The Oklahoma Nurse - May 2020

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THE

OKLAHOMA

NURSE

The Official Publication of the Oklahoma Nurses Association

Quarterly publication delivered to approximately 64,000 Registered Nurses and LPNs in Oklahoma

Volume 65 • Number 2

May 2020

CELEBRATING OKLAHOMA NURSES

2020 ONA Annual Convention

The Oklahoma Nurses Association is pleased to

announce the 2020 ONA Annual Convention, Year

of the Nurse: Celebrating Oklahoma Nurses.

We genuinely want to focus on celebrating

nurses, including your dedication and your

accomplishments, as it has already been an

extraordinary year. Please share how you and your

colleagues have dealt with adversity, innovative

ways you've ensured patient care, and how you've

advanced nursing. Other professional development

ideas include leadership, individual well-being,

emergency response, patient care, and advancing

the discipline.

Call for Proposals

We invite you to submit a presentation or

poster related to the topics listed below. The

strength of the ONA Convention is in its outstanding

array of educational activities, which directly relate

to nurses, nursing, and the profession. By reaching

across specialties and practice settings, convention

presentations should strive to enhance the skills of

nurses in all phases of their careers. We want to

continue this tradition through engaging speakers

and presentations. We will have four rounds of

breakout sessions for potentially eight sessions in

total.

Breakout sessions will be held on Thursday,

October 1. These breakout sessions will have two

concurrent 60-minute sessions. The Convention

Committee invites you to submit one or more

proposals for the presentation type most applicable

to you. Convention participants should be able to

clearly identify ideas learned during the presentation

that will directly impact or enhance their professional

practice.

Whether you are a first-time poster presenter

or a seasoned presenter, we encourage you to

submit your work for this year's Convention. Both

primary and secondary research is acceptable. The

current resident or

Presort Standard

US Postage

PAID

Permit #14

Princeton, MN

55371

Convention Committee will review posters based on

the following categories.

• Concurrent Session Presentation

(60 minutes) Deadline June 3rd

• Poster Presentation (written format;

30 minute staffed session) Deadline June 3rd

- Academic

- Clinical Practice & Research

- Theory, Concept, Teaching Papers &

Research

- Literature Review

Suggested Topics for the Breakout Sessions:

• Advocating for Your Patients

• Altered Standards of Care

• Crisis Response

• Emergency Preparedness

• End of Life Care – Advance Directives

• Historical Perspectives

• Incivility Issues and Resolutions

INSIDE

CEO Report. ....................... 2

President’s Message. ................ 3

Emerging Nurses. ................... 4

RN2Leader ........................ 6

Nurses Climate Challenge. ............ 7

Call for Nominations. ................ 8

Recognizing Nursing Excellence. ....... 9

• Interprofessional Practice and What That

Means for Nurses

• Just Culture and Beyond

• Nursing Ethics

• Nursing Leadership

Nurses Voices – Remaining United and

Moving Forward

Nurses on Boards – The Importance of

Nurses Representation in Communities

Nurse Innovators – Innovation and

Entrepreneurship

• Nursing Research and Evidence-Based Care

• Political Advocacy in Nursing

• Practice Innovation

• Strength-Based Nursing

• Uncomfortable Conversations: Dealing

with Death, Dying and Organ Donation and

Transplants

• Work-life Balance/Self-care/Mindfulness/

Burnout Prevention

Educators Corner .................. 10

Responsible Use of Social Media ...... 11

Nurses Day at the Capitol. ........... 12

State of the World’s Nursing 2020. .... 14

Why, More Than Ever, We Need

Nurses as Spiritual Comforters. ..... 15

Ways to Celebrate Year of the Nurse. .. 19


2

The Oklahoma Nurse May, June, July 2020

Oklahoma Nurses Association Regions and Regional Presidents

Oklahoma Nurses Association

Region 1:

President: Lucas Richardson-

Walker

Region 2:

President: Donna Fesler

Region 3:

President: Julie Nevins

Region 4:

Vacant

Region 5:

President: Nakeda Hall

Region 6:

President: Viki Saidleman

Contact information available at www.oklahomanurses.org

Editor: ona@oklahomanurses.org

ONA 2018-2019 BOARD OF DIRECTORS:

President – Karen Ann Taylor, DNP, APRN-CNP, PMHNP-BC

President-Elect – Shelly Wells, PhD, MBA, APRN-CNS, ANEF

Vice President – Angela Martindale, PhD, RN

Secretary/Treasurer – Julia Profit-Johnson, RN-BSN

Membership Development Director – Brandi M. Payton,

MSHCA, BSN, RN

Education Director – Vanessa Wright, PhD, MSN, RN

Practice Director – Michele Bradshaw, BSN, RN

Political Activities Director – Megan Jester, MS, RN

Emerging Nurse Director – Tina Stewart, MSN, BSN, RN

Region 1 President – Lucas Richardson-Walker, BSN, RN

Region 2 President – Donna Fesler

Region 3 President – Julie Nevins

Region 4 President – VACANT

Region 5 President – Nakeda Hall, DNP, APRN-CNP

Region 6 President – Viki Saidleman, RN

ONSA Consultant – Dr. Dean Prentice, Colonel (Retired),

USAF, NC, DHA, MA, BSN, NE-BC

ONA STAFF:

Jane Nelson, CAE — CEO

Andrea Starmer — Event Planner

Sarah Sopcak — Communications Specialist

CEO REPORT

Standing Tall During the Year of the Nurse

Jane Nelson, CAE

Never in a million years

could we anticipate the 2020

we're experiencing. On the

frontlines of the COVID-19

pandemic, nurses are

standing tall. This is truly

the Year of the Nurse!

ONA has always worked

to advocate for nurses,

nursing, and the profession

Jane Nelson

as a whole; during this crisis, that adage remains.

Announcing Career Opportunities

You’ve Been Waiting For!

Cimarron Correctional Facility

Cushing, Oklahoma

Now Hiring:

LPN, RN & Mental Health Coordinator

New Licensed Graduates Welcome!

New Starting Pay: Tiered compensation based on

years of experience and shift differential paid!

To learn more, please contact:

Valerie Moreland - Medical Recruiter, 615-263-6616

valerie.moreland@corecivic.com

Apply online at jobs.corecivic.com

CoreCivic is a Drug Free Workplace & EOE - M/F/Vets/Disabled.

We are working to ensure nurses have a seat at

the table; ONA has been invited to participate with

other health care providers in discussions with the

Governor's cabinet. These meetings have been

focused on Oklahoma's emergency response to

COVID-19 – accessibility of PPE, availability of

testing, and the overall workforce. Additionally,

ONA has signed on or authored several letters to

the Governor regarding Stay-at-Home orders, PPE,

testing, and workforce.

Besides these advocacy efforts, we've worked

to develop a place on our website for our nurses

to find resources and tools to help navigate

COVID-19 - we hope you've found these helpful. It's

imperative that you not only have access to these

resources, but that you also have a safe space to

share and network with fellow nurses. We created

our Networks of Support: Connecting Oklahoma

Nurses for just that reason. We'll continue to put on

Networks of Support for the foreseeable future, as

this has also assisted us in advocating for you.

It is our hope that this crisis will be over in time

for the ONA Convention in September. There, we

will celebrate together and reflect on the year's

triumphs & accomplishments. We want to hear your

stories, learn how you’ve innovated, and how you’re

advancing the nursing practice.

Listed in this newsletter are opportunities to

submit an abstract for presentation or a poster at

convention. Let us know if you want to serve on the

ONA Board or if you'd like to nominate a colleague

for an award. All of this is listed through these

pages. We’re also developing a way for you to share

your stories, your pictures, and your experiences.

We will use this to tell "our story" about the work

nurses do every day, rain or shine, pandemic or

not. This will be the focus at the ONA Convention,

on social media, and found in the very pages of this

publication.

We want to continue seeing our Nurses

Standing Tall!

MAILING ADDRESS:

Oklahoma Nurses Association

6608 N Western, #627, Oklahoma City, OK 73116

405/840-3476

Subscriptions:

The subscription rate is $20 per year.

THE OKLAHOMA NURSE (0030-1787), is published

quarterly every March, June, September and December by

the Oklahoma Nurses Association (a constituent member

of the American Nurses Association) and Arthur L. Davis

Publishing Agency, Inc. All rights reserved by copyright.

Views expressed herein are not necessarily those of

Oklahoma Nurses Association.

INDEXED BY

International Nursing Index and Cumulative Index to Nursing

and Allied Health Literature.

Copies of articles from this publication are available from the UMI

Article Clearinghouse. Mail requests to: University Microfilms

International, 300 N. Zeeb Road, Ann Arbor, MI 48106.

ADVERTISING

For advertising rates and information, please contact Arthur L.

Davis Publishing Agency, Inc., 517 Washington Street, PO Box

216, Cedar Falls, Iowa 50613, (800) 626-4081, sales@aldpub.

com. ONA and the Arthur L. Davis Publishing Agency, Inc.

reserve the right to reject any advertisement. Responsibility for

errors in advertising is limited to corrections in the next issue

or refund of price of advertisement.

Acceptance of advertising does not imply endorsement or

approval by the Oklahoma Nurses Association of products

advertised, the advertisers, or the claims made. Rejection

of an advertisement does not imply a product offered for

advertising is without merit, or that the manufacturer lacks

integrity, or that this association disapproves of the product

or its use. ONA and the Arthur L. Davis Publishing Agency,

Inc. shall not be held liable for any consequences resulting

from purchase or use of an advertiser’s product. Articles

appearing in this publication express the opinions of the

authors; they do not necessarily reflect views of the staff,

board, or membership of ONA or those of the national or

local associations.

CONTACT THE ONA

Phone: 405.840.3476

E-mail: ona@oklahomanurses.org

Web site: www.oklahomanurses.org

Mail: 6608 N Western, #627, Oklahoma City, OK 73116

Questions about your nursing license?

Contact the Oklahoma Board of Nursing at 405.962.1800.

Want to advertise in The Oklahoma Nurse?

Contact Arthur L. Davis Publishing Agency, Inc.

at 800.626.4081 or email at sales@aldpub.com.

ONA CORE VALUES

ONA believes that organizations are value driven

and therefore has adopted the following core values:

• Diversity

• Safe Quality Care

• Ethical Care

• Health Parity

• Integrity and Accountability

• Practice Competence

• Professional Development

• Educational Advancement

ONA MISSION STATEMENT

The Mission of the Oklahoma Nurses Association is to empower

nurses to improve health care in all specialties and practice

settings by working as a community of professional nurses.

VISION

Creating opportunities through advocacy, education and

collaboration to become the leading voice for the nursing

profession in the State of Oklahoma.

BRAND PROMISE

Engaging Nurses to make a difference!


May, June, July 2020 The Oklahoma Nurse 3

PRESIDENT’S MESSAGE

Karen Taylor, DNP, APRN-CNP, PMHNP-BC

Greetings,

Initially, I was preparing this message to write about

the WHO designating 2020 as the Year of the Nurse

and Midwife. This year was selected to commemorate

the 200th anniversary of Florence Nightingale’s birth.

However, the landscape of health care has changed.

Nurses are facing the challenge of practicing in the time

of the COVID-19 pandemic. Not unlike our esteemed

predecessor, we are being asked to provide care in the

time of an unprecedented health care emergency with

limited resources.

This is a saddening, stressful, and frustrating

time in healthcare and nursing. It is sad we have to Karen Taylor

deny families presence with their ill and dying family

members. It is stressful to make decisions not based on recognized standards

of care, and it is frustrating not to have the supplies or resources needed to

provide safe, effective care to patients.

Nurse educators have to adapt their teaching methods, and students are

not able to get the clinical experience they need to learn the skills only you can

teach them. Many of us are not able to feel safe going home to our families due

to fear of bringing the virus home.

Initially, our government thought they could control the spread of the virus;

however, it has become apparent that we are now in a healthcare crisis. I hear

nurses speak out daily about the emotional toll this is taking on them, their

colleagues, and the people in their care. However, as this current situation

evolves, there is one thing that remains constant:

As nurses, you are doing everything you can!

Yes, healthcare is being challenged, but the nursing workforce has

the expertise and adaptability to meet this challenge. We are leaders and

innovators, and despite scarce PPE and resources, we are standing firm on the

front lines in all healthcare settings and adapting to meet the needs of all those

we serve.

ONA continues to meet with our policymakers and leaders in Oklahoma to

advocate for nurses and nursing practice across the state. Although the current

crisis has halted all nursing activities at the Capitol, we can still keep in touch

with our legislators. The ONA encourages you to keep yourself up to date on

current political events as nursing practice policies are evolving during this

crisis.

When you can, I encourage you to review the ONA website. We are adding

resources daily to keep you informed of current COVID-19 related events

and practices along with resources to help you stay safe, healthy, and well.

The ANA website contains a link to the Nurses Code of Ethics, which is a

valuable resource to review as it relates to this time of pandemic: https://www.

nursingworld.org/~495c6c/globalassets/practiceandpolicy/work-environment/

health--safety/coronavirus/nurses-ethics-and-the-response-to-the-covid-19-

pandemic.pdf

Thank you for all you do every day to meet the health care needs of our

fellow Oklahomans and educate future nurses. You are truly the healthcare

heroes!

To access electronic copies of the

Oklahoma Nurse, please visit

http://www.nursingald.com/publications


4

The Oklahoma Nurse May, June, July 2020

EMERGING NURSES

Resiliency

Tina Stewart, MSN, RN

ONA Emerging Nurse Director

During these unparalleled times, I'm sure it feels

like everything you have read or watched has to

do with the COVID-19 virus. In nursing school,

I remember remarking that it felt like joining the

military, saying "They tear you down to build

you up." The “tear you down” part of that quote

correlates to the amount of hectic work, believing

you aren't good enough, passing exams by the skin

of your teeth, and having to socially isolate yourself

from friends and family in order to study. I also heard

remarks from most of my teachers, "Nurses should

always adapt to their environment."

As I look at those two statements together, it

truly puts today's world into perspective. Medical

professionals everywhere are in a warzone, fighting

"Nurses should always adapt

to their environment."

a battle that no one has ever seen before, struggling

with limited ammo (PPE), and not knowing what is

happening now nor the next day. How in the world

are we able to adapt to that environment? How do

we, as nurses, advocate for those patients when we

are unable to advocate for ourselves?

I have heard of numerous methods to safeguard

yourself from this monstrous virus, but I haven't

heard much about "psychological safety." A Harvard

Business School professor, Amy Edmonson, created

this term as part of her research development on

behaviors in teamwork. Treating and eliminating this

virus will take effort from everyone; this includes not

just frontline workers, but society as a whole.

The term, “psychological safety,” denotes one

of the most important characteristics that highly

successful teams have in common. Efficient teams

are comfortable with admitting mistakes and

learning from those mistakes. These teams also

show innovative measures and model curiosity. If

everyone models and fosters psychological safety,

we can build an even bigger army of medical

professionals to reduce deaths and create better

patient outcomes.

As this virus reaches its peak, I encourage every

one of you to be mentally prepared and adapt to

that environment. Stay safe, pray, keep your mind,

body, and soul healthy, and lean on each other in

these unprecedented times.

Nurses make a difference in this world. Speak

up and get other nurses involved in ONA. We work

diligently to make sure your voices are heard.

Individually we are small, but together we are a team

— a team that represents psychological safety.


6

The Oklahoma Nurse May, June, July 2020

RN2LEADER

Dr. Dean L. Prentice, Colonel (Ret), USAF, NC,

DHA, MA, BSN, NE-BC

The world we live in has

changed. The introduction

into our lexicon of the term

“Coronavirus” has changed

our lives and how we live.

As leaders, our strength,

resolve, and dedication to

our people and mission

must be very visible,

steadfast, and determined in

times like these.

Dr. Dean Prentice

Crisis Leadership

Through my experiences leading through

disasters, I have observed several behaviors from

leaders which we should avoid during this time. As

a leader, your professionalism will be tested during a

crisis. Many will look to you to set a course forward

through a very inconsistent and confusing time.

Leaders don’t have a day off, so as you continue

through this season of Coronavirus, avoid these

pitfalls of crisis leadership.

The first issue: leaders under pressure

decompensate to low-level professional behavior

and actions. It’s almost a natural evolution. When

stressed, you disengage your critical thinking and

resort to emotional and many times, unprofessional

behaviors. These are exhibited in flip-flopping

in direction, lack of clarity and transparency in

responses, emotional outbursts at inappropriate

times, and alienation of staff, peers, and

supervisors.

Next is a leader who becomes paralyzed or

immovable in their thinking. They fall back into one

way of thinking, unable to adapt to the changing

environment or instructions. They keep trying

to put everything back into their view of normal

without consideration for the evolving direction. This

replicates itself in poor decision making, pushing

conflicting agendas, and adding confusion to the

crisis.

Third is the behavior to stop collaboration. This

leader goes into survival mode; “It’s all about

me or my mission.” The ability to cooperate and

collaborate is gone, or they lose focus on the power

of teamwork, believing they will only be successful if

they take care of themselves. This usually manifests

as a leader who spreads discontent, becomes

suspicious of superiors and followers, and they

usually separate themselves from others, becoming

a lone wolf.

In my days of crisis management, I learned

several things leaders need to do to stay engaged,

relevant, and professional. Know your organization

and personal disaster plans. Engage them early

during the crisis. Take detailed notes of things

working well and not working well while you are

experiencing them. When this is done, there will be

many lessons learned so we can improve for our

next response. This is your job as a leader.

Finally, keep yourself informed through reliable

sources. We have seen how the information during

this crisis is constantly evolving. Steer away from

unverified social media sources and focus on

organizations with more reputable information that is

updated and respected. Now is not the time to pass

along “this helpful article,” which may encourage

misinformation at best, and can be harmful by

increasing unnecessary panic.

Your professionalism is under your control. During

a crisis, you need to protect all of you: your body,

your mind, and your spirit. Take breaks, get respite

downtime, and ensure you follow healthy coping

skills. Remember to speak less and listen more.

When you act, do so with an objective mind, filtered

through another trusted leader, and remain flexible

in thought and action. Those who you lead deserve

the best of you in these times. I know you can do it!

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An Equal Opportunity Employer.


May, June, July 2020 The Oklahoma Nurse 7

Nurses Climate Challenge:

Educating 50,000 Health Professionals by 2022

Authors:

Beth Schenk, Ph.D., MHI, RN-BC, FAAN

Providence-WSU Nurse Scientist/Sustainability

Coordinator, Providence St. Patrick Hospital

Assistant Research Professor, Washington State

University College of Nursing

Elizabeth.schenk@wsu.edu

Cara Cook, MS, RN, AHN-BC

Climate Change Program Coordinator, Alliance

of Nurses for Healthy Environments

cara@envirn.org

Shanda L. Demorest, DNP, RN-BC, PHN

Member Engagement Manager, Practice

Greenhealth

sdemorest@practicegreenhealth.org

There is increasing interest and engagement

among those in the nursing community around

environmental matters that influence human health,

such as climate change. Nurses are trusted health

professionals and make up nearly 40% of the

healthcare workforce, serving as catalysts of change

in their institutions and practice settings.

To inspire nurses to act, the Alliance of Nurses

for Healthy Environments (ANHE) and Health

Care Without Harm (HCWH), launched the Nurses

Climate Challenge (the Challenge) in May 2018. The

Nurses Climate Challenge is a national campaign to

educate health professionals on climate and health,

with nurses leading the education. The Challenge

started with the original goal to educate 5,000 health

professionals. That goal was quickly surpassed

in less than a year due to the combined efforts of

Nurse Climate Champions around the world.

The response to the Nurses Climate Challenge

has been robust. There are over 1,000 Nurse

Climate Champions from nearly all 50 states, with

over 13,000 health professionals educated since

the launch. In addition, nurses from 19 countries

outside the United States have registered as Nurse

Climate Champions. However, there are nearly

four million nurses and 18 million workers in the

healthcare sector in the US alone; therefore, there is

an opportunity to scale the impact of the Challenge

exponentially. To do this, we are aiming to educate

50,000 health professionals by 2022.

The Nurses Climate Challenge offers a

comprehensive toolkit with all the resources nurses

need to educate colleagues on climate and health

and engage in climate-smart practices in health

settings and at home. Nurses using the Challenge

resources are highlighted through profiles (https://

nursesclimatechallenge.org/champion-profiles)

published on the Challenge website, shared

in newsletters, and posted on social media to

showcase the work they're doing and to inspire

others to join.

The Challenge also calls on nurses to be

advocates for climate and health. Leading within a

nursing organization, health institution, or academic

center to spearhead initiatives addressing climate

change is an example of how nurses can move

health professionals from education to action. The

Challenge resources include a guide to taking action

within the workplace and home settings and provide

other points to get started.

As a nurse, you can also educate policymakers

and the public about the connection between

climate and health and how to take action by writing

a letter to the editor in a local newspaper, meeting

with elected officials, or talking with patients,

friends, family members, and/or your community

about the health impacts of climate change. The

Challenge website includes sample talking points

and a "letter to the editor" template in the resources

section.

Furthermore, the Climate, Health, and Nursing

Tool (CHANT) 2020 is now available. CHANT is a

10-minute voluntary survey asking respondents

about awareness, motivation, and behaviors related

to climate and health. Nurses and other health

professions are encouraged to take the survey every

year. Access CHANT here: http://bit.ly/30riTR9.

Learn more and join the Nurses Climate

Challenge by visiting nursesclimatechallenge.org.

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For more information and to apply contact Human Resources:

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1305 W. Cherokee, Lindsay, Oklahoma

405-756-1404 phone • 405-756-1802 fax

lindsayhospital.com

EOE


8

The Oklahoma Nurse May, June, July 2020

Not a Member?

Consider Joining ONA and ANA Now!

Consider Serving on

the ONA Board of

Directors

CALL FOR NOMINATIONS

ONA Board of Directors - 2020

ELECTIONS

SUBMISSION DEADLINE: July 10, 2020

In October, ONA addressed the cost concerns of

non-members by implementing a NEW membership

option. As of March 1, YOU can join ONA and ANA

for $15/month!

This new membership option will provide you

with all the advantages of membership in both

organizations. You’ll have access to a multitude of

opportunities and resources listed below, including

ONA’s Career Center, SoFi, and Premier ANA

member benefits.

Both nationally and internationally, 2020 has been

declared the Year of the Nurse. During the current

legislative session, ONA is working to advance the

nursing profession and improve access to care for

all Oklahomans; to do that, we need your support.

There’s no better time than now – the Year of

the Nurse – to join the professional organization

for nurses in Oklahoma. There’s strength in our

numbers, and together we make an impact by

tackling the issues nurses face every day.

Grand Lake Mental Health Center is a not for profit community

behavioral health center serving adults, children, and families in

Northeast Oklahoma since 1979. We offer an array of recoveryfocused

services for persons with mental illness and persons with

co-occurring substance related disorders.

Join today by visiting:

https://ona.nursingnetwork.com/page/72061-

membership-join-today

Benefits ONA/ANA Members Enjoy:

• Advance your career with free development

resources and webinars

• Stay current with the most up-to-date nursing

news

• Save money with significant discounts on CE,

certification, publications and more

• Network and connect with Registered Nurses

for support and advice

• Make your voice heard with opportunities to

tell policymakers what you think

• Receive ONA member benefits, including a

copy of the Oklahoma Nurse

ONA Members, it’s time to submit your Consent

to Serve form and any nominations for the 2020

ONA elections. We hope that you will consider

running for the ONA Board of Directors, Nominating

Committee, and ANA Membership Assembly

Representatives. Specific open positions are listed

below, and information on each of these roles,

including responsibilities, is available on the ONA

website.

If you are interested in serving as an ONA Board

Member, Nominating Committee Member or

Representative to the ANA Membership Assembly,

please complete the Consent to Serve form,

available online at www.oklahomanurses.org.

You may also nominate a colleague by

completing the nomination form available at www.

oklahomanurses.org. Once you complete the

nomination form, a member of the Nominating

Committee will contact the individual and ask

them to complete the Consent to Serve form. Their

Consent to Serve must be submitted before their

name can be placed on the ballot.

2020 OPEN POSITIONS

Officers:

President-Elect (2 yrs as PE and 2 yrs as

President)

Secretary/Treasurer (2 yrs)

Directors:

Education Director (2 yrs)

Membership Development Director (2 yrs)

Nominations Committee

3 Members (2 yrs)

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Find out more: jobs.ok.gov

Filter by Agency g State

Department of Health

Statewide locations g competitive salary and

benefits package (includes a generous benefits

allowance) g paid time off g retirement g M-F,

8-5, off nights g weekends and holidays, etc.

Questions? Call: 405-271-4171

HumanResources@health.ok.gov


May, June, July 2020 The Oklahoma Nurse 9

Recognizing Nursing Excellence

The Oklahoma Nurses Association has many members whose outstanding

contributions should be recognized. The following award categories have been

established to recognize excellence in Oklahoma Nursing:

EXCELLENCE IN NURSING

NURSING RESEARCH AWARD

NURSING IMPACT ON PUBLIC POLICY AWARD

NIGHTINGALE AWARD OF EXCELLENCE

FRIEND OF NURSING AWARD

EXCELLENCE IN THE WORKPLACE ENVIRONMENT

ELIGIBILITY

Nominees for ONA awards must meet specific criteria:

Nominees must be an ONA member, with an exception for the Friend of

Nursing Award (awarded to a non-nurse), or for the WPA Excellence in the

Workplace Award (presented to an organization). Members of the ONA Board

of Directors and the Awards Selection Committee are not eligible for ONA

awards during the period in which they serve in these capacities.

PROCEDURE AND GENERAL INFORMATION

1. Nominations may be submitted by an individual, association, committees,

regional nurses’ associations, nursing education programs, organized

nursing services or the Oklahoma Board of Nursing.

2. Nominees’ practice area may be in any service setting: administration,

education, direct patient care, legal, consulting, nurse entrepreneur,

public policy, or any area in which professional nurses’ practice.

3. Materials required for nominations include the following:

a. completed nomination form (online form)

b. nominator’s narrative statement (described below)

c. brief curriculum vitae and any additional pertinent information (not

required for the Friend of Nursing award nominations)

d. two letters supporting the nomination, such as acknowledgments

from a supervisor or colleague

4. The narrative statement should detail the accomplishments of the

nominee and be presented concisely.

1. It is this narrative statement that is weighted most heavily in the

selection process.

5. Nominations and attached materials will be treated confidentially.

6. Awards will be presented at the ONA convention on Thursday. Recipients

will be invited to attend the presentation of the award. If, because

of extenuating circumstances, a recipient cannot be present, the

presentation will be made in absentia.

DEADLINE FOR SUBMISSION

The deadline for submission of nominations is August 1. Submit materials

electronically using the ONA website and submitting supporting materials via email.

EXCELLENCE IN NURSING

The Excellence in Nursing Award is conferred on a member who has

developed an innovative, unique, and creative approach that utilizes nursing

theory and knowledge/skills in any practice setting: Administration, Education,

and/or Direct Patient Care. The recipient should be recognized by peers as

a role model of consistently high-quality nursing practice and as one who

enhances the image of professional nursing by creating an environment

promoting professional autonomy and control over nursing practice.

NURSING RESEARCH AWARD

The Nursing Research Award recipient is a nurse who has made a significant

impact on nursing research as a basis for innovation as it relates to one of the

following areas: management, clinical practice, and/or education. Significant

impact means that the nurse has contributed to the creation of new nursing

knowledge through research findings. Additionally, the research has improved

or created a plan for improving nursing management, nursing education, clinical

nursing practice, and/or patient outcomes in response to the findings.

NURSING IMPACT ON PUBLIC POLICY

Nursing Impact on Public Policy Award honors the nurse whose activities

are above and beyond those of the general nursing community to further the

political presence of nursing and/or to accomplish positive public policy for the

nursing profession.

NIGHTINGALE AWARD OF EXCELLENCE

The Nightingale Award of Excellence is conferred on an ONA member who

during their career has:

• Demonstrated innovative strategies to fulfill job responsibilities and/or role

responsibilities in their professional role, and within the community they

work and live.

• Consistently surpass expectations of a professional nurse, thus

enhancing the image of nursing as a profession.

• Demonstrates sustained and substantial contribution to the Oklahoma

Nurses Association.

• Served as a role model of consistent excellence in their area of practice.

Other professional behaviors, such as mentoring, advocacy, research

conduction or utilization, publications, and presentations, should also be

demonstrated throughout his/her career.

FRIEND OF NURSING

The Friend of Nursing Award is conferred on non-nurses who have rendered

valuable assistance to the nursing profession.

Their contributions and assistance are of statewide significance to nursing.

Excellence in the Workplace Environment

The Excellence in the Workplace Environment Award is presented to

organizations that have developed positive work environments. These

organizations must have developed an innovative and effective program,

approach, or overall environment that promotes excellent nursing care, creating

a positive environment for nurses to work, and supporting nurses in their practice.

Please visit the ONA Website for more information on the nominating process

and required documents. www.OklahomaNurses.org

Deadline is August 1.

Where Recovery is Reality...

We are hiring dedicated, compassionate

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Registered Nurse III – Behavioral Health Nursing

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Psychiatric Pediatric Nurse – Behavioral Health Nursing

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To apply, send a resume to

humanresources@odmhsas.org with the facility and

Nurse in the subject line.

EOE


10

The Oklahoma Nurse May, June, July 2020

EDUCATORS

CORNER

Nursing Education

Viki Saidleman MS, RN

Region 6 Leader

ONA Board Member

Nursing Instructor

East Central University

This seasoned teacher

Is now a perplexed creature

As I encounter formats unknown

And travel to the virtual zone.

Sending invites to my room,

Conducting classes by zoom,

Virtual beverage toasts and emoji waves,

Checking out students on the participant page,

Getting class NCLEX questions answered by chat,

Are all the new normal. Just think about that.

Playing remote classroom Kahoot games,

Giving tests in a different way,

Viewing YouTube submissions

Of student skills demonstrations,

Counseling and advising by zoom, email or phone

Get us working together, although really alone.

Spotty audio and unstable connections,

Cause this instructor major heart palpitations.

FIVE-STAR RATED

Through all the changes, the chaos and the

uncertainty,

One hope remains clear — this is temporary.

We continue to make personal connections

While we are moving in this distancing direction.

LEADERSHIP OPPORTUNITIES

• RN Administrative Director of Nursing – All campuses

• RN System Director – Utilization Review / Case Management – All campuses

• RN Director of Nursing – Northwest Surgical Hospital

• RN Director of Education – All Campuses

NURSING OPPORTUNITIES

Community Hospital South:

RN Pain Management

RN Medical Surgical*

RN Circulator*

RN Circulator, Midshift Prime*

RN Emergency Room PRN

Community Hospital North:

RN Medical Surgical PRN

RN Circulator, FT

RN Circulator, Midshift Prime*

RN PACU, Midshift Prime*

RN Pre Op/Phase II Recovery

RN Pre Admission Testing

Patient Care Tech

Come join our award winning team!

3 LOCATIONS IN OKLAHOMA CITY!

COMMUNITY HOSPITAL SOUTH | COMMUNITY HOSPITAL NORTH

NORTHWEST SURGICAL HOSPITAL

Northwest Surgical Hospital:

RN Medical Surgical PRN*

RN Circulator*

Patient Care Tech, PRN

HAPPY NURSES WEEK

We Appreciate Our Nurses!

*Sign On

Bonus

Community Hospital/Northwest Surgical Hospital complies with Federal Civil Rights laws and doesn’t discriminate on the basis of race, color,

age, disability or nationality. Community Hospital and Northwest Surgical Hospital are facilities in which physicians have an ownership or

investment interest. The list of physician owners is available upon request.

To apply, please visit www.communityhospitalokc.com or www.nwsurgicalokc.com.

David Ward, Recruiter, dward@chcares.com, 405-606-2631

We can adapt, and we can cope, for we are flexible.

We can adjust, and we can learn, for we are

unstoppable.

We are focused on the precious prize — your goal.

You will get that bachelor’s degree and RN.

This, we know.

If you are interested in contributing to the

“Educators Corner,” please send your thoughts,

experiences, strategies, and links to your research

discoveries to: marlasmith@

rsu.edu.

Marla Peixotto-Smith,

MSN, Ph.D., RN, is an

Associate Professor in the

RN to BSN program at

Rogers State University.


May, June, July 2020 The Oklahoma Nurse 11

Responsible Use of Social Media

Shonda Phelon, DNP, FNP-BC, PMHNP-BC,

GNP-BC, Director, Council on Advanced Practice

Reprinted with permission from Mississippi RN

December 2019

Social media continues to be a very popular way

for people to connect with the world, communicate

with others, learn new information, and entertain

themselves. Approximately 70% of Americans use

social media daily. Many nurses use social media to

professionally network and are members of blogs,

forums, and social networking sites. At the recent

MNA Convention, the House of Delegates adopted

a resolution to support increasing awareness of

nurses’ responsibility in the use of social media.

Registered Nurses and Advanced Practice

Registered Nurses are active on Facebook,

Instagram, LinkedIn, Snapchat, YouTube, Twitter,

and Pinterest, among others. Social media is a great

way to stay “connected” to family and friends, to

reconnect with old friends, and to plan events such

as family gatherings and reunions. Use of social

media has become so common that we often forget

the risk it poses due to the ease of instantaneous

posting opportunities. At times we may find

ourselves not reflective enough and may post things

that may come back to haunt us and possibly cause

professional or legal consequences.

There are many blogs and forums for nurses

and nurse practitioners that may tempt the nurse

to post an interesting or unique patient case. Some

may even be compelled to share photographs

to educate and inform colleagues and potential

students. Although the intent is usually innocent and

meant to share clinical pearls, results can often lead

to professional and legal problems. Even in closed

groups, many nurses find themselves in spirited

conversations about practice, policy, and education.

However, social media can have some very

positive outcomes when used appropriately.

It provides a platform for keeping up with the

latest evidence-based research. Networking and

connecting with like-minded professionals is also

another positive aspect of social media. MNA has a

FB account that keeps us up to date on the latest

happenings around the state. LinkedIn and other

social sites often are great places to explore new

career opportunities. When used correctly, social

media can enhance practice and help one connect

professionally to other healthcare professionals.

Here are some tips to remember before you click

the post button or share that latest information.

1. Keep patient privacy and confidentiality to

the highest standards. I see many nurse

practitioners, nurses, and students of nursing

posting clinical situations and even pictures

about patients. Social media is not the place

to do this or explore complex cases. Never

post photos of a patient or identify them by

name. Never refer to patients in a demeaning,

or negative manner. Instead of posting

questions about clinical issues, find a mentor,

or consult with a colleague. You can also

reach out to former professors, preceptors or

colleagues to discuss any patient issues. Our

detractors use these postings as fodder to

make us look less educated or skilled.

2. Try to avoid connecting with patients or

former patients on social media. This is

difficult in small communities where you may

know many people. It is very important not to

give professional medical advice or discuss

work-related issues with patients on social

media. Make sure your patients and staff

know this, especially the ones with whom

you have a personal relationship prior to the

nurse-patient relationship.

3. Don’t complain about your workplace on

social media. Facebook or Twitter is not

the place to make negative comments or

post negative pictures about a place of

employment, coworkers, or administration.

This type of behavior not only jeopardizes

your job security but your reputation as

well. If you have work-related issues, meet

with your employer, supervisors or human

resources department to discuss the issues

professionally. Make sure you review your

employer’s social media policy and follow the

rules. It is also a good policy to never use a

workplace email to affiliate you with a social

media site, and to not access a social media

website or post personal pictures, events, etc.

while at work.

4. Keep all activity on social media professional.

There are many posts that may be considered

unprofessional and reflect negatively on the

profession of nursing. Profanity, sexually

explicit or racially derogatory comments,

as well as posts about drug and alcohol use

are unprofessional, question one’s moral

character and reflect negatively on the nursing

profession. I personally wish the “sexy nurse”

costume could be banned, but I routinely

see nurses wearing it to costume parties

and posting pictures on social media. In the

worst-case scenario posting unprofessional

comments or pictures could lead to a charge

of unprofessional behavior by an employer or

the Mississippi Board of Nursing.

When using social media, always think before

you post. Will your post benefit someone or is it a

negative statement about you or the profession of

nursing? Make sure your post adheres to relevant

federal and state laws, state regulations, employer

policies, and the American Nurses Association

Code of Ethics with Interpretive Statements. If you

think something you are about to post may not be

appropriate, most likely it is, and you should delete

the post.

ONLINE RN TO BSN

APPLY NOW!

Social media is a great resource in our world

today, but remember what you post will become

permanent and may follow you for years. Always

remain professional, confidential, and mindful of the

posts you make. Let’s make our social media posts

positive, educational, and something we will never

regret!

References

American Nurses Association (2011), ANA’s Principles

for Social Networking and the Nurse, Guidance

for Registered Nurses, Silver Springs, MD:

Nursesbooks.org.

Balestra, M.L., (2018), Social Media Missteps Could

Put Your Nursing License At Risk, American

Nurse Today, 13, No. 3, 20-21, 63. https://www.

americannursetoday.com/social-media-nursinglicense-risk/

Brous, E., (May 11, 2013) How To Avoid the Pitfalls of

Social Media, American Nurse Today, https://

www.americannursetoday.com/how-to-avoidthe-pitfalls-of-social-media/.

Gardenier, D., Moss, L., & Haney, B. (2019). Can Social

Media Help Us in Advancing Our Agenda?. The

Journal for Nurse Practitioners, 15(1), 10-11

National Council State Boards of Nursing (August 2011)

A Nurse’s Guide to the Use of Social Media,

retrieved from https://www.ncsbn.org/Social_

Media.pdf.

National Council State Boards of Nursing. (2018) A Nurses

Guide to the Use of Social Media, Chicago,

IL: n.p. retrieved from https://www.ncsbn.org/

NCSBN_SocialMedia.pdf.

Reinbeck, D., & Antonacci, J. (2019). How nurses can use

social media to their advantage. Nursing 2019,

49(5), 61-63.

Advance your nursing career with our RN to BSN completion

program. Now accepting applications.

• nFully online program

• nFull- or part-time enrollment options

• nFlexible and collaborative learning environment

• nFaculty committed to student success

• nTransfer scholarships available

The nursing faculty truly want to see students succeed and they make themselves readily

available to help. This makes the whole experience.” - Lacy Smith, Class of 2019

nursing.okstate.edu


12

The Oklahoma Nurse May, June, July 2020

Nurses Day at the Capitol!!

ONA had one of its best Nurses Day at the Capitol on March 3

with over 400 nurses and nursing students! A big thank you to our

legislative panel of Senators Darrell Weaver and Rob Standridge, along

with Representatives Harold Wright and Cynthia Roe. We are very

fortunate to have each of them in legislature advocating for nurses and

our patients. They shared their passion for the issues they are focused

on that affect Oklahoma’s Health Care Future – from clean indoor air,

the importance of immunizations and vaccines, funding, and creating

a safer workplace for nurses and other providers. A highlight of the

day was the session, So How Do They Do This?, where attendees had

the opportunity to demonstrate the legislative process through roleplaying.

Hopefully, everyone got to see how connected ONA’s Lobbyist,

Vickie White Rankin is to our legislators and nurses! It is our hope that

know that you’ve been to the Capitol that we can expect to see you

again, helping ONA make a difference. We need your Voice so that we

can make a difference together.


May, June, July 2020 The Oklahoma Nurse 13


14

The Oklahoma Nurse May, June, July 2020

State of the World’s Nursing 2020

Investing in education, jobs and leadership

April 2020

On April 7th, the World Health Organization

(WHO), in conjunction with the International Council

of Nurses (ICN) and Nursing Now, issued The

State of the World’s Nursing 2020. This seminal

report, released as part of the Year of the Nurse

and Midwife, reflects data submitted by over

191 countries on the nursing workforce. Data

on the U.S. nursing workforce was submitted by

the Department of Health and Human Services.

ANA, as the ICN member from the United States,

partnered with our federal colleagues to support this

report.

Facts from the Report

• Nursing accounts for 59% of the worldwide

health professions workforce.

There are 27.9 million nursing personnel: 19.3

million (69%) are professional nurses, 6 million

(22%) are associate professional nurses and

2.6 million (9%) are not classified.

• Over 80% of the world’s nurses are found in

countries that account for half of the world’s

population.

The global shortage of nurses was 5.9 million

nurses in 2018. With 5.3 million (89%) of this

shortage concentrated in low- and middleincome

countries.

• Globally, the nursing workforce is relatively

young, with substantially older age nurses in

the American and European regions.

The majority (97%) of countries reported that

the minimum duration of nurse education is a

three-year program.

• Seventy-eight countries (53%) reported having

advanced practice roles for nurses.

• One nurse out of every eight practices in a

country other than the one where they were

born or educated.

• Most countries (86%) report having a

designated body responsible for the

regulation of nursing.

• Approximately 90% of the nursing workforce

is female.

• Seventy-one percent of countries (82 out

of 115) reported having a national nursing

leadership position with responsibility for

providing input into nursing and health policy.

The report authors urge governments and

relevant stakeholders to:

• Invest in the massive acceleration of nursing

education – faculty, infrastructure and

students – to address global needs, meet

domestic demand, and respond to changing

technologies and advancing model of

integrated health and social care.

o Countries affected by shortages will

need to increase funding to educate and

employee at least 5.9 million additional

nurses.

o To address the shortage of nurses by

2030 in countries, the total number of

nurse graduates would need to increase

by 8% per year on average, alongside an

improved capacity to employ and retain

these graduates.

o Nurse education and training programs

must graduate nurses who drive progress

into primary health care and universal

health coverage.

• Create at least six million new nursing jobs

by 2030, primarily in low- and middle-income

countries, to offset the projected shortages

and redress the inequitable distribution of

nurses across the world.

o Nurse mobility and migration must be

effectively monitored and responsibly and

ethically managed.

o Policymakers, employers and regulators

should coordinate actions in support of

decent work.

o Countries should deliberately plan for

gender-sensitive nursing workforce policies.

• Strengthen nurse leadership- both current and

future leaders – to ensure that nurses have

an influential role in health policy formulation

and decision-making and contribute to

the effectiveness of health and social care

systems.

o

Nursing leadership and governance is

critical to nursing workforce strengthening.

o Planners and regulators should optimize

the contributions of nursing practice.

o Professional nursing regulation must be

modernized.

o

Collaboration is key to strengthen capacity

for effective public policy stewardship

so that private sector investments,

educational capacity and nurses’ roles in

health service provision can be optimized

and aligned to public policy goals.

RN’s............ $46.00/hr

LPN’s........... $33.00/hr

• Pay Cards

CNA’s...........$20.00/hr

CHHA’s......... $15.50/hr

Conclusion

The report calls on national governments, with

support from domestic and international partners,

to be a catalyst and leader to accelerate efforts to

achieving these goals by:

• Building leadership, stewardship and

management capacity for the nursing

workforce.

• Optimizing the return of current investments

in nursing through adoption of policy options

that include decent work, fair remuneration,

and retention of the nursing workforce.

• Accelerate and sustain additional investment

in nursing education, skills, and jobs.

The WHO report, The State of the World's

Nursing 2020, is officially released. The report can

be found here: www.who.int/publications-detail/

nursing-report-2020.

For more information call today:

Tulsa, OK: (918) 665-1011 • Oklahoma City, OK: (405) 842-7775

Springfield, MO (417) 886-1001 • Dallas, TX (214) 631-9200


May, June, July 2020 The Oklahoma Nurse 15

Why, More Than Ever, We Need Nurses as Spiritual Comforters

Dawn Day, Ed.D, MSN, RN, CNE, COE

Spring Arbor University - Michigan

Chair of Graduate Nursing Programs

Associate Professor of Nursing

School of Nursing and Health Sciences

Whether they are easing pain during an acute

illness, helping patients cope with a new diagnosis,

welcoming a new life into the world, or witnessing

someone’s final breaths, nurses are granted a

unique privilege to be present during the most

intimate moments in the lives of others.

Nurses often witness times of heightened

emotions: stress, joy, fear, or physical and emotional

pain. They are called on to not only care for the

bodies of the most vulnerable but their souls as well.

Regardless of religious affiliation or views, providing

well-rounded care as a nurse can be viewed as a

spiritual calling; compassionate, holistic care that

focuses on the body, mind, and soul has the ability

to take fear, pain, or despair and turn it into hope,

comfort, and peace.

So often, the way patients view their experiences

in healthcare has little to do with the actual outcomes

of their health, but rather how respected, cared for,

valued, and comforted they felt in the process.

During particularly unprecedented times of fear

and uncertainty as the novel coronavirus shakes

the world to its foundations, nurses are on the front

lines of healthcare, providing not only bodily healing,

but care and keeping of the soul as they encounter

patients at their peak of fear, pain, and anxiety. The

aftermath of this pandemic will reach far beyond the

count of lives lost, and the responsibility of nurses

to provide spiritual comfort and healing to all those

affected is one that must be taken on fully and

passionately.

Though it is widely recognized that assessing

and tending to spiritual wellbeing has an important

impact on a person’s overall health, it is often easy

for this vital role of nursing to be lost or forgotten

Aunt Charlotte, “King” Solomon & Maria Gratz

Heroes of the

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in the demands of caring for numerous patients,

managing the mental and physical complexity of

tasks required and integrating technology and

documentation into busy schedules.

However, nurses must be challenged to

remember and respect the core value of caring for

patients at all levels, from physical to spiritual, in

order to deliver the most comfort and healing to

those they serve, particularly during times of crisis.

So how can nurses assess a patient’s spiritual

needs and provide care that is sensitive to the

soul? The main way is by simply being present and

recognizing them as a unique individual.

Patients may feel lost and overwhelmed in a sea

of machines, medical terminology, and unfamiliar

routines. Taking a moment to stop and talk with

them, assess how they are feeling, address what

fears they have, and understand what can be

done to make them more comfortable, can be very

nourishing and comforting to the soul.

Of all the members of the healthcare team, nurses

arguably spend the most time with patients and can

get to know them well. Simply offering a listening

ear and letting patients know they are cared for can

serve as a huge source of comfort and healing. This

human connection should be extended not only to

patients themselves, but family members and loved

ones who may also be experiencing a range of

emotions.

It should also not be assumed that patients will

speak up for themselves; nurses should encourage

open communication and ask patients and their

families about any spiritual or religious needs

they may have. Creativity and resourcefulness in

accommodating simple comforts or requests can

make all the difference in humanizing the patient

experience. Being present, even if quietly, for prayer,

is also often very comforting to patients. Nurses

should remember that while medical interventions

and care are routine and normal to them, they are

witnessing major life events for others and have a

unique ability to shape those experiences for the

better.

It is important to recognize that the ultimate goal

is not always to preserve life, but to maximize the

quality of remaining life for patients and their loved

ones. Many times, a peaceful death is the best care

a nurse can provide and will profoundly impact the

grieving process for loved ones in the months and

years following a death.

Tending to the physical and spiritual needs

of others can obviously be very draining, so it is

important for nurses to remember to care for their

peers and for themselves in order to avoid emotional

exhaustion or burnout. It is helpful and spiritually

cleansing to talk with peers and share in grief,

triumphs, struggles, and fears, creating a sense of

community and a place to grow and heal together.

Taking time to step away, compartmentalize, walk

outdoors, and enjoy family is necessary to recharge

spiritually and emotionally so nurses can continue to

provide unwavering stability to their patients.

During this difficult and uncertain time, while

nurses are among the frontlines of fighting a

pandemic, it is crucial to remember that the role

extends far beyond physical care and preserving

life and is one of the most impactful professions

for shaping the human experience. More so than

intellect or productivity, the compassion and

dedication to humanity that drove most nurses to

become healthcare professionals in the first place

will be the driving force that helps them rise to the

challenge.

Dr. Dawn Day is Chair of Graduate Nursing

Programs and Associate Professor in the School

of Nursing and Health Sciences at Spring Arbor

University, which offers an online Masters of

Science in Nursing.

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16

The Oklahoma Nurse May, June, July 2020

Mindfulness - A Self-Care Strategy

Reprinted with permission from DNA Reporter

February 2020 issue

Karen Avino, EdD, RN, MSN, AHN-BC, HWNC-BC

Karen Avino earned her

BSN, MSN, and EdD at

the University of Delaware.

She is a board-certified

Advanced Holistic Nurse

and a Health & Wellness

Nurse Coach. Karen is

an experienced educator

and clinician with over 20

years’ experience teaching

Holistic Nursing and

Integrative Health at the Karen Avino

University of Delaware.

She is a founding leader of the Delaware Chapter

and is a Director-At-Large of the American Holistic

Nurse Association. Karen is an author and editor

of Holistic Nursing: A Handbook for Practice (2016,

2020). She is a partner and Director of Education

of the Integrative Nurse Coach Academy providing

onsite and online continuing education courses

and the International Nurse Coach Association as

a consultant to organizations. She has a private

Integrative Nurse Coach practice at the Birth Center:

Holistic Women’s Healthcare providing Coaching,

HeartMath Stress Management, Reiki and The

Institute for Functional Medicine Food Plans such as

Elimination, Detox and Cardiometabolic.

Karen can be reached at kavino@inursecoach.

com

Mindfulness is no longer an uncommon term. It is

often heard in daily language as well as in research

reports identifying the benefits of mindfulness.

Mindfulness is suggested as a self-care practice

as well as a treatment method for conditions. The

overarching benefit of mindfulness is the ability

to learn to live in the present moment without

continued worry about the past or the future which

can help to decrease symptoms of depression and

anxiety. While Mindfulness practices originated from

Buddhist traditions, Jon Kabat-Zinn was influential

in creating awareness of the use in healthcare

by researching the benefits of mindfulness in

patients with pain and demonstrated significant

improvements in pain levels, mood, and psychiatric

symptoms (Kabat-Zinn, Lipworth, & Burney, 1985;

Kabat-Zinn, 1994). This prompted other studies

to examine the effect on a variety of diseases, the

effect on stress levels, and the immune function

(Goyal et al., 2014; Kabat-Zinn et al., 1985). The

National Center for Complementary and Integrative

Health webpage discusses the positive effects that

meditation can have in many other conditions, such

as hypertension, irritable bowel syndrome, ulcerative

colitis, and anxiety (see https://nccih.nih.gov/health/

meditation/overview.htm#hed3).

Mindfulness has also been found useful as a

complementary treatment for people with opioid

use disorder and chronic pain in methadone

maintenance therapy (Robinson, Mathews, &

Witek-Janusek, 2003). In fact, the U.S. Department

of Veterans Affairs has implemented a Whole

Health for Life person-centered approach to

care and advocates for the use of mindfulness

for Post-Traumatic Stress Disorder (Garland et

al., 2019; Hempe, 2014) (See https://www.va.gov/

PATIENTCENTEREDCARE/Veteran-handouts/

Introduction_to_Mindful_Awareness.asp).

Currently, mindfulness is a recommended

practice for everyone including older adults (King

et al., 2013). Today’s busy world with technology

overload does not allow for downtime or body

homeostasis adjustments to rebalance. Nurses live

in a state of heightened chronic stress levels. It is

well known that the nursing profession is a stressful

career.

Implementing mindful self-care strategies by

organizations employing nurses will benefit by

reduced attrition of nurses and improved quality of

care. The American Nurses Foundation suggested

Five Simple Ways to Feel and be Better; 1) Stop,

take a Breath and Observe, 2) Do a Body Scan, 3)

Breathe, 4) Stretch, and 5) Eat and Drink Often

(Geiger et al., 2016). These are all the tenets of

Mindfulness. Mindfulness enhances areas of

the brain that are responsible for attention and

executive function and modulates the amygdala

or emotional brain, which improves focused

attention, develops intention skills for actions

taken, and decreases reactivity without reflection

that leads to decreased judgement and improved

acceptance of differences. Therefore, mindfulness

improves communication abilities that lead to

improved patient outcomes, patient satisfaction,

and nurse satisfaction. Increasing around the

country, Healing Circle programs are being offered

by holistic nurses to nurses in healthcare settings.

The program develops a community of peer to peer

support and an opportunity to practice mindful

skills in a safe environment. The American Holistic

Nurse Association provides mindfulness tools and

information entitled Holistic Stress Management

Is Based on Self-Reflection and Self-Care (see

https://www.ahna.org/Home/Resources/Stress-

Management).

Mindful Practices

Mindfulness practices are about increasing

awareness of bodily sensations, especially the

breath, and using mindful movement practices to

increase the awareness of connection. There are

many types of meditations, each with a different

twist on the technique; these include Buddhist,

Hindu, Chinese, Christian, Sufi, and the common

practice of guided mediations. Some techniques are

relaxing, some create awareness, and some claim

deeper transformation and/or spiritual development.

Experimenting with a variety to find the one that

works best for your unique needs and personality

is best. The idea is to practice on a daily basis so

you can call on it in times of need. Once you have

become comfortable with this daily practice, the

techniques can then be applied to patient care.

In Integrative Nurse Coaching, using awareness

practice techniques in practice provides a time for

reflection and help for patients to reach their inner

wisdom to come up with solutions or answers on

their own. This awareness creates an openness to

new possibilities and motivation or engagement to

aspects of the experience, without judgement or

attachment. There are a variety of guided awareness

scenarios that can be used for particular situations

in patient care based on the need. These are learned

through the self-development process and practice

of Integrative Nurse Coaching.

With four sites available in Alva, Enid, Woodward, and Ponca City, plus online courses,

learning close to home is easy.

The online RN-to-BSN is a 12-month online program with no traditional clinical hours

requirement and no campus visit requirements.

The BSN-to-DNP Family Nurse Practitioner program is a hybrid model offering online classes,

limited campus visits, and local clinical practicums.

The Basic Technique

The goal is that awareness of thoughts,

feelings, emotions, sounds, and smells

are acknowledged but then let go as your

awareness is returned to the breath in the

center of the chest. These techniques require

continued practice in letting go.

• Most techniques suggest starting in a seated,

comfortable position to maintain awareness.

The point is not to fall asleep during the

experience. Your eyes can be closed or have

a downward gaze.

• As you move your awareness to the center

of your chest, experience the centering as

the breath enters and exits. As thoughts

or sounds enter your mind or awareness,


May, June, July 2020 The Oklahoma Nurse 17

acknowledge without judging, let go, and

return your awareness to the breath in the

center of your chest. Continue this centering,

acknowledging, let go, and return as many

times as needed in the timeframe you are

practicing.

• It is not uncommon to hear “this doesn’t work

for me.” Awareness practices are a learned

experience, the more you practice, the easier

is the return, and the outcome of living life

with awareness of the present moment,

feeling balanced with increased clarity is

gratifying. Find what time of day, or length of

time works for you. Most use a 10-15 minute

timeframe daily for practice. The following are

quality websites that provide free access to

guided meditations for self-care and patient

use.

CARING FOR YOUR FAMILY, LIKE OUR FAMILY.

Quality Free Mindful Practice Websites

• Mindful.org

• https://www.mindful.org/audio-resources-formindfulness-meditation/

• UCLA Mindful Awareness Research Center

https://www.uclahealth.org/marc/body.

cfm?id=22&iirf_redirect=1

The Center for Contemplative Mind in Society

http://www.contemplativemind.org/practices/

recordings

• Insight Meditation Society, Inc. https://www.

dharma.org/resources/audio/#guided

We pride ourselves on the level of experience team members

bring together to provide INDIVIDUALIZED CARE for each

resident, including an array of LONG-TERM SERVICES.

References

Garland, E.L., Hanley, A.W., Kline, A., Cooperman, N.A. (August

5, 2019, Epub). Mindfulness-oriented recovery enhancement

reduces opioid craving among individuals with opioid use

disorder and chronic pain in medication assisted treatment:

Ecological momentary assessments from a stage 1

randomized controlled trial. Drug and Alcohol Dependence.

Retrieved from https://nccih.nih.gov/research/results/

• UC San Diego Center for Mindfulness

https://medschool.ucsd.edu/som/fmph/

research/mindfulness/programs/mindfulnessprograms/MBSR-programs/Pages/audio.aspx

spotlight/more-may-reduce-opioid-cravings-and-chronicpain

Geiger, P.J., Boggero, I.A., Brake, C.A., Caldera, C.A., Combs,

H. L., Peters, J. R., Baer, R. A. (2016). Mindfulness-based

interventions for older adults: A review of the effects on

physical and emotional well-being. Mindfulness,7(2):296-307.

doi:10.1007/s12671-015-0444-1.

Goyal, M., Singh, S., Sibinga, E.M.S., Gould, N.F., Rowland-

Seymour, A., Sharma, R. … Haythorn, J. (2014). Meditation

programs for psychological stress and well-being: A

systematic review and meta-analysis. JAMA Intern Med,

174(3), 357-368. doi:10.1001/jamainternmed.2013.13018

Hempe,l S., Taylor, S.L., Marshall, N.J., Miake-Lye, I. M.,

Beroes, J.M., Shanman, R., … Shekelle, P. G. (2014).

Evidence map of mindfulness. VA evidence-based synthesis

program reports. Washington (DC): Department of Veterans

Affairs (US). Retrieved from https://www.ncbi.nlm.nih.gov/

pubmed/25577939

Kabat-Zinn, J. (1994). Wherever you go, there you are:

Mindfulness meditation in everyday life. New York: Hyperion.

Kabat-Zinn, J., Lipworth, L. & Burney, R. (1985). The clinical use

of mindfulness meditation for the self-regulation of chronic

pain. Journal of Behavioral Medicine, 8, 163-190.

King, A.P., Erickson, T.M., Giardino, N.D., Favorite, T., Rauch,

S.A., Robinson, E. … Liberzon, I. (2013). A pilot study of

group mindfulness-based cognitive therapy (MBCT) for

combat veterans with posttraumatic stress disorder (PTSD).

Depress Anxiety, 30(7), 638-645. doi: 10.1002/da.22104.

Epub 2013/04/19.

Meditation: In Depth (2016, April). National Center for

Complementary and Integrative Health. Retrieved from

https://nccih.nih.gov/health/meditation/overview.htm#hed3

Robinson, F. P., Mathews, H. L., & Witek-Janusek, L. (2003).

Psycho-endocrine-immune response to mindfulnessbased

stress reduction in individuals infected with Human

Immunodeficiency Virus: A quasi-experimental study. The

Journal of Alternative and Complementary Medicine, 9, 683–

694.

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18

The Oklahoma Nurse May, June, July 2020

Trust Your Practice

Reprinted with permission from Tennessee Nurse March 2020

Kate Payne, JD, RN, NC-BC

There should be no surprise that once again, 18 th

year in a row, nurses were rated the highest among

a list of professions for honesty and ethics. (1) 85%

of Americans rated nurses as “very high” or “high.”

I know what the public sees in nurses to repeatedly

give such high ratings; they know they will get an

honest answer, that their nurse will help them and

advocate for them. The nature of nursing requires

that ethical decisions are made and enacted daily if

not moment-to-moment for the benefit of the patient,

their practice, and the broader society. This is also Kate Payne

consistent with the Nursing Code of Ethics. (2)

I am blessed to meet regularly with nurses in my work as an ethics

consultant. I also help facilitate support groups, case debriefs, and unitbased

meetings and huddles. Some of these are regular forums for

conversation, support, information, or problem-solving. Some of these

forums are called for specific and difficult patient care situations as well

as thinking together on next steps. Meetings are usually open to other

team members, including physicians, administrators, pastoral care, childlife

in the pediatric hospital, anyone involved in the care of patients. These

gatherings can be of any size, at any time of the day or night. They are

usually small, and sometimes even just one or two people over coffee or a

meal. These conversations show what is not so visible to the public but what

undergirds their repeated high ratings of nurses in the Gallup poll each year.

Nursing stories are all about comfort, care, and concern for patients,

their families, and other loved ones. They are also about how nurses care

for each other, have each other’s backs, and care for others on the team.

Health care is hard work, and it is not getting easier. Nursing stories are

about perseverance in the face of what often seems impossible. Nurses are

hope mongers, and hope is a morally important quality to nursing practice

(3) and to life. It enables perseverance as well as courage, and it is futureoriented,

the idea that we will continue and that adversity can be overcome.

This is what helps build resilience and teamwork and part of what keeps

nurses coming back every day. Nursing conversations also exemplify other

virtues, including creativity, compassion, trust, charity, affection, openness,

and competence, to name a few. The ethics of nurses are seen in how they

treat people, how they care for each other as well as commit to improving

the larger society. It is also seen in how they educate and mentor the next

generation of nurses (4) and others in the intraprofessional relationships, of

which all nurses are a part.

Nursing is a virtuous profession, and we see this reflected back to us

each year in the Gallup poll (one of many ways). It is a reminder that nursing

work is visible and important to the broader public. It should also be a

reminder to trust your practice. Total strangers trust nurses to take care of

them, to help them heal, to have a good death, to speak the truth, to just

care. Nurses have a unique vantage point because of their proximity to the

patient. They see things other members of the team do not. Sometimes a

blessing and a curse, being with a patient for hours teaches us who they are

and what they need, what works and what doesn’t. Trusting your practice

means taking what you learn from the patient and shaping the environment

of care for the patient, in your unit or department, and organization.

Nurses often find themselves in situations that conflict with their personal

and professional ethics, that go against what is best for the patient.

Sometimes, advocating for a better way requires moral courage. (5) Moral

courage is part of nursing practice. It is defined as the willingness to stand

up for and act according to one’s ethical beliefs, regardless of the perceived

or actual risks. Moral distress occurs when nurses feel powerless to act

after witnessing improper behavior or organizational constraints that make

doing the right thing difficult or impossible. Trust your practice to know

that moral courage is another virtue you can develop and use. Health care

is increasingly complex, as are the ethical dilemmas nurses are faced

with. Addressing such dilemmas is never easy, but is required for nurses

to provide the best possible patient care. Advocating for a patient’s best

interest can pose challenges and risks, but nurses must resolve to uphold

their ethical obligations and trust in your practice, you will find the way, there

will be help.

References

1. Reinhart RJ, Nurses continue to rate highest in honesty, ethics. Gallup.

Available at https://news.gallup.com/poll/274673/nurses-continue-rate-highesthonesty-ethics.aspx

2. American Nurses Association (ANA). Code of Ethics for Nurses with Interpretive

Statements. Silver Springs, MD: Author, 2015.

3. Churchill L. Ethics for Everyone. A Skills-Based Approach. New York: Oxford

University Press, 2020.

4. Curtin L. Mentorship and collegiality. The ethics of professional relationships.

American Nurse Journal. 2020;15(1):60.

5. Lachman V. Doing the right thing: pathways to moral courage. American Nurse

Today. 2012; May 11: available at https://www.myamericannurse.com/doingthe-right-thing-pathways-to-moral-courage/


May, June, July 2020 The Oklahoma Nurse 19

Bridget.Bridger

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