NURSES
THE REAL
SUPER HEROES
2019 TNA & TSNA JOINT CONFERENCE
OCTOBER 18-20, 2019
Memphis Hilton
939 Ridge Lake Blvd.
Memphis, TN 38120
TENNESSEE STUDENT NURSES ASSOCIATION
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
NURSES: THE REAL SUPER HEROES
October 18-20. 2019
Memphis - Hilton — Memphis, TN
Table of Contents
Welcome from the TNA President ..................................................................3
Welcome from the TNA Executive Director ..........................................................5
Welcome from the Tennessee Student Nurses Association ............................................9
TNA Conference Schedule .........................................................................11
TSNA Conference Schedule .......................................................................17
Hilton-Memphis Floor Plan Meeting Rooms ..........................................................21
General Announcements .........................................................................23
Meet Our Keynote and Plenary Speakers ...........................................................24
Meet the Presenters .............................................................................26
Tennessee Nurses Political Action Committee (TNPAC) ..............................................29
2019 Membership Assembly Rules and Information .................................................33
111 th Membership Assembly Agenda ................................................................34
Disclosures to Participants, Continuing Nursing Education Instructions ................................35
Introduction to Robert’s Rules of Order ............................................................36
TNA Proposed Bylaws ...........................................................................40
2018-2020 Legislative and Health Policy Statements ................................................50
Nightingale Tribute & Memoriam ..................................................................55
TNA District Map ................................................................................57
TNA Board of Directors & Staff ...................................................................58
2019 Slate of Candidates .........................................................................59
Poster Abstracts ................................................................................68
TNA Financials ..................................................................................88
TNA Leadership Opportunities ....................................................................92
Area of Interest Form ............................................................................93
TNA Past Presidents .............................................................................94
Tennessee Nurses Foundation (TNF) Scholarships ..................................................95
TNF Board of Trust Roster ........................................................................96
TNA Member Benefits ...........................................................................97
TNA 2020 Events ...............................................................................101
Printed and Published for the Tennessee Nurses Association by:
Arthur L. Davis Publishing Agency
517 Washington, P.O. Box 216, Cedar Falls, IA 50613 • (319) 277-2414
www.tnaonline.org
Published by:
Arthur L. Davis
Publishing Agency, Inc.
1
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Welcome from the TNA President
Haley Vance, DNP, APRN, CPNP-AC
On Behalf of the Tennessee Nurses Association Board of Directors & Staff, I want to
welcome you to the 2019 Tennessee Nurses Association (TNA) & Tennessee Student
Nurses Association (TSNA) Joint Conference.
This year’s conference theme is “Nurses: The Real Super Heroes.” As a profession,
we have an incredible opportunity to advocate for, influence, and empower both
our nurse colleagues and the patients we provide care for. We want to celebrate this
and encourage nurses across the state to speak loudly with one unified voice. We
are excited to be in Memphis this year! Many long hours have gone into planning
conference to provide you with intentional and thoughtful time for open dialogue
regarding healthcare issues in Tennessee, excellent continuing education, poster
sessions, and networking opportunities.
We are thrilled to have several distinguished guests joining us this year. Rose Sherman, EdD, RN, NAE-BC,
FAAN is the editor of Nurse Leader journal. She will join us on Friday evening to share insight on building
leadership and trust throughout your nursing career. We will have a dynamic session Saturday on pain
management and opioids led by Theresa Mallick-Searle, MS, ANP-BC. Our keynote speaker on Saturday is
Ernest J. Grant, PhD, RN, FAAN, our newly elected 36 th president of the American Nurses Association. Dr.
Grant will share with us from a national perspective and inspire us to pursue avenues of leadership within
the nursing profession. Our closing speaker on Sunday is Lynn Pierce, BSN, RN, CPHRM who serves as a
risk consultant for CNA. Her expertise on healthcare risk management will provide practical information for
preventing malpractice in our day-to-day practices.
Forming relationships with key stakeholders and legislators is crucial to the success of TNA’s legislative
agenda. We look forward to hearing from local legislators regarding healthcare related issues and priorities
for the upcoming session. As an organization, we will also dive deep into our bylaws and seek to engage in
thoughtful discussion regarding the future direction of the association.
Thank you for making this weekend a priority. I look forward to meeting and interacting with you. Welcome
to conference!
Sincerely,
Haley Vance
3
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Welcome from the Executive Director
Tina Gerardi, MS, RN, CAE
Welcome to the 2019 Tennessee Nurses Association (TNA) & Tennessee Student Nurses
Association Joint Conference. This year is the first year of our endeavor to move the
annual conference to different regions of the state. We are so happy to be in West
Tennessee and look forward to alternating our future conference sites. I am confident
that we will learn together, exchange ideas, chart the course for nursing for the
upcoming year, share our wisdom with our colleagues and with the profession’s future,
our students. I think we will also have some fun along the way!
This year’s theme, Nurses: The Real Super Heroes, recognizes the extraordinary work
registered nurses do every day whether at the bedside, in the classroom, in the board
room, or in the Capitol. Each day as we promote public trust for the nursing profession,
we consistently provide quality patient care, quality nursing practice, quality nursing education, quality
nursing research, quality nursing leadership, and quality health for all Tennesseans. Our opening plenary
speaker Rose Sherman will share key attributes needed to be an effective leader and the role of trust and
psychological safety in leadership today. Ernest Grant, ANA President and our keynote speaker, will articulate
his vision for his presidency as well as ANA’s current priorities and initiatives. Our closing plenary speaker,
Lynn Pierce will highlight ways to avoid malpractice while assuring safe nursing practice in our daily work. In
addition to our concurrent sessions, we will be introducing the use of general sessions this year - one on the
topic of opioids and one on the topic of when medical errors become criminal charges.
We have a very busy 2 1 /2 days together! The Membership Assembly will convene to do the work of the
Association – reviewing bylaws proposals and setting direction and priorities for the upcoming year. TNA will
elect new members of the board of directors, support the work of the Tennessee Nurses Foundation and the
Tennessee Nurses Political Action Committee, and confer awards on outstanding nurses from across the state.
I look forward to meeting you and working together to make TNA the unifying voice for nursing in Tennessee.
2019 Conference Planning Committee
This year’s conference has been diligently planned under the direction of Nancy Stevens
(TNA Board Director of Education) and our 2019 Conference Planning Committee.
Please thank the following individuals for their yearlong effort in planning our annual conference:
Sheila Bouie
Diane Cunningham
Kathryn Denton
Hugh Friar
Tina Gerardi
Sharon Hinton
Teresa Johnson
Tina McElravey
Jordan Miller
Kathleen Murphy
Laura Reed
Alyssa Soto
Nancy Stevens
5
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
7
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Welcome from the TSNA President
Alyssa Soto, RN, BSN
Welcome to the 2019 TNA and TSNA Joint Conference. I want to personally thank
each and every one of you for attending this conference and being passionate about
the advancement in nursing. As nursing students, we have a unique opportunity to
speak change and foster growth in the educational field prior to embarking on our
journey as a registered nurse. TSNA provides us with this platform to gather our
voices together, pass legislation, change school policy, or even state requirements, and
connect with other students across the state.
TSNA provides a platform for connecting students to make a change. As a member
of TSNA you are able to meet students from across the state and sometimes, across
the nation. In being here today, you have chosen to grow and make a difference in the
nursing field. I want to thank you for making this choice.
Over the next two days, you will have the opportunity to hear from experts throughout the nursing field, ask
questions to those who may already be working in the field you desire, meet other students embarking on
the same journey, take part in an NCLEX review, and talk with vendors from across the state. Stop by the
TSNA registration table for more information and to see what event is next on the agenda!
9
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Tennessee Nurses Association
Conference Schedule*
*Schedule subject to change without notice
Friday, October 18 Activity/Event Location Contact Hours
8:00 a.m. – 5:00 p.m. TNA Registration Open TN Grand Ballroom Foyer
10:00 a.m. – 6:00 p.m. TNF & TN Nurse PAC Silent Auction
Open
10:00 a.m. – 11:00 a.m. Membership Assembly
Candidates Forum
Southeast Ballroom A
TN Grand Ballroom A
11:15 a.m. – 12:15 p.m. Concurrent Session A
“A Haven and a Nest” Caregivers’
Early Experience at the Nurse-Led
Dementia Medical Home - Mariya
Kovaleva, Vanderbilt University
Concurrent Session B
Does Premature Birth Contribute
to the Increase in Chronic Kidney
Disease? - Bobby Bellflower, UTHSC
Concurrent Session C
The Macroeconomic Benefits of
TN APRNs Having Full Practice
Authority - Tracy Stansberry, Cyril
Chang, David Mirvis, Carole Myers
TN Grand Ballroom A
TN Grand Ballroom D
TN Grand Ballroom E
1.0 Contact
Hour
1.0 Contact
Hour
1.0 Contact
Hour
12:15 p.m. – 12:45 p.m. Lunch TN Grand Ballroom A
12:15 p.m. – 12:45 p.m. TN Nurse PAC Membership Meeting TN Grand Ballroom E
1:00 p.m. – 2:00 p.m. Opening Session
Building Leadership and Trust
Throughout Your Career
Rose O. Sherman, EdD, RN, NEA-BC,
FAAN Editor of the Nurse Leader
journal; Graduate Coordinator for
the Nursing Administration Master’s
Program
Florida Atlantic University
TN Grand Ballroom A
1.0 Contact
Hour
2:15 p.m. – 5:30 p.m. Issues Forum
Bylaws Forum
Break
Legislative Forum – Nurse Practice Act
6:00 p.m. – 9:00 p.m. Welcome Reception with Music &
Exhibits
Students are welcome to attend any activity
Green indicates business meeting
Blue font indicates TNA CE activity
11
TN Grand Ballroom A
TN Grand Ballroom BC
3.0 Contact
Hours
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Saturday, October 19 Activity/Event Location Contact Hours
7:30 a.m. – 4:30 p.m. Registration Open TN Grand Ballroom Foyer
7:00 a.m. – 8:00 a.m. Poster Set-Up TN Grand Ballroom D
7:30 a.m. – 8:30 a.m. Sunrise Snack Foyer
7:30 a.m. – 4:30 p.m. TNF and TN Nurse PAC Silent
Auction Open
Southeast Ballroom A
8:30 a.m. - 10:15 a.m. Membership Assembly TN Grand Ballroom A
10:15 a.m. – 10:30 a.m. Break Foyer
10:30 a.m. – 11:30 a.m. Concurrent Session D
Poster Presentations
Presenters will be available to
answer questions or discuss poster
content
Concurrent Session E
Suicide Risk and Prevention Among
Nurses - Leslie Hopkins, Vanderbilt
University
TN Grand Ballroom D
TN Grand Ballroom A
1.0 Contact
Hour
1.0 Contact
Hour
Concurrent Session F
A Dualistic Potential for Danger—
When Nurse and Person with
Substance Use Disorder Vulnerability
Collide - Kendrea Todt, ETSU
TN Grand Ballroom E
11:30 a.m. – 11:45 a.m. Transition to Lunch TN Grand Ballroom BC
11:45 a.m. – 2:00 p.m. Exhibits & Schools of Nursing
Luncheon
2:15 p.m. – 4:15 p.m. General Session
Pain Management and Opioids:
Balancing the Risks and Benefits
Tracey Mallick-Searle, MS, ANP-BC
4:15 p.m. – 4:30 p.m. Break
Visit Posters for Self Study CE
TN Grand Ballroom A
TN Grand Ballroom D
4:30 p.m. Silent Auction Closes Southeast Ballroom A
4:30 p.m. – 5:15 p.m. Membership Assembly
TN Nurse PAC Live Auction
5:30 p.m. – 6:30 p.m. Keynote Session
Ernest Grant, PhD, RN, FAAN
President, American Nurses
Association
TN Grand Ballroom A
TN Grand Ballroom A
6:45 p.m. – 7:15 p.m. TNA Achievement Awards TN Grand Ballroom A
7:15 p.m. – 8:45 p.m. TNA Awards Reception TN Grand Ballroom BC
7:15 p.m. – 7:30 p.m. TNF & TN Nurse PAC Silent Auction
Payment & Pick up
8:30 p.m. – 9:15 p.m. TN Nurse PAC Fundraiser
(Ticketed Event)
Students are welcome to attend any activity
Green indicates business meeting
Blue font indicates TNA CE activity
Southeast Ballroom A
TBD
1.0 Contact
Hour
2.0 Contact
Hours
1.0 Contact
Hour
13
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Sunday, October 20 Activity/Event Location Contact Hours
7:30 a.m. – 8:45 a.m. Visit Posters for Self-Study CE TN Grand Ballroom D
7:30 a.m. – 9:00 a.m. Sunrise Snack Foyer
7:30 a.m. – 9:00 a.m. TNA Registration Open TN Grand Ballroom Foyer
7:30 a.m. – 9:00 a.m. Voting for TNA Elections Southeast Ballroom A
9:00 a.m. – 10:00 a.m. General Session
When Medical Errors become
Criminal Charges - Presenting
attorneys to be announced
10:00 a.m. – 10:15 a.m. Break Foyer
Breakdown and Remove Posters
10:15 a.m. – 11:15 a.m. Closing Plenary Session
Stay a Real Superhero: Don’t
Become a Malpractice Case Study
Lynn Pierce, BSN, RN, CPHRM
Nurses Service Organization
TN Grand Ballroom A
TN Grand Ballroom D
TN Grand Ballroom A
11:30 a.m. – 12:30 p.m. Membership Assembly/Adjournment TN Grand Ballroom A
Students are welcome to attend any activity
Green indicates business meeting
Blue font indicates TNA CE activity
1.0 Contact
Hour
1.0 Contact
Hour
The Tennessee Nurses Association is approved as a provider of nursing continuing professional
development by the South Carolina Nurses Association, an accredited approver by the American Nurses
Credentialing Center’s Commission on Accreditation.
15
Nurses
Building a Culture of Health Across Tennessee
• Do you have a passion to make a difference in a population you care deeply about?
• Are you curious about how to create a Culture of Health where you live, learn,
work, play or worship?
• Have you thought about serving on a board or other body but don’t know where to start?
• Do you want to develop your leadership and advocacy skills for board or other work?
Come learn, work and lead with us as we
build a Culture of Health!
The Tennessee Action Coalition works with other
state action coalitions across the country to carry out
recommendations from the IOM Future of Nursing report.
For more information, check out the
Future of Nursing Campaign for Action website:
campaignforaction.org/about/
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Tennessee Student Nurses Association
Conference Schedule*
*Schedule subject to change without notice
Friday, October 18 Activity/Event Location Contact Hours
10:00 a.m. – 6:00 p.m. TNF & TN Nurse PAC Silent
Auction
Southeast Ballroom A
11:00 a.m. – 12:00 p.m. TSNA Board of Directors Meeting Southeast Ballroom BC
12:00 p.m. – 5:00 p.m. TSNA Registration Open Southeast Ballroom Foyer
1:00 p.m. – 2:00 p.m. TNA Opening Session
Building Leadership and Trust
Throughout Your Career - Rose O.
Sherman, EdD, RN, NEA-BC, FAAN
Editor of the Nurse Leader journal;
Graduate Coordinator for the
Nursing Administration Master’s
Program Florida Atlantic University
TN Grand Ballroom A
1.0 Contact
Hour
4:30 p.m. – 5:00 p.m. TSNA Open Session Southeast Ballroom BC
5:00 p.m. – 6:00 p.m. TSNA House of Delegates I
Mandatory for Delegates, Open
Session
6:00 p.m. – 9:00 p.m. Welcome Reception with Music &
Exhibits
Southeast Ballroom BC
TN Grand Ballroom BC
Saturday, October 19 Activity/Event Location Contact Hours
7:00 a.m. – 8:00 a.m. Poster Set-Up TN Grand Ballroom D
7:30 a.m. – 8:30 a.m. Sunrise Snack Foyer
7:30 a.m. – 10:00 a.m. TSNA Registration Open Southeast Ballroom Foyer
7:30 a.m. – 4:30 p.m. TNF & TN Nurse PAC Silent
Auction
8:00 a.m. – 9:00 a.m. TSNA House of Delegates II
Mandatory for Delegates, Open
Session
Southeast Ballroom A
Southeast Ballroom BC
9:00 a.m. – 9:30 a.m. TSNA Candidate Presentations Southeast Ballroom BC
9:45 a.m. – 10:30 a.m. TSNA Picmonic Southeast Ballroom BC
10:30 a.m. – 11:30 a.m. Poster Presentations
Presenters will be available to
answer questions or discuss poster
content
TN Grand Ballroom D
10:30 a.m. – 11:30 a.m. TSNA Breakout Groups Southeast Ballroom BC
Blue font indicates TNA and TSNA activity/event.
1.0 Contact
Hour
17
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
11:30 a.m. – 11:45 a.m. TSNA Election Overview
Mandatory for Delegates &
Candidates
11:45 a.m. – 2:00 p.m. Exhibits & Schools of Nursing
Luncheon
Southeast Ballroom BC
TN Grand Ballroom BC
2:00 p.m. – 3:00 p.m. TSNA NCLEX Review Southeast Ballroom BC
3:15 p.m. – 4:15 p.m. TSNA Nursing Specialty Panel Southeast Ballroom BC
4:15 p.m. – 5:15 p.m. TSNA Closing Session
Mandatory for Delegates &
Candidates
Southeast Ballroom BC
4:30p.m. Silent Auction Closes Southeast Ballroom A
5:30 p.m. – 6:30 p.m. Keynote Session
Ernest Grant, PhD, RN, FAAN
President, American Nurses
Association
TN Grand Ballroom A
1.0 Contact
Hour
6:45 p.m. – 8:15 p.m. TSNA Board of Director Meeting
2019-2020 New Board Members
Required to Attend
7:15 p.m. – 7:30 p.m. TNF & TN Nurse PAC Silent
Auction Payment & Pick Up
Southeast Ballroom BC
Southeast Ballroom A
Sunday, October 20 Activity/Event Location Contact Hours
7:30 a.m. – 9:00 a.m. Sunrise Snack Foyer
9:00 a.m. – 10:00 a.m. General Session
When Medical Errors become
Criminal Charges - Presenting
attorneys to be announced
10:00 a.m. – 10:15 a.m. Break Foyer
Breakdown and Remove Posters
10:15 a.m. – 11:15 a.m. Closing Plenary Session
Stay a Real Superhero: Don’t
Become a Malpractice Case Study
Lynn Pierce, BSN, RN, CPHRM
Nurses Service Organization
TN Grand Ballroom A
TN Grand Ballroom D
TN Grand Ballroom A
1.0 Contact
Hour
1.0 Contact
Hour
Blue font indicates TNA and TSNA activity/event.
19
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Hilton-Memphis Meeting Rooms
21
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
General Announcements
Welcome to the 2019 TNA & TSNA Joint Conference. Please follow the conference schedule, and download
the conference app, so you don’t miss any of our planned activities, events, educational sessions, or
Membership Assembly meetings. Please greet and make welcome the new members and first-time
attendees to our conference. New members have lavender ribbons, and First Timers have turquoise ribbons.
Donations for the Tennessee Nurses Foundation Silent Auction can be accepted up until 11 a.m. on Saturday.
Donations can be dropped off in the Southeast Ballroom A room.
There is no assigned seating for any general sessions, plenary speakers, or the keynote held in Tennessee
Grand Ballroom A, but please sit near the front of the room to make our speakers feel welcome. However,
during the Membership Assembly business sessions it is important that you sit in the designated area for
TNA members and non-members. This is necessary for voting on any issues brought forward during the
business meeting.
Not a TNA member? Join TNA now and receive $29 off your Full membership annual dues. Don’t miss out
on this opportunity to become part of the Voice for all nurses in Tennessee.
To receive the 1.0 contact hour for attending the poster presentations, you must visit ten posters. Poster
presenters will be present during Concurrent Session D on Saturday morning to answer questions or discuss
poster content. You will be able to do poster self-study during other times throughout Saturday and Sunday
morning.
Registration Hours
Friday: 8:00 a.m. – 5:00 p.m.
Saturday: 7:30 a.m. – 4:30 p.m.
Sunday: 7:30 a.m. – 9:00 a.m.
VOTE on Sunday
Vote Sunday morning between 7:30 – 9:00 a.m. in
Southeast Ballroom A . Election results will be announced
during the closing Membership Assembly session beginning
at 11:30 a.m.
HILTON MEMPHIS WELCOMES
Tennessee Nurses Association!
We Appreciate Your Business!
A Community Built on Care
Seeking Experienced & New Grad RNs to join our team!
Advance Your Nursing Career with a Master of
Public Health or Graduate Certificate
100% Online or On Campus
MPH Concentrations:
• Biostatistics
• Community Health
• Epidemiology
• Health Services
Administration
Graduate Certificates:
• Biostatistics
• Epidemiology
• Gerontology
• Global Health
• Health Care Management
• Public Health
Contact: Jennifer Hunt,
MPH Coordinator and Academic Advisor
Email: mphcoordinator@etsu.edu
https://www.etsu.edu/cph/academics/graduate.php
23
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Meet the Keynote and Plenary Speakers
Opening Plenary Speaker
Friday, 1:00 p.m. – 2:00 p.m
Rose O. Sherman, EdD, RN, NEA-BC, FAAN
Rose O. Sherman is a Professor Emeritus in the Christine E. Lynn College of Nursing,
Florida Atlantic University in Boca Raton, Florida and currently serves as an adjunct
professor in the Marian K. Shaughnessy Leadership Academy at Case Western Reserve
University. She is nationally known for her work in the development of current and
future leaders and teaches the ANA new nurse manager program. Rose is an alumnus
of the Robert Wood Johnson Executive Nurse Fellowship Program and is a Fellow in
the American Academy of Nursing. She is author of a popular leadership blog www.
emergingrnleader.com designed for emerging nurse leaders, and is Editor in Chief
of AONE’s journal Nurse Leader. She received the 2018 AONE Nurse Researcher of
the Year Award. Her first book, The Nurse Leader Coach: Become the Boss No One Wants to Leave was
published in February 2019.
General Session
Saturday, 2:15 p.m. – 4:15 p.m.
Pain Management and Opioids: Balancing the Risks and Benefits
Tracey Mallick-Searle, MS, ANP-BC
Sponsored by the Nurse Practitioner Healthcare Foundation, this dynamic session
addresses the nature and pathophysiology of pain, assessing patients in pain, risks
and benefits of immediate release and extended release opioids, patient and family
counseling on safe use and disposal, complications associated with misuse and
diversion, as well as recognizing opioid use disorder (addiction).
This program meets most states’ requirements for opioid education and is fully
compliant with the Opioid Analgesic Risk Evaluation and Mitigation Strategy (REMS)
education requirement issued by the FDA in September, 2018. The FDA has added RNs
as a target group for this important education in an effort to expand and improve knowledge about the
significant healthcare challenge of opioid use and misuse. This program is designed for all RNs and APRNs
to help address the Opioid Crisis, we are excited to be able to provide cutting-edge information on such an
important issue.
The Nurse Practitioner Healthcare Foundation is a non-profit organization with the mission of improving
health status and quality of care through NP innovations in clinical care, research, education, health policy,
and philanthropy.
24
Keynote Speaker
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Saturday, 5:30 p.m. – 6:30 p.m.
Ernest J. Grant, PhD, RN, FAAN
Dr. Ernest J. Grant is the 36th president of the American Nurses Association (ANA),
the nation’s largest nurses organization representing the interests of the nation’s 4
million registered nurses. Ernest will speak on nursing leadership. A distinguished
leader, Dr. Grant has more than 30 years of nursing experience and is an internationally
recognized burn-care and fire-safety expert. He previously served as the burn outreach
coordinator for the North Carolina Jaycee Burn Center at University of North Carolina
(UNC) Hospitals in Chapel Hill. Grant also serves as adjunct faculty for the UNC-Chapel
Hill School of Nursing, where he works with undergraduate and graduate nursing
students in the classroom and clinical settings. Grant is frequently sought out for his expertise as a clinician
and educator.
Grant holds a BSN degree from North Carolina Central University and MSN and PhD degrees from the
University of North Carolina at Greensboro. He was inducted as a fellow into the American Academy
of Nursing in 2014. He is the first man to be elected to the office of president of the American Nurses
Association.
General Session
Sunday, 9:00 a.m. – 10:00 a.m.
When Medical Errors Become Criminal Charges
Closing Plenary Speaker
Sunday, 10:15 a.m. – 11:15 a.m.
Lynn Pierce, BSN, RN, CPHRM
Lynn Pierce is a risk control consultant for CNA. Prior to joining CNA, she worked
in such clinical settings as emergency, surgical and critical care, and cardiac and
orthopedic rehabilitation services. Lynn will present “Stay a Real Super Hero: Don’t
Become a Malpractice Case Study.”
She has served as a director of risk management in acute care hospitals and integrated
health care systems and has held leadership positions in risk management, quality,
HIPAA privacy, environmental and patient safety, case management, corporate
compliance, Workers’ Compensation and infection prevention. She earned her BSN
from the University of West Georgia in Carrollton, Georgia and is currently pursuing a MSN-FNP with an
expected graduation of Spring 2020.
25
Friday
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
2019 Presenters
A Haven and a Nest” Caregivers’ Early Experience at the Nurse-Led Dementia Medical Home
Presenter: Mariya Kovaleva, RN, PhD, AGPCNP-BC
Post-Doctoral Scholar, Research
Vanderbilt University School of Nursing
Does Premature Birth Contribute to the Increase in Chronic Kidney Disease?
Presenter: Bobby Bellflower, DNSc, APRN, NNP-BC, FAANP
Associate Professor and Director,
Doctor of Nursing Practice Program
The University of Tennessee Health Science Center
College of Nursing
The Macroeconomic Benefits of Tennessee APRNs Having Full Practice Authority (FPA)
Presenter: Tracey Stansberry, MSN, APN, AOCN
Advanced Practice Nurse
Tennessee Plateau Oncology
26
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
The Macroeconomic Benefits of Tennessee APRNs Having Full Practice Authority (FPA) - Continued
Co-Presenter: Cyril Chang, Ph.D
Professor of Economics, Emeritus and Former Director
Methodist Le Bonheur Center for Healthcare Economics,
University of Memphis
Co-Presenter: David Mirvis, MD
Physician and Professor Emeritus
University of Tennessee Health Science Center
Co-Presenter: Carole Myers, PhD, RN, FAAN
Professor
University of Tennessee - Knoxville
College of Nursing
Saturday
Suicide Risk and Prevention Among Nurses
Presenter: Leslie Welch Hopkins, DNP, APRN, BC, FNP-BC, ANP-C
AGPCNP Academic Director/Assistant Professor
Vanderbilt University School of Nursing
27
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Saturday - Continued
A Dualistic Potential for Danger — When Nurse and Person with Substance
Use Disorder Vulnerability Collide
Presenter: Kendrea Todt, PhD(c ), MSN, RN
Instructor - Undergraduate Programs
East Tennessee State University
28
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
29
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
30
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Will you
take the pledge?
31
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
msu.rnbsn@murraystate.edu
32
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
2019 Membership Assembly Rules & Information
Membership Assembly (MA) General Rules of Order
1. All TNA members may speak. Before addressing the MA, it is necessary to secure the floor by going to a
nearby microphone. After recognition by the President, the member shall state his or her name and district
before speaking.
2. Any TNA member may make motions.
3. All motions shall be presented to the President in writing on the forms provided.
4. Only emergency motions or courtesy resolutions may be presented outside of the reference process.
5. TNA members shall be limited to three minutes when speaking.
6. No member who has already had the floor in debate on the immediate pending question shall be entitled to
the floor a second time until others who wish to be heard on the question have had an opportunity to speak.
7. The voting body shall consist of the Board of Directors, and TNA members in attendance.
8. Only the resolves of resolutions/proposals shall be acted upon by the MA.
9. The President may suspend the Rules in order to allow a nonmember to speak.
10. All cell phones, pagers and other devices shall be silenced throughout meetings during MA.
Guidelines for Discussion on Resolutions/Proposals
1. To facilitate discussion, comments will be limited to three minutes, and no member may speak more than
once to a question if someone who has not spoken wishes to do so.
2. Individuals who suggest substantial changes in the wording of any proposal are asked to submit those
changes in writing before the hearing is adjourned.
3. Sponsors or the Reference Committee may perfect the resolution/proposal for presentation to the MA
after completion of the hearings.
4. The sponsor may withdraw a resolution/proposal at any point in the review process.
5. Only the resolves of resolutions/proposals shall be acted upon by the MA.
Continuing Nursing Education (CNE) Credit
RN participants attending CE sessions will be awarded contact hours. The procedure is as follows:
1. Complete the CNE Evaluation and leave it in the tray at the registration desk before you leave.
2. Complete an Attendance Verification of CNE Activity listing the sessions you attend. Participants
must attend an entire CNE session to receive credit.
3. Detach the yellow copy of the Attendance Verification form and leave it in the tray at the registration desk.
4. Retain the white copy for your professional portfolio.
Conference Badges
All meetings of the conference are open to registered participants. Badges must be worn to gain admission
to all sessions and activities. Exclusive of invited guests, attendance at any meeting other than the Awards
Reception, Welcome Reception or School of Nurses Luncheon requires the payment of at least one day’s
registration.
33
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
111th Membership Assembly Agenda
October 18-20, 2019 | Memphis Hilton | 939 Ridge Lake Blvd | Memphis, TN 38120
Friday, October 18, 10:00 a.m. – 11:00 p.m.
Call to Order and Pledge of Allegiance – Haley Vance, TNA President
Greetings – Haley Vance
Greetings – Alyssa Soto, TSNA President
Recognition of members or those with family members in the Armed Forces – Haley Vance
Introduction of Reference Committee – Alvin Jeffery, Chair
Adoption of the Membership Assembly Agenda – Haley Vance
Adoption of Rules of Order – Donna Copenhaver, TNA Secretary
Treasurer’s Report – Heather Jackson, TNA Treasurer
Nightingale Tribute/Moment of Silence – Julie Hamm, TNA Vice President
Slate of Candidates/Nominations – Diane Butler, Nominating Committee Chair
Candidate Statements
Announcements – Tina Gerardi, TNA Executive Director
Recess – Haley Vance
Saturday, October 19, 8:30 a.m. – 10:15 a.m.
Call to Order – Haley Vance
Introduction of Parliamentarian – Haley Vance
Updates on 2018 Resolutions – Haley Vance
Introduction of 2019 Resolutions – Alvin Jeffery
Introduction of Staff – Tina Gerardi
Executive Director Remarks – Tina Gerardi
Introduction of Bylaws Proposals – Trish Baise
Announcements – Tina Gerardi
Recess – Haley Vance
Saturday, October 19, 4:30 p.m. – 5:15 p.m.
Call to Order – Haley Vance
Bylaws Proposals Continued – Trish Baise
Recess – Haley Vance
TN Nurse PAC Live Auction
Sunday, October 20, 11:30 a.m. – 12:30 p.m.
Call to Order – Haley Vance
Unfinished Business – Haley Vance
President’s Address – Haley Vance
Report of Tellers – Diane Butler
Introduction of New Board President and Members – Haley Vance
Board of Directors Oath of Office – Tina Gerardi
Announcements, PAC and TNF Contributions – Tina Gerardi
Remarks/Adjournment – Carla Kirkland
SEE YOU IN FRANKLIN, OCTOBER 30 – NOVEMBER 1, 2020 | COOL SPRINGS MARRIOTT
34
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Disclosures to Participants
Outcome
Participants will gain knowledge and new tools to integrate into their practice.
Contact Hour Credit
Participants at the 2019 TNA & TSNA Joint Conference can earn a maximum of 10-11 contact
hours for attending.
Official Accreditation Statement
The Tennessee Nurses Association is approved as a provider of nursing continuing professional
development by the South Carolina Nurses Association, an accredited approver by the American Nurses
Credentialing Center’s Commission on Accreditation.
Requirements for Successful Completion for Continuing Education Credit
To receive contact hour credit for each session attended, attendees must
• Visit at least ten posters
• Be seated in the session room no later than five minutes after it has started.
• Remain in the session until the scheduled ending time.
• Complete and submit the Evaluation Form(s) and the Verification of Attendance/Certificate
Form listing each session attended. Turn in the yellow copy before you leave the conference.
Conflicts of Interest
The ANCC has established guidelines whereby all speakers must disclose any affiliations which may
cause a conflict of interest.
A Conflict of Interest occurs when an individual has an opportunity to affect educational content about
health-care products or services of a commercial interest with which she/he has a financial relationship.
No conflicts of interest were disclosed.
Commercial Support
Sponsors have made contributions to Tennessee Nurses Association in support of the 2019 TNA & TSNA
Joint Conference. See handout included in the conference packet for a final list.
Non-Endorsement of Products
The Tennessee Nurses Association’s approved provider status refers only to continuing nursing education
activities and does not imply that there is real or implied endorsement of any product, service, or company
referred to in this activity nor of any company subsidizing costs related to the activity.
Off-label Product Use
This CNE activity does not include any unannounced information about off-label use of a product for a
purpose other than that for which it was approved by the Food and Drug Administration (FDA).
35
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Introduction to Robert’s Rules of Order
What Is Parliamentary Procedure?
It is a set of rules for conduct at meetings that allows everyone to be heard and to make decisions without
confusion.
Why is Parliamentary Procedure Important?
Because it’s a time tested method of conducting business at meetings and public gatherings. It can be
adapted to fit the needs of any organization. Today, Robert’s Rules of Order newly revised is the basic
handbook of operation for most clubs, organizations and other groups. So it’s important that everyone
know these basic rules!
Organizations using parliamentary procedure usually follow a fixed order of business.
Below is a typical example:
1. Call to order.
2. Roll call of members present.
3. Reading of minutes of last meeting.
4. Officers reports.
5. Committee reports.
6. Special orders – Important business previously designated for consideration at this meeting.
7. Unfinished business.
8. New business.
9. Announcements.
10. Adjournment.
The method used by members to express themselves is in the form of moving motions. A motion is a
proposal that the entire membership take action or a stand on an issue. Individual members can:
1. Call to order.
2. Second motions.
3. Debate motions.
4. Vote on motions.
36
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
There are four Basic Types of Motions:
1. Main Motions: The purpose of a main motion is to introduce items to the membership for their
consideration. They cannot be made when any other motion is on the floor, and yield to privileged,
subsidiary, and incidental motions.
2. Subsidiary Motions: Their purpose is to change or affect how a main motion is handled, and is voted
on before a main motion.
3. Privileged Motions: Their purpose is to bring up items that are urgent about special or important
matters unrelated to pending business.
4. Incidental Motions: Their purpose is to provide a means of questioning procedure concerning other
motions and must be considered before the other motion.
How are Motions Presented?
1. Obtaining the floor
a. Wait until the last speaker has finished.
b. Rise and wait in line at microphone.
c. Wait until the Chairman recognizes you.
2. Make Your Motion
a. Speak in a clear and concise manner.
b. Always state a motion affirmatively. Say, “I move that we ...” rather than,
“I move that we do not ...”.
c. Avoid personalities and stay on your subject.
3. Wait for Someone to Second Your Motion
4. Another member will second your motion or the Chairman will call for a second.
5. If there is no second, your motion is lost.
6. The Chairman States Your Motion
a. The Chairman will say, “it has been moved and seconded that we ...” Thus placing your motion
before the membership for consideration and action.
b. The membership then either debates your motion, or may move directly to a vote.
c. Once your motion is presented to the membership by the chairman it becomes “assembly
property”, and cannot be changed by you without the consent of the members.
7. Expanding on Your Motion
a. The time for you to speak in favor of your motion is at this point in time, rather than at
the time you present it.
b. The mover is always allowed to speak first.
c. All comments and debate must be directed to the chairman.
d. Keep to the time limit for speaking that has been established.
37
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
e. The mover may speak again only after other speakers are finished, unless called upon
by the Chairman.
8. Putting the Question to the Membership
a. The Chairman asks, “Are you ready to vote on the question?”
b. If there is no more discussion, a vote is taken.
c. On a motion to move the previous question may be adapted.
Voting on a Motion:
The method of vote on any motion depends on the situation and the by-laws of policy of your
organization. There are five methods used to vote by most organizations, they are:
1. By Voice – The Chairman asks those in favor to say, “aye”, those opposed to say “no”. Any member
may move for an exact count.
2. By Roll Call – Each member answers “yes” or “no” as his name is called. This method is used when a
record of each person’s vote is required.
3. By General Consent – When a motion is not likely to be opposed, the Chairman says, “if there is no
objection ...” The membership shows agreement by their silence, however if one member says, “I
object,” the item must be put to a vote.
4. By Division – This is a slight verification of a voice vote. It does not require a count unless the chairman
so desires. Members raise their hands or stand.
5. By Ballot – Members write their vote on a slip of paper; this method is used when secrecy is desired.
There are two other motions that are commonly used that relate to voting.
1. Motion to Table – This motion is often used in the attempt to “kill” a motion. The option is always
present, however, to “take from the table”, for reconsideration by the membership.
2. Motion to Postpone Indefinitely – This is often used as a means of parliamentary strategy and allows
opponents of motion to test their strength without an actual vote being taken. Also, debate is once
again open on the main motion.
Parliamentary Procedure is the best way to get things done at your meetings.
But, it will only work if you use it properly.
1. Allow motions that are in order.
2. Have members obtain the floor properly.
3. Speak clearly and concisely.
4. Obey the rules of debate.
Most importantly, BE COURTEOUS.
38
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
39
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
TNA Proposed Bylaws
Amendment
Number & Section
Amendment #1
Article I. Name,
Purposes and
Mission
Section 2. Mission
and Purposes
Amendment #2
Article I. Name,
Purposes, and
Mission
Section 3.
Functions
Amendment #3
Article II.
Membership
Section 3.
Qualifications
Amendment #4
Article IV. TNA
Membership
Assembly
Section 2.
Composition and
Appointment
Section 6.
Quorum and
Voting
CURRENT BYLAW LANGUAGE PROPOSED BYLAW CHANGE RATIONALE
The mission of the TNA shall
be to promote and protect the
registered nurse and to advance
the practice of nursing to in order
to assure a healthier Tennessee.
Ensure adherence to the “Code of
Ethics for Nurses” established by
ANA.
The TNA Membership Assembly
shall be composed of TNA
Members registered present.
A quorum for the transaction of
business by the TNA Membership
Assembly shall consist of fifty (50)
percent of the total TNA members
registered and present at the
Membership Assembly, plus five
members of the Board of Directors,
one of whom shall be the president
or vice-president.
The mission of the TNA shall
be to empower the registered
nurse; advocate for the practice
of nursing and champion quality
healthcare for all Tennesseans.
Promote and protect the
registered nurse and to advance
the practice of nursing in order
to assure a healthier Tennessee.
Promote Ensure adherence
to the “Code of Ethics for
Nurses” established by ANA.
d)Premier and Standard
membership pricing option
will be available in Tennessee
for as long as ANA sanctions
value pricing membership and
TNA has a written agreement
with ANA to participate in
this membership option. e)
State only membership will
be available in Tennessee for
as long as ANA sanctions
leveled membership and TNA
has a written agreement with
ANA to participate in this
membership option.
The TNA Membership
Assembly shall be composed
of TNA Members registered
and present.
A quorum for the transaction
of business by the TNA
Membership Assembly shall
consist of fifty (50) percent
of the total TNA members
registered and present at the
Membership Assembly, plus
five members of the Board of
Directors, one of whom shall
be the president or vicepresident.
Reflects change
made to the
TNA mission
statement
The TNA does not
have a mechanism
in place to
monitor and
police compliance
with the “Code of
Ethics for Nurses”
established by the
ANA.
Reflects change
passed at ANA
membership
assembly
adopting
value pricing.
Allows for
potential future
change within
membership
options.
Presence not
registration
establishes
both the
composition of
the membership
assembly and
the basis for a
quorum.
40
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Amendment #5
Article V.
Nominations and
Elections
Section 1.
Nominations
Amendment #6
Article V.
Nominations and
Elections
Section 1.
Nominations
Amendment #7
Article V.
Nominations and
Elections
Section 2.
Elections
Amendment #8
Article VI. Board
of Directors
Section 2.
Composition
Amendment #9
Article VI. Board
of Directors
Section 5.
Responsibilities
The TNA President will serve
as a representative to the ANA
Membership Assembly and the
ballot will reflect it. Additional
representative(s) and alternate(s)
will be elected from the TNA/
ANA membership at large.
No member shall serve in
more than one elected office
at the same time. A member
serving in an elected office
which is not expiring may be
nominated for election to the
office of president-elect but shall
automatically vacate the first held
office upon assuming the duties
of president-elect.
ANA representatives and
alternates shall serve two-year
terms or until their successors are
elected.
The Board of Directors shall
consist of the elected officers of
the Association, the Immediate
Past President, and five Directors,
one each for Operations, Practice,
Government Affairs, Membership
and Education, plus the Chair of
the Presidents’ Council and the
Tennessee Nurses Foundation
(TNF) President.
confer district association status
on groups meeting qualifications
established in these Bylaws
The TNA President will
serve as a representative
to the ANA Membership
Assembly by virtue of
elections as the President.
and the ballot will reflect it.
Additional representative(s)
and alternate(s) will be
elected from the TNA/ANA
membership at large.
No member shall serve in
more than one elected office
at the same time. Election as
a representative to the ANA
membership assembly is
exempt from this restriction. A
member serving in an elected
office which is not expiring
may be nominated for election
to the office of presidentelect
but shall automatically
vacate the first held office
upon assuming the duties of
president-elect.
ANA representatives and
alternates shall serve two-year
terms or until their successors
are elected or appointed.
The Board of Directors
shall consist of the elected
officers of the Association,
the Immediate Past President,
and five Directors, one each
for Operations, Practice,
Government Affairs,
Membership and Education.
plus the Chair of the
Presidents’ Council and the
Tennessee Nurses Foundation
(TNF) President.
confer district association
status on groups meeting
qualifications established in
these Bylaws and remove
association status as deemed
appropriate for failure to
meet district qualifying
requirements
Clearer wording.
ANA membership
assembly
representative is
an expectation
of the role of
President.
Clarifies
that ANA
membership
assembly
representation is
not considered a
second elected
office.
Allows for
scenario when
appointment is
indicated rather
than election.
All chapter
presidents are
invited to board
meetings. The
presidents’ council
is no longer active.
The TNF president
is ex-officio with
full voice with no
vote.
Clarifies the role
of the board in
holding districts
accountable
for meeting
requirements.
41
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Amendment #10
Article VI. Board
of Directors
Section 7.
Vacancies
a) In the event of a vacancy
1) in the office of President, the
vice-president shall become
president for the remainder of
the term but shall not fill the ANA
Member Assembly Representative
position;
2) in the office of President-Elect,
the office shall remain vacant until
the next election of the President
unless the Board of Directors, at its
discretion, orders a special election
by the membership;
3) in an elective office, the Board
of Directors shall fill the vacancy
by appointment for the unexpired
portion of the term;
4) in the office of the Immediate
Past President, the office shall
remain vacant.
5) The TNA officer who fills
the vacancy in the office of the
President will not serve as the
TNA representative to the ANA
membership assembly.
a) In the event of a vacancy
1) in the office of President, the
vice-president shall become
president for the remainder
of the term but shall not fill
the ANA Member Assembly
Representative position unless a
full ANA/TNA/DNA member;
2) in the office of President-
Elect, the office shall remain
vacant until the next election of
the President unless the Board
of Directors, at its discretion,
orders a special election by the
membership;
3) in an elective office, the
Board of Directors shall fill the
vacancy by appointment for the
unexpired portion of the term;
4) in the office of the Immediate
Past President, the office shall
remain vacant.
5) The TNA officer who fills
the vacancy in the office of the
President will not serve as the
TNA representative to the ANA
membership assembly
The appointed
President can
assume the
ANA member
assembly
representative
position
provided they
meet the same
requirement
as an elected
President.
Amendment #11
Article VI. Board
of Directors
Section 8. Duties
a) The President shall
1) serve as the official
representative of this association
and as its spokesperson on matters
of association policy and positions;
2) serve as the chair of the TNA
Membership Assembly, the
Board of Directors, the Executive
Committee of the Board, and as an
ex-officio member of all standing
committees except the Nominating
Committee;
3) appoint committees of the
Board as designated by the Board
and fulfill other duties as may be
required;
4) serve as the TNA representative
to the ANA Membership Assembly
and the ANA Leadership Council;
5) upon completing a term in the
office of president, shall serve as
the Immediate Past President on
the Board of Directors with full
voice and vote until replaced by
his/her successor.
a) The President shall
1) serve as the official
representative of this association
and as its spokesperson on
matters of association policy and
positions;
2) serve as the chair of the TNA
Membership Assembly, the
Board of Directors, the Executive
Committee of the Board, and
as an ex-officio member of all
standing committees except the
Nominating Committee;
3) appoint committees of the
Board as designated by the
Board and fulfill other duties as
may be required;
4) serve as the TNA
representative to the ANA
Membership Assembly and the
ANA Leadership Council;
5) upon completing a term in the
office of president, shall serve as
the Immediate Past President on
the Board of Directors with full
voice and vote until replaced by
his/her successor.
6) Facilitate the evaluation of the
executive director.
The President
has responsibility
to facilitate
the evaluate of
the Executive
Director.
42
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Amendment #12
Article VI. Board
of Directors
Section 8. Duties
e) The Treasurer shall
1) monitor the fiscal affairs of
the association, provide for the
expenditure of funds, and report to
the Board of Directors and the TNA
Membership Assembly; and
2) serve as chair of the Committee
on Operations.
e) The Treasurer shall
1) monitor the fiscal affairs of
the association, provide for the
expenditure of funds, and report
to the Board of Directors and
the TNA Membership Assembly;
and
2) serve as chair of the Finance
Committee on Operations.
The title of
“operations
committee” is
not reflective
of the scope of
the committee
which is focused
primarily on
finance.
Amendment #13
Article VI. Board
of Directors
Section 8. Duties
f) The Immediate Past President
shall
1) facilitate the annual evaluation
of the Executive Director;
2) serve on the Finance
Committee
3) serve on projects or other
committees at the request of the
President or Board of Directors;
f) The Immediate Past
President shall
1) facilitate the annual
evaluation of the Executive
Director;
2) serve on the Finance
Committee
3) serve on projects or other
committees at the request
of the President or Board of
Directors;
The facilitation
of the annual
evaluation of
the Executive
Director is the
responsibility of
the President.
Reorder
remaining
Amendment #14
Article VI. Board
of Directors
Section 11.
Meetings
a) Meetings of the Board of
Directors shall be held at least
twice annually at a time and
place determined by the Board
of Directors. Meetings can be
conducted electronically. Special
meetings may be called by the
President and shall be called
upon written request of at least
five (5) district associations or
five (5) members of the Board of
Directors.
a) Meetings of the Board of
Directors shall be held at least
twice annually at a time and
place determined by the Board
of Directors. Meetings can
be conducted electronically.
Meeting electronically will
constitute full attendance to
include quorum requirements
and voting. Special meetings
may be called by the President
and shall be called upon
written request of at least five
(5) district associations or five
(5) members of the Board of
Directors.
Specifically
articulates
that electronic
attendance
meets
requirements.
43
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Amendment #15
Article VII.
Directors
Section 3.
Responsibilities
Director of Operations
Has general oversight for
1)Review of TNA Policies and
Procedures
2) developing new policies and
procedures, as needed
3) participating in long range
planning
4)the work of the Bylaws
Committee, serving as the Chair
5) the work of the Operations
Committee
6) the work of the Nominating
Committee
7)the work of the Reference
Committee
Director of Operations
Has general oversight for
1)Review of TNA Policies and
Procedures
2) developing new policies
and procedures, as needed
3) participating in long range
planning
4)the work of the Bylaws
Committee, serving as the
Chair
5) the work of the Operations
Committee
6) the work of the Nominating
Committee
7)the work of the Reference
Committee
Participates in
1) review of TNA policies and
procedures
2) development of new
policies and procedures, as
needed
Nominating
committee
moved to
Executive
Director.
Operations
Committee
changed
to Finance
Committee
and moved
to Treasurer.
Policies and
procedures
are part of
the finance
committee
responsibilities.
Amendment #16
Article VII.
Directors
Section 3.
Responsibilities
Director of Government Affairs
Has general oversight for
1) development of a legislative
platform and health policy
agenda in collaboration with
other directors
2) monitoring legislation and
making recommendations to the
Tennessee Nurses Association
3) identifying legislative priorities
for introducing legislation
4) the work of the TNPAC
committee
Director of Government Affairs
Has general oversight for
1) development of a legislative
platform and health policy
agenda in collaboration with
other directors the GOVA
committee, serving as the chair;
2) monitoring legislation and
making recommendations to the
Tennessee Nurses Association
development of a legislative
platform, health policy agenda,
and legislative priorities in
collaboration with the GOVA
committee, the Board of
Directors and TNA staff;
3) identifying legislative
priorities for introducing
legislation
4) the work of the TNPAC
committee
More clearly
defines the
collaboration
of the director
with the GOVA
committee,
BOD and staff in
defining political
direction and
action.
44
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Amendment #17
Article VII.
Directors
Section 3.
Responsibilities
Director of Education
Has general oversight for
1) promoting and supporting
professional development and
education through statewide
planning and implementation;
2) participates in the planning of
provider CE events
3) the provider unit for Continuing
Nursing Education
4) the work of the CE review
committee
The Committee on education
review shall
1) implement the policies and
procedures of the continuing
education approval process;
2) review the continuing education
approval process and recommend
needed changes to the Board of
Directors;
3) serve as the approver unit for
continuing education; and
4) evaluate and advise the Board
of Directors on other issues as
deemed appropriate.
Director of Education
Has general oversight for
1) promoting and supporting
professional development and
education through statewide
planning and implementation;
2) participates in the planning
collaborates with staff to ensure
compliance with standards of
provider CE events
3) the provider unit for
Continuing Nursing Education
4) the work of the CE review
committee
The Committee on education
review shall
The work of the CE Review
Committee:
1) implementing the policies and
procedures of the continuing
education approval process;
2) reviewing the continuing
education approval process and
recommend needed changes to
the Board of Directors;
3) serving as the approver unit
for continuing education; and
4) evaluating and advising the
Board of Directors on other
issues as deemed appropriate.
Clean up of
language
and reflects
collaboration
with TNA staff on
event planning
45
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Amendment #18
Article VII.
Directors
Section 3.
Responsibilities
G) Nominating Committee
a) The Nominating Committee shall
be composed of five (5) elected full
(ANA/TNA/DNA) members
b) Membership will represent
diversity of scope of practice and
geographic location.
c) Members of the Nominating
Committee shall serve one (1)
two-year term. Two members shall
be elected in even years and three
members in odd years.
d) If a member of the Nominating
Committee is unable to serve,
the position shall be declared
vacant and the person next in line
according to the number of votes
received shall serve the remainder
of the term.
e) The Committee shall
1) request the names of candidates
for elective offices;
2) prepare a slate of nominees and
publish such slate at least sixty (60)
days prior to the annual meeting;
3) implement the policies and
procedures for nominations and
elections as established by the
Board of Directors; and
4) assume other responsibilities
for nominations as provided for in
these Bylaws
G) Nominating Committee
a) The Nominating Committee
shall be composed of five (5)
elected full (ANA/TNA/DNA)
members and report to the TNA
Executive Director
b) Membership will represent
diversity of scope of practice
and geographic location.
c) Members of the Nominating
Committee shall serve one (1)
two-year term. Two members
shall be elected in even years
and three members in odd years.
d) If a member of the
Nominating Committee is unable
to serve, the position shall be
declared vacant and the person
next in line according to the
number of votes received shall
serve the remainder of the term.
e) The Committee shall
1) request the names of
candidates for elective offices;
2) prepare a slate of nominees
and publish such slate at least
sixty (60) days prior to the
annual meeting;
3) implement the policies and
procedures for nominations and
elections as established by the
Board of Directors; and
4) assume other responsibilities
for nominations as provided for
in these Bylaws.
Reporting to
the Executive
Director
limits concern
regarding
the Board
of Directors
influencing the
slate of nominees
Amendment #19
Article VIII.
Presidents’
Council
Eliminate the entire Article
Presidents’
Council has not
been in practice
is not needed. All
district Presidents
are invited to BOD
meetings and
have full voice
with no vote.
46
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Amendment #20
Article X. District
Association
Section 3.
Responsibilities
a) The Bylaws of each district shall
1) provide that members meet the
qualifications as specified by these
Bylaws;
2) provide for the obligation
of members to pay dues in
accordance with adopted policies;
3) provide for the district president
to serve as a member of the TNA’s
presidents’ council. And, if the
president is unable to attend the
meeting, the President Elect or
Vice President shall attend the
President’s council meetings as an
alternate with full voice and vote of
the district president.
4) protect members’ rights to
participate in TNA and the district
association; and
5) specify the rights and obligations
of members.
b)Each district association shall
1) provide for Full members
(TNA/ANA/DNA) to nominate
candidates for representatives to
the ANA Membership Assembly in
accordance with these Bylaws and
adopted policy;
2) provide for members to
nominate candidates for TNA
offices and committees in
accordance with these
Bylaws and adopted policies;
3) submit district Bylaws and
proposed amendments for review
to TNA when requested.
4) provide such information to TNA
as required by adopted policies and
procedures; and
5) submit an annual report to the
Tennessee Nurses Association
office by March 1; and
6) comply with the requirements of
these Bylaws.
a) The Bylaws of each district
shall
1) provide that members meet
the qualifications as specified by
these Bylaws;
2) provide for the obligation
of members to pay dues in
accordance with adopted
policies;
3) provide for the district
president to serve as a member
of the TNA’s presidents’ council.
And, if the president is unable
to attend the meeting, the
President Elect or Vice President
shall attend the President’s
council meetings as an alternate
with full voice and vote of the
district president.
4) protect members’ rights
to participate in TNA and the
district association; and
5) specify the rights and
obligations of members.
b)Each district association shall
1) provide for Full members
(TNA/ANA/DNA) to nominate
candidates for representatives to
the ANA Membership Assembly
in accordance with these Bylaws
and adopted policy;
2) provide for members to
nominate candidates for TNA
offices and committees in
accordance with these
Bylaws and adopted policies;
3) submit district Bylaws and
proposed amendments for
review to TNA when requested.
4) provide such information to
TNA as required by adopted
policies and procedures; and
5) submit an annual report
to the Tennessee Nurses
Association office by March 1;
and
6) comply with the requirements
of these Bylaws.
Presidents’
Council has not
been in practice
is not needed.
All district
Presidents are
invited to BOD
meetings and
have full voice
with no vote.
47
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Amendment #21
Article XII.
Amendments
Section 1.
Amendments
with notice
a) The Bylaws Committee shall
receive proposed amendments at
least six (6) months prior to the
annual meeting.
b) Amendments proposed by the
Bylaws Committee shall be in the
possession of the Secretary of this
association at least two (2) months
before the date of the annual
meeting, or special meeting of the
association, and shall be appended
to the call for the meeting.
c) These Bylaws may be amended
with prior notice at any annual
meeting or special meeting of
the TNA Membership Assembly
by a two-thirds (2/3) vote of the
members present and entitled to
vote.
a) The Bylaws Committee shall
receive proposed amendments
at least six (6) four (4) months
prior to the annual meeting.
b) Amendments proposed by
the Bylaws Committee shall
be in the possession of the
Secretary of this association
at least two (2) months
before the date of the annual
meeting, or special meeting of
the association, and shall be
appended to the call for the
meeting.
c) These Bylaws may be
amended with prior notice at
any annual meeting or special
meeting of the TNA Membership
Assembly by a two-thirds (2/3)
vote of the members present
and entitled to vote.
6 months is a
long lead time
to propose
amendments.
Four months
allows sufficient
time for review.
48
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
49
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
2018-2020 Legislative and
Health Policy Statements
Introduction: The Tennessee Nurses Association (TNA) is the professional association representing over
110,000 Tennessee registered nurses. This position paper outlines the basic philosophy of the TNA’s
Membership Assembly relative to health care policy which may be addressed by the Tennessee General
Assembly and the U.S. Congress.
Mission: To improve health and health care for all Tennesseans and residents of the state, advance nurse
leaders and the practice of nursing as essential to improvement efforts and transformational change, and
serve as the voice for professional nurses.
The American Nurses Association’s Code of Ethics outlines foundational provisions that
frame TNA’s initiatives and actions.
Vision: TNA supports a transformed health care delivery system that ensures that all Tennesseans and
residents of the state are able to access equitable and affordable essential services when and where they
need them. The transformed system envisioned by TNA is patient-centered, promotes inter-professional
collaboration and care coordination to improve patient outcomes and experiences, primary care and
prevention are priorities, value is emphasized, and there is expanded use of information technology to
promote efficiency and effectiveness.
Goals: TNA is supportive of initiatives that improve health and health care and advance the following goals:
Optimal health system performance, including:
Improved patient care experiences;
Improved population health; and
Reduced per capita cost for health care.
Access to high-quality, affordable and acceptable care for all Tennesseans and residents of the state,
including:
Provision of a standardized package of essential health care services provided and financed by public and
private plans with protection against catastrophic costs and impoverishment;
Expanded primary care capacity by allowing RNs to practice to the full extent of their license to provide
chronic care management, care coordination, and preventive care in primary care settings;
Enhanced access to efficient, cost –effective, high-quality, equitable, and comprehensive healthcare
services by allowing APRNs to practice to the full extent to which their education and training prepare
them;
Allow APRNs with appropriate training to prescribe buprenorphine to increase access to medicationassisted
treatment (MAT) to combat the state’s opioid crisis; and
50
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Full practice authority and enhanced participation in the delivery of care and policymaking for all
professional nurses, including:
Support for the Tennessee Board of Nursing as the sole regulatory authority over nursing education and
practice;
Adoption of the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification, and
Education (2008);
Elimination of financial, regulatory, organizational, and institutional barriers to the practice of professional
nursing;
Participation of registered nurses on all local, state, and national health care advisory, policymaking, and
governing boards, committees, and task forces; and
Inclusion of APRNs as licensed independent providers (LIPs) in hospital licensure rules, health plans, and
health care facilities.
Assuring an adequate, competent and diverse nursing workforce to meet current and projected health
care demands, including:
Improved data collection and information infrastructure to inform policymaking, planning, and evaluation;
Promotion of higher levels of education and training through seamless academic progression, interprofessional
education of health professionals, and lifelong learning;
Funding for nursing students and faculty, including loan forgiveness programs; and
Support for nurse safety in the patient care environment, staffing effectiveness plans, whistleblower
protection, and bans on mandatory overtime.
Restricting the use of the title “nurse” to only those individuals who have fulfilled the requirements
for licensure as outlined in the state’s nurse practice act. Nurse practice acts describe entry level
qualifications such as education, practice standards and code of conduct for continued privilege to
practice nursing.
51
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Thank you to our Sponsors who make our 2019
Conference a huge success!
(At Press Time)
Gold Level Sponsorship
Silver Level Sponsorship
Bronze Level Sponsorship
52
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Exhibitors
AccuVein
AbilisHealth
Arkansas State University
Aureus Medical Group
Baptist Memorial College of Health Science
Comfort Care Hospice
Footbar Walker GANM, LLC
Freeman Financial Group
Genentech
The Gideons International
Hurst Review Services
Janssen Pharmaceuticals
Jefferson Regional Medical Center
King University
Memphis and Shelby County Pediatric Group
National Healthcare Corporation
North Mississippi Medical Center
SIPS Consults
Sprint
University of Tennessee Health Science Center, College of Nursing
University of Tennessee at Knoxville, College of Nursing
Vanderbilt University College of Nursing
Walden University
Westberg Institute for Faith Community Nursing
53
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Schools of Nursing Luncheon Sponsors
Belmont University
Chamberlain University
Christian Brothers University
Cumberland University
East Tennessee State University
Harding University
Lipscomb University
Mississippi University for Women
Tennessee Wesleyan College
William Carey University
Superheroes of TNA
Tina Gerardi
Carla Kirkland
AbilisHealth
Chamberlain University
54
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
55
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
56
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Tennessee Nurses Association
District Map
57
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
TNA Board of Directors and Staff
TNA Staff
58
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Tennessee Nurses Association
2019 Slate of Candidates and Statements
SECRETARY – VOTE FOR ONE (1)
Jennifer (Jeny) Conrad-Rendon, NP-C
District 1
Family Nurse Practitioner
Healthy Life
Arlington
I would be honored to serve as your TNA Secretary. I feel that it is my responsibility to give back to our
amazing profession and help it to become the strongest and best it can be. I have experience in the role of a
secretary as I have volunteered as the secretary for a local booster club.
My calling to be a nurse came from my inspirational cousin who is a nurse. It began with becoming a CNA
where I worked in home health. From there my AA degree, BSN degree, and MSN degree were completed.
My almost 20 years of being a registered nurse consists of just about every aspect of nursing: Labor &
Delivery, Oncology, Primary Care, Cardiology, Behavioral Health, and Pediatrics. I was an RN for ten years
before I became an Advanced Practice Registered Nurse in 2009. As a Family Nurse Practitioner, I became
an entrepreneur and owned a primary care clinic for approximately 5.5 years and grew it to approximately
1800 patients. I have also helped grow a new concept in a business that provides preventive physicals. We
took these preventive physicals to patients at their workplace via Mobile clinics/vans staffed with an FNP
and EMT. We grew it in a 2-year timespan from no van runs to thirty a month.
Full Practice Authority is critical as APRNs should be able to practice to the full extent of our education. I
have been very active in this important fight and have started a petition, contacted and met with legislators,
started several social media pages to educate others on FPA and help increase the participation among
nurses in this important fight. I have testified to the TN Senate on Insure TN because access to healthcare
should be one of our basic rights and no one should be without healthcare.
I strongly believe that a true leader helps to build others up into the best person they can be. When people
feel appreciated and respected, they tend to be happy and that reflects on to their care towards their
patients. I am the type who is eager to learn new things and quick to jump in to help wherever it is needed.
I am beyond ready for this next level of advancement in my passion for the nursing profession. Teamwork is
crucial for success to advance our profession and I look forward to being part of the TNA team.
59
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Susan Smith, MSN, RN
District 3
Senior Director, Case Management Clinical Informatics
LifePoint Health
Columbia
I am a clinical informatics leader with a strong healthcare background and deep clinical knowledge, who
expertly leads in the analysis, planning, implementation and management of clinical information systems as
related to clinical informatics, insuring alignment and implementation of technology to support operations.
Possessing a reputation for collaborating with, and representing, the collective interests of the executive
team, medical staff, nursing and other clinicians, IT department and other users of the system. I have a
diverse background in healthcare including emergency department nursing, clinical revenue integrity and
compliance. I work directly with clinical end users to facilitate the integration of data, information, and
knowledge to support patients and caregivers in their decision-making in all roles and settings to provide
quality and safe patient care.
I am a member of HIMSS, American Nurse Informatics Association, the American Nurses Association and
the Tennessee Nurses Association. I am passionate about educating clinical staff to grow their knowledge of
informatics and information technology to deliver quality care in a safe environment.
DIRECTOR – GOVERNMENT AFFAIRS – VOTE FOR ONE (1)
Marcia Barnes, DNP, APRN, ACNP-BC, CWS
District 15
Assistant Professor
Cumberland University
Lebanon
I have been a member of TNA for many years and currently the president of District 15. It is my desire to
be active and give back to the nursing profession through TNA. I am a strong advocate for independent
practice for advanced practice nurses and feel it is as much my responsibility as any other APN to be
involved and advocate for not only APNs but Tennesseans. I believe all nurses should be allowed to practice
to their full scope and education. I served as Chair of the Government Affairs Committee this past year and
embraced the opportunity to learn about the legislative process. This solidified for me that collaborating
with legislators through TNA independent practice will become a reality.
60
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Susan Cortez, Ph.D., MBA/HCM, BSN, RN, HIMSS HIT
District 1
Fulltime faculty in the Doctorate of Nursing Practice (DNP) Program
Chamberlain University
Memphis
I have a variety of staff nursing and executive leadership experience. I graduated from Duquesne University
in Pittsburgh, Pennsylvania with a BSN and minor in psychiatric nursing. I worked as a psychiatric staff nurse
and simultaneously a staff nurse on a medical and surgical floor. I continued working as a staff nurse and
a circulator nurse. After I received a Master’s in Business Administration and Health Care Management, I
accepted an executive nurse position with executive operations responsibility for a new ambulatory surgery
center currently under construction, while simultaneously the Director of a laparoscopic inpatient-surgery
department, and Director of a different 15-suite inpatient operating room department. I next accepted fulltime
work in the Evidence-Based Medicine and Informatics department at Vanderbilt University Medical
Center. I completed my Ph.D. dissertation research on Evidence-Based Nursing Practice and Computerized
Clinical Decision Support in 2014. I taught DNP intensive classes at the Vanderbilt School of Nursing, and
for six years, I mentored six to eight staff nurses and other professionals in a year-long fellowship program. I
also facilitated learning for nurse leaders in the medical center on evidence-based practice, quality metrics,
and process control. I have published and have experience in mentoring nurses through study proposals,
IRB, analysis, and writing for publication. I was the subject matter expert in creation of the Nursing
Informatics Masters Program at the University of Phoenix, Tempe Campus. I am full time faculty in the
Doctorate of Nursing Practice Program at Chamberlain University.
DIRECTOR – OPERATIONS– VOTE FOR ONE (1)
J. Ted Nelson, MSN, RN, NEA-BC, CCRN-K, FACHE
District 4
Associate Chief Nursing Officer
Erlanger Health System
Soddy Daisy
My experience and education have equipped me to contribute to our Nursing Profession across the
State of Tennessee as the Director of Operations for the Tennessee Nurses Association. I graduated from
Chattanooga State Community College with my Associate of Science in Nursing in 2010, Bachelor of
Science in Nursing in 2012, and Master of Science in Nursing (Administration) in 2016 from East Tennessee
State University. Currently, I am pursuing a dual degree (Doctor of Nursing Practice and Master’s in Business
Administration) at the University of Tennessee at Chattanooga.
I have been Associate Chief Nursing Officer at the Erlanger Health System in Chattanooga, Tennessee for
the last 18 months. I have the leadership responsibility for the main campus which including providing
oversight of clinical operations with scope including approximately 600 FTEs; facilitating physician relations
by enabling open communication and collaboration to improve overall clinical and financial operations;
responsible for ensuring adherence to nursing care standards as well as state and federal regulations
and promoting evidence-based practice in the clinical setting; contributes to the integration of systems,
programs, and support across the system with focus on business evaluation and development, continuous
61
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
quality improvement, patient experience, and employee engagement. Additionally, I continue to serve in
several Professional Organizations in the Chattanooga area. I am the Treasurer, Secretary, & Webmaster
of the Chattanooga Council of American Organization of Nurse Leaders -Tennessee (AONL-TN), Board
Member of the Tennessee Nurses Association 4th District, Webmaster of the Chattanooga Chapter of the
American Association of Critical-Care Nurses, Governance Member of Zeta Alpha Chapter of Sigma Theta
Tau International and member of the Sigma International Nurse Leader Review Committee.
DIRECTOR – PRACTICE – VOTE FOR ONE (1)
Colleen Moss, MSN, APRN, NNP-BC
District 3
Neonatal Nurse Practitioner
The Monroe Carell Jr Children’s Hospital at Vanderbilt
Franklin
I would like to be considered for a leadership position because I am interested in becoming more involved
with TNA. I began my nursing career in Vanderbilt’s NICU in 2001. After two years as a bedside nurse,
I joined Children’s Hospital Colorado as an neonatal nurse practitioner (NNP) in 2003. I returned to
Vanderbilt to join the NNP team in 2007. I currently am a full time NNP, splitting my time between a Level IV
NICU in an academic medical center and a Level II NICU in a community hospital in Columbia, TN.
I am also a full-time student, and I will finish my DNP program at the University of Tennessee at
Chattanooga in December 2019. I was awarded Outstanding DNP Student of the Year in April 2019. My
interests are in teaching, professional development, and mentoring. As a DNP student, I am learning and
focusing on the importance of evidence-based practice for delivery of safe, quality care to ensure the
best outcomes for critically ill newborns. Ultimately, I want to utilize both my clinical and evidence-based
practice knowledge to mentor new nurses at all levels in a collaborative team environment. Earning my DNP
is important for me to grow as a professional and be qualified to obtain a position with increased leadership
responsibility and opportunities.
Nursing emphasizes a commitment to continuing education and service. I have an interest in nursing
scope of practice and workforce issues. I am devoted to lobbying for full practice authority for APRNs. I
have spoken with legislators in the Tennessee General Assembly regarding the need for APRN full practice
authority, as Tennessee has one of the most restrictive practice environments in the United States. As an
advanced practice nurse, I want to positively impact the profession through service in TNA.
Laura Reed, DNP, APRN, FNP-BC
District 1
Assistant Professor/FNP Concentration Coordinator
University of Tennessee Health Science Center
Memphis
I am currently serving as the Director- Practice for TNA and am seeking a second term. During my tenure
on the board, I have seen the need to expand the scope of practice for ALL nurses in Tennessee not just
APRNs. I would like to continue to be a part of the work that is currently addressing this issue along with
62
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
workplace violence. All nurses deserve a safe environment to work in. We need to begin to actively address
the issue of workplace violence toward nurses by patients, families, and co-workers. I have been an RN in
Tennessee for 33 years and have practiced as an FNP for 29 years in a variety of settings most recently in a
medically underserved clinic in metropolitan Memphis. My practice interest is providing care to patients with
complex medical conditions. I have established the role of nurse practitioner in three primary care clinics
in the Memphis area. I am also an Assistant Professor for the UTHSC College of Nursing and am the FNP
Concentration Coordinator. I am currently the president of the Greater Memphis Area Advanced Practice
Nurses as well as the secretary for the Access to Care Coalition. I am a member of ANA, AANP, and NONPF.
NOMINATING COMMITTEE – VOTE FOR THREE (3)
Mary (Petey) Elliotte, BSEd, DNP, NP-C
District 01
Clinical Associate Professor
Loewenberg College of Nursing, University of Memphis
Memphis
I have been a member of TNA/ANA for several years but recently (May 2019) became a Tennessee resident
moving from north Mississippi. I feel I am now able to be more active in TNA. I have been a Professor at
the University of Memphis for 12 years helping students become professional healthcare providers, both
Registered Nurses and Advanced Practice Nurses. I have, and continue to serve, on several committees
at the College of Nursing which has included the Tenure & Promotions committee, various administrative
interview committees, (most recently to fill the position of the Director of Simulation). As a faculty
member, we attend interviews for new faculty applicants and are allowed to interview them as well. Past
employment experience includes Director of Clinical Education at the Loewenberg College of Nursing at the
University of Memphis in which I was responsible for interviewing and selecting adjunct faculty to augment
full-time faculty. Administrative employment also includes Hospital Clinical Educator for medical-surgical/
critical care units and emergency department. Responsibilities associated with this position included
assisting with evaluating registered nurse applicants.
My goal is to become more active in the organization that has so much influence in my profession and
utilize my experience to help that organization, as well as the other healthcare providers across the State
of Tennessee. Based on my past experiences, I feel I would be a good fit for being a member of the
Nominating Committee.
63
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Hillary Sexton, BSN, RN, CCRN
District 15
Registered Nurse 4CC
Vanderbilt University Medical Center
Murfreesboro
I have worked in Tennessee health care for almost nine years, first as a certified nurse assistant for four
years, then as a registered nurse for the past five years. During my time as an RN, I have served on the Burn
Unit Board for Shared Governance, worked with the quality improvement committee, and volunteered on
my unit to be a verified check-off for educational endeavors. This past year I was awarded Preceptor of the
Year on the Burn Unit at VUMC. Also, for the past two years, I have been a night shift charge nurse on the
burn unit and was a charge nurse at my previous hospital as well.
I have been volunteering since 2009 for a non-profit organization in various roles, facilitating leadership
conferences and leading regional volunteers as a Region Facilitator for the past three years. I serve the
National Alumni Association of Austin Peay State University as Vice President of Greek Alumni and on
the nominating committee for the association. I feel very comfortable as a leader and love to serve. The
nominating committee position integrates my current career, my past experiences, and continues to build
on my leadership and service to the nursing profession of Tennessee.
Thank you.
Raven Wentworth, DNP, RN, APRN, AGPCNP-BC, FNP-BC
District 6
Associate Professor of Nursing: Nurse Practitioner
Freed-Hardeman University/Walk-In Medical Clinic of Linden
Jackson
I have had the opportunity to be actively involved with TNA since January of 2017 when the TNA district in
which I live (District 6) was revitalized and I was elected as President. Over the past two and a half years, I
have been able to learn about the policies that govern and the organization of the association. I have also
recently joined the TNF Board and will be serving as secretary. I am interested in serving on the nominating
committee so that I may continue to learn and serve my profession. It has been a pleasure to be part of the
professional group that is the “voice” for registered nurses in the state of TN.
64
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
ANA MEMBERSHIP ASSEMBLY REPRESENTATIVE – VOTE FOR ONE (3)
Lisa Beasley, DNP, APRN, NP-C, RN
District 1
Clinical Associate Professor and Director of Clinical Education
University of Memphis
Memphis
I have been a member of ANA/TNA since becoming a nurse in 2006. Nursing is a second career for me, and
it is a career for which I have a great passion. The profession of nursing provides many opportunities for
nurses in a variety of settings. I strongly believe that if a nurse can belong to only one professional nursing
organization – that it should be the American Nurses Association and her or his state organization. I am in
education and administration at the University of Memphis Loewenberg College of Nursing. I am also an
APRN (Family Nurse Practitioner) and practice in hospice and palliative care in the rural counties outside of
Memphis. My passion is to serve and to be able to serve nurses and nursing as an Assembly Representative
would be one of the highest honors I could receive. Nurses advocate for patients, families and policy that
affect changes in lives and in our state and country. I can serve our members proudly by advocating for
nurses who do so much for so many. One of the greatest honors of my life is being a nurse and I would be
truly humbled to serve the nurses of Tennessee as an Assembly Representative.
Tina Gerardi, MS. RN, CAE
District 3
Executive Director
Tennessee Nurses Association
Nashville
I am a current member of TNA and as the Executive Director attend the Membership Assembly, but do
not have a vote. Being a Membership Assembly representative will afford me the ability to vote on issues
while in attendance. As a member of the New York delegation to the then Delegate Assembly, I represented
New York in that capacity for 24 years. I understand the governance of ANA and the expectation of the
Membership Assembly as outlined in ANA bylaws and policy. I currently serve on two ANA task forces and
would like the opportunity to represent TNA on the national level as a membership assembly representative.
65
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Tina McElravey, MPH, BSN, RN, NHDP-BC
District 1
Employee Health Coordinator
Shelby County Health Department
Millington
Results driven public health nurse with extensive nursing and administrative experience providing
evidenced based preventive health services to a large diverse metro community. History of successful team
leadership, driving performance, program improvement and quality initiatives. Dynamic, goal-oriented
problem solver with strong analytical skills. Instrumental in improving Shelby County immunization rates for
high risk population from 43% to 86% in three years. Instrumental in facilitating training of 350 participants
in National Disaster Life Support courses within 17 months. Strong nursing and public health advocate.
Extremely tenacious when advocating for community and fellow nurses. Dedicated desire to advance the
welfare and economic status of all nurses and to promote leadership and mentoring opportunities within
the state of Tennessee.
Carole Myers, PhD, RN, FAAN
District 2
Associate Professor
University of Tennessee
Townsend
I have a depth of knowledge and experiences related to policymaking at the state and federal level and
a robust professional network that I will use to benefit the Tennessee Nurses Association, as I have done
for many years. I will use my policy experiences and expertise and lessons learned from service to TNA to
advance the organization’s priorities related to health, health care, and our professional practice in the state.
ANA Membership Assembly Representative 2013—2019
ANA Delegate 2008-2009, 2010-2011, 2012-2013
Appointed to serve on ANA Presidential Endorsement Task Force 2018-2019
Chair of Tennessee Nurses Association (TNA) GOVA committee 2010-2016; member 2008-2019
Chair TN-PAC 1985-1988, 2007-2010
Inducted as Fellow American Academy of Nursing 2018
Senior Fellow George Washington University Center for Health Policy and Media Engagement 2017
66
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Selected AACN Faculty Policy Fellow 2017-2019
Co-Chair Tennessee General Assembly Scope of Practice Task Force 2016-2017
Nursing Lead and Secretary/Treasurer Tennessee Action Coalition 2012-2017
Fellow American Nurses Advocacy Institute (2011-2012)
American Association of Nurse Practitioners (AANP)-Advocate State Award for Excellence (2011)
Coordinator Graduate Certificate in Health Policy program at the University of Tennessee (UT) Associate
Professor UT: primary teaching responsibilities and research focus include health policy and services; have
joint appointment with Department of Public Health
Christine Reed, BSN, RN
District 5
Account Executive
Hillrom
Johnson City
As past president for TNA District 5 I would like to serve as a positive role model and advocate for the
nursing profession and spokesperson for TNA and ANA. It would be an honor and privilege to serve on the
ANA Membership Assembly as a representative from TNA.
Monique Rivers, MSN, MSEd, RN
District 3
Director, Quality Standards
HCA Healthcare
Nashville
I have been a member of the ANA and the State Nursing Association for nearly twenty years. My
commitment to the nursing association began as a nursing student. At the time, my professors stressed
the importance of membership in the professional nursing association. The exact quote that I remember
is “If you don’t speak for yourself, others will.” I cannot imagine the voice of the nursing profession to be
assumed by another professional. My clinical experience has included years in different types of hospitals
including a teaching university, non-profit and for profit facilities. I have transitioned from a direct bedside
nurse to hospital leader roles and currently, I work at the corporate offices of the largest healthcare
system in America. The time has come for me to use my years of clinical and educational experience and
make a meaningful impact. I want to represent the voice of nursing as an ANA Membership Assembly
Representative.
67
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Poster Presentation Abstracts
A Handoff Tool to Improve Patient Safety in Dialysis Care
Monique Rivers (Presenter)
Problem Addressed:
Effective handoff communication practices during patient care transitions from one nurse to another
contribute to patient safety. A standardized handoff method, such as SBAR, provides structure to
communicate pertinent patient content for nurses to maintain consistent care during an in-patient
hospitalization. A dialysis specific SBAR can improve handoff communications that can impact the care of
dialysis patients.
Objectives:
To provide a standardized handoff process addressing components related to dialysis care.
Methods/Procedures:
Educational presentation of a handoff tool for nurses to use pre and post dialysis treatment.
Findings:
NA
Recommendations for Practice/Research:
Recommend evaluating the SBAR tool to improve communication to yield nurse satisfaction with the
application of King’s Theory of Goal Attainment and provide safe care to a high-risk patient population.
A New Graduate Nurse Residency Program: Factors Impacting Retention
Problem Addressed:
Elisha Jerry (Presenter)
Sara Day (Co-Presenter)
New graduate nurses are the largest pool of registered nurses available for organizations to hire. Many new
graduate nurses struggle with the transition from novice to competent nurse, and an estimated 35% to
60% leave within one year of hire (Pine & Tart, 2007; Pittman, Herrera, Bass, & Thompson, 2013). Turnover
is financially costly and compromises quality of care. Nurse residency programs, defined as structured
post-licensure programs that incorporate didactic education, clinical support and mentorship, have been
implemented by health care organizations across the US to bridge the preparation-practice gap and reduce
the high cost of turnover (Van Camp & Chappy, 2017).
Objectives:
The purpose of this study was to determine if a new graduate nurse residency program at 6 Mid-South
hospitals affected the retention rate of new graduate nurses in relation to other variables, such as age,
gender, facility, nursing degree (associate, traditional BSN, accelerated BSN, Master’s), unit (medical/
surgical, critical care, emergency department, obstetrics/postpartum, peri-operative, pediatrics, neonatal
intensive care) and intern and/or extern program.
68
Methods/Procedures:
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
The study was a longitudinal, quantitative design. All new graduate nurses who entered into the residency
program from August 2014 through April 2017 (932 nurses) were included in the study. The retention
outcome was defined as continuing employment at year one. Termination at year one was used to measure
the retention outcome. The probability of termination at year one was modeled with demographic variables
as predictors in logistic regression framework.
Findings:
The probability of employment termination at year one was significantly associated with nursing degree
programs, age, facility (p
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
established national standards for RNFA program curriculum, and these standards apply both to the nurse
who is non-APRN (Operating Room certified/CNOR) who may, or may not, be BSN-prepared and the APRN
who is prepared at the Masters or Doctoral level. AORN standards as of 2020 will require a minimum of BSN
education for the RNFA. To insure consistency and quality in the continuum of RNFA education, there is a
need for post BSN university based educational programs to assume a leadership role in education for the
RNFA .
Recommendations for Practice/Research:
The role of the RNFA is increasing in the state of Tennessee. This presentation will educate RNs/APRNs
on the state and national standards established for practice as RNFAs in the state of Tennessee. RNFAs
need to practice to the full scope of their licensure and education to ensure competent, quality care for the
perioperative patient. Educational programs must meet AORN national standards to allow one to be eligible
to sit for certification as a certified Registered Nurse First Assistant(CRNFA).These credentials denote
education that is evidence based and ensures safe perioperative patient care.
Best Practices for the Transition and Retention of New Nurse Practitioners
Problem Addressed:
Chaundel Presley (Presenter)
Nurse practitioner (NP) graduates are entering the workforce yearly at an ever-growing rate. Over the last
decade, the number of new NP licenses issued in the state of Tennessee each year has more than doubled.
The assumption is made that most of these first-time licenses are issued to new graduates. Despite this
tremendous growth, new graduates often struggle with initial job placements that are not a good match
with their background and training, not well supported, and often result in a job change within the first year
of practice. Meanwhile, data shows that there is a shortage of primary care providers and the population to
primary care physician ratio continues to grow. National projections indicate primary care physician demand
will continue to exceed supply. NPs are educated and prepared to help fill this healthcare provider need.
Objectives:
Identify and discuss some best practices for new NP’s, mentors and organizations to improve the transition
process and retention of new NPs. Articulate strategies that enhance transition into much needed primary
care practice roles.
Methods/Procedures:
An integrative review was conducted of the existing research related to NP transition into practice and job
retention, focusing on primary care settings. The Cumulative Index of Nursing and Allied Health Literature
(CINAHL) database was searched from 2004 through 2019. A specific focus was placed on the concept
of NP transition in relation to primary care and job retention. Search terms included transition, retention,
primary care and nurse practitioner. Studies with purposive sampling were included due to the limited
research on this topic area and to gain an increased perspective of new graduates. Excluded were literature
reviews, studies that focused on hospital or specialty care settings, concept analyses and unpublished
manuscripts.
Findings:
Findings to date indicate multiple trends in research regarding the transition process of new NPs into
practice that positively affect retention. Some of these include formal orientation programs that have
consistently shown a positive relationship to job satisfaction and retention. A formal mentoring relationship
has also been a positive factor. Other influences include participation in post-graduate training programs.
Also, organizations that support NP autonomy, their professional visibility and foster improved relationships
with administration have been shown to improve NP job satisfaction and transition into practice.
70
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Recommendations for Practice/Research:
The literature reviewed recommend a variety of future research that could be conducted to strengthen the
science on this topic. Research was recommended in relation to the organizational climate and its impact on
NP practice, transition studies that include more diverse populations, as well as studies correlating type of
NP program and the transition process. Outcome studies of post-graduate transition programs correlating
with the quality of care provided were suggested. Policy-related studies on the regulatory environment’s
influence on NP job satisfaction as well as future research focusing on new and alternative ways of
mentoring were encouraged.
Creating a Pillar of Safety for the Veterans We Serve Utilizing Stress Cards
Problem Addressed:
Teris Webb (Presenter)
Addressing Stress during the clinic office appointment. Research on military suicide is correlated to
exposure to stressful life events such as depression, posttraumatic stress disorder(PTSD), substance abuse,
poor sleep and financial problems. SHEP /Patient experience questioned asked of the veteran, “In the past
six months did you or anyone in this provider office talk about things in your life that worry you or cause
you stress?”
Objectives:
Create a pillar of safety for the veteran and the staff in creating a continuous improvement to determine if
the stress cards have made a positive impact on patient outcomes and SHEP scores /Patient Experience.
Will the presentation of the stress cards allow the veteran to be able to fully express their feelings,
insecurities, and emotions with the feeling of fear and discomfort.
Methods/Procedures:
Stress cards will be handed to each patient during any outpatient visit, mental health, emergency room, and
primary care visit.
Findings:
In 2016, the veteran suicide rate in Tennessee was 32.8% which is higher in comparison than National suicide
rate of 17.5%. National Veteran suicide rate is 30.1%
Recommendations for Practice/Research:
The goal of VA is to support the recovery process of the veteran and help them to live meaningful lives in
the society and therefore the distribution of the cards creates a safe space for the veteran to communicate
emotions and gain access to help. The stress cards when distributed will foster patient-centered care and
the veteran control of his/her plan of care.
71
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Creating Nursing Informatics Governance in an Academic Medical Center
Problem Addressed:
Ashley Trambley (Presenter)
Blair Stewart (Co-Presenter)
In an everchanging healthcare environment, it is important that the technology supporting patient care also
adapt quickly and efficiently allowing for continued safe and quality patient care. It is crucial for nursing
informatics and health information technology professionals to engage with nursing end users to identify
technology issues, prioritize those issues, and repair or improve the tools to meet the needs. The challenge
then becomes developing a format and structure that supports ongoing and continuous interaction and
collaboration between the informatics and health information technology teams and the direct care nurses.
Objectives:
1. Discuss and review the nursing informatics governance structure and model
2. Review evaluation data
3. Discuss keys to success for other areas looking to establish a similar model
Methods/Procedures:
After a large academic medical center made the direct conversion from a legacy system to a new electronic
health record in late 2017, the need for a governance structure to support this new integrated system
became apparent as the dust settled on the stabilization phase. After six to eight months of system use,
users began to reach out in mass with ideas for customization, optimization, and improved functionality.
Health information technology, end-user support and informatics teams, and operational leaders began
a journey to standup a nursing informatics committee that would provide strategic and operational
leadership in the management and advancement of nursing’s use of technology across the enterprise.
The committee structure is led by a Steering Committee comprised of operational leaders, informatics
leaders, and health information technology analysts that provide oversight for informatics activities, review
system enhancement and change requests to evaluate appropriateness and priority, and communicate
and collaborate with the institution’s higher-level informatics governance. From the Steering Committee
are three subcommittees for different practice areas (Inpatient, Ambulatory, Procedural/Operative) that
are overseen and facilitated by operational leaders and the informatics team. Subcommittee membership
is comprised of staff nurses, and these groups meet monthly to evaluate and make decisions on the
enhancement and change requests specific to those practice areas. In March, an Analytics subcommittee
was added with a goal of redesigning reporting dashboards and delivering meaningful and actionable data
to nursing leaders.
Findings:
This presentation will focus on the establishment and operation of this governance model, and it will review
the evaluation data. This structure has been in place for six months and just completed the six-month
evaluation. Feedback from the different teams who participate was collected via survey and has been
incredibly valuable and overwhelmingly positive about the structure. There were barriers identified that are
being evaluated moving forward, but the overarching goal and objectives for this undertaking have been
successful.
Recommendations for Practice/Research:
Not Reported
72
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Decreasing Falls in An Inpatient Psychiatric Unit Utilizing Shared Governance
Teris Webb (Presenter)
Madhuri Srinivasan (Co-Presenter)
Problem Addressed:
Patient falls are estimated to cost hospitals $5,317 per patient fall and can cost $19,440 over a one-year
period. More than 20% of the falls result in moderate to severe injury. By 2020 , the cost of treating falls
is projected to exceed $54 billion. Joint commission (2012) has identified prevention of patient falls as a
national patient safety goal. Medicare and Medicaid Services have identified patient falls as one of the ten
hospital acquired conditions for which the hospital will not receive reimbursement for treatment.
Objectives:
Nurses are responsible for identifying patients at risk for falls. Since patient falls are direct indicator of care
given, it is therefore, nursing sensitive. Nurse-led safety measures is important to move to the culture of
Zero Patient Harm by providing patient centered care and improving patient satisfaction scores. Through
shared governance nurses can identify autonomous interventions to keep patient safe proactively. One such
strategy for the inpatient psychiatric unit at VA Medical Center Memphis is to study the role of purposeful
hourly rounding to prevention of falls.
Methods/Procedures:
Using Shared Governance nurses will focus on one strategy of purposeful hourly rounding to reduce the
number of falls in the inpatient psychiatric unit at the VA Medical Center Memphis. Through ownership
of the workplace, nurses will be able to bring about changes to their practice and work toward goals of
preventing falls.
Findings:
Previous research has shown that falls have reduced by 30% and the usage of call light by 36%. In 2014,
eight hospitals participated in an 18-month long study that falls had reduced from 4.001 to 2.613 per 1000
patient days because of purposeful hourly rounding. Stanford Healthcare developed Purposeful Rounding
Protocol and used it in their study of 14 hospitals and found that 52% of falls were prevented and 12%
increase in patient satisfaction scores.
Recommendations for Practice/Research:
Through Shared Governance, nurses can take the initiative to do purposeful rounding and contribute to
the reduction of falls. This will also help nurses to improve patient care outcomes, nurse engagement, and
reduce costs. Nurse leaders may support the initiative by educating the staff by addressing the benefits of
reducing the number of falls.
Problem Addressed:
Educational Interventions, Student Empathy and Interest
in Working with Older Adults: A Phased Study
Lisa Murphree (Presenter)
Shelley Moore (Co-Presenter)
As the population ages, there is a growing need for nurses who are interested in working with and
empathetic to the aging population, in particular with patients with neurocognitive disorders. Nurse
educators are challenged with preparing students to care for the aging population. An increased
understanding of the effect that educational interventions have on student attitudes could guide educator
73
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
choices toward stimulating interest in working with the elderly, particularly with the vulnerable subset with
neurocognitive disorders.
Objectives:
Learners will be able to discuss educational interventions that may increase nursing student empathy
toward elderly patients with neurocognitive disorders.
Methods/Procedures:
Pre and post test data were collected using the Kiersma - Chen Empathy survey with undergraduate nursing
students enrolled in a gerontology course.
Findings:
Mean empathy post test scores were not significant; however, additional post test questions revealed a
positive impact from the gerontology course on student interest in working with the elderly population with
dementia.
Recommendations for Practice/Research:
Further investigation into educational interventions to foster student empathy and interest in working with
elderly patients with neurocognitive disorders is needed. The next phase of this study including specific
additional interventions and testing would be discussed.
Enhancing Health Related Goal Setting through One-On-One Education in an Inpatient
Substance Use Disorder Treatment Facility for Women
Problem Addressed:
Brittany Haskell (Presenter)
Women with substance abuse disproportionately suffer from negative health effects. While there is little
research on health education needs for women in recovery, goal setting has been found to be more
effective at creating behavior change than health education alone. At The Next Door (TND), an inpatient
substance abuse treatment facility for women, residents do not have access to one-on-one health
information.
Objectives:
This quality improvement project aims to create and implement a one-on-one health education program
with women at TND to improve residents’ confidence in setting health goals related to a health topic of
choice.
Methods/Procedures:
Over sixteen weeks, nursing students implemented weekly health education sessions with residents at
TND on the following topics: nutrition, women’s health, sleep and stress, and how to talk to your provider.
Residents were educated about how to set SMART goals related to health behaviors associated with the
topic. Residents completed a self-reported, pre- and post-survey measuring confidence in setting a healthrelated
goal.
Findings:
On average, 22.7% of TND residents attended educational sessions with 87.9% creating SMART goals. Oneon-one
sessions along with direction in setting SMART goals increased self-reported confidence in goal
setting related to these topics by 1.0 points on a 5-point Likert Scale.
74
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Recommendations for Practice/Research:
One-on-one health education sessions about health topics of choice along with education about setting
SMART goals with residents in an inpatient substance abuse treatment facility resulted in increased selfreported
confidence in ability to set a health related goal, which has the potential to positively impact
future health.
Problem Addressed:
Enlightening Nurses through Human Sex Trafficking Education
Jessica Phillips (Presenter)
The presentation explores the importance of educating nurses on how to identify, communicate, and safely
intervene with Human Sex Trafficking (HST) victims
Objectives:
1. Identify who is at risk of becoming a victim of human sex trafficking.
2. Differentiate barriers that effect effectively communicating with trafficked victims.
3. Define health effects of human sex trafficking.
4. Describe nurses’ roles and responsibilities.
5. Review intervention strategies to help aid in rescue and recovery of HST victims.
6. Recognize why annual education on HST is important
7. Bring enlightenment, confidence, and courage to intervene and advocate for HST victims.
Methods/Procedures:
The purpose of the study was to identify the need for education on HST within an Emergency Department
setting. The aim of the study was to compare changes in emergency department nurses’ knowledge of HST
before/after participating in a HST education. Specifically, participants’ knowledge of identification of HST
victims, communication with victims, and intervention strategies. A 24-question survey was presented to
nurses in an emergency department setting at two hospitals in the Nashville area before/after education
was provided by an End Slavery TN presenter.
Findings:
Seven nurses participated, three had master level nursing education and four had bachelor level nursing
education. The overall pretest average was 58%. The overall posttest overage was 86%. There was an
impressive 27% increase after education had been provided. A Wilcoxon Signed Rank test analysis through
SPSS elicited a significant change in the identification and communication category of the test and a slight
change in the intervention category. Although the sample size was small, the results showed significant
improvement in participants’ knowledge and reflected the importance of educating those on the front lines
of this community health crisis.
Recommendations for Practice/Research:
Recommendations for future research could include the development of a valid and reliable survey to assess
healthcare providers’ knowledge could prove to be beneficial as would the development of a reliable and
valid standardized assessment tool for identifying HST victims. Identifying the most important information
to include in developing an educational program could increase the validity and effectiveness of information
retained. Studies on the accuracy of nurses’ ability to identify HST victims, their ability to communicate with
them, and the success of their interventions would also empower nurses and other healthcare professionals
75
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
to provide optimal care to these victims. This may also assist those who work with HST victims after rescue
to provide superlative rehabilitation and restoration to the victims. While the long-term effectiveness
of gaining knowledge during the study cannot be determined, the main goal of educating nurses is to
bring enlightenment, confidence, and courage to intervene and advocate on the behalf of those enslaved
by human sex trafficking and maximize the strengths of those that are on the front lines of healthcare
throughout Tennessee.
Evaluation of Safe Medication Administration Knowledge of Senior BSN Nursing
Students in Preceptorships
Problem Addressed:
Lisa Murphree (Presenter)
Medication errors continue at unacceptable rates in the US. There is a theory-practice gap reported in the
nursing literature that identifies low nurse confidence in pharmacology knowledge. Nurse educators need to
prepare nursing students with an adequate knowledge pharmacology base for safe entry level practice.
Objectives:
1. Participants will be able to identify how a clinical workbook can assist senior nursing students to
connect pharmacology theory with practice.
2. Participants will be able to identify characteristics of a preceptorship that increases senior BSN nursing
student medication administration knowledge and self-confidence.
Methods/Procedures:
This study design was a pretest-posttest quasi-experimental study which investigated the degree to which
two teaching strategies: senior-level preceptorships and a safe medication administration clinical workbook,
increased student knowledge and self-confidence of safe medication administration. The Safe Medication
Administration (SAM) Scale (Ryan, 2007) was used to assess knowledge. Data were collected from 28
nursing students and analysis was carried out using independent-sample t tests and mixed design ANOVAs
on pretest and posttest data comparing students in their usual preceptorship (control group) with students
using the clinical workbook in their usual preceptorship (experimental group). Self-confidence data were
collected using a modified NLN Student Satisfaction and Self-Confidence in Learning Questionnaire, SSSCL-
SAM.
A 72 hour critical care preceptorship plus workbook was more effective in increasing student SAM
knowledge, learning satisfaction, and self-confidence than a 150 hour capstone preceptorship plus
workbook.
Findings:
Use of the workbook increased learning satisfaction and self-confidence, but not SAM knowledge.
A 72 hour critical care preceptorship plus workbook was more effective in increasing student SAM knowledge,
learning satisfaction, and self-confidence than a 150 hour capstone preceptorship plus workbook.
Recommendations for Practice/Research:
Increase faculty-student-preceptor collaboration w/workbook. Study effect of number of preceptors on SAM
and Self-Confidence. Additional current, validated SAM Instruments are needed. Highlighted need for evaluating
outcomes of preceptorships. Consider preceptorships with fewest possible preceptors.
76
Problem Addressed:
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Five Loaves and Two Fish
Raven Wentworth (Presenter)
Engaging students in a nutrition course using various teaching methods
Objectives:
1. Describe an assignment that blends components of multiple nursing courses
2. Identify benefits/barriers of the assignment
Methods/Procedures:
This engaging class assignment combined evidence with community needs and spirituality in a nutrition course.
Students enrolled in a nutrition course gathered into groups and identified a vulnerable population at risk for
malnutrition. The students then completed a review of the literature to identify various factors for malnutrition.
Students then planned, purchased, and distributed a nonperishable balanced meal based on nutritional guidelines
for the selected group. Students developed an insert with a Bible verse on one side and recommended dietary
guidelines for this selected population on the other. Each nonperishable meal and insert was delivered in a reusable
container. A written assignment of reflection was required after completing the assignment. A representative from
each of the four groups presented a summary at the University Scholars Day on campus.
Findings:
Student feedback was overall positive. Students were surprised by the numerous groups that needed nutritional
assistance in the community as well as how many nutritional meals could be purchased with a small amount of
resources.
Recommendations for Practice/Research:
Nursing faculty can use an assignment, such as Five Loaves and Two Fish, to incorporate community awareness
and spirituality in a nutrition course that is supported by evidence. Student engagement is enhanced when
students are required to identify a population at risk, develop a nonperishable meal in a reusable container and
deliver it to the identified group. The inclusion of a written reflection at the end of the assignment allows the
student to connect what was learned in theory to what was experienced.
Problem Addressed:
Healthy Nurse, Healthy Nation: ‘Nursing’ the Superhero in You!
Corley Roberts (Presenter)
Nurses make up the largest segment of healthcare workers, yet are less healthy than the average American.
Adding to the personal health of nurses is aging. According to research there are currently about one million
registered nurses older than 50 years of age. With age comes an increase in chronic diseases that can be
prevented or managed with the integration of physical activity. Recent research shows that 48.3% of adults do not
meet physical activity recommendations, and 71.2 percent of adults are overweight.
Goal:
It is the goal of the Healthy Nurse, Healthy Nation Grand Challenge to transform the health of the nation by
improving the health of its nurses by connecting and engaging nurses, employers, and organizations around
improving health in five areas: physical activity, nutrition, rest, quality of life, and safety.
77
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Objectives:
After viewing this poster presentation, the learner will:
1. Acknowledge that ‘nursing’ your personal health will help set an example for the health for your colleagues and
patients.
2. Identify your own personal health risks needing improvement.
3. Describe your physical activity improvement plan for health.
Recommendations for Practice/Research:
1. Participate in physical activity recommendations of 150 minutes of cardiovascular moderate intensity exercise
weekly.
2. Participate in a risk and readiness assessment for physical activity.
3. Prepare a plan using SMART goals and track progress.
4. Connect with others for support and partnerships.
5. Maintain recommendations for water intake, dietary habits, sleep, and stress reduction.
6. It’s YOUR Move! Make it.
78
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
How a Public Observation Assignment Affects the Beginning BSN Nursing Student
Problem Addressed:
Tammy Howard (Presenter)
Jenny Maffett (Co-Presenter)
Increased use of electronic devices such as smart phones, in our everyday lives has decreased personal awareness
of people and things, thereby affecting communication patterns, which is documented in the literature. College
freshmen majoring in nursing completed a public observation assignment. Pre and post surveys were collected
to assess the effects of the assignment upon student awareness of people and surroundings, including nonverbal
communication and general appearance. Therefore, laying foundational skills prior to entering nursing assessment
courses.
Objectives:
The objectives of the public observation assignment were to expose students to varied persons in a nonconfrontational
way, in order to lay foundational assessment skills through observation and general awareness of
others.
Methods/Procedures:
Pre and Post survey of Freshmen Nursing majors related to public observation assignment.
Observation Assessment Documentation Forms from each Freshmen Nursing participant.
Findings:
Findings will be presented on poster.
Recommendations for Practice/Research:
The assignment will continue to be utilized for Freshmen Nursing majors with some minor edits regarding pre and
post survey specificity and assignment instructions.
Student participants will be followed as they enter assessment courses.
Problem Addressed:
Impact of Resiliency Education to Reduce Burnout in Newly
Graduated Registered Nurses
Katie Thomas (Presenter)
Newly graduated registered nurses experience burnout at a higher rate than more experienced nurses. Burnout, or
the feelings of exhaustion, cynicism, and depersonalization, is now a recognized medical condition. Moral distress
caused by discrepancies in expected work environment compared to reality is a primary cause of burnout in this
population of new nurses. Additionally, burnout is a primary cause of turnover in healthcare. Resiliency has been
shown to protect against the development of burnout. Introducing resiliency education into a nurse residency
program can lessen burnout symptoms and improve intent to stay.
Objectives:
The purpose of the poster is to demonstrate the feasibility of introducing resiliency education and tools into the
orientation of newly hired registered nurses in the acute care setting.
Methods/Procedures:
A review of the literature was completed, and an implementation plan to introduce resiliency education into a
nurse residency program in a hospital setting was developed. Implementation is planned for late fall 2019.
79
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Findings:
Resiliency can mitigate the stress of the workplace environment to protect against burnout symptoms in new
nurses. Education and organizational support can increase individual resiliency. More resilient nurses report higher
intent to stay.
Recommendations for Practice/Research:
Incorporating resiliency education and tools into orientation for new nurses can help to reduce reported burnout
symptoms and increase intent to stay. Retention of nursing staff is essential for patient safety and high quality care.
Implementation of a Medical-Legal Partnership for a Low-Income Community at a Nurse-
Managed Health Center
Problem Addressed:
Carrie Plummer (Presenter)
Jillian Scott (Co-Presenter)
The Clinic at Mercury Courts (CMC) is a nurse-managed, community health center serving low-income patients
experiencing homelessness in Davidson County, Tennessee. In 2017, 68% of CMC patients lived 200% below the
poverty threshold and 38% experienced extended periods of homelessness. A review of the evidence-based
literature reveals that health-harming legal needs (HHLNs) negatively impact health outcomes. CMC patients
report having HHLNs, which currently are beyond the scope of the services provided by the CMC.
Objectives:
1. To determine how best to integrate a medical-legal partnership (MLP) into the existing care delivery
infrastructure of the Clinic at Mercury Courts.
2. To identify the most common Health-Harming Legal Needs experienced by CMC patients
3. To identify necessary key stakeholders for successful establishment and integration of an MLP
Methods/Procedures:
Students established relationships with key stakeholders, including: 1) CMC leadership, staff, and patients; 2)
Belmont Law faculty, and; 3) Legal Aid. After obtaining IRB approval students conducted a focus group with CMC
patients to identify commonly experienced HHLNs. Qualitative data was transcribed, coded, and analyzed for
emergent themes.
Findings:
Twelve participants identified tangible (lack of transportation, mobility limitations) and structural (powerlessness,
lack of dignity) barriers to accessing care, as well as HHLNs, including: lack of health insurance, disability, and
records expungement. Participants highlighted the need for continuity and follow-through to establish a sense of
community, compassion, and trustworthiness.
Recommendations for Practice/Research:
Over the course of 6 months, a team of nursing students identified the steps necessary to integrate a medical-legal
partnership into the existing structure of the Clinic at Mercury Courts. In addition, they established relationships
with key stakeholders in both the community, the clinic, and consolidated the necessary academic partnership
between the nursing and law schools. This provides the next cohort of MLP students access to a network of
collaborators ready to engage in the next steps towards implementation of the MLP. Analysis of the focus group
data identified patient interest in and need for specific medical-legal services. Given the importance of continuity
and follow-through for patients, a continuous and structured leadership team will provide stability as students
cycle through each academic year.
80
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Implementation of a Self-Care Curriculum for Nursing Students in Guyana’s Largest Public
Hospital
Problem Addressed:
Shelby Gamble (Presenter)
Elna (Rose) Preston (Co-Presenter)
Akaninyene Ruffin (Co-Presenter)
Peyton Wohlwender (Co-Presenter)
Often in low-resource settings health care professionals lack adequate access to knowledge surrounding coping
mechanisms, trauma informed care, and self-care strategies that could help alleviate the high levels of stress that
they encounter daily.
Objectives:
This project will promote knowledge, use, and dissemination of information on self-care and coping strategies by
the Accident and Emergency (A&E) nursing staff at Georgetown Public Hospital Corporation (GPHC) in Guyana,
South America. The goal is to give nursing staff currently enrolled in GPHC’s Bachelor’s Programme in Emergency
Nursing the information needed to increase self-care practices in efforts to mitigate burnout rates.
Methods/Procedures:
Vanderbilt University School of Nursing (VUSN) students worked in conjunction with Dr. Jessica Van Meter to
create a four hour nursing curriculum on self-care, burnout, trauma-informed care, and coping strategies. This
curriculum was taught to A&E nursing staff during the spring of 2019. Knowledge of self-care and burnout were
assessed with surveys at baseline and reassessed two weeks and four weeks after presentation of curriculum.
Findings:
Our results indicated a shift in the student’s perception of self-care from “Basic Needs” to more “Holistic” and
“Health” focused. This shows that before our intervention, there was a different understanding of the framework
of what self-care is. Additionally, our survey indicated that a large barrier for students wishing to perform self-care
was a lack of resources. This shows that nurses cannot engage in self-care without having their basic work needs
met (appropriate pay, nurse to patient ratio, and schedules). Our results also indicated that further education about
self-care could be productive in order to continue the improvement of the participants’ confidence.
Recommendations for Practice/Research:
Previously Guyanese nursing education has not covered self-care. The positive outcomes of this intervention
encourage inclusion of self-care curriculum in standard nursing education. Continued use of this education at
GPHC with additional cohorts would increase the number of participants and allow for data analysis assessing
statistical significance. It could be efficacious to repeat similar interventions in low-resource and high-resource
settings to analyze the difference in results across cultures, geographical areas, or hospital units.
Problem Addressed:
Mac Attack: Nontuberculous Mycobacteria Infections on the Rise
Janet Mulroy (Presenter)
Pulmonary nontuberculous mycobacterial infections affect the most vulnerable members of our population, and
this opportunistic infection commands our respect and our attention. The purpose of this session is to emphasize
the importance of recognition, diagnosis, and multidisciplinary management of nontuberculous mycobacterial
infections, formerly known as Mycobacterium Avium Complex infections.
81
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Objectives:
1. Describe the incidence, host characteristics, and epidemiology of nontuberculous mycobacterial infections
2. Review the many challenges in the diagnosis of nontuberculous mycobacterial infections
3. Outline the treatment options and long term management of nontuberculous mycobacterial infections
Methods/Procedures:
lecture and discussion
Findings:
Nontuberculous mycobacteria are environmental pathogens which are present in nearly every water source.
Patients with weakened immune systems can become infected through everyday activities such as showering
or gardening and the incidence of infection is estimated to be between 12,000 and 18,000 people per year.
Nontuberculous mycobacteria are found in household and industrial water sources and may be transmitted as
a nosocomial infection. The rates of infection are much greater in those over 65 years of age and in those with
all forms of immunosuppression. The pulmonary nontuberculous mycobacterial infection creates irreversible
structural changes in the lung called bronchiectasis and bronchiectasis leads to fibrosis, impaired oxygenation, and
serious disability.
Recommendations for Practice/Research:
Treatment of nontuberculous mycobacterial infection requires prolonged courses of antibiotics with many
unpleasant side effects and significant potential for toxicity. The patients experience frequent exacerbations and
require extensive healthcare resources. Through heightened awareness, recognition, accurate diagnosis, and
multidisciplinary management of this infection, we will be able to make a difference in survival and improve their
quality of life.
Nurse Staffing & Patient Outcomes: A Systematic Review of the Current Evidence
Problem Addressed:
Jacqueline (Jackie) Frain (Presenter)
Elli McDaniel (Co-Presenter)
Renee Burton (Co-Presenter)
Nurses make up the largest population of healthcare workers in the United States and have a strong capacity to
affect change where they work and beyond, including healthcare finances. Previous research has correlated large
patient loads with negative outcomes, such as increased morbidity and mortality, longer length of stay, a negative
work environment, and financial losses.
Objectives:
The purpose of this systematic review was to examine the current and landmark literature related to nurse staffing
and patient outcomes to determine the effect of higher and lower nurse-to-patient ratios. Specific research
questions were:
1. Do nurse staffing numbers correlate with patient outcomes?
2. If so, (a) which outcomes are most affected by staffing ratios and (b) how are they affected?
3. What financial impact does nurse staffing and adverse patient outcomes have on hospitals?
82
Methods/Procedures:
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Methodology – Systematic review
Data sources – We searched three electronic databases for scholarly articles from dates January 2001 to
December 2018. Databases included PubMed, CINAHL, and Cochrane.
Review methods – Three team members independently searched for and located articles within the three
databases. Articles were then screened for validity and context within the predetermined inclusion and exclusion
criteria using rapid critical appraisal techniques. Articles that passed independent screening were then critiqued by
all team members to ensure appropriateness to the review. The final set of studies were assembled into evaluation
and synthesis tables to determine the heterogeneity of findings and to draw conclusions.
Findings:
Results – A total of 629 articles were found using predetermined keywords, of which fifteen satisfied the
predetermined inclusion criteria related to nurse staffing and patient outcomes. Five additional articles were
found that represented financial data or estimates. Thirteen of the fifteen studies were qualitative or descriptive
in nature. Only five studies adequately defined nurse staffing thresholds, and there was little homogeneity among
the definitions. The most common nurse staffing variables used were patient/nurse ratio (6/15), hours of nursing
care (6/15), and skill mix (6/15). Populations studied were mostly adult (typically ≥18 years old) (9/15), in multiple
acute care hospitals (12/15) with multiple unit types (11/15). The most frequently examined patient outcomes were
falls (5/15), HAPI (6/15), sepsis & hospital-acquired infections (including CLABSI, CAUTI, and VAP) (6/15), inpatient
mortality & failure to rescue (7/15), and length of stay (3/15).
Conclusion – Nurse staffing results from multiple studies demonstrate that higher patient loads are associated with
negative patient outcomes, including patient mortality, at statistically significant levels across the studies included
in this review. While there were many statistically significant associations, it is challenging to draw conclusions
on which variables were most affected due to the heterogeneity of the studies and results and lack of concrete
definitions of variables. The studies that cited financial implications show mixed data regarding the potential
cost savings of hiring more registered nurses, though they consistently demonstrate a cost benefit, with savings
estimates as high as $6.9 billion annually nationwide (Needleman et al., 2011).
Recommendations for Practice/Research:
Not reported
Problem Addressed:
students engagement; nursing research; mentoring
Objectives:
Nursing Students and Research: Common Grounds
Esther Sellars (Presenter)
Present one approach to engage nursing students in implementation of research and provide an overview of
utilization of nursing research to guide practice.
Methods/Procedures:
Not reported
Findings:
As nurses, a lifelong expectation is that to improve and provide the best possible care to patients, one must utilize
basic efforts in reviewing and applying evidence to guide decision/practice. Students were challenged to start
the research process from the beginning, utilizing the PICO process, and develop an individual research project. A
systematic review had to be completed.
83
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Recommendations for Practice/Research:
The research process, samples of the project at various points- at the beginning, midway, and the final projects will
be presented. The growth of the students will be illustrated along with the appreciation of research to evidencebased
nursing practice will also be presented.
Problem Addressed:
Predictors of Uncompleted Emergency Department Care: Patients Who
Leave Against Medical Advice
Mary Jones (Presenter)
Uncompleted visits to the emergency department (ED) are a critical safety concern. Types of uncompleted visits
include patients who leave without being seen (LWBS) by a medical provider and those who leave against medical
advice (AMA). Patients who leave AMA often do so prematurely as evidenced by higher emergent hospitalization
rates compared with those who LWBS or those who complete their care (Ding et al., 2007). A study by Jerrad
and Chasm (2009) demonstrated that patients who decided to end their stay in the ED AMA and forgo further
evaluation have significant illness burden. In addition, a study by Garland et al. (2013) showed that adults who left
AMA had higher rates of hospital readmission and death, and elevated rates of readmission and death persisted for
180 days.
Objectives:
Define the characteristics associated with patients who chose to end their care prematurely within the Emergency
departments. The results will be used to improve the quality of ED care throughout the hospital system, and will
allow identification of the patients who are at risk to leave AMA. More importantly, these results will allow the
provision of interventions to decrease rates of patients who leave AMA.
Methods/Procedures:
The purpose of this study was to determine predictors of patients leaving emergency departments (ED) within
a system of five Mid- South hospitals and to add to the existing body of literature on this topic. We compared
patient characteristics and clinical conditions of ED patients who left AMA to those who completed care.
Completed care was defined as admitted to the hospital or discharged home. Patient characteristics included age,
gender, race/ethnicity, payor source and clinical condition defined by triage level.
Findings:
This study included a retrospective cohort of all ER patients (1,214,975) registered from July 1, 2014 to June 30,
2018. Out of the 1,214,975 patients, 20,294 patients left AMA (1.67%). Among the 20,294 patients who left AMA,
54.1% were female, while 45.7% patients not leaving AMA were male. Compared to patients less than 25 years of
age, age groups 25-34, 35-44, 45-54, and 55-64 were more likely to leave AMA, while patients 65-74 or >=75 years
of age were less likely to leave AMA (p
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Quality Improvement Daily Weights in an Acute Care Settings Utilizing Shared Governance in
a VA Setting
Problem Addressed:
Marqueta Abraham (Presenter)
Teris Webb (Co-Presenter)
Noncompliance in obtaining daily weights leads to delays in establishing treatment and discharge plans(Crawford
2018) There are five important areas for patient weights they are: Dialysis , an injection fraction of less 40% .
Diagnosis of Heart Failure(HF), Congestive heart Failure(CHF), Fluid Overload, Elevated BNP greater than 100 and
Myocardial Infarction(MI)
Objectives:
The shared governance team for the acute care unit was composed of a multidisciplinary team in an acute care
setting. The group reviewed the present practice and also chose as the first project to review the policy regarding
daily weights and then set timelines to implement the project.
Methods/Procedures:
Using the Model for Improvement, where changes are tested in small cycles that involve planning, doing, studying
and acting (PDSA)(Jones 2019). This quality improvement project allowed clinicians to work with a team and
identify an issue and implement interventions that could result in true improvements in quality of patient care.
(Jones 2019)
Findings:
The results of the project affected the following:
1. Improvement on initiating daily weights order via a nurse driven protocol.
2. Ability to obtain accurate monitoring of a patient’s weight
Recommendations for Practice/Research:
Process improvement can be applied to any clinical setting for improved care. The project showed improvement
is highly beneficial, positive process which enable clinicians to deliver true changes for benefit of themselves, their
organization and most of all their patients. In future process improvement projects hopefully momentum can be
gained to improve other work related problems.
Problem Addressed:
The Role of Safety Coaches in a Culture of Safety
Amy Perry (Presenter)
Safety Coach programs embed safety specialists from all disciplines to mentor others in safe practices. Coaches
reinforce communication and teamwork to promote safety and prevent patient harm. They contribute to a culture
of safety at the frontline of care. A robust culture of safety increases work satisfaction and reduces nurses turnover.
Objectives:
The evidence related to safety coach programs establishes the need for coach mentoring, opportunities for
coaches to share safety stories, and continuous training. The lack of a formalized safety coach program was
identified as a gap in practice. The translational project designs a quality improvement initiative to address this gap
by providing mentoring, education, and opportunities to further develop coaching skills.
Methods/Procedures:
This project applies the nursing theory of self-efficacy to assess the components of the Safety Coach role
perceived by coaches as areas of weakness. Initial measures of Safety Coach competence and unit culture of
85
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
safety were taken using the Safety Coach Self-Efficacy Tool and the Safety Attitudes Questionnaire. Informed
by this assessment, training and mentoring is aimed at increasing Safety Coach self-efficacy to maximize the
effectiveness of the overall program. Following six months of interventions, the measures will be retaken to assess
the effectiveness of changes made to the Safety Coach program.
Findings:
Interventions and data collection are ongoing during the summer, and will conclude in early fall. Discussion of
findings will include the change in pre and post intervention scores on the Safety Coach Self Efficacy Tool and
Safety Attitudes Questionnaire. Qualitative measures include a pre and post intervention Focus Group related
to the challenges of serving as a Safety Coach. Projected findings include improvement in overall unit culture of
safety.
Recommendations for Practice/Research:
The Safety Coach Self-Efficacy Tool was developed by the DNP student for the purpose of this project. Further
studies could include the validation of this tool at additional facilities with existing Safety Coach programs.
Additionally, the measurement of the effectiveness of such a program is necessary for evaluation by hospital
administrators. Further research regarding tools useful for this purpose are needed.
STIGMA: Stopping Traumatic Incidence through Governed Mental Health Awareness
Problem Addressed:
Brooke Epperson (Presenter)
Millions of people in the United States are living with a serious mental illness or substance abuse disorder with
the number of behavioral health patients being treated in the emergency department (ED) growing each year.
The behavioral health patient population deserve to be cared for by a trained nursing staff. ED nurses are trained
to handle dynamic and rapidly changing patient scenarios. While ED nurses participate in training focused on
advanced cardiovascular life support, trauma training, and pediatric resuscitation, one area that has lacked focus is
behavioral health. The purpose of this project was to measure the perceived competency and safety attitudes of
ED nurses at Tennova Healthcare in Cleveland, TN. This project utilized both qualitative and quantitative research
methods. The findings from this translational project may provide data that reveals the need for a continued
behavioral health competency program in the ED.
Objectives:
The purpose of this project was to measure the perceived competency and safety attitudes of ED nurses at
Tennova Healthcare in Cleveland, TN. The objectives of this DNP translational project included the increased
competency and safety attitudes of ED staff nurses. Training sessions using the Substance Abuse and Mental
Health Associations Trauma Informed Care and practice guidelines were implemented to increase knowledge and
skills for staff nurses providing behavioral health patient care.
Methods/Procedures:
This project utilized the Behavioral Health Care Competency Survey (BHCC) and the Safety Attitudes
Questionnaire (SAQ) tools to measure ED nurse perceptions of behavioral healthcare competency pre and post
implementation of a behavioral health practice guidelines and competency program. Along with the quantitative
data, this project will include qualitative data from ED nurse focus groups.
Findings:
At the time of this abstract submission, project interventions and data collection are ongoing. Analysis of project
results and findings will be completed by early Fall in time for presentation in October. Initial impressions of
findings are that emergency nurses do not feel competent or adequately prepared to provide appropriate care for
86
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
behavioral health patients. An anticipated finding is the need for additional and regular training to increase staff
perceived competence and awareness of available resources.
Recommendations for Practice/Research:
Not reported
Utilizing Nursing Communication Cluster to Improve Patient Healthcare Experience
Problem Addressed:
Melinda Evans (Presenter)
Tamara McKenzie (Co-Presenter)
Nursing leadership recognized need to improve patient satisfaction scores and how well nursing staff was
addressing patient’s immediate needs on Memphis Veterans Affairs Medical Center (VAMC) Acute Care unit.
Acute Care (2 South) created a nursing communication cluster that included evidence-based practices to help
bridge the gap between caring and communication with the Memphis VAMC patient population. In addition,
this communication cluster would also improve communication practices between nursing team members. The
initiatives included: implementing bedside shift report (BSR), executing nursing leader daily rounding, nursing staff
hourly rounding, maintaining activated call light and providing patient service training to all nursing staff.
Objectives:
Nursing Communication Cluster was specifically created to:
1. Improve staff response time to patient call lights
2. Reduce the number of times patient used call lights through hourly rounding
3. Improve patient satisfaction and communication between staff and patients with Bedside Shift Report.
Methods/Procedures:
The first 90 days of the Communication Initiatives helped introduce the ideas to staff and to get members
acclimated to doing Bedside Shift Reports and Hourly Rounding the correct way. The project leader also
recognized that changing culture and mindsets takes time. The next phase (90-180) will be used to collect data
that will help usher in consistent and long-lasting change. During Phase 2, the unit will focus on data improvement
measures that demonstrate improvement in patient satisfaction scores. Additionally, a greater emphasis will be
placed on monthly customer service training that focuses on how to properly greet, connect and build rapport
with the patient.
Findings:
Pending outcome of Phase 2 of project (90-180 days) which include reduction in call light and amount of
time taken to respond, increase of hourly rounding documentation. As well as review of Survey of Healthcare
Experiences of Patients (SHEP) Scores 2019, Quarter 3/4.
Recommendations for Practice/Research:
Recommended to continue with implementation of the Memphis VAMC Communication Cluster over next 90-
180 days and prepare for roll-out to other inpatient units hospital-wide. With continued focus on training staff
on patient satisfaction tactics. With anticipation of official Survey of Healthcare Experiences of Patients (SHEP)
Scores
87
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Tennessee Nurses Association
Statements of Financial Position,
December 31, 2018 and 2017
88
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Tennessee Nurses Association
Statements of Activities and Changes in Net Assets,
For the Year Ended December 31, 2018
89
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Tennessee Nurses Association
Statements of Activities and Changes in Net Assets (Continued),
For the Year Ended December 31, 2017
90
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Tennessee Nurses Association
Statements of Cash Flows,
For the Years Ended December 31, 2018 and 2017
91
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
92
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
93
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
TNA Past Presidents
*Mrs. Lena A. Warner...............................................1905-1918
*Nina E. Wootton........................................................1918-1919
*Myrtle Marion Archer.............................................1920-1921
*Mrs. Daisy Gould......................................................1921-1923
*Mrs. Myrtle E. Blair..................................................1924-1925
*Abbie Roberts..........................................................1926-1927
*Mrs. Corrine B. Hunn.............................................1928-1929
*Hazel Lee Goff........................................................1930-1932
*Nancy Rice (Nashville)..........................................1933-1935
*Aurelia B. Potts (Nashville).................................1936-1937
*Mattie E. Malone (Memphis)...............................1938-1939
*Lennis Ault (Knoxville).........................................1940-1942
*Frances H. Cunningham (Memphis)...............1942-1944
*Beatrice M. Clutch (Nashville)...........................1944-1948
*Ruth Neil Murry (Memphis)................................1948-1950
*Elizabeth H. Killeffer (Cookeville)....................1950-1952
*Violet M. Crook (Union City).............................1952-1955
*Catherine M. Sterling (Memphis)......................1956-1959
*Vesta L. Swartz (Johnson City)........................1960-1961
*Mary Frances Smith (Memphis)........................1962-1966
*Dorothy L. Griscom (Memphis)........................1966-1969
*Dorothy Hocker (Nashville).................................1969-1971
*Mary Evelyn Kemp (Nashville)............................1971-1973
*Erline Gore (Nashville)..........................................1973-1975
*Patsy B. McClure (Knoxville)...............................1975-1977
*Emma Lou Harris (Chattanooga).....................1977-1979
*Mary Windham (Clarksville)................................1979-1981
Annie J. Carter (Nashville).....................................1981-1983
Margaret Heins (Knoxville)...................................1983-1985
Virginia(Ginna)Trotter Betts(Nashville)...........1985-1987
Margaret Heins (Knoxville)...................................1987-1989
Frances Edwards (Nashville)...............................1989-1993
Carol Blankenship (Johnson City)....................1993-1995
Sharon Adkins (Nashville).....................................1995-1997
Margaret (Peggy) Strong (Memphis)...............1997-1999
Gary Crotty (Knoxville).........................................1999-2001
Wanda Neal Hooper (Nashville)......................2001-2003
*Maureen Nalle (Knoxville)................................2003-2005
Susan Sanders (Lynchburg).............................2005-2007
Laura Beth Brown (Nashville)..........................2007-2009
Elizabeth (Beth) H. Smith (Piney Flats).........2009-2011
Lena Patterson (Ooltewah)..................................2011-2012
Jill S. Kinch (Nashville) (Interim President)..........2012-2013
Frances (Billie) Sills (Johnson City).................2013-2015
Sandra (Sandy) Murabito (Nashville)..............2015-2017
*deceased
94
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Providing A Higher
Degree of Care
A leader in nursing
education at bachelor,
masters and doctoral
levels, and nationally
recognized for its
nurse-managed
health centers, rural
focus, interdisciplinary
programs, and community
partnerships.
Take Your Career to
A Higher Degree
www.etsu.edu/nursing
95
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
2019-2020 TNF Board of Trust and Staff
Staff
Mission Statement - Promoting Professional Excellence in Nursing
96
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
97
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
You chose to be a nurse because you care...
join our family of Caring People. Changing Lives. Every Day.
Be an integral part of a dynamic team at Tennessee’s Largest Rehabilitation Hospital
» Competitive Pay/Excellent Benefits/PTO
» 403b Retirement Plan with Match
» Ongoing Educational Opportunities
» Tuition/Scholarship Programs
» Progressive Clinical Programs
» Day & Night Shift Positions: Full Time/Float/PRN
» 12 Hour Shifts
» More Time to Interact with Patients
Contact:
Rosania Burton, HR
rburton@siskinrehab.org
423.634.1268
98
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
99
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
100
TNA 2020
Events
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
Save the Dates
Nurses Day on the Hill
February 4, 2020
The traditional Legislative
Summit will be changing this
year to Nurses Day on the Hill.
The focus will be on
engaging TNA members and
RNs from across Tennessee in
advocacy on TNA priority
legislation.
TNA Annual Conference
October 30 - November 1, 2020
Franklin Marriott Cool Springs
We’ll see you in 2020!
101
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
DNP
Family Nurse Practitioner
1st year 100% online with 6 days maximum on-campus days per year
Nurse Anesthesia 1st year 100% online
Post-Master's DNP Program 100% online
For more information contact:
Dr. Katy Garth, 270-809-6669 | kgarth@murraystate.edu
Dr. Dina Byers, 270-809-6223 | dbyers@murraystate.edu
murraystate.edu/nursing
Equal education and employment opportunities M/F/D, AA employer
102
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
103
2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES
104
Change language