strong>ing<br />

years, some of the most signifi cant nursing issues could be decided legislatively—making it crucial to<br />

maintain a powerful position among lawmakers in Springfi eld. Help PAC, help YOU!<br />

So. . . . . . .if you think nurses need more visibility<br />

. . . . . . . . .if you think nurses united can speak more effectively in the political arena<br />

. . . . . . . . .if you think involvement in the political process is every citizen’s responsibility<br />

Be<strong>com</strong>e a <strong>INA</strong>-PAC contributor TODAY!<br />

$_____________<br />

Date: ___________________<br />

Please indicate above your desired level of contribution<br />

Make checks payable to <strong>INA</strong>-PAC.<br />

Name: ________________________________________ E-Mail: _________________________<br />

Address: _________________________________________________________________________<br />

City, State, Zip Code: _______________________________________________________________<br />

Preferred Phone Number: ____________________________________________________________<br />

Please mail <strong>com</strong>pleted form & check to: Illinois Nurses Association<br />

Atten: <strong>INA</strong>-PAC<br />

105 W. Adams St., Suite 2101<br />

Chicago, IL 60603


The Illinois Nurse January 2010 Page 9<br />

Illinois Nurses Foundation<br />

Illinois Nurses Foundation Seeks Your<br />

Assistance For Nurses In Need<br />

The Illinois Nurses Foundation understands that times<br />

continue to be challenging, however, they are even harder<br />

for those who are less fortunate. In this tough economic<br />

environment, we have seen many people suffering without<br />

food, clothing and/or shelter. Among those in need may<br />

be nurse colleagues. Many stories such as, tending to<br />

adult children and their children and grandchildren (i.e.,<br />

multigenerational family members living under the same<br />

roof) who have undergone severe crises, dealing with<br />

deaths of immediate family members, multiple injuries<br />

with <strong>com</strong>plications which prohibited their return to<br />

employment, sudden deaths of family members, etc., are<br />

some of the typically reported stories. The Illinois Nurses<br />

Foundation created a CARING GARDEN in order to grow<br />

a special fund for providing this much needed assistance.<br />

Nurses who are facing financial hardships due to<br />

illness, natural disaster, personal or family crisis often<br />

have no place to turn. The Foundation wants to give them<br />

hope as one more way to further our mission in support<br />

of nurses in Illinois. Through your efforts in growing<br />

this fund, you will be tending to the needs and future<br />

hopes of these nurses. A donation form is located here<br />

for your convenience. It is also on our Web site at www.<br />

illinoisnurses.<strong>com</strong>. Won’t you help us give nurses in crisis<br />

a ray of hope? This special fund is the only one of its kind<br />

in Illinois.<br />

Donate to the CARING GARDEN for Nurses in Need<br />

Today!!! Don’t delay!<br />

District 2 presents the<br />

Foundation with a check<br />

Judy Nykiel, INF President; Mary Bortolotti,<br />

District 2 President.<br />

INF Silent Auction<br />

Sells Out!<br />

The Illinois Nurses Foundation held a successful<br />

silent auction during the 2009 Convention. We are happy<br />

to report that every item contributed to the INF Silent<br />

Auction was sold and a total of $2131 was donated to the<br />

Nurses in Need fund.<br />

INF would like to take this opportunity to thank those<br />

individuals who contributed items to this year’s Silent<br />

Auction, including: Cheryl Anema, Ardyss International,<br />

Kathy Blachowski, Farmer’s Guest House - Galena, Sharon<br />

Canariato, Hilton Oak Lawn, Loretta Headrick, HIS<br />

Rest Bed & Breakfast, Alma Labunski, LPGA Teaching<br />

Professional, Charlice Martin, Renaissance Hotel,<br />

Catherine Neuman, Jennifer Nykiel- Donlin, Judy Nykiel,<br />

Tom Nykiel, Ann O’Sullivan, Maureen Shekleton, Susan<br />

Swart, Deb Weiderman, District 19, District 20 and SIUE<br />

Nursing Students.


Page 10 January 2010 The Illinois Nurse<br />

Be True to Your School Nurse<br />

Susan Arndt, RN, MEd<br />

One of the reasons nursing is such a great profession<br />

is that it offers unlimited areas of practice. This not only<br />

allows the nurse to develop an expertise and specialize in<br />

areas of personal interest or significance, but also, within<br />

a lifetime career, a nurse can find new interests and<br />

perhaps change direction. However, the downside of this<br />

specialization is that often times, nurses may not have an<br />

appreciation for what their fellow nurses do. Nowhere is<br />

this most apparent than in the practice of school nursing.<br />

With a goal of building a better understanding of what<br />

school nursing is and what school nurses do, allow me to<br />

share some of the joys and challenges within the practice<br />

of school nursing. To begin with, let’s dispel some myths<br />

about school nursing.<br />

Myth #1 School nursing is boring.<br />

Not even close...!<br />

Expect the unexpected is the rule of thumb for school<br />

nurses. On a good day, a school nurse may provide first<br />

aid care, illness care, a variety of screenings, medication<br />

administration, treatment administration, emotional<br />

support, immunization, and <strong>com</strong>municable disease<br />

monitoring for anywhere between 15 and 80 children.<br />

On a less-than-good day, a school nurse may check 75<br />

heads for the teeniest little buggers that can send a whole<br />

<strong>com</strong>munity into a panic and bring full-grown teachers to<br />

their knees.<br />

And on a very bad day, a school nurse may be called on<br />

to provide care for a life-threatening injury, anaphylaxis,<br />

an act of violence, or even a disaster within the school.<br />

What many nurses do not realize is that school nurses<br />

do all of this without the cushion of other health care<br />

providers at their sides. A school nurse must be able to<br />

make instantaneous decisions and take immediate actions.<br />

A solid knowledge of nursing, extensive educational<br />

preparation and strong clinical skills provide a school nurse<br />

with the ability and confidence to respond independently<br />

and appropriately to any situation.<br />

Myth #2 Any nurse can do school nursing.<br />

That is far from the truth!<br />

School nursing is a very unique area of practice<br />

requiring a basic nursing knowledge, as well as on-going<br />

education in pediatrics, public health, emergency care,<br />

orthopedics, endocrinology, respiratory and neurological<br />

disorders, and new medications and treatments. In Illinois<br />

and many other states, postgraduate work in education<br />

and specialized certification provides a school nursing<br />

specialization.<br />

Furthermore, working within the education field<br />

requires nurses to learn an entirely new system that has<br />

different laws, language, and professionals. Legislation,<br />

such as the special education laws developed within the<br />

last thirty (30) years ensuring the rights of children with<br />

disabilities to receive free and appropriate education and<br />

Section 504 of the Rehabilitation Act ensuring equal<br />

access to education for children with disabilities, has<br />

dramatically changed the landscape and population in our<br />

schools. These changes create new challenges and have<br />

had a huge impact on the practice of school nursing. To<br />

insure <strong>com</strong>pliance and safe care of students, a school nurse<br />

needs an understanding of school law and its impact on her<br />

practice.<br />

Myth #3 School nursing is limited to putting bandaids<br />

on boo-boos.<br />

You must be kidding!<br />

One of the most rewarding features of school nursing<br />

is the positive impact the nurse can have on the academic<br />

success, social development, and self-image of a student.<br />

More importantly is how that academic success, social<br />

development, and self-concept contribute to success as an<br />

adult.<br />

This occurs when school staff recognizes a child<br />

struggling within the school. In a true collaborative effort,<br />

October 17, 2009<br />

<strong>INA</strong> House of Delegates<br />

Memorial Resolution<br />

a team of diverse specialists work to better understand and<br />

solve the problem. This <strong>com</strong>prehensive evaluation includes<br />

assessments and analyses from each specialist that are<br />

used to formulate a plan specific to the child and his or<br />

her needs. In this effort, each specialist contributes his or<br />

her expertise, with team members relying on the nurse for<br />

her insight into any medical condition and its impact on<br />

student academic and classroom functioning. As a valued<br />

member of this education team, the school nurse is in the<br />

sole position to make instructional judgments based on<br />

knowledge of health and school law and her evaluation of<br />

the student’s health.<br />

The product of this collaboration, an Individualized<br />

Education Plan, provides the support the student needs for<br />

success in school. Witnessing a student’s success and its<br />

positive effect on self-esteem is one of the great rewards of<br />

school nursing.<br />

Myth # 4 School nurses have the best schedules:<br />

no weekends, no holidays and summers off.<br />

OK, that one is true!<br />

Yes, school nursing is a great career! One of the reasons<br />

school nursing is such a great career is that by seeking<br />

ways to keep kids healthy and at school where learning<br />

can occur, school nurses focus on wellness more often than<br />

focusing on illness. What’s more, it is rare to drive home<br />

at the end of the day without chuckling over something a<br />

student did. Sure, the challenges are there, but when you<br />

work with kids, it is truly impossible to lose hope.<br />

School nurses, as liaisons between the students, staff,<br />

families, and medical professionals, have opportunities<br />

every day to make a difference in a life.<br />

In the end, nurses gaining an understanding and<br />

appreciation of the other areas of nursing benefit the<br />

profession as a whole. We cannot truly support each<br />

other, celebrate our collective successes, and encourage<br />

our shared challenges until we understand the work and<br />

needs of fellow nurses. As colleagues, let’s <strong>com</strong>mit to<br />

advancing our cause, the art and science of nursing, by<br />

providing support to each other as individual nurses and as<br />

a profession.<br />

Whereas,<br />

Recognition of service and dedication is always appropriate, and although the nursing profession displays these<br />

qualities in abundance, there are outstanding colleagues to be remembered, and<br />

Whereas,<br />

The nurses who have died since the 2005 House of Delegates were enthusiastic participants in the activities of the<br />

profession, American Nurses Association, Illinois Nurses Association, and District Associations, and<br />

Whereas,<br />

Their concern for others, enthusiasm for the profession and willingness to serve will be sorely missed by their<br />

colleagues and <strong>com</strong>munity alike; therefore be it<br />

RESOLVED,<br />

That this House of Delegates memorializes:<br />

• Joyce Waterman Taylor, District 1 a neuro clinical specialist at County Hospital in the 1960’s and active<br />

member of the Cook County bargaining unit;<br />

• John Garde, the longtime Executive Director of the American Association of Nurse Anesthetist and<br />

graduate from the Alexian Brothers Hospital School of Nursing;<br />

• Gladys Niggli, District 10 and <strong>INA</strong> member for 50+ years;<br />

• Mary Elizabeth Carnegie, a champion for minority nurses and the nursing profession;<br />

• Helyn Tharpe, District 10 and <strong>INA</strong> member for 50+ years;<br />

• Kathleen Hoover Papes, a tireless advocate for advancing the economic and general welfare programs<br />

of nurses;<br />

• Joan Duslak, District 19 member who gave many hours in service to our Approver unit as a CE Review<br />

Panel member;<br />

• Imogene King, nursing theorist, who taught at Loyola University from 1961-1966 and again from 1971<br />

to 1980 and received an honorary PhD from Southern Illinois University in 1980;<br />

• and Cindy Steury Lattz, District 17 member and the former <strong>INA</strong> President and<br />

therefore be it further<br />

RESOLVED,<br />

That the principles by which they lived and worked be a constant reminder of the impact one person can make on<br />

the health of a <strong>com</strong>munity and strength of the profession. Their memories will be an inspiration to us all in our<br />

<strong>com</strong>mitment to meet the challenges of the future; and therefore be it further<br />

RESOLVED,<br />

That this House of Delegates pause now for a minute of silence to honor and remember these members and all<br />

former members who marked nursing’s future which we now enjoy.


The Illinois Nurse January 2010 Page 11<br />

‘Livable Communities’<br />

Margaret Ross Kraft, PhD, RN<br />

Member, Editorial Committee<br />

Illinois Nurses Association<br />

Is your <strong>com</strong>munity a good place to grow up and to grow old? A Community for All<br />

Ages? Will your <strong>com</strong>munity meet the needs of those 65, 75, 85, 95 or even 105? If not,<br />

how can a ‘livable <strong>com</strong>munity’ for all ages be created?<br />

The dramatic rise in the numbers of older Americans will impact every aspect of<br />

<strong>com</strong>munities. The entire social, physical and fiscal fabric of <strong>com</strong>munities will be affected<br />

by the growing aging population with an impact on many areas including:<br />

• Housing<br />

• Health<br />

• Transportation<br />

• Land Use Planning<br />

• Public Safety<br />

• Parks and Recreation<br />

• Workforce Development/Education<br />

• Volunteerism/Civic Engagement<br />

• Arts and Cultural Activities<br />

• Economic Development/Fiscal Impact<br />

The development of a ‘livable <strong>com</strong>munity’ project begins with<br />

• Convening key stakeholders<br />

• Assessing existing policies, programs and services that will effect an aging<br />

population (not just aging services)<br />

• Determining challenges and opportunities to be<strong>com</strong>ing an elder friendly<br />

<strong>com</strong>munity<br />

• Engaging citizens, county agencies, businesses and the private sector to develop<br />

and implement an aging in place/<strong>com</strong>munity for all ages plan.<br />

• Getting people to understand that the importance of <strong>com</strong>munity as a whole to<br />

maintaining the quality of life for all citizens—including older adults<br />

• Getting all the key stakeholders at the table in the beginning<br />

• Establishing a shared <strong>com</strong>munity goal/vision<br />

• Tackling issues incrementally—starting small and building on success<br />

• Keeping the momentum going by publicly celebrating ac<strong>com</strong>plishments<br />

(Markham, 2007).<br />

In 2005/2006, the National Council of Area Agencies on Aging in partnership with the<br />

International City/County Management Association, National Association of Counties,<br />

National League of Cities and Partners for Livable Communities with the support of<br />

the MetLife Foundation conducted a national survey of America’s cities and counties to<br />

assess “aging readiness” and found only 46 percent of U.S. <strong>com</strong>munities had even begun<br />

any planning efforts to prepare for their aging population. The <strong>com</strong>munities with plans or<br />

programs in process tended to have addressed only one issue related to elders. The areas<br />

with the experience of heaviest in-migration of older adults were those more likely to<br />

have begun to plan.<br />

Since 1900, the percentage of Americans age 65+ has more than tripled and as the<br />

Baby Boomers age, by 2030, 70 million Americans—twice their number in 2000—<br />

will be 65+. At that point, older Americans will <strong>com</strong>prise 20% of the U.S. population,<br />

representing one in every 5 Americans (Markwood, 2007). In Illinois, the 8 ‘collar’<br />

counties surrounding Cook County (Lake, Dupage, McHenry, Kane, Kendell, Will,<br />

Kankakee, and Grundy) are experiencing an increase in the 60+ population much<br />

faster than the rest of the state. Between 2010-2020, the 60+ population of this region<br />

is expected to increase another 48.74% as <strong>com</strong>pared to 31.58% for the state. The<br />

Northeastern Illinois (NEIL) Area Agency on Aging which provides services in the collar<br />

counties began a ‘livable <strong>com</strong>munity’ initiative in 2008 within four unique <strong>com</strong>munities:<br />

Westmont, Elgin, Kankakee, Highwood, and Lockport. Criteria for participation<br />

included assurance of a mixture of high-density and low-density <strong>com</strong>munities with<br />

at least one chosen <strong>com</strong>munity representative of the economic, racial, ethnic and non-<br />

English speaking households found within the region. By sampling <strong>com</strong>munities already<br />

experiencing high concentrations of older adults in order that the Area Agency on Aging<br />

can assess how these <strong>com</strong>munities have adapted to-date.<br />

The role of NEIL in this ‘livable <strong>com</strong>munity’ project is to serve as consultant<br />

while highlighting the role of local provider agencies in <strong>com</strong>munity decisions as these<br />

<strong>com</strong>munities include the needs of older adults into their <strong>com</strong>munity readiness planning<br />

process The major activities within these four pilot <strong>com</strong>munities will be summarized in<br />

a report to the Illinois Department of Aging and other area agencies in the state. Lessons<br />

learned will help other areas within the state to address the planning for a <strong>com</strong>munity<br />

that can meet the needs of all age groups.<br />

References<br />

Markwood, S. (2007) Partnerships and Initiatives to Develop Livable Communities for<br />

Older Adults. Presentation at the NEIL Annual Meeting. April.<br />

Northeastern Illinois Area Agency on Aging. October 11, 2009. Livable Communities<br />

Progress Report for FY 2009<br />

Dr. Kraft is Assistant Professor, Marcella Niehoff School of Nursing, Loyola<br />

University-Chicago.


Page 12 January 2010 The Illinois Nurse<br />

Correctional Nursing: The Evolution of a Specialty<br />

by Mary V. Muse, MS, RN, CCHP-A<br />

Reprinted with permission from the Winter 2009 issue<br />

of CorrectCare, the quarterly magazine of the National<br />

Commission on Correctional Health Care.<br />

The field of correctional nursing is poised for its next<br />

big advance: specialty certification through NCCHC’s<br />

Certified Correctional Health Professional program. This<br />

is an idea whose time has <strong>com</strong>e. But how did we get here?<br />

Let’s reflect on the evolution of this profession.<br />

A Look at <strong>Our</strong> Past<br />

The specialty of correctional nursing has been visible<br />

for more than 30 years. Although its early days are not well<br />

chronicled, it appears to have emerged largely in response<br />

to the forces that propelled correctional health care in<br />

general, such as the 1976 U.S. Supreme Court ruling in<br />

Estelle v. Gamble.<br />

Before the 1970s, much inmate health care was provided<br />

by other inmates, correctional officers and the occasional<br />

physician. The first documentation of correctional nursing<br />

may be a 1975 article by Rena Murtha, a director of<br />

nursing for a large correctional system. In her account,<br />

nurses were “a tool of the warden, a slave of the physician<br />

and an unknown to the patient.”<br />

Since then, the literature on correctional nursing in<br />

this country has been limited. Some articles describe<br />

blurring boundaries between corrections and nursing,<br />

others found a lack of professional practice or lack of<br />

concern for inmate-patients. For many years, correctional<br />

nurses themselves felt they were viewed as substandard, as<br />

castaways who could not practice anywhere else. Similar<br />

perceptions existed of correctional physicians.<br />

It is true that initially there were no real standards<br />

or expectations for nurses or physicians working in<br />

corrections. Because recruitment was often a challenge,<br />

it was easier to simply hire someone without relying on a<br />

systematic method of reviewing credentials or experience.<br />

However, as standards for correctional health care<br />

emerged, such as those of the National Commission on<br />

Correctional Health Care, likewise standards for health<br />

professionals took hold. These standards guided provision<br />

of care in jails and prisons, helping to improve quality and<br />

to reduce negative stereotypes.<br />

Despite these advances and the hiring of better qualified<br />

nurses, the perception persisted that good nurses would not<br />

work in corrections. In large part, this belief stems from<br />

the lack of knowledge about the environment and practice<br />

of correctional nursing, often coupled with fear and,<br />

occasionally, instances of nurses taking on aspects of their<br />

security counterparts. Consequently, some nurses left this<br />

field and others were reluctant to choose it.<br />

It didn’t help that many facilities lacked the leadership<br />

and structure for nurses that exist in traditional health<br />

care settings In years past, nurses usually reported to a<br />

corrections administrator or to a physician. In the absence<br />

of solid knowledge and expertise in nursing theory and<br />

standards, this reporting structure failed to optimize<br />

nursing practice in correctional health care.<br />

A Critical Role<br />

Correctional nursing has experienced considerable<br />

growth in the past 30 years. The <strong>com</strong>plex health needs<br />

of patients entering our systems require nurses with<br />

specialized knowledge and skill. Today, correctional<br />

nurses play a critical role in ensuring inmates’ access to<br />

care and in health care delivery. It is the nurse with whom<br />

the inmate interacts most frequently and whom the officer<br />

consults when an inmate has a health problem.<br />

As in most health care settings, correctional nurses are<br />

the primary clinical providers of care. Registered nurses<br />

are necessary to lead care delivery, as well as to direct the<br />

licensed nurses who work under their guidance.<br />

Correctional nurses must be clinically <strong>com</strong>petent and<br />

well grounded in nursing practice. They must possess<br />

excellent skills in assessment and critical thinking. Their<br />

judgment is critical to the inmates’ access to care.<br />

It’s also important to have a good understanding of<br />

the level of care that can be provided in their institutions.<br />

Correctional facilities can ill afford to have nurses who<br />

cannot or will not practice within the scope of their license<br />

or correctional nursing standards, or who have an aversion<br />

to the patient population they are expected to serve.<br />

Thus, correctional nurses have a high degree of<br />

accountability and responsibility. The flip side, naturally,<br />

is that they also are highly subject to possible litigation.<br />

Today, many facilities have added correctional<br />

nurse administrators to their staff. Under this structure,<br />

expectations for nursing practice are clearly defined<br />

and quality is strongly promoted. The growth in<br />

nursing leadership positions has contributed greatly to<br />

improvements in delivery of services and quality of care.<br />

A Distinct Specialty<br />

As the practice of correctional nursing has coalesced,<br />

it was natural that professional organizations would step<br />

up to foster professionalism in this<br />

specialty. The American Nurses<br />

Association, for example, promulgates<br />

standards for correctional nursing.<br />

The ANA defines nursing as<br />

“the protection, promotion and<br />

optimization of health and abilities,<br />

prevention of illness and injury,<br />

alleviation of suffering through the<br />

diagnosis and treatment of human<br />

response, and the advocacy in the care<br />

of individuals, families, <strong>com</strong>munities,<br />

and populations.” Nurses’ broadbased<br />

knowledge and holistic focus positions them as the<br />

logical network of providers on which to build health care<br />

systems with a focus on education, practice and facilitating<br />

patients’ efforts to meet their fullest potential.<br />

The ANA’s Corrections Nursing: Scope and Standards<br />

of Practice was revised in 2006 with input from nurse<br />

Correctional nursing<br />

is poised for its next<br />

big advance: specialty<br />

certification. To learn about<br />

this CCHP program, see<br />

www.ncchc.org/cchp.<br />

leaders across the country. The standards state that<br />

“Matters of nursing judgment are solely the domain of<br />

the registered nurse.” A major emphasis of this work<br />

is primary health care. These services include intake<br />

screening and evaluation, health screening, direct patient<br />

care, assessment and evaluation of an individual’s health<br />

behavior, teaching, counseling and helping inmates to<br />

assume responsibility for their own health. The nurse also<br />

may identify and provide <strong>com</strong>munity linkages for inmates<br />

upon discharge.<br />

Thanks to the increasing professionalism in correctional<br />

nursing, our colleagues in the correctional health care<br />

arena now understand and appreciate the value of this<br />

specialty. Beyond the walls, as well, negative perceptions<br />

are fading and enthusiastic interest in correctional nursing<br />

is growing, both in the <strong>com</strong>munity and from academic<br />

institutions.<br />

It is not clear how many nurses work in correctional<br />

health care settings. However, several years ago a national<br />

study of the nursing workforce reported 18,033 RNs<br />

working in this field.<br />

Opportunities Ahead<br />

Clearly, correctional nursing is on a roll, and even<br />

greater opportunities lie ahead. Last spring, CCHP<br />

program leaders began to explore the development of<br />

specialty certification for correctional nursing. Given that<br />

53% of the more than 2,000 active CCHPs are nurses, this<br />

only made sense.<br />

Certification is the formal recognition of specialized<br />

knowledge, skills and experience that demonstrate<br />

<strong>com</strong>petence and achievement of standards of a specialty<br />

that fosters and promotes optimal health out<strong>com</strong>es. A key<br />

part of the CCHP program is a test designed to measure a<br />

candidate’s mastery of the specialty.<br />

Aided by a nurse consultant with expertise in test<br />

design and psychometrics, a CCHP task force of nurse<br />

leaders started by listing nursing task statements that<br />

describe correctional nursing and distilling this list to its<br />

key essentials. These statements were<br />

used to develop a job analysis survey<br />

tool, which was sent to a broad group<br />

of correctional nurses. The results<br />

guided and validated the development<br />

of a test for specialty certification.<br />

Certification for correctional<br />

nursing helps to legitimize this<br />

specialty and validates that these<br />

professionals must possess a unique<br />

body of knowledge and skills.<br />

Just as important, it will certainly<br />

inspire others to pursue careers in<br />

correctional nursing and will stimulate scholarly research<br />

in this field.<br />

Correctional nursing has reached a milestone. <strong>Our</strong><br />

next challenges include expanding the knowledge of<br />

correctional nursing by seeking to more clearly define the<br />

profession, to identify the various levels of care delivered<br />

by nurses, to document the impact of nursing care on<br />

patient out<strong>com</strong>es and to pursue research and evidencebased<br />

practice.<br />

This is a wonderful time for correctional nurses, our<br />

patients and the field of correctional health care as a<br />

whole.<br />

Mary V. Muse, MSN, RN, CCHP-A, is a correctional<br />

health care consultant based in the Chicago area. She is<br />

a surveyor for NCCHC, a frequent presenter at NCCHC<br />

conferences and immediate past chair of the Academy of<br />

Correctional Health Professionals. She also serves on the<br />

task force that is developing the CCHP-N program. To<br />

contact her, e-mail mvmuse@ameritech.net.<br />

The ANA book Corrections Nursing: Scope and<br />

Standards of Practice is available for purchase from<br />

NCCHC. See our catalog at www.ncchc.org or call 773-<br />

880-1460.


The Illinois Nurse January 2010 Page 13<br />

POSITION STATEMENT ON<br />

CULTURAL COMPETENCE WITH AGING<br />

ExECutivE SummARy<br />

The Illinois Nurses Association (<strong>INA</strong>) supports<br />

the position which promotes culturally <strong>com</strong>petent<br />

professionals who integrate health care delivery services<br />

for all individuals regardless of age and culture. It reflects<br />

practice with <strong>com</strong>passion and respect for the inherent<br />

dignity, worth and uniqueness of all human beings. The<br />

<strong>INA</strong> supports implementation of continuing education<br />

for all professional and auxiliary health care delivery<br />

personnel regarding integration of culturally diverse health<br />

care services for older adults.<br />

BACkgROunD<br />

Given an aging population, currently registered by the<br />

United States Bureau of Census as 49 million individuals<br />

who are 65 years of age and over, significant trends are<br />

impacting the future of aging in the United States. First,<br />

older adults are increasing their life span; the aging<br />

population is rapidly growing with 78 million baby<br />

boomers soon reaching the age of 65 and over, (births<br />

between 1941-1965) (Tucker, etal., 2006). Such populations<br />

will reach major proportions by the year 2030. Hence,<br />

the nation’s capacity to provide quality and affordable<br />

care for its rapidly growing adult population will be<strong>com</strong>e<br />

increasingly challenging.<br />

Also, the “face” of aging is changing nationwide.<br />

It is quickly be<strong>com</strong>ing a sea of cultural diversity. The<br />

many cultures, ethnicities, abilities, skills, values and<br />

experiences, span from over 60 to 100 years of age. And,<br />

given the increasing longevity in all cultures, more older<br />

adults will require health services for <strong>com</strong>plex, chronic,<br />

and possibly disabling conditions. These numbers,<br />

diversity and location will impact the way health care is<br />

delivered. Additionally, the location of care delivery, which<br />

varies from acute care to <strong>com</strong>munity settings, promotes a<br />

dramatic increase in the demand for professionals to care<br />

for them. Only 4.5% of older adults reside in institutions<br />

(Administration on Aging, 2004); 65-74 year olds live with<br />

spouse, and/or next of kin within the <strong>com</strong>munity. Those<br />

over 75 years of age generally live alone.<br />

The changing face requires professionals to be culturally<br />

<strong>com</strong>petent in integrating health care needs, values,<br />

traditions and lifestyles. Since chronic diseases affect 88<br />

percent of older adults (ASA, 2006), a disproportion of<br />

them are attributed to specific, culturally diverse groups<br />

(Suen & Tusale, 2004). Survival rates similarly vary among<br />

culture and gender; American females’ life span mean<br />

is currently 79.4; males 73. In the Chinese and Filipino<br />

culture, men outlive the women (Suen & Tusale, 2004).<br />

Higher poverty disparity rates exist for older women<br />

more than older men: greater impoverishment exists<br />

among the culturally diverse; as <strong>com</strong>pared with 25% of<br />

white women, over 40% of African American and Latin<br />

women live in poverty during their retirement years (Aging<br />

Today, 2006).<br />

Given the changing status, stereotypes regarding aging<br />

continue to pervade the culture. Negative attitudes such<br />

as, workplace skills; limited physical activity; myths<br />

regarding independence, driving skills, and long term care;<br />

gender disparities; discrimination in health care delivery;<br />

Social Security, Medicare and Medicaid status; etc., persist<br />

in perceived disparities among all cultures (Sampson &<br />

Staplin, 2003).<br />

In current health care delivery, since more than one<br />

half of hospitalized clients represent adults over 65 (Yoon,<br />

etal., 2006), only nine percent of professional nurses have<br />

indicated an interest in caring for older adults. The current<br />

shortage of registered nurses specializing in gerontological<br />

nursing magnifies the challenge. It will be<strong>com</strong>e more<br />

critical as student preferences for other nursing specialties<br />

contribute to the current shortage, with only 1.9% of<br />

students who identify working with older adults as their<br />

career choice (AACN, 2005).<br />

In the year 2000, a national survey was conducted<br />

among 590 baccalaureate educational programs; of those,<br />

only 38 reported requiring a separate gerontological theory<br />

and clinical course at the undergraduate level (Labunski,<br />

2005). Rationale for lack of inclusion was three-fold:<br />

faculty stated that aging adults were merely adults and had<br />

the same problems, thus should be not be separated. Also,<br />

students were exposed to older adults in clinical settings<br />

and long term settings early in their educational programs,<br />

which promoted even greater negative attitudes toward the<br />

aged. Third, students reported that student attitudes were<br />

affected by their faculty’s attitudes toward aging, hence,<br />

showed little interest in serving the aged.<br />

Professionals’ statements included, “although I was<br />

hesitant about spending an entire semester in this course,<br />

I really enjoyed the content and consider it so important<br />

for this population which deserves our best,” and, “this<br />

gerontological course needed to be added …; there are a<br />

lot of myths which were dispelled by taking this course; it<br />

has helped me with all of my nursing considerably” (Aud,<br />

etal., March-April 2006)<br />

In June 2001, the American Association of Colleges of<br />

Nursing (AACN) was awarded an extensive grant by the<br />

Hartford Foundation of <strong>New</strong> York to enhance curriculum<br />

development in 20 baccalaureate and 10 graduate schools<br />

of nursing. Over the four year grant program, survey<br />

results revealed that the single most necessary precursor<br />

to the successful implementation and maintenance of<br />

geriatric curricula, is faculty development—expanding<br />

their knowledge base and fostering positive attitudes<br />

toward aging (Aud, etal., March-April, 2006).<br />

Further, students need a separate, solid grounding in<br />

the art and science of gerontological nursing theory and<br />

an opportunity to apply the theory and interact with older<br />

adults in diverse clinical sites (Hancock, etal., 2006).<br />

Also, traditional early clinical sites, as in long term care<br />

facilities, although offer a slower paced environment,<br />

perpetuate the myth that the care of long term home<br />

residents requires less expertise in nursing skills,<br />

assessment, critical thinking and leadership as <strong>com</strong>pared<br />

with the care of hospitalized patients. It ignores the<br />

<strong>com</strong>plexity of nursing home residents who reflect multiple<br />

chronic conditions, <strong>com</strong>plex medication regimens, endof-life<br />

issues, decision-making and rehabilitative services<br />

post-hospitalization and in specialized care for dementia.<br />

It further ignores population statistics which as indicated<br />

above, reveal that only a small percentage of older adults<br />

reside in nursing homes (Administration on Aging, 2004).<br />

POSitiOn<br />

The Illinois Nurses Association (<strong>INA</strong>) strongly opposes<br />

the persisting, current culture of ageism. The <strong>INA</strong> supports<br />

implementation of the following interventions to promote<br />

culturally <strong>com</strong>petent professionals who integrate all<br />

culturally diverse health care services by :<br />

1. Laying the groundwork for older adults theory and<br />

clinical curricula in undergraduate programs by:<br />

a. providing faculty education and development; b.<br />

instituting separate, required undergraduate courses<br />

in gerontological nursing as part of the nursing<br />

major; and, c. thereafter, offering graduate tracks<br />

in aging adults. These suggest much hope and<br />

potential for dispelling myths regarding aging and<br />

the current culture.<br />

2. Promoting culturally <strong>com</strong>petent health care<br />

delivery , which reflects practice with <strong>com</strong>passion<br />

and respect for the inherent dignity, worth and<br />

uniqueness of every individual (ANA, 2001)<br />

3. Instituting continuing education for all professional<br />

and auxiliary health care delivery personnel<br />

regarding integration of culturally diverse health<br />

care services for older adults.<br />

4. Creating a culturally appropriate health promotion<br />

program that improves awareness, enhances<br />

motivation, builds skills and provides opportunities<br />

for physical activities and advocacy, protection,<br />

health safety and rights for all older adults ( ASA,<br />

Summer 2006), (ANA 2001).<br />

REFEREnCES<br />

Administration on Aging. (2004). A profile of older<br />

Americans. U.S. Department of Health and Human<br />

Services, Washington: DC.<br />

American Association of Colleges of Nursing. (2005).<br />

Media - nursing shortage resource; www.aacn.nche.edu<br />

American Association of Colleges of Nursing and John<br />

A. Hartford Foundation Institute for Geriatric Nursing.<br />

(2000). Older Adults: Re<strong>com</strong>mended Baccalaureate<br />

Competencies and Curricular Guidelines for Geriatric<br />

Nursing Care. Washington, DC: AACN.<br />

American Nurses Association. (2001). ANA Code for<br />

Nurses with Interpretive Statements. Kansas City: MO,<br />

ANA.<br />

Aud, M., Bostick, J., Marek, D., & McDaniel, R. (2006).<br />

Introducing baccalaureate student nurses to gerontological<br />

nursing. Journal of Professional Nursing, 2(2), 73-78.<br />

Buerhaus, P., Staiger, D., & Aurbach, D. (2000).<br />

Implications of an aging registered nurse workforce.<br />

JAMA, 28 (2), 2948-2954.<br />

Gordon, C.(Summer 2006). Promoting exercise for<br />

elders of color, Health Care and Aging. American Society<br />

on Aging, 13(2).<br />

Hancock, D., Helfers, M., Cowan, K., Letuak, S.,<br />

Barba, B., Herrick, C., Wallace, D., Rossen, E., &<br />

Bannon, M.(2006). Integration of gerontology content in<br />

nongeriatric undergraduate nursing courses. Geriatric<br />

Nursing, 27(2), 103-111.<br />

Hounsell, C. & Riojas, A.(2006). Older women face<br />

tarnished golden years. Aging Today, 27(4), American<br />

Society on Aging.<br />

Institute of Medicine. (2001). Crossing the Quality<br />

Chasm: A <strong>New</strong> Health System for the 21st Century.<br />

Washington: DC, National Academy Press.<br />

Kane, R. and Kane, R. (2005). Ageism in healthcare and<br />

long-term care, ageism in the new millenium. Generations,<br />

29(3), 49-54.<br />

Labunski, A. J. (2005). Ethics or conflict in health care.<br />

American Society of Aging, National Council on Aging,<br />

Philadelphia, PA.<br />

Labunski, A. J. (2003). Dementia care: whose ethics?<br />

American Society of Aging, National Council on Aging,<br />

Chicago: IL<br />

Latimer, D. & Thornlow, D. (2006). Incorporating<br />

geriatrics into baccalaureate nursing curricula: laying<br />

the groundwork with faculty development. Journal of<br />

Professional Nursing, 22(2), 79-83.<br />

National Commission on Nursing Workforce for Long-<br />

Term Care. (May 2005). Act Now for Your Tomorrow,<br />

Washington: DC National Commission on Nursing<br />

Workforce.<br />

Nigg, C. (2006). Helping older adults strengthen their<br />

level of <strong>com</strong>mitment to exercise, one stage at a time.<br />

Health Care and Aging, 14(2), American Society on<br />

Aging.<br />

Rosowsky, E. (2005). Ageism and professional training<br />

in aging: who will be there to help? Ageism in the <strong>New</strong><br />

Millenium. Generations, 29(3), 55-58.<br />

Sampson, S. & Staplin, L. (2003). Myths and facts<br />

about older drivers, Generations, 27(2), 32-33.<br />

Suen, L. & Tusaie, K. (2004). Is somatization a<br />

significant depressive symptom in older Taiwanese<br />

Americans? Geriatric Nursing, 25(3),157-163.<br />

Thornlow, D., Auerbahn, C. & Stanley, J. (2006). A<br />

necessity, not a luxury: preparing advanced practice nurses<br />

to care for older adults. Journal of Professional Nursing,<br />

22(2), 116-122<br />

Tucker, D., Bechtel, G., Quartana, C., Badger, N.,<br />

Werner, D., Ford, I., & Connelly, L. (2006). The OASIS<br />

program: redesigning hospital care for older adults.<br />

Geriatric Nursing, 27(2), 112-117.<br />

Yoon, S. & Schaffer, S. (2006). Herbal, prescribed and<br />

over-the-counter drug use in older women: prevalence of<br />

drug interactions. Geriatric Nursing, 27(2), 118-129.<br />

Wallace. S. (2006). Closing the gap: health disparities<br />

among older Americans. Aging Today, 27(4), American<br />

Society on Aging.<br />

Wilson, K. (2006). Introduction: where older people<br />

live, how needed care is provided, Generations, 29(4), 5-8.<br />

Effective Date: August 1997, December 2006<br />

Status: Revised Position Statement<br />

Originated by: The Assembly on Health Policy<br />

Primary Author: Alma J. Labunski, EDD, mS, Rn<br />

Adopted by: Illinois Nurses Association


Page 14 January 2010 The Illinois Nurse<br />

Are You Interested in<br />

Be<strong>com</strong>ing a Nurse Educator?<br />

If you currently have your Master’s degree in Nursing,<br />

you are qualified to teach in an RN nursing program.<br />

Teaching as an adjunct faculty member is a great way to<br />

enhance your career and help prepare the next generation<br />

of nurses. Most schools throughout the state are looking<br />

to hire part-time and full-time nurse educators. Open<br />

positions for some schools can be found at www.nursing.<br />

illinois.gov.<br />

The Clinical Faculty Academy is a great resource for<br />

new and seasoned educators. The program is a two-day<br />

skill building program for registered nurses who have a<br />

contract to serve as clinical faculty at an Illinois nursing<br />

program. The mission of the Academy is to develop<br />

qualified Master’s prepared nurses for the role of clinical<br />

nurse educators in order to increase faculty workforce,<br />

which will expand and sustain enrollments in schools of<br />

nursing.<br />

For more information on up<strong>com</strong>ing Clinical Faculty<br />

Academies across the state, or if you would like to plan an<br />

Academy in your region, please contact Mary Pat Olson,<br />

RN, MPH, Director of Workforce Development for the<br />

Metropolitan Chicago Healthcare Council at 312-906-<br />

6020, mpolson@mchc.<strong>com</strong>.<br />

Mary Petrella presents “My Hero, My Dad The Nurse”<br />

to St Joseph’s School in Joliet<br />

Mary Petrella (left) and Debbie Oriva


The Illinois Nurse January 2010 Page 15<br />

Membership Myths &<br />

Misconceptions<br />

“inA must have thousands of members—they don’t need dues or help from<br />

me.”<br />

Sadly—not true. Similar to public TV or radio which benefits all listeners<br />

(whether or not they are paying members) <strong>INA</strong> provides information, political<br />

advocacy and other services which benefit all Illinois nurses, but receives<br />

financial support from only a small percentage. Currently there are over 166,000<br />

RNs in Illinois and only 5,200 of these are members of <strong>INA</strong>.<br />

“i don’t need to be a member – someone else will take care of all that.”<br />

If not YOU, then WHO—you are the “someone else.” Non-nurses (physicians,<br />

insurance <strong>com</strong>panies, hospital administrators, trial lawyers, etc.) are waiting in<br />

line to define nursing. Without the financial support of the nurses in Illinois, <strong>INA</strong><br />

has limited ability to protect your rights as a professional registered nurse.<br />

“inA is only a union”<br />

Yes and No. We are a multi-purpose organization that provides services to<br />

all nurses in Illinois regardless of their specialty, place of employment or<br />

educational preparation. <strong>INA</strong> does provide union representation for registered<br />

nurses working in certain facilities. We are PROUD of our union work. Who<br />

else should be representing nurses in their work place if NOT NURSES? But we<br />

refuse to be defined as ONLY A UNION!<br />

“inA is made up of all nurse managers and educators—they don’t represent<br />

staff nurses.”<br />

<strong>Our</strong> membership is over 70% staff nurses that work at the bedside. <strong>Our</strong><br />

elected leadership includes a wide range of nurses from new grads and direct<br />

care staff to managers, educators and retirees. <strong>Our</strong> diversity is what makes us<br />

STRONGER.<br />

“inA is only interested in hospital nurses and policies”<br />

The association, since its’ founding in 1901, has supported and advocated<br />

for all registered nurses in Illinois—in all work settings—and across all nursing<br />

specialties. We even extend affiliate membership status to those such as the<br />

school nurses association.

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