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 />
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licenses and live on Kauaʻi.<br />
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Membership with<br />
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If your name is on this list, you are a member of<br />
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with ANA? Just call or email Linda at 808-779-3001 or<br />
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to be a joint member of ANA and Hawaiʻi-ANA.” We<br />
will help you join us in our state nurses association<br />
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CONTENT SUBMISSION<br />
The Hawaiʻi <strong>Nurse</strong><br />
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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 />
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Ewa Beach<br />
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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