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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

<strong>Tennessee</strong> Nurses Association<br />

VIRTUAL<br />

CONFERENCE<br />

Friday, October 30


TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

<strong>2020</strong>: YEAR OF THE NURSE<br />

Table of Contents<br />

Welcome from the TNA President...................................................................3<br />

Welcome from the TNA Executive Director. .........................................................5<br />

General Announcements........................................................................... 7<br />

<strong>2020</strong> TNA Virtual Conference Schedule. ............................................................11<br />

Disclosures to Participants, Continuing Nursing Education Instructions.................................22<br />

<strong>2020</strong> Membership Assembly Rules and Information..................................................23<br />

Introduction to Robert’s Rules of Order.............................................................25<br />

112th Membership Assembly Agenda ...............................................................28<br />

2018-<strong>2020</strong> Legislative and Health Policy Statements.................................................29<br />

<strong>2020</strong>-2022 Legislative and Health Policy Statements ................................................ 31<br />

<strong>2020</strong> Resolutions. ...............................................................................33<br />

<strong>2020</strong> TNA Virtual Conference Sponsors. ...........................................................36<br />

<strong>Tennessee</strong> Nurses Political Action Committee .......................................................37<br />

Nightingale Tribute & Memoriam...................................................................38<br />

TNA Board of Directors & Staff with TNA District Map .............................................. 40<br />

<strong>2020</strong> Slate of Candidates .........................................................................42<br />

Poster Abstracts .................................................................................47<br />

TNA Financials.................................................................................. 66<br />

TNA Leadership Opportunities. ...................................................................70<br />

Area of Interest Form............................................................................. 71<br />

TNA Past Presidents..............................................................................72<br />

<strong>Tennessee</strong> Nurses Foundation (TNF) - Mission - Goals - Initiatives .....................................73<br />

TNF Board of Trust Roster. .......................................................................75<br />

TNA Member Benefits ............................................................................77<br />

TNA 2021 Events................................................................................ 80<br />

Published for the <strong>Tennessee</strong> Nurses Association by:<br />

Arthur L. Davis Publishing Agency<br />

P.O. Box 216, Cedar Falls, IA 50613 • (319) 277-2414<br />

www.tnaonline.org<br />

Published by:<br />

Arthur L. Davis<br />

Publishing Agency, Inc.<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

Welcome from the TNA President<br />

Carla Kirkland, MSN, APRN, ACNP-BC, FNP-BC, ENP-BC<br />

On behalf of the <strong>Tennessee</strong> Nurses Association Board of Directors and Staff, I welcome<br />

you to the <strong>2020</strong> <strong>Tennessee</strong> Nurses Association (TNA) Annual Conference. I am thankful for<br />

technology, which allows us to still be able to connect and support each other, although we,<br />

unfortunately, cannot meet in person this year.<br />

The theme of this year’s conference is <strong>2020</strong>: Year of the Nurse. We have done our best,<br />

via a virtual platform, to still bring you excellent continuing education offerings, with the<br />

opportunity to earn up to 10 contact hours and learn at your leisure. We felt it was important<br />

to be able to conduct the yearly business of the Association with our members through<br />

Membership Assembly. A superb slate of candidates will be presented, all of whom are<br />

eager to join the TNA leadership team and represent the needs of our nurses.<br />

What a year <strong>2020</strong> has been! I am so proud of all of our nurses in <strong>Tennessee</strong>, who have been leaders and<br />

caregivers during the COVID-19 pandemic. The strength, resilience, and willingness to do whatever has been<br />

needed for our communities has been noticed and well documented. Student nurses (our future leaders)<br />

and even nurses coming out of retirement have stepped up to help. TNA has made every effort to advocate<br />

for our nurses, provide frequent updates and support. Tina Gerardi, our TNA Executive Director, has done an<br />

excellent job representing nurses in the media and educating the public on a regular basis!<br />

Nurses have always been protectors of our most vulnerable populations, including the poor, those in<br />

underserved areas, and those with poor health literacy. COVID-19 has brought to light many deficiencies<br />

in our health care system, many of which nurses were already aware. It has also exposed health care<br />

disparities, especially among persons of color. TNA needs YOUR voice to join the voice of the Association,<br />

to advocate for these people, our patients, and our families, to improve health care in our state.<br />

Please review the resolutions submitted this year, regarding <strong>2020</strong>: Year of the Nurse, and regarding Support<br />

for Persons of Color, to see and understand the commitment TNA has for supporting our nurses, toward<br />

working to eradicate institutional racism.<br />

TNA is diligently continuing the work toward full scope of practice for <strong>Tennessee</strong> APRNs, in an effort to<br />

improve health outcomes. We made much progress this year and will continue to work with the Coalition<br />

for Access to Care in <strong>Tennessee</strong> in this effort. Please watch for requests from TNA regarding advocacy<br />

opportunities.<br />

Thank you for being a member of the <strong>Tennessee</strong> Nurses Association, for your support, and for your<br />

attendance at our virtual conference! I encourage you to reach out to the leadership of the TNA District<br />

where you live, to volunteer for a leadership position, or see in what area(s) your assistance is needed.<br />

Together we will grow and succeed!<br />

Best Regards,<br />

Carla<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

Welcome from the Executive Director<br />

Tina Gerardi, MS, RN, CAE<br />

Welcome to the <strong>2020</strong> <strong>Tennessee</strong> Nurses Association (TNA) Annual Conference. This<br />

year is the first time in the 115-year history of TNA that the annual conference will be<br />

conducted virtually. Who knew last year as we celebrated the theme Nurses: The Real<br />

Super Heroes, that <strong>2020</strong> would show the world that nurses are indeed superheroes?<br />

<strong>2020</strong> started out being designated by the World Health Assembly as the Year of the<br />

Nurse and Midwife and by the American Nurses Association and TNA as the Year of the<br />

Nurse. <strong>2020</strong> was to be a celebration of the profession and intended to elevate the status<br />

and profile of nurses by recognizing the contributions that nurses make to public health<br />

and healthcare delivery. As coronavirus was first discovered in China in January <strong>2020</strong>, it<br />

spread across the globe with the pandemic infiltrating the United States. We witnessed<br />

in real-time the incredible impact that nurses and nursing have on public health, healthcare delivery, and the<br />

human essence of caring while delivering high-quality care to everyone across the country and around the<br />

world.<br />

In the spirit of the conference theme, <strong>2020</strong>: Year of the Nurse, we were to recognize each attendee for the<br />

extraordinary work registered nurses do every day, whether at the bedside, in the classroom, in the board<br />

room, or at the Capitol. Each day as we promote public trust for the nursing profession, we consistently<br />

provide quality patient care, quality nursing practice, quality nursing education, quality nursing research,<br />

quality nursing leadership, and quality health for all Tennesseans. Unfortunately, the COVID-19 pandemic will<br />

not allow us to do that in person this year, but we have a wonderful program for everyone.<br />

Our opening plenary will be a panel of nurses discussing their role in addressing the COVID-19 pandemic,<br />

lessons learned, and their perspectives on the future. Our closing plenary speaker, Lynn Pierce, will highlight<br />

the outcomes from NSO’s most recent RN Claims Study and discuss ways to avoid malpractice while assuring<br />

safe nursing practice in our daily work. As usual, we will offer concurrent sessions and poster presentations.<br />

Additionally, new this year, attendees can watch the taped educational offerings from sessions they could not<br />

attend in real-time to earn additional contact hours. The Membership Assembly will convene to do the work<br />

of the Association – reviewing resolutions and setting direction and priorities for the upcoming year, as well as<br />

electing new members of the board of directors. As we will not be able to have our usual Silent Auction and<br />

PAC Basket auction, we ask that you please make a monetary donation to support the work of the <strong>Tennessee</strong><br />

Nurses Foundation and the <strong>Tennessee</strong> Nurses Political Action Committee. We have a very busy one day<br />

together!<br />

I look forward to working together to make TNA the unifying voice for nursing in <strong>Tennessee</strong>.<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

General Announcements<br />

Welcome to the <strong>2020</strong> TNA Annual Conference. This is the first time TNA will be conducting our conference<br />

virtually.<br />

Please follow the conference schedule and be sure to connect to the appropriate YouTube or Zoom Room<br />

for Membership Assembly and general sessions and for the concurrent sessions. A slide showing the<br />

appropriate web address to connect to the sessions will be displayed during breaks between sessions.<br />

Please take advantage of the chat feature while you wait for sessions to start to greet and make welcome<br />

the new members and first-time attendees to our conference.<br />

Since we cannot meet in person, the <strong>Tennessee</strong> Nurses Foundation Silent Auction and PAC Basket Auction<br />

cannot take place. These events are major fundraisers for each group. Please consider making a monetary<br />

donation to both by visiting the TNA website. Voting on motions will take place under the direction of the<br />

President.<br />

Not a TNA member? Don’t miss out on this opportunity to become part of the Voice for all nurses in<br />

<strong>Tennessee</strong>. Join TNA now!<br />

To receive the 1.0 contact hour for attending the poster presentations, you must visit ten posters. Poster<br />

Presentations can be viewed on the poster session page on the TNA website, TNAonline.org<br />

You will be able to do poster self-study and view concurrent sessions you were unable to attend in real-time<br />

to receive additional contact hours for one month after the conference is over.<br />

<strong>Tennessee</strong> Nurses Association is approved as a provider of nursing continuing professional development<br />

by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing<br />

Center’s Commission on Accreditation.<br />

No conference speakers have indicated any conflict of interest related to their presentations.<br />

Voting will take place via Survey Monkey from noon – 1 p.m. A link to vote will be emailed to all attendees at<br />

11:45 a.m. on October 30.<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

TNA Virtual Conference Schedule<br />

Friday October 30, <strong>2020</strong><br />

All Times Are Central<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

Disclosures to Participants<br />

Outcome<br />

Participants will gain knowledge and new tools to integrate into their practice.<br />

Contact Hour Credit<br />

Participants at the <strong>2020</strong> Virtual TNA Annual Conference can earn a maximum of 10 contact hours for<br />

attending. Real-time contact hours and the opportunity to review and learn from recorded educational<br />

sessions and poster sessions.<br />

Official Accreditation Statement<br />

The <strong>Tennessee</strong> Nurses Association is approved as a provider of nursing continuing professional<br />

development by the South Carolina Nurses Association, an accredited approver by the American Nurses<br />

Credentialing Center’s Commission on Accreditation.<br />

Requirements for Successful Completion for Continuing Education Credit<br />

To receive contact hour credit for each session attended, attendees must<br />

• Visit at least ten posters<br />

• Miss no more than five minutes of any session.<br />

• Remain in the session until the scheduled ending time.<br />

• Complete and submit the Evaluation Form(s) and the Verification of Attendance/Certificate Form listing<br />

each session attended. Survey Monkey will be used this year to complete evaluations and verification of<br />

attendance certificates.<br />

Conflicts of Interest<br />

The ANCC has established guidelines whereby all speakers must disclose any affiliations which may cause a<br />

conflict of interest.<br />

A Conflict of Interest occurs when an individual has an opportunity to affect educational content about<br />

health-care products or services of a commercial interest with which she/he has a financial relationship.<br />

No conflicts of interest were disclosed.<br />

Commercial Support<br />

Sponsors have made contributions to <strong>Tennessee</strong> Nurses Association in support of the <strong>2020</strong> TNA Annual<br />

Conference.<br />

Non-Endorsement of Products<br />

The <strong>Tennessee</strong> Nurses Association’s approved provider status refers only to continuing nursing education<br />

activities and does not imply that there is real or implied endorsement of any product, service, or company<br />

referred to in this activity nor of any company subsidizing costs related to the activity.<br />

Off-label Product Use<br />

This CNE activity does not include any unannounced information about off-label use of a product for a<br />

purpose other than that for which it was approved by the Food and Drug Administration (FDA).<br />

22


TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

<strong>2020</strong> Virtual Membership Assembly<br />

Attending the Meeting via Virtual Technology<br />

Rules and Information<br />

1. Participants should join this virtual meeting online via the link provided to registrants.<br />

2. All participants should begin joining the meeting 30 minutes prior to the stated call in order to facilitate<br />

attendance and quorum determination. Participants may join the meeting on any computer or smart<br />

device with an internet connection. Participants using desktop or laptop computers should use their<br />

computer microphones and speakers for audio connection.<br />

3. Each participant is responsible for his or her connection to the internet and conference based on these<br />

Rules; no action will be invalidated on the grounds that the loss of, or poor quality of, a member’s<br />

individual connection prevented him or her from participating in the meeting, provided that at least a<br />

quorum of participants was connected and able to participate.<br />

4. Upon entering the meeting, all participants should mute their audio and remain muted unless being<br />

recognized to speak or vote.<br />

5. Each TNA member should name themselves via appropriate technology.<br />

6. Each non-TNA member participant needs to “rename” themselves with a “NM-“ prefix (ex. NM-Jane<br />

Doe), this will facilitate voting as nonmembers may not vote on any TNA issues.<br />

7. Attendance and quorum will be based on the prefix and names of the participants.<br />

8. Chat messages/short comments will be sent to everyone. The Q&A box will not be monitored.<br />

9. Use the Chat message feature to pose a question to the chair, speaker, or staff. Questions will be<br />

answered by the chair, speaker or be read aloud so that the appropriate person can be requested to<br />

answer<br />

10. A member intending to make a main motion, to offer an amendment, or to propose instructions to a<br />

committee, shall type the motion in the chat window. Having this prepared beforehand will provide a<br />

better understanding of the motion to be considered. Only members may propose or vote on motions.<br />

Membership Assembly (MA) General Rules of Order<br />

1. All TNA members may speak. Before addressing the MA, it is necessary to secure the floor<br />

by raising your hand or asking to speak in the chat box using Zoom technology. After<br />

recognition by the President, the member shall state his or her name and district before<br />

speaking.<br />

2. Any TNA member may make motions.<br />

3. All motions shall be presented to the President in writing via the chat box using Zoom<br />

technology.<br />

4. Only emergency motions or courtesy resolutions may be presented outside of the reference<br />

process.<br />

5. TNA members shall be limited to three minutes when speaking.<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

6. No member who has already had the floor in debate on the immediate pending question shall<br />

be entitled to the floor a second time until others who wish to be heard on the question have<br />

had an opportunity to speak.<br />

7. The voting body shall consist of the Board of Directors and TNA members in attendance.<br />

8. Only the resolves of resolutions/proposals shall be acted upon by the MA.<br />

9. The President may suspend the Rules in order to allow a nonmember to speak.<br />

10. All attendees should place themselves on mute throughout meetings during MA unless they<br />

are speaking.<br />

Guidelines for Discussion on Resolutions/Proposals<br />

1. Only new proposals/resolutions will be open for amendment.<br />

2. To facilitate discussion, comments will be limited to those received via chat box. No member may speak<br />

more than once to a question if someone who has not spoken wishes to do so.<br />

3. Individuals who suggest substantial changes in the wording of any proposal are asked to submit those<br />

changes in writing via the chat box before the hearing is adjourned.<br />

4. The sponsor may withdraw a resolution/proposal at any point in the review process.<br />

5. Only the resolves of resolutions/proposals shall be acted upon by the MA.<br />

Continuing Nursing Education (CNE) Credit<br />

RN participants attending CE sessions will be awarded contact hours. The procedure is as follows:<br />

1. Complete the Survey Monkey Evaluation and return within the time frame established on the<br />

evaluation.<br />

2. Complete an Attendance Verification of CNE Activity listing the sessions you attend via the<br />

Survey Monkey link sent to attendees. Participants must attend an entire CNE session to<br />

receive credit.<br />

3. Make a copy of the Survey Monkey form for your records.<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

Introduction to Robert’s Rules of Order<br />

What Is Parliamentary Procedure?<br />

It is a set of rules for conduct at meetings that allows everyone to be heard and to make decisions without<br />

confusion.<br />

Why is Parliamentary Procedure Important?<br />

Because it’s a time tested method of conducting business at meetings and public gatherings. It can be<br />

adapted to fit the needs of any organization. Today, Robert’s Rules of Order newly revised is the basic<br />

handbook of operation for most clubs, organizations and other groups. So it’s important that everyone<br />

know these basic rules!<br />

Organizations using parliamentary procedure usually follow a fixed order of business.<br />

Below is a typical example:<br />

1. Call to order.<br />

2. Roll call of members present.<br />

3. Reading of minutes of last meeting.<br />

4. Officers reports.<br />

5. Committee reports.<br />

6. Special orders – Important business previously designated for consideration at this meeting.<br />

7. Unfinished business.<br />

8. New business.<br />

9. Announcements.<br />

10. Adjournment.<br />

The method used by members to express themselves is in the form of moving motions. A motion is a<br />

proposal that the entire membership take action or a stand on an issue. Individual members can:<br />

1. Call to order.<br />

2. Second motions.<br />

3. Debate motions.<br />

4. Vote on motions.<br />

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There are four Basic Types of Motions:<br />

TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

1. Main Motions: The purpose of a main motion is to introduce items to the membership for their<br />

consideration. They cannot be made when any other motion is on the floor, and yield to privileged,<br />

subsidiary, and incidental motions.<br />

2. Subsidiary Motions: Their purpose is to change or affect how a main motion is handled, and is voted<br />

on before a main motion.<br />

3. Privileged Motions: Their purpose is to bring up items that are urgent about special or important<br />

matters unrelated to pending business.<br />

4. Incidental Motions: Their purpose is to provide a means of questioning procedure concerning other<br />

motions and must be considered before the other motion.<br />

How are Motions Presented?<br />

1. Obtaining the floor<br />

a. Wait until the last speaker has finished.<br />

b. Rise and wait in line at microphone.<br />

c. Wait until the Chairman recognizes you.<br />

2. Make Your Motion<br />

a. Speak in a clear and concise manner.<br />

b. Always state a motion affirmatively. Say, “I move that we ...” rather than,<br />

“I move that we do not ...”.<br />

c. Avoid personalities and stay on your subject.<br />

3. Wait for Someone to Second Your Motion<br />

4. Another member will second your motion or the Chairman will call for a second.<br />

5. If there is no second, your motion is lost.<br />

6. The Chairman States Your Motion<br />

a. The Chairman will say, “it has been moved and seconded that we ...” Thus placing your motion<br />

before the membership for consideration and action.<br />

b. The membership then either debates your motion, or may move directly to a vote.<br />

c. Once your motion is presented to the membership by the chairman it becomes “assembly<br />

property”, and cannot be changed by you without the consent of the members.<br />

7. Expanding on Your Motion<br />

a. The time for you to speak in favor of your motion is at this point in time, rather than at<br />

the time you present it.<br />

b. The mover is always allowed to speak first.<br />

c. All comments and debate must be directed to the chairman.<br />

d. Keep to the time limit for speaking that has been established.<br />

e. The mover may speak again only after other speakers are finished, unless called upon<br />

by the Chairman.<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

8. Putting the Question to the Membership<br />

a. The Chairman asks, “Are you ready to vote on the question?”<br />

b. If there is no more discussion, a vote is taken.<br />

c. On a motion to move the previous question may be adapted.<br />

Voting on a Motion:<br />

The method of vote on any motion depends on the situation and the by-laws of policy of your<br />

organization. There are five methods used to vote by most organizations, they are:<br />

1. By Voice – The Chairman asks those in favor to say, “aye”, those opposed to say “no”. Any member<br />

may move for an exact count.<br />

2. By Roll Call – Each member answers “yes” or “no” as his name is called. This method is used when a<br />

record of each person’s vote is required.<br />

3. By General Consent – When a motion is not likely to be opposed, the Chairman says, “if there is no<br />

objection ...” The membership shows agreement by their silence, however if one member says, “I<br />

object,” the item must be put to a vote.<br />

4. By Division – This is a slight verification of a voice vote. It does not require a count unless the chairman<br />

so desires. Members raise their hands or stand.<br />

5. By Ballot – Members write their vote on a slip of paper; this method is used when secrecy is desired.<br />

There are two other motions that are commonly used that relate to voting.<br />

1. Motion to Table – This motion is often used in the attempt to “kill” a motion. The option is always<br />

present, however, to “take from the table”, for reconsideration by the membership.<br />

2. Motion to Postpone Indefinitely – This is often used as a means of parliamentary strategy and allows<br />

opponents of motion to test their strength without an actual vote being taken. Also, debate is once<br />

again open on the main motion.<br />

Parliamentary Procedure is the best way to get things done at your meetings.<br />

But, it will only work if you use it properly.<br />

1. Allow motions that are in order.<br />

2. Have members obtain the floor properly.<br />

3. Speak clearly and concisely.<br />

4. Obey the rules of debate.<br />

Most importantly, BE COURTEOUS.<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

112th Membership Assembly Agenda<br />

Friday, October 30, <strong>2020</strong> | Virtual<br />

8:30 a.m. – 9:30 a.m.<br />

Call to Order and Pledge of Allegiance – Carla Kirkland, TNA President<br />

Greetings/President’s Address – Carla Kirkland<br />

Introduction of Reference Committee – Alvin Jeffery, Chair<br />

Adoption of the Membership Assembly Agenda – Carla Kirkland<br />

Adoption of Rules of Order – Jeny Conrad Rendon, TNA Secretary<br />

Treasurer’s Report – Heather Jackson, TNA Treasurer<br />

Slate of Candidates/Nominations – Raven Wentworth, Nominating Committee Chair<br />

Candidate Forum<br />

Announcements – Tina Gerardi, TNA Executive Director<br />

Recess – Carla Kirkland<br />

Noon – 1:00 p.m.<br />

Virtual Voting<br />

1:00 p.m. – 2:00 p.m.<br />

Call to Order – Carla Kirkland<br />

Updates on 2019 Resolutions – Carla Kirkland<br />

Introduction of <strong>2020</strong> Resolutions – Alvin Jeffery<br />

Executive Director Remarks – Tina Gerardi<br />

Announcements – Tina Gerardi<br />

Recess – Carla Kirkland<br />

4:20 p.m. – 4:30 p.m.<br />

Call to Order – Carla Kirkland<br />

Report of Tellers – Raven Wentworth<br />

Introduction of New Board President and Members – Carla Kirkland<br />

Board of Directors Oath of Office – Tina Gerardi<br />

Adjournment – Carla Kirkland<br />

SEE YOU NEXT YEAR IN CHATTANOOGA AT THE CHATTANOOGAN ON OCTOBER 15 – 17, 2021<br />

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2018-<strong>2020</strong> Legislative and<br />

Health Policy Statements<br />

Introduction: The <strong>Tennessee</strong> Nurses Association (TNA) is the professional association representing over<br />

110,000 <strong>Tennessee</strong> registered nurses. This position paper outlines the basic philosophy of the TNA’s<br />

Membership Assembly relative to health care policy which may be addressed by the <strong>Tennessee</strong> General<br />

Assembly and the U.S. Congress.<br />

Mission: To improve health and health care for all Tennesseans and residents of the state, advance nurse<br />

leaders and the practice of nursing as essential to improvement efforts and transformational change, and<br />

serve as the voice for professional nurses.<br />

The American Nurses Association’s Code of Ethics outlines foundational provisions that<br />

frame TNA’s initiatives and actions.<br />

Vision: TNA supports a transformed health care delivery system that ensures that all Tennesseans and<br />

residents of the state are able to access equitable and affordable essential services when and where they<br />

need them. The transformed system envisioned by TNA is patient-centered, promotes inter-professional<br />

collaboration and care coordination to improve patient outcomes and experiences, primary care and<br />

prevention are priorities, value is emphasized, and there is expanded use of information technology to<br />

promote efficiency and effectiveness.<br />

Goals: TNA is supportive of initiatives that improve health and health care and advance the following goals:<br />

Optimal health system performance, including:<br />

Improved patient care experiences;<br />

Improved population health; and<br />

Reduced per capita cost for health care.<br />

Access to high-quality, affordable and acceptable care for all Tennesseans and residents of the state,<br />

including:<br />

Provision of a standardized package of essential health care services provided and financed by public and<br />

private plans with protection against catastrophic costs and impoverishment;<br />

Expanded primary care capacity by allowing RNs to practice to the full extent of their license to provide<br />

chronic care management, care coordination, and preventive care in primary care settings;<br />

Enhanced access to efficient, cost –effective, high-quality, equitable, and comprehensive healthcare<br />

services by allowing APRNs to practice to the full extent to which their education and training prepare<br />

them;<br />

Allow APRNs with appropriate training to prescribe buprenorphine to increase access to medicationassisted<br />

treatment (MAT) to combat the state’s opioid crisis; and<br />

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Full practice authority and enhanced participation in the delivery of care and policymaking for all<br />

professional nurses, including:<br />

Support for the <strong>Tennessee</strong> Board of Nursing as the sole regulatory authority over nursing education and<br />

practice;<br />

Adoption of the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification, and<br />

Education (2008);<br />

Elimination of financial, regulatory, organizational, and institutional barriers to the practice of professional<br />

nursing;<br />

Participation of registered nurses on all local, state, and national health care advisory, policymaking, and<br />

governing boards, committees, and task forces; and<br />

Inclusion of APRNs as licensed independent providers (LIPs) in hospital licensure rules, health plans, and<br />

health care facilities.<br />

Assuring an adequate, competent and diverse nursing workforce to meet current and projected health<br />

care demands, including:<br />

Improved data collection and information infrastructure to inform policymaking, planning, and evaluation;<br />

Promotion of higher levels of education and training through seamless academic progression, interprofessional<br />

education of health professionals, and lifelong learning;<br />

Funding for nursing students and faculty, including loan forgiveness programs; and<br />

Support for nurse safety in the patient care environment, staffing effectiveness plans, whistleblower<br />

protection, and bans on mandatory overtime.<br />

Restricting the use of the title “nurse” to only those individuals who have fulfilled the requirements<br />

for licensure as outlined in the state’s nurse practice act. Nurse practice acts describe entry level<br />

qualifications such as education, practice standards and code of conduct for continued privilege to<br />

practice nursing.<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

<strong>2020</strong>-2022 LEGISLATIVE AND<br />

HEALTH POLICY STATEMENTS<br />

Introduction: The <strong>Tennessee</strong> Nurses Association (TNA) is the professional association representing over<br />

115,000 <strong>Tennessee</strong> registered nurses. This position paper outlines the basic philosophy of the TNA’s<br />

Membership Assembly relative to health care policy, which may be addressed by the <strong>Tennessee</strong> General<br />

Assembly and the U.S. Congress.<br />

Mission: To improve health and health care for all Tennesseans and residents of the state, advance nurse<br />

leaders, and the practice of nursing as essential to improvement efforts and transformational change and<br />

serve as the voice for professional nurses.<br />

The American Nurses Association’s Code of Ethics outlines foundational provisions that frame TNA’s<br />

initiatives and actions.<br />

Vision: TNA supports a transformed and modern health care delivery system that ensures that all<br />

Tennesseans and residents of the State have access to equitable and affordable essential services no matter<br />

where they live or when they are needed. The transformed modern system envisioned by TNA is patientcentered,<br />

where primary care and prevention are priorities, promotes inter-professional collaboration<br />

and care coordination, emphasizes values, and has expanded use of information technology to promote<br />

efficiency and effectiveness in improving patient outcomes for all Tennesseans.<br />

Goals: TNA is supportive of initiatives that improve health and health care and advance the following goals:<br />

Optimal health system performance, including:<br />

• Improved patient care experiences; and<br />

• Improved population health; and<br />

• Expanded opportunities for technology such as telehealth; and<br />

• Reduced per capita cost for health care.<br />

Access to high-quality, affordable and acceptable care for all Tennesseans and residents of the state,<br />

including:<br />

• Supporting the expansion of Medicaid in <strong>Tennessee</strong>; and<br />

• Provision of a standardized package of essential health care services provided and financed by public<br />

and private plans with protection against catastrophic costs and impoverishment; and<br />

• Expanding primary care capacity by allowing RNs to practice to the full extent of their license by<br />

diagnosing, providing chronic care management, care coordination, and preventive care in primary care<br />

settings; and<br />

• Enhanced access to efficient, cost–effective, high-quality, equitable, and comprehensive healthcare<br />

services by allowing APRNs to practice to the full extent to which their education and training prepare<br />

them by removing the economic barriers and burden of collaborative agreements and allowing for full<br />

prescriptive authority; and<br />

• Allow all APRNs with appropriate training to prescribe buprenorphine to increase access to medicationassisted<br />

treatment (MAT) to combat the state’s opioid crisis regardless of the medical setting;<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

Full practice authority and enhanced participation in the delivery of care and policymaking for all<br />

professional nurses, including:<br />

• Support for the <strong>Tennessee</strong> Board of Nursing as the sole regulatory authority over nursing education and<br />

practice; and<br />

• Adoption of the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification, and<br />

Education (2008); and<br />

• Elimination of financial, regulatory, organizational, and institutional barriers to the practice of<br />

professional nursing; and<br />

• Participation of registered nurses on all local, state, and national health care advisory, policymaking, and<br />

governing boards, committees, and task forces; and<br />

• Inclusion of APRNs as licensed independent providers (LIPs) in hospital licensure rules, health plans, and<br />

health care facilities.<br />

Assuring an adequate, competent and diverse nursing workforce to meet current and projected health<br />

care demands, including:<br />

• Improved data collection and information infrastructure to inform policymaking, planning, and<br />

evaluation; and<br />

• Promotion of higher levels of education and training through seamless academic progression, interprofessional<br />

education of health professionals, and lifelong learning; and<br />

• Funding for nursing students and faculty, including loan forgiveness programs; and<br />

• Support for nurse safety in the patient care environment, staffing effectiveness plans, whistleblower<br />

protection, and bans on mandatory overtime; and<br />

• Protecting that nurse practice acts describe entry level qualifications such as education, practice<br />

standards, and code of conduct for continued privilege to practice nursing.<br />

Protecting and advancing the nursing profession:<br />

• Working with the <strong>Tennessee</strong> State Legislature and Local Governments to modernize their regulations,<br />

laws, ordinances and policies to include provider neutral language; and<br />

• Continue to work with partners and stakeholders to prevent workplace violence and discrimination.<br />

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<strong>2020</strong> Year of the Nurse<br />

Whereas, the year <strong>2020</strong> was designated as The Year of the Nurse and Midwife by the World Health<br />

Organization and the Year of the Nurse by the American Nurses Association;<br />

Whereas, <strong>2020</strong> denotes the 200th Birthday of Florence Nightingale, the founder of modern nursing,<br />

and saw the emergence of a new coronavirus (COVID-19) that resulted in a global pandemic and the<br />

unprecedented challenges it presents;<br />

Whereas, nurses have risen and continue to rise to the challenge of caring for patients on the front lines of<br />

the COVID-19 pandemic;<br />

Whereas, <strong>Tennessee</strong> was affected by the pandemic with 175,000 positive cases and 2,500 fatalities due to<br />

this virus at the time this resolution was written in September;<br />

Whereas, nurses are the largest single group of health care professionals and provided care from front line<br />

testing tents to critical care COVID-19 units 24 hours per day, seven days per week;<br />

Whereas, due to strict public health and infectious disease policies implemented to prevent the spread of<br />

COVID-19, nurses filled the role of both caregiver and family member to support their patients due to no<br />

visitor policies;<br />

Whereas, nurses did not always have the proper personal protective equipment necessary to protect<br />

themselves while caring for COVID-19 patients, but continued to care for and protect the lives of the<br />

individuals under their care;<br />

Whereas, COVID-19 caused an economic crisis for Tennesseans resulting in an estimated three to five years<br />

to recover as stated by some economists;<br />

Whereas, COVID-19 has affected all people, but has had a more significant impact on people of color and<br />

lower socioeconomic status, nurses continuously educate communities on disease prevention and health<br />

promotion; therefore, be it<br />

Resolved, that the <strong>Tennessee</strong> Nurses Association will advocate with elected officials throughout our state<br />

to continue to provide appropriate personal protective equipment to all nurses working with COVID-19<br />

patients; and be it further<br />

Resolved, that the <strong>Tennessee</strong> Nurses Association will stand with and support all nurses affected by the<br />

economic impact that COVID-19 has had on their healthcare practice; and be it further<br />

Resolved, that the <strong>Tennessee</strong> Nurses Association will support the ideals of the Year of the Nurse and<br />

recognizes the significant contributions of nurses during the unprecedented COVID-19 Pandemic.<br />

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Support for Persons of Color<br />

Whereas, the year <strong>2020</strong> will forever be remembered by the COVID-19 pandemic, as named by the World<br />

Health Organization;<br />

Whereas, thousands of Americans became ill, died, and many were unable to work due to restrictions and/<br />

or closure of businesses and due to quarantines during the pandemic, causing housing and economic<br />

instability;<br />

Whereas, according to the CDC patients of color are being hospitalized at a rate approximately five<br />

times that of White patients, Black patients are dying at a rate approximately 2.4 times higher than<br />

White patients, and persons of color have also suffered greater disparities from COVID-19 with respect to<br />

economic impact;<br />

Whereas, healthcare disparities are known to affect persons of color more often;<br />

Whereas, the year <strong>2020</strong> will serve as a renewed reminder of the presence of implicit and explicit racism and<br />

racial bias created by systemic racism, with persistent reports of social and economic inequities, unequal<br />

treatment, threats, racial profiling, brutality, and dehumanization of people of color;<br />

Whereas, the lasting effects of racial health disparities that can be linked to racism include the increased<br />

risk of emotional and physical health problems, such as, depression, obesity, hypertension, and premature<br />

death;<br />

Whereas, racial disparities can be explained by scholarly research as stemming from poor living conditions,<br />

low economic status and high levels of stress directly tied to the historical and contemporary manifestation<br />

of discriminatory policies that have adversely affected people of color in this country. Often one’s zip code<br />

determines the quality of schools, neighborhood resources and public services one has access to. The<br />

explanation for these health disparities is racism, not race;<br />

Whereas, racism negatively impacts the health of our state by preventing the opportunity for some people,<br />

citizens or non-citizens, to attain their highest level of health;<br />

Whereas, racism is an ongoing public health crisis;<br />

Whereas, systemic and institutional racism is often evident and perpetuated by inaction in the face of need,<br />

created by people in power and affects people with no power;<br />

Whereas, <strong>Tennessee</strong> ranks 44th in health outcomes;<br />

Whereas, the year <strong>2020</strong> will also be remembered as the Year of the Nurse, and nurses have risen to<br />

advocate for and care for critically ill COVID-19 patients, without families by their sides as they were ill and<br />

dying;<br />

Whereas, nurses daily care for, educate, and advocate for, the well and unwell, without regard to age, color,<br />

creed, disability, gender, lifestyle, nationality, race, religion, or sexual orientation; therefore, be it<br />

Resolved, that the <strong>Tennessee</strong> Nurses Association will stand with and support persons of color, in an effort to<br />

dispel a false belief in our society that any people are superior to others based on their skin color; and be it<br />

further<br />

Resolved, that the <strong>Tennessee</strong> Nurses Association will work diligently for diversity and inclusion, treating all<br />

people with equity and respect, helping them feel valued and belonging, empowering them to grow toward<br />

optimal physical, mental, and social health; and be it further<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

Resolved, that the <strong>Tennessee</strong> Nurses Association will work with elected officials throughout our state<br />

and advocate to create equitable health, educational, and economic opportunities for people of color<br />

throughout the state; and be it further<br />

Resolved, that the <strong>Tennessee</strong> Nurses Association will work with elected officials throughout our state and<br />

advocate to eradicate institutionalized racism, and demand that governmental structures, policies, practices,<br />

norms and values which permit barriers to health care reform, be addressed and removed.<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

Thank you to our Sponsors who make<br />

our <strong>2020</strong> Conference a huge success!<br />

(At Press Time)<br />

Silver Level Sponsorship<br />

BlueCare<br />

HCA Healthcare - TriStar Division<br />

Bronze Level Sponsorship<br />

Arthur L. Davis Publishing Agency, Inc.<br />

The University of <strong>Tennessee</strong>, Knoxville<br />

Vanderbilt School of Nursing<br />

Sponsor Level<br />

Comfort Care Hospice<br />

East <strong>Tennessee</strong> State University<br />

Loewenberg College of Nursing-University of Memphis<br />

Matchwell. LLC<br />

Restorative Health Services<br />

Western Governors University<br />

Year of the Nurse Sponsors:<br />

Marcia Barnes Tina Gerardi Julie Hamm<br />

Tammy Howard Carla Kirkland Raven Wentworth<br />

<strong>Tennessee</strong> Department of Mental Health and Substance Abuse<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

<strong>2020</strong> TNA Board of Directors & Staff<br />

Carla Kirkland<br />

MSN, APRN, ACNP-BC,<br />

FNP-BC, ENP-BC<br />

President<br />

Collierville<br />

Haley Vance<br />

DNP, APRN, CPNP-AC<br />

Past-President<br />

Nashville<br />

Julie Hamm<br />

BSN, MSN, ACNP-BC<br />

Vice President<br />

Hermitage<br />

Jeny Conrad-Rendon<br />

NP-C<br />

Secretary<br />

Arlington<br />

Heather Jackson<br />

MSN, RN, FNP-BC<br />

Treasurer<br />

Franklin<br />

J. Ted Nelson<br />

MSN, RN, NEA-BC,<br />

CCRN-K, FACHE<br />

Director – Operations<br />

Soddy Daisy<br />

Tracy Collins<br />

DNP, FNP-BC<br />

Director - Membership<br />

Memphis<br />

Nancy Stevens<br />

DNP, APRN-BC, CEN<br />

TRN-C, FAEN<br />

Director - Education<br />

Ooltewah<br />

Marcia Barnes, DNP,<br />

ACNP-BC, CWS, CPSN<br />

Director –<br />

Government Affairs<br />

Lebanon<br />

Laura Reed<br />

DNP, APRN, FNP-BC<br />

Director - Practice<br />

Olive Branch, MS<br />

TNA Staff<br />

Tina Gerardi<br />

MS, RN, CAE<br />

Executive Director<br />

Diane<br />

Cunningham<br />

Office Manager<br />

Kathleen Murphy<br />

Director,<br />

Government<br />

Affairs/Chief Lobbyist<br />

Kathryn Denton<br />

Director, Computer/<br />

Network Systems<br />

Managing Editor -<strong>Tennessee</strong><br />

Nurse, TNF Program Mgr.<br />

Sharon Hinton<br />

MSN, NPD-BC,<br />

RN-BC, D. Min<br />

Nurse Peer Review<br />

Leader<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

<strong>Tennessee</strong> Nurses Association<br />

District Map<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

<strong>Tennessee</strong> Nurses Association’s<br />

<strong>2020</strong> Slate of Candidates and Statements<br />

PRESIDENT-ELECT Vote for one (1)<br />

Julie Hamm, BSN, MSN, ACNP-BC<br />

Serving on the board previously, I understand the time and commitment that it takes<br />

for this very important role. I look forward to serving more time on the board and<br />

advocating for TN nurses across this great state of TN.<br />

Nicollette “Nikki” Stephens, DNP, APRN, FNP-C<br />

I am proud to be a nurse! I love my profession! I consider myself a strong advocate<br />

for the nursing profession. I love to meet new people and develop relationships.<br />

Relationships allow trust to be built. Change occurs when people trust. Nurses are<br />

the most trusted profession for 20 years!! I want to use this 20-years of trust that<br />

our profession worked so diligently to achieve to leverage positive change for our<br />

profession.<br />

I currently serve as the Middle TN ARPN President/Chair. I would consider it a great honor to serve in<br />

a leadership role such as President-Elect and ultimately President for the TNA. In 2019, according to<br />

AmericasHealthRankings.org, <strong>Tennessee</strong> is ranked 44 out of 50 states in the USA. <strong>Tennessee</strong> desperately<br />

needs to improve the healthcare environment for its residents! <strong>Tennessee</strong> nurses have so much to offer to<br />

improve the health of Tennesseans! Nurses should be working at the top of their license in every single role.<br />

I want to help lead our profession to do just that. :)<br />

The profession of nursing recently received much recognition for the heroic work we do every single day,<br />

caring for our patients. However, it seems as though that is now a fleeting thought. We need to continue<br />

leading by example, but we also must have strong leadership in place to forge ahead and realize positive<br />

change that will improve the healthcare environment in <strong>Tennessee</strong>. I would be honored to be one of those<br />

leaders!<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

VICE PRESIDENT Vote for one (1)<br />

Heather Jackson, PhD, APRN, FNP-BC<br />

Over the past two years, I have served as the <strong>Tennessee</strong> Nurses Association (TNA)<br />

treasurer. During this time, I have come to appreciate, even more so, the work TNA<br />

performs on behalf of our profession. In my own clinical practice as a pain specialist,<br />

I have been limited by unfounded prescription legislation and understand firsthand<br />

the need and importance of nursing representation in our government. I have<br />

advocated for nurses and nurse practitioners on many fronts by serving within<br />

TNA as well as remaining active in multiple national organizations, presenting and<br />

publishing evidenced base practices that promote nursing roles. I would like to continue to provide such<br />

representation for our profession as TNA Vice-President.<br />

TREASURER Vote for one (1)<br />

Nancy Stevens, DNP, APRN-BC, TRN-C, CEN, FAEN<br />

I am currently the Director of Education for TNA. This has been a crazy, crazy time,<br />

but I have immensely enjoyed the relationship with TNA and the Board. I have learned<br />

so very much during this time.<br />

As the Treasurer of TNA, I would become more involved in the operations, and I<br />

believe it would be a rewarding, exciting, and varied experience that would help me<br />

learn more about the organization and develop stronger relationships with the Board.<br />

I believe that the main qualifications for the Treasurer are good communication and interpersonal skills.<br />

I do not know what software that is used by the Treasurer; however, I am able to quickly learn and have an<br />

openness to conforming to TNA’s standards.<br />

DIRECTOR-EDUCATION Vote for one (1)<br />

Kerry Copeland, MSN, RN, CNRN, CRRN, NPD-BC<br />

I am interested in being considered for the position of Director - Education. I am<br />

currently the Primary Nurse Planner at Vanderbilt University Medical Center and<br />

work in the Nursing Education and Professional Development Department. I am also<br />

the lead for our nursing specialty certification review and reimbursement program. I<br />

partner with external vendors and internal staff for certification course offerings.<br />

I have held several positions focused on clinical education. Prior to working at<br />

Vanderbilt, I was the Education Manager for the Society of Critical Care Medicine. I was responsible for the<br />

scientific education and abstracts for their annual education meeting, which had over 5000 attendees. The<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

meeting took place over five days, with more than 75 education sessions, including abstract presentations.<br />

I led their Education Committee of over 60 members in the design, development, implementation, and<br />

evaluation of the annual scientific program, abstract review, and abstract award process.<br />

The Director of Education position would allow me to use my expertise in education planning and program<br />

management to serve the TNA.<br />

Colleen Moss, DNP, APRN, NNP-BC<br />

I joined TNA in 2018. After attending a TNA board meeting and the inaugural<br />

Leadership Academy in 2019, I was inspired to give back to the organization through<br />

a leadership position.<br />

Nursing emphasizes a commitment to lifelong learning and service. Supporting the<br />

valuable work of our colleagues in the areas of clinical practice, research, advocacy,<br />

and education are fundamental to the success of our organization. My roles in both<br />

an academic medical center, community hospital, and university setting provide me with solid leadership<br />

skills and a unique perspective to consider the learning needs of nursing students and nurses at all practice<br />

levels.<br />

I earned my BS in 2000 from Vanderbilt University and MSN in 2001 from Vanderbilt University School of<br />

Nursing. In 2019, I earned my DNP from the University of <strong>Tennessee</strong> at Chattanooga. I have practiced as an<br />

NNP for the past 17 years, starting my advanced practice career at The Children’s Hospital in Denver, CO,<br />

before returning in 2007 to Vanderbilt University Medical Center in Nashville, TN. During my time at VUMC,<br />

I have been a leader for several QI projects involving house staff orientation and documentation. I maintain<br />

an active clinical practice at the level IV NICU at Monroe Carrel Jr. Children’s Hospital at Vanderbilt and a<br />

level II NICU in Columbia, TN. I recently accepted a full-time faculty position at Vanderbilt University School<br />

of Nursing, teaching in both the Neonatal Nurse Practitioner and the Doctor of Nursing Practice programs.<br />

Sherry Raber, DNP, MMHC, MSN, RN<br />

I would like to express my sincere interest for the position of a Board Member with<br />

the <strong>Tennessee</strong> Nursing Association (TNA).<br />

I am currently an active member of the TNA, the American Nursing Association<br />

(ANA), and National League for Nursing (NLN). I would be honored to be part of an<br />

organization whose mission statement empowers registered nurses (RNs), advocates<br />

for nursing practice, and supports quality health care for everyone in the state of<br />

<strong>Tennessee</strong>.<br />

I am a registered nurse (RN) with an extensive background in the healthcare arena and have served in a<br />

variety of leadership positions. My expertise is in nursing leadership and nursing education. As a nursing<br />

leader, I am very familiar with budgets, policy and procedures, and nursing scope of practice. I have an<br />

understanding of business protocols, boardroom etiquette, and the voting processes that is required as a<br />

board member.<br />

I am confident my extensive experience working in nursing education, coupled with my leadership skills and<br />

leadership background, I would be an asset to the TNA as an active Board Member.<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

DIRECTOR-MEMBERSHIP Vote for one (1)<br />

Chisa Huffman, DNP, MSN, MBA, RN-BC<br />

I joined TNA in 2018. After attending a TNA board meeting and the inaugural<br />

Leadership Academy in 2019, as a half black/half Latina, I feel I am qualified to serve<br />

TNA in the capacity of Director of Membership because:<br />

1. I can bring diversity into TNA<br />

2. I have a business background and can bring diverse strategies to the forefront to<br />

engage all generations<br />

3. I am very active within my community and love motivating and inspiring our<br />

leaders of tomorrow<br />

4. I am a mixture of transformational and servant leadership and role model this<br />

through how I live my life<br />

I have seen here in East <strong>Tennessee</strong>, there is a need for diversity. To me, diversity is not about colors.<br />

Diversity includes anything that is different, whether it be religion, politics, socioeconomic background, and<br />

culture.<br />

I moved here in 2008 and quickly began my path towards becoming a nurse. I attended Knoxville Red Cross<br />

Certified Nursing Assistant Program (graduated). Then attended and graduated from Blount Memorial’s<br />

LPN Diploma program. Shortly after, I was accepted and graduated from Pellissippi State’s first LPN to RN<br />

program. Being at the top of my classes, I was contacted by The University of <strong>Tennessee</strong> (UTK) to attend<br />

their RN-BSN program. In December 2016, I graduated UTK’s Master’s program and moved into UTK’s DNP<br />

program. As a recent graduate (August 2019), I completed my MBA with a concentration in Healthcare<br />

Management at Cumberland University in Lebanon, TN. I continue to seek knowledge and will begin my Phd<br />

in Organizational Leadership in Education in 2021.<br />

Originally born and raised in Dallas/Fort Worth, TX, I’ve built my life here in Maryville, TN. I’ve lived here for<br />

about 12 years, have been happily married for ten years to a native of Maryville, and have an eight year old<br />

little boy (EJ - Edward Jr.). I’ve been a TN Achieves Mentor since 2015 (still current) and coach my son’s<br />

soccer team (3 years).<br />

I have established my life, education, and career here in Maryville over the past 12 years and would like to<br />

establish myself with TNA. Always having my plate too full, I’ve never been able to allot time to give myself<br />

completely to TNA. However, I’m to the point where I can and have the time. I am choosing TNA to serve<br />

and put my focus. I would love the opportunity to be part of and grow with TNA during the nation’s current<br />

climate (Covid-19 & Racial tensions).<br />

I respectfully request the opportunity to serve our community as the Director of Membership. My hope is to<br />

become the VP or President-Elect in the next ten years.<br />

I look forward to learning and growing with you, TNA.<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

NOMINATING COMMITTEE Vote for two (2)<br />

Kimberly Kennel, PhD, RN-BC, CCRN, CNE<br />

I have been a nurse for almost thirty years in a variety of settings. My career started<br />

as a CNA-LPN-RN- RN-BSN, MSN, and then culminated with a PhD. I believe I have<br />

the ability to understand roles and responsibilities for all health care workers since<br />

I have made education in nursing a priority for myself. I started as a bedside critical<br />

care nurse and have transitioned to academia.<br />

I currently have a PhD in nursing and teach in a BSN program. I have been involved in multiple professional<br />

organizations, including ANA and TNA. I have certifications in Medical Surgical Nursing, Critical care, and<br />

nursing education. I attended the TNA leadership academy in July 2019 to prepare myself for leadership<br />

roles in organizations. I am currently on the state TNA awards committee and serve on the nominating<br />

committee for District One. I was an election teller at the State convention in October 2019. I am committed<br />

to the goals of ANA/TNA as a professional organization that advocates for all nurses. I hope to serve on the<br />

nominating committee to recruit new volunteers into TNA leadership positions.<br />

Hillary Sexton, BSN, RN, CCRN<br />

As I have served on the nominating committee for the past year, I look forward to<br />

continuing in this position as I continue to be a member of TNA. I have also served on<br />

the Nominating Committee for the APSU Alumni Association for two years. Currently,<br />

I work in the Surgical Intensive Care Unit at Vanderbilt University Medical Center as a<br />

Clinical Staff Leader. I have the opportunity to see the changing face of our frontline<br />

nurses daily as well as connect our rich nursing culture to the roots that have been<br />

established by our seasoned professionals.<br />

I believe that choosing good leadership for this organization will allow it to flourish in its support of our<br />

state’s nursing community, which is so essential in these chaotic times, especially in healthcare with the<br />

ongoing pandemic and unknown answers. I have almost ten years of experience in healthcare and am most<br />

passionate about advocating and supporting my fellow nurses. Each nurse is an integral part of how we<br />

work together to provide care in <strong>Tennessee</strong>, and we need associations to continue to provide us with the<br />

chance to connect.<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

Poster Presentation Abstracts<br />

Problem Addressed:<br />

Appreciative Advising in Freshman Seminar for Nursing Students<br />

Cassie Burks, RN, MSN, FNP-BC, CEN, A-EMT (Presenter)<br />

An insufficient number of students graduating from the nursing program was a problem when considering<br />

the nursing shortage. A program with adequate faculty and a proven record of graduating nurses who<br />

successfully pass NCLEX and obtain employment was a prime location to create more nurses. Unfortunately,<br />

the number of nursing students was declining at this institution, both from students changing their major at<br />

the freshman level and low completion rates of students in the nursing program.<br />

Appreciative advising (AA) implemented in a freshman seminar course was the method used to enhance<br />

student satisfaction and empower students to progress through the program. Graduating more nursing<br />

students would help combat the nursing shortage.<br />

Objectives:<br />

The research question was: In nursing students enrolled in freshman seminar, does appreciative advising<br />

influence academic major satisfaction?<br />

Methods/Procedures:<br />

1. 6 Phases of Appreciative Advising with Implementation<br />

2. Disarm: Advisors should bond with student. Greet student and offer hospitality<br />

3. Discover: Elicit student’s talents, skills, and competencies. Verify student’s strengths<br />

4. Dream: Discuss student’s aspirations<br />

5. Design: Co-develop a plan<br />

6. Deliver: Encourage goal achievement<br />

7. Don’t settle: Reiterate development and improvement importance. Continual self-improvement is<br />

imperative.<br />

This project was a comparative study that provided quantitative data after a one-group pretest-posttest<br />

analysis.<br />

Because the data was not normally distributed, the Wilcoxon signed rank test identified the related nature<br />

of the independent variable (appreciative advising) to the dependent variable (AMS) by comparing pretest<br />

and posttest scores in one group of participants.<br />

Findings:<br />

The Wilcoxon signed rank test revealed statistically significant improved academic major satisfaction scores<br />

following the appreciative advising (AA) sessions with a medium effect size (r = .32). Students’ median<br />

scores increased from 2.33 (IQR: 2.33, 2.67) to 2.66 (IQR: 2.33, 2.92) after AA.<br />

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Recommendations for Practice/Research:<br />

TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

Appreciative advising is a low cost intervention applicable to most students. Integrating AA into freshman<br />

seminar courses is an intervention aimed early in students’ academic career. Improving students academic<br />

major satisfaction may be an important component to retention.<br />

Ninety percent of educational facilities provide freshman seminar courses (The National Resource Center for<br />

The First-Year Experience and Students in Transition, n.d.). However, little evidence is available concerning<br />

nursing directed freshman seminar. According to Black et al., (2015), specialized (M = 85.8%, SD = 0.086)<br />

freshman seminars, including nursing, had some of the highest statistically significant (p = .0001) retention<br />

rates from first to second semester. Black et al. (2015) recommended universities incorporate major-related<br />

content into freshman seminar courses, yet insufficient evidence is available to differentiate the nursing<br />

content that belongs in freshman seminar. Qualitative studies assessing nursing students’ expectations for<br />

a freshman seminar course would contribute valuable feedback. As would investigating faculty’s opinion of<br />

what belongs in a nursing freshman seminar course.<br />

Another recommendation is that Faculty should consider adopting appreciative advising practices and<br />

integrating them into their courses.<br />

Problem Addressed:<br />

Blood Culture Contamination Improvement Project<br />

William Simmons, RN, MSN (Presenter)<br />

In 2019, the Emergency Department had a contamination rate of 3.28%, which was above the Veteran<br />

Affairs goal of 3.0% and well above the national goal of 2.17%.<br />

Objectives:<br />

A decrease in blood culture contamination to an acceptable rate of 3.0% or below to meet the VA standard.<br />

Methods/Procedures:<br />

The new blood culture collection trial started December 12, 2019, and went through February 14, <strong>2020</strong>.<br />

An in-service was provided by the ED educator for ED nurses and health techs on proper blood culture<br />

collection techniques. Training was also completed by the ED staff regarding appropriate use of the<br />

Kurin collection system. Blood cultures were collected by ED staff and sent to lab where lab staff tracked<br />

both compliance of Kurin use and blood culture contamination rate. At the conclusion of the trial, these<br />

contamination rates were compared to those taken monthly in 2019.<br />

Findings:<br />

The contamination rate from January 1, 2019, through December 12, 2019, was 3.28%. The Kurin trial was<br />

from December 13, 2019, through February 14, <strong>2020</strong>, and yielded a contamination rate of 2.15%. This analysis<br />

shows a correlation between re-education of staff on blood culture collection technique/Kurin collection<br />

system use and improved blood culture contamination rate.<br />

Recommendations for Practice/Research:<br />

Recommend adoption of the Kurin devices for collection of blood cultures in the VAMC of Memphis.<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

Bulimia Through the Lens of QSEN<br />

Madalyn Vincent (Student Presenter)<br />

Amy Blake, MSN, RN, CNE (Mentor)<br />

Problem Addressed:<br />

Improving care for individuals who are suffering from Bulimia Nervosa.<br />

Objectives:<br />

Identify QSEN knowledge, skills, and attitudes relating to the care of individuals with Bulimia Nervosa to<br />

help nurses achieve better outcomes.<br />

Methods/Procedures:<br />

Evidence-Based Education<br />

Findings:<br />

Using evidence-based knowledge, skills, and attitudes will help provide individuals with Bulimia more<br />

holistic care and better outcomes<br />

Recommendations for Practice/Research:<br />

Implementing knowledge, skills, and attitudes to care for individuals with Bulimia should be implemented to<br />

provide holistic patient care and achieve better outcomes.<br />

Problem Addressed:<br />

Capnography Use and Early Detection of Respiratory<br />

Depression on Adult Medical-Surgical Units<br />

Lisa Murphree, EdD, MSN, RN, CMSRN (Presenter)<br />

The problem my presentation addresses is respiratory depression prevention and monitoring of at risk<br />

patients on medical-surgical units.<br />

Objectives:<br />

Learning Outcome: The participant will be able to identify risk factors, factors affecting patient monitoring,<br />

and interventions for respiratory depression among medical-surgical patients<br />

Methods/Procedures:<br />

A search for 2015-<strong>2020</strong> PubMed studies in MEDLINE, CINAHL, and Nursing and Allied Health databases<br />

using key words: medical surgical nursing + capnography and capnography + respiratory depression. Other<br />

limits used included human subjects, adult patients, English.<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

Findings:<br />

n/a<br />

Recommendations for Practice/Research:<br />

n/a<br />

Problem Addressed:<br />

Comprehensive Diabetic Foot-Care Bundle<br />

Maria Akpotu, B.L., LL.B., BNS, CLNC, ICP, RN (Presenter)<br />

To reduce care cost from diabetic foot complications, reduce frequency of hospital visits due to diabetic<br />

foot complications, reduce patient stay in hospital as a result of diabetic foot complications, and to provide<br />

diabetic education at the level of patient understanding.<br />

Objectives:<br />

To generate educational materials that will aid patients. These will supplement patient’s immediate and<br />

long-term diabetic self-care education. Ultimately geared towards positive patient care outcomes.<br />

Methods/Procedures:<br />

Questionnaires encompassing the cost of diabetes related amputations, long-term diabetes care, the<br />

impact of diabetes on length of stay at the VAMC, VAMC Registered Nurse’s ability to educate inpatient and<br />

outpatient population regarding diabetic foot care, as well as, investigating and/or evaluating patient self<br />

foot care.<br />

Findings:<br />

This project has led to the introduction of a Hand Held Telescopic Expandable Flexible Lighted (HHTEFL)<br />

Mirror. Sharing this innovative tool has led to increase in staff and patient interest and awareness on ways<br />

to improve patient care by crafting and promoting patient and staff knowledge. VA Physician has described<br />

this project as shark-tank quality. Occupational Therapy (OT) team provided a write-up stating the need<br />

for adaptive technology and incorporating footcare in their OT prescription and activity for patients. The<br />

comprehensive diabetic foot care bundle has been published on the VA internet, intranet, Facebook, and<br />

Vintage- a VA Podcast. This innovation has received enormous buzz and acceptance, VA-wide<br />

Recommendations for Practice/Research:<br />

1. Help establish a VA-wide Diabetes Inpatient/Outpatient patient care team for each VA.<br />

2. Ensuring a HHTEFL is issued to high-risk diabetes patient at discharge (with clear instructions on use)<br />

3. Ensure regular education to ensure nursing staff, physician team, and patient/family are aware of proper<br />

diabetes foot care and amputation risk<br />

4. Ensure education includes how to detect change and prevention of small wounds developing<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

Handwashing Project<br />

Chloe Flora (Student Presenter)<br />

Viktoriya Marushka (Student Nurse Co-Presenter)<br />

Problem Addressed:<br />

Living in the times of COVID-19, handwashing has been broadcasted as a paramount piece to prevent<br />

pathogenesis of infection and achievement of community health. It is hypothesized by the “Health Belief<br />

Model’’ that individuals are likely to be involved in healthy behavior to the extent that the person is able to<br />

successfully target 1) barriers, 2) benefits, 3) self-efficacy, and 4) threat. Although, while most individuals<br />

have begun to implement handwashing routinely, it has been found that there is a substantial need for<br />

further education. This is evidenced by a recent study at Michigan State University, revealing that only five<br />

percent of the population have proper handwashing technique. Due to the current pandemic, the public is<br />

acutely attentive to the subject of hand washing. As future healthcare workers, we are uniquely positioned<br />

to expand knowledge concerning vital handwashing education as developed by the “Health Belief Model.”<br />

Objectives:<br />

This presentation’s objective is to communicate the impact that beginning nursing students can have in<br />

actively teaching proper handwashing during the current COVID-19 pandemic. When tasked with teaching<br />

others how to hand wash, university nursing students can set an example and reach people within their<br />

sphere of influence, far reaching the university campus.<br />

Methods/Procedures:<br />

As an assignment for Freshmen in NURS-102 (Clinical Lab Seminar) and Juniors in NURS-302<br />

(Introduction to Leadership) Students were asked to teach proper handwashing to five or more people that<br />

they were quarantined with or near through work, facetime, zoom, etc. Data was collected by surveying<br />

these students of the location of their outreach, alongside photo evidence. Through this “Handwashing<br />

Project,” Lee University nursing students were able to educate peers, family members, and coworkers of a<br />

fundamental practice to improve their health and the people’s around them<br />

Findings:<br />

The outbreak of COVID-19 has made it difficult to detect the signs and symptoms of infection and to<br />

implement timely intervention during the very early stage of infection because the duration ranges from 1-2<br />

days before and 7-10 days after the onset of symptoms. Thus, finding and isolating symptomatic patients<br />

may not be sufficient to contain this epidemic. Therefore, it is important to take personal precautions, such<br />

as hand washing, to achieve source control and stop transmission. Handwashing is the most successful<br />

way of preventing the spread of infectious illnesses because effective hand washing breaks the chain of<br />

infection to ultimately reduce the spread of infection and decrease illness rates within the population. A<br />

study published in April 2016 in Infection Control & Hospital Epidemiology found that washing hands for<br />

even just forty-two seconds can remove up to 67% of the bacteria on hands. Due to hand washing being<br />

a foundational skill for nursing students, they have the capability to prevent the spread of infection by<br />

teaching others how to effectively hand wash. Although the ‘Handwashing Project’s purpose was not to<br />

research the disinfection rates of our teaching, it allows us to discuss how many people we influenced and<br />

taught, with emphasis on how they are located in many places, of all ages and occupations. To keep in mind,<br />

Lee University nursing students were able to reach beyond their families, to friends and coworkers during<br />

quarantine. Overall, we found that nursing students from Cleveland, TN can impact a much larger area with<br />

a simple yet powerful skill, one that can save lives worldwide. We believe this project stems as a basis for<br />

what nursing students across the world can accomplish, even early on in their programs.<br />

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Recommendations for Practice/Research:<br />

TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

Wash your hands after coming into contact with a frequently touched surface in a public space before<br />

touching your eyes, nose, or mouth. Early nursing students can make an impact on many in times of need<br />

by empowering others to learn, grow, and flourish in times of pressure and difficulties. By taking the<br />

initiative to educate their communities, beginning nursing students have the ability to save lives. No matter<br />

what age or degree, health care facilities, schools, nurses, and future nurses, should be pushed to be their<br />

greatest. We believe that by encouraging nurses to teach the skills they have acquired, we can make a<br />

difference in a big way. After all, whether a Freshman nursing student or an experienced nurse, we should<br />

all continue to find ways to develop compassion, trustworthiness, humility, accountability and curiosity in<br />

all that we do. We recommend nursing students to take the big picture into account and set an example<br />

to those around them. What seems like a small effort can become a life-changing movement towards the<br />

betterment of world health.<br />

Problem Addressed:<br />

The Impact of a Cognitive-Behavioral Intervention on<br />

Test Anxiety in a BSN Program<br />

Alissa Parrish, MSN, RN (Presenter)<br />

Students face stressors each time they are faced with evaluations. Stressors trigger the cognitive<br />

domain, which is described by Townsend, 2015, as thinking and reasoning through a situation. Anxiety<br />

is an acceptable response to stress; however, the ability to cope can be either adaptive or maladaptive.<br />

Adaptive coping leads to motivation, valuing a challenge, and finding personal satisfaction, according to<br />

Blouin-Hudon, Gaudreau, & Gareau, 2016. When a student has maladaptive coping, this anxiety becomes<br />

disproportionate to the situation manifesting as dread or worry, leading to poor performance and attrition.<br />

High attrition rates, faculty shortages, and an aging population are causing a nursing shortage. And CBI<br />

offers an opportunity to increase retention with positive coping.<br />

CBI is a cognitive-behavioral intervention stemming from cognitive-behavioral therapy. Cognitive<br />

interventions focus on positive thoughts and desensitization. Behavioral interventions focus on alleviating<br />

physical symptoms of anxiety. CBI combines both methods to capture the mental and physical aspects of<br />

anxiety.<br />

Objectives:<br />

Research question: Does a cognitive-behavioral intervention influence test anxiety scores in first semester<br />

BSN students?<br />

Methods/Procedures:<br />

The research study used a quantitative, quasi-experimental, before and after design. Data was collected<br />

from the Cognitive Test Anxiety Survey- 2nd edition before and after the intervention.<br />

The independent variable was the CBI.<br />

The dependent variables of measure were survey scores at time one and time two.<br />

A convenience sample of first-semester nursing students was used from a rural, public university setting.<br />

The intervention was a digital recording written and presented by Dr. Richard Driscoll titled Tame Test<br />

Anxiety. Permission for use of the intervention was granted with the purchase of the album and has been<br />

granted by the author. Students practiced the entire CBI one two separate occasions during class and were<br />

provided with an 8-minute excerpt immediately before the remaining exams in a Foundations of Nursing<br />

course.<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

A dependent-samples t-test was used for data analysis.<br />

Findings:<br />

There was a statistically significant decrease in CTAS-2 scores from time 1 to time 2, with a probability of<br />

< .001. The mean decrease in CTAS-2 scores was 10.8 points, with a 95% confidence interval.<br />

Cohen’s d calculations and a post-hoc analysis resulted in a large effect size (d = .936), further supporting<br />

the significance of the results. The null hypothesis indicted that a cognitive-behavioral intervention will not<br />

influence test anxiety scores in first semester BSN students. Results from the dependent-samples t-test<br />

indicated there was a significant decrease in cognitive test anxiety scores after the CBI, thereby allowing for<br />

the rejection of the null hypothesis.<br />

Recommendations for Practice/Research:<br />

This project demonstrates that test anxiety interventions do not require a significant amount of time or<br />

financial resources. Programs and institutions benefit from low attrition. New graduates can benefit from<br />

decreased test anxiety resulting in improved NCLEX pass rates.<br />

An increase in positive coping mechanisms may improve patient care. Nurses are leaving the profession at a<br />

rapid rate because of the high work stress levels (Yang et al.). Positive coping strategies assist nurses to find<br />

physical, mental, and emotional balance according to Akbar et al. Education on coping strategies should<br />

begin early in nursing school to aid in success, as well as ease of transition into the workforce.<br />

Problem Addressed:<br />

Improving NICU Parent Perception Through Nurse Leader Rounds<br />

Stephanie Abbu, DNP, RN, CNML (Presenter)<br />

Nurse leader rounding initiative in a 100-bed Level IV Neonatal Intensive Care Unit (NICU) within an<br />

academic medical center. Every year nearly 15 percent of babies born in the United States (about half a<br />

million) are admitted to the NICU for a variety of health conditions. The most common reason is prematurity<br />

(born before 37 weeks gestation). NICU admissions also include birth defects, breathing difficulties, and<br />

infections, among other factors. Providing family-centered care and excellent patient care experiences is a<br />

priority for many NICUs, yet the challenge remains to create and sustain measurable success.<br />

Objectives:<br />

After attending this presentation/discussion, the conference participant will identify steps in effective<br />

nurse leader rounding: how to include parents and families as improvement partners, measure and manage<br />

patient experience in real-time, and automate the process to ‘manage up’ staff members.<br />

Methods/Procedures:<br />

Set out to create an effective, standardized approach to daily nurse leader rounding with the goals of<br />

integrating parents and families as improvement partners, measure and manage patient experience in realtime,<br />

and automate the process to ‘manage up’ staff members. Held team huddle to decide to implement<br />

rounds. Brainstormed ways to round (Ask about patient experience so far? Anyone that made hospital<br />

stay ‘extra special’? Concerns that need to be addressed. Follow-up if needed.), process for tracking unit<br />

admissions and discharges, and plan for documenting rounding and follow-up process. Set targets for<br />

timeline to round on a family, communication among leadership team to ensure families are seen as soon<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

as possible after admission, and rounding results reviewed weekly at unit leadership meetings. Conducted<br />

regular review of patient experience data to assess progress, recognize improvements, and address gaps in<br />

performance<br />

Findings:<br />

Within four months of implementation, >400 families were rounded on. Nurse leader time requirement<br />

found to be manageable and valuable *Challenges de-escalated *Unit improvements made, such as visiting<br />

policy revised, technology embraced - providers used ipads to facetime with inpatient mothers separated<br />

from their infant (outside facility / medically unable to visit from Vanderbilt Postpartum unit), Pack n Play<br />

purchased for discharged twin visits – able to reinforce ‘safe sleep’, process change for transferring calls<br />

to the bedside. After two months, staff thank you notes were added, and nearly 100 notes were sent. Press<br />

Ganey patient satisfaction scores reflect improvements in service excellence - likelihood to recommend<br />

increase from 50% to 100%, and friendliness of nurses increased from 50% to 90%.<br />

Recommendations for Practice/Research:<br />

Results demonstrate the effective implementation of nurse leader rounds can improve parent perception<br />

of care, increase engagement of bedside nurses, and improve the perception of care reported in patient<br />

satisfaction survey results.<br />

Insight on Use and Effects of Cannabidiol from Patients: Nursing Implication<br />

Problem Addressed:<br />

Michelle Ryan, MSN, AGACNP-BC (Co-Presenter)<br />

Taylor Butler, PharmD, BCOP, BCPS (Co-Presenter)<br />

Karen Hande, DNP, ANP-BC, CNE, FAAP (Co-Presenter)<br />

Heather Jackson, PhD, APRN, FNP-BC (Co-Presenter)<br />

Rachel McDowell, ACNP-BC (Co-Presenter)<br />

There is limited information about patient use and perspective of CBD products for chronic cancer-related<br />

symptoms.<br />

Objectives:<br />

Gather information in a supportive oncology clinic and educate nursing professionals about CBD oil use.<br />

Methods/Procedures:<br />

Survey distributed to patients seen in chronic cancer-related symptom management clinic. Analyzed data<br />

using descriptive statistics.<br />

Findings:<br />

There were some interesting findings, including only a limited amount of patients obtained their knowledge<br />

of CBD from a health care professional. Our patient also had limited knowledge on risks of CBD, and over<br />

50% who tried CBD did not continue CBD. While the survey was not powered to produce any definite<br />

conclusions, this provides an idea where to focus for appropriate education for patients interested in CBD.<br />

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Recommendations for Practice/Research:<br />

TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

More research is needed to know if CBD can benefit patients with cancer-related symptoms, but there may<br />

be an opportunity for nursing to educate patients about risk and benefits with CBD product use.<br />

Integration of Acupuncture Treatment Within the Standard of<br />

Care for Opioid Withdrawal<br />

Heather Jackson, PhD, APRN, FNP-BC (Presenter)<br />

Problem Addressed:<br />

How to integrate alternative therapies within the standard of care in treating withdrawal and/or dependence<br />

during the opioid epidemic.<br />

Objectives:<br />

1. Discuss the current opioid epidemic and identify the need for additional treatments<br />

2. Identify acupuncture techniques that may be integrated within the standard of care for opioid<br />

withdrawal<br />

3. Describe how acupuncture has been integrated at Vanderbilt University Medical Center (VUMC) in the<br />

adult and neonatal populations<br />

Methods/Procedures:<br />

Power point presentation providing a background and need for alternative treatments for chronic pain<br />

patients, adults and neonates experiencing withdrawal. Outline indications for NADA protocol in these<br />

populations and discuss studies performed at VUMC by speaker.<br />

Findings:<br />

1. Acupressure was safely and feasibly implemented within the standard of care at VUMC for the treatment<br />

of NAS.<br />

2. The NADA protocol has been integrated within VUMC treatments, performed by nurse practitioners.<br />

Patients have reported improved pain scores, less use of rescue medications, and reduced psychological<br />

distress.<br />

Recommendations for Practice/Research:<br />

Consider the NADA protocol acupuncture technique as an adjunct treatment option for chronic pain<br />

patients and neonates dependent on opioids.<br />

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TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

Men in Nursing<br />

Cody McSwain (Student Presenter)<br />

Raven Wentworth, DNP, RN, APRN, AGPCNP-BC, FNP-BC (Co-Presenter)<br />

Problem Addressed:<br />

Nurses serve a diverse population, but the workforce does not reflect this.<br />

Objectives:<br />

1. Identify some reasons why men enter the nursing profession<br />

2. Discuss common barriers that prevent men from entering the nursing profession<br />

Methods/Procedures:<br />

poster/handout<br />

Findings:<br />

Men are more likely to enter the profession to seek advancement, for job security, and gain a meaningful<br />

salary. Consistent with the female students is the theme of “caring” for individuals. Some barriers include<br />

gender stereotyping and marginalization.<br />

Recommendations for Practice/Research:<br />

n/a<br />

Problem Addressed:<br />

Moral Distress in Critical Care<br />

J. Ted Nelson, MSN, RN, NEA-BC, CCRN-K, FACHE (Presenter)<br />

Moral distress is a complex phenomenon often identified by many healthcare workers, especially those<br />

working in critical care environments. Moral distress is associated with intense work settings, ethical<br />

divergences, and end of life decisions. Organizations, including the American Nurses Association, American<br />

Association Critical-care Nurses, and the American Medical Association, have recognized Moral Distress to<br />

be detrimental to the multidisciplinary health care team contributing to burnout and turnover.<br />

Objectives:<br />

The objective is to share the findings within the literature and my DNP translational project to bring<br />

awareness to the phenomenon of moral distress/injury. Additionally, I will share what interventions have<br />

been used to decrease or prevent moral distress from occurring.<br />

Methods/Procedures:<br />

Quantitive Pre/Post-intervention data collection with qualitative components.<br />

Findings:<br />

A moderate amount of moral distress according to the sample responses. Comparative findings will be<br />

available after the DNP translational project.<br />

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Recommendations for Practice/Research:<br />

TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

Additionally, research is needed to identify additional best practices to improve/ reduce moral distress.<br />

Problem Addressed:<br />

The Power of Music: Affirming Elderly Refugees’ Cultural Identity<br />

Holly Harris (Student Presenter)<br />

Carina Anderson (Student Co-Presenter)<br />

Lydia Lee (Student Co-Presenter)<br />

Lauren Schwarz (Student Co-Presenter)<br />

Brooke Simpson (Student Co-Presenter)<br />

Rebeccah Tovar (Student Co-Presenter)<br />

Jade Vergara, AGPCNP-C, MSN (Co-Presenter)<br />

Currently, there are over 80,0000 individuals claiming foreign citizenship in <strong>Tennessee</strong>. Between 2016 and<br />

2018, Davidson County/Nashville alone received over 2,500 refugees, the majority of them coming from<br />

war torn and impoverished countries. Current literature supports many refugees suffer from mental health<br />

issues related to trauma and stress, social isolation, and feelings of cultural loss. Music, social engagement,<br />

and affirmation of individual cultural identity is shown to have positive outcomes for refugees, specifically<br />

elderly refugees.<br />

Objectives:<br />

VUSN students sought to increase psychosocial well-being and group cohesiveness in elderly refugees<br />

at Catholic Charities by strengthening cultural identity. Students aimed to increase these facets of<br />

psychosocial health from baseline by 20% by two months.<br />

Methods/Procedures:<br />

Over two months, students implemented a bi-monthly intervention of group activities with and without<br />

culturally relevant music. After collecting music specific to each participants’ country of origin, the music<br />

was played during Bingo and a field day designed by VUSN students. Our intervention was evaluated<br />

by using participant pre and post FACES mood surveys, volunteer post questionnaires, and volunteer<br />

structured exit interviews.<br />

Findings:<br />

With music interventions, FACES mood surveys measuring psychosocial well-being improved from 4.17 to<br />

4.71, and volunteer questionnaires measuring group cohesiveness improved from 4.23 to 4.46. Additionally,<br />

volunteer exit interviews reflected intervention success in accomplishing aims. Key interview themes<br />

included increased cheerfulness, love of meeting new people and activities, increased interaction and<br />

engagement, and sharing of culture.<br />

Recommendations for Practice/Research:<br />

Affirming cultural identity by providing culturally relevant music during activities positively impacts<br />

observed psychosocial well-being and group cohesiveness in elderly refugees. Use of Catholic Charities<br />

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translator services and digitization of music may address future barriers, including language and distance<br />

requirements, respectively. Additionally, leveraging input of family members may provide improved insight<br />

into the elder’s interests and needs.<br />

The Prevention of Stasis and Deep Vein Thrombosis by Utilization of Sequential<br />

Compression Devices<br />

Problem Addressed:<br />

Sonia Steward-Brown, BSN, RN (Presenter)<br />

Teresa Bills, RN (Co-Presenter)<br />

Sandra Foster, MSN, RN (Co-Presenter)<br />

Gabriele Macklin, BSN, RN (Co-Presenter)<br />

Diana Pierce, BSN, RN (Co-Presenter)<br />

1. The important risk factors of VTE in hospitalized patients.<br />

2. Compared the use and risk of pharmacological, mechanical prophylactic with SCD, or combination in<br />

VTE patients.<br />

Objectives:<br />

1. To be 100% compliant with sequential compression devices.<br />

2. To ensure nurse’s education and awareness of DVT prophylactic.<br />

3. To ensure staff is aware of high risk patients and to act appropriately (sequential compression devices)<br />

placements)<br />

4. Decrease the chance of developing a DVT on inpatient veteran ward.<br />

Methods/Procedures:<br />

Powerpoint, posters, educational materials.<br />

Findings:<br />

Less than 50% compliant with placement of Sequential compression devices<br />

Recommendations for Practice/Research:<br />

n/a<br />

Provider Recommendation and the Positive Impact on Vaccination Rates<br />

Brie LaJeret, DNP, AGPCNP-BC (Presenter)<br />

Problem Addressed:<br />

1. Low vaccination rates in America<br />

2. Improving public health<br />

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Objectives:<br />

Objectives of Capstone Project:<br />

TNA VIRTUAL CONFERENCE | <strong>2020</strong>: YEAR OF THE NURSE<br />

1. To determine if verbal provider recommendation has a positive impact on adult influenza vaccination<br />

rates<br />

2. To provide vaccination education to providers<br />

3. To empower providers to make strong verbal vaccination recommendations<br />

4. To determine if there are biases when a recommendation is not made<br />

Methods/Procedures:<br />

A “lunch and learn” education program was given to the providers. Providers then made a deliberate effort<br />

to discuss and recommend the influenza vaccine at each routine clinic visit with eligible adult patients<br />

seen at the Vanderbilt Primary Care Clinic. A chart review was conducted to evaluate how the provider<br />

recommendation impacted influenza vaccination rates.<br />

Findings:<br />

1. Rate of vaccination rose by almost 100%<br />

2. From 48.2% in 2018 to 81.5% during the two-week implementation period.<br />

3. Rate of provider recommendation rose from 23% to over 90%.<br />

4. There were no biases identified<br />

Recommendations for Practice/Research:<br />

1. Providers should make strong, individualized verbal vaccination recommendations.<br />

2. Providers should use this opportunity to educate patients and discuss any concerns they may have.<br />

3. Providers need to be aware of unconscious biases in order to prevent inconsistent recommendation<br />

Putting Teamwork and Leadership Skills into Action Using Escape Rooms<br />

Problem Addressed:<br />

Amy Blake, MSN, RN, CNE (Presenter)<br />

This class assignment integrates leadership and followership skills using fun and active learning. This<br />

activity provides a real life experience for students (most of which have no clinical experience)to put into<br />

action many of the skills learned in this personal leadership course.<br />

Objectives:<br />

Using a fun, inconsequential strategy, the student will utilize leadership and teamwork skills to escape a<br />

chosen scenario. Communication, time management, prioritization, critical thinking, teamwork, conflict<br />

resolution, and delegation are some skills that may be used. Debriefing and reflection at the conclusion of<br />

the activity lead to the student being able to analyze his/her performance and feelings and acknowledge<br />

strengths and weaknesses that emerged during the exercise<br />

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Methods/Procedures:<br />

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In teams of 4 or 5, students work together to “escape” from a chosen scenario at a local escape room.<br />

Drawing on multiple topics that have been discussed in class, the team attempts to escape in under an hour.<br />

The team solves puzzles and riddles using clues and critical thinking to complete the scenario and thus<br />

escape the room. The team then debriefs as a team, in a reflection write up and as a class.<br />

Findings:<br />

The intended outcome of putting teamwork and leadership into action is very evident from the student<br />

comments and feedback. Having an opportunity to implement the course skills and note their effectiveness<br />

promotes confidence and eagerness to either retain or modify behavior in future opportunities. Students<br />

comment that they are smarter than they thought, that nursing leadership skills can be used everywhere,<br />

that they found their peers had great ideas, that the team benefited from having various viewpoints, and<br />

that because the team was respectful and like-minded in the mission, they were successful.<br />

Recommendations for Practice/Research:<br />

This activity puts key teamwork and leadership skills into action. These are not skills solely for nursing<br />

practice, but skills for life. This exercise reveals many actions and attitudes that are both positive and<br />

negative, and this revelation promotes discussion. It is fun, and the only consequence is bragging rights<br />

from the team to team competition.<br />

Problem Addressed:<br />

Raising Awareness of Addiction Stigma Using Artistic Mediums<br />

Kendra Todt, PhD, RN (Presenter)<br />

Every 19 minutes, someone dies from a drug overdose, with an estimated 130 Americans dying each day.<br />

In 2017, 70,200 lives were lost. The estimated cost to society is $78.5 billion dollars from expenditures<br />

related to law enforcement, health care, and lost productivity. The proliferation of the opioid crisis is rooted<br />

in stigma as individuals suffering with substance use disorder (SUD) have been invisible, marginalized,<br />

stigmatized, and criminalized. Stigma is a Greek word denoting a visual sign or mark that signifies a<br />

person as tainted and unfit for inclusion in society, a person to avoid. Sadly, the attitudes of health care<br />

professionals towards patients with SUD are largely pejorative, with nurses amongst the most punitive.<br />

Prognostic pessimism is a problem, as nurses may view patients with SUD as unlikely to recover. Across<br />

the literature, nurses struggle to view addiction as a chronic disease. Nurses noted a lack of addiction<br />

science education, preservice, and work related, leaving them feeling unprepared to care for this vulnerable<br />

population.<br />

For this reason, education is a strategy to raise awareness of the stigma that exists in spaces and places<br />

that are designated for healing. Employing artistic mediums such as visual thinking strategies may bring<br />

addiction to the forefront and facilitate a greater understanding of the detriment of stigma to population<br />

health. The root of stigma stems from personal beliefs, attitudes, and societal views, which then overshadow<br />

care delivery. The introduction of a talking circle as a place to share burdens, personal and professional, may<br />

facilitate awareness of stigma and its origins to construct a platform for change using a dialogic process.<br />

Reducing stigma has the potential to improve environments in which patients and nurses coexist as well as<br />

to improve treatment outcomes for patients suffering from addiction.<br />

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Objectives:<br />

1. Define stigmatization.<br />

2. Discuss the origins of stigmatization surrounding addiction.<br />

3. Identify stigmatizing language and actions.<br />

4. Discuss the effect of stigmatization on treatment and recovery for people suffering from addiction.<br />

5. Identify art forms that will facilitate the awareness of addiction as a chronic disease.<br />

6. Introduce the concept of professional talking circles and safe spaces to share burdens.<br />

Methods/Procedures:<br />

n/a<br />

Findings:<br />

n/a<br />

Recommendations for Practice/Research:<br />

n/a<br />

Problem Addressed:<br />

Rates of Gastrointestinal Disease in United States Military Veterans<br />

Kelsey Kent, PhD, PMHNP (Presenter)<br />

Current statistics reveal rates of GI disease in the general American population, but there is minimal data<br />

available on the rates of GI disease in U.S. military Veterans.<br />

Objectives:<br />

To determine rates of GI disease in U.S. military Veterans as compared to rates of GI disease in the general<br />

American population<br />

Methods/Procedures:<br />

This project is a retrospective, observational study using a large data set of 6,352,586 participants. Data<br />

was collected from patient records at the Veterans Health Administration on GI diseases with greater<br />

than 500,000 annual ambulatory care visits in the United States, to include: peptic ulcer disease,<br />

gastroesophageal reflux disease, diverticular disease, inflammatory bowel disease, ulcerative colitis, Crohn’s<br />

disease, irritable bowel syndrome, constipation, nausea/vomiting, and functional dyspepsia.<br />

Findings:<br />

Over a 20 year period, the rates of GI disease in Veterans were identified as:<br />

1. Gastroesophageal Reflux Disease 25.52%<br />

2. Peptic Ulcer Disease 1.82%<br />

3. Functional Dyspepsia 20.99%<br />

4. Crohn’s Disease 2.82%<br />

5. Ulcerative Colitis .75%<br />

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6. Diverticular Disease 10.22%<br />

7. Irritable Bowel Syndrome 2.11%<br />

8. Constipation 6.37%<br />

9. Nausea/Vomiting 15.80%<br />

Findings will also be broken down by year and compared to the most recent published rates of GI disease in<br />

the general American population in tables.<br />

Recommendations for Practice/Research:<br />

Bedside nurses should be aware of the unique needs of U.S. military Veterans, including the higher<br />

prevalence of gastrointestinal disease as compared to the general American population.<br />

Seeing Red? Touch Green! What is the Impact of Horticultural/Gardening Therapy<br />

on Agitation in Adult Alzheimer’s Patients Residing in an Inpatient Setting?<br />

Problem Addressed:<br />

Lauren Schwarz (Student Presenter)<br />

Christine Nguyen (Student Co-Presenter)<br />

Sean Norton (Student Co-Presenter)<br />

Eve Rodenmeyer (Student Co-Presenter)<br />

Pamela Waynick-Rogers, DNP, APRN-BC (Co-Presenter)<br />

According to the Alzheimer’s Association’s 2019 Alzheimer’s Disease Facts and Figures Report, an<br />

estimated 5.8 million Americans are living with the disease, this number is expected to double by 2050, and<br />

15-20% of patients with dementia develop violent behaviors. Behavioral and psychological symptoms of<br />

dementia are associated with increased use of physical and chemical restraints and other adverse clinical<br />

outcomes in patients (Lu, 2019). Cheng studied caregivers and concluded that the strongest predictor<br />

of burden and depressive symptoms was disruptive behavior (Cheng, 2017). Studies show that access to<br />

gardens in inpatient settings can have a positive influence on Alzheimer’s patients’ behavior by promoting<br />

relaxation and sensory stimulation (Guaita et al., 2011; Li-Chin et al., 2019, Ulrich et al., 2018, Uwajeh et al.,<br />

2019; Whear, 2014).<br />

Objectives:<br />

The purpose of this project is to encourage the implementation of garden spaces for patients with<br />

Alzheimer’s and dementia in inpatient facilities. The goal is to increase awareness of the benefits of gardens<br />

for patients with Alzheimer’s and/or dementia who reside in long term care facilities or another inpatient<br />

setting, particularly in terms of decreased agitation.<br />

Methods/Procedures:<br />

Evaluated articles were determined to be between Level 1 and Level 6 evidence according to the evidencebased<br />

practice nursing research categorization guidelines. The majority of articles included in the review<br />

utilized the Cohen-Mansfield Agitation Inventory (Cohen-Mansfield et al., 1989) to assess agitation levels<br />

before and after an intervention. Forms of horticulture interventions across studies included: leisure time in<br />

green spaces, structured gardening programs, purposeful placement of plants, audiovisual presentations of<br />

natural scenes, and use of an activity garden vs. quiet garden. According to Whear<br />

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(2014) The mechanisms causing benefit of garden include reminiscence and sensory stimulation. The key<br />

terms used in the literature review include: Dementia, Alzheimer’s, agitation, aggressive behaviors, garden<br />

therapy, horticulture therapy, green spaces, long-term care, and inpatient<br />

Findings:<br />

All studies evaluated reported decreased agitation levels associated with visiting the garden and/or being<br />

in the presence of purposeful plants. “Benefits of the garden were thought to occur through 2 mechanisms:<br />

reminiscence and sensory stimulation. The evidence suggests that these mechanisms work partly by<br />

encouraging a relaxing and calming environment, while also providing an opportunity to maintain life skills<br />

and habits.” (Whear, 2014)<br />

Recommendations for Practice/Research:<br />

In order to gather the best evidence, further research should standardize the garden intervention with<br />

specific features and methods. Additional randomized control trials are indicated for this topic since there<br />

are a limited number. Improved patient outcomes increases quality of life and reduces the burden for<br />

healthcare workers and caregivers. Recommendations for practice include incorporating gardens or at least<br />

indoor plants in inpatient setting with adults with Alzheimer’s and dementia<br />

Teaching BSN Clinical During a World Pandemic: Online OB Simulation<br />

Problem Addressed:<br />

Tammy Howard, MSN, RNC-OB, WHNP-BC (Presenter)<br />

Nursing programs clinical and lab educational programs were disrupted during the worldwide pandemic as<br />

the pandemic moved into the USA.<br />

Universities moved to 100% online education platforms. Even clinical rotations were cancelled by facilities<br />

& nursing programs and moved to online learning status. This presentation demonstrates how one BSN<br />

programs OB simulations moved from the simulation lab setting to a synchronous online platform.<br />

Objectives:<br />

1. Participants will become aware of methods used to deliver interactive synchronous online OB<br />

simulation.<br />

2. Participants will view examples of online simulation.<br />

Methods/Procedures:<br />

Poster with description and pictures that demonstrate how Laerdal Sim Mom simulator was utilized in online<br />

simulations during TN mandated “Safer at Home” status/University conversion to 100% online classes,<br />

including labs (March <strong>2020</strong>-July <strong>2020</strong>).<br />

Findings:<br />

n/a<br />

Recommendations for Practice/Research:<br />

n/a<br />

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Using the Experience of COVID-19 to Develop Your Educational Emergency Toolkit<br />

Jennifer Wissemann, DNP, RNC-LRN, RNC-OB, CNE (Presenter)<br />

Problem Addressed:<br />

Knowledge of how to effectively develop and implement educational offerings during challenging times.<br />

Objectives:<br />

1. Participants will be able to the impact of pandemics as it relates to staff education.<br />

2. Participants will be able to describe barriers/facilitators of experienced nurse transitions between work<br />

assignments.<br />

3. Participants will be able to apply lessons learned to their own educational offerings.<br />

Methods/Procedures:<br />

Summary of findings from published literature plus personal experience.<br />

Findings:<br />

n/a<br />

Recommendations for Practice/Research:<br />

Outlines recommendations for planning for alternate educational offerings amidst current pandemic setting.<br />

Problem Addressed:<br />

Virtual OSCEs<br />

Diane Butler, DNP, FNP/GNP-BC, NP-C (Presenter)<br />

1. On campus participation for MSN FNP student learning and skills check off prohibited during the<br />

Covid-19 Pandemic<br />

2. MSN FNP faculty needed a way to confirm students knowledge and practice skills with patients at end<br />

of semester<br />

Objectives:<br />

1. Describe the Observed Structured Clinical Examination (OSCE) for FNP students<br />

2. Discuss the move of the on-ground simulation OSCE format to the virtual online simulation OSCE format<br />

for FNP students<br />

Methods/Procedures:<br />

FNP Faculty developed an virtual online simulation approach to conduct Observed Structured Clinical<br />

Examination (OSCE) for FNP students.<br />

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Findings:<br />

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All FNP students successfully completed OSCEs.<br />

Recommendations for Practice/Research:<br />

In view of limited, if not prohibited, on-campus time for clinical simulation during the Covid-19 pandemic,<br />

this virtual online simulation format proved to be highly accepted and successful for faculty and students.<br />

Why Medical Record Documentation is Critical<br />

Teresa Bills, RN (Presenter)<br />

Problem Addressed:<br />

Insufficient charting<br />

Objectives:<br />

Improve medical documentation, improve communication critical information to physicians and to improve<br />

communication<br />

Methods/Procedures:<br />

Chart audits<br />

Findings:<br />

Lack of sufficient charting as 50 % lacking progress noted on continued care<br />

Recommendations for Practice/Research:<br />

Education 2x quarter, poster presentation, legal case studies, weekly huddles, lay down foundation for<br />

standardized requirements for charting, along with chart audits<br />

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<strong>Tennessee</strong> Nurses Association<br />

Statements of Financial Position,<br />

December 31, 2019 and 2018<br />

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<strong>Tennessee</strong> Nurses Association<br />

Statements of Activities and Changes in Net Assets<br />

For the Year Ended December 31, 2019<br />

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<strong>Tennessee</strong> Nurses Association<br />

Statements of Activities and Changes in Net Assets (Continued)<br />

For the Year Ended December 31, 2018<br />

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<strong>Tennessee</strong> Nurses Association<br />

Statements of Cash Flows<br />

For the Years Ended December 31, 2019 and 2018<br />

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TNA Past Presidents<br />

*Mrs. Lena A. Warner...............................................1905-1918<br />

*Nina E. Wootton........................................................1918-1919<br />

*Myrtle Marion Archer.............................................1920-1921<br />

*Mrs. Daisy Gould......................................................1921-1923<br />

*Mrs. Myrtle E. Blair..................................................1924-1925<br />

*Abbie Roberts..........................................................1926-1927<br />

*Mrs. Corrine B. Hunn.............................................1928-1929<br />

*Hazel Lee Goff........................................................1930-1932<br />

*Nancy Rice (Nashville)..........................................1933-1935<br />

*Aurelia B. Potts (Nashville).................................1936-1937<br />

*Mattie E. Malone (Memphis)...............................1938-1939<br />

*Lennis Ault (Knoxville).........................................1940-1942<br />

*Frances H. Cunningham (Memphis)...............1942-1944<br />

*Beatrice M. Clutch (Nashville)...........................1944-1948<br />

*Ruth Neil Murry (Memphis)................................1948-1950<br />

*Elizabeth H. Killeffer (Cookeville)....................1950-1952<br />

*Violet M. Crook (Union City).............................1952-1955<br />

*Catherine M. Sterling (Memphis)......................1956-1959<br />

*Vesta L. Swartz (Johnson City)........................1960-1961<br />

*Mary Frances Smith (Memphis)........................1962-1966<br />

*Dorothy L. Griscom (Memphis)........................1966-1969<br />

*Dorothy Hocker (Nashville).................................1969-1971<br />

*Mary Evelyn Kemp (Nashville)............................1971-1973<br />

*Patsy B. McClure (Knoxville)...............................1975-1977<br />

*Emma Lou Harris (Chattanooga).....................1977-1979<br />

*Mary Windham (Clarksville)................................1979-1981<br />

Annie J. Carter (Nashville).....................................1981-1983<br />

Margaret Heins (Knoxville)...................................1983-1985<br />

Virginia(Ginna)Trotter Betts(Nashville)...........1985-1987<br />

Margaret Heins (Knoxville)...................................1987-1989<br />

Frances Edwards (Nashville)...............................1989-1993<br />

Carol Blankenship (Johnson City)....................1993-1995<br />

Sharon Adkins (Nashville).....................................1995-1997<br />

Margaret (Peggy) Strong (Memphis)...............1997-1999<br />

Gary Crotty (Knoxville).........................................1999-2001<br />

Wanda Neal Hooper (Nashville)......................2001-2003<br />

*Maureen Nalle (Knoxville)................................2003-2005<br />

Susan Sanders (Lynchburg).............................2005-2007<br />

Laura Beth Brown (Nashville)..........................2007-2009<br />

Elizabeth (Beth) H. Smith (Piney Flats).........2009-2011<br />

Lena Patterson (Ooltewah)..................................2011-2012<br />

Jill S. Kinch (Nashville) (Interim President)..........2012-2013<br />

Frances (Billie) Sills (Johnson City).................2013-2015<br />

Sandra (Sandy) Murabito (Nashville)..............2015-2017<br />

Haley Vance, (Nashville).......................................2017-2019<br />

*deceased<br />

*Erline Gore (Nashville)..........................................1973-1975<br />

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<strong>2020</strong>-2021 TNF Board of Trust & Staff<br />

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<strong>2020</strong>-2021 TNF Board of Trust & Staff<br />

Staff<br />

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