2018 TNA and TSNA Joint Annual Conference
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Embassy Suites - SE Murfreesboro<br />
JOINT ANNUAL<br />
Oct.<br />
26-28,<br />
<strong>2018</strong><br />
<strong>TNA</strong> &<br />
<strong>TSNA</strong><br />
CONFERENCE<br />
ADVOCACY IN ACTION
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Advocacy in Action<br />
October 26-28. <strong>2018</strong><br />
Murfreesboro, TN Embassy Suites SE-Murfreesboro<br />
Table of Contents<br />
Welcome from the <strong>TNA</strong> President ..................................................................3<br />
Welcome from the <strong>TNA</strong> Executive Director ..........................................................5<br />
Welcome from the Tennessee Student Nurses Association ............................................9<br />
<strong>TNA</strong> <strong>Conference</strong> Schedule .........................................................................11<br />
<strong>TSNA</strong> <strong>Conference</strong> Schedule .......................................................................19<br />
Embassy Suites Floor Plan Meeting Rooms .........................................................23<br />
General Announcements .........................................................................27<br />
Meet Our Keynote <strong>and</strong> Plenary Speakers ...........................................................29<br />
Meet the Presenters ..............................................................................31<br />
Tennessee Nurses Political Action Committee (TNPAC) ..............................................39<br />
<strong>2018</strong> Membership Assembly Rules <strong>and</strong> Information ...................................................41<br />
110 th Membership Assembly Agenda ...............................................................42<br />
Disclosures to Participants, Continuing Nursing Education Instructions ................................43<br />
Introduction to Robert’s Rules of Order ............................................................44<br />
2015-2017 Legislative <strong>and</strong> Health Policy Statements .................................................49<br />
Nightingale Tribute & Memoriam ..................................................................56<br />
<strong>TNA</strong> Board of Directors & Staff ...................................................................58<br />
<strong>2018</strong> Slate of C<strong>and</strong>idates .........................................................................59<br />
Poster Abstracts ................................................................................67<br />
<strong>TNA</strong> Financials ..................................................................................90<br />
<strong>TNA</strong> Leadership Opportunities ....................................................................93<br />
Area of Interest Form ............................................................................94<br />
<strong>TNA</strong> Past Presidents .............................................................................95<br />
Tennessee Nurses Foundation (TNF) – Mission – Goals – Initiatives ....................................96<br />
TNF Board of Trust Roster ........................................................................97<br />
<strong>TNA</strong> Member Benefits ...........................................................................98<br />
<strong>TNA</strong> 2019 Events ...............................................................................100<br />
Printed <strong>and</strong> Published for the Tennessee Nurses Association by:<br />
Arthur L. Davis Publishing Agency<br />
517 Washington, P.O. Box 216, Cedar Falls, IA 50613 • (319) 277-2414<br />
www.tnaonline.org<br />
Published by:<br />
Arthur L. Davis<br />
Publishing Agency, Inc.<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Welcome from the <strong>TNA</strong> President<br />
Haley Vance, DNP, APRN, CPNP-AC<br />
On Behalf of the Tennessee Nurses Association Board of Directors & Staff, I want to<br />
welcome you to the <strong>2018</strong> Tennessee Nurses Association (<strong>TNA</strong>) & Tennessee Student<br />
Nurses Association (<strong>TSNA</strong>) <strong>Joint</strong> <strong>Annual</strong> <strong>Conference</strong>.<br />
This year’s conference theme is “Advocacy in Action”. What an amazing opportunity<br />
we have as nurses to inspire, innovate, <strong>and</strong> influence both the profession of nursing<br />
<strong>and</strong> the patients that we care for. Many long hours have gone in to planning<br />
conference this year to provide you with intentional <strong>and</strong> thoughtful time for open<br />
dialogue regarding issues here in Tennessee, excellent continuing education, poster<br />
sessions, <strong>and</strong> networking opportunities.<br />
We have many distinguished guests joining us this year. Susan Hassmiller, RN, PhD, FAAN from the Robert<br />
Wood Johnson Foundation will kick us off on Friday afternoon sharing her first-h<strong>and</strong> experience with the<br />
current healthcare system. Our keynote speaker on Saturday is Mary Jo Assi, DNP, RN, FNP-BC, NEA-BC,<br />
FAAN , the Associate Chief Nursing Officer for Press Ganey. She will lead us <strong>and</strong> inspire us to focus on<br />
providing compassionate <strong>and</strong> connected care. Our closing speaker on Sunday is Rozanne Filson, BBA who<br />
serves as an Account Executive in the Healthcare Division of Aon’s Affinity Insurance Services, Inc. Her<br />
expertise on healthcare risk management <strong>and</strong> insurance-related topics will provide practical strategies <strong>and</strong><br />
information for preventing malpractice in our day-to-day practices.<br />
Though politics may not be everyone’s first love, knowing the individuals that represent us is important. We<br />
look forward to hearing from our TN Gubernatorial c<strong>and</strong>idates – Bill Lee (R) <strong>and</strong> Karl Dean (D) – regarding<br />
their priorities for the upcoming years.<br />
This will be our first conference with our new Executive Director, Tina Gerardi. She has traveled the state<br />
over the past 8 months connecting with <strong>and</strong> engaging nurses from all our <strong>TNA</strong> districts. If you have not had<br />
the privilege to meet her, please take this opportunity to do so. She is fabulous <strong>and</strong> truly devoted to the<br />
profession of nursing!<br />
Many of you may know that Wilhelmina Davis is retiring. We could never adequately thank her for the ten<br />
amazing years of service she has given to Government Affairs for <strong>TNA</strong>.<br />
I look forward to meeting <strong>and</strong> interacting with you throughout the weekend! Welcome to conference!<br />
Sincerely,<br />
Haley Vance<br />
3
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Welcome from the Executive Director<br />
Tina Gerardi, MS, RN, CAE<br />
Welcome to the <strong>2018</strong> Tennessee Nurses Association (<strong>TNA</strong>) & Tennessee Student<br />
Nurses Association (<strong>TSNA</strong>) <strong>Joint</strong> <strong>Conference</strong>. I am so excited to be attending my first<br />
Membership Assembly <strong>and</strong> <strong>Annual</strong> <strong>Conference</strong> as the executive director of <strong>TNA</strong>. I am<br />
confident that we will learn together, exchange ideas, chart the course for nursing<br />
for the upcoming year, share our stories <strong>and</strong> our wisdom with our colleagues <strong>and</strong> the<br />
future of nursing, our students. I think we can also have some fun along the way!<br />
This year’s theme, Advocacy in Action, recognizes the advocate in every registered<br />
nurse. Whether at the bedside, in the classroom, in the board room, or in the Capitol,<br />
each day we advocate for quality patient care, quality nursing practice, quality nursing<br />
education, quality nursing research, quality nursing leadership, <strong>and</strong> quality health for all Tennesseans. Our<br />
opening plenary speaker Sue Hassmiller <strong>and</strong> our keynote speaker Mary Jo Assi will share the need for<br />
compassion as we advocate for our practice <strong>and</strong> our patients. Our closing plenary speaker, Roxane Filson<br />
will highlight the need to be vigilant in assuring safe nursing practice in our daily work.<br />
In addition to the educational opportunities, the Membership Assembly will convene to do the work of the<br />
Association – setting direction <strong>and</strong> priorities for the upcoming year. <strong>TNA</strong> will also elect new members of<br />
the board of directors, support the work of the Tennessee Nurses Foundation <strong>and</strong> the Tennessee Nurses<br />
Political Action Committee, <strong>and</strong> confer awards on outst<strong>and</strong>ing nurses from across the state.<br />
I look forward to meeting you <strong>and</strong> working together to make <strong>TNA</strong> the unifying voice for nursing in Tennessee.<br />
<strong>2018</strong> <strong>Conference</strong> Planning Committee<br />
This year’s conference has been diligently planned under the direction of Jenny Webb<br />
(<strong>TNA</strong> Board Director of Education) <strong>and</strong> our <strong>2018</strong> <strong>Conference</strong> Planning Committee.<br />
Please thank the following individuals for their yearlong<br />
effort in planning our annual conference:<br />
Shante Addy<br />
Trish Baise<br />
Diane Cunningham<br />
Wilhelmina Davis<br />
Kathryn Denton<br />
Sharon Hinton<br />
Carla Kirkl<strong>and</strong><br />
Anne Mitchell<br />
Kamiko Ritchey<br />
5
JOIN TENNOVA FOR A<br />
REWARDING REGISTERED<br />
NURSE CAREER!<br />
We are looking for hard working,<br />
dependable applicants that will make<br />
a difference for our patients <strong>and</strong> hospitals.<br />
Full benefits package for full-time<br />
<strong>and</strong> part-time positions includes:<br />
Medical, Prescription, Dental, Vision,<br />
Flex Spending Account, Life <strong>and</strong><br />
Disability, <strong>and</strong> more. Vacation, sick,<br />
holiday <strong>and</strong> personal day for full-time<br />
<strong>and</strong> part-time.<br />
Healthy sign-on bonuses available-based<br />
on experience, location <strong>and</strong> position shift.<br />
Natural Progression pay for 1-5 years of<br />
nursing experience. Clinical Advancement<br />
program available.<br />
Apply at: www.Tennova.com<br />
Or forward your resume to:<br />
kristie.owenby@tennova.com
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
7
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Welcome from the <strong>TSNA</strong> President<br />
Kamiko Ritchey, BSN, RN<br />
Welcome to the <strong>2018</strong> <strong>TNA</strong> <strong>and</strong> <strong>TSNA</strong> <strong>Annual</strong> <strong>Joint</strong> <strong>Conference</strong>. I would like to<br />
personally thank you for attending this conference <strong>and</strong> your dedication to our<br />
association, as well as your commitment to the field of nursing. Becoming a nurse is<br />
one of the most challenging <strong>and</strong> most rewarding opportunities.<br />
Tennessee Student Nurses Association (<strong>TSNA</strong>) allows you to:<br />
• meet people all over the state that have one thing in common, nursing.<br />
• connect with people that are enduring the same schooling, clinicals, <strong>and</strong> busy<br />
schedules.<br />
• gain perspectives from other nursing students<br />
• recognize the difference in other programs around the state <strong>and</strong> some of the different things they are<br />
doing in their schools<br />
• create a sense of community<br />
• gain professionalism <strong>and</strong> knowledge of nursing as a whole<br />
• acquire information about state laws currently in action <strong>and</strong> those soon to be in action<br />
Nursing changes daily, <strong>and</strong> we are fortunate enough to have an organization like <strong>TSNA</strong> to be a part of the<br />
change, <strong>and</strong> create a platform to voice our own opinions toward nursing issues that matter most. <strong>TNA</strong>’s<br />
Legislative Summit is held annually, usually in April, in Nashville, TN <strong>and</strong> is a great place to exp<strong>and</strong> on<br />
knowledge <strong>and</strong> topics related to current legislation in nursing.<br />
Becoming a member of the <strong>TSNA</strong> is one of the greatest decisions you’ve already made, or will make. You<br />
have the chance to be a part of something great <strong>and</strong> make a difference for future nurses, like yourself. This<br />
is an organization that links people by connecting schools <strong>and</strong> students all over the state, <strong>and</strong> gives you the<br />
opportunities <strong>and</strong> resources to enhance your future.<br />
At conference, you will have the opportunity to hear from nursing professionals around the state, learn<br />
about hot topics in nursing, meet local vendors <strong>and</strong> others from across the nation, <strong>and</strong> take part in an<br />
NCLEX review! Thank you for joining <strong>TNA</strong> <strong>and</strong> <strong>TSNA</strong>. We’re glad you’re here!<br />
9
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Tennessee Nurses Association<br />
<strong>Conference</strong> Schedule*<br />
*Schedule subject to change without notice<br />
Friday, October 26 Activity/Event Location Contact Hours<br />
8:00 a.m. – 5:00 p.m. <strong>TNA</strong> Registration Open Foyer<br />
10:00 a.m. – 6:00 p.m. Silent Auction Open Mirabella A<br />
10:00 a.m. – 10:30 a.m. First Time Attendees Orientation Oakleigh A-B<br />
10:30 a.m. – 12:00 p.m. Membership Assembly Oakleigh A-B<br />
<strong>TNA</strong> C<strong>and</strong>idates Forum<br />
12:15 p.m. – 12:45 p.m. Lunch Oakleigh A-B<br />
1:00 p.m. – 2:00 p.m. Opening Session Oakleigh A-B 1.0 Contact Hours<br />
Compassion in Care: The Rule,<br />
Not the Exception<br />
Susan B. Hassmiller, RN, PhD, FAAN<br />
Senior Advisor for Nursing<br />
Robert Wood Johnson Foundation Students encouraged to attend<br />
2:15 p.m. – 5:30 p.m. Issues Forum Oakleigh A-B 3.0 Contact Hours<br />
Past Presidents Forum<br />
Break<br />
Legislative Forum with<br />
Gubernatorial C<strong>and</strong>idates (invited)<br />
6:00 p.m. – 9:00 p.m. Welcome Reception & Exhibits Mirabella E-F<br />
DJ & Costume Contest<br />
Saturday, October 27<br />
7:30 a.m. – 4:30 p.m. Registration Open Foyer<br />
7:00 a.m. – 7:45 a.m. Early Morning Dance Party Private Dining Room B<br />
7:00 a.m. – 8:00 a.m. Poster Set-Up Oakleigh C<br />
Black font indicates <strong>TNA</strong> activity/event (students are welcome to attend)<br />
Red font indicates <strong>TNA</strong> CE activity<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Saturday, October 27 Activity/Event Location Contact Hours<br />
7:30 a.m. – 8:30 a.m. Sunrise Snack Oakleigh A-B<br />
7:30 a.m. – 4:30 p.m. TNF Silent Auction Open Mirabella A<br />
8:10 a.m. – 8:30 a.m. Live Music by Trevor Martin Oakleigh A-B<br />
8:30 a.m. – 10:15 a.m. Membership Assembly Oakleigh A-B<br />
10:15 a.m. – 10:30 a.m. Break Foyer<br />
10:30 a.m. – 11:30 a.m. Concurrent Session A Oakleigh C 1.0 Contact Hour<br />
Poster Presentations<br />
Presenters will be available to answer<br />
questions or discuss poster content<br />
Concurrent Session B Mirabella B 1.0 Contact Hour<br />
Effects of Bullying on Emotional<br />
Well-Being as Described by<br />
Non-Tenured University Faculty<br />
Leslie Reed Brietenmoster<br />
Concurrent Session C Mirabella D 1.0 Contact Hour<br />
Enabling Nurse Driven<br />
Documentation Redesign<br />
Deborah Ariosto<br />
11:30 a.m. – 11:45 a.m. Transition to Lunch<br />
11:45 a.m. – 2:00 p.m. Exhibits & Schools of<br />
Nursing Luncheon<br />
Mirabella E-F<br />
2:00 p.m. – 3:00 p.m. Concurrent Session D Oakleigh A-B 1.0 Contact Hour<br />
Teaching Nursing Students<br />
How to “Care”: Mission to Haiti<br />
Sarah Pierce<br />
Concurrent Session E Mirabella B 1.0 Contact Hour<br />
How Soon is Early? Implications of<br />
Palliative Care Consultation Timing<br />
Among A Cohort of Hospice Decedents<br />
Samuel Robbins<br />
Concurrent Session F Mirabella D 1.0 Contact Hour<br />
Keeping Staff Safe in the Acute<br />
Psychiatric/Behavioral Health Setting<br />
Sarah Gunnin/Dixie Waye<br />
Black font indicates <strong>TNA</strong> activity/event (students are welcome to attend)<br />
Red font indicates <strong>TNA</strong> CE activity<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Saturday, October 27 Activity/Event Location Contact Hours<br />
3:15 p.m. – 4:15 p.m. Concurrent Session G Oakleigh A-B 1.0 Contact Hour<br />
Evaluation of Distress Tolerance <strong>and</strong><br />
Treatment Retention in Women in<br />
Recovery for Substance Use Disorders<br />
Tamika Hudson<br />
Concurrent Session H Mirabella B 1.0 Contact Hour<br />
The Potential Impact of Adverse<br />
Childhood Experiences (ACE):<br />
Recognition <strong>and</strong> Early Intervention<br />
Tamara Bl<strong>and</strong>/Nan Gaylord<br />
Concurrent Session I Mirabella D 1.0 Contact Hour<br />
A Primer on Preeclampsia for<br />
the Primary Care Provider<br />
Diane Folk<br />
4:15 p.m. – 4:30 p.m. Break Foyer<br />
Visit Posters for Self Study CE<br />
Oakleigh C<br />
4:30 p.m. Silent Auction Closes Mirabella A<br />
4:30 p.m. – 5:15 p.m. Membership Assembly Oakleigh A-B<br />
TNPAC Auction<br />
5:30 p.m. – 6:30 p.m. Keynote Session Oakleigh A-B 1.0 Contact Hour<br />
Building Compassion into Every<br />
Day Practice: What Every Nurse<br />
Needs to Know<br />
Mary Jo Assi, DNP, RN, FNP-BC,<br />
NEA-BC, FAAN<br />
Associate Chief Nursing Officer<br />
Press Ganey<br />
Students Encouraged to Attend<br />
6:45 p.m. – 7:15 p.m. <strong>TNA</strong> Achievement Awards Oakleigh A-B<br />
7:15 p.m. – 8:45 p.m. <strong>TNA</strong> Awards Reception Mirabella E<br />
7:15 p.m. – 7:30 p.m. TNF Silent Auction<br />
Payment & Pick up<br />
Mirabella A<br />
Black font indicates <strong>TNA</strong> activity/event (students are welcome to attend)<br />
Red font indicates <strong>TNA</strong> CE activity<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Sunday, October 28 Activity/Event Location Contact Hours<br />
7:00 a.m. – 7:30 a.m. Early Morning Dance Party Private Dining B<br />
7:30 a.m. – 8:30 a.m. Sunrise Meditation/Reflection Time Mirabella D<br />
7:30 a.m. – 8:45 a.m. Visit Posters for Self Study CE Oakleigh C<br />
7:30 a.m. – 9:00 a.m. Sunrise Snack Foyer<br />
7:30 a.m. – 9:00 a.m. <strong>TNA</strong> Registration Open Foyer<br />
7:30 a.m. – 9:00 a.m. Voting for <strong>TNA</strong> Elections Mirabella B<br />
8:15 a.m. – 8:45 a.m. First Time Attendee Debriefing Oakleigh A-B<br />
9:00 a.m. – 10:00 a.m. Concurrent Session J Oakleigh A-B 1.0 Contact Hour<br />
Pediatric Sleep Apnea<br />
(aka: Sleep Disorder Breathing)<br />
Hiding Behind Common Medical<br />
Diagnosis<br />
Stacy Whitehead<br />
Concurrent Session K Mirabella B 1.0 Contact Hour<br />
Having the Conversation: Assessing<br />
Patient’s Goals <strong>and</strong> Wishes<br />
Michelle Rickard<br />
Concurrent Session L Mirabella D 1.0 Contact Hour<br />
A Step Ahead: A Unique Program<br />
Preventing Unplanned Pregnancies<br />
in Tennessee<br />
Michelle R. Collins/<br />
Jennifer Matthews/Kellie Mitchell<br />
10:00 a.m. – 10:15 a.m. Break Foyer<br />
Breakdown <strong>and</strong> Remove Posters<br />
Oakleigh C<br />
10:15 a.m. – 11:15 a.m. Closing Plenary Session Oakleigh A-B 1.0 Contact Hour<br />
Errors Happen! Malpractice<br />
Case Studies<br />
Roxanne Filson, BBA<br />
Nursing Service Organization<br />
11:30 a.m. – 12:30 p.m. Membership Assembly/Adjournment Oakleigh A-B<br />
Students Encouraged to Attend<br />
The Tennessee Nurses Association is an approved provider of continuing education by the South<br />
Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s<br />
Commission on Accreditation.<br />
Black font indicates <strong>TNA</strong> activity/event (students are welcome to attend)<br />
Red font indicates <strong>TNA</strong> CE activity<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Tennessee Student Nurses Association<br />
<strong>Conference</strong> Schedule*<br />
*Schedule subject to change without notice<br />
Friday, October 26 Activity/Event Location Contact Hours<br />
1:00 p.m. – 2:00 p.m. Opening Session Oakleigh A-B<br />
Compassion in Care: The Rule,<br />
Not the Exception<br />
Susan B. Hassmiller, RN, PhD, FAAN<br />
Senior Advisor for Nursing<br />
Robert Wood Johnson Foundation<br />
2:00 p.m. – 3:00 p.m. <strong>TSNA</strong> Board of Directors Meeting Broadl<strong>and</strong>s A-B<br />
3:00 p.m. – 5 p.m. <strong>TSNA</strong> Registration Open Foyer<br />
5:00 p.m. – 6:00 p.m. <strong>TSNA</strong> House of Delegates Meeting Broadl<strong>and</strong>s A-B<br />
6:00 p.m. – 9:00 p.m. Welcome Reception & Exhibits Mirabella E-F<br />
DJ & Costume Contest<br />
Saturday, October 27<br />
7:00 a.m. – 7:45 a.m. Early Morning Dance Party Private Dining Room B<br />
7:30 a.m. – 8:30 a.m. Sunrise Snack Foyer<br />
8:00 a.m. – 10:00 a.m. <strong>TSNA</strong> Registration Open Foyer<br />
8:30 a.m. – 9:00 a.m. <strong>TSNA</strong> Meeting<br />
9:00 a.m. – 10:00 a.m. NCLEX Review Part 1 Broadl<strong>and</strong>s A-B<br />
10:30 a.m. - 11:30 a.m. Poster Presentations Oakleigh C<br />
11:45 a.m. – 2:00 p.m. Exhibits & Schools of<br />
Nursing Luncheon<br />
Mirabella E-F<br />
2:00 p.m. – 3:00 p.m. NCLEX Review Part 2 Broadl<strong>and</strong>s A-B<br />
3:15 p.m. – 5:00 p.m. Panel of Speakers/Resume Writing Broadl<strong>and</strong>s A-B<br />
5:00 p.m. – 5:15 p.m. Break Foyer<br />
Black font indicates <strong>TNA</strong> <strong>and</strong> <strong>TSNA</strong> activity/event<br />
Lilac font indicates <strong>TSNA</strong> activity<br />
19
For inquiries, visit tiny.utk.edu/tnayearbook<strong>2018</strong>
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Saturday, October 27 Activity/Event Location Contact Hours<br />
5:30 p.m. – 6:30 p.m. Keynote Session Oakleigh A-B 1.0 Contact Hour<br />
Building Compassion into Every<br />
Day Practice: What Every Nurse<br />
Needs to Know<br />
Mary Jo Assi, DNP, RN, FNP-BC,<br />
NEA-BC, FAAN<br />
Associate Chief Nursing Officer<br />
Press Ganey<br />
6:45 p.m. – 7:30 p.m. C<strong>and</strong>idate Speeches <strong>and</strong> Q&A Broadl<strong>and</strong>s A-B<br />
7:30 p.m. – 9:00 p.m. Student Outing<br />
8:00 p.m. Voting Opens Online<br />
Sunday, October 28<br />
7:00 a.m. – 7:30 a.m. Early Morning Dance Party Private Dining B<br />
7:30 a.m. – 8:30 a.m. Sunrise Meditation/Reflection Time Mirabella D<br />
7:30 a.m. – 9:00 a.m. Sunrise Snack Foyer<br />
9:00 a.m. Voting Closes Online<br />
9:00 a.m. – 10 a.m. <strong>TSNA</strong> Meeting Broadl<strong>and</strong>s A-B<br />
10:00 a.m. – 10:15 a.m. Break Foyer<br />
10:15 a.m. – 11:15 a.m. Closing Plenary Session Oakleigh A-B<br />
Errors Happen! Malpractice<br />
Case Studies<br />
Roxanne Filson, BBA<br />
Nursing Service Organization<br />
11:15 a.m. – 12:15 p.m. <strong>TSNA</strong> Meeting Broadl<strong>and</strong>s A-B<br />
12:15 p.m. – 2:15 p.m. House of Delegates/<br />
Officer Transition<br />
Broadl<strong>and</strong>s A-B<br />
Black font indicates <strong>TNA</strong> <strong>and</strong> <strong>TSNA</strong> activity/event<br />
Lilac font indicates <strong>TSNA</strong> activity<br />
21
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Embassy Suites Meeting Rooms<br />
Anatole<br />
Room<br />
Located in the East<br />
Side of Hotel<br />
Churchill<br />
Boardroom<br />
Wynthrope<br />
Boardroom<br />
The Reserve<br />
Boardroom<br />
Cambridge<br />
A<br />
Cambridge<br />
B<br />
Broadl<strong>and</strong>s<br />
A<br />
Broadl<strong>and</strong>s<br />
B<br />
Oakleigh<br />
A<br />
A<br />
Mirabella Gr<strong>and</strong> Ballroom<br />
G<br />
Oakleigh<br />
B<br />
B<br />
E F<br />
H<br />
C<br />
I<br />
Oakleigh<br />
C<br />
D<br />
J<br />
22
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
General Announcements<br />
Welcome to the <strong>2018</strong> <strong>TNA</strong> & <strong>TSNA</strong> <strong>Joint</strong> <strong>Conference</strong>. Please follow the conference schedule so you don’t<br />
miss any of our planned activities, events, educational sessions or Membership Assembly meetings. Please<br />
greet <strong>and</strong> make welcome the new members <strong>and</strong> first-time attendees to our conference. New members have<br />
lavender ribbons <strong>and</strong> First Timers have turquoise ribbons.<br />
Donations for the Tennessee Nurses Foundation Silent Auction can be accepted up until 11 a.m. on Saturday.<br />
Donations can be dropped off in the Mirabella A room.<br />
There is no assigned seating for any general sessions, plenary speakers, or the keynote held in Oakleigh<br />
A-B, but please sit near the front of the room to make our speakers feel welcome. However, during the<br />
Membership Assembly business sessions it is important that you sit in the designated area for <strong>TNA</strong><br />
members <strong>and</strong> non-members. This is necessary for voting on any issues brought forward during the<br />
business meeting.<br />
Not a <strong>TNA</strong> member? Join <strong>TNA</strong> now <strong>and</strong> receive $29 off your Full membership annual dues. Don’t miss out<br />
on this opportunity to become part of the Voice for all nurses in Tennessee.<br />
To receive the 1.0 contact hour for attending the poster presentations, you must visit ten posters. Poster<br />
presenters will be present during Concurrent Session A on Saturday morning to answer questions or<br />
discuss poster content. You will be able to do poster self-study during other times throughout Saturday<br />
<strong>and</strong> Sunday morning.<br />
Registration Hours<br />
Friday: 8:00 a.m. – 5:00 p.m.<br />
Saturday: 7:30 a.m. – 4:30 p.m.<br />
Sunday: 7:30 a.m. – 9:00 a.m.<br />
VOTE on Sunday<br />
Vote Sunday morning between 7:30 – 9:00 a.m. in<br />
Mirabella B. Election results will be announced during<br />
the closing Membership Assembly session beginning<br />
at 11:30 a.m.<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Meet the Keynote <strong>and</strong> Plenary Speakers<br />
Friday<br />
Opening Plenary Speaker<br />
Susan B. Hassmiller, RN, PhD, FAAN<br />
1:00 p.m. – 2:00 p.m<br />
Saturday<br />
Keynote Speaker<br />
Susan Hassmiller is the Robert Wood Johnson Foundation Senior Advisor for<br />
Nursing. In partnership with AARP, Hassmiller also directs the Foundation’s Future of<br />
Nursing: Campaign for Action. This 50-state <strong>and</strong> District of Columbia effort strives to<br />
implement the recommendations of the Institute of Medicine’s report on the Future<br />
of Nursing: Leading Change, Advancing Health <strong>and</strong> will additionally seek to build a<br />
Culture of Health. Hassmiller served as the report’s study director. She is also serving<br />
as Co-Director of the Future of Nursing Scholars program. Sue will share with us her<br />
first-h<strong>and</strong> experiences with the current healthcare system.<br />
Mary Jo Assi, DNP, RN, FNP-BC, NEA-BC, FAAN<br />
5:30 p.m. – 6:30 p.m<br />
Mary Jo Assi is the Associate Chief Nursing Officer for Press Ganey. Mary Jo Assi leads<br />
strategies for strengthening caregiver resilience <strong>and</strong> engagement, reducing patient<br />
suffering <strong>and</strong> delivering compassionate, connected care. Mary Jo will share highlights<br />
from the November 2017 book by Christina Dempsey, chief nursing officer for Press<br />
Ganey, The Antidote to Suffering: How Compassionate Connected Care Can Improve<br />
Safety, Quality, <strong>and</strong> Experience.<br />
Sunday<br />
Closing Plenary Speaker<br />
Roxanne Filson, BBA<br />
10:15 a.m. – 11:15 a.m.<br />
Roxanne Filson is an Account Executive in the Healthcare Division of Aon’s Affinity<br />
Insurance Services Inc. Roxanne works with over 30 national, state, <strong>and</strong> specialty<br />
healthcare professional organizations as Affinity Insurance Services’ primary day-today<br />
contact. Roxanne has been part of the Affinity team for five years <strong>and</strong> frequently<br />
presents at professional organization meetings on healthcare risk management <strong>and</strong><br />
other insurance-related topics. Errors Happen! Malpractice Case Studies will be a<br />
review of the nature of claims, injuries <strong>and</strong> outcomes from both a risk <strong>and</strong> a fiscal<br />
perspective. Roxanne will also review claim scenarios as a didactic tool with a focus<br />
on risk management. Roxanne graduated with a Bachelor of Business Administration<br />
degree in International Business <strong>and</strong> is currently enrolled at Colorado State University<br />
to obtain her M.B.A.<br />
25
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Saturday<br />
<strong>2018</strong> Presenters<br />
Effects of Bullying on Emotional Well-Being as Described<br />
by Non-Tenured University Faculty<br />
Presenter: Dr. Leslie Reed Brietenmoser, PhD, MSN, RN,<br />
AHN-BC, ADS, CHT, CCAP, CMTP, HTPA<br />
Associate Professor<br />
School of Nursing<br />
Austin Peay State University<br />
Enabling Nurse Driven Documentation Redesign<br />
Presenter: Deborah Ariosto, PhD, RN-BC<br />
Director, Nursing Analytics<br />
Patient Care Informatics<br />
Clinical Assistant Professor,<br />
School of Nursing<br />
V<strong>and</strong>erbilt University Medical Center<br />
Teaching Nursing Students How to “Care”: Mission to Haiti<br />
Presenter: Sarah Pierce, DNP, AGACNP-BC, CCRN, PLNC<br />
Assistant Professor of Nursing<br />
Freed Hardeman University<br />
27
LEARN • SHARE • CARE<br />
OMNI HOTEL, NASHVILLE, TN<br />
NOVEMBER 16, <strong>2018</strong><br />
REGISTER AT<br />
An opportunity for healthcare providers, patients <strong>and</strong> caregivers to learn about<br />
the latest treatments, resources <strong>and</strong> research to help those living with lung<br />
disease lead healthier, active lives. CEUs for nurses <strong>and</strong> respiratory therapists.<br />
CAREER OPPORTUNITIES AWAIT YOU!<br />
LPNs • RNs<br />
To apply, send resume to: Hillary Sharp, SHRM-CP<br />
Phone: (270) 762-1902, Fax: (270) 762-1905 or<br />
E-mail: hhsharp@murrayhospital.org<br />
OR, visit our web site at www.murrayhospital.org <strong>and</strong> apply there!<br />
EOE<br />
Questions?<br />
Call 615-510-3553<br />
The Best Care - The Best Careers<br />
VA Tennessee Valley Healthcare System has exciting career opportunities available for<br />
Registered Nurses & Nurse Practitioners<br />
We invite you to join our team, where every day<br />
We Proudly Serve Our Nation’s Heroes!<br />
NursingALD.com<br />
can point you right to that perfect<br />
NURSING JOB!<br />
NursingALD.com<br />
Free to Nurses<br />
Privacy Assured<br />
Easy to Use<br />
For more information, contact:<br />
Melissa Littman, RN, BSN,<br />
Nurse Recruiter, 615.225.3608; by email<br />
at Melissa.Littman@va.gov; or, apply<br />
online at www.USAJobs.gov E.O.E<br />
E-mailed Job Leads<br />
Opportunities Afforded<br />
in Nursing<br />
Advance Your Career!<br />
RN - BSN Online Contact Dr. Carol Murch, cmurch@murraystate.edu<br />
BSN Contact the School of Nursing, 270.809.2193<br />
Advanced Practice DNP Options:<br />
Family Nurse Practitioner • Nurse Anesthesia • Post-Master’s DNP Program<br />
Contact:<br />
Dina Byers, PhD, APRN, ACNS-BC, 270.809.6223 or dbyers@murraystate.edu<br />
« More than 20 years experience in educating advanced practice<br />
nurses to meet the complex health care needs of society.<br />
« Strong faculty committed to excellence in education <strong>and</strong> practice.<br />
murraystate.edu/nursing<br />
Equal education <strong>and</strong> employment opportunities M/F/D, AA employer
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
How Soon is Early? Implications of Palliative Care Consultation<br />
Timing Among A Cohort of Hospice Decedents<br />
Presenter: Sam Robbins, DNP ACHPN<br />
Assistant in Medicine<br />
Outpatient Palliative Care<br />
Palliative Care <strong>and</strong> Internal Medicine<br />
V<strong>and</strong>erbilt University Medical Center<br />
Keeping Staff Safe in the Acute Psychiatric/Behavioral Health Setting<br />
Presenter: Sarah Gunnin, BSN, RN<br />
Nurse Manager<br />
Poplar Unit<br />
Woodridge Psychiatric Hospital<br />
Co-Presenter: Dixie Waye, RN<br />
Nurse Manager<br />
Spruce/Willow Units<br />
Evaluation of Distress Tolerance <strong>and</strong> Treatment Retention in<br />
Women in Recovery for Substance Use Disorders<br />
Presenter: Tamika S. Hudson, DNP, APRN, FNP-C<br />
Instructor in Nursing<br />
V<strong>and</strong>erbilt University School of Nursing<br />
Nursing Director<br />
V<strong>and</strong>erbilt Program in Interprofessional Learning<br />
29
TENNESSEE CENTER FOR HEALTH<br />
WORKFORCE DEVELOPMENT<br />
WE CARE ABOUT NURSING<br />
Faculty approaching<br />
retirement<br />
Inadequate faculty<br />
compensation<br />
No clear educational path<br />
to academia<br />
Lack of clinical instruction<br />
sites<br />
Insufficient simulation<br />
facilities<br />
Poor work-life balance<br />
Generational differences<br />
Compassion fatigue<br />
We take a collaborative approach to issues in the nursing field. Applying the principles of<br />
community impact, we work with CNOs, deans, directors, employers, students <strong>and</strong> professionals<br />
to address these challenges <strong>and</strong> remove barriers that limit growth.
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
The Potential Impact of Adverse Childhood Experiences (ACE):<br />
Recognition <strong>and</strong> Early Intervention<br />
Presenter: Tami Bl<strong>and</strong>, DNP, CPNP-PC<br />
Coordinator, Pediatric Nurse Practitioner Program<br />
The University of Tennessee, Knoxville, College of Nursing<br />
Co-Presenter: Nan Gaylord, PhD, RN, CPNP-PC, PMHS, FAANP, FAAN<br />
Professor<br />
The University of Tennessee, Knoxville,<br />
College of Nursing<br />
A Primer on Preeclampsia for the Primary Care Provider<br />
Presenter: Diane Folk, DNP, CNM, NP<br />
Faculty Nurse Midwifery Education Program<br />
V<strong>and</strong>erbilt University School of Nursing<br />
Sunday<br />
Pediatric Sleep Apnea (aka: Sleep Disorder Breathing)<br />
Hiding Behind Common Medical Diagnosis<br />
Presenter: Stacy Whitehead, DNP, APRN, FNP-C<br />
Nurse Practitioner<br />
Cardiology Center of Dalton<br />
31
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Having the Conversation: Assessing Patient’s Goals <strong>and</strong> Wishes<br />
Presenter: Michelle Rickard, DNP, CPNP-AC, CHPPN, BMTCN<br />
Assistant Professor<br />
University of Tennessee Health Science Center<br />
Coordinator of Pediatric Acute Care Nurse Practitioner Option<br />
A Step Ahead; a Unique Program Preventing Unplanned Pregnancies in Tennessee<br />
Presenter: Michelle Collins, Ph.D, CNM, FACNM, FAAN<br />
Professor, Program Director<br />
Nurse-Midwifery Education Program<br />
V<strong>and</strong>erbilt University School of Nursing<br />
Co-Presenter: Jennifer Matthews<br />
Executive Director<br />
A Step Ahead Foundation of Middle Tennessee<br />
Co-Presenter: Kellie Mitchell, MPH, CHES<br />
Director of Strategic <strong>and</strong> Affiliate Operations<br />
A Step Ahead Foundation of Middle Tennessee<br />
33
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
34
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
<strong>2018</strong> <strong>TNA</strong> District Basket<br />
Challenge <strong>and</strong> Auction<br />
REMINDER: All Proceeds Benefit TNPAC<br />
35
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Southwest: Your Best Choice for Nursing<br />
Your Success Starts Here!<br />
(901) 333-5425<br />
www.southwest.tn.edu/nursing<br />
36
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Thanks to the following for their<br />
contributions <strong>and</strong> support!<br />
Sharon Adkins<br />
Michelle Arwood<br />
Patricia Baise<br />
Diana Baker<br />
Michelle Baldwin<br />
Bonnie Black<br />
Jean Blackburn<br />
Loretta Bond<br />
Cynthia Borum<br />
Mary Lynn Brown<br />
Diane Campbell<br />
Deb Chyka<br />
Donna Copenhaver<br />
Patsy Crithfield<br />
Gary Crotty<br />
William Crowe<br />
Diane Cunningham<br />
Patricia Cunningham<br />
Peggy Davis<br />
Jehan Ellis<br />
Chita Farrar<br />
Linda Foster<br />
Tina Gerardi<br />
Mary Bess Griffith<br />
Derenda Hodge<br />
Alvin Jeffrey<br />
Jennifer Kitkowski<br />
Kathleen Jones<br />
Holly Kimbrell<br />
Carla Kirkl<strong>and</strong><br />
Cheryl Leonard<br />
Angela Lunsford<br />
Virginia Massey Holt<br />
Connie McCarter<br />
Cathy McKinney<br />
Middle TN APRN<br />
Erin Morgan<br />
S<strong>and</strong>y Murabito<br />
Carole Myers<br />
Allyson Neal<br />
Diane Pace<br />
Dara Rogers<br />
Christi Schrotberger<br />
Erin Shankel<br />
Tracey Stansberry<br />
Deborah Sullivan<br />
Cathy Taylor<br />
TN ACNM Affiliate<br />
Haley Vance<br />
Aaron Valasquez<br />
Raven Wentworth<br />
West TN NPs<br />
Tracy Wilson<br />
ALL <strong>TNA</strong> DISTRICTS<br />
October 2017 - September <strong>2018</strong><br />
37
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
WHY IS TNPAC<br />
IMPORTANT?<br />
Nurses, the largest group of<br />
health care professionals,<br />
need legislative support <strong>and</strong><br />
a strong professional voice<br />
to ensure a quality practice<br />
environment <strong>and</strong> excellent<br />
health care for patients.<br />
Joining our efforts with other<br />
nurses through the Tennessee<br />
Nurses Association <strong>and</strong> TNPAC<br />
contributions, nurses can make<br />
the difference in important<br />
health care decisions.<br />
WHY CONTRIBUTE<br />
TO TNPAC?<br />
When Tennessee politicians<br />
gather to make decisions<br />
about nursing <strong>and</strong> health care,<br />
it’s important they hear from<br />
the experts - Tennessee’s<br />
nurses. What’s the best way to<br />
get their attention? Through<br />
the Tennessee Nurses Political<br />
Action Committee<br />
(TNPAC).<br />
WHAT ARE THE<br />
BENEFITS?<br />
When you contribute to<br />
TNPAC, your funds are used<br />
to support the election of<br />
state legislative c<strong>and</strong>idates<br />
who support nursing <strong>and</strong><br />
quality, cost-effective health<br />
care. TNPAC’s support is<br />
given regardless of political<br />
affilliation, <strong>and</strong> instead, focuses<br />
on improving health care.<br />
TNPAC POLICIES<br />
When selecting c<strong>and</strong>idates/legislators for financial<br />
support, TNPAC considers the following criteria,<br />
regardless of political party.<br />
C<strong>and</strong>idate profile <strong>and</strong> background<br />
Dynamics of a political race<br />
Leadership position in a political party<br />
Political potential<br />
Leadership position in the Legislature<br />
Committee assignments <strong>and</strong>/<br />
or chairmanships<br />
Sponsorship or co-sponsorship<br />
of key legislation<br />
Voting records on issues of concern<br />
to nurses <strong>and</strong> consumers<br />
Working relationships with<br />
nurse constituents<br />
<strong>TNA</strong> Lobbyist recommendations<br />
For additional information, call of write to: Tennessee Nurses Political Action Committee<br />
545 Mainstream Drive, Suite 405 Nashville, TN 37228-1296 • Phone 615.254.0350 • www.tnaonline.org<br />
39
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
<strong>2018</strong> TNPAC GUBERNATORIAL<br />
AND LEGISLATIVE FORUM INVITEES<br />
Karl Dean<br />
Bill Lee<br />
C<strong>and</strong>idate for Governor<br />
C<strong>and</strong>idate for Governor<br />
Kelly Northcutt C<strong>and</strong>idate for Senate District 13<br />
Dawn White C<strong>and</strong>idate for Senate District 13<br />
Katrina Robinson C<strong>and</strong>idate for Senate District 33<br />
Gloria Johnson C<strong>and</strong>idate for House District 13<br />
Rep. Eddie Smith C<strong>and</strong>idate for House District 13<br />
Jean Marie Lawrence C<strong>and</strong>idate for House District 26<br />
Robin Smith C<strong>and</strong>idate for House District 26<br />
Esther Helton C<strong>and</strong>idate for House District 30<br />
Joda Thongnopnua C<strong>and</strong>idate for House District 30<br />
40
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
<strong>2018</strong> Membership Assembly Rules & Information<br />
Membership Assembly (MA) General Rules of Order<br />
1. All <strong>TNA</strong> members may speak. Before addressing the MA, it is necessary to secure the floor by going to a<br />
nearby microphone. After recognition by the President, the member shall state his or her name <strong>and</strong> district<br />
before speaking.<br />
2. Any <strong>TNA</strong> member may make motions.<br />
3. All motions shall be presented to the President in writing on the forms provided.<br />
4. <strong>TNA</strong> members shall be limited to three minutes when speaking.<br />
5. No member who has already had the floor in debate on the immediate pending question shall be entitled to<br />
the floor a second time until others who wish to be heard on the question have had an opportunity to speak.<br />
6. The voting body shall consist of the Board of Directors, <strong>and</strong> <strong>TNA</strong> members in attendance.<br />
7. Only the resolves of resolutions/proposals shall be acted upon by the MA.<br />
8. The President may suspend the Rules in order to allow a nonmember to speak.<br />
9. All cell phones, pagers <strong>and</strong> other devices shall be silenced throughout meetings during MA.<br />
Guidelines for Discussion on Resolutions/Proposals<br />
1. To facilitate discussion, comments will be limited to three minutes, <strong>and</strong> no member may speak more than<br />
once to a question if someone who has not spoken wishes to do so.<br />
2. Individuals who suggest substantial changes in the wording of any proposal are asked to submit those<br />
changes in writing before the hearing is adjourned.<br />
3. Sponsors or the Reference Committee may perfect the resolution/proposal for presentation to the MA<br />
after completion of the hearings.<br />
4. The sponsor may withdraw a resolution/proposal at any point in the review process.<br />
5. Only the resolves of resolutions/proposals shall be acted upon by the MA.<br />
Continuing Nursing Education (CNE) Credit<br />
RN participants attending CE sessions will be awarded contact hours. The procedure is as follows:<br />
1. Complete the CNE Evaluation <strong>and</strong> leave it in the tray at the registration desk before you leave.<br />
2. Complete an Attendance Verification of CNE Activity listing the sessions you attend. Participants<br />
must attend an entire CNE session to receive credit.<br />
3. Detach the yellow copy of the Attendance Verification form <strong>and</strong> leave it in the tray at the registration desk.<br />
4. Retain the white copy for your professional portfolio.<br />
Registration<br />
Friday<br />
Saturday<br />
Sunday:<br />
8:00 a.m. – 5:00 p.m.<br />
7:30 a.m. - 4:30 p.m.<br />
7:30a.m. - 9:00 a.m.<br />
<strong>Conference</strong> Badges<br />
All meetings of the conference are open to registered participants. Badges must be worn to gain admission<br />
to all sessions <strong>and</strong> activities. Exclusive of invited guests, attendance at any meeting other than the Awards<br />
Reception, Welcome Reception or School of Nurses Luncheon requires the payment of at least one day’s<br />
registration.<br />
41
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
110th Membership Assembly<br />
October 26-28, <strong>2018</strong>, Embassy Suites SE, Murfreesboro, TN<br />
Friday, October 26, 10:30 a.m. – 12:00 p.m.<br />
Call to Order <strong>and</strong> Pledge of Allegiance – Haley Vance, <strong>TNA</strong> President<br />
Greetings – Haley Vance<br />
Greetings – Kamiko Richey, <strong>TSNA</strong> President<br />
Recognition of members or those with family members in the Armed Forces – Haley Vance<br />
Introduction of Reference Committee – Alvin Jeffery, Chair<br />
Adoption of the Membership Assembly Agenda – Haley Vance<br />
Adoption of Rules of Order – Donna Copenhaver, <strong>TNA</strong> Secretary<br />
Treasurer’s Report – Mary Bess Griffith, <strong>TNA</strong> Treasurer<br />
Nightingale Tribute/Moment of Silence – Le-Kenya Kellum, <strong>TNA</strong> Vice President<br />
Slate of C<strong>and</strong>idates/Nominations – Diane Butler, Nominating Committee Chair<br />
C<strong>and</strong>idate Statements<br />
Announcements – Tina Gerardi, <strong>TNA</strong> Executive Director<br />
Recess – Haley Vance<br />
Saturday, October 27, 8:30 a.m. – 10:15 a.m.<br />
Call to Order – Haley Vance<br />
Singing of The National Anthem – Trevor Martin<br />
Introduction of Parliamentarian – Haley Vance<br />
Updates on 2017 Resolutions – Haley Vance<br />
Introduction of <strong>2018</strong> Resolutions – Alvin Jeffery<br />
Introduction of Staff – Tina Gerardi<br />
Executive Director Remarks – Tina Gerardi<br />
Announcements – Tina Gerardi<br />
Recess – Haley Vance<br />
Saturday, October 27, 4:30 p.m. – 5:15 p.m.<br />
Call to Order – Haley Vance<br />
Ongoing Resolutions – Alvin Jeffery<br />
Recess – Haley Vance<br />
TNPAC Auction – Sharon Adkins<br />
Sunday, October 28, 11:30 a.m. – 12:30 p.m.<br />
Call to Order – Haley Vance<br />
Unfinished Business – Haley Vance<br />
President’s Address – Haley Vance<br />
Report of Tellers – Diane Butler<br />
Introduction of New Board Members – Haley Vance<br />
Board of Directors Oath of Office – Tina Gerardi<br />
Announcements, PAC <strong>and</strong> TNF Contributions – Tina Gerardi<br />
Adjournment – Haley Vance<br />
SEE YOU IN MEMPHIS, OCTOBER 18-20, 2019<br />
42
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Disclosures to Participants<br />
Outcome<br />
Participants will gain knowledge <strong>and</strong> new tools to integrate into their practice.<br />
Contact Hour Credit<br />
Participants at the <strong>2018</strong> <strong>TNA</strong> & <strong>TSNA</strong> <strong>Joint</strong> <strong>Conference</strong> can earn a maximum of 10-11 contact<br />
hours for attending.<br />
Official Accreditation Statement<br />
The Tennessee Nurses Association is an approved provider of continuing nursing education by South<br />
Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s<br />
Commission on Accreditation.<br />
Requirements for Successful Completion for Continuing Education Credit<br />
To receive contact hour credit for each session attended, attendees must<br />
• Visit at least ten posters<br />
• Be seated in the session room no later than five minutes after it has started.<br />
• Remain in the session until the scheduled ending time.<br />
• Complete <strong>and</strong> submit the Evaluation Form(s) <strong>and</strong> the Verification of Attendance/Certificate<br />
Form listing each session attended. Turn in the yellow copy before you leave the conference.<br />
Conflicts of Interest<br />
The ANCC has established guidelines whereby all speakers must disclose any affiliations which may<br />
cause a conflict of interest.<br />
A Conflict of Interest occurs when an individual has an opportunity to affect educational content about<br />
health-care products or services of a commercial interest with which she/he has a financial relationship.<br />
No conflicts of interest were disclosed.<br />
Commercial Support<br />
Sponsors have made contributions to Tennessee Nurses Association in support of the <strong>2018</strong> <strong>TNA</strong> & <strong>TSNA</strong><br />
<strong>Joint</strong> <strong>Conference</strong>. See h<strong>and</strong>out included in the conference packet for a final list.<br />
Non-Endorsement of Products<br />
The Tennessee Nurses Association’s approved provider status refers only to continuing nursing education<br />
activities <strong>and</strong> does not imply that there is real or implied endorsement of any product, service, or company<br />
referred to in this activity nor of any company subsidizing costs related to the activity.<br />
Off-label Product Use<br />
This CNE activity does not include any unannounced information about off-label use of a product for a<br />
purpose other than that for which it was approved by the Food <strong>and</strong> Drug Administration (FDA).<br />
43
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Introduction to Robert’s Rules of Order<br />
What Is Parliamentary Procedure?<br />
It is a set of rules for conduct at meetings that allows everyone to be heard <strong>and</strong> to make decisions without<br />
confusion.<br />
Why is Parliamentary Procedure Important?<br />
Because it’s a time tested method of conducting business at meetings <strong>and</strong> public gatherings. It can be<br />
adapted to fit the needs of any organization. Today, Robert’s Rules of Order newly revised is the basic<br />
h<strong>and</strong>book of operation for most clubs, organizations <strong>and</strong> other groups. So it’s important that everyone<br />
know these basic rules!<br />
Organizations using parliamentary procedure usually follow a fixed order of business.<br />
Below is a typical example:<br />
1. Call to order.<br />
2. Roll call of members present.<br />
3. Reading of minutes of last meeting.<br />
4. Officers reports.<br />
5. Committee reports.<br />
6. Special orders – Important business previously designated for consideration at this meeting.<br />
7. Unfinished business.<br />
8. New business.<br />
9. Announcements.<br />
10. Adjournment.<br />
The method used by members to express themselves is in the form of moving motions. A motion is a<br />
proposal that the entire membership take action or a st<strong>and</strong> on an issue. Individual members can:<br />
1. Call to order.<br />
2. Second motions.<br />
3. Debate motions.<br />
4. Vote on motions.<br />
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There are four Basic Types of Motions:<br />
1. Main Motions: The purpose of a main motion is to introduce items to the membership for their<br />
consideration. They cannot be made when any other motion is on the floor, <strong>and</strong> yield to privileged,<br />
subsidiary, <strong>and</strong> incidental motions.<br />
2. Subsidiary Motions: Their purpose is to change or affect how a main motion is h<strong>and</strong>led, <strong>and</strong> is voted<br />
on before a main motion.<br />
3. Privileged Motions: Their purpose is to bring up items that are urgent about special or important<br />
matters unrelated to pending business.<br />
4. Incidental Motions: Their purpose is to provide a means of questioning procedure concerning other<br />
motions <strong>and</strong> must be considered before the other motion.<br />
How are Motions Presented?<br />
1. Obtaining the floor<br />
a. Wait until the last speaker has finished.<br />
b. Rise <strong>and</strong> wait in line at microphone.<br />
c. Wait until the Chairman recognizes you.<br />
2. Make Your Motion<br />
a. Speak in a clear <strong>and</strong> concise manner.<br />
b. Always state a motion affirmatively. Say, “I move that we ...” rather than,<br />
“I move that we do not ...”.<br />
c. Avoid personalities <strong>and</strong> stay on your subject.<br />
3. Wait for Someone to Second Your Motion<br />
4. Another member will second your motion or the Chairman will call for a second.<br />
5. If there is no second, your motion is lost.<br />
6. The Chairman States Your Motion<br />
a. The Chairman will say, “it has been moved <strong>and</strong> seconded that we ...” Thus placing your motion<br />
before the membership for consideration <strong>and</strong> action.<br />
b. The membership then either debates your motion, or may move directly to a vote.<br />
c. Once your motion is presented to the membership by the chairman it becomes “assembly<br />
property”, <strong>and</strong> cannot be changed by you without the consent of the members.<br />
7. Exp<strong>and</strong>ing on Your Motion<br />
a. The time for you to speak in favor of your motion is at this point in time, rather than at<br />
the time you present it.<br />
b. The mover is always allowed to speak first.<br />
c. All comments <strong>and</strong> debate must be directed to the chairman.<br />
d. Keep to the time limit for speaking that has been established.<br />
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e. The mover may speak again only after other speakers are finished, unless called upon<br />
by the Chairman.<br />
8. Putting the Question to the Membership<br />
a. The Chairman asks, “Are you ready to vote on the question?”<br />
b. If there is no more discussion, a vote is taken.<br />
c. On a motion to move the previous question may be adapted.<br />
Voting on a Motion:<br />
The method of vote on any motion depends on the situation <strong>and</strong> the by-laws of policy of your<br />
organization. There are five methods used to vote by most organizations, they are:<br />
1. By Voice – The Chairman asks those in favor to say, “aye”, those opposed to say “no”. Any member<br />
may move for an exact count.<br />
2. By Roll Call – Each member answers “yes” or “no” as his name is called. This method is used when a<br />
record of each person’s vote is required.<br />
3. By General Consent – When a motion is not likely to be opposed, the Chairman says, “if there is no<br />
objection ...” The membership shows agreement by their silence, however if one member says, “I<br />
object,” the item must be put to a vote.<br />
4. By Division – This is a slight verification of a voice vote. It does not require a count unless the chairman<br />
so desires. Members raise their h<strong>and</strong>s or st<strong>and</strong>.<br />
5. By Ballot – Members write their vote on a slip of paper; this method is used when secrecy is desired.<br />
There are two other motions that are commonly used that relate to voting.<br />
1. Motion to Table – This motion is often used in the attempt to “kill” a motion. The option is always<br />
present, however, to “take from the table”, for reconsideration by the membership.<br />
2. Motion to Postpone Indefinitely – This is often used as a means of parliamentary strategy <strong>and</strong> allows<br />
opponents of motion to test their strength without an actual vote being taken. Also, debate is once<br />
again open on the main motion.<br />
Parliamentary Procedure is the best way to get things done at your meetings.<br />
But, it will only work if you use it properly.<br />
1. Allow motions that are in order.<br />
2. Have members obtain the floor properly.<br />
3. Speak clearly <strong>and</strong> concisely.<br />
4. Obey the rules of debate.<br />
Most importantly, BE COURTEOUS.<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
2015-2017 Legislative <strong>and</strong><br />
Healthy Policy Statements<br />
Introduction: The Tennessee Nurses Association (<strong>TNA</strong>) is the professional association representing<br />
Tennessee’s approximately 100,000 registered nurses. This position paper outlines the basic philosophy of<br />
the <strong>TNA</strong>’s Membership Assembly relative to health care policy which may be addressed by the Tennessee<br />
General Assembly <strong>and</strong> the U.S. Congress.<br />
Mission: To improve health <strong>and</strong> health care for all Tennesseans <strong>and</strong> residents of the state, advance nurse<br />
leaders <strong>and</strong> the practice of nursing as essential to improvement efforts <strong>and</strong> transformational change, <strong>and</strong><br />
serve as the voice for professional nurses.<br />
The American Nurses Association’s Code of Ethics outlines foundational provisions that<br />
frame <strong>TNA</strong>’s initiatives <strong>and</strong> actions.<br />
Vision: <strong>TNA</strong> supports a transformed health care delivery system that ensures that all Tennesseans <strong>and</strong><br />
residents of the state are able to access equitable <strong>and</strong> affordable essential services when <strong>and</strong> where they<br />
need them. The transformed system envisioned by <strong>TNA</strong> is patient-centered, promotes inter-professional<br />
collaboration <strong>and</strong> care coordination to improve patient outcomes <strong>and</strong> experiences, primary care <strong>and</strong><br />
prevention are priorities, value is emphasized, <strong>and</strong> there is exp<strong>and</strong>ed use of information technology to<br />
promote efficiency <strong>and</strong> effectiveness.<br />
Goals: <strong>TNA</strong> is supportive of initiatives that improve health <strong>and</strong> health care <strong>and</strong> advance the following goals:<br />
Optimal health system performance, including:<br />
Improved patient care experiences;<br />
Improved population health; <strong>and</strong><br />
Reduced per capita cost for health care.<br />
Access to high-quality, affordable <strong>and</strong> acceptable care for all Tennesseans <strong>and</strong> residents of the state,<br />
including:<br />
Provision of a st<strong>and</strong>ardized package of essential health care services provided <strong>and</strong> financed by public <strong>and</strong><br />
private plans with protection against catastrophic costs <strong>and</strong> impoverishment; <strong>and</strong><br />
Direct access to a full range of professional registered nurses <strong>and</strong> other qualified providers in a variety of<br />
settings<br />
Full practice authority <strong>and</strong> enhanced participation in the delivery of care <strong>and</strong> policymaking for all<br />
professional nurses, including:<br />
Support for the Tennessee Board of Nursing as the sole regulatory authority over nursing education <strong>and</strong><br />
practice;<br />
Adoption of the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification, <strong>and</strong><br />
Education (2008);<br />
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Elimination of financial, regulatory, organizational, <strong>and</strong> institutional barriers to the practice of professional<br />
nursing;<br />
Participation of registered nurses on all local, state, <strong>and</strong> national health care advisory, policymaking, <strong>and</strong><br />
governing boards, committees, <strong>and</strong> task forces; <strong>and</strong><br />
Inclusion of APRNs as licensed independent providers (LIPs) in hospital licensure rules, health plans, <strong>and</strong><br />
health care facilities.<br />
Assuring an adequate, competent <strong>and</strong> diverse nursing workforce to meet current <strong>and</strong> projected health<br />
care dem<strong>and</strong>s, including:<br />
Improved data collection <strong>and</strong> information infrastructure to inform policymaking, planning, <strong>and</strong> evaluation;<br />
Promotion of higher levels of education <strong>and</strong> training through seamless academic progression,<br />
inter-professional education of health professionals, <strong>and</strong> lifelong learning;<br />
Funding for nursing students <strong>and</strong> faculty, including loan forgiveness programs; <strong>and</strong><br />
Support for nurse safety in the patient care environment, staffing effectiveness plans,<br />
whistleblower protection, <strong>and</strong> bans on m<strong>and</strong>atory overtime.<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Special THANKS to our Sponsors <strong>and</strong> Exhibitors<br />
(At Press Time)<br />
The Tennessee Nurses Association expresses sincere <strong>and</strong> heartfelt thanks to all Sponsors <strong>and</strong><br />
Exhibitors for your support in helping make the <strong>2018</strong> <strong>Annual</strong> <strong>Conference</strong> a huge success.<br />
Silver Sponsorship<br />
Bronze Sponsorship<br />
Schools of Nursing<br />
Luncheon Sponsors<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Exhibitors<br />
A Secret Safe Place for Newborns of Tennessee<br />
Arkansas State University<br />
Becker Professional Education<br />
Bradford Health Sciences<br />
Chamberlain College of Nursing<br />
Erlanger Health System<br />
HCA Healthcare Tristar Residency<br />
Hurst Review Services<br />
Innovated Financial Group<br />
Jaci’s Jewels<br />
Kaplan Nursing<br />
NSO Professional Insurance<br />
Saint Thomas Health<br />
Southern New Hampshire University<br />
Sprint<br />
Tenet Healthcare<br />
TN Professional Assistance Program (TnPAP)<br />
UWorld<br />
University of Alabama at Birmingham School of Nursing<br />
University of Tennessee at Chattanooga<br />
University of Tennessee - College of Nursing Knoxville<br />
V<strong>and</strong>erbilt University School of Nursing<br />
VA Tennessee Valley Healthcare System & Memphis VA<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
In Memoriam<br />
T he Tennessee Nurses Association would like to pay tribute to all of the <strong>TNA</strong> members<br />
who gave their devotion <strong>and</strong> dedicated their lives in service as a registered nurse. Each one is<br />
loved by family, friends <strong>and</strong> peers. Listed below are <strong>TNA</strong> members who passed away this year.<br />
If you know of others, please contact <strong>TNA</strong>.<br />
Ernestine Chism, MSN, RN<br />
Virginia Maxwell George, MSN, RN, MA<br />
Beverly E. Skipper, MSN, RN<br />
Deborah Lynn Sweeney, DNSc, RN<br />
Victoria A. Whitehead, MSN, RN<br />
The Nightingale Tribute Reading<br />
Nursing is a calling, a lifestyle, a way of living.<br />
Nurses here today honor those who have passed on<br />
<strong>and</strong> their life as a nurse.<br />
They are not remembered by their years as a nurse,<br />
but by the difference they made during those years<br />
by stepping into people’s lives... by special moments.<br />
•<br />
TheyWere There<br />
When a calming, quiet presence was all that was needed,<br />
She was there.<br />
In the excitement <strong>and</strong> miracle of birth or in the mystery <strong>and</strong> loss of life,<br />
He was there.<br />
When a silent glance could uplift a patient, family member or friend,<br />
She was there.<br />
At those times when the unexplainable needed to be explained,<br />
He was there.<br />
When the situation dem<strong>and</strong>ed a swift foot <strong>and</strong> sharp mind,<br />
She was there.<br />
When a gentle touch, a firm push, or an encouraging word was needed,<br />
He was there.<br />
In choosing the best one from a family’s “Thank You” box of chocolates,<br />
She was there.<br />
To witness humanity, its beauty, in good times <strong>and</strong> bad, without judgment,<br />
He was there.<br />
To embrace the woes of the world, willingly, <strong>and</strong> offer hope,<br />
She was there.<br />
And now, that it is time to be at the Greater One’s side,<br />
They are there.<br />
•<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Inspire!<br />
Add value <strong>and</strong> credibility to your educational activities! Apply for individual activity approval today.<br />
Innovate!<br />
Does your organization offer multiple educational activities for nurses? Become an approved Continuing<br />
Nursing Education Provider Unit.<br />
Influence!<br />
Use your nursing expertise as a volunteer Peer Nurse Reviewer assisting <strong>TNA</strong> to approve high quality<br />
educational activities. Training is free <strong>and</strong> review assignments are customized to fit your schedule.<br />
Stop by the <strong>TNA</strong> Continuing Nursing Education table for more information or contact Sharon Hinton,<br />
tna.cne@tnaonline.org. Visit our website https://www.tnaonline.org/continuing-education-general-information/<br />
The Tennessee Nurses Association is accredited as an approver of continuing nursing education by the<br />
American Nurses Credentialing Center’s Commission on Accreditation.<br />
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<strong>TNA</strong> Board of Directors <strong>and</strong> Staff<br />
Haley Vance<br />
DNP, APRN, CPNP-AC<br />
President<br />
Nashville<br />
S<strong>and</strong>y Murabito<br />
MSN, Ed.D, RN<br />
Past-President<br />
Nashville<br />
La-Kenya Kellum<br />
DNP, RN, NE-BC,<br />
CNML<br />
Vice President<br />
Memphis<br />
Donna Copenhaver<br />
EdD, MSN, RN<br />
Secretary<br />
Eagleville<br />
Mary Bess Griffith<br />
MSN, RN, CS, FNP<br />
Treasurer<br />
Union City<br />
Trish Baise<br />
DNP, RN, NEA-<br />
BC, FACHE<br />
Director - Operations<br />
Kingsport<br />
Allyson Neal,<br />
DNP, APRN, PMHNP-BC,<br />
CNS-BC, CPNP<br />
Director - Membership<br />
Sevierville<br />
Jenny Webb<br />
PhD(c), MSN, RN, CNE<br />
Director - Education<br />
Humboldt<br />
Loretta Bond<br />
PhD, RN, CNE<br />
Director -<br />
Government Affairs<br />
Antioch<br />
Laura Reed<br />
DNP, APRN, FNP-BC<br />
Director - Practice<br />
Olive Branch, MS<br />
Deb Chyka<br />
DNP, RN<br />
Representative –<br />
Presidents Council<br />
Knoxville<br />
<strong>TNA</strong> Staff<br />
Tina Gerardi<br />
MS, RN, CAE<br />
Executive Director<br />
Diane<br />
Cunningham<br />
Office Manager<br />
Wilhelmina Davis<br />
Manager of<br />
Government<br />
Affairs/Lobbyist<br />
Kathryn Denton<br />
Manager of Marketing,<br />
Member Services/IT<br />
Managing Editor -<br />
Tennessee Nurse<br />
Sharon Hinton,<br />
RN-BC, MSN,<br />
DMin<br />
Nurse Peer Review<br />
Leader<br />
Anne Mitchell<br />
Membership &<br />
Administrative Support<br />
Tracy Depp<br />
Communications<br />
Consultant<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Tennessee Nurses Association<br />
<strong>2018</strong> Slate of C<strong>and</strong>idates <strong>and</strong> Statements<br />
President Elect – vote for one (1)<br />
Carla Kirkl<strong>and</strong>, MSN, APRN, ACNP-BC, FNP-BC, ENP-BC<br />
District 1<br />
Nurse Practitioner<br />
ApolloMD, St. Francis Memphis Emergency Department<br />
Collierville<br />
I have served as a Director, President-Elect, <strong>and</strong> President of Tennessee Nurses Association District<br />
1 (Shelby/Fayette Counties). In those roles I have worked to increase educational <strong>and</strong> networking<br />
opportunities for our nurses, <strong>and</strong> to educate the community regarding nurses in District 1. Since becoming<br />
President of District 1, I have regularly attended the state <strong>TNA</strong> Board meetings, gaining an underst<strong>and</strong>ing of<br />
policies <strong>and</strong> concerns at the state level.<br />
I have served <strong>TNA</strong> as a member of the Government Affairs Committee for 3 years, Convention Planning<br />
Committee for 3 years, <strong>and</strong> was on the recent Executive Director Search Committee. I am Co-Chair of the<br />
<strong>TNA</strong> APRN Task Force. I am also a <strong>TNA</strong> Representative for the Coalition for Access to Care. I have been a<br />
Nurse Practitioner for 18 years, initially in Primary Care, <strong>and</strong> now in Emergency Medicine. I am excited about<br />
working with APRN groups, RNs, <strong>and</strong> other stakeholders around the state, so that together we can obtain<br />
Full Practice Authority for Tennessee.<br />
I am comfortable with, <strong>and</strong> enjoy, meeting with our legislators <strong>and</strong> other elected officials, promoting the<br />
nursing profession <strong>and</strong> improved access to affordable, quality health care for all Tennesseans. I would love<br />
to work with <strong>TNA</strong> at a higher level to support our professional nurses <strong>and</strong> work for improved health care in<br />
our state. I have worked very hard as President of District 1, <strong>and</strong> would carry that same energy <strong>and</strong> passion<br />
to the role of <strong>TNA</strong> President Elect.<br />
Slate continued on next page.<br />
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Vice President – vote for one (1)<br />
William Crowe, Jr, DNP, APRN, FNP-BC, ACNP-BC, FHM, FACHE<br />
District 4<br />
Assistant Vice President<br />
Erlanger Health System<br />
Chattanooga<br />
Currently, I am the Assistant Vice President for the Medicine Service Line <strong>and</strong> Nursing Services at Erlanger<br />
Health System in Chattanooga, Tennessee, an academic medical center, level 1 trauma center, <strong>and</strong> regional<br />
referral center affiliated with the University of Tennessee College of Medicine. Erlanger is the nation’s<br />
seventh largest public health system.<br />
For the system, I oversee the adult hospitalist program at five facilities, pulmonary critical care, advanced<br />
practice, nursing professional development, <strong>and</strong> nursing research. With over 37 years of experience in<br />
healthcare <strong>and</strong> over 30 years of experience as a nurse, my experience spans a variety of settings including<br />
flight nursing, the Emergency Department, critical care, administration, quality, research, education, <strong>and</strong><br />
advanced practice. I am also an experienced EMS clinician providing care both on the ground for a large<br />
inner city 911 system <strong>and</strong> in the air as part of an air medical evacuation crew.<br />
I have an undergraduate degree from Georgia State University, a Masters degree as an Acute Care Nurse<br />
Practitioner from Southern Adventist University, a Post Masters Certificate as a Family Nurse Practitioner<br />
from Southern Adventist University, <strong>and</strong> a doctorate from the University of South Alabama.<br />
In addition to my full time responsibilities at Erlanger, I also serve as a Clinical Instructor for the University of<br />
Tennessee College of Medicine, Coordinator/Assistant Professor of the AG-ACNP Program at the University<br />
of Tennessee at Chattanooga, <strong>and</strong> I find time for clinical practice in the Emergency Department. I have also<br />
been elected to the Board of Directors for the Fourth District of the Tennessee Nurses Association, <strong>and</strong> I am<br />
the Chattanooga Council President of TONE.<br />
My research interests include topics in quality, patient flow, resident education, <strong>and</strong> multidisciplinary<br />
rounding. I have presented locally, regionally, nationally, <strong>and</strong> internationally.<br />
As a new nurse back in 1988, I was active in the state nursing association. I was in Georgia at the time. As<br />
my career progressed <strong>and</strong> life became more hectic, I became dormant in the group. With age comes some<br />
wisdom <strong>and</strong> while I have always thought active membership in the state nursing association was important,<br />
only over the last decade or so have I realized the real importance <strong>and</strong> value of membership. With the<br />
recent veterinary nurse bill that floated through the legislature <strong>and</strong> the attempts last year to limit the scope<br />
of practice of advanced practice registered nurses, the nurses of Tennessee must b<strong>and</strong> together <strong>and</strong> have<br />
strong leaders <strong>and</strong> representation in order to advance the profession. I have served on the District Four<br />
Board of Directors, <strong>and</strong> have filled the position of Vice President when our Vice President unexpectedly<br />
took the President position. Now, I would like to represent the entire state as the Vice President of <strong>TNA</strong>.<br />
My diverse involvement with nursing (hospital, university, District 4, Tennessee Organization of Nurse<br />
Executives, both registered nurse <strong>and</strong> advanced practice registered nurse, administration) makes me<br />
an excellent choice for the role of Vice President. If elected, it would be my pleasure to represent all of<br />
Tennessee’s nurses.<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Julie Hamm, BSN, MSN, ACNP-BC<br />
District 3<br />
Manager: VPEC, Weight Loss Center & Interventional Pain<br />
V<strong>and</strong>erbilt Medical Center<br />
Hermitage<br />
I have served on the board before. I have served on the nominating committee <strong>and</strong> as Secretary. I am<br />
interested in serving again. I was a productive member of the board <strong>and</strong> worked closely with many of the<br />
current board members in the past, including Jill Kinch <strong>and</strong> Haley Vance. I hope you would consider me for<br />
serving again.<br />
Treasurer – vote for one (1)<br />
Heather Jackson, MSN, RN, FNP-BC<br />
District 3<br />
Assistant Director Outpatient Surgery, Interventional Pain Advance Practice Team Lead<br />
V<strong>and</strong>erbilt University Medical Center<br />
Franklin<br />
I am currently attending the Medical University of South Carolina in pursuit of my PhD <strong>and</strong> have become<br />
very passionate about political involvement in my studies. Currently, I am practicing at V<strong>and</strong>erbilt University<br />
Medical Center as a nurse practitioner in the Interventional Pain Center as well as Assistant Director for<br />
Outpatient Surgery. I believe I may greatly contribute to the mission of <strong>TNA</strong> <strong>and</strong> would like to be a part of<br />
your team.<br />
Director – Membership – vote for one (1)<br />
Marcia (Spear) Barnes, DNP, APRN, ACNP-BC<br />
District 15<br />
Assistant Professor<br />
Jeanette C. Rudy School of Nursing <strong>and</strong> Health Professions<br />
Cumberl<strong>and</strong> University<br />
I have been active in my specialty organization for many years serving on numerous committees as both<br />
members <strong>and</strong> chair. I have held board positions including Director, President Elect, <strong>and</strong> President. As I have<br />
transitioned into academia, I wish to be involved more generally in the nursing profession <strong>and</strong> in nursing’s<br />
professional organization. I am hardworking, ethical, honest <strong>and</strong> devoted to the nursing profession. I am<br />
committed to projects <strong>and</strong> service opportunities that I undertake <strong>and</strong> see them through to fruition with<br />
pride <strong>and</strong> a sense of accomplishment. I currently serve as faculty advisor for the Student Nurses Association<br />
at Cumberl<strong>and</strong> <strong>and</strong> want to instill the importance early of our professional obligations as nurses to belong<br />
our nursing professional organization <strong>and</strong> participate in the voice of nursing.<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Tracy M. Collins, DNP, FNP-BC<br />
District 1<br />
Clinical Associate Professor<br />
University of Memphis Loewenberg College of Nrusing<br />
Memphis<br />
It is my desire to serve as the Director-Membership for Tennessee Nurses Association (<strong>TNA</strong>). In my role of<br />
Clinical Associate Professor for the University of Memphis Loewenberg College of Nursing (UofM LCON),<br />
my responsibilities include providing support for students <strong>and</strong> promoting evidence-based practices to<br />
educate undergraduate <strong>and</strong> graduate nurses. I collaborate with faculty <strong>and</strong> the leadership team to help<br />
identify faculty development needs <strong>and</strong> instructional support. I work with the director of the Family Nurse<br />
Practitioner (FNP) program by planning events for the next semester, implementing innovative nursing<br />
ideas, <strong>and</strong> evaluation of students <strong>and</strong> preceptors. I also help gather relevant data for continuous quality<br />
improvement to comply with accreditation st<strong>and</strong>ards <strong>and</strong> regulatory requirements.<br />
I start each semester at the UofM LCON by helping to revise <strong>and</strong> update courses. I serve as the coordinator<br />
for online <strong>and</strong> hybrid courses. My service to UofM LCON includes the graduate council, curriculum task<br />
force <strong>and</strong> evaluations committee. I operate as the clinical placement coordinator in the LCON Family<br />
Practitioner program <strong>and</strong> TN eCampus. I help facilitate LCON simulation activities as students come to the<br />
campus for clinical activities, lab symposiums <strong>and</strong> evaluations of their clinical skills several times throughout<br />
each semester. I am respectful, kind, accountable, <strong>and</strong> exhibit a very high level of patience, integrity <strong>and</strong><br />
underst<strong>and</strong>ing. I model great communication skills <strong>and</strong> approachability to others. I am connected to the<br />
community <strong>and</strong> healthcare institutions, as well as the academic domain.<br />
As an informed <strong>and</strong> innovative nursing educator <strong>and</strong> advocate, this opportunity will heighten my skills as<br />
a practicing FNP <strong>and</strong> member of <strong>TNA</strong>. By serving as the next Director of Membership, I can offer effective<br />
leadership skills to accommodate the diverse population <strong>TNA</strong> encounters daily <strong>and</strong> better serve my community.<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Director – Education – vote for one (1)<br />
Dana Ragle, MSN, RN<br />
District 9<br />
Nursing Educator<br />
TCAT Crossville<br />
Crossville<br />
I love my home state of TN, I love being a nurse <strong>and</strong> I especially love teaching others to be the best nurse<br />
they can be. To be able to help with nursing education protocols for our state would be <strong>and</strong> honor. I have<br />
been a RN for almost 13 years but have worked in healthcare since I was 18. Since receiving my licensure, I<br />
have worked med-surg, homecare, hospice, Labor room, newborn nursery <strong>and</strong> postpartum. Turns out my<br />
true love is nursing education for which I have earned my MSN, RN earlier this year. I am currently worked<br />
on a MBA in nursing management with plans to work for my PhD in nursing philosophy.<br />
Nancy Stevens, DNP, APRN-BC, CEN TRN-C, FAEN<br />
District 04<br />
Clinical Resource Specialist - APN<br />
Erlanger Health System<br />
Ooltewah<br />
Served as the Director of Clinical Education for Erlanger Health System <strong>and</strong> was responsible for the clinical<br />
nursing staff education across the enterprise, which consisted of a Level 1 Trauma Center, <strong>and</strong> 4 satellite<br />
facilities. Responsible for overall program development, administration, <strong>and</strong> implementation of the all<br />
education programs for nursing clinical staff. Collaborated with the Nursing Administration, Physicians <strong>and</strong><br />
other nursing leaders to develop <strong>and</strong> oversee implementation of educational programs including employee<br />
assessments of educational needs. Served as a key liaison between nursing, medical staff, students, <strong>and</strong><br />
educational partners. Worked closely with organizational development to assure appropriate orientation for<br />
all nursing clinical staff. Additionally was responsible for review, reorganization <strong>and</strong> implementation of clinical<br />
educational programs for the enterprise as needs arose. Responsible for the orientation <strong>and</strong> staff training<br />
highlighting process <strong>and</strong> learning opportunities, in addition to planning <strong>and</strong> directing regular meetings with<br />
staff. Responsible for student placement at all of Erlanger facilities assuring a positive learning environment.<br />
At the present time, as a clinical resource specialists, Advanced Practice Nurse, <strong>and</strong> representative of<br />
Erlanger, coordinate <strong>and</strong> instruct in a transitional program for LPN to RN association degree program,<br />
in addition to continuing responsibilities in the Department of Education at Erlanger Health System.<br />
Additionally work as a practicing nurse practitioner in the Emergency Department.<br />
Served as the Clinical Coordinator for all educational programs for the Level 1 Trauma Center <strong>and</strong> 3 additional<br />
Emergency Departments across the enterprise. Worked with bedside nurses, physicians <strong>and</strong> administration<br />
to develop <strong>and</strong> implement educational programs in addition to development of orientation process of all new<br />
employees to the Emergency Services Division. Foster the educational experience via h<strong>and</strong>s-on developmentally<br />
appropriate <strong>and</strong> highly interactive methods to enhance nursing <strong>and</strong> student learning. Was responsible for hiring<br />
<strong>and</strong> supervising additional education coordinators for the enterprise. Provide performance evaluation <strong>and</strong><br />
feedback for all activity <strong>and</strong> group leader positions within the educational program.<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Susan Thul, DNP, APRN, CNM<br />
District 4<br />
Assistant Professor, School of Nursing<br />
University of Tennessee at Chattanooga, School of Nursing<br />
Ooltewah<br />
I am an Assistant Professor of Nursing at the University of Tennessee at Chattanooga’s (UTC) School of<br />
Nursing. I have worked in this role since 2013 <strong>and</strong> teach in the Doctor of Nursing Practice <strong>and</strong> Family Nurse<br />
Practitioner <strong>and</strong> Nurse Anesthesia programs. I am a retired U.S. Navy Nurse <strong>and</strong> Certified Nurse Midwife.<br />
My clinical areas of expertise include women’s health <strong>and</strong> vulnerable populations, with an interest in caring<br />
for “at-risk” populations. Prior to moving to Tennessee, I served as the Director of Perinatal Outreach for<br />
the Medical University of South Carolina where I developed a care delivery model spanning three counties,<br />
providing perinatal care supporting approximately 500 deliveries annually for women at risk in the low<br />
country region of South Carolina. My doctoral work focused on the development of entrepreneurial training<br />
for advanced practice nurses, including nurse midwives, in the primary care setting. My Navy tenure<br />
culminated in assignment as the Director of Quality Improvement for the Naval Hospitals in the Southeast<br />
Region. During that time, I developed several quality improvement initiatives ultimately cited by the <strong>Joint</strong><br />
Commission as benchmarks for improvement practice.<br />
I am a member of the American Nurses Association, The American College of Nurse Midwives (ACNM), The<br />
Tennessee Nurses Association (<strong>TNA</strong>) <strong>and</strong> the TN affiliate for the ACNM. I would appreciate the opportunity<br />
to serve the <strong>TNA</strong> as the Director of Education, as I believe educated <strong>and</strong> informed nurses are powerful<br />
nurses. I am a believer in full practice authority <strong>and</strong> would like to use my experience <strong>and</strong> passion to further<br />
that agenda. We, as nurses, face challenges in the state of TN <strong>and</strong> I would like to be part of the solution to<br />
those challenges. Thank you!<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Nominating Committee – vote for two (2)<br />
Donna Fraysier, DNP, MSN, APN, ACNS-BC, NEA-BC, CDE<br />
District 05<br />
Assistant Professor<br />
East Tennessee State University<br />
Kingsport<br />
I am interested in serving on the <strong>TNA</strong> board in order to become more involved. Healthcare in our country is ever<br />
changing, <strong>and</strong> nurses are in a great position to lead that change. However, to lead change nurses must st<strong>and</strong><br />
strong together, united in purpose. I have been a nurse for more than 20 years, <strong>and</strong> I have worked in academia<br />
for more than five years. I am an APN, <strong>and</strong> I have a DNP in Executive Leadership. I hold two certifications from<br />
ANCC: Adult Health Clinical Nurse Specialist <strong>and</strong> Nurse Executive Advanced. Currently, I am the Concentration<br />
Coordinator for the MSN- Nursing Administration <strong>and</strong> DNP- Executive Leadership concentrations at East<br />
Tennessee State University. I have served on the board of the Epsilon Sigma at Large Chapter of Sigma Theta<br />
Tau for nearly five years. If elected to serve on the <strong>TNA</strong> board I will serve to the best of my ability. My education<br />
<strong>and</strong> background in nursing leadership has prepared me to serve in a <strong>TNA</strong> board position.<br />
Shelley Hawkins, PhD, APRN-BC, FAANP<br />
District 1<br />
Professor & Executive Associate Dean of Academic Affairs<br />
UTHSC College of Nursing<br />
Germantown<br />
I have been a Registered Nurse for more than 35 years <strong>and</strong> an Advanced Practice Registered Nurse for<br />
more than 20 years. In 1987, I began my career as a nurse educator <strong>and</strong> have held academic appointments<br />
inclusive of both faculty <strong>and</strong> administrative roles for more than 30 years. I have extensive experience in<br />
assuming leadership roles in nursing <strong>and</strong> building teams to achieve successful outcomes that advance the<br />
profession of nursing. I recently served as Chair of the National Organization of Nurse Practitioner Faculties<br />
(NONPF) Nominating Committee having previously served as a member of the committee. In addition, I<br />
provided leadership for the NONPF Program Director Special Interest Group in my role as Chair for two<br />
years. During that time, I established a nurse practitioner program director mentoring program that was<br />
successfully piloted <strong>and</strong> continues into its second year. I served on the Search Committee for selection<br />
of the first NONPF Chief Executive Officer. I have been an active member of the American Association of<br />
Nurse Practitioners (AANP) for more than 20 years having been inducted as a Fellow in 2007. I have held<br />
multiple roles in the AANP organization including recent election to the Fellows Nominating Committee.<br />
I am a long-time member of the American Nurses Association <strong>and</strong> currently serve on the National Panel<br />
for Telehealth. Having been a nurse <strong>and</strong> academician for more than 30 years, I am keenly aware of the<br />
challenges confronting the nursing profession. I have taught countless undergraduate <strong>and</strong> graduate<br />
students in several different nursing programs across the country. I am skilled in developing relationships<br />
with colleagues <strong>and</strong> students based on trust, honesty, <strong>and</strong> integrity. In my current role, I have countless<br />
opportunities to communicate with nurses who practice in the state of Tennessee. I serve as a role model<br />
who is highly respected by students <strong>and</strong> colleagues. Through these relationships, I have successfully<br />
recruited colleagues who have the attributes necessary for building a strong Board of Directors.<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Shondell Hickson, DNP, APN, ACNS-BC, FNP-BC<br />
District 03<br />
Associate Professor <strong>and</strong> Nurse Practitioner<br />
Austin Peay State University, Matthew Walker Clinic, Simmons School of Nursing<br />
Clarksville<br />
Leadership Succession Chair- Sigma Thea Tau (Nu phi chapter) - Manage the preparation, distribution<br />
<strong>and</strong> tallying of election ballots// Notify all c<strong>and</strong>idates (elected <strong>and</strong> non-elected) of the election results//<br />
Develop <strong>and</strong> maintain policies <strong>and</strong> procedures related to the position of leadership succession chair. Submit<br />
modifications or new policies <strong>and</strong> procedures to the board of directors for approval.<br />
Faculty Senator - Educational policy <strong>and</strong> general welfare//Policy for the regulation of student conduct <strong>and</strong><br />
activities//Scholastic policy, including requirements for admission, graduation, <strong>and</strong> honors. Approval of<br />
c<strong>and</strong>idates for degrees.<br />
Resource Committee Chair – Work with the DON of the SON to ensure that students/school have<br />
all supplies, equipment each academic year Co- Chair of Program Evaluation Committee- Make<br />
recommendations for the revision of competency based curriculum goals <strong>and</strong> objectives. Member of the<br />
strategic planning committee – development of the SON 5 year strategic plan.<br />
Kay Murphree, MSN, RN, CMSRN, EdD<br />
District 15<br />
Assistant Professor<br />
Middle TN State University<br />
Murfreesboro<br />
Serving on the <strong>TNA</strong> Nominating Committee is of interest to me as a means of collaborating with other<br />
nurses in our state who are interested in sharing their time <strong>and</strong> talents. After spending the past five years<br />
completing a doctorate in nursing education while teaching full time, I am looking forward to having more<br />
time to serve in volunteer positions upon my August graduation. I have worked as an acute care bedside<br />
nurse (22 years) <strong>and</strong> as a nurse educator in the clinical <strong>and</strong> classroom setting. I have current experience<br />
in serving on the Leadership Succession Committee of the Xi Alpha chapter of the Sigma Theta Tau<br />
International Honor Society of Nursing.<br />
Sarah Pierce, BSN, MSN, DNP, AGACNP-BC, RN, PLNC, CCRN<br />
District 06<br />
Assistant Professor of Nursing<br />
Freed Hardeman University<br />
Jackson<br />
I am very interested in a leadership role in <strong>TNA</strong>. I think the nominating committee would be a great entry<br />
point to begin leading in <strong>TNA</strong>. I am excited to begin this journey!<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Poster Presentation Abstracts<br />
Assessment of Learning Orientation: A Potential Tool in Advocacy <strong>and</strong> Policy Making<br />
Kimberly Dinsmore (Presenter)<br />
Problem Addressed:<br />
Policy learning among those involved in policy development has been shown to be a critical element<br />
in policy change (Moyson, 2017), a theory termed Sabatier’s Advocacy Coalition Framework. Yet the<br />
predisposition for policy learning among legislators, regulators, stakeholders, researchers, journalists,<br />
advocates <strong>and</strong> others has not been systematically studied.<br />
Learning orientation is defined as the degree to which a person is dependent on content providers (such<br />
as instructors <strong>and</strong> journalists) as they learn a policy, educational material, or other information. A 25-item<br />
questionnaire instrument named the Learning Orientation Questionnaire<br />
(Cicivec, 2014) has been proposed to measure dependence on others in learning, a condition that could<br />
lead to susceptibility to bias in policy makers.<br />
Objectives:<br />
The purpose was to evaluate the psychometric properties the Learning Orientation Questionnaire using<br />
both factor <strong>and</strong> cluster analysis methods.<br />
Methods/Procedures:<br />
Four hundred <strong>and</strong> seventy-two undergraduate nursing students at the first semester junior level completed<br />
the Learning Orientation Questionnaire online. The data was imported into an R language processor<br />
(Version 3.3.1) for plotting <strong>and</strong> statistical analysis.<br />
Findings:<br />
This first step was manual extraction to identify correlations between items <strong>and</strong> group them into categories<br />
using cluster analysis. Six cluster categories were formed <strong>and</strong> on the themes of learning interest, ambitious<br />
goals, instructor, instructor copycat, achievement of goals, <strong>and</strong> lone survivor.<br />
The second step was the automatic extraction of factors with functions in the R language. The items were<br />
grouped by the automatic extraction into four factors rather than six. The automatic extraction combined<br />
the factors learning interest <strong>and</strong> ambitious goals together <strong>and</strong> removed the lone survivor factor. The lone<br />
survivor factor contained one question (q24) with a low eigenvalue of (0.3). This question was deemed both<br />
minor <strong>and</strong> irrelevant to the topic of the questionnaire <strong>and</strong> therefore is proposed to be removed from the<br />
questionnaire. The automatic extraction method combined the factors of instructor <strong>and</strong> instructor copycat<br />
into a single factor. These two clusters had a high correlation coefficient (r = ), so these are proposed to be<br />
merged into a single factor, unifying the findings of the cluster <strong>and</strong> factor analysis, <strong>and</strong> resulting in a fourfactor<br />
questionnaire instrument.<br />
The factor structure indicates that the 25 item instrument can be reduced to 8 <strong>and</strong> still retain much of the<br />
explanatory power of the original survey (77% to 93% of variance accounted for in original factors).<br />
Recommendations for Practice/Research:<br />
The conclusions are that the Learning Orientation Questionnaire (1) has four factors, (2) could be reduced in<br />
size to only 8 questions instead of 25, (3) was suitable for testing in policy makers <strong>and</strong> advocates.<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Childhood Vaccinations: A Necessary Practice<br />
Brie LaJeret (Presenter)<br />
Problem Addressed:<br />
Vaccinations represent one of the greatest successes of modern science. Childhood vaccinations have<br />
allowed for the eradication of several infectious diseases including polio, measles, mumps, <strong>and</strong> diphtheria.<br />
However, since the late 1990’s when a small, erroneous research study was published suggesting a link<br />
between Autism <strong>and</strong> vaccines, the vaccination rate has declined. Although numerous research studies have<br />
since debunked the correlation between Autism <strong>and</strong> immunizations, parents continue to question the safety<br />
of immunizations. Nurses possess a unique position in which they could influence positive change in this<br />
significant patient <strong>and</strong> community issue. An effective education plan has the potential to completely change<br />
the view of vaccination.<br />
Objectives:<br />
To demonstrate that an education plan initiated during the prenatal period can effectively increase the<br />
childhood vaccination rate.<br />
To educate nurses on their role in the patient education process/plan<br />
To raise awareness to the importance of vaccinations<br />
Methods/Procedures:<br />
N/A<br />
Findings:<br />
N/A<br />
Recommendations for Practice/Research:<br />
To begin vaccination education during prenatal checkups <strong>and</strong> continue education throughout the prenatal &<br />
postnatal periods <strong>and</strong> into the first year of life.<br />
Complementary Therapies: A Hungarian Approach<br />
Brie LaJeret (Presenter)<br />
Problem Addressed:<br />
As the opiate addiction continues to rise <strong>and</strong> cripple communities, new ways to treat pain <strong>and</strong> addiction<br />
need to be developed/adopted. Unfortunately, some of the pitfalls of available complementary therapies are<br />
cost <strong>and</strong> availability. Fortunately, the American healthcare system can look to the international healthcare<br />
community for possible solutions. For example, Hungary offers many complementary therapies for the<br />
treatment of its citizens. These complementary therapies can be prescribed by a healthcare professional<br />
<strong>and</strong> the cost is covered by the national healthcare plan. Some of the available <strong>and</strong> most widely used<br />
therapies include: balneo-therapy <strong>and</strong> thermal baths, massage, electrotherapy <strong>and</strong> yoga.<br />
Objectives:<br />
• To educate nurses on complementary therapies<br />
• To demonstrate the effectiveness of complementary therapies as used by the international community,<br />
specifically Hungary.<br />
• To widen the nursing knowledge base by introducing Hungarian therapies<br />
Methods/Procedures:<br />
N/A<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Findings:<br />
N/A<br />
Recommendations for Practice/Research:<br />
N/A<br />
Co-Sleeping Contention: How Are Families Really Sleeping?<br />
Michelle Collins (Presenter)<br />
Problem Addressed:<br />
In the recent past, there has been an intentional movement on the part of some maternal-child health<br />
stakeholders, to aggressively “warn” parents as to the “dangers” of co-sleeping. Despite sound evidence to<br />
prove the benefits of, <strong>and</strong> lack of harm, when practiced in the absence of all known hazards especially by<br />
breastfeeding mothers, <strong>and</strong> with likely over 2 million USA mothers at least intermittently bedsharing with<br />
their infants, the US government NICHD has launched a nationwide educational campaign to inform the<br />
public as to the inherent “danger” of co-sleeping. This session will discuss the current climate of support<br />
(<strong>and</strong> lack thereof) for co-sleeping (in various forms) between infants <strong>and</strong> their parents. The biologic<br />
imperatives that underlie the practice <strong>and</strong> which support the co-sleeping relationship will be presented, as<br />
well as diverse lines evidence that justifies <strong>and</strong> legitimizes co-sleeping. Finally, directives on how to best<br />
counsel clients amidst a sea of conflicting information on the topic will be presented.<br />
Objectives:<br />
Objective 1* Participants will be able to describe the biologic imperatives which underscore the maternalinfant<br />
co-sleeping relationship.<br />
Objective 2* Participants will be able to describe the current climate of opinion not only in the US, but<br />
outside the US as well, of the co-sleeping relationship.<br />
Objective 3* Participants will be able to detail strategies for counseling clients regarding co-sleeping, in an<br />
environment of mixed messaging.<br />
Methods/Procedures:<br />
N/A<br />
Findings:<br />
Research findings will be presented that question the Back to Sleep campaign outcomes.<br />
Recommendations for Practice/Research:<br />
Given the sound research statistics that the majority of families co-sleep at any given time with their<br />
children, this presentation will discuss strategies to be discussed with families. As opposed to the current<br />
strategy of “just say no” health care providers must consider options to the traditional “scare tactics”<br />
currently in use to be able to educate parents on safe co-sleeping.<br />
Cultivating Shared Governance in an Outpatient Mental Health Setting<br />
Teris Webb (Presenter)<br />
Problem Addressed:<br />
Successful shared governance implementation challenges the status quo <strong>and</strong> depends on leadership<br />
cultivating collaborative <strong>and</strong> autonomous environment. Shared Governance requires the participation of<br />
leadership who exhibits a professional identity that reflects a responsible, empowered <strong>and</strong> equitable role<br />
<strong>and</strong> an underst<strong>and</strong>ing of the professional identity of clinical staff, which is often lacking from a culture of<br />
status quo.<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Objectives:<br />
The Shared Governance team in an outpatient mental health setting of a unionized federal hospital.<br />
The group chose their first project to review the VA policy Special Hazard Food <strong>and</strong> Beverages will be<br />
consumed in the direct patient care rooms by consensus <strong>and</strong> identified champions <strong>and</strong> set time lines.<br />
Methods/Procedures:<br />
Using the 5S model of Improvement. Consisting of consultation of regulatory agencies referenced in the<br />
policy (The <strong>Joint</strong> Commission <strong>and</strong> Center for Disease Control). Literature review <strong>and</strong> other VA outpatient<br />
mental health centers were contacted.<br />
Findings:<br />
Improved professional work environment, underst<strong>and</strong>ing of the patient care area within the outpatient<br />
mental health setting, definition of exposure as it relates to infection control, identified designated area<br />
to eat meals, obtained a larger table to eat in the designated break area, post -shared governance staff<br />
satisfaction scores improved overall.<br />
Recommendations for Practice/Research:<br />
Shared Governance can be initiated in the most resistant cultures. Clinical staff professional identities are<br />
transformed; they become patient focused, autonomous <strong>and</strong> more satisfied with their practice. Investigation<br />
into the impact of using shared governance on professional identity in similar environment is needed.<br />
ED Protocol for Patients Presenting with Mental Illness<br />
Kathryn A. Berger (Presenter)<br />
Problem Addressed:<br />
Appropriate Emergency Department treatment during a mental health exacerbation episode for a patient.<br />
A State of TN task force met <strong>and</strong> developed a protocol that should be used for patients who present to the<br />
ED in an active mental health crisis.<br />
Objectives:<br />
The attendees will have an underst<strong>and</strong>ing of the mental health patient care process, requirements for<br />
admission to a State of Tennessee mental health hospital <strong>and</strong> the protocol for treating these patients on<br />
presentation to an ED.<br />
Methods/Procedures:<br />
Discussion/written presentation will include the treatment protocol for mental health patients <strong>and</strong> the path<br />
these patients take from the presentation of their symptoms to admission to a State-operated mental health<br />
facility.<br />
Findings:<br />
This is a relatively new process, I am not sure if definitive data has been ascertained but if this data is<br />
available, it will be included.<br />
Recommendations for Practice/Research:<br />
The recommendation is that all Emergency Departments in Tennessee adopt this protocol, train their staff<br />
on the importance of using it. Data collection on the decrease in admission to an acute mental health<br />
facility <strong>and</strong> frequency of ED visits for these patients will determine to efficacy of using the protocol.<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
The Effect of Imprisonment on Quality of Care<br />
Taylor Shaw (Presenter)<br />
Mia McCain (Co-Presenter)<br />
Dylan Price (Co-Presenter)<br />
Problem Addressed:<br />
A large issue within correctional facilities is that overall prisoners do not receive the quality care they would<br />
receive if they were not inmates. The conditions in correctional facilities are disease ridden <strong>and</strong> lack a<br />
holistic approach, with research showing that inmates often are not treated with genuine empathy or care.<br />
Additionally, inmates are beginning to reach older ages, but correctional facilities often lack any ways to<br />
accommodate older inmates.<br />
Objectives:<br />
N/A<br />
Methods/Procedures:<br />
Review of Literature<br />
Findings:<br />
Multiple articles showed evidence that correctional facilities lack programs to help inmates’ transition from<br />
imprisonment to the free world, which was a common factor in prisoners having recidivism. It is evident that<br />
the less education <strong>and</strong> quality of care that prisoners receive, the less likely the inmate is to thrive once in the<br />
free world.<br />
Recommendations for Practice/Research:<br />
N/A<br />
The Effect of Normal Saline on the Kidneys<br />
Zack V<strong>and</strong>erBoegh (Presenter)<br />
Kelsey Bales (Co-Presenter)<br />
Tyler Patterson (Co-Presenter)<br />
Problem Addressed:<br />
The purpose of this research poster is to bring forth knowledge towards the issue of the effects normal<br />
saline has on the kidneys. During the 19th century, intravenous fluids came to be discovered <strong>and</strong> used<br />
among various patients. Normal saline is used all over the world to treat dehydration related to certain<br />
symptoms among many individuals.<br />
Objectives:<br />
Develop knowledge regarding the effects of Normal Saline on the Kidneys.<br />
Methods/Procedures:<br />
Review of Literature<br />
Findings:<br />
The various scholarly articles show the benefit of using balanced fluid solutions are used rather than normal<br />
fluid solutions causing an overall benefit towards individual patient-outcomes. Normal saline is known to<br />
alter kidney function which results in a disruption within the kidney’s which can lead to other problems<br />
throughout the body.<br />
Recommendations for Practice/Research:<br />
Healthcare professionals need to continue to conduct research regarding this topic to optimize the<br />
underst<strong>and</strong>ing to these effects which could be potentially harmful towards our patients.<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
The Effect of the Nursing Shortage on Patient Outcomes<br />
Christina Sh<strong>and</strong>s (Presenter)<br />
Abbey Dew (Co-Presenter)<br />
Problem Addressed:<br />
As of 2016, 8 out of every 10 Americans suffer from one or more chronic health conditions. Nursing is<br />
among the fastest growing occupations in the US, but the country still faces a large shortage of nurses.<br />
Lack of adequate numbers of nursing staff can impact patient well-being. Higher patient mortality <strong>and</strong> more<br />
medication errors occur because we have less nurses working more hours. Health care employers can help<br />
fix the problem by offering higher wages, more education <strong>and</strong> training opportunities, <strong>and</strong> more incentives.<br />
Only a comprehensive strategy consisting of immediate <strong>and</strong> long-term measures can ensure Americans<br />
do not continue to suffer due to lack of adequate RNs. The shortage of nurses is a very important problem<br />
because the situation is not getting better but it is getting worse. The shortage of nurses is due to many<br />
reasons such as an increased workload, educational obstacles, <strong>and</strong> workload obstacles. Nurses play<br />
a critically important role in ensuring patient safety by monitoring patients for changes in health <strong>and</strong><br />
performing tasks to ensure patients receive high quality care. Without an adequate number of nurses, the<br />
mortality of patients will increase.<br />
Objectives:<br />
Develop knowledge regarding the effects of the nursing shortage on patient outcomes.<br />
Methods/Procedures:<br />
Review of Literature<br />
Findings:<br />
The nursing shortage is a major problem in our healthcare system, <strong>and</strong> it will continue to worsen unless the<br />
problem is fixed. In this research paper we identified some of the major causes of the nursing shortage.<br />
Some of the problems were pay wages, undesirable hours, burnout, <strong>and</strong> a shortage of teaching staff in<br />
nursing school.<br />
Recommendations for Practice/Research:<br />
Further research needs to be done in order to figure out what short term <strong>and</strong> long-term interventions need<br />
to be implemented <strong>and</strong> how in order to start fixing the nursing shortage. Further research needs to be done<br />
to figure out why it is so difficult to get an adequate amount of faculty at nursing schools, <strong>and</strong> research also<br />
needs to be done in order to fix some of the undesirable wages of nurses.<br />
The Effects of Exercise in Patients with Symptoms of Alzheimer’s<br />
Hunter Morse (Presenter)<br />
Todd Keim (Co-Presenter)<br />
Problem Addressed:<br />
Alzheimer’s, the most common cause of dementia, is a neurologic degenerative disease that results in<br />
memory loss <strong>and</strong> other cognitive abilities, leading to a loss of independence. It is a disease that occurs in<br />
various stages <strong>and</strong> it is often misconstrued that the disease is a normal part of the aging process. More<br />
than 5 million Americans are living with Alzheimer’s, accounting for the 6th leading cause of death in the<br />
United States. There is currently no treatment for the disease, rather just measures to help maintain mental<br />
functioning as an individual progresses through the different stages. Currently, the most effective way in<br />
dealing with this debilitating disease is taking proper measures in preventing the onset. This critical analysis<br />
of Alzheimer’s provides insight to the effects of exercise on the brain <strong>and</strong> how exercise is a preventative<br />
measure for degeneration of the structure of the brain.<br />
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Objectives:<br />
Develop knowledge regarding the effects of exercise in Alzheimer’s patients.<br />
Methods/Procedures:<br />
Review of Literature<br />
Findings:<br />
At the present time, research shows that aerobic exercise slows the progression of brain degeneration,<br />
while also showing inclines in hippocampal volume, which is the part of the brain responsible for processing<br />
information. Studies also indicate that there is not yet a particular exercise regimen that is best to follow.<br />
Recommendations for Practice/Research:<br />
The research studies reviewed for this paper call for further research regarding Alzheimer’s disease <strong>and</strong> the<br />
evidence-based preventative measures of aerobic exercise on preventing the onset of the disease.<br />
The Effects of Long Shift Hours on Nurses<br />
Roxanne Becerra (Co-Presenter)<br />
Brittany Brown (Co-Presenter)<br />
Latoya Busby (Co-Presenter)<br />
Angelina Johnson (Co-Presenter)<br />
Problem Addressed:<br />
The incidence <strong>and</strong> effects of fatigue are critical to every nurse’s professional practice. Rising incidents of<br />
nursing fatigue, burnout, low patient satisfaction, <strong>and</strong> poor patient care across the healthcare continuum<br />
is an increasing concern in the nursing field (Stimpfel, 2012). The purpose of this study is to investigate<br />
the connection between long shift hours worked by nurses <strong>and</strong> the incidence of poor nurse <strong>and</strong> patient<br />
satisfaction in healthcare.<br />
Objectives:<br />
Develop knowledge regarding the effects of long shift hours on nurse’s professional practice<br />
Methods/Procedures:<br />
Review of Literature<br />
Findings:<br />
Working longer shifts was found to play the greatest role in facilitating nursing fatigue <strong>and</strong> insufficient care<br />
performed on patients. This study shows the relationship between the hours worked by nurses <strong>and</strong> the<br />
domino effects that proceed to follow.<br />
Recommendations for Practice/Research:<br />
Further studies are needed to establish causal relationships <strong>and</strong> develop preventative measures<br />
(Stimpfel, 2012).<br />
The Effects of Mentoring on Nursing Incivility in New Graduate Nurses<br />
Amy Edmison (Presenter)<br />
Problem Addressed:<br />
Incivility is an ongoing issue in nursing that contributes to burnout <strong>and</strong> turnover in nurses. New graduates<br />
are particularly susceptible to stressors in the health care environment <strong>and</strong> are frequently targets of<br />
incivility. These issues combine to further complicate the nursing shortage in health care settings.<br />
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Objectives:<br />
To explore the effects of a mentoring program on incivility experienced by new graduate nurses.<br />
To explore the effects of a mentoring program on turnover in new graduate nurses.<br />
Methods/Procedures:<br />
New graduates with less than two years nursing experience hired to a medical-surgical unit were given<br />
questionnaires assessing incivility. Mentors, chosen by managers meeting specific criteria, were sent to<br />
training provided by the facility. Then, the pairs commenced into a mentoring relationship. After the<br />
relationship ended per the facility regulations, the mentees were re-surveyed to assess the perception of<br />
incivility experienced after mentoring. Data will be analyzed using a dependent samples t-test.<br />
Findings:<br />
Pending: complete by August <strong>2018</strong><br />
Recommendations for Practice/Research:<br />
Pending: complete by August <strong>2018</strong><br />
Elementary Asthma Education: Implementation of the Green Means<br />
Go Program in an Urban Elementary School<br />
Jennifer David (Presenter)<br />
Nina Armstrong (Co-Presenter)<br />
Elizabeth Carew (Co-Presenter)<br />
Lauren Larkin (Co-Presenter)<br />
Mia Pecora (Co-Presenter)<br />
Conor Quinn (Co-Presenter)<br />
Hannah Ritter (Co-Presenter)<br />
Problem Addressed:<br />
Approximately 20 percent of students at an urban elementary school in Nashville, TN have an asthma<br />
diagnosis. This school does not retain a school nurse on site leaving teachers <strong>and</strong> students responsible for<br />
managing asthma exacerbations. In the past, it has been necessary for school staff to call 911 for emergency<br />
interventions for severe asthma exacerbations.<br />
Objectives:<br />
To partner with an urban elementary charter school in Nashville, Tennessee to enhance children’s<br />
underst<strong>and</strong>ing of how to self-identify asthma symptoms <strong>and</strong> react appropriately to avoid medical crises.<br />
Methods/Procedures:<br />
Forty-two children with asthma in second <strong>and</strong> third grade were identified <strong>and</strong> assigned to participate in four<br />
weeks of the Green Means Go program led by students at V<strong>and</strong>erbilt University School of Nursing (VUSN).<br />
The Green Means Go Program consists of three lesson plans <strong>and</strong> one final review lesson. It was developed<br />
by Natasha McClure DNP, RN, CPNP, Assistant Professor VUSN <strong>and</strong> has been used in other elementary<br />
schools in Nashville. Each lesson consisted of one theme that was reinforced through videos, activities, <strong>and</strong><br />
lectures. Lesson one is an overview of asthma <strong>and</strong> asthma symptoms. Lesson two is an overview of the<br />
Asthma Action Plan <strong>and</strong> the different color zones. Lesson three is an overview of asthma triggers <strong>and</strong> how<br />
to prevent trigger exacerbations. The final review consists of the important aspects of each previous lesson.<br />
Prior to Lesson one, a pre-test was given to evaluate the underst<strong>and</strong>ing of asthma. The same test was given<br />
after the final review to assess improved underst<strong>and</strong>ing of asthma.<br />
Findings:<br />
Student retention was 79% over the course of four lessons. Increased underst<strong>and</strong>ing of asthma was<br />
demonstrated via test scores. Scores improved from a pretest average of 73.3% to a posttest average of 80.3%.<br />
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Recommendations for Practice/Research:<br />
The Green Means Go program enhanced student’s knowledge about asthma management <strong>and</strong> asthma<br />
exacerbation prevention. This knowledge was supported through the improvement of test scores of the<br />
post-test versus the pre-test. We identified a community partnership with an urban elementary school with<br />
hopes to continue <strong>and</strong> sustain the program for future cohorts of VUSN students. Future projects should<br />
implement a home visit program in accordance with the Green Means Go lesson plans as well as provide<br />
materials for teachers <strong>and</strong> parents to provide continuing asthma education for students.<br />
Evolution of the APRN/RN First Assistant Role: Advocating Change in Tennessee<br />
Nancy Appling (Presenter)<br />
Diane Pace (Co-Presenter)<br />
Problem Addressed:<br />
An increasing number of APRNs are seeking role preparation as Registered Nurse First Assistants (RNFA).<br />
The increased education <strong>and</strong> skill set are highly marketable <strong>and</strong> heightens the level of patient care for the<br />
perioperative patient. The Association of periOperative Room Nurses (AORN) has established RNFA program<br />
curriculum st<strong>and</strong>ards. The Competency <strong>and</strong> Credentialing Institute (CCI), the credentialing body for the<br />
RNFA certification exam posts “acceptable RNFA programs” on their website. Of the 16 programs listed on<br />
the website, 4 are university based. The University of Tennessee Health Science Center College of Nursing<br />
developed the first RNFA program in the state. In 2016, Tennessee legislators, without full underst<strong>and</strong>ing of<br />
the AORN national st<strong>and</strong>ards for RNFA education, enacted RNFA title protection that omitted APRNs from<br />
title protection. Paradoxically, APRN certified RNFAs are the only RNFAs eligible for Medicaid, Medicare <strong>and</strong><br />
most third-party reimbursement. The 2017 <strong>TNA</strong> general assembly voted to support a resolution to modify the<br />
existing statue for RNFA title protection. The proposed resolution is currently in committee.<br />
Objectives:<br />
Identify the evolving role for APRNs as RN First Assistants<br />
Discuss the AORN National St<strong>and</strong>ards for education of the APRN RNFA<br />
Describe Credentialing requirements for certification of the RNFA<br />
Advocate for APRN inclusion into RNFA Title Protection in the state of Tennessee<br />
Methods/Procedures:<br />
N/A<br />
Findings:<br />
N/A<br />
Recommendations for Practice/Research:<br />
Advocacy for change in state title protection for the APRN RNFA<br />
Increase awareness of legislative process <strong>and</strong> resources<br />
Promote reimbursement parity for RNFAs<br />
Expansion of Nurse Practitioner Scope of Practice to Include<br />
Buprenorphine for Addiction: An Advocacy Brief<br />
Heather Jackson (Presenter)<br />
Alexis Weber (Co-Presenter)<br />
Problem Addressed:<br />
Over the past twenty years the United States has suffered from an opioid epidemic, which continues to<br />
threaten public health. Opioid dependence <strong>and</strong> illicit drug use contributes to crime <strong>and</strong> disruption to the<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
community as well as family dynamics. Drug overdose deaths continue to rise <strong>and</strong> have nearly tripled from<br />
1999- 2014 exceeding the number of deaths caused by motor vehicle accidents. Over 1000 emergency<br />
department visits are related to the misuse of opioids <strong>and</strong> an estimated 91 people die from opioid overdose<br />
every day in the United States. Additionally, this epidemic is associated with an increase in infections<br />
due to intravenous drug use as well as health care expenses due to hospitalizations <strong>and</strong> emergency care.<br />
According to the Centers for Disease Control <strong>and</strong> Prevention these costs are estimated to be $78.5 billion<br />
per year which consists of medical management, substance abuse treatment, <strong>and</strong> legal consequences.<br />
Unfortunately, access to medication-assisted treatment (MAT) for opioid addiction remains a barrier.<br />
Prohibiting nurse practitioners from prescribing buprenorphine is one such limiting factor that prevents<br />
life-sustaining treatment for patients suffering from opioid addiction. Section 303 of the Comprehensive<br />
Addiction <strong>and</strong> Recovery Act (CARA) granted buprenorphine-prescribing privileges to nurse practitioners<br />
with appropriate training which could increase access to addiction care. Unfortunately, many states<br />
continue to have laws prohibiting nurse practitioners from prescribing buprenorphine for addiction,<br />
including Tennessee.<br />
Objectives:<br />
Analyze positive effects of buprenorphine treatment for opioid addiction <strong>and</strong> the extent in which nurse<br />
practitioners may increase access to MAT throughout the state of Tennessee as well as the United States.<br />
Methods/Procedures:<br />
A review of literature was conducted <strong>and</strong> utilized the harm reduction conceptual framework.<br />
Findings:<br />
N/A<br />
Recommendations for Practice/Research:<br />
MAT with buprenorphine is the safest <strong>and</strong> most effective treatment for opioid addiction; however, access<br />
remains a barrier for patients. Nurse practitioners may serve patients needing addiction treatment but are<br />
limited by buprenorphine prescribing regulations for addiction. These regulations restrict nurse practitioners<br />
from prescribing buprenorphine <strong>and</strong> should be revised to provide access to addiction treatment. Ultimately<br />
this could assist in preventing individual harm, societal harm, reduce healthcare costs, as well as improve<br />
patients’ quality of life.<br />
A Fourth Trimester<br />
Ch<strong>and</strong>ler Hollingsworth (Co-Presenter)<br />
Larrun Neder (Co-Presenter)<br />
Problem Addressed:<br />
A Fourth Trimester is the concept of at home care <strong>and</strong> teaching for the postpartum mother (especially a<br />
first-time mother). This critical analysis of the current status of postpartum health care in the United States<br />
what is known about the impact of home health care provided during the postpartum period, what is not<br />
known about home health care provided during the postpartum period, <strong>and</strong> future implications for research<br />
with home health care provided during the postpartum period.<br />
Objectives:<br />
Develop knowledge regarding home care <strong>and</strong> education for the postpartum mother.<br />
Methods/Procedures:<br />
Review of Literature<br />
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Findings:<br />
A fourth trimester of healthcare can make a world of difference in health of both the mother <strong>and</strong> child after<br />
child birth. By going home with the mother <strong>and</strong> providing the much-needed care <strong>and</strong> attention the mother<br />
needs postpartum, a fourth trimester could decrease the number of cases of postpartum depression <strong>and</strong><br />
infant mortalities <strong>and</strong> increase the amount of time <strong>and</strong> infants that are breastfed.<br />
Recommendations for Practice/Research:<br />
Further studies are still indicated for this topic. The majority of the research that has been done at this point<br />
is quantitative. Little is known about the actual effects emotionally of postpartum home care. In addition to<br />
that, most of the research has been conducted on a small scale in other countries. Research could benefit<br />
from being conducted with a larger population of postpartum mothers in the United States.<br />
From Rural to Urban: A Multifaceted Approach for Preparing Culturally Competent FNP<br />
Students <strong>and</strong> Addressing the Diverse Needs of Underserved Populations<br />
Farron Kilburn (Presenter)<br />
Mary Blanton (Co-Presenter)<br />
Pamela Camp (Co-Presenter)<br />
Joanie Jackson (Co-Presenter)<br />
Amber Roache (Co-Presenter)<br />
Problem Addressed:<br />
Healthcare in the U.S. is nearing a crisis level <strong>and</strong> the reasons are multifactorial: lack of access to care<br />
or insurance coverage; lack of providers, especially in underserved urban <strong>and</strong> rural areas; <strong>and</strong> a growing<br />
nursing shortage. Within urban <strong>and</strong> rural areas in the Southeast, chronic conditions frequently associated<br />
with the social determinants of health are widespread <strong>and</strong> disproportionately affect vulnerable groups.<br />
Rural residents are more likely than urban residents to die from the top five leading causes of death, <strong>and</strong> in<br />
Southeast Tennessee, rural residents face even higher mortality rates for all leading causes of death.<br />
Preparing culturally competent nurse practitioners to take on more primary-care provider roles is one<br />
solution for addressing the healthcare deficit <strong>and</strong> diverse needs of rural <strong>and</strong> urban populations, especially in<br />
the Southeast.<br />
Objectives:<br />
This project outlines an innovative academic-practice partnership model that prepares Family Nurse<br />
Practitioner (FNP) students to address the healthcare needs of underserved populations both as students in<br />
the midst of training <strong>and</strong> as practice-ready professionals after graduation.<br />
This project, funded by the Health Resources <strong>and</strong> Services Administration (HRSA), implements a<br />
multifaceted approach to training culturally competent FNP students who are prepared to continue working<br />
with underserved populations upon graduating. The project examines the impact of (1) enhanced curriculum<br />
focused on the social determinants of health <strong>and</strong> (2) longitudinal clinical placements at underserved rural<br />
<strong>and</strong> urban clinical sites on FNP students’ ability to provide culturally competent care <strong>and</strong> their interest-level<br />
in working with underserved populations after graduation.<br />
Methods/Procedures:<br />
Project strategies were initially implemented over a 5-month period for ten FNP students in their final<br />
semester, Spring <strong>2018</strong>; Five students were placed at clinics in rural counties <strong>and</strong> 5 were placed in urban<br />
clinics. Project strategies are ongoing—ten additional FNP students will experience rural <strong>and</strong> urban clinical<br />
placements from the beginning of their program in May <strong>2018</strong>, allowing for deeper curriculum impact <strong>and</strong><br />
longevity at clinical sites.<br />
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Post-graduate surveys will reveal outcomes for employment intentions for the first graduating cohort<br />
participating in the project. Qualitative data from curriculum interventions were collected from program<br />
participants <strong>and</strong> their clinical preceptors to display gains <strong>and</strong> lessons learned in providing culturally<br />
competent care. Baseline data for self-efficacy related to working with underserved rural <strong>and</strong> urban<br />
populations will be established for the ten incoming student trainees in May <strong>2018</strong>. Mid-intervention data for<br />
the new <strong>2018</strong> trainees will be available by October <strong>2018</strong> to report further outcomes.<br />
Findings:<br />
Initial qualitative data suggests that project strategies increased self-efficacy in working with underserved<br />
populations as well as an increased interest in pursuing post-graduation employment at clinics working<br />
with underserved populations, especially those trainees who were exposed to longitudinal rural clinical<br />
placements. Quantitative data on post-graduation employment for program participants will be available by<br />
October <strong>2018</strong>. Project barriers were noted <strong>and</strong> addressed regarding identifying preceptors in urban clinics.<br />
Recommendations for Practice/Research:<br />
Ongoing research for further curriculum enhancements that integrate clinical <strong>and</strong> classroom learning is<br />
necessary. Research on identifying <strong>and</strong> implementing education methods for preceptors in underserved<br />
areas in order to ensure thorough student training is recommended.<br />
Gaming in the Classroom: <strong>Annual</strong> St. Patrick’s Day Final Exam Review<br />
Mary Lee Jacobson (Presenter)<br />
Cynthia Powers (Co-Presenter)<br />
Problem Addressed:<br />
The purpose of this study was to demonstrate how a variety of gaming techniques could be used for test<br />
<strong>and</strong> skills review for an accelerated BSN program. Games have been used to engage students in interactive<br />
learning <strong>and</strong> to enhance recall.<br />
Objectives:<br />
Discuss how gaming can engage students in interactive learning<br />
Identify benefits <strong>and</strong> barriers to using gaming in the classroom.<br />
Methods/Procedures:<br />
To prepare first semester students for the foundations/skills course final exam a jeopardy style game was<br />
developed based on the final exam blueprint. Since the event occurred in March the faculty used a St<br />
Patrick’s Day theme for decorations, prizes <strong>and</strong> refreshments.<br />
Poster will include procedures for identifying appropriate content for gaming, developing the games <strong>and</strong><br />
implementing gaming in the classroom<br />
Findings:<br />
Students’ evaluations were positive, <strong>and</strong> consistent with evidence. The poster will present background,<br />
methods, barriers <strong>and</strong> benefits, <strong>and</strong> outcomes.<br />
Recommendations for Practice/Research:<br />
Gaming can be an effective way to engage students in interactive learning <strong>and</strong> can be a valid method for<br />
exam review.<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Health Education <strong>and</strong> BMIs in 3rd Grade Students at Norman Smith Elementary<br />
Eve Rice (Presenter)<br />
Jessica Eckenrode (Co-Presenter)<br />
Problem Addressed:<br />
N/A<br />
Objectives:<br />
1. APSU <strong>and</strong> BSN students will participate as a team with their instructors to deliver preventative healthcare.<br />
Will have the opportunity to learn evidence-based preventative care, coordinate activities, <strong>and</strong> manage their<br />
BMI of the children studied.<br />
2. An underserved community-based population of students who are presently not receiving adequate<br />
health education will receive evidence-based care on an ongoing basis to improve their health status<br />
regarding weight management <strong>and</strong> nutritional guidelines.<br />
3. The overall goal is to obtain a decrease in BMIs for overweight third grade students over a two-month<br />
period <strong>and</strong> to continue to follow these students through fifth grade.<br />
Methods/Procedures:<br />
Two APSU nursing professors, one of whom is also a pediatric nurse practitioner <strong>and</strong> six to twelve BSN<br />
nursing students will provide health education through reading two purchased health promotion books<br />
with the elementary students, discussing the literature in small group settings <strong>and</strong> sharing healthy snacks<br />
(fruit <strong>and</strong> vegetable), <strong>and</strong> engaging in aerobic activities for this underserved population for one day a week<br />
for three consecutive weeks during the PE class time (30-45 minutes). During the first-class session, BMI<br />
indices will be measured for each participant by obtaining their height <strong>and</strong> weight. We will continue to<br />
follow these participants through 5th grade <strong>and</strong> see if the education improves their individual BMI indices<br />
<strong>and</strong> reducing childhood obesity.<br />
Findings:<br />
The findings are still being assessed for this spring.<br />
Recommendations for Practice/Research:<br />
“Health systems can address childhood obesity through the implementation of best practice guidelines<br />
complemented by community-based resources, programs <strong>and</strong> policies that foster behavioral management<br />
strategies that aid children’s diet, physical activity, sleep, stress <strong>and</strong> wellbeing.”<br />
Childhood Obesity Guidelines<br />
“In 2010 <strong>and</strong> 2017, the U.S. Preventive Services Task Force provided a Grade B recommendation that<br />
providers screen children aged 6 years or older for obesity <strong>and</strong> provide or refer children with obesity to<br />
intensive lifestyle modification program.<br />
In 2007 the American Academy of Pediatrics released the Expert Committee Recommendations that<br />
suggest screening all children for obesity (>=2 years) <strong>and</strong> providing tiers of care regarding the treatment<br />
<strong>and</strong> prevention of obesity.”<br />
Center for Disease Control <strong>and</strong> Prevention. (2017). Childhood Obesity Guidelines. Retrieved from:<br />
https://www.cdc.gov/obesity/strategies/healthcare/index.html<br />
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Implementing Research into Practice: Practical Application of Translation Frameworks<br />
Erin Morgan (Presenter)<br />
Problem Addressed:<br />
Evidenced-based practice is vitally important for safe, effective, <strong>and</strong>cost-efficient patient care. As nursing<br />
<strong>and</strong> medical science continue to advance, nurses of all types are asked to keep up with advancing<br />
knowledge while continuing to manage patients. Knowledge translation frameworks offer a practical<br />
template for those who seek to implement evidenced based change into any practice environment.<br />
Objectives:<br />
Translation frameworks such as the Ottawa Model for Research Utilization (OMRU) <strong>and</strong> Knowledge to<br />
Action Framework provide a purposeful plan for implementing evidenced based change in hospital <strong>and</strong><br />
outpatient environments. The speaker will provide a brief discussion of a number of frameworks, their<br />
history, <strong>and</strong> use in nursing practice.<br />
Methods/Procedures:<br />
The Ottawa model was initially developed to implement process change in the hospital environment.<br />
Discussion of both inpatient <strong>and</strong> outpatient applications are imperative as nurses experience evidencebased<br />
translation in all environments. The OMRU provided the foundation for rural spirometry<br />
implementation research conducted by this speaker. Pulmonary function testing (PFT) machines were<br />
implemented in three rural primary care practices. The resulting use was measured compared to previous<br />
practice <strong>and</strong> respiratory diagnoses. The Ottawa Model considers six elements important to successful<br />
implementation: the practice environment, potential adopters, evidenced based innovation, implementation<br />
strategies, adoption, <strong>and</strong> evaluation. Assessment of supports <strong>and</strong> barriers was completed to address<br />
potential problems <strong>and</strong> utilize strengths.<br />
Findings:<br />
The Ottawa model was initially implemented to change patient skin care outcomes within a large hospital<br />
system (Graham & Logan, 2004). The authors used the model to plan effectively with nurses <strong>and</strong> specialists<br />
throughout the hospital leading to successful implementation, monitoring, <strong>and</strong> evaluation of their design.<br />
Since that time multiple researchers have used the model in hospital <strong>and</strong> outpatient environments.<br />
The OMRU remained valuable to successful implementation of spirometry in the rural environment. Two<br />
sites were owned by a regional family practice group while the other was a nurse practitioner (NP) owned<br />
clinic. The ability to work directly with providers <strong>and</strong> staff at the NP owned clinic proved valuable for<br />
collaboration <strong>and</strong> implementation. Ultimately the NP owned clinic with one full time <strong>and</strong> one-part time<br />
provider performed the most PFT tests (n=43) while the site with three full time providers performed only<br />
nine tests.<br />
Recommendations for Practice/Research:<br />
While spirometry was successfully implemented in rural primary care locations, the use varied widely.<br />
Implementation was most successful at the NP clinic where providers <strong>and</strong> nurses were active participants in<br />
the process. The remaining sites voiced concerns about time needed to perform the test <strong>and</strong> patient acuity<br />
as barriers to PFT use. Project planning at these sites was performed by administrators instead of providers<br />
leading to a lost sense of ownership of the intervention.<br />
Nurses <strong>and</strong> providers are increasingly asked to do more with the same amount of time <strong>and</strong> resources.<br />
However, new evidenced based changes will continue to occur in both the hospital <strong>and</strong> outpatient<br />
environments. Well-designed translation of new knowledge can occur when all parties are included in<br />
the process. New interventions <strong>and</strong> programs are more likely to succeed if designers use a framework for<br />
implementation.<br />
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Improving Recruitment <strong>and</strong> Retention of Public Health Nurses in a Local Health Department<br />
Tina R. McElravey (Presenter)<br />
Sara Day (Co-Presenter)<br />
Alisa R. Haushalter (Co-Presenter)<br />
Judy Martin (Co-Presenter)<br />
Ernestine Small (Co-Presenter)<br />
Background:<br />
The United States is experiencing a critical nursing shortage that includes public health nurses (PHNs).<br />
Continued shortages within local health departments (LHDs) can negatively influence population health.<br />
The purpose of this project was to identify strategies for improving recruitment <strong>and</strong> retention of PHNs<br />
within LHDs.<br />
Methods:<br />
Literature review to identify best evidence regarding recruitment <strong>and</strong> retention of PHNs, roles <strong>and</strong> value<br />
of PHNs for population health <strong>and</strong> historic shortages of PHNs over time. Analyzed PHN vacancy, turnover<br />
<strong>and</strong> retirement rates. Reviewed related county <strong>and</strong> organizational policies <strong>and</strong> processes. Reviewed<br />
internal documents to identify division goals, PHN feedback, current salaries <strong>and</strong> compensation study<br />
recommendations. Conducted key informant interviews. Identified system barriers <strong>and</strong> enhancers.<br />
Results:<br />
Factors influencing recruitment <strong>and</strong> retention include salaries below market value, lack of a career ladder<br />
<strong>and</strong> pay inequities based upon funding source. Processes are layered with significant variability existing.<br />
Lack of promotional, educational <strong>and</strong> mentoring opportunities exists. Lastly, there is a need for an<br />
organizational cultural shift towards open communication, respect of PHNs <strong>and</strong> employee empowerment.<br />
Conclusion:<br />
Multiple strategies are necessary to address the PHN workforce shortage in LHDs. Failure to recruit <strong>and</strong><br />
retain PHNs in LHDs may significantly effect population health now <strong>and</strong> in the future.<br />
Recommendations:<br />
Promote public health as a nursing specialty. Implement innovative recruitment strategies. Streamline<br />
<strong>and</strong> decentralize hiring processes. Increase salaries to market. Offer recruitment <strong>and</strong> retention bonuses.<br />
Implement a clinical career ladder. Provide educational <strong>and</strong> mentoring opportunities to prepare PHNs for<br />
promotional opportunities. Focus on organizational culture. Institute a PHN Committee to continue efforts.<br />
LPN Workforce<br />
Teresa Brown (Presenter)<br />
Petra Green (Co-Presenter)<br />
Problem Addressed:<br />
Utilization of the LPN workforce in acute care settings<br />
Objectives:<br />
To share how we utilize the LPN work force to their highest level of licensure <strong>and</strong> how it has impacted<br />
vacancies, staff satisfaction <strong>and</strong> patient satisfaction.<br />
Methods/Procedures:<br />
At CHI Memorial, we started a process of hiring LPNs for purpose of Discharge paperwork <strong>and</strong> some patient<br />
teaching. This was started due to a cumbersome electronic system that required RN time spent doing<br />
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clerical duties <strong>and</strong> a need for expedited thru put. We then advanced our concept to also include duties<br />
within their scope of practice such as medication delivery, IM <strong>and</strong> Sub Q medications, procedures <strong>and</strong> tasks<br />
<strong>and</strong> are labeling this role as LPN Extenders. Most recently, we have started yet another approach to using<br />
LPNs in a role in TEAM Nursing.<br />
Since we are using this workforce at the bedside, we have developed a focused orientation outline <strong>and</strong><br />
annual skills day, have written a job description <strong>and</strong> changed policies to assure compliance with TN State<br />
requirements.<br />
Findings:<br />
We have experienced improved HCAHPS scores, expressed staff satisfaction <strong>and</strong> filled vacancies initially<br />
intended for RNs only. We are able to use a work force that otherwise would be used mostly in long term<br />
care facilities.<br />
Recommendations for Practice/Research:<br />
N/A<br />
Maternal Factors that Influence Obesity in Toddlers<br />
Haley Williams (Presenter)<br />
Ashlee Ledbetter (Co-Presenter)<br />
Problem Addressed:<br />
The purpose of this research paper is to analyze <strong>and</strong> review at least eight scholarly articles that discuss<br />
the factors that influence childhood obesity. Articles reviewed were mostly primary sources. The goal of<br />
this paper was to show maternal <strong>and</strong> family factors as they relate to the increasingly prevalent issue of<br />
childhood obesity. We believe this an extremely important topic in today’s society. Obesity in childhood<br />
ages is more prevalent now than it has ever been. Preventive measures are much more effective than trying<br />
to treat the already existing problem. Therefore, the healthcare field has a true dem<strong>and</strong> to underst<strong>and</strong> <strong>and</strong><br />
educate patients <strong>and</strong> their families about preventive interventions that help avoid obesity as a child. This, in<br />
turn, would decrease the amount of health problems in children <strong>and</strong> toddlers <strong>and</strong> overall, reduce healthcare<br />
costs to families. It would also promote overall health <strong>and</strong> wellness in these patients.<br />
Objectives:<br />
Develop knowledge regarding the maternal factors that influence toddler obesity.<br />
Methods/Procedures:<br />
Review of Literature<br />
Findings:<br />
N/A<br />
Recommendations for Practice/Research:<br />
N/A<br />
Piloting an Academic Medical-Legal Partnership: Building Capacity to Increase the<br />
Percentage Seniors (60+) who Receive Advice about <strong>and</strong> Execute an Advanced Care<br />
Plan <strong>and</strong> a Healthcare <strong>and</strong>/or Financial Power of Attorney.<br />
Carrie Plummer (Presenter)<br />
Breanna Baraff (Co-Presenter)<br />
Maggie Bulger (Co-Presenter)<br />
Helana Anderjack Garrett (Co-Presenter)<br />
Susan Gray (Co-Presenter)<br />
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Anna Harty (Co-Presenter)<br />
Kaitlyn McGowan (Co-Presenter)<br />
Caitlyn O’Neil (Co-Presenter)<br />
Jordan Reed (Co-Presenter)<br />
Mary Spitler (Co-Presenter)<br />
Problem Addressed:<br />
2017 study conducted by Honoring Choices Tennessee found that fewer than a third of adult Tennesseans<br />
reported having documented Advanced Care Plans (ACPs). More specifically, a 2016 study conducted by<br />
V<strong>and</strong>erbilt University Medical Center showed that 55% of adult patients polled had advance directives.<br />
However, only 24% reported giving a copy to their care provider (V<strong>and</strong>erbilt Patient & Family Affairs<br />
Survey, 2016). A review of the literature reveals that patients, caregivers, healthcare providers <strong>and</strong> the legal<br />
system encounter multiple barriers in developing <strong>and</strong> documenting these important decisions, including:<br />
knowledge deficits, limited access to affordable legal counsel, inadequate clinic time <strong>and</strong> discomfort with<br />
discussing these issues.<br />
Objectives:<br />
• Pilot a Medical-Legal Partnership (MLP) between V<strong>and</strong>erbilt nursing <strong>and</strong> law students at the V<strong>and</strong>erbilt<br />
Internal Medicine Clinic<br />
• Collaborate with VUMC patient affairs <strong>and</strong> education on recruitment materials<br />
• Counsel 100% of interested patients on ACPs/POAs during a primary care visit<br />
• Assist 65% of the clinic’s patients to complete new <strong>and</strong>/or update existing ACP/POA<br />
• 50% of completed ACPs/POA will be returned by the patient <strong>and</strong> uploaded in the electronic health<br />
record (EHR)<br />
Methods/Procedures:<br />
Nursing <strong>and</strong> law students, underwent intensive training related to ACP, POA, end of life issues, <strong>and</strong> how<br />
to screen for other potential health-harming legal needs. Under direct supervision from faculty, students<br />
counseled <strong>and</strong> provided assistance with the completion of ACPs <strong>and</strong>/or POAs for patients receiving care at<br />
the V<strong>and</strong>erbilt Internal Medicine Clinic. Patient encounters (in person <strong>and</strong> via phone) were documented via<br />
REDCap – a research-based <strong>and</strong> HIPAA-compliant database. Completed ACPs/POAs were uploaded into<br />
the patient’s EHR via EPIC.<br />
Findings:<br />
Final outcomes of this project are still in process as of submission of this abstract. To date, the majority<br />
(>60%) of patients were receptive to having conversations with the students about ACP in the primary<br />
care setting. After being provided with information <strong>and</strong> the ACP document, >75% of patients indicated a<br />
desire to discuss with family members <strong>and</strong> complete the form at home. A smaller percentage of the patients<br />
reported having already completed ACPs; however, a concurrent review of the EHR revealed many of these<br />
patients’ documents were not on file. This discrepancy, in part, may be attributed to a recent change over to<br />
a new EHR. An unanticipated finding showed younger patients (< 65 years of age) also to be interested in<br />
completing ACPs.<br />
Recommendations for Practice/Research:<br />
The evidence-based literature indicates many healthcare providers are uncomfortable having conversations<br />
about advance care planning <strong>and</strong> end of life care. However, the majority of patients polled desire to have<br />
these conversations with their primary care provider. Clinicians would benefit from training on how best to<br />
initiate these conversations with patients. Care teams, including social workers <strong>and</strong> lawyers, should undergo<br />
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interprofessional, team-based training to better underst<strong>and</strong> each other’s roles <strong>and</strong> skill sets. Topics for<br />
additional research include identifying barriers to advance care planning, strategies for communicating<br />
about this issue with patients <strong>and</strong> families <strong>and</strong> identifying information dissemination techniques.<br />
Pressure Ulcer Prevention<br />
Margaret Horn (Presenter)<br />
Kelsey Smith (Co-Presenter)<br />
Problem Addressed:<br />
Pressure ulcers are a major topic in the nursing community currently <strong>and</strong> have been for quite a while. They<br />
are described as easily preventable but for some reason, they are still occurring frequently. This research<br />
problem paper discusses some of the reasons why they are still frequently occurring <strong>and</strong> some of the<br />
changes nurses can make to reduce that number. It also provides the reader with what is known about the<br />
prevention of pressure ulcers, what is not known about the prevention of pressure ulcers, <strong>and</strong> implications<br />
for future research on the prevention of pressure ulcers.<br />
Objectives:<br />
Develop knowledge regarding pressure ulcer prevention.<br />
Methods/Procedures:<br />
Review of Literature<br />
Findings:<br />
All of the studies reviewed for this research paper indicate that further research should be conducted on<br />
why pressure ulcers are still frequently occurring in healthcare settings today. During this time, it is known<br />
that pressure ulcers continue to be a major concern in hospitals <strong>and</strong> other care facilities such as nursing<br />
homes. They are increasing the rate of hospital acquired infections <strong>and</strong> causing patients to deal with<br />
unintended <strong>and</strong> unnecessary pain during their stay. Studies have also shown that preventable measures can<br />
be taken to decrease the amount of pressure ulcers that do occur.<br />
Recommendations for Practice/Research:<br />
There are many research opportunities available on the prevention of pressure ulcers <strong>and</strong> there is a current<br />
need for them to be done. Having many questions on pressure ulcers that are still unanswered, research can<br />
continuously be done to provide patients with the best quality of care <strong>and</strong> life.<br />
Teaching Advocacy through Community Education<br />
Tammy Howard (Presenter)<br />
Problem Addressed:<br />
Education: Nursing course assignment to raise awareness of substance use during pregnancy. (could also be<br />
considered a community initiative)<br />
Objectives:<br />
1) Participants will become aware of student assignment that promotes community awareness about the<br />
effects of substance use (NAS related drugs, alcohol <strong>and</strong> smoking) on pregnancy <strong>and</strong> newborn.<br />
2) Participants will underst<strong>and</strong> how community awareness promotion is related to advocacy.<br />
Methods/Procedures:<br />
Poster design will describe the student project <strong>and</strong> its impact upon the community.<br />
Project: OB clinical course group project assignment - Students (groups of 2-4 students) develop a<br />
presentation about the effects of NAS related meds, alcohol <strong>and</strong> smoking on the pregnancy <strong>and</strong> newborn.<br />
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Following approval of the presentation (peer review process) the group presents their group project to a<br />
high school class (mostly in the Upper Cumberl<strong>and</strong> area) to raise awareness about the effects of substance<br />
use during pregnancy. The ultimate goal is to reduce the number of pregnancies effected by substance use.<br />
The target audience for the project: high school students who are for the most part pre-pregnancy status.<br />
Findings:<br />
N/A<br />
Recommendations for Practice/Research:<br />
N/A<br />
The Thirst is Real: Increasing Access to Water for Floor Nurses<br />
Allyson Shambaugh (Presenter)<br />
Tara Roeder (Co-Presenter)<br />
Problem Addressed:<br />
Dehydration amongst floor nurses is a serious <strong>and</strong> overlooked problem in the healthcare environment. The<br />
fast pace of the acute care setting combined with a physical absence of water on the floor (due to OHS<br />
regulations) leads to a dehydrated nursing staff. Given the negative impacts of dehydration on cognitive<br />
function, dehydrated nurses can prevent patients from receiving optimal care.<br />
Objectives:<br />
Our study seeks to develop a better underst<strong>and</strong>ing of hydration amongst floor nurses <strong>and</strong> assess strategies<br />
to improve nurse hydration status.<br />
Methods/Procedures:<br />
We intend to evaluate hydration of nurses before <strong>and</strong> after the installation of a hydration station <strong>and</strong><br />
educational posters on the unit. Participants will complete a st<strong>and</strong>ardized cognitive function test, record<br />
their fluid intake, <strong>and</strong> submit a urine sample at the beginning <strong>and</strong> end of their shift.<br />
Findings:<br />
Results are expected Fall of <strong>2018</strong>.<br />
Recommendations for Practice/Research:<br />
We hope this study will further efforts to advocate for better hydration amongst nurses. Nurses exert<br />
a dramatic impact on healthcare team success <strong>and</strong> patient well-being. In the healthcare environment,<br />
maintaining adequate hydration levels in nurses is paramount to the health <strong>and</strong> safety of all.<br />
Transition into Practice Socialization of Graduate Nurses<br />
Angel Boling (Presenter)<br />
Pamela Cherry (Co-Presenter)<br />
Queen Welch (Co-Presenter)<br />
Problem Addressed:<br />
In this time of unprecedented change in healthcare, as reflected by Kavanagh <strong>and</strong> Szweda (2017),<br />
“delivering on the promise of safe, high quality patient care requires a highly engaged <strong>and</strong> competent team”<br />
(p.57). Nurses play a critical role in the success of the patient experiences <strong>and</strong> positive patient outcomes.<br />
However, the widening preparation-to-practice gap challenges the ability of health care systems to deliver<br />
consistent, safe, quality care. Often the problems associated with the transition of nursing students into<br />
professional nursing practice have been acknowledged as traumatic <strong>and</strong> stressful. Although there have been<br />
improvements in nursing education to bridge the gap, increased opportunities to prepare nurse for this<br />
transition from education to practice still exist.<br />
In the fall of 2017 the Nursing Division at Baptist College of Health Sciences in Memphis, Tennessee<br />
partnered with Baptist Hospital-Memphis to strengthen new graduates’ professional socialization through a<br />
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creative <strong>and</strong> innovative model of transition from academia into practice. The outcomes were to reduce new<br />
graduate dissatisfaction <strong>and</strong> stress, to improve nurse retention <strong>and</strong> thus improve the patient experience.<br />
The poster will depict the framework of the “Transition into Practice Socialization” model that includes (1)<br />
assignment of the clinical preceptor for the senior student’s capstone clinical immersion experience who will<br />
also serve as the graduate’s preceptor post-graduation, (2) student learning assignments, (3) KATA process,<br />
(4) structured transitional experiences in practice (STEP) model for new graduate orientation, <strong>and</strong> (5)<br />
preceptor training, compensation, <strong>and</strong> recognition. Additionally, outcome data (i.e. patient satisfaction <strong>and</strong><br />
new graduate retention) will be presented. Reference<br />
Kavanagh, J. & Szweda, C. (2017). A crisis in competency: The strategic <strong>and</strong> ethical imperative to assessing<br />
the new graduate nurses’ clinical reasoning. Nursing Education Perspectives, 38, 57-62.<br />
Objectives:<br />
The poster presentation will depict the framework of the “Transition into Practice Socialization”<br />
The objectives of the model are to:<br />
(1) enhance new graduate retention<br />
(2) impact patient satisfaction<br />
Methods/Procedures:<br />
The Improvement KATA process was used to identify current situation <strong>and</strong> the target condition related to<br />
new graduate satisfaction.<br />
Findings:<br />
N/A<br />
Recommendations for Practice/Research:<br />
N/A<br />
Transitioning to Practice: Does a Summer Externship Program Improve<br />
Students’ Perception Related to Competency, Interprofessional Collaboration,<br />
<strong>and</strong> Role Transition from Student to Nurse<br />
LeAnne Wilhite (Presenter)<br />
Problem Addressed:<br />
An integral component of nursing programs is the practical experience gained by clinical rotations through<br />
varied health care settings. Offering a diverse student experience in the hospital setting prior to graduation<br />
fosters a continued growth for the student exposing them to the nursing culture including interprofessional<br />
development <strong>and</strong> skilled communication. A summer externship program allows continued exposure to<br />
bedside nursing as well as a more comprehensive underst<strong>and</strong>ing of the team approach necessary for<br />
successful patient care.<br />
Objectives:<br />
This qualitative phenomenological study attempts to identify common themes among the students<br />
related to their summer externship experience <strong>and</strong> the impact on their perceptions related to competency,<br />
interprofessional collaboration, <strong>and</strong> role transition from student to nurse.<br />
Methods/Procedures:<br />
The data was collected via an anonymous reflective survey given to the students in the fall semester<br />
following the summer externship experience to allow for assimilation of the experience by the student. The<br />
findings were aggregated via common themes related to the students’ perception of the experience as it<br />
related to competency, interprofessional collaboration, <strong>and</strong> role transition from student to nurse.<br />
Findings:<br />
A common theme was an improvement in communication skills <strong>and</strong> a broader underst<strong>and</strong>ing of the role of<br />
the registered nurse.<br />
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Recommendations for Practice/Research:<br />
N/A<br />
Unrestricted Intrapartum Oral Intake; Affects on Clinical Outcomes <strong>and</strong> Satisfaction with the<br />
Labor Experience in Low-Risk Patients.<br />
Nadia Robinson (Presenter)<br />
Problem Addressed:<br />
Since Mendelson’s l<strong>and</strong>mark 1946 study warned of the significant risk of aspiration to intrapartum patients<br />
who did not fast while hospitalized, nurses on labor <strong>and</strong> delivery wards have maintained NPO or severely<br />
restricted intrapartum PO intake policies (Mendelson, 1994). These policies have persisted despite advances<br />
in intrapartum anesthesia delivery methods, airway protection/intubation technology <strong>and</strong> current evidence<br />
which demonstrates that aspiration in labor is rare in low-risk patients (Harty, 2015). Furthermore, evidence<br />
shows that benefits of eating during labor are decreased duration of labor (Ciardulli et al., 2017), improved<br />
fetal tolerance of labor (Harty, 2015), <strong>and</strong> increased patient satisfaction (Vallejo et al, 2013).<br />
Objectives:<br />
The purpose of our proposed innovate project is to increase patient satisfaction with all stages of labor by<br />
recommending the implementation of unrestricted intrapartum oral intake policies for low-risk patients.<br />
Methods/Procedures:<br />
N/A<br />
Findings:<br />
N/A<br />
Recommendations for Practice/Research:<br />
For 12 months preceding implementation of an unrestricted intrapartum PO intake policy for low risk<br />
patients, collect anonymous labor experience satisfaction data from postpartum patients who had been<br />
low-risk throughout labor, prior to discharge. For 12 months following implementation of an unrestricted<br />
intrapartum PO intake policy for low-risk patients, collect this same data. Provide eligible patients with<br />
written <strong>and</strong> verbal information on the risks <strong>and</strong> benefits of intrapartum oral intake. This data will enable us<br />
to serve as informed nurse advocates for optimal nutrition intake to benefit patients during the course of<br />
their labor.<br />
Prior to implementation of policy change <strong>and</strong>/or study, we will seek engagement, input <strong>and</strong> approval<br />
from facility legal counsel, administration, ethics teams, Institutional Review Boards, <strong>and</strong> staff to ensure all<br />
stakeholders are appraised of the current evidence, <strong>and</strong> effectively prepared to support the study <strong>and</strong>/or<br />
change in facility policy.<br />
Using Facebook in the Classroom: A Developing Case Study<br />
Rebecca Bush (Presenter)<br />
Problem Addressed:<br />
Students are more technology driven <strong>and</strong> tend to gravitate toward alternative learning techniques.<br />
Facebook is a common social medium that is actively used by college students. As discovered, Facebook<br />
can be used effectively as a teaching tool in the classroom.<br />
Objectives:<br />
Participants will discover alternative learning <strong>and</strong> teaching strategies by using Facebook as teaching tool in<br />
the classroom.<br />
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Methods/Procedures:<br />
N/A<br />
Findings:<br />
N/A<br />
Recommendations for Practice/Research:<br />
College students use technology in every facet of their lives: socially, academically, <strong>and</strong> professionally. Yet in<br />
the traditional university classroom, technology is limited to the comfort zone of the professor. There seems<br />
to be a huge disconnect in how to engage the students using technology <strong>and</strong> make the learning more<br />
active-based for the students. Facebook is a common medium in which to actively engage the students.<br />
It provides a format that is readily available at no additional cost to the professor. Using Facebook to<br />
teach also offers flexibility for learning outside of the traditional classroom walls. Facebook is an innovative<br />
learning medium that is conducive for using case studies effectively in a nursing program.<br />
Using Simulation to Support a Safe Change in BCMA Vendors<br />
Deborah Ariosto (Presenter)<br />
Shilo Anders (Co-Presenter)<br />
Carrie Reale (Co-Presenter)<br />
Problem Addressed:<br />
Safe medication administration is a high volume, high risk, time consuming aspect of nursing care. Over half<br />
a million drugs are administered each month in this inpatient setting alone. With the implementation of a<br />
new EHR system, more than 4,000 nurses were trained to administer medications using new workflows,<br />
systems <strong>and</strong> tools. The Operational Readiness team identified medication administration as one of the most<br />
significant impact areas in the transition to evaluate.<br />
Objectives:<br />
The goal of the project was to facilitate a safe <strong>and</strong> easy transition to a new vendor for medication<br />
administration at a large academic medical center through formal usability studies <strong>and</strong> feedback at each<br />
phase of the implementation, stabilization, <strong>and</strong> ongoing system optimization.<br />
Methods/Procedures:<br />
Nurses (n=15) were recruited representing adult, pediatrics, acute <strong>and</strong> critical care <strong>and</strong> were given 1 hr<br />
training in the new system 6 months before go-live. Comparative test methodology was used to evaluate<br />
the two BCMA systems. Participants completed the following set of med administration core tasks in each<br />
of the system versions:<br />
1) Hold two orders (sc insulin set dose + sliding scale dose); administer three/address BCMA alerts (adjust<br />
dose amount for partial package dose, <strong>and</strong> administer multi-package dose);<br />
2) Switch existing IV fluids to new IVF ordered rate;<br />
3) PRN pain medication <strong>and</strong> pain assessment;<br />
4) sc insulin doses [set dose + sliding scale] based on glucose value;<br />
5) Document meds previously administered/documented on paper MAR during downtime <strong>and</strong> administer<br />
a PRN medication now; <strong>and</strong><br />
6) Message pharmacy to adjust insulin schedule<br />
Metrics included task success, safety-related errors, difficulty, <strong>and</strong> task completion time as well as<br />
st<strong>and</strong>ardized usability survey.<br />
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Findings:<br />
Overall, performance with the planned system was good if not better than the current. Nonetheless, several<br />
opportunities for go-live <strong>and</strong> future enhancements emerged related to e-learning modules to help nurses<br />
adapt to new workflows; screen display <strong>and</strong> organization, confusing <strong>and</strong> disruptive alerts. Insulin continued<br />
to be problematic in both systems <strong>and</strong> is a priority for future system changes<br />
Recommendations for Practice/Research:<br />
Celebrating improvements <strong>and</strong> timely mitigation of problems relies upon reliable, repeatable <strong>and</strong> actionable<br />
evaluations of workflow. Formal evaluation of the impact of new technology on nursing care is critical<br />
before, during <strong>and</strong> after implementation to ensure patient safety <strong>and</strong> nurse satisfaction.<br />
Using Telehealth to Reach Socially Isolated Patients with Chronic Pain<br />
Kathryn Hansen (Presenter)<br />
Problem Addressed:<br />
Seventeen percent of individuals in the state of Tennessee report chronic pain. In rural communities in the<br />
middle Tennessee area, the ratio of population to primary care providers is approximately 2800:1, indicating<br />
diminished access to primary <strong>and</strong> specialty care. Twenty five percent of the patients at the Osher Center<br />
for Integrative Medicine (OCIM) live outside Nashville city limits, barring them from consistent access to<br />
multidisciplinary chronic pain care.<br />
Objectives:<br />
This project aims to elucidate the feasibility of telemedicine as a means to provide access to nonpharmacological<br />
strategies to control <strong>and</strong> manage chronic pain. An ancillary goal of this project is to<br />
determine if the HIPAA-compliant telehealth platform is an effective way to decrease social isolation in this<br />
population of patients <strong>and</strong> improve pain coping skills.<br />
Methods/Procedures:<br />
This project implemented four multimodal telehealth sessions during spring of 2017 to four existing patients<br />
of OCIM with restricted access to care. The topics of these sessions were adapted from existing Mind Body<br />
Medicine curriculum <strong>and</strong> included acupressure, stress management, nutrition education, <strong>and</strong> movement,<br />
with guided meditation included at the beginning of each session. Validated surveys PROMIS-29 <strong>and</strong><br />
Pain Self Efficacy Questionnaire (PSEQ-2) were utilized to assess physical, mental, <strong>and</strong> social health <strong>and</strong><br />
confidence to one’s ability to lead a normal life despite pain, respectively. Additionally, novel questions<br />
surrounding computer literacy were included in these pre- <strong>and</strong> post-intervention surveys.<br />
Findings:<br />
Project in process, results to follow<br />
Expected outcomes include reports of improved confidence in social interactions <strong>and</strong> sense of community,<br />
improved ability to manage pain on daily basis, <strong>and</strong> confidence in utilizing the telehealth platform as a<br />
means to engage in health education.<br />
Recommendations for Practice/Research:<br />
After analysis is complete, recommendations, as appropriate, for implementing telehealth groups for chronic<br />
pain patients will be made<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Tennessee Nurses Association<br />
Statements of Financial Position<br />
December 31, 2017 <strong>and</strong> 2016<br />
2017 2016<br />
ASSETS<br />
Current Assets<br />
Cash $127,629 $ 80,183<br />
Investments 243,484 222,041<br />
Accounts receivable 32,445 41,950<br />
Prepaid expense 5,740 2,660<br />
Total Current Assets $ 409,298 $ 346,834<br />
Property <strong>and</strong> equipment, net 6,863 14,453<br />
Total assets $ 416,161 $ 361,287<br />
LIABILITIES AND NET ASSETS<br />
Current liabilities:<br />
District dues payable $ 36,878 $ 34,441<br />
Accrued expenses 10,384 11,204<br />
Deferred revenue 49,122 56,514<br />
Total current liabilities 96,384 102,159<br />
Net Assets<br />
Unrestricted net assets 319,777 259,128<br />
Total liabilities <strong>and</strong> net assets $ 416,161 $ 361,287<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Tennessee Nurses Association<br />
Statements of Activities <strong>and</strong> Changes in Net Assets<br />
For the Years Ended December 31, 2017 <strong>and</strong> 2016<br />
Unrestricted net assets:<br />
91<br />
2017 2016<br />
Revenues <strong>and</strong> support:<br />
Membership dues $ 344,768 $ 320,710<br />
Convention 92,429 83,235<br />
Administrative fees 65,504 68,337<br />
Continuing education approval plan 53,606 72,319<br />
Legislative summit 26,335 24,075<br />
Investment income 21,443 10,421<br />
Affinity programs 17,517 27,525<br />
Other revenue 8,988 2,220<br />
Interest income - money market 24 19<br />
Total unrestricted revenue $ 630,614 $ 608,861<br />
Unrestricted expenses:<br />
Salaries <strong>and</strong> benefits 318,065 351,456<br />
Convention 76,165 62,564<br />
Office rent 42,006 39,940<br />
Insurance 34,800 57,859<br />
Equipment repairs <strong>and</strong> maintenance 34,714 21,658<br />
Professional services 12,224 13,549<br />
Depreciation 7,590 7,921<br />
Legislative summit 7,533 5,856<br />
Office supplies 5,986 3,682<br />
Staff travel <strong>and</strong> development 5,870 3,356<br />
Dues, subscriptions, <strong>and</strong> publications 5,861 7,121<br />
Meetings 4,256 1,987<br />
Service charges 4,205 6,663<br />
Equipment rental 3,930 7,650<br />
Postage 3,028 5,173<br />
Software expense 2,161 21,448<br />
Other expenses 1,546 1,168<br />
Membership development 25 574<br />
Total unrestricted expenses 569,965 619,625<br />
Increase (decrease) in unrestricted net assets 60,649 (10,764)<br />
Net assets-Beginning of year-as previously reported 259,128 315,227<br />
Prior period adjustment - Note 2 - (45,335)<br />
Balance at beginning of year, restated 259,128 269,892<br />
Net assets - End of year $ 319,777 $ 259,128
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Tennessee Nurses Association<br />
Statements of Cash Flows<br />
For the Years Ended December 31, 2017 <strong>and</strong> 2016<br />
2017 2016<br />
Operating activities:<br />
Increase (decrease) in unrestricted net assets $ 60,649 $ (10,764)<br />
Adjustments to reconcile increase (decrease) in<br />
unrestricted net assets to net cash<br />
provided by operating activities:<br />
Depreciation 7,590 7,921<br />
Unrealized gain on investments (12,360) (2,997)<br />
Changes in operating assets <strong>and</strong> liabilities:<br />
(Increase) decrease in accounts receivable 9,505 (2,051)<br />
(Increase) decrease in prepaid expense (3,080) (2,660)<br />
Increase (decrease) in district dues payable 2,437 21,846<br />
Increase (decrease) in accrued expenses (820) 1,168<br />
Increase (decrease) in deferred revenue (7,392) (2,251)<br />
Net cash provided by operating activities 56,529 10,212<br />
Investing activities:<br />
Proceeds from sale (purchases) of investments, net (9,083) (7,424)<br />
Net cash used for investing activities (9,083) (7,424)<br />
Increase in cash 47,446 2,788<br />
Cash-Beginning of year 80,183 77,395<br />
Cash-End of year $ 127,629 $ 80,183<br />
Non-cash transactions:<br />
The Association wrote-off $62,080 of property <strong>and</strong><br />
equipment with related accumulated depreciation<br />
of $62,080 in 2016.<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
<strong>TNA</strong><br />
LEADERSHIP<br />
OPPORTUNITIES<br />
<strong>TNA</strong> DISTRICTS<br />
District Committees<br />
District Board of Directors<br />
Networking <strong>and</strong> mentoring<br />
opportunities<br />
Great place to meet colleagues<br />
in your area<br />
Help nurses in your area thrive<br />
District President’s contact<br />
informaton at tnaonline.org<br />
STATE<br />
<strong>TNA</strong> Committees, <strong>TNA</strong> Board<br />
of Directors, Task Forces <strong>and</strong><br />
TNF Board of Directors<br />
Meet <strong>and</strong> network with nursing<br />
<strong>and</strong> healthcare leaders in<br />
practice, legislation,<br />
academics, research <strong>and</strong> other<br />
areas.<br />
NATIONAL<br />
The American Nurses<br />
Association, much like <strong>TNA</strong>,<br />
has many opportunities to<br />
become involved. When you<br />
join, you will receive valuable<br />
information from ANA <strong>and</strong><br />
ways to serve on a national<br />
level.<br />
YOU CAN MAKE A DIFFERENCE<br />
Did you know that the association is completely run by the members<br />
of <strong>TNA</strong>? Your participation in <strong>TNA</strong> makes a difference. Our membership,<br />
made up of registered nurses just like you, volunteer their time<br />
to make this organizations a viable part of the healthcare delivery<br />
system in Tennessee. Many nurses will say they are where they are<br />
today because of nurses they met in <strong>TNA</strong>. We invite you to become<br />
involved today! A <strong>TNA</strong> staff member, or a member of the <strong>TNA</strong> Board<br />
of Directors will be happy to help answer any questions you may have.<br />
We look forward to hearing from you.<br />
CONTACT US<br />
Phone : 615-254-0350<br />
Email : tna@tnaonline.org<br />
Web : www.tnaonline.org<br />
Tennessee Nurses Association<br />
545 Mainstream Drive, Suite 405<br />
Nashville, TN 37228-1296<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Email: tna@tnaonline.org<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
<strong>TNA</strong> PAST PRESIDENTS<br />
*Mrs. Lena A. Warner 1905-1918<br />
*Nina E. Wootton 1918-1919<br />
*Myrtle Marion Archer 1920-1921<br />
*Mrs. Daisy Gould 1921-1923<br />
*Mrs. Myrtle E. Blair 1924-1925<br />
*Abbie Roberts 1926-1927<br />
*Mrs. Corrine B. Hunn 1928-1929<br />
*Hazel Lee Goff 1930-1932<br />
*Nancy Rice (Nashville) 1933-1935<br />
*Aurelia B. Potts (Nashville) 1936-1937<br />
*Mattie E. Malone (Memphis) 1938-1939<br />
*Lennis Ault (Knoxville) 1940-1942<br />
*Frances H. Cunningham (Memphis) 1942-1944<br />
*Beatrice M. Clutch (Nashville) 1944-1948<br />
*Ruth Neil Murry (Memphis) 1948-1950<br />
*Elizabeth H. Killeffer (Cookeville) 1950-1952<br />
*Violet M. Crook (Union City) 1952-1955<br />
*Catherine M. Sterling (Memphis) 1956-1959<br />
*Vesta L. Swartz (Johnson City) 1960-1961<br />
*Mary Frances Smith (Memphis) 1962-1966<br />
*Dorothy L. Griscom (Memphis) 1966-1969<br />
*Dorothy Hocker (Nashville) 1969-1971<br />
*Mary Evelyn Kemp (Nashville) 1971-1973<br />
*Erline Gore (Nashville) 1973-1975<br />
*Patsy B. McClure (Knoxville) 1975-1977<br />
*Emma Lou Harris (Chattanooga) 1977-1979<br />
*Mary Windham (Clarksville) 1979-1981<br />
Annie J. Carter (Nashville) 1981-1983<br />
Margaret Heins (Knoxville) 1983-1985<br />
Virginia(Ginna)Trotter Betts(Nashville) 1985-1987<br />
Margaret Heins (Knoxville) 1987-1989<br />
Frances Edwards (Nashville) 1989-1993<br />
Carol Blankenship (Johnson City) 1993-1995<br />
Sharon Adkins (Nashville) 1995-1997<br />
Margaret (Peggy) Strong (Memphis) 1997-1999<br />
Gary Crotty (Knoxville) 1999-2001<br />
W<strong>and</strong>a Neal Hooper (Nashville) 2001-2003<br />
*Maureen Nalle (Knoxville) 2003-2005<br />
Susan S<strong>and</strong>ers (Lynchburg) 2005-2007<br />
Laura Beth Brown (Nashville) 2007-2009<br />
Elizabeth (Beth) H. Smith (Piney Flats) 2009-2011<br />
Lena Patterson (Ooltewah) 2011-2012<br />
Jill S. Kinch (Nashville) (Interim President) 2012-2013<br />
Frances (Billie) Sills (Johnson City) 2013-2015<br />
S<strong>and</strong>ra (S<strong>and</strong>y) Murabito (Nashville) 2015-2017<br />
*deceased<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Take Advantage of the Many Scholarship<br />
Opportunities Available Through the<br />
Tennessee Nurses Foundation<br />
Scholarship applications—reviewed once each year.<br />
The deadline is November 1.<br />
• RN to BSN Scholarship<br />
• Maureen Nalle Memorial Graduate Nursing Scholarship<br />
• Arthur Davis LPN to RN Scholarship<br />
Grant applications—reviewed twice each year.<br />
The deadline is the last day of February <strong>and</strong> August.<br />
• Nursing Research Grants<br />
• Leadership Nursing Program<br />
Additional Opportunities!<br />
• Nurse Mentoring Toolkit<br />
• Honor A Nurse<br />
• Edna Mason Memorial <strong>TNA</strong> <strong>Conference</strong> Scholarship<br />
• <strong>TNA</strong> Membership Dues Scholarship<br />
• Tennessee Professional Assistance Program (TnPAP)<br />
TNF Grant Review Process<br />
The review process will take approximately four to six weeks. If you miss a deadline, your application will<br />
not be reviewed until after the next deadline date. Deadline dates vary, please visit tnaonline.org <strong>and</strong> click<br />
on the TNF link for complete details.<br />
Visit tnaonline.org <strong>and</strong> click on the TNF link for complete details,<br />
email tnf@tnaonline.org or call 615-254-0350. The mission of the Tennessee<br />
Nurse Foundation it to promote professional excellence in nursing.<br />
TNF, 545 Mainstream Drive, Suite 405, Nashville, TN 37228-1296<br />
Donate to TNF <strong>and</strong> HELP A NURSE—Thank you!<br />
96
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
<strong>2018</strong>-2019 TNF Board of Trust <strong>and</strong> Staff<br />
Sue MacArthur<br />
Ed.D, APRN, BC<br />
President<br />
Columbia<br />
Ashley Berry<br />
RN<br />
Portl<strong>and</strong><br />
Janice Harris<br />
MSN, RN<br />
Wartrace<br />
Position Vacant<br />
Vice President<br />
Rebecca Lane Bone<br />
MSN, RN, CNE<br />
Dickson<br />
Bill Jolley<br />
Vice President, TN<br />
Hospital Association<br />
Non-Nurse<br />
Community Leader<br />
Debra Sullivan<br />
PhD, MSN, RN,<br />
CNE, COI<br />
Treasurer<br />
Readyville<br />
Donna Copenhaver<br />
Ed.D, MSN, RN<br />
Eagleville<br />
La-Kenya Kellum<br />
DNP, RN, NE-BC,<br />
CNML<br />
Memphis<br />
Dara Rogers<br />
BSN, RN, OCN<br />
Secretary<br />
Murfreesboro<br />
Mary Bess Griffith<br />
MSN, RN, Ph.D(c),<br />
CS, FNP<br />
Union City<br />
S<strong>and</strong>y Murabito<br />
Ed.D, MSN, RN<br />
Nashville<br />
Haley Vance<br />
DNP, APRN,<br />
CPNP-AC<br />
Ex-Officio<br />
Nashville<br />
Amy Hamlin<br />
Ph.D, MSN,<br />
FNP-BC, APN<br />
Ashl<strong>and</strong> City<br />
Raven Wentworth<br />
DNP, RN, APRN,<br />
AGPCNP-BC, FNP-BC<br />
Jackson<br />
STAFF<br />
Tina Gerardi<br />
MS, RN, CAE<br />
TNF Executive<br />
Director<br />
Mike Harkreader<br />
MS, RN, CARN<br />
TnPAP Executive<br />
Director<br />
Kathryn Denton<br />
TNF Program<br />
Manager<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
<br />
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<br />
<strong>TNA</strong>/ANA Member Benefits-at-a-Glance<br />
Check Out Our Benefits!<br />
<strong>TNA</strong> Visa Card<br />
Get the card that rewards you<br />
<strong>and</strong> supports <strong>TNA</strong> with every<br />
purchase. Visit<br />
<strong>TNA</strong>online.org/Visa for details.<br />
Protect yourself with<br />
Professional Liability<br />
Insurance through NSO. Visit: https://<br />
www.tnaonline.org/wp-content/uploads/<strong>2018</strong>/04/NSO-<br />
Liability-Insurance-Benefit-<strong>TNA</strong>.pdf<br />
One Main Financial<br />
Provides a wide variety of personal loans to meet your<br />
needs, from auto loan refinance, debt consolidation, <strong>and</strong><br />
home improvement projects to travel excursion <strong>and</strong><br />
more! Visit www.onemainfinancial.com/<strong>TNA</strong>nurses for<br />
details.<br />
<strong>TNA</strong> Career Center<br />
Find <strong>and</strong> post employment opportunities at <strong>TNA</strong>’s<br />
online Career Center. Click the Career Center link at<br />
<strong>TNA</strong>online.org<br />
Gallagher Affinity (NEW)<br />
Offering insurance, office supplies discount, financial<br />
services, travel discounts, as well as small business<br />
solutions.<br />
Financial <strong>and</strong> Long Term Care planning through<br />
Innovative Financial Group, LLC<br />
Carson Newman University<br />
A 10% tuition discount is available to <strong>TNA</strong><br />
members <strong>and</strong> their immediate family. Apply today<br />
at onlinenursing.cn.edu/<strong>TNA</strong><br />
Walden University<br />
A U.S. regionally accredited university offering online<br />
bachelor’s, master’s, <strong>and</strong> doctoral degrees. 10% tuition<br />
benefit offered.<br />
Chamberlain University<br />
<strong>TNA</strong> members receive waived application fees,<br />
complimentary no-obligation written transcript<br />
evaluation (including obtaining official transcripts for<br />
applicants), <strong>and</strong> 10% savings on tuition for all of the<br />
online programs.<br />
Free Online Continuing Education—Available at<br />
no or reduced cost through ANA Members Only<br />
OJIN: The Online Journal of Issues in<br />
Nursing—The current issue of this peer reviewed electronic<br />
journal is available only through ANA MembersOnly<br />
on Nursingworld.org<br />
Free weekly Legislative Updates <strong>and</strong> PRN Alerts<br />
when the Tennessee Legislature is in session<br />
Free monthly e-newsletter <strong>TNA</strong> News Express for<br />
Members<br />
<br />
<br />
<br />
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<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
<br />
American Nurse Today—ANA’s official monthly (six<br />
print/six electronic) journal packed with<br />
information you can use in your practice.<br />
The American Nurse—published every other month<br />
to keep you current on nursing policy <strong>and</strong> ANA issues<br />
you need to know<br />
Leading edge conferences <strong>and</strong> exciting educational<br />
events at the national, state <strong>and</strong> local levels at<br />
member discounted rates<br />
Numerous networking opportunities<br />
Enhance <strong>and</strong> extend your leadership skills through<br />
ANA’s Leadership Institute<br />
Discounted products through nursesbooks.org, the<br />
official publishing arm of ANA<br />
As a member, you will save up to $125 on an ANCC<br />
Initial Certification <strong>and</strong> $150 on<br />
Recertification<br />
Provide opportunities to comment on policy<br />
development at state <strong>and</strong> federal levels <strong>and</strong><br />
give input on scopes <strong>and</strong> st<strong>and</strong>ards of nursing<br />
<strong>and</strong> specialty practice<br />
Tennessee Nurses Foundation’s scholarship<br />
programs—RN to BSN Scholarship, Maureen Nalle<br />
Memorial Graduate Nursing Scholarship, TNF’s <strong>TNA</strong><br />
District Educational Scholarship, Edna Mason<br />
Memorial <strong>TNA</strong> <strong>Conference</strong> Scholarship, Arthur Davis<br />
LPN to RN Scholarship <strong>and</strong> <strong>TNA</strong> Membership Dues<br />
Scholarship Program<br />
Tennessee Nurses Foundation—Leadership<br />
Nursing program, Nursing Research Grants<br />
program, Mentoring Program, <strong>and</strong> the Scholarly<br />
Writing Contest<br />
American Nurses Foundation—Nursing<br />
Research Grant Fund<br />
Discussion groups—free subscription to <strong>TNA</strong>’s<br />
Listservs<br />
Information <strong>and</strong> Position Statements—<br />
affecting your practice, your profession <strong>and</strong> the<br />
policies that impact us all—via ANA MembersOnly<br />
on NursingWorld.org<br />
Tennessee Prescription Drug Card Program<br />
Savings of up to 75% on both br<strong>and</strong> <strong>and</strong> generic<br />
medications<br />
Term Life Insurance offered by Hartford Life <strong>and</strong><br />
Accident Insurance Company<br />
Auto Insurance offered by Nationwide<br />
Visit <strong>TNA</strong>online.org for further information on member benefits or call 615-254-0350<br />
99
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
April 3, 2019 October 17-19, 2019<br />
<strong>TNA</strong> Legislative Summit<br />
War Memorial Auditorium<br />
301 6th Ave N<br />
Nashville, TN 37243<br />
<strong>TNA</strong>-<strong>TSNA</strong> <strong>Annual</strong> <strong>Conference</strong><br />
Hilton - Memphis<br />
39 Ridge Lake Blvd<br />
Memphis, TN 38120<br />
Visit <strong>TNA</strong>online.org for details!<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Tennessee Nurses Foundation • Contribution Form<br />
Honor A Nurse<br />
The Tennessee Nurses Foundation (TNF) welcomes you to publicly recognize a nurse. With your $50 tax-deductible donation to<br />
TNF, your honored nurse’s name will appear in the Tennessee Nurse,(mailed to over 90,000 RNs), as well as in the designated<br />
“Honor A Nurse” section of the Tennessee Nurses Association’s (<strong>TNA</strong>) website at www.tnaonline.org. A photo <strong>and</strong> brief paragraph<br />
may also be submitted to further recognize your honored nurse.<br />
Make a statewide commitment to honor a special nurse that:<br />
• won an award • is a nurse family member • is a friend, or a colleague<br />
• is retiring • is dedicated to nursing <strong>and</strong> to patients • is in memoriam<br />
• received a promotion • has a special event or occasion coming up • is in celebration of Nurses Week<br />
Patients <strong>and</strong> patient’s family members:<br />
• Honor A Nurse that truly made a difference in their care, or the care of a family member.<br />
Your $50 donation will go toward continued support of the TNF <strong>and</strong> their work pertaining to scholarships, <strong>and</strong> grants that support<br />
the needs of nurses in Tennessee. TNF is a nonprofit, 501(c)(3) organization. Donations are tax-deductible to the fullest extent<br />
allowed by law <strong>and</strong> support the mission of TNF.<br />
DONOR INFORMATION<br />
Donor Name:<br />
Address:<br />
Email Address:<br />
(Street) (City) (State) (Zip)<br />
Phone Number:<br />
(Home)<br />
(Work)<br />
PAYMENT INFORMATION Authorized Payment Amount: $<br />
(Minimum $50 donation for each nurse honored)<br />
Check payable to TNF is enclosed<br />
MasterCard/Visa/American Express/Discover<br />
Card Number<br />
Cardholder Name<br />
Address<br />
(Please Print)<br />
City____________________________________ State______ Zip__<br />
HONORED NURSE INFORMATION<br />
• Honoree’s Name & Credentials:<br />
Exp. Date:____/____ Code:<br />
• Choose which quarter you would like the honored nurse listed in the Tennessee Nurse publication <strong>and</strong> the <strong>TNA</strong> website,<br />
(choose only one quarter for both listings) Winter Spring Summer Fall<br />
• Comments regarding the Honored Nurse:<br />
• Include photo of Honored Nurse (if available) with contribution form or email to tnf@tnaonline.org. Photo requirements:<br />
digital photo that has been taken at a high resolution of 300 dpi (which equates into setting the digital camera to take the largest file<br />
size possible) or an actual commercially printed photograph, (we cannot accept photographs that have been printed on a desktop<br />
printer)<br />
• Send notification of gift to:<br />
(Name) (Street) (City) (State) (Zip)<br />
SUBMIT COMPLETED FORM TO: TNF • 545 Mainstream Dr., Ste. 405 • Nashville, TN 37228 • Fax: 615-254-0303 • Phone: 615-254-0350<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Job Seekers: Keep Your Career on the Move!<br />
Our Career Center is the best source for jobs in all practice settings for nurses. It’s<br />
where Tennessee nurses go to ind the right job <strong>and</strong> where employers go to ind the<br />
right talent. With easy to use tools like customizable job alerts <strong>and</strong> multiple resumes,<br />
the <strong>TNA</strong> Career Center is the best place to grow your career!<br />
Employers: Find the Most Qualiied C<strong>and</strong>idate!<br />
each the largest ualiied job seeking nurses by recruiting with the <strong>TNA</strong> Career<br />
Center. Our members are highly ualiied <strong>and</strong> passionate about nursing <strong>and</strong> are<br />
looking for a rewarding opportunity.<br />
Need more information?<br />
Contact Brian DiIorio at 1‐866‐376‐0949 x 6028 or<br />
bdiiorio@associationcareernetwork.com<br />
Visit the Tennessee Nurses Association Career Center today<br />
<strong>and</strong> discover the difference we can make for you.<br />
To search or post a job, please visit us at:<br />
http://tnaonline.careerwebsite.com<br />
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<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
Do you have an extra<br />
$<br />
37,084<br />
lying around?<br />
That’s the average cost for a nursing<br />
professional to defend against a medical<br />
malpractice suit. Add another $164,586<br />
if the claim is settled against you.*<br />
When you add up all the numbers,<br />
NSO equals peace of mind.<br />
NSO is the preferred provider<br />
of malpractice insurance for<br />
<strong>TNA</strong> members<br />
For rates <strong>and</strong> coverage details<br />
visit www.nso.com<br />
*Nurse Professional Liability Exposures: 2015 Claim Report Update, NSO <strong>and</strong> CNA, www.nso.com, October 2015<br />
Nurses Service Organization is a registered trade name of Affinity Insurance Services, Inc.; (TX 13695); (AR 100106022); in CA & MN, AIS Affinity Insurance Agency, Inc. (CA 0795465); in OK, AIS<br />
Affinity Insurance Services Inc.; in CA, Aon Affinity Insurance Services, Inc., (0G94493), Aon Direct Insurance Administrators <strong>and</strong> Berkely Insurance Agency <strong>and</strong> in NY, AIS Affinity Insurance Agency.<br />
X-13411-0918<br />
103
<strong>2018</strong> <strong>TNA</strong>-<strong>TSNA</strong> JOINT CONFERENCE | ADVOCACY IN ACTION<br />
OneMain Financial<br />
Tools <strong>and</strong> Resources,<br />
anytime you need.<br />
When it comes to managing your<br />
money, you don’t have to feel like<br />
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All loans subject to our normal credit policies.<br />
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