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Hawaii Nurse - May 2021

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The Hawaiʻi <strong>Nurse</strong><br />

Official Newsletter of Hawaiʻi - American <strong>Nurse</strong>s Association<br />

Quarterly publication distributed to approximately 9,400 RNs and LPNs in Hawaiʻi.<br />

<strong>May</strong> <strong>2021</strong> | Vol. 1 No. 4<br />

hawaii-ana.nursingnetwork.com<br />

Join Hawaiʻi-ANA<br />

& ANA Today!<br />

Only $15 per month.<br />

Visit hawaii-ana.nursingnetwork.com<br />

to find out more or to join!<br />

BECOME A<br />

MEMBER TODAY!<br />

Links to Other Nursing<br />

Organizations<br />

Hawai’i Board of Nursing<br />

Hawai’i Association of Professional <strong>Nurse</strong>s<br />

Hawaiʻi <strong>Nurse</strong>sʻ Association-OPEIU Local 50<br />

Hawai’i State Center for Nursing<br />

Hawai’i <strong>Nurse</strong>s Association<br />

Philippine <strong>Nurse</strong>s Association of America<br />

American Association of <strong>Nurse</strong> Leaders <strong>Hawaii</strong><br />

current resident or<br />

Non-Profit Org.<br />

U.S. Postage Paid<br />

Princeton, MN<br />

Permit No. 14<br />

Educating for an<br />

Inter-Professional Approach<br />

Pamela Smith, EdD, APRN-Rx, FNP-BC<br />

Jan DeMasters, PhD, RN<br />

There is a profound need to provide adequate<br />

access and healthcare utilization to every patient<br />

and their ‘ohana. With the increasing complexity<br />

of healthcare, especially in the current COVID<br />

epidemic, there is an even greater need for<br />

nurses and community health workers to bridge<br />

the gap between patient needs and community<br />

resources. Chaminade University School of<br />

Nursing and Health Professions is dedicated to<br />

educating nurses and health professionals to<br />

address these needs. In addition to the current<br />

undergraduate Nursing and Community Health<br />

programs, Chaminade is launching a Doctor of<br />

Nursing Practice (DNP)* Program, with Family<br />

<strong>Nurse</strong> Practitioner (FNP), Psychiatric Mental<br />

Health <strong>Nurse</strong> Practitioner (PMHNP) and Executive<br />

Leadership specialties. The DNP program will<br />

educate advanced practice nursing leaders to<br />

address the current public health crisis and the<br />

needs of the future.<br />

What is the best approach for the delivery of<br />

quality patient care? There is consensus that an<br />

inter-professional team approach produces the<br />

most effective patient outcomes. The Tri-Council<br />

for Nursing, a collegial alliance of the leading<br />

professional nursing organizations, supports<br />

a team approach incorporating nurses and<br />

community health workers. The team dynamic<br />

is extremely effective for increasing appropriate<br />

health care utilization and reducing costs.<br />

INDEX<br />

Chaminade University programs prepare<br />

healthcare team members for a variety of roles. Our<br />

new DNP program will prepare <strong>Nurse</strong> Practitioners<br />

and Executive leaders to lead teams and deliver<br />

healthcare with efficacy and efficiency. DNP<br />

advanced practice nurses provide direct patient<br />

care, manage the care of patients and community<br />

populations, as well as develop and implement<br />

health policy. DNP nurses bring a blend of clinical,<br />

leadership, economic, and organizational skills that<br />

Educating for an Inter-Professional Approach<br />

continued on page 2<br />

Meet Your Board of Directors . ...... 3<br />

Are your fingerprints done? .........4<br />

District Page: Featuring Kaua’i County ...5<br />

Content Submission Guidelines .......5<br />

Student <strong>Nurse</strong>s Page ............ 6-8<br />

Legislation Page ....................9<br />

Message from your President .......10<br />

Membership .............. 10-11


Page 2 • Hawaiʻi <strong>Nurse</strong> <strong>May</strong>, June, July <strong>2021</strong><br />

Educating for an Inter-Professional Approach<br />

continued from page 1<br />

drive healthcare reform and focuses on the “triple aim”<br />

of reducing costs, achieving better population health,<br />

and improving the patient experience.<br />

The career opportunities for DNP advanced<br />

practice nurses are expanding across the United<br />

States. Employment of nurse practitioners is<br />

expected to grow 26% between 2018 and 2028,<br />

due to greater demand for healthcare to serve a<br />

growing elderly population and an increased focus on<br />

preventive care. The need for nurse practitioners in<br />

<strong>Hawaii</strong> will increase 36.5% from now through 2026.<br />

Chaminade University has a long-standing and<br />

sincere commitment to social justice as well as<br />

serving the Native <strong>Hawaii</strong>an community. There<br />

are inequitable health disparities among the<br />

Native <strong>Hawaii</strong>an and Pacific Islander (NHPI)<br />

population. Some of these health inequities were<br />

recently highlighted and accentuated during the<br />

COVID pandemic. With the increased need for<br />

nurse practitioners and unmet needs of the NHPI<br />

population, the aim is to meet the patient care and<br />

workforce needs within our island chain and the<br />

Pacific region.<br />

Community Health Workers (CHWs), like the<br />

Baccalaureate graduates of the Chaminade’s<br />

Community and Public Health Program are vital<br />

assets in the team approach to providing health<br />

care. They serve as liaisons between health care<br />

systems, communities, and patients to improve<br />

health outcomes. This is especially helpful for<br />

patients with complex medical and social needs.<br />

With a commitment to community service and<br />

respect for culture, CHWs act as care navigators,<br />

health advisors, advocates, health coaches, outreach<br />

educators, community health representatives, risk<br />

evaluators, and/or case managers.<br />

Chaminade prepares future healthcare leaders to<br />

practice at a time when they are urgently needed<br />

and will continue to be in high demand. The DNP<br />

program and the Bachelors’ of Nursing program<br />

and Community and Public Health program deliver<br />

a healthcare curriculum that prepares graduates to<br />

address the very real and profound healthcare needs<br />

of society including those of the most vulnerable<br />

populations<br />

Chaminade invites you to join a collaborative<br />

team of preceptors, faculty, students, and advisory<br />

board members. To learn more about Chaminade<br />

University of Honolulu’s Nursing programs (BSN<br />

and DNP) and Public Health programs (BSCPH),<br />

please visit https://chaminade.edu<br />

About the authors: Pamela Smith, EdD, APRN-<br />

Rx, FNP-BC is the Associate Dean at Chaminade<br />

University of Honolulu School of Nursing and<br />

Health Professions. Jan DeMasters, PhD, RN, is<br />

an Associate Professor at Chaminade University of<br />

Honolulu School of Nursing and Health Professions.<br />

*The Doctor of Nursing Practice program is<br />

pending WSCUC accreditation<br />

References<br />

Centers for Disease Control and Prevention. (2014).<br />

Policy Evidence Assessment Report: Community<br />

Health Worker Policy Components. U.S. Department<br />

of Health and Human Services. https://www.cdc.gov/<br />

dhdsp/pubs/docs/chw_evidence_assessment_report.<br />

pdf<br />

Edwards, N.E., Erler, C., & Kirkpatrick, J. (2018). The<br />

Impact of the Role of Doctor of Nursing Practice<br />

<strong>Nurse</strong>s on Healthcare and Leadership. Medical<br />

Research Archives, 6 (4), 1-11.<br />

Gardenier, D., Schreibman, A., & Henrich, R. (2017).<br />

Does a Doctorate of Nursing Practice Make a<br />

Difference in Patient Care? The Journal for Nursing<br />

Practitioners, 13(6) 392-393.<br />

Gunderson, J.M., Wieland, M. L., Quirindongo-Cedeno,<br />

O., Asiedu, G. B., Ridgeway, J. L., O’Brien, M. W.,<br />

Nelson, T.M., Buzard, R., Campbell, C., & Njeru, J.W.<br />

(2018). Community Health Workers as an Extension<br />

of Care Coordination in Primary Care: A Community-<br />

Based Co-supervisory Model. Journal of Ambulatory<br />

Care Management, 41 (4), 333-340. doi: 10.1097/<br />

JAC.0000000000000255<br />

Howley, E.K. (2018). Can <strong>Nurse</strong> Practitioners Help Ease<br />

the Growing Physician Shortage? U.S. News.<br />

Kangovi, S. (June 9, 2020). Want to help battle<br />

COVID-19? Bring in more community health workers.<br />

Association of American Medical Colleges. https://<br />

www.aamc.org/news-insights/want-help-battle-covid-<br />

19-bring-more-community-health-workers<br />

National Heart, Lung, and Blood Institute. (June, 2014).<br />

Role of Community Health Workers. https://www.<br />

nhlbi.nih.gov/health/educational/healthdisp/role-ofcommunity-health-workers.htm<br />

Tri-Council for Nursing (2017). The Essential Role of<br />

the Registered <strong>Nurse</strong> and Integration of Community<br />

Health Workers into Community Team-Based Care.<br />

Tri-council Statement on Community Team-Based<br />

Care. https://www.aonl.org/essential-role-registerednurse-and-integration-community-health-workerscommunity-team-based-care<br />

U.S. Bureau of Labor (2020). Occupational Employment<br />

and Wage Statistics. https://www.bls.gov/oes.<br />

Withy, K. (2018). A report to the 2019 Hawai`i State<br />

Legislature: Findings from the Hawai`i Physician<br />

Workforce Assessment Project. Hawai‘i Physician<br />

Workforce Report In Accordance with Act 18, SLH,<br />

2009; Act 186, SLH, 2012; and Act 40, SLH, 2017;<br />

John A. Burns School of Medicine Area Health<br />

Education Center.<br />

BOARD OF DIRECTORS<br />

Executive Director/President Elect:<br />

Linda Beechinor, DNP, APRN<br />

President: Katie Kemp, RN-BC, BAN<br />

Secretary:<br />

Poki’i Balaz, DNP, APRN<br />

Treasurer: Mary Volenec, DNP, MPH, RN<br />

Director: Robin Zachary, DNP, Ed.S, RN<br />

Director: Nancy Atmospera-Walch, DNP, MPH, RN<br />

Publisher<br />

Director: Jailu V. Navarrete, RN<br />

Director: Joan Parker Dias, MSN, APRN<br />

Director: Marion Poirier, M.A., R.N.<br />

PRODUCTION<br />

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

Editor and Publisher are not responsible nor liable for editorial<br />

or news content.<br />

Hawai’i <strong>Nurse</strong> is published four times a year, February, <strong>May</strong>,<br />

August, and November, for the Hawai’i - American <strong>Nurse</strong>s<br />

Association, a constituent member of the American <strong>Nurse</strong>s<br />

Association. Hawai’i <strong>Nurse</strong> provides a forum for members to<br />

express their opinions. Views expressed are the responsibility<br />

of the authors and are not necessarily those of the members<br />

of the Hawai’i-ANA.<br />

Articles and letters for publication are welcomed by the<br />

editorial committee. Hawai’i-ANA Editorial Committee<br />

reserves the right to accept or reject articles, advertisements,<br />

editorials, and letters for the Hawai’i <strong>Nurse</strong>. The editorial<br />

committee reserves the right to edit articles, editorials, and<br />

letters.<br />

Address editorial comments and inquiries to the following<br />

address:<br />

500 Lunalila Home Road, #27-E<br />

Honolulu, HI 96825<br />

executivedirector@hawaii-ana.org<br />

No parts of this publication may be reproduced without<br />

permission.<br />

Subscription to the print version of the Hawai’i <strong>Nurse</strong> is<br />

included with membership to the Hawai’i - American <strong>Nurse</strong>s<br />

Association/American <strong>Nurse</strong>s Association. Complimentary<br />

electronic copies are sent to all Hawai’i nurses and posted<br />

on the Hawai’i - American <strong>Nurse</strong>s Association website at<br />

hawaii-ana.nursingnetwork.com. Address such requests<br />

to the Hawai’i-ANA Office at the address above or email<br />

executivedirector@hawaii-ana.org. Circulation 9,400.<br />

For advertising rates and information, please contact Arthur L.<br />

Davis Publishing Agency, Inc., PO Box 216, Cedar Falls, Iowa<br />

50613, (800) 626-4081, sales@aldpub.com. Hawai’i-ANA<br />

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

right to reject any advertisement. Responsibility for errors in<br />

advertising is limited to corrections in the next issue or refund<br />

of price of advertisement.<br />

Acceptance of advertising does not imply endorsement<br />

or approval by the Hawai’i - American <strong>Nurse</strong>s Association<br />

of products advertised, the advertisers, or the claims<br />

made. Rejection of an advertisement does not imply a<br />

product offered for advertising is without merit, or that<br />

the manufacturer lacks integrity, or that this association<br />

disapproves of the product or its use. Hawai’i-ANA and the<br />

Arthur L. Davis Publishing Agency, Inc. shall not be held liable<br />

for any consequences resulting from purchase or use of an<br />

advertiser’s product. Articles appearing in this publication<br />

express the opinions of the authors; they do not necessarily<br />

reflect views of the staff, board, or membership of Hawai’i-<br />

ANA or those of the national or local associations.


<strong>May</strong>, June, July <strong>2021</strong> Hawaiʻi <strong>Nurse</strong> • Page 3<br />

<strong>Nurse</strong>s Volunteering for MRC to be<br />

part of the COVID solution!<br />

Meet Your Board<br />

of Directors<br />

Mary C. Volenec DNP, MPH, RN, NPD-BC,<br />

PCCN-K<br />

“The Medical Reserve Corps (MRC)<br />

is a national network of local groups of<br />

volunteers engaging local communities to<br />

strengthen public health, reduce vulnerability,<br />

build resilience, and improve preparedness,<br />

response and recovery capabilities.”<br />

The COVID-19 pandemic has tied our hands<br />

and reorganized our world. <strong>Nurse</strong>s have been<br />

shown on the ‘front lines’ of the battle: Struggling<br />

to save lives while bruised and exhausted; thrown<br />

into distance care dynamics and technology driven<br />

education strategies; and stretching to continue<br />

the high skilled trustworthy, evidence-based care<br />

that nurses provide to keep people alive.<br />

The nurses in our communities are also working<br />

hard with short- and long-term management of the<br />

physical, mental, and emotional fallout of COVID-19<br />

through our clinics, public health response, home<br />

care and telehealth. This is in addition to the usual<br />

health and wellness activities of people within<br />

our communities. Not just the acute care nurses,<br />

all nurses are called to the stage to help control<br />

this health crisis. Early career, in school, retired,<br />

practicing or not~ <strong>Nurse</strong>s are making the difference!<br />

In December, the monumental task of vaccinating<br />

our fellow humans began. Each community is<br />

allotted a restricted supply of vaccine to distribute<br />

in an ethical and fair way to the most vulnerable<br />

among us. The MRC has called upon volunteers<br />

to help staff this vaccine effort in conjunction with<br />

public health nurses and other multi-disciplinary<br />

teams.<br />

Starting with our most vulnerable elders and<br />

direct care workforce, the vaccine rollout has<br />

been slow yet steady. Point of Distribution sites<br />

(PODs) are chosen for the greatest reach on our<br />

<strong>Hawaii</strong>an Islands. For instance, on the Big Island<br />

vaccination activities are centered around Hilo and<br />

Kona where most of the island’s inhabitants live.<br />

Now that we have three vaccine options, (Pfizer 2<br />

step, Moderna 2-step and the Johnson & Johnson<br />

1-step vaccine) the numbers of people vaccinated<br />

is quickly increasing. As of March 24, 238K or 16%<br />

of <strong>Hawaii</strong>’s population has been fully vaccinated,<br />

while 632 K have had at least one vaccination.<br />

Public Health Preparedness activities help us be<br />

aware and ready when disaster strikes. You may<br />

remember the many campaigns that encourage us<br />

to have a 3 day to 2-week supply of food, water,<br />

medications, and resources to survive a disaster<br />

until we can access help to move into recovery.<br />

MRC is part of this effort: ready to respond<br />

to Hurricanes, Tsunami, Lava flow and now<br />

COVID-19. <strong>Hawaii</strong> ANA thanks all the nurses and<br />

others who are working to be part of the solution<br />

to this frightening and serious health crisis.<br />

For FAQs about the MRC COVID-19 response<br />

go to: https://health.hawaii.gov/prepare/<br />

files/<strong>2021</strong>/01/<strong>2021</strong>_HIMRC-Volunteer-COVID-19-<br />

FAQs.pdf<br />

For more general information about the MRC<br />

in <strong>Hawaii</strong>, please see the website: https://health.<br />

hawaii.gov/prepare/mrc/<br />

Introducing our new<br />

Treasurer<br />

Our former Treasurer and<br />

beloved founding member, Aggie<br />

Pigao-Cadiz, passed away on<br />

March 3, <strong>2021</strong>, just weeks after<br />

resigning from her executive<br />

position with Hawaiʻi-ANA. The<br />

Board of Directors appointed<br />

Dr. Mary Volenec, R.N. to the<br />

Treasurer position at their<br />

meeting on March 13, <strong>2021</strong>.<br />

We welcome Dr. Volenec to our<br />

ohana of the Board.<br />

Mary Volenec<br />

Aloha<br />

I am Dr. Mary Volenec RN and I have been a nurse<br />

for over 25 years. During my career I have worked<br />

in many arenas of care: Home care, administration,<br />

acute care, care management, education and in the<br />

community. I became a nurse in 1995 and in 2019 I<br />

completed both DNP and MPH (Master of public health)<br />

from The University of Colorado~ Just in time!<br />

I moved to Hawai’i in 2020 and joined the Hawaiʻi-<br />

ANA (HI-ANA) to establish connections with the nurses<br />

and health care system in Hawai’i. During monthly<br />

meeting participation, it became evident that my skills<br />

and enthusiasm for nursing could help the Hawai’i-<br />

ANA chapter fulfill (or at least address), its mission to:<br />

Empower nurses to advocate for the improvement of<br />

the healthcare system in the communities where we<br />

live and work.<br />

I am proud to be working with HI-ANA on its many<br />

activities within our community of nursing to address:<br />

Advocacy, Education, Empowerment through Mentoring<br />

and Promoting the Nursing Profession.<br />

When an opportunity to temporarily fill the position<br />

of treasurer arose, I eagerly said “yes!” As an<br />

appointee of the board, my duty is to track income and<br />

expenses, and help the chapter make strong financial<br />

decisions for the future. I take this position seriously<br />

and hope to influence the strength and strategic<br />

position of HI-ANA during my tenure.<br />

I appreciate this opportunity to be of service.<br />

Respectfully,<br />

Dr. Mary Volenec RN, DNP, MPH, NPD-BC, PCCN-K<br />

Treasurer, HI-ANA<br />

To access electronic copies of<br />

The Hawai’i <strong>Nurse</strong>, please visit<br />

http://www.NursingALD.com/publications


Page 4 • Hawaiʻi <strong>Nurse</strong> <strong>May</strong>, June, July <strong>2021</strong><br />

Are your fingerprints done prior to RN<br />

license renewal on June 30, <strong>2021</strong>?<br />

NOTE: You only need be fingerprinted ONCE<br />

for criminal background check for your Hawaiʻi RN<br />

license. If you got it done once already, you do not<br />

need to worry about it going forward.<br />

Members of ANA (both joint members with Hawaiʻi-<br />

ANA and ANA Only members) who are required to be<br />

fingerprinted for a criminal background check prior to<br />

RN license renewal on June 30,<strong>2021</strong>:<br />

Veronica Alvarez<br />

Jennifer Antony<br />

Kristin Arrindell<br />

Dyanarra Alexa Ballesteros<br />

Kathleen Burger<br />

Melveen Camba<br />

Dawn Carlock<br />

Lolita Ching<br />

Ruthie Clearwater<br />

Denise Cohen<br />

Gerilyn Corpuz-Takemoto<br />

Maria Coutee<br />

Abigail Daigle<br />

Kilihune Demello-Kamaka<br />

Joanna Edwards<br />

Janice Ferguson<br />

Brendon Friedman<br />

Cathlyn Gabriel<br />

Joseph Giovannoni<br />

April Gonsalves<br />

Eden S. Goto<br />

Gian Gizelle Grasparil<br />

Frankie Hale<br />

Kristina Halloran<br />

Paul Hannigan<br />

Rose Hata<br />

Kimberly Hayashi<br />

Patricia Hensley<br />

Michelle Higgins<br />

Eunice Hipolito<br />

Katie Hokama<br />

Ruth Honda<br />

Beverly M. Hookano<br />

Ferna Idica<br />

Jillian Inouye<br />

Valerie Janikowski<br />

Lori Kaneshige<br />

Leanne Kauwe<br />

Josette Kawana<br />

Laila Kemmerly<br />

Leanne Kihara<br />

Cera Kim-Sunada<br />

Ethel Koga<br />

Madelyn Locquiao<br />

Edith Loh<br />

Macey Luo-Souza<br />

Natalie Mark<br />

Catherine Marquette<br />

Jason McGregor<br />

Cherry Elaine Medina<br />

Mark Mendoza<br />

Cheryl Menzsa<br />

Wendy Meyers<br />

Semico Miller<br />

Donna Miller<br />

Linda Mitchell<br />

Richard Moore<br />

Doreen Nakamura<br />

Priscilla Navares<br />

Maria Noel<br />

Shantel Padilla<br />

Joan Parker-Dias<br />

Sharmaine Pasalo<br />

Ralf Ian Pasion<br />

Sarah Perkins, RN BSN<br />

Alexander Phelps<br />

Nora Phillips<br />

Katie Pimentel<br />

Jason Poe<br />

Kristine Qureshi<br />

Christina Ranan<br />

Madonna Reisert<br />

Sheri Richards<br />

Karol Richardson<br />

Liberty Rongcal<br />

Mary Rovelstad<br />

Donna Sandberg<br />

Paula Sanders<br />

Merita Sao Auelua<br />

Anne Scharnhorst<br />

Young Schoen<br />

Elizabeth Seymour<br />

Raelene Shinchi<br />

Patrick Shine<br />

Joan Takamori<br />

Kanoe Tani<br />

Linda Thorp<br />

Kathleen Tomasa<br />

Joyce Trompeta<br />

Alice Tse<br />

Lani Untalan<br />

Patti Urso<br />

Janet Uyehara<br />

Anna Weigand<br />

Aya Windham<br />

Elena Woo<br />

Monina Yamashita<br />

Kelly Yano<br />

Kristine Yearwood<br />

Valerie Yim<br />

Gary Yoshimoto<br />

The complete list can also be found on the Hawaiʻi<br />

Board of Nursing site under “Criminal History Record<br />

Check Renewal Requirement” by clicking on Current<br />

Licensee (CBC) Renewal Requirements<br />

Here is the link to schedule your fingerprinting<br />

appointment: https://fieldprinthawaii.com<br />

• Fieldprint code that you must enter is<br />

FPHIBrdNursing (not case sensitive);<br />

• If you were previously fingerprinted by another<br />

board of nursing or employer, you still have to<br />

submit to the electronic fingerprinting for a <strong>Hawaii</strong><br />

nurse license. The Fieldprint code is specifically<br />

for <strong>Hawaii</strong> nurse licensees and applicants<br />

• If you do not use this code, FPHIBrdNursing (not<br />

case sensitive), and indicate “<strong>Hawaii</strong> Board of<br />

Nursing” as the Department/Division, we<br />

will not be able to retrieve your report and you<br />

will have to go back to get fingerprinted and pay<br />

another fee.<br />

• There are multiple locations on island. Anticipate<br />

appointments being 2-6 weeks out upon accessing<br />

the appointment portal.<br />

• Cost: $52.10<br />

If you have questions, check with Linda at the<br />

Hawaiʻi-ANA office in Honolulu at 808-779-3001 or email<br />

executivedirector@hawaii-ana.org


<strong>May</strong>, June, July <strong>2021</strong> Hawaiʻi <strong>Nurse</strong> • Page 5<br />

District Page: Featuring Kauaʻi County<br />

Aileen Siliado is a volunteer<br />

leader in the Kauaʻi District,<br />

looking for participation from<br />

all nurses in the county. Watch<br />

for emails from her regarding<br />

Hawaiʻi-ANA activities in the<br />

Kauaʻi community.<br />

Aloha Kauaʻi <strong>Nurse</strong>s!<br />

I would like to extend my<br />

appreciation for all that you do<br />

Aileen Siliado<br />

for our community! You have<br />

dedicated your lives to providing excellent care and<br />

creating a safe, therapeutic environment for our patients<br />

that truly make a difference in the lives of other nurses,<br />

patients, and their families.<br />

Hawaiʻi-ANA would like to engage nurses in “geographic<br />

districts” to work together on community focused outreach<br />

that shows our hoalauna, “Who we are.” We want to<br />

extend a virtual invitation to help us develop a plan on how<br />

we can show up in our communities because that is what<br />

we do. The people on our islands need to know that we<br />

are here, using evidence-based science to care for people<br />

throughout their lives. We have so much to offer! Please<br />

send us an email so we can start that connection with you.<br />

All nurses from students through retirees are welcome to<br />

join in our outreach activities.<br />

Mahalo, Aileen<br />

Aileen Siliado MSN, APRN, PMHNP-BC<br />

c) 808-346-8550<br />

asiliado1@gmail.com<br />

District Formation: Kauaʻi County<br />

GEOGRAPHIC BACKGROUND<br />

Kauaʻi is geologically the second-oldest of the<br />

main <strong>Hawaii</strong>an islands (after Niʻihau). With an area<br />

of 562.3 square miles it is the fourth-largest of these<br />

islands. Also known as the “Garden Isle”, Kauaʻi lies<br />

105 miles across the Kauaʻi Channel, northwest of<br />

Oʻahu.<br />

Of the 28,704 RNs in Hawaiʻi, 776 hold active RN<br />

licenses and live on Kauaʻi.<br />

Be Proud of Your<br />

Membership with<br />

Hawaiʻi-ANA<br />

Kauaʻi County Members of Hawaiʻi-ANA (joint<br />

members with ANA)<br />

Teresa Sakai<br />

Victoria Stadnyk<br />

Jennifer Antony<br />

Aileen Siliado<br />

Patricia Brooks<br />

Alaina Abbott<br />

Kauaʻi County Members of ANA-Only (not<br />

members of Hawaiʻi-ANA)<br />

If your name is on this list, you are a member of<br />

ANA-Only, and you are not a member of your<br />

state association. Want to join Hawaiʻi-ANA jointly<br />

with ANA? Just call or email Linda at 808-779-3001 or<br />

executivedirector@hawaii-ana.org and say you “want<br />

to be a joint member of ANA and Hawaiʻi-ANA.” We<br />

will help you join us in our state nurses association<br />

(bonus: it is less $$!)<br />

Trisha Devereaux<br />

Monina Yamashita<br />

Paula Hulme<br />

Alison Lovell<br />

Sharlene Skripko<br />

CONTENT SUBMISSION<br />

The Hawaiʻi <strong>Nurse</strong><br />

Hawai’i-ANA welcomes unsolicited manuscripts,<br />

individual nurse features, student work, and<br />

suggestions for articles.<br />

Manuscripts and articles should be typed spellchecked<br />

with only one space after a period and can<br />

be submitted:<br />

1) As a MS Word document or PDF file<br />

2) JPEG, PNG or PDF for headshots and poster<br />

presentation/graphics<br />

3) Youtube links for videos<br />

Please submit to executivedirector@hawaii-ana.<br />

org.<br />

1) Subject Line: Hawai’i <strong>Nurse</strong> Submission:<br />

“Name of Article”<br />

2) Include authors’ names with credentials and<br />

affiliation.<br />

3) Please send a photograph of yourself if you<br />

are submitting a feature article or poster<br />

presentation if submitting research/EBP<br />

All accepted manuscripts/articles may undergo<br />

editorial revision to conform to the standards of the<br />

newsletter or to improve clarity. The Hawai’i <strong>Nurse</strong><br />

is not a peer review publication. Articles appearing<br />

in this publication express the opinions of the<br />

authors; they do not necessarily reflect views of the<br />

staff, board, or membership.<br />

Article Suggestions can be submitted to<br />

executivedirector@hawaii-ana.org with the following<br />

information:<br />

1) Topic Description<br />

2) Supporting Data/Weblink<br />

3) Written Content as applicable<br />

Article Submission Dates (submissions by<br />

end of the business day):<br />

March 2nd, April 3rd, June 5th, July 5th, Sept 5th,<br />

Oct 4th, and Dec 4th.


Page 6 • Hawaiʻi <strong>Nurse</strong> <strong>May</strong>, June, July <strong>2021</strong><br />

Student <strong>Nurse</strong>s Page<br />

Opportunities for Student <strong>Nurse</strong>s to have a Voice in Hawaiʻi-ANA – Hawaiʻi-ANA is interested in publishing your work: do you have a great evidencebased<br />

paper you would like to see in print? Submit it to us for consideration publishing in this newsletter. Members of the National Student <strong>Nurse</strong>s Association<br />

(NSNA) are eligible to sign-up as ANA Student Subscribers for free – a $10 value! Check out your <strong>Hawaii</strong> Student <strong>Nurse</strong>sʻ Association at www.hisna.org. If you<br />

are not a member of NSNA, you can still sign up as an ANA Student Subscriber for free by agreeing to receive membership information from NSNA. Go to<br />

https://www.nursingworld.org/membership/student-nurses/<br />

Barriers to Competent Care of LGBTQIA+ Patients<br />

Menjam Tamang<br />

Department of Nursing, Hawai’i Pacific University<br />

The lesbian, gay, bisexual,<br />

transgender, queer, intersex,<br />

asexual, and others (LGBTQIA+)<br />

community are a patient<br />

population that requires<br />

culturally competent care<br />

and understanding from<br />

healthcare providers. Despite<br />

this knowledge, LGBTQIA+<br />

patients still face disparities<br />

in healthcare as well as<br />

Menjam Tamang<br />

discrimination that often causes<br />

them to avoid necessary care.<br />

As patient advocates, it is the responsibility of nurses<br />

to ensure a patient-centered care approach. However,<br />

a lack of knowledge, skill confidence, or attitudes from<br />

nurses can lead to insensitive care (Carabez & Scott,<br />

2016). Therefore, the purpose of this paper was to<br />

explore barriers that hinder LGBTQIA+ patients from<br />

receiving equitable care and to present evidencebased<br />

recommendations to improve their quality of<br />

care.<br />

In order to understand the LGBTQIA+ community,<br />

it is essential to identify the differences between<br />

the terms “sexual orientation” and “gender identity.”<br />

Sexual orientation describes the sex that one is<br />

emotionally, romantically, or sexually attracted to,<br />

and is described with terms such as gay, lesbian,<br />

bisexual, or pansexual. Gender identity explains the<br />

perception of one’s self in regard to gender, such<br />

as male, female, or non-binary. However, one’s sex<br />

assignment at birth does not limit the gender identity<br />

a person might adopt (HRC, 2020). Individuals<br />

may also have pronoun preferences (she/her, he/<br />

him, they/them) for how they wish to be addressed<br />

(UWM, 2020). For example, someone considered<br />

a female at birth due to anatomical features, may<br />

identify as non-binary and utilize the pronouns<br />

they/them, instead of gendered terms. It is also<br />

important to note that sexual orientation cannot<br />

be used to infer one’s gender identity. Although<br />

transgender people identify as the opposite sex<br />

from their birth assignment, it does not imply that<br />

they have a specific sexual preference. For instance,<br />

a transgender man (female assignment at birth)<br />

may describe himself as homosexual due to his<br />

preference towards other men (Margolies & Brown,<br />

2019).<br />

Evidence Findings<br />

Peer-reviewed scholarly literature was explored to<br />

uncover research findings on barriers to competent<br />

care of LGBTQIA+ patients. These findings were<br />

synthesized to reveal three general themes: an<br />

existence of healthcare system discrimination,<br />

a disregard for patient’s sexual orientation and<br />

gender identity, and a lack of adequate education on<br />

LGBTQIA+ healthcare issues in prelicensure nursing<br />

programs.<br />

Experiences of Discrimination<br />

in the Healthcare System<br />

In some situations, past experiences of<br />

interpersonal healthcare discrimination can result in<br />

LGBTQIA+ patients being reluctant to seek medical<br />

attention despite their health conditions. According<br />

to Irwin (2007), 31-89% of LGBTQIA+ patients<br />

reported negative attitudes directly related to their<br />

sexual orientation from healthcare workers. A<br />

study of the utilization of healthcare service by the<br />

LGBTQIA+ community in Turkey revealed that only<br />

31% of participants seek aid from Family Health<br />

Centers (FHC) due to the fear of homophobia and<br />

subpar care. This also correlates with the finding<br />

that merely 2% agreed that they would reveal<br />

their sexual orientation to medical professionals,<br />

as this information was perceived to be possibly<br />

disadvantageous to the quality of care received<br />

(Uysal Toraman & Agaritoglu, 2018).<br />

Additionally, in their administration of the United<br />

States Transgender Survey (USTS) Kachen and<br />

Parr (2020) discovered that 31% of transgender<br />

females and 29.3% of transgender males have<br />

experienced stigma in healthcare. A disturbing<br />

21.6% of participants in the study also indicated<br />

that due to possible discrimination, they opted to<br />

postpone the seeking of care (Kachen & Pharr, 2020).<br />

Interestingly, nonbinary respondents, who may be<br />

perceived as possibly cisgender, had significantly<br />

lower rates of prejudice in their care. Kachen<br />

and Pharr (2020) correlate this phenomenon with<br />

the pertinence of the “passing privilege,” which<br />

they describe as one’s ability to “remain within<br />

the framework of intelligibility due to phenotypic<br />

similarities to dominant groups” (p. 147). Being<br />

deemed a cisgender patient by providers seems<br />

to be advantageous, as those who present in such<br />

a manner encounter substantially fewer health<br />

disparities.<br />

We must also consider the prevalence of<br />

intersectional discrimination in our society<br />

and therefore our healthcare system, and<br />

the mechanisms in which it affects patients.<br />

Intersectionality is defined as “a theoretical<br />

framework that proposes individuals have multiple,<br />

overlapping identities, and the understanding of the<br />

interconnectedness of those identities can help us to<br />

recognize how systemic injustice and social inequality<br />

occurs” (Damaskos et al., 2018, p. 31). An individual’s<br />

identity is comprised of multiple factors like age,<br />

ethnicity, race, sexual orientation, gender identity,<br />

socioeconomic status, education level, disabilities.<br />

Intersectional discrimination recognizes that each of<br />

these identities intersects to create a system where<br />

certain individuals face heightened health disparities<br />

and marginalization due to multiple aspects of their<br />

identity. When caring for patients, it is crucial that<br />

nurses understand how a person’s multifactorial<br />

identity impacts their encounters with the medical<br />

sector, and the need to utilize the most appropriate<br />

interventions to ensure person-centered care<br />

(Margolies & Brown, 2018).<br />

Disregard for Patients’ Sexual Orientation and<br />

Gender Identity<br />

A patient’s sexual orientation and gender identity<br />

(SOGI) are vital data needed by nurses and clinicians<br />

to adequately provide person-centered care.<br />

Healthcare systems being unaware of a patient’s<br />

SOGI can also intensify the intersectional oppression<br />

they encounter, and result in incompetent care. The<br />

lack of SOGI specification on most medical intake<br />

forms causes LGBTQIA+ patients to be overlooked.<br />

Moreover, reluctance from doctors and nurses to<br />

verbally inquire for this information may lead the<br />

patient to ponder whether disclosing their SOGI<br />

is safe (Margolies & Brown, 2018). At times, the<br />

hesitancy hindering data collection may originate in<br />

the provider’s belief that LGBTQIA+ patients may<br />

not feel comfortable disclosing their SOGI. However,<br />

a 2017 study performed in emergency departments<br />

(ED) of Maryland and Washington D.C. revealed that<br />

even though 77.8% of clinicians believed patients<br />

would refuse to provide SOGI information, only<br />

10.3% of LGBT patients shared the same notion<br />

(Haider et al., 2017).<br />

Even with SOGI documentation, negligence in the<br />

use of proper pronouns may interfere with creating<br />

a pleasant patient encounter. In 2015, Carabez et<br />

al. determined that while 70% of baccalaureate<br />

nursing (BSN) students at a university in the US<br />

felt comfortable using the pronouns of choice of<br />

transgender patients, just 28% acknowledged that<br />

addressing patients with correct pronouns “matters a<br />

lot” (p. 52). This demonstrates that a large portion<br />

of the nursing student population underestimates<br />

the significance of pronouns. Such insensitivity<br />

may be perceived as condemnation, especially for<br />

transgender patients who do not physically present<br />

like those who biologically identify with their gender<br />

and cause them to feel like unwanted visitors at a<br />

healthcare facility.<br />

Lack of LGBTQIA+ Education in Pre-Licensure<br />

Nursing Programs<br />

A gap in nursing education curriculum may be<br />

associated with BSN students placing diminished<br />

importance on preferred pronouns in that the<br />

literature revealed limited coverage of LGBTQIA+<br />

health needs in the formal education of nurses.<br />

Results from a survey of over 1000 nursing faculty<br />

nationwide found 2.12 hours to be the median<br />

time spent on LGBTQIA+ topics in the entirety of<br />

a Bachelor of Science in Nursing (BSN) program<br />

(Lim, et al., 2015). This lack of adequate attention<br />

to LBTQIA+ health topics is something this author<br />

has also experienced anecdotally. As a thirdsemester<br />

BSN nursing student, I have yet to obtain<br />

knowledge regarding the LGBTQIA+ community and<br />

their health-related issues through my curriculum.<br />

Interestingly, nursing bodies, like the Accreditation<br />

Commission for Education in Nursing (ACEN) and the<br />

Commission on Collegiate Nursing Education (CCNE)<br />

do not specifically require such subject matters to<br />

be included for nursing program accreditation (Lim<br />

et al., 2015). Standard 4.5 in the ACEN accreditation<br />

manual states that the baccalaureate curriculum


<strong>May</strong>, June, July <strong>2021</strong> Hawaiʻi <strong>Nurse</strong> • Page 7<br />

Student <strong>Nurse</strong>s Page<br />

must include “cultural, ethnic, and socially diverse<br />

concepts and may also include experiences from<br />

regional, national, or global perspectives” (ACEN,<br />

2020, p. 4). The ambiguity of this statement,<br />

therefore, allows each institution to interpret it<br />

individually. This lack of an explicit mention of<br />

LGBTQIA+ content may be a reason why schools, like<br />

my own, spend minimal time on such topics.<br />

This lack of adequate preparation in academia<br />

may cause students to feel unprepared when they<br />

are faced with patients identifying as LGBTQIA+,<br />

impacting the level of comfort they feel in caring<br />

for this population. In fact, 85% of nursing students<br />

claimed that their pre-licensure institutions did<br />

not prepare them to work with this specific patient<br />

population (Carabez et al., 2015). Yet, those who are<br />

seasoned in the healthcare field, such as students<br />

in the RN to BSN pathway, may feel more confident<br />

than first-time BSN students who are new to the<br />

sector. This was demonstrated in a study conducted<br />

by Cornelius and Carrick (2015) discovering more<br />

positive attitudes exhibited by RN to BSN students<br />

when caring for LGBTQIA+ patients, than those in<br />

the traditional BSN route. By providing opportunities<br />

for students to gain more experience with sexual<br />

minority groups, an increase in positive behaviors<br />

can be evoked, and culturally competent care can be<br />

achieved (Strong & Folse, 2015).<br />

A logical solution to solving this deficiency<br />

would be to simply add relevant information<br />

to a nursing program curriculum. However, the<br />

knowledge and readiness of the faculty may act<br />

as an obstacle from doing so. Lim et al. (2015)<br />

found that although 79% of educators were<br />

interested in incorporating inclusive content in<br />

their classes, 43% felt their knowledge in the area<br />

was limited. Faculty described factors such as<br />

the lack of developmental sessions and guidance,<br />

along with the environment of the institution in<br />

regard to curriculum structure, department power<br />

dynamics, and religious affiliation hindering them<br />

from delivering adequate LGBTQIA+ knowledge to<br />

their students (Cornelius & Carrick, 2015; Lim et<br />

al., 2015). These issues seem to be rooted in the<br />

structure of the education system, indicating that<br />

changes also need to be made on an institutional<br />

level for successful outcomes.<br />

Strength of the Evidence<br />

Most of the research studies mentioned above<br />

were found to have high statistical significance and<br />

generalizability. The studies had p values ranging<br />

from


Page 8 • Hawaiʻi <strong>Nurse</strong> <strong>May</strong>, June, July <strong>2021</strong><br />

Student <strong>Nurse</strong>s Page<br />

There are 43 Student<br />

<strong>Nurse</strong> Subscribers in<br />

Hawaiʻi now!<br />

Are you one of these? Do you see your friends and<br />

colleagues here? Or would you like to see your name<br />

added to this list? Go to https://www.nursingworld.<br />

org/membership/student-nurses/ to join.<br />

Hawaiʻi-ANA respects the insights and contributions of students as the nurse leaders of tomorrow. We’re<br />

here to support you in your journey, every step of the way. There’s no need to wait for licensure to start<br />

benefiting from Hawaiʻi-ANA and ANA – as a Student Subscriber, you’re ahead of the game with access to:<br />

Welcome to the Profession Kit<br />

The Welcome to The Profession Kit is a comprehensive collection of digital resources created<br />

specifically for you by fellow health professionals who have been in your position.<br />

Developed especially for new nursing graduates and early career nurses, this digital kit is an online<br />

resource hub designed to help you find your first job, enhance your employability, and grow your<br />

nursing career.<br />

Exclusive Online Student Community<br />

Join a vibrant online community where thousands of nursing students just like you are navigating<br />

nursing school and facing similar challenges. As a Student Subscriber, you have exclusive access to the<br />

student community which offers a unique experience built on networking, sharing, and trust.<br />

Member-Only Content<br />

As a Student Subscriber, you’ll enjoy access to member-only digital content on nursingworld.org.<br />

Additionally, you’ll have access to the full suite of ANA digital publications such as American <strong>Nurse</strong> Today<br />

and ANA SmartBrief. As well as full ANA Position and Policy papers on important nursing issues, such as<br />

safe patient handling and the opioid epidemic.<br />

Advocacy Alerts and ANA’s Legislative Blog<br />

When nurses speak, Washington listens! As the premier organization for all RNs, ANA brings nurses<br />

together to advance their careers and the profession through legislation and advocacy. Get involved to<br />

learn the key issues facing nurses right now. Also get access to ANA’s advocacy blog, anacapitolbeat.org.<br />

Roshan Abuan<br />

Cheryl Adams<br />

Aileen Afalla<br />

Kristle Akau<br />

Melody Astill<br />

Cristina Baglio<br />

Nereida Benitez<br />

Sharde Bobiles<br />

Chrystanna Shayne Cabasag<br />

Paige Carpenter<br />

Rachelle Claro<br />

Christa Clerico<br />

Jacqueline Dy<br />

Svitlana Elsbernd<br />

Dana Malia Fuerte<br />

Hanna Ghiringhelli<br />

Cynthia Good<br />

Catherine Hudson<br />

Andreia Ignacio<br />

Brittney Kawahara<br />

Janika Kirs<br />

Meghan Ledoux<br />

Lauren Lee<br />

Cheryl Ann Malasig<br />

Angelique Mara<br />

Grace Marshall<br />

Kiana Meyers<br />

Erwin Padigos<br />

Jae Won Perez<br />

Ashley Roberson<br />

Reyginson Sagayaga<br />

Dean Schild<br />

Stephanie Shirota<br />

Shyanne Steele<br />

Jaylynne Ann Subia<br />

Jordan Sullivan<br />

Janice Tacto<br />

Menjam Tamang<br />

Christy Ujimori<br />

Naomi Unabia<br />

Bree Watanabe<br />

Matthew Whisenant<br />

Chelsea Yamashige<br />

Honolulu<br />

Kaneohe<br />

Wahiawa<br />

Kailua<br />

Waipahu<br />

Honolulu<br />

Kaneohe<br />

Honolulu<br />

Honolulu<br />

Honolulu<br />

Waipahu<br />

Makawao<br />

Kapolei<br />

Honolulu<br />

Ewa Beach<br />

Honolulu<br />

Honolulu<br />

Kailua Kona<br />

Honolulu<br />

Kaneohe<br />

Honolulu<br />

Ewa Beach<br />

Kailua<br />

Wailuku<br />

Honolulu<br />

Honolulu<br />

Ewa Beach<br />

Honolulu<br />

Hanapepe<br />

Honolulu<br />

Waipahu<br />

Honolulu<br />

Hilo<br />

Kapaa<br />

Waipahu<br />

Honolulu<br />

Waimanalo<br />

Honolulu<br />

Waianae<br />

Ewa Beach<br />

Honolulu<br />

Honolulu<br />

Wailuku<br />

Webinar: Boosting Vaccine<br />

Confidence in Minority Populations –<br />

Specific Strategies to Encourage and<br />

Educate Your Patients<br />

ANA Year of the<br />

<strong>Nurse</strong> Stories<br />

A nurse sharing their experience is empowering<br />

and especially powerful with their accounts of<br />

inspiration, accomplishments, challenges, and how<br />

they continue to thrive through difficult times.<br />

Explore stories and images submitted by nurses<br />

through our digital storybook, To Be a <strong>Nurse</strong>.<br />

While enthusiasm to receive the COVID-19 vaccine<br />

is high among many, a significant number of people<br />

are reluctant to take the important step of getting the<br />

“shot in the arm.” Many factors have an impact on this<br />

reluctance, not the least of which include racial, cultural,<br />

and ethnic background and past experiences.<br />

This free 90-minute ANA COVID-19 on-demand<br />

webinar explores the current data on COVID-19<br />

vaccination rates among communities of color and<br />

illuminates the sources of vaccination reluctance in<br />

minority populations. Most importantly, the content<br />

identifies key elements of the conversation needed to<br />

address vaccine reluctance and boost confidence.<br />

Check out our Nursing Courses Focused on<br />

COVID-19 in our COVID Resource Center to register<br />

and immediately watch this webinar on how to increase<br />

vaccination rates in vulnerable minority populations.<br />

Or watch anytime at your convenience. Webinar made<br />

possible by the generosity of Johnson & Johnson.


<strong>May</strong>, June, July <strong>2021</strong> Hawaiʻi <strong>Nurse</strong> • Page 9<br />

Legislation Page<br />

ANA Policy, Innovation, & Advocacy<br />

Virtual Forum September 12th, <strong>2021</strong><br />

Join the first-ever virtual <strong>2021</strong> ANA Policy, Innovation and Advocacy Forum<br />

on September 14. Enjoy a day of rich discussions around policy, innovation,<br />

and advocacy as you interact with industry leaders, health care experts, and<br />

representatives from national organizations.<br />

This virtual forum is designed for nursing professionals who want to learn<br />

more about the role of nurses as advocates, health policy drivers, and care model<br />

designers.<br />

- Discover how advances in public policy and delivery system innovation are<br />

impacting the nursing profession.<br />

- Better understand how nurses can amplify their voice through advocacy.<br />

- Examine the expanded use of virtual care to enhance access to services, reduce<br />

disparities, and improve safety the care experience.<br />

- Discuss the impact of the COVID-19 pandemic on the health care policy<br />

landscape.<br />

- Take part in breakout sessions covering: design thinking, a policy primer,<br />

telehealth, and other key drivers of health policy.<br />

- Celebrate <strong>Nurse</strong>s leading care model design at the <strong>Nurse</strong>Pitch Showcase.<br />

Plus, earn up to 12 CNE credits and have on-demand access to all content until<br />

September 30. Registration fees vary. Special discounted fares for nursing students,<br />

ANA members, and nurses. Simply select the appropriate category when registering.<br />

We hope to see you at the virtual ANA #PIAForum!<br />

Registration Link: https://www.ana-events.org/PIAForum/?utm_<br />

campaign=264500%20<strong>2021</strong>%20ANA%20Policy%2C%20Innovation%20<br />

%26%20Advocacy%20VF&utm_medium=EM1&_hsmi=125763517&_<br />

hsenc=p2ANqtz-9OWL2pP2f5SzJQUlzV-hJdfEj2YpjCSiFUs5OMV5Ky<br />

CLacuzfkJmGg1dKKlPRjlA8zJkKzCcTocv7thkC2DMYHehDdIA&utm_<br />

content=PIA%20EM1&utm_source=email<br />

Hawai’i State Legislature<br />

31st Legislature, <strong>2021</strong><br />

By the time you are reading this, the Legislative Session for FY<strong>2021</strong><br />

is over: Sine die* is April 29, <strong>2021</strong>. For more information go to https://<br />

www.capitol.hawaii.gov/ or call the Hawaiʻi-ANA office at (808) 779-3001.<br />

*Sine Die means that it ends without final date because they can go into special<br />

session.<br />

These are our expectations of the bills Hawaiʻi-ANA has been following, as of April<br />

10, <strong>2021</strong> during the cross-over Session:<br />

HB576, SB624 APRNs authorization to perform medication or aspiration abortions.<br />

Adopted & transmitted to Governor.<br />

HB302, SB620 APRNs to certify home health care for Medicare beneficiaries; to<br />

determine whether a person is totally disabled under the state income tax code; to<br />

make capacity determinations; and recognizes APRNs as primary care providers in<br />

advance mental health care directives. Still alive at Crossover.<br />

HB303, SB619 APRNs to participate concerning fitness to proceed examinations in<br />

criminal proceedings. Referred to 4 committees at Crossover so not expected to be<br />

considered this session.<br />

SB487, SB839 “Improving the Our Care, Our Choice Act” from January 1, 2019.<br />

Unfortunately, these bills were also referred to 4 committees at Crossover and are not<br />

expected to be considered this session.<br />

HB306, SB976 to improve accessibility to tax credits for preceptors offering clinical<br />

practice to healthcare provider students. Will not be considered this session along<br />

with any other bills with tax implications d/t the state’s current financial distress d/t the<br />

pandemic.<br />

HB472 Telehealth updates, including APRNs. Not noted at Crossover.<br />

SB893 Midwives. Not noted at Crossover.<br />

HB806, SB558 and HB807, SB559 regarding staff nurse overtime and delegation<br />

issues. These bills were not heard this session. Hawai’i-ANA will continue to work with<br />

HNA-OPEIU local 50, the Philippine <strong>Nurse</strong>s Association of Hawai’i, and Filipino <strong>Nurse</strong>s’<br />

Organization to re-work the content for re-introduction of these matters in the future.


Page 10 • Hawaiʻi <strong>Nurse</strong> <strong>May</strong>, June, July <strong>2021</strong><br />

Message from your President<br />

Happy <strong>Nurse</strong>s Month! Along<br />

with celebrating the profession<br />

and our 4.2 million RNs, <strong>Nurse</strong>s<br />

Month gives us the time to reflect<br />

on why we became a nurse. For<br />

me, it was the education aspect.<br />

Being able to advise patients,<br />

family, and friends on their<br />

health and wellness is the most<br />

rewarding part of my career.<br />

Whether it is brief interactions<br />

Katie Kemp<br />

at the bedside, one-on-one indepth<br />

conversations at discharge<br />

planning, telephonic triage, in home assessments, or<br />

continuous follow up through case management; nurses<br />

are the gateway to health education for the public.<br />

However, due to the pandemic, it is easy to<br />

acknowledge the nurses looking for a role change or<br />

perhaps exiting the profession entirely. Hawaiʻi-ANA<br />

sought to address this as a means to retain nurses<br />

in the profession and also to provide support during<br />

challenging times. We began with the formation of a<br />

Mentorship Program. By matching mentees and mentors<br />

with similar interests and guiding conversations through<br />

monthly discussion topics we have created a program<br />

that drives in-state nursing connections and professional<br />

development experiences. Hawaiʻi-ANA welcomed the<br />

first Mentorship Program cohort in <strong>May</strong> <strong>2021</strong>.<br />

Additionally, in Celebration of <strong>Nurse</strong>s Week, Hawaiʻi-<br />

ANA held a virtual continuing education and networking<br />

event on Saturday, Mary 8th. The event was attended<br />

by 47 along with multiple employers, schools of nursing<br />

and healthcare associations. Over the course of the<br />

pandemic, many nurses have felt burnt out or over<br />

extended, so much so that leaving the profession as a<br />

whole was heavily considered. As a means to shed light<br />

on nursing careers beyond acute care to retain nurses in<br />

the profession we highlighted two RN roles; The <strong>Nurse</strong><br />

Navigator and the Population Health RN.<br />

Our Care, Our Choice Hawaiʻi presented on The<br />

<strong>Nurse</strong> Navigator role as it relates to the medical aid in<br />

dying law. The audience was informed how RNs play<br />

a role in end-of-life care, how we can assist patients<br />

in the end-of-life decision making discussion, and the<br />

Social Determinants of Health (SDOH) is<br />

becoming a popular term and one often referred<br />

to in Dr. Qureshiʻs presentation. Although not<br />

something what wasn’t already in nursing and<br />

healthcare assessments it is being more heavily<br />

emphasized with action steps on an abnormal<br />

assessment result. Connecting patients with<br />

food, housing, income, transportation, and more<br />

is often the starting point to allow patients to<br />

begin their health recovery journey. In a recent<br />

episode on the ANA See You Now Podcast, “Way<br />

More Than a Health Plan” discusses the growing<br />

body of evidence and experience supporting<br />

our understanding of and investing in the<br />

social determinants and drivers of health—the<br />

conditions in which people are born, grow, live,<br />

work and age. We’re seeing that manifest with a<br />

wide range of innovations in every corner of our<br />

healthcare delivery system, including innovations<br />

in health plans, health insurance, and payment<br />

and delivery models. Check out the Podcast<br />

channel through Google Play or the App Store!<br />

importance of advocacy and legislation. Unfortunately,<br />

the medical aid in dying law amendment bill HB 2451,<br />

by allowing qualified Advanced Practice Registered<br />

<strong>Nurse</strong>s (APRNs) to serve as the Attending, Consulting,<br />

and/or Mental Health Provider required under the law<br />

was dissolved when passed on to four committees.<br />

This was a pain staking defeat as the amendment<br />

passed the Senate (SB839) with a 21-4 vote. The CE<br />

presentation discussed why nurses being involved in<br />

legislation matters, and how crucial legislation can be<br />

in improving patients assess to care.<br />

Dr. Kristine Qureshi, professor at University of<br />

Hawaiʻi at Mānoa, presented on the research article<br />

she published with colleagues, Dr. Glauberman, Dr.<br />

Bray, and Dr. Loos; in the Hawaiʻi Journal of Health<br />

& Social Welfare on “Population Health: Proactive<br />

Solutions for Healthy Outcomes.” This CE focused<br />

on the emerging role of Population Health RN. As<br />

insurer reimbursement moves from fee-for-service<br />

to value-based, with a heavy emphasis on quality<br />

care, population health RNs will be the champions<br />

for meeting the quality metrics. This is an emerging<br />

role in the ambulatory arena allowing for RNs to work<br />

closely with primary care providers and others with<br />

the end goal of improving the population’s health.<br />

To read more about Dr. Qureshi’s publication visit:<br />

https://hawaiijournalhealth.org/past_issues/HJHSW_<br />

Feb20.pdf<br />

As we wrap up <strong>Nurse</strong>s Week it cannot go unsaid;<br />

Thank You <strong>Nurse</strong>s! The career itself is often thankless<br />

but know each day that you arrive to work you leave<br />

a lasting impression on your patients and often your<br />

colleagues. As Florence Nightingale said, “I think one’s<br />

feelings waste themselves in words; they ought all to<br />

be distilled into actions which bring results.”<br />

ANA-Only Members<br />

Jennifer Abe<br />

Kris Aceret<br />

Kathleen Acierto<br />

Cindy Arce<br />

Kristin Arrindell<br />

Elizabeth L. Asahara<br />

Dyanarra Alexa Ballesteros<br />

Rosemary Baugh<br />

Nancy Bellatti<br />

Stacy Braddy<br />

Tania Budyn<br />

Susan Cabalce<br />

Manuel Calupe Jr<br />

Sara Castro<br />

Natalyn Cayetano<br />

Clementina D. Ceria<br />

Lolita Ching<br />

Michelle Clayton<br />

Kristen Collat<br />

Francisco Conde<br />

Mae Kimberly Corpuz<br />

Bobbie-Jean Crivello<br />

Kilihune Demello-Kamaka<br />

Trisha Devereaux<br />

Corey Dillman<br />

Helena Doherty-Gehrke<br />

Glenda Dumayas<br />

Belinda A. Dungca<br />

Joanna Edwards<br />

Janina Espiritu<br />

Eileen Factora<br />

Janet Francisco<br />

Brendon Friedman<br />

Debbie Fujiyama<br />

Cathlyn Gabriel<br />

Jennifer O. Galicinao<br />

Marcelina Gallardo<br />

Arthur Garza<br />

Joseph Giovannoni<br />

Caroline Glover<br />

Eden S. Goto<br />

Michelle Grandalen<br />

Michele Hadano<br />

Frankie Hale<br />

Kristina Halloran<br />

Linda M. Hamada<br />

Carissa Hamelin<br />

Cindy Hanscam<br />

Madeline Harris<br />

Guillerma V. Helco<br />

Eunice Hipolito<br />

Katie Hokama<br />

Renee Hollison<br />

Beverly M. Hookano<br />

Paula Hulme<br />

Christine Inamine<br />

Jillian Inouye<br />

Kristen Ishikawa<br />

Mary Jang<br />

Avril Jenkins<br />

Allan Johnson<br />

Karen Kalanta<br />

Martin Katz<br />

Leanne Kauwe<br />

Elaine J. Kawamoto<br />

Josette Kawana<br />

Cera Kim-Sunada<br />

Ethel Koga<br />

Christine Kramer<br />

Krystle-Ann Lazo<br />

Lydia Ligon<br />

Madelyn Locquiao<br />

Edith Loh<br />

Alison Lovell<br />

Rachael Lund<br />

Macey Luo-Souza<br />

Andrea Manaea<br />

Anella Mark<br />

Catherine Marquette<br />

Shaun Marsh<br />

Stephanie Marshall<br />

Michelle Maxilom<br />

George McElravy<br />

Jason McGregor<br />

Tammy McKee<br />

Cherry Elaine Medina<br />

Mi Mende<br />

Mark Mendoza<br />

Wendy Meyers<br />

Mildred Mikuni<br />

Semico Miller<br />

Haunani Miller<br />

Donna Miller<br />

Linda Mitchell<br />

Shirley Morca<br />

Rachel Morrison<br />

Ramona Nakagawa<br />

Priscilla Navares<br />

Esther Njoroge<br />

Susan Ohlson<br />

Grace Pakele<br />

Chanel Paresa<br />

Jennie Pasalo-Dominno<br />

Ralf Ian Pasion<br />

Melanie C. Pekala<br />

Katie Pimentel<br />

Julie A. Potter-Dunlop<br />

Linda Price<br />

Sandra Quipotla<br />

Richard Ramirez<br />

Madonna Reisert<br />

Liberty Rongcal<br />

Brian Rose<br />

Mary Rovelstad<br />

Feliciana Sales<br />

Lindsay Sanchez<br />

Donna Sandberg<br />

Paula Sanders<br />

Merita Sao Auelua<br />

Helena Sena<br />

Elizabeth Seymour<br />

Maureen Shannon<br />

Raelene Shinchi<br />

Sharon Skouge<br />

Sharlene Skripko<br />

Dorota Strugala<br />

Cari Suhr<br />

Elsa Talavera<br />

Kanoe Tani<br />

Jona Marie Taylor-Palalay<br />

Linda Thorp<br />

Kim Tomasa<br />

Joyce Trompeta<br />

Lani Tsuneishi<br />

Jolly Anne Uclaray<br />

Patti Urso<br />

Janet Uyehara<br />

Coraleen Valdez<br />

Kristina Valenzuela<br />

Aimee Villarmia<br />

Susan Von Essen<br />

Jasmine Wagner<br />

Kimberly Webster<br />

Karen Wilhite<br />

Aya Windham<br />

Shelley A. Womack<br />

Marie Wong<br />

Elena Woo<br />

Monina Yamashita<br />

Valerie Yim<br />

Naomi Yoshimoto<br />

Gary Yoshimoto<br />

Leigh Ziegler<br />

If your name is on this list, you are a member of ANA-Only, and you are not a member of your state association at Hawaiʻi-ANA. Want to join Hawaiʻi-ANA<br />

jointly with ANA? Just email Linda at executivedirector@hawaii-ana.org and say you “want to be a joint member of ANA and Hawaiʻi-ANA.” We will help you join us in<br />

our state nurses association (bonus: it is less $$!)


<strong>May</strong>, June, July <strong>2021</strong> Hawaiʻi <strong>Nurse</strong> • Page 11<br />

Hawaiʻi-ANA Membership<br />

BE PROUD OF YOUR MEMBERSHIP IN YOUR STATE PROFESSIONAL ASSOCIATION.<br />

These are the Hawaiʻi-ANA members: Is your name here?<br />

Alohalaniho’ohenoika’opi’o-Ola Lindsey<br />

Ma. Lourdes Brexy Abara<br />

Shannon Abarra<br />

Alaina Abbott<br />

Theresa Abraham<br />

Soraya Acosta<br />

Cindy Aguiar<br />

John Aiwohi III<br />

Maedawn Alagao-Dizon<br />

Carrie Alexander<br />

Veronica Alvarez<br />

Taryn Amberson<br />

Susan Anderson<br />

Kamomilani Anduha Wong<br />

Riri Anguay-Samson<br />

Raquel Antolin<br />

Jennifer Antony<br />

Nancy Atmospera-Walch<br />

Kealohakuualohakuupokii Balaz<br />

Wainani Ballard<br />

James Beasley<br />

Anita Becker<br />

Linda Beechinor<br />

Ali Bernhardt<br />

Jeny Bissell<br />

Laura Blue<br />

Pola Isabelle Bonete<br />

Alicia Ann Bonilla<br />

Lydia Brandes<br />

Patricia Brooks<br />

David Buck<br />

Kathleen Burger<br />

Kumiko Cabana<br />

Rachel Cabel<br />

Narelie Calley<br />

Melveen Camba<br />

Dawn Carlock<br />

Sidney Carrillo<br />

Marie Suzette Castillo<br />

Jessics Caudill<br />

Tiare Caycayon<br />

Michelle Chapman<br />

Helena Chmielowicz<br />

Cassie Ann Claveria<br />

Ruthie Clearwater<br />

Denise Cohen<br />

Rachel Coolidge<br />

Gerilyn Corpuz-Takemoto<br />

Maria Coutee<br />

Phoebe Dahilig<br />

Abigail Daigle<br />

Perie Danao<br />

Katherine Davis<br />

Haley Deforest<br />

Patti Dellaport<br />

Liza Dernehl<br />

Alison Diehl<br />

Didar Dodhi<br />

Karen Dureg<br />

Cortez Fabia<br />

Lynne Faulkner<br />

Jonathan Felarca<br />

Janice Ferguson<br />

Tracy Lynne Fernando<br />

Brian Fikes<br />

Teri Fonoti<br />

Holly Fontenot<br />

Cindy Fuke<br />

Linda Fukuhara<br />

Pablito Gahol<br />

Vanessa Galutira<br />

Kathleen Garo<br />

Lena Gebelein<br />

Juanita Geronimo-Babas<br />

Joy Gilmer<br />

April Gonsalves<br />

Valerie Gourley<br />

Gian Gizelle Grasparil<br />

Jill Green<br />

Amelia Greenidge<br />

Jenny Greenlee<br />

Courtney Gunter<br />

Amber Gutenberger<br />

Kathleen Hagan<br />

Rhoberta Haley<br />

Karla Hall<br />

Marie Hammond<br />

Chloe Handley<br />

Paul Hannigan<br />

Jani Harada<br />

Rose Hata<br />

Fina Havelock<br />

Kimberly Hayashi<br />

Nyra Hebrio<br />

Patricia Hensley<br />

Stephanie Higa<br />

Michelle Higgins<br />

Bobbie (Roberta) Holloway<br />

Ruth Honda<br />

Leilani Hosaka<br />

Helen Hudson<br />

Ferna Idica<br />

Kathryn Inamine<br />

Lillian H. Ing<br />

Barbara Insisiengmay<br />

Jaryn Iwamoto<br />

Laura Jambura<br />

Valerie Janikowski<br />

Leeah Javier<br />

Katherine Jeffrey<br />

Monica Joiner<br />

Kathryn Jones<br />

Jessica Joseph<br />

Cheryl Kaaialii<br />

Lori Kaneshige<br />

Alison Kaneshiro<br />

Teah Karamath<br />

Barbara Karodia<br />

Laila Kemmerly<br />

Katherine Kemp<br />

Leanne Kihara<br />

Daniel Kim<br />

Natalie Kitamura<br />

Lydia Kumasaka<br />

Randi-Anne Lau<br />

Carol Lee<br />

Trevor Lidge<br />

Quanae Lill<br />

Christine Loui<br />

Eileen Luo<br />

Sidney Macaw<br />

Janel Manos<br />

Jennifer Mariano<br />

Catherine Marin<br />

Natalie Mark<br />

Mary Marks<br />

Mary Marshall<br />

Kirsten McCullum<br />

Suwan McGrath<br />

Leslie Menchetti<br />

Cheryl Menzsa<br />

Maxine Millard<br />

Susan Minnich<br />

Veronica Mitchell<br />

Kristine Mohr<br />

Jaymilette Moken<br />

Andrea Montgomery-Kylie<br />

Molly Moore<br />

Richard Moore<br />

Mariam Moran<br />

Maria Moreno Chow<br />

Scott Murakami<br />

Jen Nafarrete<br />

Doreen Nakamura<br />

Jailu Navarrete<br />

Abbie Neves<br />

Patricia W. Nishimoto<br />

Maria Noel<br />

Alexis Noh<br />

Liza Oasay<br />

Maureen O’Brien<br />

Jayson O’Donnell<br />

Faith Olivera<br />

Mary Frances Oneha<br />

Shantel Padilla<br />

Kawailehua Paikai<br />

Valerie Parayno<br />

Joan Parker-Dias<br />

Sharmaine Pasalo<br />

Elizabeth Pavlik<br />

Jaimelee Peleiholani<br />

Sarah Perkins<br />

Cecilia Ruzena Person<br />

Carol Petith-Zbiciak<br />

Alexander Phelps<br />

Nora Phillips<br />

Bebelita Pinsoy<br />

Jason Poe<br />

Marion F. Poirier<br />

Joselyn Ponce<br />

Christine Prentice<br />

Elvie Marie Quemado<br />

Kristine Qureshi<br />

Rica Lorraine Rabanal<br />

Chamaigne Ralston<br />

Marieliese Ramirez<br />

Dana Ramos<br />

Christina Ranan<br />

Sheri Richards<br />

Karol Richardson<br />

Andrea Ringman<br />

Christy Rios<br />

Katie Risley<br />

Sarah Ronhaar<br />

Roxann Rowe<br />

Veronica Russell<br />

Amy Ruvio<br />

Teresa Sakai<br />

Genil Saladino<br />

Kristina Sales<br />

Valerie Santiago<br />

Bernadine Sarono<br />

Anne Scharnhorst<br />

Young Schoen<br />

Rosalie Schreiber<br />

Anna Schulte<br />

Samantha Shackleford<br />

Laine Shikuma<br />

Patrick Shine<br />

Aileen Siliado<br />

Janet Sinclair<br />

Larisa Skripchenko<br />

Edna Smith<br />

Mindy Smith<br />

Dolores Soler Bergau<br />

Victoria Stadnyk<br />

Dawn Styner<br />

Paula Sulso<br />

Emily Sutton<br />

Corinne Suzuka<br />

Joan Takamori<br />

Keli Taylor<br />

Martina TaylorCampbell<br />

Juval Tomas<br />

Claudine Tomasa<br />

Kathleen Tomasa<br />

America Toralba<br />

Hhlali Trask<br />

Alice Tse<br />

Melanie Tsukamoto<br />

Lani Untalan<br />

Carrie Urban<br />

Donna Vanstralen<br />

Aizel Joy Vea<br />

Noelia Velez<br />

<strong>May</strong> Joyce Vertido<br />

Cristina Vocalan<br />

Mary Volenec<br />

Erin Von Der Ahe<br />

Jo Wakayama<br />

Elizabeth Elaine Wakayama<br />

Laureen Watanabe<br />

Anna Weigand<br />

Thyra Wilbur<br />

Tara Wilson<br />

Jennifer Wold<br />

Suzette Wright-Maximo<br />

Leslie Ann Yanagihara<br />

Kelly Yano<br />

Victoria Yao<br />

Kristine Yearwood<br />

John Yoza<br />

Robin Zachary<br />

Jennifer Zafrani<br />

Lorena Zerwig<br />

Opportunities for Members<br />

• Join the Mentorship Group contact Katie<br />

Kemp at President@hawaii-ana.org<br />

• Join the Student <strong>Nurse</strong>s Liaison Group<br />

contact Linda at executivedirector@hawaii-ana.org<br />

• Join the Group in your geographic area:<br />

◦ Central Oʻahu contact Jailu at<br />

globalnursinginterchange@gmail.com<br />

Marion at mpoirier808@gmail.com<br />

◦ Maui County contact Denise at denisecohen@<br />

mac.com<br />

Haley: haleydefo@gmail.com<br />

◦ Kauaʻi contact Aileen at asiliado@gmail.com<br />

◦ Island of Hawaiʻi contact Mary at mary.<br />

volenec@gmail.com<br />

• Contact the Nominating Committee if you<br />

are interested in running for an elected position<br />

in Hawaiʻi-ANA contact Brian Fikes (Chair) at<br />

brian.fikes@gmail.com<br />

• Attend Hawaiʻi-ANA Board Meetings: all<br />

members are welcome to attend. Log into our<br />

webpage under Upcoming Events at https://<br />

hawaii-ana.nursingnetwork.com/nursing-events<br />

and click on the Board Meeting of your choice<br />

to register for the event.<br />

Welcoming 20 New<br />

Members of Hawaiʻi-ANA:<br />

Michelle Higgins<br />

Cecilia Ruzena Person<br />

Katie Risley<br />

Melanie Tsukamoto<br />

Taryn Amberson<br />

Jason Poe<br />

Maedawn Alagao-Dizon<br />

Chloe Handley<br />

Larisa Skripchenko<br />

Trevor Lidge<br />

2/25/21 – 4/4/21<br />

Alexis Noh<br />

Tiare Caycayon<br />

Shannon Abarra<br />

Hhlali Trask<br />

Juval Tomas<br />

Donna Vanstralen<br />

Jill Green<br />

Roxann Rowe<br />

Didar Dodhi<br />

Chamaigne Ralston

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