Massachusetts Report on Nursing - December 2020
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November <strong>2020</strong> <str<strong>on</strong>g>Massachusetts</str<strong>on</strong>g> <str<strong>on</strong>g>Report</str<strong>on</strong>g> <strong>on</strong> <strong>Nursing</strong> • 15<br />
c<strong>on</strong>diti<strong>on</strong>s and support interprofessi<strong>on</strong>al practice learning at a student-faculty practice<br />
providing primary care with underserved populati<strong>on</strong>s. This model has been widely<br />
disseminated and received the prestigious Public Health Excellence in Interprofessi<strong>on</strong>al<br />
Collaborati<strong>on</strong> Award by the US Public Health Service and Interprofessi<strong>on</strong>al Educati<strong>on</strong><br />
Collaborative. She has served as a catalyst for faculty regi<strong>on</strong>ally and nati<strong>on</strong>ally to<br />
adopt new academic interprofessi<strong>on</strong>al models; and to infuse new curriculum c<strong>on</strong>tent<br />
and experiences for advanced practice nurses caring for vulnerable populati<strong>on</strong>s and<br />
promote health equity.<br />
Ellen M. Robins<strong>on</strong>, PhD, RN, HEC-C<br />
<strong>Nursing</strong>’s disciplinary perspective shines light <strong>on</strong> patient<br />
resp<strong>on</strong>se when the patient’s voice is lost in a highly<br />
medicalized culture. Collective voices of ethics and policy<br />
experts to urge resp<strong>on</strong>sible stewardship of resources can<br />
impact end of life care and redirect utilizati<strong>on</strong> of health care<br />
dollars towards more beneficial care<br />
Ellen M. Robins<strong>on</strong>, PhD, RN, HEC-C is a graduate of<br />
the William F. C<strong>on</strong>nell School of <strong>Nursing</strong>, Bost<strong>on</strong> College,<br />
receiving her Masters’ degree in Cardiovascular <strong>Nursing</strong> as<br />
a Clinical Nurse Specialist in 1983, and her PhD degree in<br />
nursing with a focus <strong>on</strong> nursing ethics in 1997. During her doctoral program, Ellen was<br />
the recipient of a Nati<strong>on</strong>al Research Service Award (Nati<strong>on</strong>al Institute of <strong>Nursing</strong>) for<br />
her dissertati<strong>on</strong> research and awarded a pre-doctoral fellowship in the Department of<br />
Veterans Affairs. In 1998, Dr. Robins<strong>on</strong> completed the Harvard Medical School Center<br />
for Bioethics medical ethics fellowship after which she transiti<strong>on</strong>ed into the role of<br />
Nurse Ethicist at the <str<strong>on</strong>g>Massachusetts</str<strong>on</strong>g> General Hospital (MGH). In her role as nurse<br />
ethicist, Ellen provides ethics c<strong>on</strong>sultati<strong>on</strong> to health professi<strong>on</strong>als, patients and families.<br />
She has served <strong>on</strong> the MGH Optimum Care Committee since 1993 and as co-chair of the<br />
committee since 2007. In Dr. Robins<strong>on</strong>’s role as committee co-chair, she was a leader<br />
with physician colleagues in the development and implementati<strong>on</strong> of the hospital’s<br />
‘Do No Harm’ policy, which aims to protect patients approaching end of life from the<br />
harms of CPR. Dr. Robins<strong>on</strong> serves <strong>on</strong> the MGH Hospital for Children Pediatric Ethics<br />
Committee and the Harvard Medical School Ethics Leadership Council; she also holds<br />
a faculty appointment in the Harvard Medical School Center for Bioethics. Ellen has<br />
successfully co-directed a research program <strong>on</strong> ethics c<strong>on</strong>sultati<strong>on</strong> that has c<strong>on</strong>tributed<br />
empirically to life sustaining treatment policy and clinical ethics literature in processes,<br />
outcomes and themes of ethics c<strong>on</strong>sultati<strong>on</strong>s. Dr. Robins<strong>on</strong> is currently chair of the<br />
Clinical Ethics C<strong>on</strong>sultati<strong>on</strong> Affairs committee of the American Society of Bioethics<br />
and Humanities. The highlight of Ellen’s professi<strong>on</strong>al career has been c<strong>on</strong>tinued active<br />
engagement and mentorship of clinical nurses and health professi<strong>on</strong>als in direct care<br />
roles involved in ethically complex situati<strong>on</strong>s and interested in career development.<br />
and equity-centered inventi<strong>on</strong> practices has been featured in nati<strong>on</strong>al media outlets<br />
such as Forbes, Scientific American, <strong>on</strong> NPR, and in the journal Science.<br />
Lisa Wolf, PhD, RN, CEN, FAEN, FAAN<br />
The most important less<strong>on</strong> I’ve learned is that the problem<br />
is bigger than you think it is. I learned this from Dottie J<strong>on</strong>es,<br />
who was my dissertati<strong>on</strong> chair and mentor at BC. I walked in<br />
with a nice tight study <strong>on</strong> chest pain, and walked out with a<br />
theory of decisi<strong>on</strong>-making that has shaped my practice and<br />
research ever since.<br />
Dr. Lisa Adams Wolf received her BA in Anthropology<br />
from Amherst College, a Master of Fine Arts in Writing from<br />
Emers<strong>on</strong> College, a diploma in <strong>Nursing</strong> from St Elizabeth’s<br />
Hospital School of <strong>Nursing</strong>, a Masters’ degree in <strong>Nursing</strong> from<br />
Molloy College, and a PhD from Bost<strong>on</strong> College’s C<strong>on</strong>nell<br />
School of <strong>Nursing</strong>. Dr. Wolf is the Director of Emergency<br />
<strong>Nursing</strong> Research at the Emergency Nurses Associati<strong>on</strong>, and an adjunct professor at<br />
both the University of <str<strong>on</strong>g>Massachusetts</str<strong>on</strong>g> and Elms College. Dr. Wolf’s work focuses <strong>on</strong><br />
understanding the socio-clinical structure of the emergency care setting as an influencing<br />
factor in nursing practice and patient safety. Her dissertati<strong>on</strong> work provides a theoretical<br />
model of clinical decisi<strong>on</strong>-making in emergency care envir<strong>on</strong>ments that dem<strong>on</strong>strates the<br />
intersecti<strong>on</strong> of individual factors and socio-envir<strong>on</strong>mental factors at the point of clinical<br />
decisi<strong>on</strong>-making. Her work since then has c<strong>on</strong>tinued to expand and explicate the research,<br />
practice, and educati<strong>on</strong>al implicati<strong>on</strong>s of that intersecti<strong>on</strong>. Over the last decade, she<br />
has identified individual and envir<strong>on</strong>mental driving factors in workplace bullying, moral<br />
distress, and fatigue that affect both nursing and patient outcomes. Her most recent<br />
work identifies the chr<strong>on</strong>ic, cumulative, unacknowledged sec<strong>on</strong>dary trauma prevalent in<br />
emergency nursing as a driver of lateral and organizati<strong>on</strong>al violence, suicidality in nurses,<br />
and errors in clinical decisi<strong>on</strong>-making. Her work c<strong>on</strong>sistently underpins both educati<strong>on</strong>al<br />
and policy work by the Emergency Nurses Associati<strong>on</strong>, specifically in critical areas of<br />
residency educati<strong>on</strong>, workplace violence, triage practices, identificati<strong>on</strong> and management<br />
of high-risk patients, and emergency nursing staffing guidelines. She has developed<br />
theoretical frameworks that describe the elements and effect of the unique envir<strong>on</strong>ment<br />
of the emergency care setting <strong>on</strong> nursing and patient outcomes, with applicati<strong>on</strong> of those<br />
frameworks to real-world problems, reframed the role of an organizati<strong>on</strong>al research<br />
institute into a unique mechanism to effectively bridge the theory-practice gap nati<strong>on</strong>ally<br />
and internati<strong>on</strong>ally, leveraged leadership of an organizati<strong>on</strong>al research institute to address<br />
cross-disciplinary problems in the care of patients with reproductive care and psychiatric<br />
care needs, and c<strong>on</strong>ducted creative, wide-ranging explorati<strong>on</strong>s of nursing phenomena<br />
that underpins educati<strong>on</strong>, practice, and policy for emergency nursing.<br />
Nancy White Street, BSN, MSN, ScM, ScD, PPCNP-BC<br />
Today, I chose to come to my local library for my<br />
commentary, a place where stories are celebrated and<br />
shared. During this most challenging time of COVID, and<br />
in the year <strong>2020</strong>, nurses are center stage in our world,<br />
celebrated as heroes of the fr<strong>on</strong>t line and leaders in our<br />
communities. Collectively nurses have a resp<strong>on</strong>sibility to<br />
raise their voices, tell their stories to educate leaders and<br />
community influencers. Stand up, be seen and be heard!<br />
Advocate for the health and well-being of the marginalized<br />
populati<strong>on</strong>s of the world.<br />
Dr. Nancy White Street received a Bachelor of Science<br />
degree in <strong>Nursing</strong> from Bost<strong>on</strong> College and an MS degree from the University<br />
of Pennsylvania. She holds Masters’ and Doctoral degrees in Public Health from<br />
the Harvard T.H. Chan School of Public Health. Dr. Street is a nurse and social<br />
epidemiologist with a thirty-year record of scholarship, program development and<br />
implementati<strong>on</strong> in global health, nursing educati<strong>on</strong>, and adolescent medicine. She<br />
is the Co-Founder and former Executive Director of the Internati<strong>on</strong>al Nurse Faculty<br />
Partnership Initiative at Regis College, leading the educati<strong>on</strong> of nursing faculty in Haiti<br />
from 2011-2017. Dr. Street is currently the Co-Director of the Global <strong>Nursing</strong> Caucus, an<br />
organizati<strong>on</strong> focused <strong>on</strong> building and strengthening worldwide collaborati<strong>on</strong>s between<br />
nurses to advance healthcare for all, through research, practice and educati<strong>on</strong>. She was<br />
the inaugural Julia and Harold Plotnick Professor of Global <strong>Nursing</strong> at the University<br />
of <str<strong>on</strong>g>Massachusetts</str<strong>on</strong>g>-Dartmouth, where she expanded global partnerships locally and<br />
nati<strong>on</strong>ally, including the development of a nurse-led community health worker program<br />
in the Mississippi Delta. A pediatric nurse practiti<strong>on</strong>er with over twenty-five years of<br />
experience in adolescent health, she has worked in urban health care centers serving<br />
the needs of inner-city children. Nancy translated her clinical observati<strong>on</strong> of the<br />
sleep deprivati<strong>on</strong> epidemic am<strong>on</strong>g adolescents into a doctoral dissertati<strong>on</strong> in social<br />
epidemiology, and advocates for later school start times at the nati<strong>on</strong>al and local level.<br />
Dr. Street is a Professor at <str<strong>on</strong>g>Massachusetts</str<strong>on</strong>g> College of Pharmacy and Health Sciences<br />
University.<br />
Rachel Walker, PhD, RN, OCN<br />
Scholars and mentors have taught me that most of the<br />
systems people refer to as ‘broken’ are functi<strong>on</strong>ing exactly<br />
as designed, and the people in power know it. If we want to<br />
create new futures to transform health, we need to transform<br />
who has the power, including, in nursing.<br />
Rachel Walker is a nurse inventor, Associate Professor and<br />
PhD Program Director at UMASS Amherst College of <strong>Nursing</strong>,<br />
where they also help to direct the IALS Center for Health and<br />
Human Performance. They are a co-founder of the <strong>Nursing</strong><br />
Mutual Aid collective and the first and <strong>on</strong>ly nurse ever to<br />
serve as Inventi<strong>on</strong> Ambassador for the American Associati<strong>on</strong> for the Advancement of<br />
Science, where they’ve advised government agencies like the White House Office of<br />
Science & Technology Policy and industries from UnitedHealth to Facebook <strong>on</strong> policy<br />
related to inventi<strong>on</strong>, technology and A.I. in health care. Their work <strong>on</strong> more inclusive<br />
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