03.09.2021 Views

2021 Florida Book of Reports

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

2021 Florida Nurses Association

BOOK OF REPORTS


REGISTERED NURSES

There’s something special about neighbors caring for neighbors: it’s

why our clinicians often live in the communities where they care for

patients each day.

When you join Kindred at Home, you gain an extended family of clinicians

and healthcare professionals looking out for each other’s best interests.

So you can expect the support, training, resources, benefits and flexibility

you need to do your job safely and with compassion every day.

We operate in 40 states - and thousands of neighborhoods- so there’s a

good chance we’re in a community near you.

Talk to us today about joining our family of skilled nurses.

Email me: Shea.Parker@Gentiva

Contact us: 855-KND-AT-HOME

Learn more at: careers.kindredathome.com


2021 Florida Nurses Association

Table of Contents

Membership Assembly Agenda. .........................................................3

Speakers and Presentations. ...........................................................7

Agenda for Business Meeting. .........................................................17

Roll of Presidents. ..................................................................19

Member Meeting Rules – Hybrid Business Meeting. ..........................................21

2020 Membership Assembly Summary of Action ............................................27

FNA Staff. ........................................................................37

Organizational Structure. .............................................................37

Reports of the 2019-2021 Board of Directors ..............................................54

FNA Staff Report. ..................................................................67

FNA Structural Unit Reports ........................................................... 74

Other Nursing Groups and Organizations. .................................................89

Index of FNA Position Statements. ......................................................94

FNA Diamond and Lamplighter Awards. ...................................................98

Parliamentary Information. ...........................................................105

Florida Nurses Association Bylaws. .....................................................107

2021 FNA Proposed Bylaws Changes ...................................................121

2021 Reference Proposals. ..........................................................127

Published for the Florida Nurses Association by:

Arthur L. Davis Publishing Agency

PO Box 216

Cedar Falls, IA 50613

319-277-2414

1


2021 Florida Nurses Association

ADVERTISEMENT

Make Every Bite Count with Nutrient-Dense Foods

Several key nutrients, such as iron, zinc and choline, are essential to support healthy growth and

development in the early years, particularly among infants who are exclusively breastfed and ready to

transition to complementary feeding. The American Academy of Pediatrics (AAP) recommends

introducing nutrient-dense foods, such as meat, during this transition, to help ensure adequate intake

of high-quality protein, iron, zinc and choline and to help protect against deficiencies that can impact a

child’s development, learning, behavior and growth. 1

According to the AAP, approximately 2 servings of meat (1-2 ounces/day) can be provided to help

meet key nutrient and energy needs. 1 Pureed, ground, shredded or stewed beef can introduce a variety

of textures that can safely support babies’ developmental needs, reduce risk of choking and help lay the

foundation for a healthy dietary pattern and lifestyle. 1-4

Safely introduce beef by matching the appropriate preparation with an infant’s age and

developmental stage.

Parents and caregivers are

encouraged to consult a physician

or health care provider with

questions about starting solid foods.

6-8 months

Pureed Beef

8-10 months

Shredded Beef

10-12 months

Chopped Beef

Did You Know? By 6 months of age,

a baby’s iron stores are depleting

while their iron requirements are

increasing substantially. In fact,

18% of infants are falling short on

recommended iron intake. 5

1. American Academy of Pediatrics Committee on Nutrition. Kleinman, RE, Greer, FR, eds. Pediatric nutrition, 8th edition. American Academy of Pediatrics. 2019 November 15.

2. U.S. Department of Agriculture and US. Department of Health and Hwnan Services. Dietary Guidelines for Americans, 2020-2025.

3. U.S. Department of Agriculture. Infant nutrition and feeding: A guide for use in the special supplemental nutrition program for women, infants, and children. 2019.

4. Murray, R. Influences on the initial dietary pattern among children from birth to 24 months. Nutr Today. 2017 March/April; 52(2): S25-S29.

5. Bailey, RL, et al. Total usual nutrient intakes of US children ( under 48 months): Findings from the Feeding Infants and Toddlers Study (FITS) 2016. J Nutr. 2018; 148(9S): 1557S-!566S.

Veterans’ Homes

RNs, LPNs, & CNAs needed at all locations

Lake City

Daytona Beach

Land O’ Lakes

Pembroke Pines

Panama City

Port Charlotte

St. Augustine

Port St. Lucie

Orlando

The Robert H. Jenkins Jr. Veterans’ Domiciliary Home

The Emory L. Bennett State Veterans’ Nursing Home

The Baldomero Lopez State Veterans’ Nursing Home

The Alexander “Sandy” Nininger State Veterans’ Nursing Home

The Clifford C. Sims State Veterans’ Nursing Home

The Douglas T. Jacobson State Veterans’ Nursing Home

The Clyde E. Lassen State Veterans’ Nursing Home

The Ardie R. Copas State Veterans’ Nursing Home

Lake Baldwin State Veterans’ Nursing Home

For employment opportunities at the homes, call the FDVA

Human Resources Office at (727) 518-3202, Ext. 5579 or visit the

People First website at https://jobs.myflorida.com/joblist.html

2


2021 Florida Nurses Association

2021 FNA Virtual Membership

Assembly Agenda

THURSDAY, SEPTEMBER 23

All times listed in Eastern Standard Time (EST)

9:00am – 1:00pm

10:00am – 12:00pm

1:00pm – 1:30pm

1:30pm – 2:30pm

2:30pm – 3:30pm

3:30pm – 3:45pm

3:45pm – 4:45pm

6:30pm – 8:00pm

LERC MEETING

For Members of FNA Bargaining Units

Presentations by Debbie Hogan, Don Slesnick, and Marsha Martin

QUIN COUNCIL MEETING

WELCOME ANNOUNCEMENTS

OPENING SESSION

Wrapping Equity and Inclusion into Your Everyday Practice

Deborah Taffe, PhD, MSNeD, RN | Barbara Blythe Lovell-Martin, PhD, MS, RN |

Fay Mason, DNP, RN

BREAKOUT SESSIONS

Caring for Florida’s Postpartum Population: Addressing Sepsis

Related Maternal Mortality Through Nurse Driven Protocol

Asia Standifer, BSN, RN, CCRN | Sonya Allen, MSN, RN

Promoting Care During a Pandemic: An Academic Service Learning Approach

Barbara Lovell-Martin, PhD, MS, RN

Nursing Strategies to Meet the Communication Needs

of Children with Autism Spectrum Disorder

Elizabeth Voss, MSN RN BC

Break

BREAKOUT SESSIONS

Beyond COVID: Preventing the Spread of Other Infectious Agents

Barbara Russell, MPH, BS, RN, CIC, FAPIC

Advocating Beyond the Bedside

Deb McCauley, BSN, CRRN

Providing Advanced Practice Mental Health Nursing Care through Telehealth:

Lessons learned during the COVID-19 Pandemic

Marie Smith-East, PhD, DNP, APRN-BC

Reducing Opioid Utilization in Adult Patients Following Spine Surgery

Sherri M. Kimes, DNP, MSN, ACNP-BC | Linda Connelly, PhD, DNP, MSH, APRN, CNS, CNOR

BOARD OF DIRECTORS MEETING

3


2021 Florida Nurses Association

FRIDAY, SEPTEMBER 24

All times listed in Eastern Standard Time (EST)

9:00am – 9:30am

9:30am – 10:30am

10:30am – 11:30am

11:30am – 12:30pm

12:30pm – 1:30pm

2:00pm – 3:00pm

WELCOME ANNOUNCEMENTS

KEYNOTE PRESENTATION

Bringing More Nursing Voices to the Table

Sylvia Trent-Adams, PhD, RN, FAAN

BREAKOUT SESSIONS

Best Practices in the Care of Transgender Patients

Jose Castillo III, PhD, MSNA, CRNA, APRN

Exploring the Science of Gratitude in Nursing Research and Practice

Lakeshia Cousin, PhD, APRN, AGPCNP-BC

Creating a Satellite Clinic on A University Campus

Doreen Perez, DNP, MS, BSN, RN-BC

Public Health and Climate Change: Caring for Displaced Populations

Deborah Hogan, MPH, BSN, RN

Break – Exhibitors / Posters

CLOSING SESSION

Conscious Heart Connection: A Tool for Self-Care and Wellbeing in the 21st Century

Ilene Gottlieb, RN, CHTP, CHP, CMI, CQP

SPECIAL INTEREST GROUP MEETINGS

Health Policy (HP-SIG)

Ethics SIG

Holistic Nursing (HN-SIG)

Research SIG

SATURDAY, SEPTEMBER 25

8:00am – 12:00pm

BUSINESS MEETING

Reports of the Officers, Directors, and Staff

• Finance Report

Reports of the Task Forces

• Report from the FNA Lobbyists / Approval of Legislative Agenda

• Report of the Reference Committee

• Voting on Proposals and Bylaws Changes

• Open Discussion / New Business

• Swearing-in of the New Board of Directors

12:00 – 1:00pm REGION MEETINGS

Meet Your New Region Directors

1:30pm – 2:30pm

POST-CONFERENCE BOARD MEETING

Mandatory for New Board Members

5


2021 Florida Nurses Association

NURSING OPPORTUNITIES

IN TALLAHASSEE, FL

Now Hiring

Psychiatric RNs & LPNs

Full-Time

Inpatient &

Residential

Programs

Visit www.apalacheecenter.org

or call Stephanie at 850-523-3212

for additional information.

Apalachee Center, Inc participates in E-Verify. Federal law requires

Apalachee Center, Inc to verify the identity and employment eligibility

of all persons hired to work in the United States. Apalachee Center,

Inc. is an at-will employer. An equal opportunity/affirmative action

employer. Drug-free workplace

Visit nursingALD.com today!

Search job listings

in all 50 states, and filter by location and credentials.

Browse our online database

of articles and content.

Find events

for nursing professionals in your area.

Your always-on resource for

nursing jobs, research, and events.

6


2021 Florida Nurses Association

2021 Speakers and Presentations

Public Health and Climate Change:

Caring for Displaced Populations

Deborah Hogan, RN, BSN, MPH

The effects of Climate Change cause many impacts on our planet and our people.

These include drought, food shortages, flooding, disruptions in the food chain,

increased exposure to zoonotic risk factors and viruses, temperature changes,

and economic losses. In dealing with the effects of environmental changes, we

must be prepared to support and implement the public health efforts to prevent the

displacement of populations. Because of nurses’ great capacity for caring and identifying

the health needs of people, we are in a unique position to provide care for any population impacted by climate

effects. Our role will be essential in dealing with any climate impacts!

A Call to Action, Caring for Florida’s Postpartum

Population: Addressing Sepsis Related Maternal

Mortality Through Nurse Driven Protocol

Asia Standifer, BSN RN, CCRN | Sonya Allen, MSN, RN

One of the goals of Healthy People 2020 was to decrease maternal

mortality. In Florida 16.3% of maternal deaths are related to infection.

A study completed by the World Health Organization details a need to

address this healthcare crisis by analyzing the current methods and

processes for identification of infection and sepsis related conditions.

The same aforementioned study expressed a need for modifying current

practices to meet the needs of this growing problem. In an effort to address

this practice gap within the postpartum population, we designed a sepsis early identification tool and

treatment pathway. These valuable tools not only aid in identifying sepsis in its early stages, but also prompts

the clinician to order the appropriate laboratory and diagnostic test within the defined, evidence based guided

timelines. This treatment pathway aims to empower nurses with the tools and data needed to appropriately

assess their patient’s condition, prevent clinical deterioration, reduce sepsis related ICU admissions, and

reduce length of hospital stays. Together, with the appropriate tools and improved treatment processes, we

can reduce the number of infection related deaths, and do our part to improve the lives of those who have

entrusted us with their care.

7


2021 Florida Nurses Association

Promoting Care During a Pandemic:

An Academic Service Learning Approach

Barbara Lovell-Martin, PhD, MS, RN

Academic Service Learning (ASL) has been noted to be significant in promoting

engagement between students and the community. Like the pandemic of 1918,

nursing care is the most important factor in the survival and recovery of those

afflicted with a viral infection. The COVID-19 pandemic has allowed RN-BSN students

to

pivot and embrace new ways of meeting their service obligations to the community.

During the pandemic, ASL served as a teaching service strategy where students used technology to

share their knowledge and skills as they positioned themselves to be part of the solution to problems found

in the community during the COVID-19 crisis. Their goal was to continue to provide service to the community,

using technology, in an effort to impove the knowledge deficit regarding issues that pertain to health, wellbeing,

and access to resources.

Nursing Strategies to Meet the

Communication Needs of Children

with Autism Spectrum Disorder

Elizabeth Voss, MSN RN BC

According to Watson (2009), nurses are ethically responsible to seek information

about communication needs of children with ASD, and create strategies to meet

their needs in health care settings. Watson (2009) stated “caritas processes seek

information, knowledge, understanding and wisdom”. Founded on the ten carative

factors, the ten caritas processes translate conventional nursing tasks toward purposeful healing acts.

Applied to a critical literature review, the Caritas model explains the varied communication presentation of

children with ASD and evaluates the healing effectiveness of strategies to meet their communication needs

across all health care settings. Nurses will have an understanding of ASD communication impairment and

effective communication strategies to provide quality care to pediatric patients with ASD. The evidence-based

communication tools are used in schools, home and health care settings. With the application of the the ten

carative factors, the communication strategies efficacy are evaluated using case studies to demonstrate the

child’s progress on the health wellness continuum.

9


2021 Florida Nurses Association

HOSPICE OF

MARION COUNTY

wants YOU!

No experience required - we train!

A job with purpose —

You can receive these benefits:

LIFE-CHANGING CAREERS

Now Hiring Nurse Instructors!

Jacksonville

For nearly 50 years, Concorde Career Institute has

prepared thousands of people for rewarding careers in

the healthcare industry. We specialize in education with

a clearly defined purpose. Our goal is to prepare students

for the most in-demand jobs in healthcare.

Qualifications to teach diploma

and degree programs include:

• Current RN license in Florida

• BSN (Diploma Program), MSN (Degree Program)

• 3-4 years of recent clinical experience

• Meet all state Board of Nursing qualifications

We offer: Medical/dental/vision, 401K retirement plan,

paid holidays, vacation, and education reimbursement

for full-time and part-time employees.

To apply visit https://careers.concorde.edu/

• Package worth an extra 25% of your wages

• Nurses and CNAs earn up to 25% in shift

differentials

• Full coverage at no cost (+ vision & dental)

• Long- and short-term disability coverage

• Eight paid holidays

• Up to 21 days paid vacation days your 1st year

• Plus sign-on bonuses up to $2,500

What are you waiting for?

Apply online at:

www.hospiceofmarion.com/careers

JOIN OUR HOSPICE FAMILY.

Apply with Concorde today!

Train our future skilled Nurses.

(352) 873-7400 | 3231 SW 34th Avenue | Ocala, FL 34474

10


2021 Florida Nurses Association

Wrapping Equity and Inclusion into your Everyday Practice

Deborah Taffe, PhD, MSNeD, RN | Barbara Blythe Lovell-Martin, PhD, MS, RN | Fay Mason, DNP, RN

The new challenge in higher education and health care settings is the challenge of having a workforce that

resembles the diversity of the nation in order to effectively care for the needs of diverse populations. At the

base of nursing is caring for all using cultural proficiency. To meet these challenges, nurses need to have a

working knowledge of diversity, inclusion, and equity. How do we navigate diversity, inclusion, and equity in the

workplace?

Best Practice in the Care of Transgender Patients

Jose Castillo III, PhD, MSNA, CRNA, APRN

According to Equality Florida, 30% of transgender people have postponed

medical care for fear of being marginalized and 20% have been refused care.

The transgender community is rapidly evolving and care in the surgical setting is

expanding. With this presentation, terminologies, medications, and best practices

for the care of transgender patients will be discussed.

Exploring the Science of Gratitude

in Nursing Research and Practice

Lakeshia Cousin, PhD, APRN, AGPCNP-BC

Fostering an attitude of gratitude is the foundation for appreciating the minor

and major events that can occur in our lives. Nurses have faced unprecedented

challenges during the pandemic and should be mindful of the power of gratitude

personally and professionally. Practicing gratitude is not merely a soft skill to boost

mood but a science emerging from the field of positive psychology. This presentation will

(1) discuss the state of the science for gratitude and cardiovascular health outcomes, (2) explore mediators

between gratitude and an important CVD self-care behavior (medication adherence) using a structural equation

model, and (3) present the psychometric properties of the Gratitude Questionnaire-6 (GQ-6) to provide

evidence for the validity and reliability of the instrument in African Americans at risk for cardiovascular disease

for future nursing research to improve overall health-related quality of life.

11


2021 Florida Nurses Association

Creating a Satellite Clinic on a University Campus

Doreen Perez, DNP, MS, BSN, RN-BC

This presentation will discuss the University of North Florida’s experience

in providing health care to students on campus in COVID-19 isolation and

quarantine rooms. In addition, UNF’s School of Nursing needed clinical practice

sites for nursing students in Health Assessment and Chronic Health Care courses.

This satellite clinic created a win-win situation that met the needs for both issues.

Reducing Opioid Utilization in Adult Patients

Following Spine Surgery

Sherri M. Kimes, DNP, MSN, ACNP-BC

This project was undertaken due to the opioid crisis in the U.S. The project

evaluated the effect of pre-operative gabapentinoids on the consumption of opioid

medications and pain scores following spine surgery. A statistically significant

reduction in opioid consumption was found in the post intervention group. This

project revealed a positive impact on reducing opioid consumption and contributes to

the body of knowledge necessary to battle the opioid crisis.

Advocating Beyond the Bedside

Deb McCauley, BSN, CRRN

The American Nurses Association (ANA) believes that advocacy is a pillar of

nursing. Nurses instinctively advocate for their patients, in their workplaces, and

in their communities; but legislative and political advocacy is no less important in

advancing our profession. For this session Nurse Deb will share her knowledge on

how to effectively leverage your expertise as an advocate. Nurses will gain a better

understanding on how to influence changes in the legislative arena.

13


2021 Florida Nurses Association

We’re Hiring LPNs!

Earn up to $5,000 in sign-on and milestone bonuses

We’re hiring Licensed Practical Nurses (LPNs) to work with individuals with disabilities in our warm, home-like

residential programs. We offer flexible hours, opportunities for growth and advancement, and a work/life balance

that is rare in nursing. And right now, we’re offering sign-on and milestone bonuses for LPNs!

• Full-time LPNs can earn up to $5,000 in bonuses!

• Part-time LPNs can earn up to $2,500 in bonuses!

“I became a nurse with MENTOR

because I wanted to change lives.

Now, I’m Nursing Director, and I still

love my job.”

– Melissa Comeau, Director of Nursing

Bonuses include a sign-on bonus after 30 days, plus additional milestone bonuses over the following

months. Offer ends 10/31.

To learn more and apply, visit our website and search LPN positions near you!

jobs.thementornetwork.com

A Partner of The MENTOR Network | Equal Opportunity Employer | Bonus available for Tallahassee, Tampa, and Fort Walton Beach Developmental

Centers, Hodges, Kincaid and Point West Clusters in Jacksonville, and Eagles Watch Cluster in Daytona.

14


2021 Florida Nurses Association

Providing Advanced Practice Mental Health Nursing Care through

Telehealth: Lessons learned during the COVID-19 Pandemic

Marie Smith-East, PhD, DNP, APRN-BC

During the COVID-19 pandemic, telehealth services have been beneficial in serving as an avenue for advanced

practice nurses to provide patients with quality remote access care that preserves the patient-provider

relationship during a time where an in-person visit may not be feasible. Advanced Practice Psychiatric Nurses

are well-suited for this challenge with their holistic approach to care. This presentation will highlight how

patients seeking advanced practice mental health nursing services through telehealth received highly rated

quality care during the COVID-19 pandemic by discussing interprofessional collaboration models used, unique

approaches for vulnerable populations such as children/adolescents and individuals with serious mental

illness, solutions for technological challenges encountered, with case reports and satisfaction surveys as

examples.

Beyond COVID: Preventing the Spread

of Other Infectious Agents

Barbara Russell, MPH,BS,RN,CIC,FAPIC

This presentation will include a short overview of the current pandemic including

lessons learned and will go on to review other infectious agents that continue

to be spreading in our healthcare facilities and our communities. Emphasis will

be placed on a fungus called Candida auris, a current major threat that once again

reminds us of the importance to apply all basic infection prevention controls to all

patients, clients or residents in all healthcare settings.

Conscious Heart Connection: A Tool For Self-Care

and Wellbeing in the 21st Century

Ilene Gottlieb, RN, CHTP, CHP, CMI, CQP

The key to experiencing true happiness, success, overall wellbeing and inner

peace in your professional and personal life begins and ends with a conscious

connection to your heart...period! During these challenging times, self-care is a

necessity in order to maintain overall health and wellbeing. Conscious heart

connection is a simple and portable tool that assists us in releasing stress and

promoting balance in all areas of our lives, from the holistic perspective. Join Ilene as she shares the benefits

of conscious heart connection as the key to your success in powerfully being present for your patients, your

colleagues and manifesting your heart’s desires.

15


2021 Florida Nurses Association

Agenda for Business Meeting

8:00am – 12:00pm EST

Adoption of Membership Assembly Rules

Adoption of Membership Assembly Program

President’s Message

Business Meeting

Reports of the Officers and Directors

Reports of the Professional Staff

Financial Report

Other Organization Reports

Reports of the Task Forces

Legislative Report from FNA Lobbyists

Report of the Reference Committee

Report of the Bylaws Committee

Open Discussion/New Business

Announcements

Swearing-in of the New Board of Directors

Adjournment

17


2021 Florida Nurses Association

18


2021 Florida Nurses Association

Roll of Presidents

1949 Undine Sams

1951 Mary Livingston

1953 Bertha King

1954 Martha O. Wolfe

1956 Vivian Duxbury

1960 Mabel Shepard

1962 Marion McKenna

1964 Enid Mathison

1965 Wava Hartsel

1967 Helen Voss

1969 Marion McKenna

1970 Helen “Pat” Keefe

1972 Sadie Reading

1973 Shirley Martin

1975 Ruth Jacobs

1977 Carol Hayes

1979 Martha Sparks

1981 Marie Cowart

1983 Nancy Breen

1985 Bobbie Hughes

1987 Katherine P. Webster

1989 Richard Bednar

1991 Gerry Green

1993 Ann-Lynn Denker

1997 Mary Lou Brunell

2001 Patricia Quigley

2003–2005 Mary Tittle

2007–2011 Andrea Gregg

2011–2013 Mavra Kear

2013–2015 Edward Briggs

2015–2017 Leah Kinnaird

2017–2019 Janegale Boyd

2019-2021 George Byron Peraza-Smith

19


2021 Florida Nurses Association

Member Meeting Rules - Virtual Business Meeting

1. Registration - Members and guests shall register before logging into the virtual platform.

2. There will be a roll call by Region based on Registration. Virtual attendees will have their full name clearly identified on screen.

3. Non-members of the Florida Nurses Association will be admitted by invitation only. Students may attend but may not vote.

4. All meetings shall be called promptly.

5. No tape recorders are permitted. We will provide a record of the proceedings.

6. Any member in good standing of the Florida Nurses Association may speak at the Membership Assembly. A member

addressing the Chair shall give his or her name and Region.

7. Discussion from the floor shall be limited to three minutes at one time and no member may speak the second time to the

same question as long as any member desires to speak who has not spoken to the question. A timer will be assigned.

8. Motions from virtual audience will be submitted using the Chat Feature in ZOOM. The seconder will also record their second in

the chat. Then the motion will be made verbally via the ZOOM app.

9. Voting- Only members in good standing may propose or vote on motions. State Only members may only vote on state level

issues. Full members vote on all issues.

10. All persons shall place themselves on “mute” while not addressing the assembly. We ask that representatives position

themselves to avoid interruptions during the meeting.

11. Participation in the business meeting implies agreement to be recorded for the purpose of minutes. The recording will be

destroyed after the minutes are transcribed.

Rules Governing Motions

Do This… Recognition you say this… Second Amend Debate Vote

Introduce business Yes I move that... Yes Yes Yes Majority

Change or modify a motion Yes I move to amend by... Yes Yes Yes Majority

Send to a committee for study Yes I move to refer to committee… Yes Yes Yes Majority

Put off action

Yes

I move to postpone consideration

of the question until...

I move to limit (or extend)

debate…

Yes Yes Yes Majority

Limit or extend discussion

Yes

Yes No No 2/3

Stop Discussion Yes I move the previous question Yes No No 2/3

Lay the motion aside

temporarily

Yes

I move to lay the motion on the

table...

Yes No No Majority

To take a motion from Yes I move to take from the table Yes No No Majority

If you doubt the vote No I call for a division No No No No Vote

Request information No I rise for information No No No No Vote

Call attention to an error in

the procedure

No I rise to a Point of Order No No No No Vote

21


2019-2021 Board of Directors

2021 Florida Nurses Association

Officers

George Byron Peraza-Smith | President

Justin Wilkerson | Vice President

Janice Adams | President -Elect

C. Victoria Framil | Secretary

Mavra Kear |Treasurer

Directors

Jill Vanderlike | Director at Large, Northwest

Marsha Martin | Director at Large, North Central

Lottie Cuthbertson | Director at Large, West Central

Shirley Hill | Director at Large, East Central

Darlene Dempsey | Director at Large, Southeast

Sarah Gabua | Director at Large, Southwest

Marie Etienne | Director at Large, South

Kathryn Barrows | Director Recent Graduates

Board Liaisons

Mark Welz | LERC Liaison

2019-2021 FNA Committees

Membership Committee By-laws Committee Nominating Committee

Justin Wilkerson, Chair

Janegale Boyd, Chair

Jean Ansley

Linda Comer

Deirdre Krause

Meghan Moroney

George Peraza-Smith

Stefanie LaManna, Chair

Janegale Boyd

Bonnie Fuller

Shavondra Huggins

Randy Jackson

Membership Assembly Committee Awards Committee Reference Committee

Versie Johnson-Mallard, Chair

Jennifer Borgia

Kelly Ciccone

Constance Day

Anne Langley

Deborah McCauley

Lorna Scharschmidt

Lauren Halzetine, Chair

Carol Amole

Ferrona Beason

Debbie Conner

Mary Ann Garcia

Kathleen LaPlaca

Pauline Louis-Magiste

Lottie Cuthbertson

Marcos Gayol

Deborah Hogan

Michelle O’Neal

23


2021 Florida Nurses Association

2021 FNA Task Force Members

Pandemics and Disasters

Task Force

Buffy Bolin

Rebecca Cairo

Kimberly Cary

Cheryl Christy

Andrea de la Riva

Jane DeMauro

Chuck Dugan

Julia Gamble

Samantha Genova

Mary Ghilardi

Darlene Harris

Carol Heithaus

Lindsay Hilado

Deborah Hogan

Deirdre Krause

Emma Kuylenstierna

Michele Lichtner

Christina Liu

Jean Lucas

Victoria Marshall

Marsha A. Martin

Teresa Mcpherson

Terri Rocafort

Mureke Rwaramba

Donna Sabatino

Kathryn Shaffer

Alicia Snider

Sharon Thomas

Troyce Venturella

Social Justice as a Public Health

Issue Task Force

Carol Amole

Joy Bailey

Claudine Bernier

Cynthia Braswell

Mary Lou Brunell

Charles Buscemi

Ivette Feliz

Susan Fowler

Valerie Halstead

Casondra Jacobs

Melissa Jones

Mavra Kear

Karen Kuperberg

Ryhan Mackoon

Megan Milbourne

Eleonore Millien

Bridgette Simpo

Amy Smith

Monica Voica

Diana Wilcox

Michael Willams

Jordan Zabari

Diversity and Inclusion

Task Force

Sergio Amador Perez

Edward Briggs

Maribel Castro-Tizol

Gerald Connors

Lottie Cuthbertson

Mary Ernst

Marie Etienne

Angela Gates Daquila

Antonella Grana

Virginia Head

Ivonne Hernandez

Shavondra Huggins

Dianna Jenkins

April Lavergne-Hollinger

Ellen Mullarkey

James Nelson

Michelle Rhodes

Marc Rosales

Jennifer Sankey

Ramona Ward

Taffanina Warren

Linda Washington-Brown

25


2021 Florida Nurses Association

26


2021 Florida Nurses Association

FNA Mission Statement

“Advancing the profession of nursing and promoting a healthy Florida

2020 Membership Assembly Summary of Action

27


2021 Florida Nurses Association

28


2021 Florida Nurses Association

FNA Membership Assembly

September 24-26, 2020

This year, we made the transition to a virtual conference which was well received by our

members. We offered a pre-conference with Mandatory CE Sessions which many attendees

took advantage of. They particularly enjoyed the Jeopardy style session on the Laws and

Rules of the Board of Nursing. We were happy to host QUIN Council once again and enjoyed

having nursing leaders from the various organizations present with us.

It was thrilling to have ANA President Ernest Grant with us as the keynote speaker. He

energized the attendees who were happy to hear from this outstanding leader. He shared

the great work that ANA has been doing to support nurses during the Pandemic.

An old friend, Dr. Jeanette Bevilacqua returned to present an invigorating session on

Laughter Yoga, which literally had everyone in stitches. Attendees agreed that they

experienced the beneficial effects of self-generated laughter that quickly evolved into

genuine laughter for all who participated.

This years’ breakout sessions were outstanding and ranged from topics on the effect of

the pandemic in several areas of nursing to topics on research, diversity and inclusion and

public health. As usual our Regional groups and our Special Interest Groups spent time

together to discuss future directions for the coming year.

A Self- Care presentation started out the Saturday morning before the business meeting which was an

appropriate start to the day, given the challenging year we have all experienced.

The Assembly passed two reference proposals relating to support for new nursing graduates and for using first

person language to humanize persons with COVID-19. There was robust discussion before both proposals were

passed and became positions of the FNA.

We held a Virtual Awards Ceremony, representing awards throughout the conference and

the Florida Nurses’ Foundation also presented their Annual Grants and Scholarships during

the Opening Session. The Trustees honored Mrs. Elizabeth Willis, whose family established

a scholarship in her name. The scholarship was awarded for the first time this year. The

Foundation was also pleased to accept a donation from the authors of a book about nurses’

experiences during the pandemic, called Pandemic in Paradise. The authors were present to

make the presentation and be recognized for their tribute. All of the proceeds from the book

were donated to the Foundation. One highlight was the awarding of the President’s Award to

Mary Lou Brunell for her contribution as the Executive Director of the Florida Center for Nursing.

An open forum of the members provided an opportunity for diverse discussion and yielded a request from

members to form three task forces to address some critical issues. The Pandemic and Disaster Task Force will

address the main issue of a coordinated response during a disaster that includes stakeholders and particularly

nurses. The Social Justice as Public Health Issue Task Force, will look at issues surrounding access to care

and social determinants of health in underserved populations. The Diversity and Inclusion Task Force will look

at DEI as it relates to the nursing community, including FNA as an organization.

The virtual format proved to be successful and engaging and an effective alternative for conducting the

business of the association. We are thrilled with the adaptability and the enthusiasm of the members who

helped to make this first Virtual Membership Assembly a success. From the Planning Committee to the

Participants, members made this conference a bright spot in a challenging year.

29


Diabetes Self-Management

Education (DSME)

your patient’s prescription for empowerment

It's proven: Patients enrolled in DSME have healthier outcomes.

They improve their self-care behaviors and have lower A1c

test levels. DSME helps your patients improve their quality of

life and learn to control their diabetes - it can even save your

patients money.

For more information about accredited

or recognized programs that follow the National

Standards, visit www.floridahealth.gov/diabetes.

CDC Grant 5U58DP001961-04

TEN POUNDS

CAN MAKE A

DIFFERENCE

For your patients who are overweight, losing five to seven percent of body weight (about 10

to 14 pounds for a person who is 200 pounds) can reduce their risk of developing type 2

diabetes by 58 percent.

Help your patients who have prediabetes or high blood pressure achieve their weight

loss goals by referring them to the Centers for Disease Control and Prevention’s National

Diabetes Prevention Program. Participants work with a lifestyle coach during a one- year

lifestyle change program that includes 16 core sessions (usually one per week) and 6 postcore

sessions (one per month).

For more information about the program and how to refer your patients

to locations near you, visit www.floridahealth.gov/prediabetes.

CDC Grnnt 5U58DP001961-04


2021 Florida Nurses Association

2020 FNA ICON Award Members

Community Action Icon Award

Rosa Roche,

PHD, APRN, PPCNP-BC

Nursing Innovation and

Creativity Icon Award

Cheryl Krause-Parello,

PHD, RN, FAAN

Mary Cash Award

Tina Ellis, MSN, RN, CTN-A

Nursing Administration Icon Award

Jayne Willis,

MSN, RN, NEA-BC, CENP

Education and Advocacy Award

Christine E. Lynn College of

Nursing, FAU

Heather Scaglione Award

Rhonda Goodman, PHD, APRN,

FNP-BC, AHN-BC-FAANP

Nurse Educator Icon Award

Lisa Wiese,

PhD, MSN, RN, PHNA-BC, CNE

Nursing Research Icon Award

Susan B. Fowler,

PhD, RN, CNRN, FAHA

Advanced Practice Nursing

Icon Award

Audrey Miller, PhD, APRN, PPCNP-BC

31


Florida’s HIV STD

Testing Law for

Pregnant Women

(64-D-3.042, F.A.C.)

All pregnant women are to be

tested for HIV, syphilis, hepatitis B,

chlamydia and gonorrhea

• At initial prenatal care visit

• Again at 28-32 weeks, and

• At labor and delivery

For more information, visit:

floridahealth.gov/diseases-and-conditions/aids/prevention/perinatal.html

or call 850-245-4336


2021 Florida Nurses Association

Special Recognition Award

Darlene Dempsey, DNP, APRN

FNA Hall of Fame

Deborah Hogan, MPH, BSN, RN

FNA Hall of Fame

Marlaine Smith,

PhD, RN, AHN-BC, FAAN

President’s Award

Mary Lou Brunell, MSN, RN

Lamplighter Award Recipients (25 Years of Membership)

Margo Baggs

Barbara Bixby

Catherine Budd

Marlene Brennen

Judy Comeaux

Patricia Dougherty

Rebecca M. Dunaway

Doris Edwards

Marifrances Gullo

Laura Hanke

Deborah Hogan

Kathryn Johnson

Leah Kinnaird

Gloria Lelaidier

Barbara Little

Kathleen Long

Margaret Marcus

Marsha A. Martin

Barbara Matthews

Jan Meires

Anne Mitchel

Victoria Morson

Regina Nolting

Martha Padilla

Joyce Patterson

Nancy Roberts

Phyllis Russo

Lynn Schoman-Finck

Rosetta Smith

Pamela Snyder

Diamond Award Recipients (50 Years of Membership)

Daniel Little

33


2021 Florida Nurses Association

2020 Reference Proposals

Reference Proposal: Adequate Professional Support for Recently Graduated Nurses

Submitted by: Kathryn Barrows, BSN, RN, Director of Recent Graduates

Statement of Concern

The Florida Nurses Association recognizes recently graduated nurses require a period of structured support following

graduation. Providing resources to recently graduated nurses can help the transition from student to professional

nurse in acute care settings, reduce or close the theory–practice gap and remain invested in the profession.

During the COVID-19 pandemic, the availability of clinical sites diminished and hospitals suspended training, limiting

clinical experience to the undergraduate nurse. These challenges have required nursing organizations to adapt;

modifying training methods in which nursing education is delivered. These education models now rely heavily on

simulation-based education, which replaces real experience with guided experience. One key challenge facing

recently graduated nurses is feeling inadequately prepared for work due to a lack of clinical practice exposure.

The Florida Nurses Association’s position on adequate professional support for recently graduated nurses

emphasizes course work, hands-on training in real practice settings, and clinical simulations to ensure

readiness of new nurses. Graduate nurses must be given adequate time and support during their first year to

acclimate to a rapidly changing professional environment. It is not recommended for healthcare organizations

to rush the “on the job” training process due to workforce demands if vital to the future success of graduate

nurses and poses the potential risk of insufficient patient care.

Statement of Position

It is crucial to public safety that chief nursing officers, nurse leaders and other hospital administration increase

the clinical facilities available to educate undergraduate nurses and ensure there is a framework of support

put in place. It is a shared responsibly to assess the needs and challenges graduate nurses face and help

them acquire the skills necessary to be successful, high-functioning professionals. It is also imperative that

nurse managers, head nurses, nurse educators, and senior nurse mentors on the forefront of patient care are

approachable and available to assist graduated nurses, especially in the first year of clinical practice.

The Florida Nurses Association strongly endorses implementing supportive strategies for the newly graduated

nurse to become a competent practitioner. Supportive strategies include: timely induction, appropriate

orientation, the provision of a supportive environment and authentic mentorship which is offered by seasoned

nurses, professional education structures, comprehensive nurse residency programs, a commitment to

properly trained preceptors, hands-on clinical training and preceptorships with growth plans, healthy company

culture, and utilizing employee assistance programs to promote health and well-being.

Recommendations for Action

The Florida Nurses Association will establish a Task Force to meet identify needed actions to improve graduate

resources and preceptor guide.

References

AlMekkawi, M., & El Khalil, R. (2020). New graduate nurses’ readiness to practice: A narrative literature review. Health Professions Education,

6(3), 304 316. http://dx.doi.org/10.1016/j.hpe.2020.05.008

Dudley, M., Khaw, D., Botti, M., & Hutchinson, A. F. (2020). The relationship between the undergraduate clinical learning environment and

work readiness in new graduate nurses: A pre-post survey study. Nurse Education Today, 94, 104587. http://dx.doi.org/10.1016/j.

nedt.2020.104587

Dyess, S. M., & Sherman, R. O. (2009). The first year of practice: New graduate nurses’ transition and learning needs. The Journal of Continuing

Education in Nursing, 40(9), 403-410. http://dx.doi.org/10.3928/00220124-20090824-03

Elshama, S. S. (2020). How to apply simulation-based learning in medical education? http://dx.doi.org/10.5281/zenodo.3685233

34


2021 Florida Nurses Association

Reference Proposal: First Person Language When Referring to Patients

Submitted by: Barry, C.D., King, B.M., Hawthorne, D., Edwards, K, & Postell, F., Sundook, E., Delveaux, M.,

Johnson, T., Underwood, H., & Zukowsky, A.

a. Statement of Concern or Issue

Words are powerful and when used carelessly to dehumanize others. Referring to persons by their diagnosis or

illness is disrespectful and runs counter to the American Nurses Association Code of Ethics (2015), the American

Disabilities Act (1990), and the American Psychological Association (2020). The use of respectful language for those

affected by diseases or disabilities is important to preserving human dignity and reducing the stigma associated

with their diagnoses.

b. Rationale

Background information: Words matter. Referring to persons by their disease or health issue has become

common across healthcare disciplines as well as media outlets. For example, the COVID Pandemic has brought

this disrespectful language to the forefront. News outlets and the public commonly refer to individuals impacted

by COVID-19 as “COVID-19 patients, Coronavirus victims, or COVID-19 cases.” The use of person-first language

preserves human dignity and reduces the stigma associated with diagnoses, especially COVID-19. The ANA Code

of Ethics (2015), Provision 1, identifies respect for the dignity, worth, and unique attributes of each person as

a fundamental principle of nursing. Furthermore, the Americans with Disabilities Act (ADA), recommends people

should never be known by their disability. The ADA National Network Guidelines (2018) recommends using language

that recognizes the person-first, not the disability, condition, or diagnosis of the person. Person-first language is also

supported by the American Psychological Association (APA) (2020) unless an individual wants to be recognized by

their disability, or identity first language.

i. Pertinent definitions: Person-first language is defined as “choosing or using words that recognize and refer

to individuals – first and foremost- as people… demonstrating the respect for each person’s basic humanity”

(SMI Advisor, 2019, para 1). Identify-first language is defined as “where the disability generally or a particular

disability becomes the focus” (Dunn & Andrews, 2015, p. 256).

ii. Overview of nursing role/function: Provision 9, of the ANA Code of Ethics elaborates: “the profession of nursing,

collectively through its professional organizations, must articulate nursing values, maintain the integrity of the

profession, and integrate principles of social justice into nursing and health policy” (2015, p. 35). Labelling

persons by their illness or diagnosis is common practice throughout the nursing profession and persons are

often referred to as the “diabetic patient in room 10.” This practice must be changed. Promotion of the use

of person-first language upholds the respect and dignity of each person and is congruent with the mandate in

Provision 1 and 9, of the ANA Code of Ethics.

iii. Legal and ethical considerations are directly related to the ANA Code of Ethics (2015). According to the

American Nurses Association Code of Ethics (2015), respect for the dignity, worth, and unique attributes of

each person is a fundamental principle of nursing practice. Person-first language illuminates the integrity of

the profession of nursing in nurturing and supporting the wholeness and wellbeing of each person in our care.

Person-first language is inherent in the practice of professional nursing as described in the Florida Nurse

Practice Act (Statute 464, 2019).

iv. Consequences to patient care: The consequences for persons addressed by their diagnosis include

dehumanization and stigmatization. Words/language objectifies others and puts them in a box that limits our

understanding of who they are as unique persons (Barry, Gordon & King, 2015).

Statement of position: Person-first language should be used by all healthcare professionals. The use of respectful

language for those affected by diseases or disabilities is important to preserving human dignity and reducing the

stigma associated with their diagnoses.

35


2021 Florida Nurses Association

c. Recommendation for action:

Patient advocacy is a pillar of nursing. In the year 2020, let us join together to celebrate The International Year

of the Nurse and Midwife (World Health Organization, 2020), as well as the Americans with Disabilities Act, 30th

Anniversary, by committing to using person-first language. By using person-first language, we convey the value of the

person, demonstrate respect, and share the meaning of compassion and caring in nursing.

d. References:

ADA National Network. (2018). Guidelines for writing about people with disabilities. Retrieved from https://adata.org/factsheet/ADANNwriting

American Nurses Association (2015). The Code of Ethics for Nurses with Interpretive Statements. Silver Spring, MD,

American Nurses Association.

American Psychological Association. (2020). Publication Manual of the American Psychological Association (7thed.). Washington, DC: Author.

Americans with Disabilities Act. (1990). US Congress, Washington: Author, DC, No. 101-336, 04 Stat 328. https://www.ada.gov/pubs/

adastatute08.htm

Barry, C. D., Gordon, S. C., & King, B. M., (2015). Nursing Case Studies in Caring: Across The Practice Spectrum. Springer Publishing Company.

Dunn, D. S., & Andrews, E. E. (2015). Person-first and identity-first language: Developing psychologists’ cultural competence using disability

language. American Psychologist, 70(3), 255-264. http://dx.doi.org/10.1037/a0038636

SMI Advisor (2019). What is person-first language and why is it important? Retrieved from https://smiadviser.org/knowledge_post/what-is-personfirst-language-and-why-is-it-important

World Health Organization. (2020). Year of the nurse and the midwife 2020. Retrieved from https://www.who.int/campaigns/year-of-the-nurseand-the-midwife-2020

Additional Resources

Barry, C.D., King, B.M., Hawthorne, D., Edwards, K, & Postell, F., Sundook, E., Delveaux, M., Johnson, T., Underwood, H., & Zukowsky,

A. (2020). Words matter: The importance of person-first language. Poster presented at the Florida Nurses Association 6th Annual

Nurses Research and Evidence–Based Practice Conference Virtual, July 25, 2020.

Delveaux, M., Johnson, T., Sundook, E., Underwood, H., Zukowsky, A., Barry, C., King, B., Hawthorne, D., Postell, F. (2020, May). Words

matter: The importance of person-first language. The Florida Nurse, 65(3), 19.

36


2021 Florida Nurses Association

FNA Staff

Willa Fuller, RN | 25 years | Executive Director (since 6/11/07)

Kaitlin Scarbary | 5 years | Director of Member Programs, Technology, and Marketing

John Berry | 5 years | Director of Labor Relations and Government Affairs

Leslie Homsted, RN | 26 years | Office Manager and Membership Specialist

Bibi Lowton | 18 years | Program Specialist for Governmental and Labor Relations Program

Iris Lopez | 1.5 years | Executive Assistant and Membership Specialist

Chris DeSanctis | 3 years | Technology Support

Organizational Structure

FNA continues to evolve and the role of leadership under the regional

structure is also developing. The staff and board are attempting to

develop a state-wide view to programming such as providing the same

programming across Regions. The FNA Legislative Boot Camp would be

an example of this concept. Some Regions have established events that

they plan on repeating while others have multiple smaller events and

some virtual events such as webinars or continuing education programs.

The size of some of the Regions continue to be a barrier to live in person

event, but the advent of virtual options help to bridge that gap.

Conferences and Continuing Education Programs

FNA is committed to providing quality educational opportunities for

the nurses of Florida. FNA programs are designed for and often by

the members of the association to meet the needs of a variety of

practitioners. In addition, the programs provide an opportunity for

networking with colleagues as well as professional growth by attending

or participating in the programs as a presenter. These programs are offered to members at a discounted rate

and non-members are encouraged to also attend. Decisions regarding continuation vs. deletion are periodically

made regarding new and existing programs.

FNA Advocacy Days alternates between March and January depending on

the legislative session. Coordinated by the FNA Lobbyist and FNA Staff, this

program provides didactic information on grassroots lobbying and first-hand

experience interacting with state and local officials. Nurses are encouraged

to communicate with their legislators throughout the year. For the last few

years, FNA lobbyists and staff have made appointments for members to

see legislators in their offices in Tallahassee. Members were provided FNA

toolkits to provide to each legislator with whom they met. In 2021, in light of

restricted visitation to the Capitol complex as well concern over safety of our

members, FNA Advocacy Days was pivoted to a fully virtual event. This was

the first Advocacy Days working with FNA’s new lobbying team from Public

Affairs Consultants – Jack Cory, Keyna Cory, and Erin Ballas. Their grassroots

approach to advocacy encourages year-round participation in legislative

activities. Rather than hosting one event, FNA created the “Season of Advocacy” which included Legislative Boot

Camps for each Region, a Legislative Action Team certification training, an Advocacy Days 101 Webinar, and a

two-day Virtual Advocacy Days. Combined participation for all events exceeded 470 nurses and students. The

2022 Advocacy Days will be held Jan 18-20, 2022 in Tallahassee, Florida.

37


2021 Florida Nurses Association

The FNA Nursing Research and Evidence-Based Practice Conference is an annual event that encourages the

dissemination of nursing research and evidence-based practice projects being conducted by Florida nurses. FNA

is proud to support the work of these leaders in innovation. 2021 marked the seventh annual occurrence of

this conference and its second as a fully virtual event. Each year, dozens of nurse researchers submit abstract

proposals which are stringently reviewed by members of the FNA Nursing Research Special Interest Group. Those

that meet set criteria are invited for poster or podium presentation at the conference. This event has continued

to grow each year and gain esteem among the nursing research community. The 2021 event hosted 37 poster

presentations. Conditions withstanding, the Research Conference will be held in-person next year – date and

location will be announced.

Affiliated “Arms” of FNA

FNA provides the administrative support for both the Florida Nurses Political Action Committee (FNPAC) and the

Florida Nurses Foundation (FNF). Although these structural organizations are separate from FNA in that they have

separate bylaws, officers, and operational guidelines, leaders of FNA were the impetus for the creation of these

important groups and continue to hold leadership roles on both boards.

The Florida Nurses Political Action Committee (FNPAC) is a voluntary non-profit and non-partisan organization

which operates in conformity with the policies and goals of FNA and the election laws of Florida. It was

established in 1981 to encourage nurses to become aware of the importance of political issues and impact

on patient care, assist nurses in becoming politically active and solicit voluntary contributions to support the

endorsement of candidates who have demonstrated responsiveness to health care issues. Contributions and

endorsements are made without regard to party affiliation. In 2010, an option to donate monthly to FNPAC was

provided to members, per the recommendation of the FNPAC board. The monthly donation option is available on

FNA applications, as well as online. During election years, the PAC interviews candidates and endorses those that

support our legislative agenda.

The Florida Nurses Foundation (FNF) was established in 1983 as a non-profit public corporation 501 (c) 3

to promote the public’s awareness of nursing services as an integral part of the health care delivery system.

Since 1986, the Foundation has provided scholarships and research grants during the annual luncheon held in

conjunction with the FNA Convention, now called the FNA Membership Assembly. In addition, FNF continues to

provide temporary financial assistance to nurses from the Nurses in Need Program. The Foundation is privileged

to have the following endowment funds, representing a minimum contribution of $10,000 or more:

Nurses in Need Fund

• Undine Sams, RN Fund

• Maurine Finney Fund

• Katherine Gutwald/Lillian Smith District 9 Fund

• Paula Massey Fund

• COVID-19 / Coronavirus Fund for Nurses

38


2021 Florida Nurses Association

Research Grants

• Frieda Norton Fund (District 5 Charitable Trust) - Open to all candidates.

• Evelyn Frank McKnight Fund - Open to all qualified candidates.

• Blanche Case Research Fund - Preference given to nurse researcher in South Florida.

• Edna Hicks Research Fund - Preference for south Florida nurse.

• Imogene King Research Fund (from District 4) - Open to graduate students statewide.

• Evelyn Baxter Memorial Fund - For students of Manatee, Sarasota, Hardee, and Charlotte counties; 40%

goes to research grants in graduate program.

• Undine Sams and Friends Research Grant Fund - Preference given to nurse researcher in South Florida.

Scholarships

• District 3 Scholarships - Preference given to Marion county residents, BSN generic students ONLY with a

GPA of 3.0 or higher.

• Edna Hicks Fund - Graduate VA employed nurse with preference given to resident of south Florida.

• Edna Hicks Scholarship Fund - Statewide open to all levels.

• Erma B. Kraft Scholarship Fund - For generic students from Indian River County.

• District 18 Lillian Hulla Friend of Nursing Fund and Olive Seymour Fund - Two generic scholarships for

students from Volusia County.

• District 6 Generic Scholarship Fund - Four generic statewide scholarships per year. (District 18 merged with

District 6 during establishment of fund.)

• District 8 Charlotte Anzalone Scholarship Fund - For undergraduates and graduates from District 8

boundaries (Orange, Seminole, and Osceola). May award statewide if there are no local applicants.

• District 4 Florida Nurses Scholarship Fund - Undergraduate/graduate students who are residents of

Hillsborough County. (just recently increased to $15,000 level with a donation from District 4).

• Evelyn Baxter Memorial Fund- For students of Manatee, Sarasota, Hardee, and Charlotte counties; 60%

goes to a scholarship for ADN, BSN, MSN, PhD/DNS APRN students.

• Ruth Jacobs District 46 Scholarship - Must be resident of Pinellas County and enrolled in a formal

academic, accredited program. Priority given to RN.

• Mary York Scholarship Fund - No restrictions.

• Marcy Klosterman Memorial Scholarship Fund (District 14) - Restricted to Lake County students with funds

to remain in principle if no qualified applicants.

• Olive Ramsey Memorial Scholarship Fund (District 46) - For student from Pinellas or Pasco counties; Must

have a 2.5 GPA for undergraduates and 3.2 GPA for graduates.

• Undine Sams and Friends Scholarship (District 5 Charitable Trust) - Preference for south Florida student

but can be given out statewide and is open to all levels.

• Nina Brookins Scholarship Fund (District 5 Charitable Trust)- Preference for south Florida Student (living or

attending school).

• Eleanor Bindrim Scholarship Fund (District 5 Charitable Trust) - Preference given to perioperative nursing

student from south Florida.

• Kay Fullwood Scholarship established in 2013 for an APRN interested in Gerontological Nursing.

• Charlotte Liddell Scholarship Fund (District 5 Charitable Trust) - Preference given to a nursing student

focusing on psychiatric nursing from south Florida.

• Ruth Finnamore Scholarship Fund - Statewide open to all levels.

• Connie Dorry Memorial Scholarship Fund - Preference to a nurse practitioner student in Dade County.

• Great 100 Nursing Scholarship Fund - Preference given to student residing in Northeast Florida in an

undergraduate or graduate program.

• Louise Fiske Memorial Scholarship Fund (District 21) - For an undergraduate or graduate nurse from

Broward County.

39


2021 Florida Nurses Association

• Ingeborg Mauksch Scholarship Fund - Preference given to Lee County students.

• Agnes Naughton Scholarship Fund - Agnes Naughton was a member of FNA until her death and really

was devoted to RN-BSN education. This scholarship goes to an RN returning to school for a baccalaureate

degree statewide.

• Iona Pettengill Scholarship Fund - Statewide; Open to any nursing students interested in public health.

• Martha Russell Gerontological Nurses Fund - Preference given to Hillsborough County nursing students

interested in Gerontological Nursing.

• Carol Petrozella Educator Fund - For a student who is interested in nursing education as a career.

• The Goodman Family Fund was established a year ago by FNA member Dr. Rhonda Goodman for a student

in the Palm Beach County Area. It will be given for the first time in 2020.

• The Elizabeth Willis Fund was established in 2020 to honor the work of Elizabeth Willis and will go to

student in the Pinellas County area. It will be awarded for the first time in 2020.

40


2021 Florida Nurses Association

Audit and Financial Information

41


2021 Florida Nurses Association

42


2021 Florida Nurses Association

43


2021 Florida Nurses Association

44


2021 Florida Nurses Association

45


2021 Florida Nurses Association

46


2021 Florida Nurses Association

47


2021 Florida Nurses Association

48


2021 Florida Nurses Association

49


2021 Florida Nurses Association

50


2021 Florida Nurses Association

51


2021 Florida Nurses Association

52


2021 Florida Nurses Association

53


2021 Florida Nurses Association

Reports of the 2019-2021 Board of Directors

George Byron Peraza-Smith, DNP, APRN, GNP, AGPCN | President

Janice Adams, DNP, MPA, RN | President Elect

Justin Wilkerson, BSN, RN-BC, CHPN, CCRN | Vice-President

C.Victoria Vicky Framil, DNP, ARNP, ANP-BC | Secretary

Mavra Kear, PhD, APRN-BC | Treasurer

Board of Directors

Marsha Martin, RN, CCRN

Susie Norman, MSN, RN-BC

Shirley Hill, BSN, BC, CCM

Lottie Cuthbertson, MSN-ED, RN, LHRM, FCN

Darlene Dempsey, DNP, APRN

Marie Etienne, DNP, APRN, FNP, PNP, PLNC

Kathryn Barrows, BSN, RN (Sept. 2019 – July 2021)

Danielle Weaver (July 2021 – Sept. 2021)

Sarah Gabua, DNP, RN, CNE

Mark Welz RN, CCRN | LERC Liaison

Ann Guiberson, CAE, RP | Parliamentarian

54


2021 Florida Nurses Association

George Byron Peraza-Smith | President

My mission in life is not merely to survive

but to thrive, and

to do so with some passion, some compassion,

some humor, and some style.

- Maya Angelou

This quote from Maya Angelou is apropos to the world around us today. There are no words

that I can think of that recognize and honor all that you as nurses have done during this

pandemic. Hero is not the right word. Career falls way short. Courageous goes without

saying. I struggle with the right words that would have meaning and are not just another

hollow sounding acknowledgement that nurses have received over the past year. I am an

educator, a nurse and practitioner. However, I have not been at the bedside as a staff

nurse in many years. I have heard the stories. I have seen the stress. I have witnessed the

crisis. However, even as a nurse, I can’t possibly understand how staff and manager

nurses continue to show-up and provide the best care possible. It is exhausting on a good

day; it is impossible on a pandemic day. I honor you all. I have the utmost respect and

admiration for nurses. I have a special place in my heart for staff nurses and nurse

managers. Staff nurses have highlighted what we all have known but the public had not acknowledged –

Nurses are Amazing Human Beings. They represent the best of us. I am so grateful to be part of such an

incredible profession.

This acknowledgement is not meant to downplay the day-to-day crisis that staff nurses are experiencing and

working within every day. We are in a healthcare catastrophe and nurses are on the frontlines. Nurses are

struggling with moral distress and expectation of their jobs that has become humanly impossible. Nurses are

exhausted. Nurses are more than exhausted. This pandemic has exposed cracks in the profession of nursing.

Nursing may be at the precipice of becoming extinct. Pay and working conditions continue to be eroded. Nurses

with experience and loyalty are being overlooked and under rewarded. Nurses are being expected to take more

responsibility with less and less resources or assistance. We Nurses are at a crossroad. Where do we go from

here? What will a nurse and nursing look like in 10 years, in 20 years? Nurses are needed more than ever.

Nurses are advocates for our patients, families, and communities. We can either survive or we can thrive. I

have faith in the nurses of Florida and our members. I have faith in YOU.

The Florida Nurses Association and our staff are working with you and for you. I am so proud of the work

you have been doing over the past year. The pandemic has not prevented FNA members from advancing our

mission. FNA members are engaged. It is so exciting the level of engagement of the membership. Over the

past year the board of directors approved the formation of three (3) task forces.

The Pandemic and Disaster Task Force was formed from our pandemic experience that exposed our lack of

preparedness in our communities, state, and nation. The public health care system has been decimated over

the years leaving us vulnerable to the pandemics and disasters to come. We all must advocate for funding and

support of the public health system.

Closely tied to our public health crisis, the Social Justice as a Public Health Issue Task Force was also

formed. There are inherit and intentional social injustices within our health care system. This task force is

examining the role of social justice in practice and determining strategies to foster a more just system.

The Diversity and Inclusion Task Force was formed to develop strategies for nurses and FNA to become

more diverse and inclusive. FNA is striving to be a diverse and inclusive Association to meet the needs of our

members and nurses. I ask that if you are a member of a diverse group or a group that has not been visible

55


2021 Florida Nurses Association

at FNA and nursing that you join this task force or others to give voice to your experience. On a personal note,

if you are a member of these groups, I ask that you consider taking a leadership role with FNA. We need your

engagement, we need your experiences, and we need your voice.

I am so grateful for and proud of each of our board members. Each bring a strength and perspective that I

believe represents us all from novice practicing nurses to seasoned nurses to advanced practice nurses. They

are active leaders who excel at representing You and FNA. I have learned more than I gave with these leaders.

You are well represented and your board of directors have the utmost respect and your best interest - nurses

and members.

My heart continues to be full. I am so proud to be a nurse. Being a nurse is so ingrained in who I am. It has

been an honor to represent you these past two years. Thank you for supporting FNA and being a member. FNA

has a bright future ahead. I wish you all health and well-being. I will close with a quote that has stayed with me

over the past few weeks – ‘A generous heart, kind speech [words], and a life of service and compassion are

the things which renew humanity’ – Gautama Buddha

Justin Wilkerson, Vice President

Greetings FNA Members and Leaders!

I am profoundly grateful to each of you for the opportunity you have provided me to serve you

as the Vice-President of the Florida Nurses Association for the past two years. It has truly been

an honor and a privilege. I was appointed by the President to serve on the Finance committee,

awards committee and as the BOD’s representative to FNPAC in addition to my by-laws appointed

membership on the Executive Committee and as Chair of the Membership Committee. I was

also appointed to serve on a committee to review the updated personnel policies of FNA. I had

the honor of participating in Advocacy Days as well as the various meetings and emails required

of board service throughout the year. Unfortunately, the Membership committee has not been

able to meet this year due to situations outside of our control caused by the novel Coronavirus.

In relation to this, the work of the committee has been paused and plans are currently underway to revise the purpose

and function of the membership committee to focus on issues more beneficial to the priorities of the association.

Despite our inability to meet as a committee, I am happy to report as the Chair of the Membership Committee that

our membership continues to grow. Our current membership rolls reflect a membership of 5,065. In January of last

year, we had 4,175 members. This reflects a growth of nearly 1000 members and a percentage increase of 21%. I am

certain that this would not have been possible without the exceptionally dedicated staff at our headquarters and the

tireless efforts of our organization to continue to remain relevant and engaged with the nurses in our state. Though I

am delighted to see the continued rise in membership, I continue to believe that it is imperative that we sustain our

commitment to remain responsive and adaptable to the ever-evolving needs of our membership.

The challenges of the last year-and-a-half hardly seem possible. However, as we have witnessed, we still have hard

days ahead but nurses will continue to step-up and lead at the frontline of healthcare. I too have continued to work as a

bedside nurse throughout this pandemic and despite the almost horizon-less nature of this pandemic and the struggles

of nursing in today’s healthcare system, I still remain deeply committed to being a nurse. I know time is in short supply

for us all these days but I sincerely urge each of you, as I have on many occasions, to seek out and find ways to serve.

As I have intimately learned, you will get out of service far more than you could ever put into it. In completing my term

as Vice-President of this organization, I am more confident than ever in the future of this organization and the role it will

play in ensuring that nurses continue to lead the transformation of healthcare into the future.

56


2021 Florida Nurses Association

Janice Adams | President-Elect

Summary of Activities Fulfilled by the FNA President-Elect in 2021

Date Activity Location Purpose

February

11, 2021

Attend FNA Legislative Boot Camp Virtual Representing FNA

March 23,

2021

ANA Membership Assembly

Special Meeting

Virtual

Represent FNA

March 26,

2021

April 21,

2021

May 13,

2021

May 21,

2021

Attend QUIN Council Meeting Virtual Member, Committee Meeting

FNA Awards Committee Virtual Attend Awards Committee Meeting

FNA Finance Committee Meeting Virtual Member, Finance Committee Meeting

FNA Board of Directors Meeting Virtual Attended FNA Board Meeting

June 1-

18, 2021

ANA Membership Assembly

Meetings

Virtual

Attend various meetings

representing FNA

June 8,

2021

Attended NOVA Southeastern

Advisory Board

Tampa,

FL

Plan educational collaborative

opportunities for NOVA and FNA

Various

Dates

Chair, Florida Action Coalition

Transition Committee

Virtual

This committee focused on

rebuilding the Florida Action Coalition

to address healthcare concerns in FL

C. Vicky Framil | Secretary

It has been my pleasure to serve the FNA Board as both a Director of the South Region

and Secretary over the past four years. I was pleased to attend all meetings and provide

minutes as required by my position. I also served on the Finance Committee and was

active on the South Region Council. In addition to my duties on the board I encouraged

my students to both join and participate in FNA activities and they were present and

actively participated on many calls and FNA activities, throughout my years on the board.

It has been one of my greatest pleasures to increase student engagement in my courses.

I appreciate the friendships and the collegiality of this hard-working board and I look forward to

future activities within my Region and other opportunities with FNA and ANA as they arise. I will

continue to serve and support my region and will seek out other activities where I can contribute

on the state and national levels. During these incredibly daunting times, I have treasured the experience of working

with my esteemed colleagues on the Board and the staff of FNA. I have been so lucky to be a part of this team that

has helped me grow as a professional nurse.

I encourage other members to take the leap into leadership with FNA, it is definitely worth it. As nurses, we always

seek to make a difference, and with the FNA you will see that in action. I have been able to see nurses advocate for

change year after year and celebrate with them when we finally get it. It has been an exciting 4 years and I look forward

to seeing where our new board will take us and what new opportunities will arise to engage with the organization.

57


2021 Florida Nurses Association

Mavra Kear | Treasurer

Thank you to the Finance Committee members for their time and contributions to the fiscal

health of our association. The 2021 FNA budget approved by the Board of Directors forecast

revenue $70,857 exceeding expenses. This was based on a 10% increase in membership dues

and 50% increase in non-dues revenue from advertising and education programs. Virtual

programming costs are much lower than in-person meetings and are also better attended. At

the mid-year review, revenue was about 5% above forecast and expenses were as expected.

In February, the Finance Committee reviewed 2020 end of year Profit and Loss and

investment portfolio statements. At year end there was an excess $133,738 revenue over

budgeted expenses. This was the result of a 17% increase in membership dues revenue

compared to 2019, higher than anticipated program receipts, and substantially lower

office and travel expenses due to the COVID-19 pandemic. At the recommendation of the Finance Committee,

the Board of Directors approved transfer of $50,000 from checking into FNA investment account. The overall

return on investments in 2020 was 11.49%. Thank you to Matt Buckland, Edward Jones financial advisor, for

his guidance and careful monitoring of FNA funds. The May 2021 portfolio report showed 4.77% rate of return.

In June, the FNA Executive Director requested an additional staff member for clerical support. The continual

rise in membership numbers and activity created an increasingly unmanageable workload for current

staff. Upon budget review, advertising revenue already was more than triple the $14,000 projection. This more

than made up for the salary and benefits cost for a new staff member and the request was approved. Looking

ahead to 2022 using 2021 budget numbers, there will be sufficient money to continue the full-time position.

FNA underwent a routine Internal Revenue Service review of retirement plan contributions and maintenance. It

was a long, arduous process that resulted in picayune findings. The time and effort delayed the annual audit

and generated unanticipated fees for auditor services. In response to the previous audit, internal control over

financial reporting was strengthened over the past two years. The Executive Director now reviews a profit and

loss statement with the bookkeeper every month. The FNA Finance Committee meets quarterly and reviews

operating expenses compared with budgeted and prior year income and expense. Overall, the Florida Nurses

Association remains financially solid.

Please see the audited finance statements on page 41.

58


2021 Florida Nurses Association

Region Reports

Northwest Region – Jill Van Der Like

I am full of gratitude for fellow Florida Nurses Association (FNA) Board of Directors, staff, and

members that served our state during the challenges of the COVID-19 pandemic. Despite the

conditions, we were able to work together with the creative use of technology promoting

policy for community health. Our region was represented in several FNA committee meetings,

panel sessions, and regional events.

The region had the honor of Representative Alex Andrade in attendance for the 2021 FNA

Legislative Boot Camp. Senator Broxson, Representative Andrade, and Representative

Salzman discussed FNA legislative and regulatory priorities during my attendance at a

delegation meeting at Pensacola State College (PSC). I was invited to speak virtually with the Student Nurses

Association at PSC, and students were engaged in discussion on our responsibilities for political advocacy.

As I near the end of my term limit, I am proud that I have mentored a colleague throughout my time as director.

I wish him the best on his run for the position. I will always cherish my two terms as Northwest Region Director

and continue proudly with membership in FNA.

North Central Region – Marsha Martin

I am fortunate to have been able to

represent the nurses of North Central

Florida Region of the FNA. We are a large

region with a diverse membership in all

areas and stages of the best profession

in the world – nursing. We are a part of

the community of nursing. In truth it does

take a village for us as individuals in

nursing to succeed in our individual

practice of our craft and as a profession. This is my final

update as the North Central Florida Region Director. It has

been an interesting time to live through and be a part of.

When I started my term as NCEN Region Director, I was

honored to be able to represent our Region at Advocacy Days

in January 2020. We had a good number of members from

our Region there to represent nursing. Thanks to all who attended and were able to participate in this important

activity. At the beginning of 2020, a Zoom meeting was held for our Region in which plans for a Regional

Conference were discussed. These plans were, of course, waylaid by the COVID-19 pandemic. During the first few

months of the pandemic, I participated in several educational webinars with FNA sharing my experiences as a

critical care nurse in the midst of the outbreak.

On January 14, 2021, the North Central Region hosted a Legislative Boot Camp with a special guest from the

Florida Legislature, Representative Chuck Clemons from House District 21. Our lobbyists led a discussion

about how to connect with legislators and advocate for nursing issues as a part of FNA’s Season of Advocacy.

The Pandemic has changed many things - how we socialize, how we have meetings, how we utilize our time

and resources, amongst many others. We have all experienced some type of loss and change. Bedside

59

Attorney Don Slesnick, Marsha Martin, and Debbie

Hogan with Rep. Javier Fernández (Dx. 114) at

2020 FNA Advocacy Days (held in Jan. 2020)


2021 Florida Nurses Association

nurses have been asked to do so much, with so little at times, whether it be PPE or some other supplies or

equipment, deal with extraordinary issues at times at great risk to themselves, work short staffed. Moral

distress is at an all-time high. Many nurses, along the entire spectrum of career paths, are looking for a way

out and developing exit plans either from the bedside, or the nursing profession. One thing that has been

made very clear is that the future of Nursing, as we know it, is walking on the edge of a knife. We have some

very serious and important discussions and decisions to make about the future of our profession.

As we move forward in the throes of a continuing healthcare crisis, I hope we can use what we learned in the

past year and a half and build on that knowledge as we learn how to not only survive, but thrive as people,

nurses, professionals and a profession. I would like to encourage everyone to participate in this, get active

within FNA, participate in the taskforces that are being established. We have the opportunity to help steer

nursing in the direction we want it and need it to go.

I hope in the coming year that you all stay healthy and thrive. I look forward to working with you to help move

the Nursing Profession forward.

Northeast Region – Susie Norman

As I am nearing the end of my first term serving as Northeast Region Director, I reflect back

on my experience. Needless to say, this has been a challenging time as we have all been

impacted by the COVID pandemic resulting in staffing shortages, availability of personal

protective equipment (PPE), vaccine role outs, and most importantly the loss of many

healthcare workers, patients, family members, and friends.

Serving on the board has provided me with the opportunity to begin forming strong

relationships with our local legislators and policy makers, making the needs of our profession

known. Legislators want to hear from their constituents and the best way to be heard is in our

individual districts. This was a clear message delivered by every legislator that attended our Regional meetings

and boot camps held in 2020 and 2021.

The 2020 FNA Advocacy Days was held January 22-23, 2020 in Tallahassee, FL. Our Region had the

opportunity to meet with thirteen of our District Legislators including Senator Aaron Bean (District 4) and

Senator Audrey Gibson (District 6). During our group meetings, we were able to advocate for issues on FNA’s

Legislative Platform. We also had the opportunity to participate in a press conference held by Representative

Cary Pigman in support of HB 607 (APRN full practice authority). I would personally like to thank our group

leaders representing our region, Danielle Weaver and Dorcas Kunkel for guiding us throughout the Capitol

building and initiating many of our discussions. It was a compelling experience to be a part of and witness how

passion for an issue can garner needed support on important healthcare concerns.

On October 26, 2020, the Northeast Region held a Legislative Boot Camp hosted by FNA’s Lobbying Firm, Public Affairs

Consultants. Keyna Cory, Jack Cory, and Erin Ballas reviewed the upcoming election with a focus on the counties within

the Northeast Region as well the constitutional amendments on the ballot. Special Guests at the event included two

Florida Legislators, Rep. Bobby Payne (R, H19) and Senator Audrey Gibson (D, S6). The Northeast Region held another

Legislative Boot Camp on January 21, 2021 with special guest, Senator Aaron Bean (District 4).

As nurses, we have the responsibility to be well informed and politically engaged as it relates to healthcare

policy and to educate our local legislators. In order to do this, we must stay knowledgeable about the laws and

regulations that affect our profession. We have the power to bring about an improved future for healthcare and

patients through advocacy, but we are stronger in numbers. It has been an honor and a privilege to serve on

the board and as Regional Director 2019-2021. Please continue to stay safe and thank you for all that you do.

60


2021 Florida Nurses Association

East Central Region – Shirley Hill

Thank you for giving me the opportunity to serve on the Board of Directors of the Florida

Nurses Association! It was an honor to serve in this position for the East Central Region

representing Brevard, Flagler, Lake, Orange, Osceola, Seminole, Sumter and Volusia counties.

The counties within East Central Region had excellent representation at the 2020 FNA

Advocacy Days in Tallahassee. Attendees had the opportunity to meet with their local

legislators to discuss FNA’s top priority issues for the 2020 Legislative Session. Due to

the pandemic, we didn’t get to do as many activities in the Region that we would have liked

to, but we did have several virtual events to participate in such as the 2020 Membership

Assembly and 2021 Advocacy Days. The East Central Region also hosted a virtual Legislative Boot Camp in

January with special guest Rep. Tyler Sirois (District 51). I am grateful that many activities are being continued

with the technology of the virtual meeting available.

Since this is my last term on the board, I’m looking forward to a new director. I must say thank you to all of the FNA

staff who make our jobs much easier with their support! It has been a pleasure working with our president George

Peraza-Smith and everyone on the Board. It has been such an honor to be a part of this fantastic organization.

Thanks again for your support.

Shirley

West Central Region – Lottie Cuthbertson

We got off to a great start in 2019! We started the year with great representation of the West Central

region members at the January 2020 Advocacy days. We met a few times to talk about our year

ahead. It was nice to get to know some of you, others I knew from our world of nursing. The surge of

Covid-19 pushed us to cancel a major event in April 2020. I want to again thank everyone for being

willing to take part in the activities of FNA West Central Region. You all are appreciated. We continued

to move forward. We had a meeting to check

on the wellness of one another. This allowed

us to talk with our nursing hats off and

discuss self-care. This meeting touched the

hearts of many. I noticed shortly after other groups outside of

FNA incorporated an event similar to our self-care event. This is

wonderful to see. As you know, FNA WCEN has some brilliant

leaders with unique ideas. The collaboration FNA WCEN with

NOVA Southeastern University during Nurse practitioner week

was another great event, which offered CEU’s for APRNs and

Nurses.

I encourage you all to continue to be involved with FNA, get

involved on a committee or other activities. Be on the lookout for

more information on WCEN Region’s legislative forum, tentatively

in October 2021. I have decided not to continue as the WCEN

Region Director. I look forward to assisting with events and

participating on committees. This is not a goodbye. I hope to

see you soon on zoom or in person in the coming months.

Members of West Central Region at

2020 Advocacy Days

All the Best!!

Lottie Cuthbertson

West Central Region Director

West Central Region Meeting in January 2020

61


2021 Florida Nurses Association

Southeast Region – Darlene Dempsey

I want to thank those in our region and our state who have given

their all during these trying times. It often might have felt as if

your efforts were not noticed or appreciated - but it has been felt

by so many. Thank you for all who worked as a team and helped

each other and your neighbors. Thank you for allowing me to

serve the Southeast Region for the last 2 years.

At the 2019 FNA Membership Assembly, the Southeast

Region met and exchanged ideas for engaging members

in the region including continuing education activities, social events, and

volunteer days. We did have a “Night out” opportunity at the Kravis Center in

October 2019 where we were given discount tickets for a presentation of a one

man play titled “Mercy Killers: Healing the Heart of American HealthCare.” I

was able to attend several pinning ceremonies at local universities and speak

about professional association involvement as part of the obligation we have

to each other to push the profession forward and protect ourselves.

I attended the 2020 Advocacy Days in January in Tallahassee

during session. There was a great attendance by several

nurses from our area and we were able to meet with our

local legislators and discuss bills that were of interest to

nurses. In Februrary, I led two educational webinars on

the novel coronavirus. By March and April, those webinars

became bi-weekly updates – they were a team effort with

nurses participating from all across the state and many

from Southeast Florida. We collaborated with members

of the Association of Critical Care Nurses and Emergency

Room Nurses Association to provide panels of clinicians with

firsthand knowledge to share. Thank you to everyone who

Rep. Joe Carullo with nurses from Southeast Region participated in the webinars as a presenter or as an audience

member. I’ll always be grateful for how we, as nurses banded

together in the beginning of this pandemic and contributed what we were learning and experiencing in real time

through these webinars. Through all the obstacles, Nurses in the Southeast Florida region (and elsewhere) did what

we always do – we found a way to carry on and provide the care that people need.

As we continue through 2021, it’s my hope that we stay unified and work with each other to advocate for the

interests of nursing and healthcare needs in our communities and in our State. The Florida Legislature will

meet for the 2022 Legislative Session in January and they need to hear from nurses. We need to teach each

other how to get our views out to the people that make decisions on behalf of the public. There are newly

elected members at the local and state levels and they need to hear from us so that we can make healthcare

safer and more equitable – for the patients as well as for us, the nursing staff.

62


2021 Florida Nurses Association

Southwest Region – Sarah Gabua

Susan Torres served as the Southwest Region Director from Nov 2019 – June 2020. After her

resignation from the board for personal reasons, Sarah Gabua was welcomed to the role. The

FNA Southwest Region held a Legislative Boot Camp on February 4, 2021 with a special

guest from the Florida Legislature, Representative William Robinson (HD 71). Erin Ballas from

FNA’s Lobbying Team, Public Affairs Consultants gave an excellent presentation on how to

reach your local legislator to advocate on FNA’s Issues. The region will be under new

leadership after the Membership Assembly and will be looking for members within the region

to volunteer with helping plan regional events.

Greetings Fellow Nurses,

South Region – Marie O. Etienne

First and foremost, I would like to

thank all the voters who gave me the

opportunity and the privilege to serve

as the Director for the Florida Nurses

Association (FNA) South Region September

2019 - September 2021. These past

two years have been quite challenging,

yet very impactful due to the amazing support I received

from Members, Staff, and Administrators, the outstanding

Volunteer Leadership Council Members of South Region

which was critical to the success of my tenure. I had

the opportunity to represent at the table where crucial

decisions are being made by the Board of Directors of FNA

to ensure that all voices are heard, and all nurses are well

represented. We attended and parcipated at FNA’s annual

Membership Assembly in great numbers from South Region

on September 13-14, 2019, at the Mission Inn Resort,

Howey-in-the-Hills. Several of South Region members were

honored with the 2019 ICON Award. The winners from South

Region were: Dr. Guillermo “Billy” Valdes as Mentor Role

Model ICON, Dr. Yolanda Nitti for Community Service ICON,

and Patricia R. Messmer, recipient of the Nursing Research

ICON. In January 21-22, 2020, I attended FNA Advocacy

Days where I served as group leader and visited legislators

and/or staff with nursing students from Miami Dade College

to advocate and garner support for House Bill 607, which

addresses removing barriers for advanced practice nurses to

practice to the full extent of their education and scope.

Members of South Region at 2019

Membership Assembly

South Region members and students

attend 2020 Advocacy Days

In March 2020, the global pandemic of the Coronavirus COVID-19 presented itself to the world and shifted

our thinking and mindsets in terms of safety and wellbeing of nurses who in some cases lacked personal

protective equipment from their workplaces, learning about the Center for Disease Control and Prevention

(CDC) new guidelines about handwashing, wearing mask, and social distancing 6 feet apart to avoid getting

63


2021 Florida Nurses Association

COVID-19. South Region FNA quickly adapted to the new normal and shifted their meetings to virtual zoom

meetings to share their feelings, thoughts, and concerns. The necessary space was created to allow members

to share their feelings and coping mechanisms, and how they were handling the multitude of challenges

they were faced with during COVID-19. The team and I had to make some tough decisions to postpone the

10th Annual Symposium and Awards Ceremony which normally takes place in April. In the meantime, I felt

compelled to offer my support to FNA and South Regions members by participating in FNA’s webinars on

COVID-19 addressing health disparities, impact on long-term care facilities, and health inequities. The World

Health Organization (WHO) proclaimed 2020 as the Year of the Nurse and Nurse Midwives which was very

fitting because nurses became the frontline healthcare personnel who worked tirelessly to saving lives. FNA

hosted its Virtual Membership Assembly that was held on September 24-26, 2020 and several of South

Regions members were recognized. Again, we congratulate all the Lamplighter Award Recipients (25 years

of Membership), Diamond Award Recipient – Dr. Daniel Little for 50 years of Membership, and FNA ICON

Awardees, especially our own member from FNA South Region: Dr. Audrey Miller who won the Advanced

Practice Nursing Award, Dr. Rhonda Goodman – The Heather Scaglione Award, Christine E. Lynn College

of Nursing, Florida Atlantic University for winning the Education and Advocacy Award who were awarded

scholarships. Kudos and we are proud of you! I participated in FNA Board Retreats and meetings during

my term to ensure that the voices of South Region members were heard and appreciated. On October 12,

2020, South Region FNA hosted a virtual Legislative Forum which was very well attended with 45 attendees.

We gave special thanks to FNA’s Lobbying Firm and Public Affairs Team for organizing the amazing Panel of

Legislators from South Region to be part of forum. We also acknowledged all nursing students from ASN,

BSN, and graduate students who were able to attend the event. We thanked and appreciated both Ms. Willa

Fuller, Executive Director of FNA & Dr. Messmer for a job well done on FNA PAC & ANA PAC. We were able to

share information on the 10 Commandments of Effective Communication with Legislators, How to Talk with

Your Legislator, and discussed the importance of voter engagement. Thank you FNA President, Dr. George

Peraza-Smith for your outstanding, caring, and compassionate leadership along with the phenomenal Board

of Directors, and amazing staff of FNA for all you do! Thank you for appointing me to the Diversity, Equity,

and Inclusion Taskforce as it relates to the nursing profession in Florida created in 2020 at the Membership

Assembly and other committees of FNA.

One of my campaign goals was to recruit new and returning

members for FNA. I am pleased to report that I was selected

as the first-place winner for membership recruitment for

FNA and received some nice surprising gift certificates

to attend future webinars of FNA and other goodies. On

February 11, 2021, FNA South Region held a Legislative

Boot Camp with lawmakers in attendance to address the

best way to communicate with legislators and advocate for

the nursing profession. I am extremely pleased to share the

fact that I was among the cohort of FNA’s Legislative Action

Team that connected with local legislators to advocate for

FNA’s platform and several nursing issues that impact the

nursing profession. Since we had to cancel the 10th Annual

Legislative Boot Camp with Jack Cory (left)

and Senator Jason Pizzo

Symposium & Awards due to COVID-19 pandemic, we acknowledged all the nurses who were nominated

for awards from the various categories for South Region’s Awards. Both WHO and the American Nurses

Association (ANA) proclaimed 2021 as the Year of the Nurse and Nurse Midwives again since COVID-19 took

a huge toll on the lives of nurses. Nurses became resilient amid COVID-19 and self-care became an important

topic in the webinar provided by FNA to discuss due the high level of stress, depression, and suicide rate that

64


2021 Florida Nurses Association

were increasing. South Region members were reminded and encouraged to be mindful of their own health and

mental health during the pandemic and have been stellar and very supportive to each other. The celebration

of the year of the nurse felt weird because of the Coronavirus COVID-19 and its psychological impact on

nurses. We reminded ourselves that nurses are valued and appreciated for their dedication as nurses and the

compassion they have shown in saving lives every day are to be commended. We congratulated Mrs. Barbara

Russell, former Director of South Region FNA for being nominated by Dr. Patricia R. Messmer for the American

Academy of Nurses that recognized her for her incredible contributions of saving lives, advancing health equity,

and protecting vulnerable communities during the novel coronavirus COVID-19 pandemic through courage,

compassion, creativity, and resilience.

On June 5, 2021, South Region FNA hosted the 11th Annual Symposium and

Awards virtually with over 120 members in attendance. The feedback received

about the event were outstanding due to the stellar Keynote address by Carolyn

Jones on her documentary highlighting the nursing profession in such positive light

amidst the challenges we are facing with in this era. We had outstanding Guest

Panelists who truly did an amazing job by keeping their presentation lively and

engaging. Congratulations to all the South Region 2021 Scholarship Recipients

and Awardees. We thanked and appreciated Kaitlin Scarbary, Associate Director of

Member Programs, Technology & Marketing of FNA and the outstanding work of the

Leadership Council Members of South Region for making the event quite successful.

Special thanks to all the Committees, Sponsors, and all Attendees for their support.

We also supported the 7th Annual FNA Nursing Research & Evidence-Based Practice

Conference held on Saturday, July 17, 2021, which was very informative, relevant,

and timely. We nominated members of South Region for the 2021 FNA ICON Awards.

Keynote Speaker

Carolyn Jones at 11th

Annual Symposium

We pay special the Nightingale Tribute to honor the life and significant contributions of the beloved Dr. Sandra

Walsh Moore who shared her arts as therapy and evidence-based research for many. I had the opportunity

to serve as Keynote Speaker and Guest Speaker at several local college and universities including Florida

International University DNP program, Arizona College of Nursing Fort Lauderdale Campus, and HCI College to

present about nursing FNA and its activities which was well-received by attendees.

In conclusion, I am eternally grateful to my husband, my children & family, my former Chairperson – Dr.

Guillermo (Billy) Valdes, Dean of Nursing – Dr. Tommie Norris from Miami Dade College Benjamín León School

of Nursing for their enormous support and my colleagues who stood and supported me all the way during my

two-year term as Director of South Region FNA. Save the Date for the 12th Annual Symposium & Awards –

Saturday, April 2, 2022, at Gulfstream Park & Theater. If you are not a member of FNA, I encourage you to

join today or renew your commitment to serve by paying your membership dues. You can visit FNA website at

www.floridanurse.org. For additional information and updates I can be reached at metienne777@icloud.com.

I believe in succession planning; therefore, I am asking you to consider joining and serving as a new Director

and member of the amazing Leadership Council of South Region. Remember, Your Voice, Your Vote! I am

running as the President-Elect for FNA to represent and be a voice for all nurses. Vote! Vote! Vote! Please

remain safe by adhering to CDC guidelines on COVID-19 prevention, wear your mask, wash your hands, practice

social distancing, and practice self-care. Don’t forget stay engaged with FNA and ANA, be informed, get

vaccinated, and stay safe!

65


2021 Florida Nurses Association

Director, Recent Graduates

Kathryn Barrows/Danielle Weaver

The Recent Graduate Director position has faced some challenges over the past few years with work

schedules, engagement of members and recruitment. We appreciate all past members in this position and

their efforts to launch a program of benefits for new graduates. Some of the activities so far have been,

establishing a group on Meetup.com, starting a mentoring Facebook group, holding listening sessions at FNA

headquarters (before the pandemic) and review of current and past materials for updating and launching in a

digital format. This year, Kathryn Barrows, and a group she gathered looked at a New Graduate Handbook that

was a successful past project that the group felt was worth revising. Recently, Kathryn resigned and moved out

of state, and Danielle Weaver was appointed to the position.

Danielle held a similar position with the Pennsylvania State Nurses Association and brings a lot of knowledge

and enthusiasm to the position. She met with FNA staff and outlined some exciting ideas for the future. She

also ran for the position in the recent election and was unopposed, so we look forward to some great progress

in this program.

66


2021 Florida Nurses Association

FNA Staff Report

Willa Fuller

Executive Director

Virtually Excellent 2020-2021

In the past 18 months or so, the most overused word of the COVID-19 association universe was PIVOT. But

pivot we did.

As staff, we are guided by the Board of Directors and the Membership by way of the actions of the Membership

Assembly.

We continued on the path of Appreciative Inquiry by capitalizing on our strengths to navigate the challenging

landscape of a virtual world. Our strategic plan provided a structure for moving forward in spite of the

supposed barriers created by a global pandemic.

Nurse Advocacy

Serve as the voice of nursing

While we always represent nursing in various ways throughout the year, COVID -19 continued to provide the

opportunity to speak to the media and to legislators regarding the impact of the pandemic on the nursing

environment, the nursing workforce and patient care. While early on, we served as a source of education

regarding COVID 19, as the proliferation of the virus waxed and waned we added the issue to our Legislative

Platform and communicated our concerns to legislators.

67


2021 Florida Nurses Association

The Membership Assembly created a task force, The FNA Pandemic and Disaster Task Force to address

issues related to the pandemic. The work of the task force is ongoing and a report is presented in this Book

of Reports on Page 85. Additionally, task forces on Diversity, Equity and Inclusion (DEI) and Social Justice

were assembled and while the work of those committees are addressing more global issues, the impact of

COVID-19 has importance in the work of both of those committees. The DEI report is on page 84 and the

Social Justice report is on page 83.

Last year we embarked on a mission to build a grassroots movement of FNA members by holding Boot Camps

and educating members on communicating with legislators. Our lobbying firm engaged legislators by inviting

them to speak at our Boot Camps which were held in each region. We had a great response to these Boot

Camps and we continue to work to add more nurses to our Legislative Network. This is enhanced by our Health

Policy Special Interest Group (SIG) which meets monthly. You can find this report on page 86.

This year, with the work of our lobbyists and our grassroots members across the state, we were able to secure

$800,000 in funding to re-establish the Florida Center for Nursing. This is significant due to the fact that

nurse staffing has been severely affected by COVID-19 and its continued March throughout the world. The

Center collects and disseminates data on the nursing workforce and this will be key to forecasting in relation

to supply and demand and the nursing workforce. At this printing, we are holding Legislative Champion media

opportunities to recognize the legislators who supported our issues, particularly the Center for Nursing Funding

effort in the 2021 Legislative Session. The goal for the 2022 Legislative Session is to seek recurring funding

for the Center.

We continued to use social media to voice the concerns for nurses and to promote compliance with safety

guidelines for mitigating the pandemic locally. Information from the CDC and other sources were posted on

Facebook, Twitter, Linked-In and Instagram. We continue to develop our social media presence and to seek

member engagement to increase our presence on social media.

68


Member Services

2021 Florida Nurses Association

Provide cutting edge services to members

Advocacy Days 2021 was converted to a virtual conference and was

extremely successful with great attendance and engagement from nurses

and nursing students. This year, we asked members to connect with

legislators through virtual visits since the Capitol was closed to the public

as were many legislative offices. Many members reported making ZOOM

visits with their legislators or their aides which is equally effective. We also

participated with the Florida Coalition of Advanced Practice Nurses where

we partner with other advanced practice groups on legislative issues. The

conference was highly rated with sessions on Running for State Office, a

historical presentation on FNA’s political history and a presentation on

optimizing the use of social media to promote your causes. Members

reported on their legislative meetings with legislators and shared what that

was like in this virtual world.

We have been two years into our new member management system and we can report that for the most part

it has been a very beneficial transition. Currently, many of our essential administrative functions are managed

within our membership software program. From processing members to communication, program registration

and management to our web presence; these are all managed within our software, yourMembership. As

reported last year, there is also a forum for members to communicate and we continue to try and find ways to

engage members to utilize it.

We have been ahead of the curb as we had been using Zoom for many years before COVID-19 so it was natural

for us to transition to Zoom meetings. We had also invested in voice over protocol internet (VOIP) telephones

which allowed staff to quickly transition to working remotely by taking the office phones home. Our goal was for

members to “feel” very little difference whether the staff was in the office rather than at home.

We employ several other programs to allow us to work effectively from remote locations as

well as at the office when necessary. Kaitlin Scarbary, Director of Member Programs and

Technology was instrumental in our seamless transition to working from home. In 2021, we

converted from using a software platform to VPN for our work-at-home communication

platform. As staff, we stay connected all day and can communicate effectively though a

software platform as well as on the phone when needed. Staff does come into the office on

a PRN basis and we follow CDC protocols with masking, social distancing, handwashing and

hand-sanitizer availability. We are currently working on an upgrade of our phone system.

We continued to hold ZOOM meetings, execute our other work, respond to member requests, with little

difficulty. We of course experienced some delays and had to postpone some meetings and conferences, but

overall, we have been able to move forward in a “nearly normal” fashion.

We did foray into the world of virtual conferences with our 2020 Annual Research and Evidence Based Nursing

Conference and our 2020 Membership Assembly. After reviewing several platforms, we chose one that

seemed to fit our needs in both cost and ease of use. After some practice sessions with participants, and

some great volunteerism from our leaders and members, first virtual conferences are behind us. The reviews

were largely positive and the participation was excellent. We hoped to return to face to face meetings with the

2021 Membership Assembly but with the current surge in cases, and some consultation with our members, we

have once again moved to a virtual conference.

69


2021 Florida Nurses Association

While COVID-19 delayed or caused us to postpone some activities, for the most part we are pleased with the

member response and participation in these programs, from planning, to presenting, to reviewing research

presentations, speaker submission and poster sessions, it was a true team effort with our members. We thank

our members who have participated as presenters and planners to help strengthen our programs this year.

Along with the ANA benefits and services, we continue to seek new benefits and experiences for our members.

Nurse Development and Support

Serve as the essential resource for nurses throughout their career

We continue to do outreach to various nursing groups as well as field questions from nurses about workplace

issues as well as career advice. Through our work with QUIN Council we maintain the website http://www.

choosewithcare.education which provides information on choosing a nursing program. We also speak with

nurses and parents about nursing careers.

Students are welcome and ever-present during the school year in meetings of our committees and task forces.

We appreciate the faculty members who connect the students to FNA as a form of education and mentoring, to

help develop our future membership base.

We answer many practice questions and we also provide one consultation per year with our practice attorney

as a member benefit.

Our research recruitment opportunity continues to be a frequently used benefit from our members seeking

doctoral degrees of doing research. Members may send their research recruitment requests to FNA members

at no cost. Non-Members must pay for this benefit. We appreciate the subcommittee of the Research SIG for

participating in this great member benefit that promotes and supports nursing research.

Through our publication, The Florida Nurse (TFN), we keep members informed about what is happening not

only in the association, but in the nursing community. This past year, TFN was enhanced with additional virtual

editions being sent between the hardcopy edition that only goes to paid members.

We provide email updates to our members on a variety of topics, including news from the Board of Nursing,

information about Nurses on Boards, Advanced Practice information and of course most recently COVID-19. We

also use social media, when feasible, to inform nurses about issues of importance, such as nursing licensure

deadline dates.

Public and Professional Awareness

Enhance public and professional knowledge of the roles and contributions of

nurses to improve health.

Most recently, our focus on this goal continues to be on legislators’ knowledge of our profession.

We do this each year as a function of Advocacy Days, but as legislators now have term limits, it is an

ongoing process. The legislative grassroots program is essential to keep nursing in front of legislators most

importantly, at home after session is over.

Engaging with the media is one effective way of educating the public about what we do as well as using social

media.

70


2021 Florida Nurses Association

We have a lot more work to do in this arena and we hope to enlist members to assist with this audacious goal.

We have a lot of extra help this year with the advent of the Coronavirus pandemic and we plan to capitalize

on the attention which help to highlight some important issues in nursing. We need more frontline nurses to

engage with the media to make sure our stories are told,

There are plans in the work to craft a diversity and inclusion statement as well as a statement about racial

justice and to create a workgroup on these important issues which most certainly relate to public health and

safety. The Pandemic and Disaster Task Force and the Social Justice Task Force will be presenting reference

proposals for discussion at the Membership Assembly.

Professional Unity

Foster relationships to advance nursing and healthcare

We continue our work with QUIN Council which consists of over 20 state nursing organizations. Having

communication and contact with the representatives of these organizations keeps us in touch with the

specialty groups and creates awareness of each organization’s agendas. Two new groups have requested

membership in QUIN in the past few months which is encouraging as it demonstrates the interest in creating

unity and synergy in nursing advocacy work.

We also continue to be a member of the Florida Coalition of Advanced Practice Nurses, with focuses primarily

on advancing the idea that APN’s should work to the full level of their education and experience. We have been

a participating member of this Coalition since its inception. We have active members in this group and they

have also served as group leaders in the past.

During the early days of the COVID-19 outbreak we with worked with the Emergency Room Nurses, members

of AACN, members of the Black Nurses Association and the Haitian Nurses Association to present educational

webinars.

The Board has agreed to serve as a Co-Lead of the Florida Action Coalition with the Florida Organization of

Nurse Executives. The Action Coalition is focused on the Future of Nursing 2020-2030 report recently released

by the National Academies Medicine. This report can be downloaded from their website at www.nap.edu.

We also communicate frequently with the Florida Board of Nursing and they often present at our conferences

or present webinars for us upon request. The Board also serves on QUIN Council and frequently updates the

QUIN representatives on issues of importance.

We partner with the Intervention Project for Nurses to support their Annual Conference and other meetings

upon request. We publish articles about or by IPN to make sure that the nursing population is aware of this

valuable resource.

Organizational Excellence

Maintain a strong organizational structure that advances nursing.

Our regional structure has opened up the organization to allow participation across the state. The structure

is a work in progress as we continue to seek ways to engage members and to invite members from across

geographic and professional boundaries.

71


2021 Florida Nurses Association

Having a Foundation and Political Action Committee (PAC) adds strength to the organization by providing

scholarships and grants and promoting academia and research. The PAC exists to endorse political candidates

that support nursing and healthcare issues. Candidates are interviewed and selected based on their

responses. It is an organizational goal to strengthen both the Foundation and the PAC to enhance our presence

in the healthcare community. Both of these organizations were built from the ground up by nursing innovators

and pioneers and we continue to seek ways to honor their legacy. Both of these organizations exist only

because of generous donations from nurses-our members.

Special Interest Groups (SIGs) have added strength and another dimension to the FNA. The Research and

Evidence Based Practice Conference has been a welcome addition to our organization by tapping into the

interests of a select group of members that do work that can shape the future of our profession. The Ethics

SIG has done several excellent continuing education programs and their monthly discussions bring important

issues to light that have led to positions statements for the association. The Health Policy SIG also meets

monthly and serves the needs of members who are enthusiastic about the political process. Danielle Weaver

has recently been appointed to the role of the Board member concerned with the new nursing graduate. She

has some exciting ideas to engage the new graduates and find activities that will support them in their entry

into professional practice. Several activities and events are being discussed.

Our volunteers through task force and committee work are productive and help us to reach our organizational

goals each year. While we were stalled on some work last year those groups have geared up and have already

produced some substantive work and some additional targets and goals. One of the primary examples is our

first few successful virtual conferences which were also planned and executed through technology with no face

to face meetings. This included, planning the agenda, setting review criteria, executing the reviews and making

the selections. The staff support was integral in this process.

This report is a snapshot of the past year but will give members a bird’s eye view of some of the work by your

Board of Directors and Staff to execute the strategic plan.

We were thrilled to receive an award in 2020 from the American Society of Association

Executives (ASAE). The award named the Power of A, Silver Award was given to us

based on our response to COVID-19 in sharing information, educating nurses and

garnering significant media coverage.

We have worked hard on membership with social media campaigns, personal phone contact

(part of our retention strategy), multiple renewal notices both virtual and by postal mail. We are pleased to

report that we ended the year with a 12 percent membership increase which was our goal for 2022. A software

glitch resulted in a loss of members from our automatic dues category earlier in the year, but we have already

regained significantly in new member acquisition, resulting in a successful year in membership acquisition and

engagement. Our target for the upcoming year is retention and growth. Our support staff in the office is integral

in our connection with members. Each one is committed to members service and retaining some of the “oldfashioned”

low-tech, high “touch” engagement with our members while we embrace technology simultaneously.

One example is that we call members who have transaction declines perhaps due to a stolen or lost card or

other reason. We have been able to regain a significant amount of these members over a year’s time. Each

member we retain is a valued jewel!

We look forward to our new Board of Directors and an exciting 2022!

72


2021 Florida Nurses Association

FNA Staff Report

FNA Membership Comparison

1983-2020

Year

Membership Count

1983 4800

1984 5026

1985 5517

1986 5763

1987 6019

1988 6333

1989 7370

1990 7880

1991 8018

1992 7244

1993 6913

1994 7114

1995 7026

1996 7281

1997 7120

1998 7120

1999 6443

2000 7237

2001 7126

2002 6745

2003 6836

2004 6145

2005 6335

2006 6245

2007 6579

2009 6256

2010 5285 (Loss of VA units)

2011 4810

2012 4582

2013 4663

2014 4792

2015 4573

2016 4070

2017 4428

2019 4278

2020 4900

73


2021 Florida Nurses Association

FNA Structural Unit Reports

Florida Nurses Foundation (FNF)

Florida Nurses Political Action Committee (FNPAC)

Labor Employment Relations Commission (LERC)

Bylaws Committee

Membership Committee

Reference Committee

Nominating Committee

Social Justice as a Public Health Issue Task Force

Diversity, Equity and Inclusion Task Force

Pandemics and Disasters Task Force

74


2021 Florida Nurses Association

Florida Nurses Foundation Annual Report

Daleen Penoyer, PhD,RN,CCRP,FCNS,FCCM – President, FNF

I would like to thank the members of the FNF and the staff from FNA for their support for the FNF activities

throughout the year. While it has been challenging for many activities for nursing organizations, the FNF has

been able to carry on their responsibilities to serve its membership.

The members of the FNF have made valuable contributions to the team and are the following:

Existing members before 2021:

Fran Downs – Vice President

Patricia Messmer - Treasurer

Rose Rivers – Secretary

Regina Mirabella

Welcome New Members:

Debbie Connor

Randy Jackson

Barbara Russell

Selma Verse

A special recognition to Kaitlin Scarbary for her assistance for meetings and for organizing the Research and

EBP meeting on July 17th, and Dr. Lois Marshall for leading the program planning meeting with our other

volunteers on the committee. A big thank you to Willa Fuller, Executive Director for FNA for her continued

leadership and support.

Group activities:

• The FNF team met January 22, 2021 for a regular meeting and planning for 2021. We reviewed the status of

investment reports for the main account, Barbara Lumpkin, Nurses in Need, and the Corona Virus fund for

the FNF with the representative from Edward Jones, Matt Buckland, Financial Advisor. FNF average account

appreciated 7.69% over the past 4 years and covers most of the scholarship funds.

• Three nurses received a check for $500 each from the corona virus fund.

• Discussed fund raising strategies for 2021 and beyond. Debbie Connor agreed to lead a group to consider

opportunities for raising funds and will be joining the American Fundraising Professionals Group.

• Will be reviewing all of the FNF policies and procedures this year as they need to be updated.

• Goals: 2021:

o Review and update of policies and procedures

o Establish and annual fundraising plan/timeline

o Raise visibility of the Foundation

• Articles will be written for the Florida Nurse by members for the FNF. Selma Verse agreed to submit for May

and others by the group over the year.

• Discussion about the FNF scholarships – goal is to award as many as possible from candidates meeting

criteria. One barrier is the limitation by some grants to specific criteria and locations and many often do not

get awarded. After the discussion, the group decided to do more advertising for the scholarships that are

not generally applied for so that those in various areas know they exist. Also, since the academic calendar

includes spring/summer and fall entry, the usual call for scholarships in mid April for June awardees may be

considered for a second call in the fall if insufficient scholarships are not awarded.

Report: The 2021 Florida Nurses Foundation Scholarship reviews were completed June 18th, 2021 and

qualified candidates matched to available funds. Results:

75


2021 Florida Nurses Association

Review and Matching Process

1. Qualified applicants were broken up into groups based on their location/school.

2. Reviewers were assigned to groups from different regions of the state. All applications were blinded and

reviewers were asked to recuse themselves if they could personally identify an applicant. Each group had

TWO reviewers. Group size ranged from 4-5 applications.

3. Each application received a mean score from the two scores of the reviewers. They were also given a yes/no

recommendation.

4. Applicants were ranked based on their scores and matched to funds which they qualified for based on fund

criteria (location, degree, specialty, etc.). Top-scoring applicants were given priority and matched first. Only

applicants who scored above the median score of 26.5 were awarded scholarships (not all applicants who

scored over the median were awarded scholarships due to lack of available funds).

Summary

Out of the 110 applications received, 37 scholarships were awarded for a total funding of $19,250.

• FNF Grants – A call for grants was opened in January 2021 and has been extended until August 1, 2021.

Awaiting submissions for review by volunteers on the FNF and research SIG. The award is anticipated in

September, 2021.

• The FNF sponsored the FNA 7th Annual Research and Evidence Based Practice conference, which was

held July 17th from 8am -1:30pm in a virtual format. The planning committee selected Dr. Mindi Anderson

and Dr. Desiree Diaz from the University of Central Florida to present the keynote address for the program

entitled “Evidence Based Nursing Simulation Research: Implications for Practice.” Two poster sessions with

39 accepted posters were available for participants to view and have live interactions with the authors of the

posters. A panel of 5 program planning team members presented Resilience of Nursing Science beyond the

pandemic with Dr. Susan Fowler, Dr. Palma Iacovitti, Dr. Cheryl Krause-Parello, Dr. Beth Pratt, and Dr. Robin

White sharing their experiences over the past year with research and COVID-19 challenges. The meeting was

well attended with 95 participants in the virtual platform.

• The April 20th FNF meeting was scheduled but needed to be cancelled due to unexpected circumstances.

This will be rescheduled in the coming month.

This concludes my report to the FNA for the Florida Nursing Foundation

76


2021 Florida Nurses Association

2021 Foundation Scholarship Recipients

Agnes Naughton

Recipient Requested Privacy | West Coast University

Charlotte Liddel (District 5 Charitable Trust)

Martine Gordon | Saint Thomas University

Connie Dorry Memorial Fund

Shuo Wang | Florida International University

District 14 Marcy Klosterman

Recipient Requested Privacy | University of South

Florida

D’Aishia Burgess | Florida Southern College

Korin Shalom | Chamberlain University

District 20 Evelyn Baxter

Olivia Glavan | Florida State University

District 21 Lousie Fiske Memorial

Krista Garcia | Miami Dade College

District 4 Florida Nurses Scholarship

Kimberly Tavares | University of South Florida

District 46 Olive Ramsey

Anna Frary | Florida State University

Sara Rutkowska | St. Petersburg College

Sergio Ricci | Galen College of Nursing

District 46 Ruth Jacobs

Recipient Requested Privacy | St. Petersburg College

District 6 (formerly 18) Generic Scholarship Fund

Jennifer Richter | University of South Alabama

Jean-Joseph Rendel | Florida Atlantic University

Nicole Morrison | Florida Atlantic University

Somi Panday | Florida Atlantic University

District 8 Charlotte Anzalone

Vernon Langford | University of North Florida

Edna Hicks

Renee Samuels | Florida Atlantic University

Edna Hicks VA Nurse

Recipient Requested Privacy | University of South Florida

Eleanor Bindrum (District 5 Charitable Trust)

Haley Neel | University of South Florida

Elizabeth Willis Nursing Scholarship

Seeta Spence Banfield | University of South Florida

Goodman Family Nursing Scholarship

Kiley Thibodeau | Florida Atlantic University

Lillian Hulla, Friend of Nursing District 6 (formerly 18)

Gabrielle Meyer | Florida State University

Marion County (District 3)

Nicole Scott | Florida State University

Kylee Johnson | Florida Atlantic University

Martha Russell

Olga Fernandez | Florida International University

Mary York

Rebecca Koerner | University of South Florida

Alexis Brown | University of South Florida

Satoria Reid-Rowe | Florida Southern College

Valerie Keyes | Florida State University

Nina Brookins (District 5 Charitable Trust)

Myesha Ponder | Florida Atlantic University

Northeast FL Great 100

Megan Warner | University of Florida

Anne Dolmovich | Jacksonville University

Olive Seymour District 6 (formerly 18)

Katia Robelo | University of South Florida

Ruth Finamore

Amanda Lazcano | Florida Atlantic University

Undine Sams

Ingrid Bozeman | Regis College

77


2021 Florida Nurses Association

Florida Nurses Political Action Committee

Carole Amole, Chair

The Florida Nurses Political Action Committee was organized to elect political candidates and to advance the

outcome of political issues or legislation to benefit nursing and health care. As the chair of the PAC, I would

like to thank the entire staff and board for their support and guidance. I would like to thank each member of

the PAC for their commitment to our mission of interviewing candidates and educating legislators on the FNA

legislative platform.

In collaboration with the Advanced Practice Council, the PAC conducted interviews with several candidates

during the 2020 election. Under the guidance of our new lobbying firm, we formulated a bi-partisan list of

candidates that supported our legislative agenda. We endorsed 13 candidates in the House and Senate races

throughout the state.

In looking to our future, I encourage our members to financially support the PAC so that nursing’s voices can

be heard in Tallahassee.

78


2021 Florida Nurses Association

FNA/OPEIU

Labor and Employment Relations Council

Local 713

Shands Hospital at the University of Florida (Gainesville)

Wuesthoff Memorial Hospital (Rockledge)

Professional Health Care Unit (State Unit)

Florida State University – University Health Services (Tallahassee)

Florida International University (Coral Gables)

Labor and Employment Relations Commission

Mark Welz, RN – UF Health/Shands Hospital | Chair of LERC

John Berry – FNA | Director of Labor Relations & Governmental Affairs

The FNA Labor and Employment Relations Council (LERC) brings all the FNA bargaining units together to make

decisions that will strengthen our membership. This past year, for LERC, has been one of rebuilding and

solidifying the base. The different bargaining units have all been through many changes and challenges due

to COVID-19 and are doing their best to prepare for an uncertain future. Meetings such as grievances and

membership meetings have still all been virtual for FNA staff. For those who are in the facilities, in-person

meetings are held with masks and/or social distancing. The new normal has now become the normal practice.

All our bargaining unit members need to be commended for the extremely incredible job they’ve done and

continue to do day-in and day-out.

This past year we saw a lot of activity on the labor front in the State of Florida, and it wasn’t good. There

were a number of elected officials in the Florida House and Senate who supported legislation that would have

diminished the pension system for all public sector workers in the state. All public sector employees who are

represented for collective bargaining would also have been affected by another piece of legislation, which if

an organization did not represent 50% + 1 of all eligible members in a bargaining unit, then the state would

decertify the unit. That means that the labor organization would lose all their state unit members. Another

piece of legislation that would have been very damaging to all public sector units was language that stated

an employee who is represented by a labor organization for the term of the contract would have to sign up its

members every three years, the membership would no longer carryover into the next agreement. Luckily, all the

labor organizations united and were able to defeat the negative bills. Be mindful of who you are voting for this

year. Research the candidates - they’re never going to support all our issues but make sure that the bills they

are sponsoring or supporting are not going to destroy our membership.

The Professional Health Care Unit (State Unit) took center stage, as it has been functioning in a tense

environment all during the COVID-19 pandemic. At the conclusion of our contract negotiations with the State of

Florida, our bargaining unit, during an unprecedented year, was offered a zero percent increase. The Governor

did offer a $1000 bonus to all “COVID First Responders” who he stated were Police, Fire, Corrections, and

Teachers. The state has done its best to minimize the efforts of our workforce and the benefits of our state

unit members. Debbie Hogan, our President of the state unit, and John Berry, the FNA Director of Labor

Relations, have worked hard on behalf of our collective bargaining members and the Association in this arena

and will continue to fight for the membership.

79


2021 Florida Nurses Association

UF Health/Shands Hospital was named the #1 hospital in the State of Florida. Our bargaining unit members

have worked tirelessly, and our officers have done their very best to represent our members and to attend to

their needs on the different units. During the Spring, we had our yearly contract re-opener. We were hoping that

the sacrifices we made the year before to help our institution would be rewarded, and they were. Management

recognized our efforts with a $1.25/hr. across the board increase and our members voted overwhelmingly in

support of the increase. Like all the other facilities, we continue to put our best efforts forward to increase our

membership and work with management to keep UF Health/Shands as the #1 health care institution in Florida.

Rockledge Regional Medical Center has seen some very positive changes under their new FNA leadership at

the facility. Appointed leaders Stephan Applegate and Rodger Osterhuber have done an outstanding job in

their new roles. They have opened lines of communication between management, the bargaining unit, and the

association, in ways that have been long overdue. They’ve done wonders in recruiting new members and are

currently recruiting other leaders, so they can fill their slate of candidates to have an election. The facility has

been fighting off other health care systems who’ve been trying to recruit our nurses to their hospitals and we

were able to help our nurses in the ED receive a $6.00/hr. increase.

The FNA’s contract with the University Health Services at the Florida State University is currently in a re-opener.

Our members there are in a tough battle as the employer only wants to give a one-time merit increase that is

not added to their base pay. FNA and our negotiating team are doing their best to change that, as our nurses

are preparing for the students to return to campus, and as we’ve seen so far throughout the United States,

our universities have been facing some of the biggest challenges as we try to protect our students as they

attempt to continue their in-person education.

Florida International University recently finished a wage re-opener and their newly elected leadership, Ray

Corrales, APRN, Unit President and Alesailec Figuerola, RN, Vice President, did an outstanding job. Our

membership at the university were able to secure a 9% wage increase for current employees and a 6%

increase for new nurses, which will help with the wage compression issue. They’ll also be receiving a $1,000

COVID Bonus for all of the nurses’ efforts through the pandemic. Our nurses are also preparing for the

students on campus in-person education this Fall.

80


2021 Florida Nurses Association

Bylaws Committee

Janegale Boyd, Chair

Members of the Bylaws Committee: Janegale Boyd (Chair), Jean Ansley, Linda Comer, Deirdre Krause,

Meghan Moroney, George Peraza-Smith

The Bylaws Committee requested a review from Ann Guiberson, Parliamentarian who responded with

suggested revisions to the current bylaws and also responded to specific questions about some proposed

changes that have been discussed by the Committee and the Board of Directors. The Committee met to

review the suggested changes and agreed upon the proposed changes to send to the Board of Directors for

review. After review, the Board made several requests for reconsideration and the changes were submitted to

the Committee who subsequently met and accepted some of the suggested changes and revised one of the

suggestions. The final version of proposed revisions were then approved by the committee for presentation to

the Membership as required in the FNA Bylaws. These bylaws will be presented for discussion and voting to the

2021 Membership Assembly. They can be found in this Book of Reports on page 107.

81


2021 Florida Nurses Association

Reference Committee

Debbie Hogan, Chair

Members of the Reference Committee: Lottie Cuthbertson, Marc Gayol, Deborah Hogan, Michelle O’Neal

A call for Reference Proposals was sent earlier in the year and individual members and each structural unit

was invited to submit reference proposals on issues of importance. The Pandemic and Disaster Task Force

and the Social Justice as a Public Health Issue submitted proposals for review. At the time of this report, the

committee has a scheduled meeting and will be reviewing the proposals to prepare them for discussion at the

Membership Assembly. You will find the final version printed in this Book of Reports on page 127.

Nominating Committee

Stefanie La Manna, Chair

Members of the Nominating Committee: Stefanie La Manna (Chair), Janegale Boyd, Bonnie Fuller, Shavondra

Huggins, Randy Jackson

Annual Report

1. A special thank you to Willa and Kaitlin for their continued leadership.

2. A special thank you to my colleagues on the nominating committee: Janegale Boyd, Randy Jackson,

Shavondra Huggins, Bonnie Fuller for all their continued support.

3. Nominations will be completed at the end of July 2021 and the nominating committee will review for

accuracy. The nominating committee will have an email-vote amongst the nominating committee members.

4. Election Dates August 2-16, 2021 will be held.

5. Nominating committee has discussed about having webinars on leadership.

6. During the COVID pandemic it has been challenging and I look forward to working with a wonderful

organization and committee to support our nurses and future nurses.

7. Next committee meeting will be held on August 25, 2021, at 6:00 p.m.

82


2021 Florida Nurses Association

Social Justice as a Public Health Issue Task Force

Co-chairs: Sue Fowler and Charles Buscemi

We would like to thank FNA for their vision and leadership in crafting a taskforce to examine social justice as it

relates to nursing in Florida, Floridians, and our nation.

Task Force Members:

Mary Lou Brunell

George Byron Peraza Smith

Mavra Kear

Ryhana Macklon

Karen Kuperberg

Carol Amole

Melissa Jones

Diana Wilcox

Monica Voica

Joy Bailey

Jordan Zabari

Ivette Feliz

Claudine Bernier

Bridget Simpo

Cynthia Braswell

Micheal Williams

Monika Skoko

Summary of activities:

• Meetings were held 2021: April 6th, May 5th, June 1st

• Members articulated ideas on key concepts related to social justice. Ideas were merged into a draft version

of a definition of social justice. The task force accepted the draft version as a beginning document.

• Members crafted questions that could be asked at a town hall reflecting the draft version definition of social

justice. The taskforce selected three questions that could drive discussion at a town hall meeting.

• Members continually educate themselves on social justice by sharing articles and sites.

• Town Hall July 8th, 2021 at 5 pm

o Purpose: To provide an opportunity for FNA members to engage in dialogue about social justice and

provide direction for future activities of the taskforce. A reference protocol was generated to be presented

at the upcoming Membership Assembly.

o Agenda: a link was sent to registrants from the American Public Health Association regarding an

overview of social justice and health. Two members posed a question or two to the attendees and lead a

discussion (three questions).

o The definition of social justice was revised based on this dialogue:

▪ DRAFT DEFINITION (JULY 2021) Social Justice in healthcare is a non-judgmental space where all

persons give and receive care in a supportive environment that promotes open communication about

beliefs and health goals. Healthcare providers must be self-aware, take responsibility for developing

interpersonal skills to engage with diverse individuals and groups, and continually advocate for

equitable and inclusive delivery of services within their care agencies.

Plans and recommendations:

• Present at Membership Assembly

83


2021 Florida Nurses Association

o STATEMENT OF POSITION:

▪ The Florida Nurses Association advocates for equitable and inclusive care delivery in our state.

o RECOMMENDATION FOR ACTION: The Florida Nurses Association will:

▪ Offer education to nurses and nursing students on social determinants of health and inequities in

healthcare outcomes.

▪ Work with QUIN Council to increase awareness of implicit injustices that may exist within each

member’s realm.

▪ Develop partnerships with state and local organizations, within and outside of nursing, to create

initiatives that promote equitable health care for all persons in all settings.

• Consider writing articles for FNA newsletter

• Consider a white paper or position statement on social justice

• Consider gathering data/outcomes related to social justice applicable to FL, nursing, FNA, etc.

Diversity, Equity, and Inclusion (DEI) Task Force

Marie Etienne, Chair

The Task Force has met several times and spent the first meeting brainstorming what diversity means in

the context of the Florida Nurses Association. Many ideas and concepts were discussed but one important

concept was that the group could disagree with an IDEA but not with PEOPLE.

Some of the descriptions that emerged were:

• Defining DEI for Florida Nurses Association

• Diversifying the nursing profession and welcoming everyone / being open and inclusive/opportunities for all

• Opposite of what is wrong, togetherness and wholeness and being one - Embracing others

• Bigger than focusing on race, gender identity, etc.

• Males as a minority in nursing

• Create an environment where we promote success in diversity and make sure everyone feels comfortable.

Look at Best Practices and promote through FNA.

• Ensure that we are valuing others (opinions, cultures, etc.) Help remove barriers for those from other

cultures. Equity and inclusion.

• Value and respect for everyone. Equal opportunity to achieve. Meet people where they are.

• Equal opportunity.

A goal was identified to: Come away with concrete efforts that FNA can do to promote diversity.

The task force discussed three things they would address:

• Diversity in students -- This can help bridge the healthcare gaps.

• Diversity in practice environments – This creates trust/comfort/culturally competent care

• Promotion and creation of inclusive environments

It was then asked what we really knew about DEI practices of the Florida Nurses Association. This prompted

the initiation of a survey. The first draft of the survey was submitted by a task force member and members

worked together to revise it. The survey is in progress now and an analysis and report will be provided soon. At

the time of this report we are seeking more responses.

The members of the task force look forward to the work ahead.

84


2021 Florida Nurses Association

Pandemics and Disasters Task Force

Dierdre Krause, Chair

The FNA Pandemic and Disaster Task Force was formed in response to a vote by the 2020 Membership

Assembly. This group has met multiple times (at least monthly) and determined that their primary focus would

be promoting a coordinated response to future pandemics and disasters for the protection and safety of both

the community and the nursing workforce.

Several projects are in progress at this time including a Reference Proposal that will be discussed and voted

on at this Membership Assembly. Other areas of focus are:

• The mental health of the nursing workforce

• Safe staffing levels and a healthy work environment including adequate PPE at all times

• Strengthening the public health infrastructure

• An analysis of the current responses to COVID-19 across the state

• Current and emerging research on all aspects of COVID-19

• Vaccines and vaccine hesitancy

• A film project focusing on nurses stories and their experiences during the pandemic

• Empowering the voice of nursing

Committees were formed or individuals volunteered to lead initiatives or activities on the above topics and at

this time they are all ongoing.

85


Health Policy Special Interest Group (HP-SIG)

Karen Perez, Facilitator

Sonia Wisdom, Secretary

2021 Florida Nurses Association

The Health Policy Special Interest Group met monthly with the exception of the months that our large political

events were held. This year we highlighted the importance of the FNA Grassroots effort by sharing information

to encourage and assist members with connecting with their local legislators when the legislature was not in

session. The SIG also promoted any events such as Advocacy Days, The Boot Camps and Delegation Meetings.

Some topics shared during the year were: How to Communicate with your Legislator, How to Identify and Contact

your Legislator, how to navigate the political engagement software on the FNA website, as well as other topics.

We also familiarize members with the FNA Legislative Agenda and how they can support and promote it.

One of the most important lessons of the year has been information relating to building a relationship with your

legislator. Members were shown how to find the legislators website, and familiarize themselves with personal

information about that legislator to be able to connect. Items like the college they attended, their hobbies,

their church, can all provide common ground for relationship building. The main message is lawmakers are

people too and they want to connect with their constituents. We are still promoting multiple contacts with your

legislators before the Advocacy Days in January.

The leaders and members of the HP-SIG look forward to the Membership Assembly as well as the 2022

Advocacy Days in January.

Ethics Special Interest Group

Jean Davis, Facilitator

“In politics, if you are not at the table, you are on the menu.”

We have had another whirlwind year! Thank you to all the Ethics SIG members and student guests who took

part in our monthly Ethics meetings this year. I appreciate your thoughtful input whether you can attend one

meeting a year or every meeting. Your participation is what keeps ethics meaningful for practice today. We

learn and develop deeper understanding of how our Nursing Code of Ethics applies to the unique challenges of

nursing through our facilitated discussions.

Each meeting we take time to address ethical concerns brought to the table by nurses in clinical practice and

consider application of the principles from the Nursing Code of Ethics to ethical challenges in practice. Not

surprisingly, these discussions primarily centered around pandemic related challenges again this year, such as

shortages and reuse of PPE; visitor restrictions and patient support; crisis standards of care; and vaccination

inequities. Inequities of marginalized populations also came to the forefront of our ethics conversations this

year, presenting the opportunity for deeper understanding and highlighting the importance of immediate and

sustained change.

We devoted one meeting during the Florida legislative session to Principles 3, advocacy for patients and future

patients whether individuals or aggregates, discussing specifics bills under consideration and individual and

FNA advocacy. We also devoted time at each meeting emphasizing Principle 5, owing the same duties to self

as others, at this important time for self-care to meet the dynamic nursing challenges we face in all areas of

nursing.

Moving forward, I welcome all FNA members and students to join the Ethics SIG meetings as we work to

achieve optimal care and justice for all through application of the Nursing Code of Ethics.

86


2021 Florida Nurses Association

Holistic Nursing Special Interest Group

Ann Fuller, PhD (candidate), MSN-Ed, RN, AHN-BC

I would like to express my gratitude to those who have taken part or expressed interest in the Holistic Nursing

SIG. The last year has offered front line nurses and others one of the toughest challenges I’ve seen or

experienced in my career in healthcare. My heartfelt appreciation for the work each of you did.

The pre-pracademic group was off to a good start until Covid hit. I’d like to welcome them back to the group

that reorganized earlier this year and welcome to the new people.

During nurse’s week last year, I wrote a stress presentation to share, and everyone who attended earned a CE

for attendance. The presentation was the first of a two-part series. I still need to provide part two. Due to a

technical issue part 2 is yet to be scheduled.

The HN SIG meets the 3rd Thursday of the month. We will be using Google Docs to share documents and the

discussion board within FNA to work on projects between meetings.

Mission and vision for the HN SIG: development

Topics for exploration

I’m in the process of gathering potential guest speakers who may be interested in speaking.

A. Distinction between holistic nursing and the use of complementary and integrative health

approaches. There is interest in both kinds of groups.

B. Information about what the limitations are in practicing integrative medicine.

C. Making holistic nursing more acceptable and integrating it into nursing areas.

D. Suggested sub-groups

a. Legalities: Barriers to integrative practices this will require discovery process clarifying

the present “Complementary & Alternative Therapies” statutes writing papers for our own

professional educational purposes and separate patient care strategies for those who ask

nurses questions and when we ask patients to disclose their use of herbs and essential oils.

There are a number of side effects and potential contraindications but there are also a variety

of great uses for potentiation (which can be considered contraindications if not managed

knowledgably).

b. Nurse Coaching (NC-BC or HWNC-BC)

c. Botanicals use and education (patient education and nurse education) biofield therapies

d. Lifestyle: How can we support each other in implementation or to help each other adopt these

behaviors? How can we help adopt this and how can we support our patients/clients adopt

these behaviors? Many healthcare systems in FL have embraced American College of Lifestyle

Medicine among them the University of Central FL, the Adventist systems and others.

The six pillars of lifestyle medicine are:

i. Adopting a nutrient-dense, plant-predominate eating pattern.

ii. Optimizing and individualizing physical activity plans.

iii. Improving sleep.

iv. Managing stress with healthy coping strategies.

v. Forming and keeping relationships.

vi. Cessation of tobacco use and other unhealthy habits.

87


2021 Florida Nurses Association

e. Improve Public Exposure: to help people within nursing to understand Holistic and Integrative Nursing

practices and to define the differences between the two. Discussion is related to addressing the

Legalities vs. Education of the public regarding holistic nursing and integrative practices.

f. White Paper-defining and differentiating holistic nursing vs. complementary and integrative medicine.

g. Partner with AHNA on programming.

Respectfully submitted,

Ann Fuller, PhD(c), MSN-Ed, RN, AHN-BC,

Nursing and Health Education

Holistic Stress Management-Instructor

Transpersonal Nurse Coach, CMI/CHT

IPE: Mind-Body Eating Coach

88


2021 Florida Nurses Association

Other Nursing Groups and

Organizations

Florida Center for Nursing

QUIN Council

Florida Coalition of Advanced Practice Nurses (FL-CAPN)

Florida Cancer Control & Research Advisory Council (CCRAB)

89


2021 Florida Nurses Association

Florida Center for Nursing

The Florida Nurses Association lobbied heavily this year to receive funding to reinstate the Florida Center for

Nursing which closed last year. At the close of session there was considerable suspense as to whether it

would remain in the State Budget, but in the end, we received $800,000 to resurrect this important entity.

Our lobby team, led by Jack Cory, planned a strategy of seeking legislative allies while also positioning key

members to connect with legislators to enlighten them regarding the importance of the Center. We engaged

legislators throughout the year at our Boot Camps and individual nurses were educated and encouraged to

connect with legislators back home. We also promoted individual advocacy on our monthly Health Policy SIG

calls and encouraged members to attend their Delegation Meetings when feasible.

The letter-writing campaign from our members along with other groups in our partnerships were quite effective

and we could see the number of letters going through our engagement platform as well as those members who

contacted us to let us know they sent letters and emails.

We are in the planning process and working with the State as we seek to reinstitute the Center and begin work

on assembling a new board of directors and construct a plan for hiring staff and formalizing relationships. We

are pleased to announce that we will be partnering with the University of South Florida College of Nursing to

conduct the research and generate the reports required by state statutes. We appreciate the work of Dean

Usha Menon and Rayna Letourneau in helping to move this effort forward.

90


2021 Florida Nurses Association

QUIN Council (Quality and Unity in Nursing)

Stephanie Philips, Chair

QUIN Council continues to meet quarterly to consider issues of importance both globally and specific to the

member groups. We have worked on updating the website, streamlining processes and maximizing the time

in meetings. We changed some expectations regarding reports from groups to only submitting reports as

deemed appropriate by the individual groups. Due to COVID-19, the group decided to delay elections and

continue with the current leadership.

One of the most valuable aspects of QUIN is sharing of information across groups and also the continued

access of all of the groups to collaborate on issues such as the letter writing campaign related to the Florida

Center for Nursing.

QUIN groups have also discussed being a consultative group during the Legislative Session to help to analyze

and/or recommend a response to issues critical to the nursing profession or to health care in general. Some

groups were willing to participate in this while others are prohibited from this activity.

Of particular value to the membership are the reports from the Florida Board of Nursing which keeps everyone

well informed about developments on the regulatory front and allows members to ask questions and keep their

members informed.

Recently, we have had applications for 2 new groups to join QUIN which was a part of the goal in the past few

years. QUIN will be meeting at the Membership Assembly and we will welcome the new groups at that time.

91


2021 Florida Nurses Association

Florida Coalition of Advanced Practice Nurses

Edward Briggs, APRN

FNA Representative

The Florida Coalition of Advanced Practice Nurses (FLCAPN)is comprised of organizations that advocate on

behalf of APNs’ in the state of Florida. The recently revised mission of the coalition is to promote innovative

solutions for improved access to cost effective, quality care by advanced practice registered nurses. FNA is a

founding member of the Coalition.

The Coalition meets quarterly and also holds “Huddle” meetings when needed. Our current representative on

the Coalition is former FNA President Edward Briggs. In the past few years, the Coalition has worked with the

National Council of State Boards of Nursing to pass legislation related to advanced practice.

While the Coalition has the goal of working together, there is an agreement that groups may pursue legislation

that pertains to their specific group without interference from members of the coalition. Leadership of the

Coalition is rotated among the groups. While participation and attendance are open, voting is restricted to

group representatives.

The Coalition also provides educational programs and continuing education when feasible. In recent years, the

coalition expanded its membership to local NP groups in addition to the state level groups. “Hosting” is shared

among group members.

The groups that have lobbyists invite the lobbyists to share information and insights at each meeting, including

the legislative climate and the likelihood of success of advanced practice legislation.

Current Member Groups:

• Association of Nurse Practitioners in Business

Florida Nurse Practitioner Network

Florida Association of Neonatal Nurse Practitioners

Florida Nurses Association

Florida State Chapters (2 groups) NAPNAP

Florida Affiliate of the American College of Nurse-Midwives – FACNM

Florida Association of Nurse Anesthetists

• American Psychiatric Nurses Association-Florida Chapter-APNA

Florida Association of Nurse Practitioners

• Tampa Bay Advanced Practice Nursing Council

• South Florida Council of Advanced Practice Nurses

• Central Florida Advanced Nursing Practice Council

Florida Association of Clinical Nurse Specialists

• Gerontological Advanced Practice Nurses Association

• Miami-Dade APN Council

Florida Chapter of the Dermatology Nurses’ Association

92


2021 Florida Nurses Association

Florida Cancer Control &

Research Advisory Council

Patty Geddie, PhD, CNS

Last year, COVID-19 pandemic impacted cancer detection with a decline in numbers of screening and

diagnosing. Healthcare providers messaging needs to address barriers to seeking healthcare. A top barrier

to seeking healthcare is consumer’s perceived “lack of symptoms”. Healthcare providers are encouraged to

speak to the “silence” of some cancers that may be identified and detected with early screening.

Nurses working in primary and family care may be the first and only source of information and counseling for

many Floridians regarding cancer risk, screening, and detection. Screening is available for the following areas:

mammogram and exam (breast), Pap smear and external exam (cervix, vulvar), colonoscopy (colon), digital and

external exam and PSA (prostate, testicular), skin and mole exam (skin and melanoma), oral exam (mouth), and

ophthalmic exam (ocular and melanoma).

The Florida Breast and Cervical cancer Early Detection Program (FBCCEDP) are free or low cost for eligible

people: Women age 50 to 64, do not have health insurance, low income guidelines, Florida residents in Clay,

Duval, Baker, Nassau, or St. Johns county, personal history of breast or cervical cancer, Florida Breast and

Cervical Cancer Program | Florida Department of Health in Duval (floridahealth.gov).

HPV vaccine is given in a series of 2 doses and is recommended for routine vaccination at age 11 or 12 years

and up to age 26 years. The Florida HPV Vaccine 2025 goal is to reach 80%. The current status is 67.9%.

The recommendation for women age 27 – 45 years, is to discuss with physician about eligibility (especially if

immunocompromised) and will require 3 doses of vaccine.

93


2021 Florida Nurses Association

Index of FNA Position Statements

1983- 2019

1. Practice

• Continuous Observation in Acute Care Settings 2015

• Defining the Clinical Nurse Specialist Scope of Practice in Florida 2015

• Changing DNR (Do Not Resuscitate) to AND (Allow Natural Death) 2011

• Nurse Residency Program 2011

• Removal of Barriers to Nurse Practitioner Practice 2011

• Medication Administration by Unlicensed Assistive Personnel 2007

• Retention of the Mature/Experienced Nurse 2003

• Nursing Workforce Safety: No Lift Environments and

Safe Patient Handling and Movement Initiatives 2003

• Advancing Registered Nurse’s Satisfaction 2001

• Public Health Nursing – Keep Florida Healthy 1998

• Nursing Quality Indicators for Health Care 1995

• Promoting Volunteerism within the Nursing Profession 1993

• Cultural Diversity in Nursing 1993

• Cigarette Smoking 1993

• Pursue Funding for Adequate Immunization to Florida’s Children 1992

• Women’s Need for Universal Access to Care 1992

• Utilization of APRN’s in Nursing Homes 1992

• Prescriptive Privileges for Nurse Practitioners in Florida 1991

• Prescribing Controlled Substances - APRN’s 1991

• Case Management 1990

• Public Health Nursing Leadership in Home Visiting Programs in Florida 1990

• Recognizing and Supporting Aerospace Nursing 1989

• Teenage Sexual Responsibility 1988

• Opposition to AMA’s RCT Concept 1988

• 70/90 Coalition 1988

• Long Term Care 1988

• Reaffirmation of 1985 Resolution to Promote Nursing Participation

in Multidisciplinary Ethics Committees 1998

• Guidelines for Cancer Chemotherapy and Nursing Practice 1986

• Role of the Professional Nurse in the Planning, Organization and Delivery of Disaster Services 1985

• Responsibility for Clients Requiring Nursing Services in the Home Health Setting 1985

• Reduction in Medicare Home Health Care Visits Potentates Health Hazard 1985

• Position on Gerontological Nursing 1983

• Public Health Nurses Authority to Dispense Medication 1983

• Patient Teaching 1983

• Organ Donor Program 1983

94


2021 Florida Nurses Association

2. Health Care Policy/Legislation

• Robotics and Artificial Intelligence in Nursing 2017

• Protection of the title “Nurse” 2017

• Addressing the Public Health Infrastructure in Florida 2014

• Statement on Unity Among Nurses 2011

• Support of Health System Reform 2010

• Commission on Excellence in Health Care’s Legislative Actions: Implications for Nursing 2001

• Proposal to Support the Florida Commission on Mental Health and Substance Abuse 2001

• Medication Waste In Long Term Care Facilities 1999

• Medicaid Fee Increase in Home Health Settings 1999

• Education on End of Life Decisions 1998

• Reaffirmation of Need for Child Safety Restraints 1998

• Improper Use of the Term “Nurse” 1998

• Medical and Nursing Services for Ventilator Dependent Adults Over the Age of 21 Years 1998

• Adequate Nursing Staffing Based on Acuity in Skilled Nursing Facilities 1998

• Background Checks for All Staff Across All Health Care Settings 1998

• Adequate Staffing in Home Health Settings 1998

• APRN Scope of Practice and the Life Prolonging Procedure Act of Florida 1996

• Registered Nurses Administering Over-the-Counter Medications

As An Independent Nursing Function 1996

• Reinforcing Public Health Nursing in a Restructured System 1994

• Universal Access to Care 1990

• Equal Access to Health Care 1989

• Individual Responsibility for Legislation 1985

3. Regulatory

• Removing Florida’s 5-Year Waiting Period for Lawfully Residing

Immigrant Children to Receive Health Care Coverage 2015

• Our Public Health Infrastructure 2015

• Support of Medicaid Expansion for Florida 2015

• Nurse’s Right to Privacy 2001

• Nurse Aide Competency Evaluation Testing 1996

• Licensure and Regulation of Registered Nurses 1995

• Advanced Practice Licensure in Florida 1994

• RN and EMT Licensure and Practice 1985

Florida Board of Nursing Sunset Law 1985

• Impaired Nurse Program 1985

4. Education

• Oversight Of Nursing Educational Programs 2010

• Cigarette Smoking and Tobacco Use Prevention 2005

• Innovations in Joint-Faculty Positions 2001

• Telehealth/Telenursing 1999

• Universal Nursing Languages 1998

• Expansion of RN Mobility Programs in Florida 1996

• The Prevention and Elimination of Lead Poisoning in Children 1996

• To Faculty and Administrators of Nursing Education Programs

for Content on Ethics to be Enhanced in Curricula 1985

• Reaffirmation of FNA Educational Position 1985

• The Professional Nursing Association Represents Technical and Professional Nurses 1984

• Role of the Professional Nurse in the Educational Process 1984

95


2021 Florida Nurses Association

• Titling and Licensure of Registered Nurse in Florida 1984

• Strategies for Implementation of Two Levels of Nursing Practice 1984

• Continuing Education 1984

5. Workplace/E&GW of Nurses

• Adequate Professional Support for Recently Graduated Nurses 2020

• Promoting a Safe Work Environment for All Nurses 2019

• Increasing the Number of Male Registered Nurses &

Advanced Registered Nurse Practitioners in the State of Florida 2014

• Workforce Advocacy for Safe Patient Handling: Beyond Legislation 2007

• Effects of Physical and Emotional Fatigue on Nurses in the Workplace 2007

• Eradication of Horizontal Violence and Bullying in Nursing 2007

• Safe and Secure Work Environment 2005

• Safe Staffing 2005

• ANA’s Principles for Nurse Staffing Applied to Florida Hospitals 2001

• Models of Voluntary Overtime 2000

• Blameless Medication Error Reporting Systems 2000

• Controls To Promote Needle Safety 1999

• Latex Allergy 1999

• Shared Accountability in Today’s Work Environment 1998

• Identification of Registered Nurses as Distinct Health Care Providers 1995

• Health Care Ergonomics for Nurses 1995

• Registered Nurse Staffing Patterns 1995

• Supervision of New Graduates 1993

• Positioning Nursing in Restructuring the Workplace 1993

• Implementation of the OSHA Standards on Occupational

Exposure to Bloodborne Pathogens for State Employees 1992

• Guidelines for Practice for the Nurse with a Blood borne Disease (HIV, AIDS, HBV) 1992

• Blood borne Pathogens/Tuberculosis and Nursing Students 1992

• Third Party Reimbursement 1991

• Nurses’ Responsibility for Safe Practice 1989

• Third Party Reimbursement 1989

• Nursing Shortage 1987

• Insurance Claims Information and Data Collection 1987

• Affordable Professional Liability Coverage 1987

• Malpractice Crisis 1987

• Professional Liability Insurance 1985

• AORN Statement 1984

• First Surgical Assistant 1984

• Adequate RN Staffing in Long-term Care Facilities 1984

• Medication Administration in Long-Term Care 1984

• Statement on the Role of the Community Health Nurse 1984

• Administration of Medications by Unlicensed Personnel 1984

• Employment of Graduate Nurses 1984

• Identifying Nursing Costs 1983

• Nurses Participation in Health Care Cost Containment 1983

• Worker’s Compensation 1983

• Employee’s Right to Know Hazards in the Workplace 1983

• Liability Insurance 1983

• Establishing a Safe Work Environment by Prevention of Workplace

Violence and by Establishing Response and Recovery Strategies 2013

96


2021 Florida Nurses Association

6. Consumer Advocacy/Ethics

• First-Person Language When Referring to Patients 2020

• Advanced Practice Nurses’ Role and Responsibilities in

Documenting End of Life Wishes and Decisions as Orders 2019

• Creating Awareness about Hospice 2019

• Robotics and Artificial Intelligence 2017

• Nurses’ Responsibility and Ethical Duty in Prison Healthcare 2015

• FNA’s Health Literacy Statement 2010

• Preparation for Disaster Response 2007

• Increasing Nurses’ Awareness of Public Cord Blood Donation 2007

• Obesity in Children of Florida 2005

• Opposition of Geriatric Specialist Assistant in Long Term Care 2003

• Patient Privacy in an Electronic Age 2000

• Proposal to Support the Runaway Act of 2000 2000

• Support Tort Reform In Long Term Care (LTC) Regarding Caps on Attorney Fees 1999

• Domestic Violence 1995

• Human Rights of Citizens in Need of Mental Health Care 1995

• Human Rights of Older People and the Florida Mental Health Act 1995

• Curbing the Public Health Epidemic of Handgun Violence in Florida 1994

• Prohibition of Corporal Punishment in Schools 1992

• Domestic and Workplace Violence 1992

• Client’s Rights Regarding Administration of Artificial Sustenance 1987

• To Promote Nursing Participation in Multidisciplinary Ethics Committees 1985

• Nurse Intervention in Child Abuse Investigation and Treatment 1985

• Elderly Abuse 1984

• Client’s Rights Regarding Treatment and Care 1983

• Child Passenger Safety 1983

7. Communicable Diseases

• Routine HIV Testing 2019

• Nurses Roles and Responsibilities with Vaccinations 2019

• Influenza Immunizations 2007

• Prevention and Control of Emerging Infectious Diseases 2003

• Prevention Strategies to Reduce Pregnancy and

Sexually Transmitted Diseases Among Teenagers 1998

• Women and AIDS 1993

• Tuberculosis 1992

• Nursing and Human Immunodeficiency 1992

• Reporting of HIV Exposure Data to HRS 1990

• Promotion of Increased Nursing Research on AIDS and HIV Disease 1990

• U.S. Travel Restrictions on HIV-Infected Visitors 1990

• Nursing Case Management for People with HIV/AIDS 1989

97


2021 Florida Nurses Association

FNA Diamond and Lamplighter Awards

FNA Diamond Awards –

50 Years of Continuous Membership

2021

Thelma M. Hall

2020

Daniel Little

2017

Linda Sabin

2015

Barbara Lumpkin

Betty Wajdowicz

2012

Ida Mizel-Gilula

Ann Marie McCrystal

2011

Clare Good

Claydell Horne

Pat Messmer

2010

Barbara T. Curtis

2007

Selina Frost

Genevieve Larsen

Jeane Stockheim

98


2021 Florida Nurses Association

History of FNA Lamplighters

25 Years of Continuous Membership

1988-2021

2021

Gay Allen

Linda Amankwaa

Laura Bailey

Kathleen Blais

Robert Bush

Carolyn Caldwell

Doreen Cassarino

Donna Coad

Kathleen Corbett

Patricia Cordell

Marie Cowart

Margo Cox

Phylis Craig

Kathleen Decker

Ann-Lynn Denker

Patricia Dewsbury

Marci Dial

Barbara Drummond-Huth

Priscilla Faucher

Barbara Fletcher

Loretta Ford

Willa Fuller

Sima Gebel

Lisa Girouard

Lois Gonzalez

Clare Good

JoAnn Gottlieb

Yvonne Grant

Andrea Gregg

Cherilynn Greij

David Guthrie

Eula Hamilton

Claudia Hauri

Wanda Hazelwood

Sally Hutchinson

Mattie Jones

Lucille Markowitz

Susan McLean

Theota Merritt

Holly Meyerowich

Kifi Mikell

Carla Mills

Rose Oudejans

Sharon Parrish

Bonnie Peacock

Jean Penny

Jessica Portu

Marilyn Ray

Barbara Redding

John Ryan

Gretchen Schitter

Sandra Snowe

Mary Stefan

Jimmie Stickeler

Selma Verse

Beverly Yeshion Roetter

Margo Baggs

Barbara Bixby

Catherine Budd

Marlene Brennen

Judy Comeaux

Patricia Dougherty

Rebecca M. Dunaway

Doris Edwards

Marifrances Gullo

Laura Hanke

2020

Deborah Hogan

Kathryn Johnson

Leah Kinnaird

Gloria Lelaidier

Barbara Little

Kathleen Long

Margaret Marcus

Marsha A. Martin

Barbara Matthews

Jan Meires

Anne Mitchel

Victoria Morson

Regina Nolting

Martha Padilla

Joyce Patterson

Nancy Roberts

Phyllis Russo

Lynn Schoman-Finck

Rosetta Smith

Pamela Snyder

99


2021 Florida Nurses Association

John Alexiaitis

Charlotte Barry

Vilma Bates

Donna Borman

Jeanne Botz

Darlene Boyd

Nioma Brown

Phyllis Bullard

Kate Callahan

Sylvia Callaway

Madeline Capodanno

Roberta Cirocco

Patricia Christie

Helene Coutu

Alcinda Cullum

Susan Davie-Kunda

Sandra Devine

Brenda Dixon

Marie O. Etienne

Karis Ferguson

2018–2019

Beth Fisher

Carolyn Gause

Cheryl Gehrke

Lynn George

Sobejana Godofkeda

Belita Grassel

Linda Hennig

Sandra Hill

Linda Holmes

Debra Howard Patton

Debra Hunt

Mary Johnson

Rosemary Keller

Blanche Kondreck

Judith Kuchta

Mai Kung

Alice Laxton

Guylaine Legault

Christina Lotfy

Editha Lu

Mason Maulsby

Cynthia Mikos

Pamela Moore

Robin Neville

Yvonne Parchment

Avis Pinc

Anne Marie Rempala

Connie Richardson

Frances Robine

Valerie Shipley

Octavia Slevinksi

Kathleen Smith

Kathy Smith

Cindy Stegal

Vicky Stone-Gale

John Al Scar

Sherri Sutton-Johnson

Elsie Valdez

Donna Ward

Mary Alice-Yoham

Virginia Zakaryan

Marie Cowart

Sherry Sutton-Johnson

Tina Gerardi

Cheryl Bergman

2017

Pricilla (Paddy) Faucher

Mary Ann Hanley

Vicki Stone-Gale

Janice Wheeler-Gay

Canella Jeffries-

Mutcherson

Mary Katherine Johnson

100


2021 Florida Nurses Association

S. Boyington

Valerie Browne

Gloria Castenholz

Helen Cook

Marie Cowart

Kathy Donovan

Darlene Edic-Drawford

Catherine Evans

Goldie Fralick

Nancy Frizzell

Eileen Froehlich

2015

Mary Goodwin

Nancy Hayes

Myrtle Henry

Janice Hess

Bonnie Hesselberg

Rhea Hurwitz

Susan Irvin

Barbara Johnson

D. Littell

Stephanie Moore

Lucille Pica

Carolyn Rackmill

Susan Ricci

Cynthia Schneider

Diane Scott

Suzanne Sendelbach

Diana Swihart

Bonnie Taggart

Joyce Thompson

Denise Townsend

Darlene Tucker

Margaret Varnadore

William Ahrens

Karen Coordsen

Patricia Cordell

2014

Helen DeFrancesco

Kathy Ebener

Shirley Hill

Linda Howe

Christina McClean

Connie Upshaw

2013

Carol Blakeman Doris Edwards Maria Seidel

2012

Frances Aronovitz

Barbara Chasco-Papale

Alice Evans

Jeanne Sandy Oestreich

Susan V. White

Mary Alice Yoham

Pat Arcidiacono

Nora Howard Beauchamp

Barbara Brownfield

Mary Lou Brunell

Phyllis Bullard

Marlene Cataylo-Chance

Sally Chester

Victoria Chin Sang

Myrna Crawford

Frankie Geiger

2011

Miriam Hirschberg

Marilyn Howard

Barbara Judkins

Teresa Knight

Valerie Kolbert

Lizzie Lenon

Katherine Mason

Maura Miller

Diana Openbriar

Yvonne Parchment

Sharon Parrish

Madine Rawe

Mary Beth Reardon

Ellen Sanders

Winnie Schmeling

George Byron Smith

Susan Stone

Carolyn Vallone

Emma Wood

Jacqueline Weniger Woods

101


2021 Florida Nurses Association

2010

Janice Hoff

2009

Judith Erickson

Jeanne Siegel

Banke Ayileka

Judith Davies

Johnna Dettis

Paddy Faucher

2007

Inez Fielding

Susan Hartranft

Carol Hayes-Christiansen

Leslie Homsted

Jeanne Hopple

Merrily LeVee

Ellicene Phillips

Janet Townsend

Willa Fuller

Doug Banks

Lee Barks

Gail Borovsky

Jill Winland-Brown

Marianna Cowle Church

Ann-Lynn Denker

Eileen Dondero

Jo Emmons

Kay Fullwood

Donna Giannuzzi

Billie Hammill

2005

Dorothy Hummell

Jean Irwin

Frances Jennings

Sophie Karas

Imogene King

Diana Koch

Sue Ann Korsberg

Sue Leger-Krall

Dierdre Krausse

Ann Marie McCrystal

Wynyard McDonald

Linda Brown

Darlene Fritsma

Sharon Koch-Parish

Susan Leonard

Michael Nilsson

Jean Penny

Audrey Ryal

Frances Smith

Jackie Spivey

Mary Tittle

Jill Winland-Brown

Sunny Conn

Charlene Long

Doris Mattera

Lucille Rhim

Mary Salka

Isobel Bierbower

Joan Burritt

Maurine Butler

Janet Hatt

2003

Margery Shake

Sue F. Lee

Janice L. Gay

Diane C. Hersh-Dickey

2001

Ella Jackson

Barbara Janosko

Sande Gracia Jones

Deborah Greenfield

Gail B. Cass-Culver

Jean Wortock

Betty A. Wajdowicz

Mary Kay Habgood

Nancy Breen

Katherine McLamb

Edna Nastasy

Barbara Reinhold

Alma Stitzel

102


2021 Florida Nurses Association

Barbara Barden

Carol Christiansen

Marianna Church

Joyce Cimmento

Judith Dvorak

Margaret Ayres

Frances Kate Dowling

Arlene Heilig

Levanne Hendrix

Charlotte Dison

Grace Donovan

Shirley Edwards

2000

Ann Jackson

Gwen McDonald

Susan Pennacchia

Patricia Quigley

1999

Edna Hicks

Juanita Payne

Gladys Pratt

1998

Arlena Falcon

Diana Jordan

Barbara Redding

Vivian Ross

Gerri Twine

Martha Sue Wolfe

Mary Zinion

Carol Riley

Lucille Robertson

Florence Roper

Betty Taylor

Donna Pfeifer

Barbara Russell

Shirley Edwards

1997

Claydell Horne

Rudy Schantz

Helen Surer Shering

Rachael Steinmuller

May E. Stafford

1995

Gladys Gilliam

Eileen K. Austin

Kathleen Jones

Ann Marie Clyatt

Maryrose Owens

Charlotte Kelly

Susan Leonard

Patricia Duffy

Hazel Gilley

Marie Grey

1993

Harold MacKinnon

Etta McCulloch

Elizabeth Ren

Melanie Stewart

Muriel Watkins

Betty (Thelma) Watts

Margaret Ayres

Arlene Heilig

Levanne Hendrix

1991

Deborah Hogan

Barbara Lumpkin

Betty Taylor

Carol L. Riley

Lucille Robertson

103


2021 Florida Nurses Association

1990

Gertrude Lee Martha Kaufman Frances Haase

1989

Emily Birnbaum

Mary Bolton

June Borden

Grace Fox

Ruth Gay

Phyllis Kurtz

Beryl Long

Erma (Trudy) Maurer

Sarah McClure

Rose Schniedman

Norma Sims

Isle Benedetti

Eleanor Call

Louise Fiske

1988

Joan Lawlis

Adele Miller

Reine Nichols

Jean Ready

Florence Roper

Lillabelle Rundell

Donna Schwier

Emeritus Members 50 years of Membership/ 80 years of age

Clare Good

Carolyn Vallone

Sima Gebel

Jeane Stockheim

Annemarie Clyatt

Kay Fullwood

104


2021 Florida Nurses Association

Parliamentary Information

Robert’s Rules of Order Newly Revised, is the parliamentary authority that shall govern the Membership

Assembly. The Chair, as the presiding officer, rules on all matters relative to parliamentary law and procedures.

The parliamentarian serves only in an advisory capacity to the presiding officer and members of the

Membership Assembly.

Participation in the business session is governed by the standing rules of the Membership Assembly.

The motions that follow are defined in terms of action a member may desire to propose. Rules governing these

motions are listed in Table 3 which follows:

A main motion introduces a subject to the Membership Assembly for consideration and is stated: “I move that...”

An amendment (primary) is a motion to modify the wording of a motion. The motion to amend may be made in

one of the following forms, determined by the action desired: “I move to amend by...

...striking (word(s), phrase, paragraph).”

...inserting (word (s), phrase, paragraph).”

...striking and inserting (word(s), phrase, paragraph).”

...adding (word (s), phrase, or paragraph at the end of the motion).”

...substituting (paragraph or entire text of a resolution or main motion and inserting another that is germane).”

An amendment to an amendment is a motion to modify the wording of the proposed amendment and is made

as follows: “I move to amend the amendment by...”The same forms for making an amendment are applicable

for making a secondary amendment.

The motion to commit or refer is generally used to send a pending motion (also called “the question”) to a

small group of selected persons -a committee, board or commission, for example --so that the question may to

consider. The motion is stated: “I move to commit the question to . . . for further study.”

The motion to limit or extend debate is a motion that allows the Assembly to exercise special control over

debate on a pending question and is stated: “I move to limit further debate to (minutes, certain number of

speakers, certain number of speakers pro and con).”

The motion to close debate (previous question), if seconded and approved by a two-thirds vote, stops

discussion on the pending question and is stated: “I move the previous question.”

A division of the assembly may be called by any one member if the chair’s decision on a voice vote is in

question. The member proceeds to the microphone and states: “I call for a division of the House.” The chair

then takes a standing vote.

A division of the question may be called when a pending motion relates to a single subject but contains

several parts, each capable of standing as a complete proposition. The parts can be separated and each

considered and voted on as a distinct question.

The motion to reconsider enables a majority of the assembly to bring back for further consideration a motion

that has already been voted. The purpose of reconsidering a vote is to permit correction of hasty, ill-advised,

or erroneous action, or to take into account added information situation that has changed since the vote was

taken. (note exception on Table 3, Rules Governing Motions).

105


2021 Florida Nurses Association

Parliamentary inquiry is a question directed to the presiding officer to obtain information on parliamentary law

or the roles of the organization as relevant to the business at hand. A member addresses the chair and states:

“I rise to point of parliamentary inquiry.”

Point of information is a request, directed to the chair or through the chair to another officer or member,

for information relevant to the business at hand. The request is not related to parliamentary procedure. The

member addresses the chair and states: “I rise to a point of information.”

The motion to appeal the decision of the chair is made at the time the chair makes a ruling. If it is made by

a member and seconded by another member, the question is taken from the chair and vested the House for a

final decision. The motion is stated: “I move to appeal the decision of the chair.”

Before a member can make a motion or address the assembly on any question, it is necessary that he or she

obtain the floor through recognition by the presiding officer.

The delegates must:

• rise and proceed to the microphone.

• address the chair by saying, “Madam Chairperson”

• await recognition

• give name and the Region he or she is from

• state immediately the reason he or she has risen.

106


2021 Florida Nurses Association

Florida Nurses Association Bylaws

Florida Nurses Association Bylaws

2019-2021

ARTICLE I Name

The name of this Association shall be the Florida Nurses Association, hereinafter referred to as “FNA”

ARTICLE II Purposes and Functions

Section 1. Purposes

A. The purposes of the FNA shall be to:

1. Foster high standards of nursing practice;

2. Promote the professional and educational advancement of nurses; and

3. Promote the welfare of nurses to the end that all people may have better nursing care.

B. These purposes shall be in accordance with the American Nurses Association (ANA) Bylaws.

Section 2. Functions

The functions of the FNA shall be to:

A. Advocate standards of nursing practice, nursing education, and nursing services and promote these

standards through such activities as position statements and legislative activities;

B. Act and speak for the nursing profession before allied professional, community, and governmental

groups on issues of importance to the profession including legislation and governmental programs;

C. Develop and maintain relationships with nursing organizations, allied health, nursing students, and

consumer groups;

D. Promote adherence to the American Nurses Association (hereinafter referred to as ANA) Code of

Ethics for Nurses;

E. Promote and protect the economic and general welfare of nurses;

F. Promote the continuing professional development of nurses;

G. Provide for representation in the ANA Membership Assembly and in the Leadership Council;

H. Preserve documents and other materials which contribute to the historical and cultural development

of nursing;

I. Assume an active role as consumer advocate;

J. Initiate and influence legislation, governmental programs, and national health policy;

K. Support systematic study, evaluation, and research in nursing.

ARTICLE III Membership, Dues, Membership Year, and Organizational Affiliates

Section 1. Composition

A. Membership in FNA shall consist of members of the state regions who meet the qualifications and

responsibilities specified in these bylaws.

B. Membership options:

1. Full Membership includes ANA and FNA.

2. State Only Membership includes FNA.

3. Organizational Affiliate includes nursing organizations that affiliate for associated benefits and

have voice but no vote.

C. Membership shall be unrestricted in accordance with ANA/FNA Bylaws including the consideration

of age, color, creed, disability, gender, identity, health status, lifestyle, nationality, race, religion or

sexual orientation.

107


2021 Florida Nurses Association

Section 2. Qualifications

A member is one:

A. Who has been granted a license to practice as a registered nurse in at least one state, territory, or

the District of Columbia of the United States, and who does not have a license under suspension or

revocation in any state, or is otherwise entitled by law to practice; or

B. Whose application for membership in FNA has been accepted in accordance with FNA policy; and

C. Whose dues are not delinquent; and

D. Whose membership is not under revocation for violation of the ANA Code of Ethics for Nurses or

FNA/ANA Bylaws.

E. In accord with FNA policies and procedures, includes a nurse who has retired and/or no longer

chooses to practice, but whose license was in good standing with his /her licensing board at the

time the nurse made the decision not to maintain an active license. (Opt)

F. May, in accord with its policies and procedures include a nurse in recovery who has surrendered a

license to practice as a nurse.”

Section 3. Membership Privileges and Obligations

A. Full Members shall have privileges as follows:

1. Voting for:

a. Representatives and alternates to the FNA Membership Assembly;

b. FNA Officers; and

c. FNA Directors.

2. Be nominated and, if elected, serve as a representative or alternate to the ANA Membership

Assembly or in any ANA elected or appointed positions in accordance with ANA Bylaws and

applicable policies.

3. Being nominated to an Officer or Director position after twelve months of membership in FNA.

4. Attending and voting in the FNA Membership Assembly, attending open FNA Board of Directors

and Committee meetings, and other unrestricted functions of FNA and ANA as well as the

Quadriennial Congress of the International Council of Nurses.

5. Receiving regular FNA communications.

B. ANA Membership

1. Full Members of FNA shall continue to have all the rights of membership in ANA as provided

in the ANA bylaws, until such time as ¾ of the entire FNA full membership votes to disaffiliate

from the ANA. Full membership is defined as individual members of FNA who have ANA rights

and privileges of membership as a result of their FNA membership. The vote may occur by mail,

phone, or electronic ballot, with appropriate notice and procedures to protect the integrity and

validity of the vote.

2. State Only RN Membership includes FNA Only members and is contingent upon a written

agreement between ANA and FNA permitting this category of FNA membership.”

C. Full members shall have membership obligations as follows:

1. Abide by FNA and ANA Bylaws; and

2. Abide by ANA Code of Ethics for Nurses.

D. State Only Members shall have privileges as follows:

1. Voting for:

a. FNA Officers and Directors;

b. Executive Committees of other structural units to which they affiliate.

2. Serving in FNA appointed positions except the FNA Bylaws Committee and the FNA Nominating

Committee.

3. After twelve months of membership in FNA, being nominated to a Director position.

108


2021 Florida Nurses Association

4. Attending and voting in the FNA Membership Assembly, attending open FNA Board of Directors

and Committee meetings, and other unrestricted functions of FNA.

5. Receiving regular FNA communications.

6. All other benefits of membership as defined by the Board of Directors.

E. State Only Members shall have membership obligations as follows:

1. Abide by the bylaws of FNA.

2. Abide by the ANA Code of Ethics for Nurses.

F. FNA State Only Members shall not be entitled to representation in the ANA Membership Assembly or

other benefits of ANA membership such as running for office, appointed to ANA positions or receiving

ANA publications and communications.

Section 4. Disciplinary Action

A. Cause for disciplinary action by FNA against a member shall be limited to:

1. Failure to fulfill the obligations as cited in these bylaws;

2. Other actions detrimental to the purposes, goals, and functions of FNA and ANA;

3. Activity supporting a union that is in direct competition with FNA; and

4. Falsely providing public testimony or opinion as representing that of FNA.

B. Disciplinary proceedings:

1. Shall be conducted in accordance with policies and procedures established and adopted by the

Board o Directors, which shall have final disciplinary authority over members; and

2. A member shall have the right to due process as provided for under common parliamentary or

statutory law.

C. Disciplinary Action shall depend on the severity of the violation, and may include:

1. Reprimand;

2. Censure;

3. Suspension from membership; or

4. Permanent expulsion from membership.

D. A member may appeal any disciplinary action in accordance with procedures adopted by the FNA

Board of Directors.

E. Recognition of Disciplinary Action by another State Nurses Association (hereinafter referred to as

SNA): Any disciplinary action taken by another SNA against one of its members shall be given full

recognition and enforcement, provided such action was taken in accordance with the bylaws of the

disciplining SNA and its disciplinary procedures.

Section 5. Dues

A. Full Membership dues include ANA Assessment as set by ANA Membership Assembly, assessments

as set by affiliate organizations to which FNA or its structural units belong, and FNA dues as

established by FNA members participating in the Annual Membership Meeting.

B. State only FNA Membership dues include FNA dues as set forth in FNA bylaws plus an assessment

to ANA.

C. Dues to Affiliated Organizations: The annual dues shall be set forth in dues policy and shall include

the present rate of dues paid by the FNA to the ANA and other organizations to which the structural

units affiliate.

D. The Board of Directors may initiate pilot dues recruitment strategies with a report to the following

FNA Membership Assembly for action.

E. A vote of two-thirds (2/3) of the voting members present and voting and previous notice of sixty days

(60) shall be required to change the FNA dues.

109


2021 Florida Nurses Association

Section 6. Assessment

A. Each member of a FNA Collective Bargaining Unit shall be assessed an annual fee to support

collective bargaining activities.

B. The annual assessment shall be established by the FNA Membership Assembly.

C. Members shall be notified in Call to Meeting of the FNA Membership Assembly of a proposal to

change the dues at least sixty (60) days prior to the meeting at which the proposal will be presented.

D. A vote of two-thirds (2/3) of the members present and voting and previous notice of sixty days (60)

shall be required to change the assessment.

Section 7. Transfer of Dues/Assessment and Membership

A. A full member who has completed full payment of dues and moved out of Florida may apply to the

FNA Executive Director for transfer to another state association of the ANA.

B. A member of another state association of the ANA who has completed full payment of dues and

fees for the membership year and who moves into or works within the boundaries of Florida may

transfer to FNA without further payment or refund of dues for the remainder of the membership year.

The request for transfer shall be signed by the secretary of the state nurses association issuing the

transfer.

C. A member may transfer from one FNA region to another within the state without further payment of

dues assessment for the remainder of the membership year. Application for transfer shall be made

to the FNA Executive Director.

Section 8. Membership Year

The membership year shall be a period of twelve (12) consecutive months from the time of acceptance for

membership status.

Section 9. Life Membership

A. Life membership may be conferred on an individual who has rendered distinguished service or

valuable assistance to the nursing profession. Recommendation for Life Membership comes from

the Board of Directors. A two-thirds (2/3) vote at the FNA Membership Assembly is required.

B. Life membership shall not be conferred on more than one individual per annum.

C. Life membership shall carry full membership privileges and exemption from payment of dues.

Section 10. Honorary Membership

A. Honorary membership may be conferred on any individual who has rendered distinguished service

or valuable assistance to the organization. Recommendation for Honorary Membership comes from

the Board of Directors. A two-thirds (2/3) vote of the attending members at the FNA Membership

Assembly is required.

B. Honorary membership shall carry no responsibilities or privileges.

Section 11. Emeritus Membership

A. Emeritus Membership may be conferred on each FNA member of 50 or more consecutive years,

upon reaching the age of 80.

B. Emeritus Members may serve on committees, but not as chair, nor hold office at the state level.

C. Emeritus Members will be exempted from dues.

D. Emeritus Members will receive reduced rates at all FNA functions.

110


2021 Florida Nurses Association

Section 12. Organizational Affiliates

A. Definition: An organizational Affiliate of FNA is an association that has been granted organizational

affiliate status by the FNA Board of Directors.

B. Responsibilities: Each organizational affiliate shall meet the criteria established by the Board of

Directors and shall:

1. Maintain a mission and purpose harmonious with the purposes and functions of FNA;

2. Have bylaws that do not conflict with FNA bylaws;

3. Be comprised of registered nurses and have a governing body composed of registered nurses; and

4. Pay an annual organization fee established by the FNA Board of Directors.

C. Rights: Each organizational affiliate shall be entitled to:

1. Have one seated representative to the FNA Membership Assembly who must also be a current

FNA member and who shall be eligible to vote on all matters in the FNA Membership Assembly

except setting of membership dues, amendment of bylaws, and election of officers and

directors; and

2. Make reports or presentations to the FNA Membership Assembly within its area of expertise,

including the presentation of action reports.

ARTICLE IV. Officers and Directors

Section 1. Officers

A. The officers are President, President-elect, Vice-President, Secretary, and Treasurer.

B. The officers are elected by members and are accountable to the Membership.

Section 2. Directors

A. There shall be eight Directors representing each of eight Regions and one additional director who is a

recent graduate of a pre-licensure nursing program within five years or less.

B. The directors are elected by members and are accountable to the membership.

C. The Chair of the Labor and Employment Relations Council shall be elected by LERC and a voting

member of the FNA Board of Directors.

Section 3. Qualifications

A. All nominees for Officers and Directors shall be full FNA members in good standing.

B. Nominees must be dues paying members of the FNA for a period of at least twelve months prior to

being nominated as an Officer or Director.

C. An employee of FNA is eligible to be a candidate contingent upon resignation of the staff position if

elected.

Section 4. Term of Office

A. The term of office for Officers and Directors shall be two years or until their successors are elected.

B. The term shall commence at the adjournment of the FNA Membership Assembly at which they are

elected.

C. President and President-Elect shall serve no more than one term consecutively in each office.

D. No Officer (except President or President-Elect) or Director shall be eligible to serve more than four

consecutive terms on the Board of Directors.

E. An Officer or Director who has served more than one-half (1/2) term shall be deemed to have served

a full term.

F. A member is eligible to run again after sitting out a full term of service on the board.

111


2021 Florida Nurses Association

Section 5. Duties

A. The Officers and Directors shall perform the duties prescribed by these bylaws, the adopted

parliamentary authority, and as directed by the Board of Directors and the FNA Membership

Assembly.

B. Officers and Directors, upon expiration of their terms of office, shall surrender to the FNA Executive

Director all properties in their possession belonging to their respective offices.

C. The President shall be:

1. Chair of the Board of Directors;

2. Chair of the Executive Committee;

3. Chair of the Advisory Committee;

4. Ex officio member of all committees except the Nominating Committee;

5. FNA’s representative at meetings of the ANA Constituent Assembly; and

6. Responsible for appointing members to committees and designating the chairs, with the

approval of the Board of Directors, except as hereinafter provided in these bylaws.

D. The President-Elect shall:

1. Act as assistant to the President;

2. In the absence of the President, assume the duties of the President;

3. Review any reference proposals submitted to the FNA Membership Assembly;

4. Serve as Chair of the Advisory Council; and

5. Be concurrently elected as an FNA Representative to the ANA Membership Assembly to serve

during the terms as president-elect and president.

E. The Vice-President shall:

1. In the absence of the President and President-Elect, assume the duties of the President. except

as FNA Representative to the ANA Membership Assembly unless concurrently elected to that

position as an alternate; and

2. Be chairperson of the FNA Membership Committee.

G. The Secretary shall:

1. Record the minutes of meetings of the FNA, Board of Directors, Executive Committee, and

Advisory Committee.

H. The Treasurer shall:

1. Report to the Board of Directors the financial standing of FNA;

2. Make a full report to FNA at each FNA Membership Assembly; and

3. Serve as Chair of the Finance Committee.

I. The Region Directors shall:

1. Be responsible for the implementation of the purposes and functions as assigned by the

bylaws, Board of Directors, or FNA Membership Assembly;

2. Serve as members of the FNA Board of Directors;

3. Serve as liaisons between the FNA Board of Directors and the Regions and bargaining units as

designated by the Board; and

4. Recommend to the FNA Board of Directors the establishment of Ad Hoc Committees deemed

necessary to implement the purposes and functions of FNA.

J. The Director-Recent Graduate shall:

1. Serve as facilitator of the New Graduate Special Interest Group (SIG);

2. Coordinate activities for members who are recent graduates of their initial nursing program; and

3. Serve as a member of the Membership Committee.

Section 6. Vacancies in Office

A. Vacancy in the office of President.

1. A vacancy in the office of President shall be filled by the Vice President.

112


2021 Florida Nurses Association

2. The vacancy in the vice presidency will be filled by appointment.

3. An officer or member other than the President-Elect who fills a vacancy in the office of a

president or assumes the duties of an absent president may serve as an ANA representative

only if elected to the ANA representative position.

B. If a vacancy occurs in the office of President-Elect, this position will remain vacant until the next

election cycle or until the Board of Directors orders a special election by the full membership.

C. In all other vacancies in elected positions on the Board, the Board of Directors shall appoint a

qualified FNA member to serve for the remainder of that term.

Section 7. Removal of an Elected Official

A. Any Officer or Director elected by the membership or appointed Board Member may be removed from office

whenever such action is deemed to be in the best interest of the Association, or for other just cause, by

a. A vote of three-fourths of the current members of the FNA Board of Directors; or

b. A written petition signed by 25% of the members of FNA on the last annual count, and approval

of the petition by 2/3 of the members of FNA. Voting may occur by electronic ballot; or

c. By no longer being a member in good standing of FNA.

ARTICLE V. Executive Director

Section 1. Accountability

The Executive Director is accountable to and will be evaluated annually by the Officers with approval of the

Board of Directors.

Section 2. Authority

The Executive Director has the authority to manage, plan, develop, administer, and coordinate activities of the

Association in accordance with policies established by the Board of Directors.

ARTICLE VI. Nominations and Elections

Section 1. Nominating Committee

The Nominating Committee shall consist of five (5) Full members of both FNA and ANA, who shall be elected by

secret ballot by plurality vote:

A. The members elected to the Nominating Committee will choose their Chair;

B. No Region shall be entitled to have more than one member serve on the Nominating Committee;

C. The term of office shall be two years, or until their successors are elected;

D. A member shall not serve more than two consecutive terms on the Nominating Committee;

E. No member shall serve concurrently on the Nominating Committee and on the Board of Directors;

F. Members of the nominating committee are not eligible to be nominated either by committee or

from the floor. If a member of the Nominating Committee is submitted as a suggested candidate

for an office of FNA and the member consents to be considered as a candidate, said member shall

immediately resign from the Nominating Committee. This does not apply to a present member of the

Committee whose name is submitted as suggested candidate for the Nominating Committee for the

next term or as an ANA Delegate;

G. Any vacancy occurring on the Nominating Committee shall be filled by the person who received the

next highest vote at the FNA Membership Assembly at which the Committee members were elected.

113


2021 Florida Nurses Association

Section 2. Nomination Process

A. Suggestions for nominees for elected offices shall be solicited from each Region and structural unit;

B. Individuals may nominate candidates or self-nominate;

C. Requests for nominees shall be published in The Florida Nurse and by electronic means;

D. The Committee shall propose a tentative FNA ballot containing nominees for:

1. ANA Representatives

2. FNA Officers, Directors, and Nominating Committee;

E. After presentation to the Board of Directors for information only, the tentative ballot shall be

published in the Call to Meeting of the FNA Membership Assembly;

F. Within the 30 day period following the publication of the tentative ballots in the FNA official

publication, additional nominations may be made to the Chair of the Nominating Committee by any

individual member, Region, or structural unit;

G. The Nominating Committee shall formulate the final ballots by the addition of the nominees

submitted, provided that all eligibility and membership requirements are met;

H. A person shall not appear on the FNA ballot as a nominee for more than one office;

I. The completed ballots shall be:

1. In conformity with the FNA bylaws and the policies as adopted by the FNA Board of Directors;

2. Identified, for each person running, as to the region and city or county of membership;

J. No nominee shall appear on the ballots without having signed the consent-to-serve-if-elected

statement and the Conflict of Interest statement;

K. The biographies of the nominees, including region and city or county of membership, shall be

published with the ballots in the Official Call to FNA Membership Assembly.

Section 3. Election Process

A. Elections shall be held in the odd-numbered years;

B. Elections shall be held by secret ballot via electronic and/or phone ballot

1. A plurality of votes cast by those entitled to vote, and voting, shall constitute an election;

2. In the case of a tie, the choice shall be determined by lot at the Membership Assembly;

C. Members may vote for persons other than those whose names appear on the ballot by writing in the

names of qualified candidates who have signed the consent-to-serve forms;

D. The voting shall be completed no later than midnight of the twenty-eighth (28th) day prior to the first

day of the FNA Membership Assembly;

E. The Tellers shall:

1. Verify membership and tabulate the votes;

2. Compile a report of all votes received; and

3. Send the results by certified mail, in duplicate, to the FNA Secretary at the FNA Headquarters;

F. The Secretary shall announce the election results at the FNA Membership Assembly;

G. The President-Elect, Vice-President, Secretary, Treasurer, Directors, FNA Nominating Committee,

and any other elected position on the ballot shall be declared as elected at the FNA Membership

Assembly. (Mandatory)

Section 4. ANA Representatives

A. All FNA members with full membership may vote for ANA representatives.

B. The FNA President-Elect shall be concurrently elected as FNA representative to the ANA

Membership Assembly and serves during both terms, first as President-Elect, and then as President.

C. ANA representatives and alternates shall be elected by secret ballot by plurality vote and be full

members of FNA.

D. Each representative and alternate shall be elected for a two-year term or until a successor is elected.

114


2021 Florida Nurses Association

ARTICLE VII. and Membership Assembly

Section 1.

The official meeting of the Florida Nurses Association is the FNA Membership Assembly and will be held at least

biennially. It will consist of reports from the Board of Directors, Regions, and committees; and adoption of bylaws

and proposals. Additional activities may include educational programs, networking, and professional updates.

Section 2. Call to Meeting of the FNA Membership Assembly

The Official Call to Meeting of the FNA Membership Assembly shall be noticed via mail or electronic

communication at least sixty (60) days before the first day of the FNA Membership Assembly.

Section 3. Special Meetings

A. Special meetings of FNA may be called by the FNA Board of Directors upon the written request of a

majority of the Regions and/or collective bargaining units.

B. Special meetings shall be noticed by mail, telephone, or electronic communication at least fifteen

days before the first day of the meeting.

Section 4. Quorum

Five members of the Board of Directors, one of whom shall be the President or President-Elect, and

representatives from a majority of the Regions shall constitute a quorum for the transaction of business at any

FNA Membership Assembly or special meeting of the FNA.

Section 5. Membership

The voting body at all FNA Membership Assemblies and special meetings of this Association shall consist of

the Board of Directors and all FNA members in good standing who are in attendance.

ARTICLE VIII. Board of Directors

Section 1. Composition

There shall be a Board of Directors composed of the Officers and the Directors.

Section 2. Meetings of the Board of Directors

A. Meetings shall be held at such times and places as shall be determined by the Board of Directors.

B. Special Meetings:

1. May be called by the President on seven (7) days’ notice to each member of the Board, either by

mail, telephone, or electronic communication;

2. Shall be called by the President in like manner or on like notice upon the written request of:

a. Five (5) or more members of the Board of Directors, or

b. A majority of the Regions; and

3. Shall be held at such times and places as may be specified in the notice thereof.

C. Business that requires action by the Board of Directors between regular meetings may be conducted

by mail, telephone, or electronic communication. Such action shall be subject to ratification at the

next regular meeting of the Board of Directors.

D. Attendance

1. Any member of the Board of Directors may have one (1) absence from the Board of Directors’

meetings within a one-year period.

2. A board member on official business as designated by the President of FNA or Board of

Directors at the time of the Board Meeting shall not be considered absent.

115


2021 Florida Nurses Association

3. A partial absence shall consist of not more than two (2) hours, unless an unforeseen emergency

occurs in-route to the meeting.

4. At the second absence of any member of the Board of Directors, the Board of Directors shall

vote on removal of said board member from position.

E. FNA members, the Chair of the Labor and Employment Relations Council (LERC), and the President

of the Florida Nursing Students Association (FNSA) or a designee, shall be eligible to attend open

meetings of the FNA Board of Directors. They shall have voice, but no vote.

Section 3. Quorum

A majority of the Board of Directors, including the President or the President-Elect, shall constitute a quorum at

any meeting of the Board of Directors.

Section 4. Duties of the Board of Directors

The Board shall:

A. Establish major administrative policies governing FNA and provide for the transaction of general

business of the organization;

B. Provide for the expenditure, investment, and surveillance of FNA funds;

C. Provide for the bonding of appropriate officers and staff;

D. Provide for the adoption and administration of a budget, and for a periodic review statement by a

Certified Public Accountant;

E. Provide for the operation and maintenance of a state headquarters;

F. Employ an Executive Director, define duties, and fix compensation;

G. Employ legal and other counsel as deemed necessary, define duties, and fix compensation;

H. Determine the registration fee, date, and location of the FNA Membership Assembly;

I. Determine the time and place of meetings of the Advisory Council;

J. Recommend to the Governor nominations for appointments to the Florida State Board of Nursing and

any other appropriate boards;

K. Report to FNA members the business transacted by the Board of Directors;

L. Act upon recommendations and/or plans of committees prior to implementation;

M. Establish regional boundaries,

N. Receive, for information only, reports from the FNA Bylaws, Nominating, and Reference Committees;

O. Fill vacancies in office as provided in these bylaws; and

P. Assume such other duties as may be provided elsewhere in these bylaws, and as directed by the

FNA membership.

ARTICLE IX. Executive Committee

Section 1. Composition

There shall be an Executive Committee composed of the Officers of the Board of Directors.

Section 2. Powers

The Executive Committee shall have all the powers of the Board of Directors to transact business between meetings

of the Board. Such action shall be subject to ratification at the next regular meeting of the Board of Directors.

Section 3. Meetings

A. The Executive Committee shall meet at the call of the President;

B. Meetings may be conducted in person, by mail, telephone, or electronic communication.

116


2021 Florida Nurses Association

Section 4. Quorum

A majority of the members of the Executive Committee shall constitute a quorum at any meeting of the

Committee.

ARTICLE X. Committees

Section 1. General

A. Committees shall assume such duties as assigned by the Board of Directors, and as specified in

these Bylaws and report action as requested.

B. Committees shall meet on the call of the Chair, with no less than fifteen (15) days’ notice to

committee members and FNA Headquarters.

C. Unexcused absences from two meetings of a committee shall constitute a resignation.

D. A majority of the members of any standing or ad hoc committee shall constitute a quorum.

E. Members of the FNSA shall be eligible to attend FNA committee meetings.

Section 2. Ad Hoc Committees

There shall be ad hoc committees appointed by the President, the Board of Directors, and/or the FNA representatives

attending the FNA Membership Assembly as deemed necessary to act upon issues pertinent to FNA.

Section 3. Membership Committee

The composition of the Membership Committee shall be the Vice-President as chair, the Treasurer, and at least

five (5) members appointed after each election by the President, with approval of the Board of Directors, to

serve until their successors are appointed.

Duties:

A. Identify strategies for retention of members,

B. Develop a marketing campaign to seek new members,

C. Recommend membership options,

D. Submit suggestions to FNA Board of Directors, and

E. Report to the FNA membership on the status of membership.

Section 4. Reference Committee

The Reference Committee shall consist of five (5) members appointed after each election by the President,

with the approval of the Board of Directors, to serve until their successors are appointed.

Duties:

A. Seek reference proposals from Regions, LERC, and members;

B. Review proposals for appropriate structure;

C. Make appropriate suggestions to authors as needed; and

D. Present proposals at the FNA Membership Assembly.

Section 5. Bylaws Committee

A. Composition.

The Bylaws Committee shall consist of at least five (5) members appointed after each election by the

President, with the approval of the Board of Directors, to serve until their successors are appointed.

All members of the Bylaws Committee shall be full members of both FNA and ANA.

117


2021 Florida Nurses Association

B. Duties.

1. Receive and review all proposed amendments to the FNA bylaws and edit for conformity;

2. Submit proposed amendments to FNA bylaws as appropriate;

3. Present the proposed amendments to the FNA Board of Directors; and

4. Submit the proposed amendments to the FNA Bylaws to the ANA Committee on Bylaws (COB)

at least ninety (90) days before submitting them to the membership at the FNA Membership

Assembly in accordance with the provisions for amendments to these bylaws.

5. Draft proposed amendments to the FNA Bylaws within two years of the year that ANA amends

its bylaws.”

6. Submit the FNA Bylaws to the ANA COB when scheduled for a Triennial Review for harmony with

the ANA Bylaws.

Section 6. Finance Committee

A. Composition.

The Finance Committee shall consist of at least five (5) members, including the FNA Treasurer,

who shall serve as Chair. Four members shall be appointed after each election by the President,

with approval by the Board of Directors, to serve until their successors are appointed. One of the

appointed members shall be a member of the Labor and Employment Relations Council.

B. Duties. The committee shall:

1. Supervise the preparation of an annual budget for the fiscal year defined as the calendar year

January 1 to December 31;

2. Present the budget for approval to the FNA Board of Directors;

3. Advise the FNA Board of Directors and other FNA structural units regarding financial matters

and feasibility of funding for expenditures;

4. Advise and report on the expenditure of funds to the FNA Board of Directors; and

5. Report to the FNA Membership Assembly the financial status of FNA.

ARTICLE XI. Regions

There shall be Regions which shall be in conformity with FNA bylaws.

ARTICLE XII. Labor and Employment Relations Council (LERC)

Section 1. General

The LERC shall exist for the purpose of overseeing the conduct of FNA’s labor/employment relations and

collective bargaining program, which shall include the formation of appropriate policies and procedures.

Section 2. Term of Office

Each member shall serve a term on the Council which shall be concurrent with the term as President of the

Collective Bargaining Unit (CBU).

Section 3. Responsibilities

LERC shall:

A. Oversee the conduct of the FNA’s CBU, which shall include the formulation of appropriate policies

and procedures;

B. Formulate programs of assistance and training for local bargaining units;

C. Consider and adjudge requests for legal assistance involving employment issues and contract

grievances from members of local bargaining units;

D. Make preliminary annual budget projections and recommendations to the FNA Finance Committee

prior to adoption of the budget by the FNA Board of Directors;

118


2021 Florida Nurses Association

E. Establish, when needed, subordinate councils to conduct studies and make recommendations in

specific substantive areas of labor and employment relations;

F. Assist FNA staff in the development of local unit organizing activities;

G. Communicate with the Board of Directors concerning economic and welfare issues relative to the

nursing profession.

H. Receive and review the bylaws of any collective bargaining unit making application for FNA to be its

bargaining agent; and

I. Receive and review the bylaws of each collective bargaining unit on a periodic basis.

ARTICLE XIII. Advisory Council

Section 1. Composition

A. The FNA Board of Directors and representatives from Regions, Collective Bargaining Units, and/or

their designees, facilitators for each Special Interest Group, the FNPAC Chair, and the FNF President

shall constitute an Advisory Council to consider and promote the interests of FNA.

B. Two officers of FNSA shall be eligible to attend meetings of the Advisory Council.

Section 2. Meetings

A. The Advisory Council shall meet at such other times and places as may be determined:

1. By the FNA President; or

2. By the FNA Board of Directors; or

3. At the request of fifty (50%) percent of the Regions.

ARTICLE XIV. Florida Nursing Students’ Association

Section 1. General

It shall be the responsibility of FNA to maintain communications with FNSA that will foster an organization of

students of professional nursing which will assist in preparing them to meet their professional obligations as

registered nurses.

Section 2. Meetings

Meetings of the FNSA may be held in conjunction with the FNA Membership Assembly.

ARTICLE XV. Relationship of FNA to ANA

Section 1. Membership

A. The annual dues for a full FNA member shall be set forth in dues policy and shall include the present

rate of dues paid by the FNA to the ANA. In the event that the rate of dues payable to the ANA by the FNA

increases, any such change shall be automatically added to the annual dues paid by a full FNA member.

B. The FNA shall continue to pay dues to the ANA pursuant to the ANA bylaws and ANA Membership

Assembly policy until such time as 2/3 of the entire full FNA membership votes to disaffiliate

from the ANA. The vote may occur by mail, phone, or electronic ballot, with appropriate notice and

procedures to protect the integrity and validity of the vote.

Section 2. ANA Leadership Council

FNA shall be entitled to representation at the ANA Leadership Council by the President of FNA and the

Executive Director, or their designated alternates. The FNA shall be allowed one vote to be cast by the FNA

President or designee.

119


2021 Florida Nurses Association

Section 3. ANA Representatives

A. FNA shall be entitled to representation at the ANA Membership Assembly as determined in the ANA

bylaws.

B. FNA shall elect representatives as allocated in accordance with policies adopted by the ANA

Membership Assembly

ARTICLE XVI. Official Publication

Section 1. The Florida Nurse shall be the official publication of FNA.

Section 2. LERC Today shall be the official publication of the Labor and Employment Relations Council.

ARTICLE XVII. Parliamentary Authority

The rules contained in the most current edition of Robert’s Rules of Order Newly Revised shall govern meetings

of FNA in all cases to which they are applicable and in which they are not inconsistent with these bylaws and

any special rules that FNA may adopt.

ARTICLE XIII. Amendments

Section 1. Previous Notice

A. These bylaws may be amended at any FNA Membership Assembly by a two-third (2/3) vote of the

members present and voting.

B. All proposed amendments shall be in the possession of the FNA Executive Director at least sixty

(60) days before the Membership Assembly, and shall be published at least 30 days prior to the FNA

Membership Assembly.

C. Any ANA directed amendments may be approved by the Board of Directors at any meeting after first giving

full members a 30-day notice during which they may provide comment for consideration by the Board.

Section 2. Without Previous Notice

These bylaws may be amended, without previous notice, at any Membership Assembly by a ninety-five percent

(95%) vote of the members present and voting.

ARTICLE XIX. Dissolution

In the event that this organization should be dissolved for any reason, any remaining assets shall be liquidated and

distributed in accordance with governmental regulations. No funds can inure to the benefit of any individual member.

120


2021 Florida Nurses Association

2021 FNA Proposed Bylaws Changes

Current Bylaw Proposed Changes Rationale

ARTICLE II Purposes and Functions

Section 2. Functions

J. Initiate and influence

legislation, governmental

programs, and national

state health policy;

ARTICLE III Membership,

Dues, Membership Year, and

Organizational Affiliates

Section 3. Membership Privileges

and Obligations

A. Full Members shall have

privileges as follows:

1. Voting for:

a. Representatives

and alternates

to the ANA

Membership

Assembly;

b. FNA Officers; and

c. FNA Directors.

D. State Only Members shall

have privileges as follows:

1. Voting for:

a. FNA Officers and

Directors;

b. Executive

Committees of

other structural

units to which

they affiliate.

ARTICLE II Purposes and Functions

Section 2. Functions

J. Initiate and influence

legislation, governmental

programs, and national

state health policy;

ARTICLE III Membership,

Dues, Membership Year, and

Organizational Affiliates

Section 3. Membership Privileges

and Obligations

A. Full Members shall have

privileges as follows:

1. After six months of

membership, voting for:

a. Representatives

and alternates

to the ANA

Membership

Assembly;

b. FNA Officers; and

c. FNA Directors.

D. State Only Members shall

have privileges as follows:

1. After six months of

membership, voting for:

a. FNA Officers and

Directors;

b. Executive

Committees of

other structural

units to which

they affiliate.

Correction to be consistent

with functioning of the

state association (influence

on statewide policy, not

national).

To protect the association

and ensure that the member

has familiarity with the

candidates and the process.

121


2021 Florida Nurses Association

ARTICLE III Membership,

Dues, Membership Year, and

Organizational Affiliates

Section 7. Transfer of Dues/

Assessment and Membership

C. A member may transfer

from one FNA region to

another within the state

without further payment

of dues assessment

for the remainder of

the membership year.

Application for transfer

shall be made to the FNA

Executive Director.

ARTICLE IV. Officers and Directors

Section 2. Directors

C. The Chair of the Labor

and Employment Relations

Council shall be elected

by LERC and a voting

member of the FNA Board of

Directors.

ARTICLE III Membership,

Dues, Membership Year, and

Organizational Affiliates

Section 7. Transfer of Dues/

Assessment and Membership

C. A member may transfer

from one FNA region to

another within the state

without further payment

of dues assessment

for the remainder of

the membership year.

Application for transfer

shall be made to the

FNA Executive Director.

A change of address

notification shall be

submitted to the FNA

Executive Director, which

could result in a transfer of

region within the state.

ARTICLE IV. Officers and Directors

Section 2. Directors

C. The Chair of the Labor

and Employment Relations

Council shall be elected

by LERC and is a voting

member of the FNA Board of

Directors.

The dues assessment for

each Region is the same.

Members may change

their Region within their

online member profile. No

application to transfer is

needed.

Clarification.

122


2021 Florida Nurses Association

ARTICLE IV. Officers and Directors

Section 3. Qualifications

A. All nominees for Officers

and Directors shall be full

FNA members in good

standing.

B. Nominees must be dues

paying members of the

FNA for a period of at least

twelve months prior to being

nominated as an Officer or

Director.

C. An employee of FNA is

eligible to be a candidate

contingent upon resignation

of the staff position if

elected.

ARTICLE IV. Officers and Directors

Section 3. Qualifications

A. All nominees for Officers

and Directors shall be full

FNA members in good

standing.

B. Nominees must be dues

paying members of the

FNA for a period of at least

twelve months prior to being

nominated as an Officer or

Director.

C. An employee of FNA is

eligible to be a candidate

contingent upon resignation

of the staff position if

elected.

ARTICLE VI. Nominations and Elections

Keep like-items together

(issues pertaining to

election)

Section 2. Candidate Qualifications

A. All nominees for Officers

and Directors shall be full

FNA members in good

standing. All nominees

for Directors shall be FNA

members in good standing.

B. Nominees must be dues

paying members of the

FNA for a period of at least

twelve consecutive months

prior to being nominated as

an Officer or Director, with

the exception of the Recent

Graduate who can be

nominated immediately after

graduation.

C. An employee of FNA is

eligible to be a candidate

contingent upon resignation

of the staff position if

elected.

Added for clarification.

Clarification needed

for state-only members

who are able to run for

Director positions per their

membership privileges.

Allow recent graduates fresh

from graduating the ability

to run for this position and

not be constrained by one

year of membership, allows

them to participate in the

association more readily and

gives them a voice on the

board.

123


2021 Florida Nurses Association

ARTICLE VIII. Board of Directors

Section 1. Composition

There shall be a Board of

Directors composed of the

Officers and the Directors.

ARTICLE VIII. Board of Directors

Section 4. Duties of the Board of

Directors

The Board shall:

ARTICLE VIII. Board of Directors

Section 1. Composition

There shall be a Board of

Directors composed of the

Officers and the Directors.

The Board of Directors shall

be composed of the President,

President-elect, Vice President,

Secretary, and Treasurer and the

following directors elected as

follows:

A. Elected by the membership:

1. There shall be eight

Directors representing

each of the eight

Regions; and

2. One director who is a

recent graduate of a

pre-licensure nursing

program within five

years or less; and

B. Elected by LERC:

1. The Chair of the Labor

and Employment

Relations Council (LERC).

Section 2. Authority

The Board of Directors shall have

general supervision of the affairs

of the association between

its annual, regular, or special

business meetings.

ARTICLE VIII. Board of Directors

Section 4 5. Duties of the Board of

Directors

In addition to the general

supervision of the association,

the Board shall:

Recommended language by

Roberts Rules. When relying

on a list of duties, if anything

is left out, it is prohibited.

124


2021 Florida Nurses Association

ARTICLE X. Committees

Section 3. Membership Committee

The composition of the

Membership Committee shall

be the Vice-President as chair,

the Treasurer, and at least five

(5) members appointed after

each election by the President,

with approval of the Board of

Directors, to serve until their

successors are appointed.

Duties:

A. Identify strategies for

retention of members,

B. Develop a marketing

campaign to seek new

members,

C. Recommend membership

options,

D. Submit suggestions to FNA

Board of Directors, and

E. Report to the FNA

membership on the status

of membership.

ARTICLE X. Committees

Section 3. Membership Committee

The composition of the

Membership Committee shall

be the Vice-President as chair,

the Treasurer, and at least five

(5) members appointed after

each election by the President,

with approval of the Board of

Directors, to serve until their

successors are appointed.

Duties: The Membership

Committee makes

recommendations:

A. On recruitment,

engagement, and retention

of members;

B. The effectiveness of

Regions and Special

Interest Groups (SIGs)

C. Options for engagement

opportunities of existing

members through

volunteerism;

D. Propose strategies for

re-engagement of lapsed

members; and

E. Submit an annual report to

the FNA Board of Directors

with their recommendations.

F. Identify strategies for

retention of members,

G. Develop a marketing

campaign to seek new

members,

H. Recommend membership

options,

I. Submit suggestions to FNA

Board of Directors, and

J. Report to the FNA

membership on the status

of membership.

Membership is largely a

function of staff trained in

membership retention and

marketing. Membership

options come from ANA

directives. Staff reports on

the status of membership.

All committees must submit

a report of their activities

for the Membership

Assembly. Committee

recommendations are a

valuable asset to board of

directors and staff when

determining new initiatives.

125


2021 Florida Nurses Association

Article X. Committees

Section 5. Bylaws Committee

A. Duties.

4. Submit the proposed

amendments to the

FNA Bylaws to the

ANA Committee on

Bylaws (COB) at least

ninety (90) days before

submitting them to the

membership at the FNA

Membership Assembly

in accordance with

the provisions for

amendments to these

bylaws.

Article X. Committees

Section 5. Bylaws Committee

A. Duties.

4. Submit the proposed

amendments to the

FNA Bylaws to the

ANA Committee on

Bylaws (COB) at least

ninety (90) days before

submitting them to the

membership at the FNA

Membership Assembly

one (1) month prior

to noticing the FNA

membership of any

proposed changes

in accordance with

the provisions for

amendments to these

bylaws.

Consistency with new ANA

policy.

126


2021 Florida Nurses Association

2021 Reference Proposals

Reference Proposal #1: Promoting Social Justice in Health Care

Submitted by: FNA Social Justice Task Force

Contact Person: Mavra Kear

FNA Pillar: Public and Professional Awareness

STATEMENT OF CONCERN:

Injustices and inequitable treatment in society are systemic and multifaceted. George Floyd’s death on May 25,

2020 was not surprising to Americans. However, occurring amid a worldwide pandemic, the tragedy became

a tipping point, a call to action, to address the profound impact social injustice has on health and life in our

communities and nation.

The Florida Nurses Association responded by forming a Social Justice Task Force to examine the issue.

With member input received in a town hall discussion, the task force defines social justice in healthcare as

follows: A non-judgmental space where all persons give and receive care in a supportive environment that

promotes open communication about beliefs and health goals. Healthcare providers must be self-aware, take

responsibility for developing interpersonal skills to engage with diverse individuals and groups, and continually

advocate for equitable and inclusive delivery of services within their care agencies.

RATIONALE:

The World Health Organization (WHO, 2021) reports that up to 55% of health outcomes are influenced by

factors outside the healthcare system. It is imperative that nurses realize vulnerabilities exist beyond race,

religion, and color. Health inequities are also influenced by sex and sexual orientation, gender and gender

identity, age, physical or mental illness and ability, employment status and job security, housing and food

security, geographic location, government policies and geo-political conflicts, and more (Ramirez, et al., 2008;

WHO, 2021). For example, an analysis between income and life expectancy in the United States from 2011

to 2014 showed that the richest 1% of the population lived about 12 years longer than the poorest 1% of

individuals (Chetty, et al., 2016). The disproportionate rates of COVID-19 illness and death among Black and

Latino Americans widely publicized in 2020 magnified this disparity.

The 1980 Healthy People initiative was launched with a vision to eliminate health disparities among Americans.

Although overall health of the people improved since then, some health disparities widened (Singh, et al.,

2017). The guiding vision of Healthy People 2030 (2020) is “a society in which all people can achieve their

full potential for health and well-being across the lifespan.” To achieve this vision, key constituents must

acknowledge inherent biases in the U.S. health care delivery system, address social determinants of health,

and work together to improve equitable access to health for America’s diverse population.

Health is a universal right. Nurses have a moral imperative to advocate for equitable health for all. The Code

of Ethics for Nurses (ANA, 2015) clearly states in provision eight that “the nurse collaborates with other health

professionals and the public to protect human rights, promote health diplomacy, and reduce disparities.” As

highly respected and influential members of society, nurses are uniquely able to lead change in health care

delivery.

STATEMENT OF POSITION:

The Florida Nurses Association advocates for equitable and inclusive care delivery in our state.

127


2021 Florida Nurses Association

RECOMMENDATION FOR ACTION: The Florida Nurses Association will

1. Offer education to nurses and nursing students on social determinants of health and inequities in

healthcare outcomes.

2. Work with Quality and Unity in Nursing (QUIN) Council to increase awareness of implicit injustices that may

exist within each member’s realm.

3. Develop partnerships with state and local organizations, within and outside of nursing, to create initiatives

that promote equitable health care for all persons in all settings.

REFERENCES

American Nurses Association. (2015). Code of ethics for nurses. American Nurses Publishing.

Brennan Ramirez, L.K., Baker, E.A., Metzler, M. (2008). Promoting health equity: A resource to help communities address social determinants of

health. Atlanta: U.S. Department of Health and Human Services, Centers for Disease Control and Prevention.

Chetty, R., Stepner, M., Abraham, S. Lin, S., Scuderi, B., Turner, N., Bergeron, A., Cutler, D. (2016). The association between income and

life expectancy in the United States, 2001-2014. Journal of American Medical Association, 315(16), 1750-1766. doi:10.1001/

jama.2016.4226

Healthy People 2030. (2020). https://health.gov/healthypeople

World Health Organization. (July 9, 2021). Social determinants of health: Overview. https://www.who.int/health-topics/social-determinants-ofhealth#tab=tab_1

Reference Proposal #2: Supporting a Coordinating Response During the Pandemic

Proposal Date: 2021

Author:

Deirdre Krause

Submitted by: Pandemic and Disaster Task Force

Statement of Issue - Purpose

Nurses are the hands-on frontline workers who care for the people of this country and the State of Florida.

During the Covid-19 crisis in 2020-2021 over 350 nurses died needlessly (Berger, 2021). The everyday nurse

feels they were just thrown to the wolves to either get sick and die or be fired and that no one “had their

back” during this crisis. The very caring nature of nurses was used against their best interests to force them

to put the interests of patients first at the sacrifice of their own self-care. Many faced the choice of working

to financially support their family and coming home after their shift to fear infecting the very family they need

to support. Nurses are frontline workers. They would like to be represented and supported similar to the way

Firefighters and EMTs are advocated and fought for.

This proposal will provide direction for the FNA to assure a coordinated response to the health care of the

people of Florida and to adequately represent the concerns of the care of the nurses that provide the care to

the people of Florida.

Rationale

A new strain of coronavirus was identified in December 2019 in Wuhan, China (WHO, Zhu, 2020). The World

Health Organization (WHO) declared COVID-19 a global pandemic on March 12, 2020. The COVID-19 pandemic

has become one of the worst healthcare and economic crises of modern times.

The impact of the COVID-19 crisis on healthcare systems and especially nurses was devastating. Nurses found

themselves in situations that they never thought they would be in. Nurses were frequently working long hours,

often with mandatory overtime with high acuity patients, with limited access to personal protective equipment

and evolving guidance on clinical care for patients with the virus.

Nurses were and still are dealing with challenging conditions, new ways of working, during this still unrelenting

global pandemic. This created a perfect storm with the potential to seriously impact nurse’s well-being in many

dimensions. Surani Aiyer (2020) identified that nurses are impacted to a greater degree than their physician

counterparts by stress, anxiety and depression. This will take a toll on the nursing profession.

128


2021 Florida Nurses Association

Background

The rapid growth and dissemination of the COVID-19 pandemic uncovered insufficiencies in the US health

care system’s ability to respond to a public health emergency, resulting in healthcare worker infections and

deaths and has become the largest crisis in modern times. This crisis is responsible for over 2,500 healthcare

workers deaths, with over 350 of them being nurses (ANA, 2020). The survivors still have extreme stress due

to risk of exposure and health concerns.

Surges place a strain on health care systems and hospitals to implement crisis standards of care, such as

requesting that nurses who are COVID-19 positive, but asymptomatic, continue to work and provide patient

care. First and foremost, occupational safety is key to nurse’s work during COVID-19, as they are face-to-face

with danger on a daily basis. Nurses have been forced to reuse protective equipment and if they chose to

purchase their own, they were reprimanded.

Under no circumstances should a nurse be pressured to work, and employers should never retaliate against

nor penalize a nurse for choosing to prioritize self-care.

Overview on Nursing Role

Fawaz and colleagues (2020) stated in their study that nurses have critical roles and responsibilities during

theCOVID-19 pandemic. They will continue to be at the front line of patient care in hospitals and actively

involved with evaluation and monitoring in the community. Nurses ensure that all patients acquire personalized,

high-quality services irrespective of their infectious condition or other condition. They will also engage in

planning for any anticipated or unanticipated health care outbreaks, which increase the demand for nursing

and health care services that might overload systems.

Nurses generally become nurses because of their desire to help people. With COVID nurses identified a

situation where there were very few options to help those who are seriously ill. This inability to save lives will

take its toll on those at the front line, both physically and emotionally.

The important and diverse roles nurses play in pandemic response have become clear in the ongoing COVID-19

epidemic, in which hospitals and public health agencies across the United States have struggled to identify,

test, and treat more than a million and a half patients (Veenema,2020).

Adelman (2020) identified that nurses are the clinicians most challenged during a disaster event, as they

are often the next to respond after first responders. In order to protect populations devastated by disasters,

disaster nurse responders will need to incorporate all their education addressing disaster prevention,

preparedness, response, and recovery phases.

Legal and Ethical Considerations

Ethically, nurses are bound by our Code of Ethics for Nurses with Interpretive Statements (2015). The Code of

Ethics for Nurses (the Code) makes explicit the primary goals, values, and obligations of our profession. The

American Nurses Association believes that the Code is nonnegotiable and that each nurse has a specific

obligation to uphold and adhere to its ethical precepts.

Five provisions within the Code speak to the obligation of registered nurses to act in a manner that is

consistent with maintaining patient and personal health:

• Provision 2: The nurse’s primary commitment is to the patient, whether an individual, family, group,

community, or population.

• Provision 3: The nurse promotes, advocates for, and protects the rights, health, and safety of the patient.

• Provision 4: The nurse has authority, accountability, and responsibility for nursing practice; makes decisions;

and takes action consistent with the obligation to promote health and to provide optimal care.

129


2021 Florida Nurses Association

• Provision 5: The nurse owes the same duties to self as to others, including the responsibility to promote

health and safety, preserve wholeness of character and integrity, maintain competence, and continue

personal and professional growth.

• Provision 6: The nurse, through individual and collective effort, establishes, maintains, and improves the

ethical environment of the work setting and conditions of employment that are conducive to safe, quality

health care.

Consequences to Patient Care

Nearly 400 nurses in the United States have died as a result of COVID-19 and many others have been infected

and hospitalized. This is unacceptable. Nurses and health care workers who are risking their lives and the

health of their own families deserve better. Further, in a recent survey conducted by the American Nurses

Association (2020), which found that 87% of nurses fear going to work, 36% have cared for an infectious

patient without having adequate personal protective equipment (PPE), and only 11% felt well-prepared to care

for a COVID-19 patient. How does the nurse provide the best care under such circumstances?

However, there is a critical and compelling need to identify and understand the gaps and inadequacies in the

State of Florida health system that have contributed to a lack of pandemic readiness, both within and outside

of the nursing workforce. According to the Center for Health Security (2020) this also includes emergency

planning and the procurement and allocation of resources such as PPE and ventilators.

As the crisis has unfolded new challenges were identified in the health care system. To protect the health care

needs of Floridians, nursing must have input since we have the covenant with the population to protect their

health care. We must meet the health needs of the people of Florida!

Statement of Proposed FNA Position

These difficult times, and the scale of the challenges is unprecedented here in the state of Florida. Every

person has a role to play in supporting and advocating for the health of our communities, and in supporting

nurses everywhere. Nurses are the very backbone of health systems around the world, and this has never

been more apparent than now. There can be no doubt that nursing and the provision of health care will come

out the other side of this pandemic stronger and better prepared to face future challenges (Jackson, et al,

2020).

The 2017-2022 Health Care Preparedness and Response Capabilities provides a supporting framework for

healthcare coalition capabilities, including healthcare and medical readiness, healthcare and medical response

coordination, continuity of healthcare service delivery, and medial surge. Nursing must be and active part of

this coalition.

Recommendations for Action

We must come together as a state and continue the public health measures that we know and have used

successfully. Sharing information and determining ways we can help mitigate the current and future burdens on

the nursing profession and provide constructive recommendations for the future.

According to Veenema, et al (2020) the foundation for health care and readiness enables the delivery system

and other community organizations that contribute to responses to coordinate efforts before, during, and after

emergencies; continue operations; and appropriately for surge as necessary. This is primarily accomplished

through Health Care Coalitions (HCCs) that incentivize diverse and often competitive health care organizations

with differing priorities and objectives to work together.

130


2021 Florida Nurses Association

The recommend that the Florida Nurses Association:

1. Strongly advocate with the Florida Department of Health and the Florida Hospital Association to provide

proper PPE reserve supplies to protect all of our health care providers.

2. Strongly advocate with the Florida Department of Health and the Florida Hospital Association to provide

adequate staffing levels to match the acuity of the patients.

3. Educate the State Legislature and the Governor’s office to support adequate funding for the Department

of Health to rebuild infrastructure by hiring all public health specialists needed to offer prevention services

and protect Floridians from health risks (Registered Nurses, Nurse Practitioners, Epidemiologists, Infectious

Disease experts) and fill vacancies, especially in nursing, so that essential public health services are

available throughout the state.

4. Advocate for the coordination of response led by the Department of Health in partnership with Emergency

Management Services and support the role of the Department of Health in the education of the public.

5. Provide education to state legislators regarding the role of the Health Service Corp and the Health Care

Coalitions in providing an emergency response during the pandemic and other state emergencies.

131


HIV testing is now part of

your routine health care as

recommended by the U.S. Centers

for Disease Control and Prevention

(CDC) in its 2006 Revised

Recommendations for HIV testing

and as provided for in Florida

Statute 381.004 (2)(a)1.

Separate informed consent for

HIV testing is no longer required

in health care settings. Patients

need only to be notified that the

HIV test is planned and that they

have the option to decline. When

patients opt out of HIV testing it

must be documented in the medical

record. Examples of notification

for opt-out HIV testing in health

care settings can include, but are

not limited to: information on HIV

testing in the general medical

consent; a patient brochure; exam

room signage; and/or verbally

notify the patient that an HIV test

will be performed.

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!