New Jersey Nurse - January 2022


Advocating--Positioning--and Educating New Jersey RNs

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The Official Publication of the New Jersey State Nurses Association/Institute for Nursing

Volume 52 • Number 1 Quarterly publication direct mailed to approximately 141,000 RNs and LPNs in New Jersey January 2022


NJSNA Election Results

Region News

Page 8

Continued Actions to Improve Nurse

Workplace Environments in New Jersey

Page 18


Membership ..................................2

CEO Report . ..................................3

IFN Report . ...................................3

2021 Governor & Legislative Election Results . .........5

AAN Inducts Seven NJ Nurses . ....................6

Region News ................................. 8

The Importance of Practicing “Mindfulness” in Nursing .10

Help INS Celebrate National IV Nurse Day ...........11

LPN Forum . ..................................12

Medication Administration by Unlicensed Assistive

Personnel. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 13

Healthy Nurse Healthy New Jersey. ................14

New Jersey Department of Children and Families. .....16

A Double Whammy: Widowhood and Covid 19 Pandemic.. 17

Board of Director’s Meeting Attendance & Motions....... 19

current resident or

Non-Profit Org.

U.S. Postage Paid

Princeton, MN

Permit No. 14

State Ballot

Vice President


Committee on



Assembly Rep


Congress on


Region 1


VP for Membership

VP to the Institute


Morris County Coordinator

Sussex County Coordinator

Nominations Committee

Region 2



Region 3

VP of Membership

VP of Education

VP Congress on Policy &


Member-at-Large Essex Cty

President’s Report

Mary Ellen Levine, DNP.


NJSNA President

“Every nurse was

drawn to nursing

because of a desire

to care, to serve, or

to help.”

—Christina Feist-

Heilmeier, RN

(University of St.

Augustine, 2020)

Amita Avadhani (R4)

Linda Gural (R6)

Eleanor Dietrich-Withington (R6)

Lois Greene (R3)

Rachel Koshy (R1)

Yolanda Jackson (R3)

Susan Weaver (R1)

Sheila Caldwell (R6)

Jo Anne Penn (R6)

Tara Heagele (R4)

Laura Geron (R3)

Karen Kinsley

Alaina Scala-Brew

Mary Anne Mara

Kathleen Vnenchak

Francesca Nordin

Daria Napierkowski

Jackie Galante

Karen Kinsley

Mary Jane Genuino

Myla Passaporte

Alissa Walaszek

Denise Warren

Stephanie Herr

Rosemary Allen-


Mary Ellen Levine

Dear colleagues,

It’s hard to believe a year has passed

since being installed as your president!

Being a nurse over the past 12 months has

Member-at-Large Union Cty

Nominating Committee

Region 4


VP of Membership


VP of Education

Member at Large

Somerset Cty

Member at Large

Hunterdon Cty

Region 5


Lynda Arnold-Davis

Carline Eliezer

Marlene McLeod-Douse

Rosemary Rosales

Hilda Aluko

Keisha Cogdell

Kari Mastro

Nowai L. Keleekai-Brapoh

Marcia Nettingham

Yvette Shangold

Gloucester County Representative

Region 6


VP Membership

VP Congress


VP Institute

Chairperson Atlantic


Chairperson Monmouth


Nomination Committee

Cape May County

Nomination Committee

Atlantic County

Terri Ivory

Kristin Safedy

Lisa Passero

Contrina Warren

Taylor Rossi

Eleanor Dietrich-


Barbara Blozen

Ellyn Hill

Helen Heinmets

Keddi Koovits

Orsalia Palapanis

been a year of resilience and challenges. In this

new year, thanks to the outgoing Board members

whose tireless, voluntary service is appreciated and

humbling! A warm welcome and congratulations to

our newly elected members of the state and region

boards. As a member of this association, I am

grateful to be in service to you, the membership! I

look forward to working together with our present

Board on your behalf. NJSNA continuously

advocates for nurses. Responding to the many

issues that face our state, as the saying goes, with

‘many hands make light work.’

Do you have a strength or passion about your

practice? NJSNA needs you! NJSNA has been

looking inward to policies and procedures. The

formation of a Policy and Procedure Taskforce,

President’s Report continued on page 2

Page 2 New Jersey Nurse & Institute for Nursing Newsletter January 2022



New Jersey Nurse

Official Publication of the

New Jersey State Nurses Association and Institute for Nursing

1479 Pennington Road

Trenton, New Jersey 08618

Phone: 609-883-5335 ext 111

Fax: 609-883-5343



NJSNA Mission Statement

Advance the practice of professional nursing by fostering quality

outcomes in education, practice and research



Institute for Nursing (IFN) Board of Trustees

Dr. Sandra Foley, Chair,

Daniel Misa, Treasurer,

Dr. Judy Schmidt, MAL, CEO,

Dr. Dely Go, Vice Chair/MAL

Ray Zarzar, Community Member/Secretary

Kristin Buckley, Community Member



President’s Report continued from page 1

a dedicated group of nurses, has been pouring

over policies, re-writing, editing and in some

cases developing policies and procedures, such as

submitting a resolution. The Bylaws Committee,

Congress on Policy and Practice, Interested

Nurses Political Action Committee, Marijuana Task

Force, Healthy Nurse Healthy NJ, Membership

Committee, Legislative Committee, Joint Protocol

Strategic Group, and Finance Committee, offers

opportunity for service to the NJSNA membership

and all NJ nurses. If you are not a member, visit and join today!

Another important function of NJSNA is

where nurses can and do make a difference in the

legislative process. Over the past election cycle,

political events were great to meet, assess, and

bring nursing’s agenda to candidates. Moving

forward, much needs to be accomplished including

having bills renumbered, being actively involved,

and meeting with your legislators. Some legislation

includes the Nurse Title Protection bill and APN

Full Practice/Access to Healthcare bill. Protection

of the title of nurse assures the public who their

care providers are and the rigorous education and

preparation process in place upheld by the Division

of Consumer Affairs and New Jersey Board of

Nursing. Another bill is access to healthcare and

removal of the ‘joint protocol,’ or collaborative

agreement required for Advanced Practice Nurses

(APN) in New Jersey. This does more to hamper

access and delay care by APNs who provide safe

and effective patient care. Additionally, promotion

of the nurses’ role in staffing policy, and so many

other nursing and public safety bills is all our

responsibility. As member of the Interested Nurses

in Political Action Committee (INPAC) nurse, Anne

Ugrovics stated so perfectly, “We need to have a

strong political voice.”

Lastly, your attendance to the upcoming Annual

Meeting, not short of at least 70 nurses, will be

needed to vote on, for instance, changes to NJSNA

Bylaws to keep our bylaws current.

NJSNA is your professional organization for

registered nurses. Join us at the region and state

meetings! Visit, check your email and

on NJSNA’s Facebook© page for more information.

Executive Committee

Dr Mary Ellen Levine, President,

Dr. Sandra Foley, President-Elect,

Regina Adams, Vice President,

Daniel Misa, Treasurer,

Linda Gural, Secretary,

Board of Directors

JoAnne Penn, Director,

Dr. Margaret Daingerfield, Director,

Dr. Ann Tritak, Director,

Dr. Tara Heagele, Director,

Dr. Susan Weaver, Chair COPP,

Region Presidents

Patricia Baxter, Region 1,

Dr. Mary Genuino, Region 2,

Norma Rodgers, Region 3,

Maureen Clark-Gallagher, Region 4,

Dr. Barbara McCormick, Region 5,

Renee White, Region 6,


Dr. Judy Schmidt, CEO,

Debra Harwell, Deputy Director,

Terri Ivory, Director of RAMP,

Jennifer Chanti, Exec. Asst./Membership Administrator,

Tyea Santiago, Education Coordinator,

Kortnei Jackson, Ed. Adm. Asst.,

Annemarie Edinger, RAMP Comm. Coord.,

Deborah Robles, RAMP Adm. Asst.,

Emily Gannon, RAMP Intake Spec.,

Benita James, RAMP Case Manager,

Joan Peditto, RAMP Case Manager,

Etha Westbrook, RAMP Case Manager,

Andrew Haviland, RAMP Case Manager,

Explore a Rewarding Career in

Correctional Healthcare


Ugrovics, A. (2021). Are we prepared for November

2, 2021? Retrieved from the New Jersey Nurse,

Volume 51, Number 3. Retrieved from https://


University of St. Augustine. (2020, October). 85 Nursing

quotes: Words of wisdom for nurses. Retrieved from

New Jersey Nurse Staff

Dr. Judy Schmidt, Editor

Jennifer Chanti, Managing Editor

Dr. Barbara Wright, Executive Editor

New Jersey Nurse Copy Submission Guidelines:

All NJSNA members are encouraged to submit material for

publication that is of interest to nurses. The New Jersey Nurse also

welcomes unsolicited manuscripts. Article submission is preferred

in MS Word format, Times New Roman font and can be up to 500

words. When sending pictures, please remember to label pictures

clearly since the editors have no way of knowing who persons in the

photos might be.

Copy Submissions: Preferred submission is by email to the

Managing Editor. Only use MS Word for test submission. Please do

not embed photos in Word files, send photos as jpg files.

Submit Materials to: New Jersey Nurse, Attention to Jennifer

Chanti, Managing Editor at

Advertising: for advertising rates and information please contact

Arthur L. Davis Publishing Agency, Inc., P.O. Box 216, Cedar Falls,

Iowa 50613 (800-626-4081), NJSNA and the

Arthur L. Davis Publishing Agency, Inc. reserve the right to reject

any advertisement. Responsibility for errors in advertising is limited to

corrections in the next issue or refund of price of advertisement.

Acceptance of advertising does not imply endorsement or approval by

the New Jersey State Nurses Association of products advertised, the

advertisers, or the claims made. Rejection of an advertisement does

not imply a product offered for advertising is without merit, or that the

manufacturer lacks integrity, or that this association disapproves of the

product or its use. NJSNA and the Arthur L. Davis Publishing Agency,

Inc. shall not be held liable for any consequences resulting from

purchase or use of an advertiser’s product. Articles appearing in this

publication express the opinions of the authors; they do not necessarily

reflect views of the staff, board, or membership of NJSNA or those of

the national or local associations.

January 2022 New Jersey Nurse & Institute for Nursing Newsletter Page 3

CEO Report

Judy Schmidt, CEO, DHA,


The New Jersey State

Nurses Association continues

to advocate for nursing and

nursing practice in the State

of New Jersey.

Political Updates:

After the November

Elections the legislature will

be in what is called “lame

Judith Schmidt

duck.” This legislative session ends mid-January 2022.

Any bills not passed and signed by the Governor

will “die” and need to be re-introduced in the next

legislative session in January 2022. We are hoping

that we may see movement on the Removal of the

APN Joint Protocol Requirement either during lame

duck or the first quarter of 2022. In addition, we are

working on a senate sponsor for the “Nurse Title” bill.

The elections this year have been very interesting.

We are grateful that our main nursing champions/

bill sponsors were re-elected: Assemblywoman Nancy

Munoz and Senator Joseph Vitale. For the results of

the elections, please see the article by INPAC Member

Ann Ugrovics.

The INPAC Committee, chaired by Keith Hovey,

attended the NJ State League of Municipalities

Conference in Mid-November. Committee members

were able to network with both local and state office

holders and prominent business leaders. Attending

events such as this increases the visibility of NJSNA

not only in the political arena but also in the business

arena. This gives us the opportunity to recruit

stakeholders that will support our nursing advocacy


Legislation Watch:

Nurse Title Protection (A3829)

o Assembly bill introduced

o Need a Senate Sponsor

o NJSNA Board recommends support

• Removal of APN/Physician Collaborating

Agreement (A1760)

o Assembly bill in Health

o NJSNA Board recommends support

o Senator Vitale will be introducing bill by end

of November

• BSN in 10 (A1762-S1082)

o Assembly bill in Regulated Professions


o Senate bill in Health Committee

o NJSNA Board recommends support

Nurse Staffing Committees (A1791)

o Assembly bill in Health Committees

o NJSNA Board recommends support

• Allows APNs in Psyche to sign involuntary

commitment papers (A1781-S882)

o Assembly bill in Health Committee

o Senate bill in Health Committee

o NJSNA Board recommends watch

Collaboration with the New Jersey Board of


• All NJ Board of Nursing positions have been

filled except two public members.

• Continuing to facilitate resolution to problems

that NJSNA members and non-members are

experiencing. NJSNA Executive Board met with

leadership in the Division of Consumer Affairs

to discuss issues that our members are having

when contacting the board of nursing. This

dialogue will remain open until resolutions are


• Executive Director/Secretary to the Board of

Nursing Position posted in October.

• Multi-State Licenses are now available as of

November 15th.

Collaboration with the American Nurses

Association (ANA):

• Assisting the Healthy Nurse Health NJ group in

the “RNConnect” Project through ANA to help

nurses experiencing stress in the workplace.

• Collaborating with the ANA and NJ

Department of Health “CDC’s Project Firstline”

regarding infection prevention.

• Attended the “Commission on Racism

Feedback” seminar. Commission members

gave an update on their work and attendees

were able to discuss various issues related to

institutional racism in small work groups.

Collaboration with other organizations:

NJSNA continues to network with and provide

valuable input into the following:

• NJ Business and Industry Health Care Policy


• NJ Pediatric Association Committee Meeting –

Clinicians for Climate Health.

• Consortium of New Jersey Nurse Educators

• ONL NJ Legislation and Advocacy Committee

• Rutgers University School of Nursing Advisory


• Kean University School of Nursing Advisory


• Felician University School of Nursing Advisory


• NJ Department of Health Professional Advisory


o Allocation of Scarce Resources (Staff, PPE,

and Ventilators)

o Covid Testing

o Vaccine Hesitancy

o Vaccine Distribution plans for children and

young adults

o Vaccinator Recruitment

• NJ Department of Health Commissioner, Judy

Persichilli, and I discussed issues with Nurse

Staffing in various environments including

school nursing and possible solutions.

• Facilitated a breakout session at the New Jersey

Nursing Initiative/ New Jersey Collaborating

Center (NJIN/NJCC) “The Future of Nursing

2020-2030”. Four teams worked on selected

recommendation from the Future of Nursing

report focusing on nursing education, health

equity and removal of practice barriers for RNs

and APNs.

IFN Report

Sandra Foley, DNP, RN

Chair, Institute for Nursing

“Caring and Sharing”….

Moving our mission

forward. Everything

begins with an idea!

Fundraising is just one way

the IFN is fully committed

and strives to fulfill its Mission

by continuing to preserve the Sandy Foley

heritage, principles, values

and practices of our healing profession through the

support of scholarship, education and research.

The IFN Board of Trustees would like to thank

each of you for your continued support of the “Caring

and Sharing” 50/50 Raffle. Yes, you too have a

chance to win up to $25,000. Follow this link to

purchase your Caring and Sharing 50/50 Raffle

tickets at $10 per chance Purchase a Caring and

Sharing Raffle Ticket. The 50/50 Raffle Drawing will

be held on Friday, May 6, 2022, at 2:00 p.m. at the

Institute for Nursing, 1479 Pennington Road, Ewing

Township, NJ.

Institute For Nursing Board of Trustees (BOT)

In December 2021 we said good-bye and thanked

IFN Public Trustee Ray Zarzar for his six years of loyalty

and service. Ray served as Secretary and as a member

of the IFN Fundraising Committee. Ray’s acumen

and keen business sense was an asset to each position

he served on. Our sincere appreciation, gratitude and

thanks for his time spent as an IFN Trustee.

The IFN BOT welcomes Public Trustee, Wayne Hall.

Wayne brings his many years of business experience,

leadership, and philanthropic accomplishments as the

General Manager of Garden State Honda. Wayne

joined our team this month as we look forward to his

vibrant and robust personality and energy.

IFN Scholarship

Attention All Student Nurses! The annual 2022

IFN Scholarship campaign has begun. The IFN’s

Mission is committed to provide scholarships to

the NJ nurses. We support the NJ student nurse

who is currently pursuing their own aspirations by

advancing their degree to fulfill their goals for career


For ALL Enrolled Student Nurses

IFN Scholarship

Deadline is March 15th, 2022

To locate all scholarships that are offered along with the

applications follow this link

2022 Diva and Don Gala Event

Mark your calendars for Spring 2022, specifically

April 7th for the next IFN Gala event. We look forward

to the return of the Diva and Don Nursing Gala Event

to celebrate excellence in nursing throughout the

state of NJ. The event offers the opportunity for us

to recognize the professional registered nurses who

have demonstrated outstanding achievement and have

been a positive influence on others. Nominees may be

engaged in nursing practice, administration, education,

or research in diverse settings, such as acute and longterm

care, public health, private industry, schools,

community health, and others.

Ongoing IFN Fundraising

“Old York Cellars Winery and Vineyards”

Thanks to the hard work of IFN Trustee Kristin

Buckley and DJ Levine, amateur photographer and

graphic artist, who designed three wine labels to

adorn each bottle of wine. Purchases from Old York

Cellars Winery and Vineyards with the adorned IFN

label and the Old York Cellars will have a portion of

the sales benefit the IFN !

You can find more information for purchases on or

Save the date and purchase your Tickets


The IFN and New Jersey Devils have come

together to show support to nurses, healthcare

workers. Jess Narciso, NJ Devils Senior Account

Executive, Group Events has secured a date for Nurse

Recognition. Add March 10, 2022, to your calendar

and we will see you there.

NJ Devils Nurses Night includes:

• NJ Devils Nurses Night scrubs

• A post-game photo on the ice for your group.

• Special NJ Devils IFN seat pricing Nurses Night


• A portion of the ticket sales will help support

the IFN


The World Health Organization (WHO) had

deemed 2020 and 2021 the years of the Nurse and

midwife. While in addition to the WHO’s esteemed

recognition, nursing has been recognized as the most

trusted profession over the past 19 years. Along with

both of those honorable accolades, we supported and

carried the world through a global pandemic. We are

a team of resilient, passionate, and compassionate

Professional Registered Nurses!

Page 4 New Jersey Nurse & Institute for Nursing Newsletter January 2022

American Academy of Nursing Names

Susan Hassmiller A Living Legend

The American Academy

of Nursing named Susan

Hassmiller, PhD, RN, FAAN,

a Living Legend, at its

Annual Policy Conference in

Washington. on October 6,

2021. Hassmiller's prestigious

award was made during

the Conference at which

the Academy Induction of

2021 Fellows was held on

Oct. 8. Seven New Jersey

nurses were among the 225 Susan Hassmiller

prominent nurses from 38

states and 17 countries who were inducted, "based on

their contributions to advance the public's health," said

AAN President Eileen Sullivan Marx. Winifred Quinn,

PhD, Center to Champion Nursing in America,

Director of Advocacy and Consumer Affairs, was

selected as an Honorary Fellow; she was one of four

honorees from outside the nursing profession.

Susan Hassmiller Named

AAN Living Legend

Susan Hassmiller, PhD, RN, FAAN, is an

international nurse leader, who has dedicated her

professional career to the advancement of health

equity and improving health through nursing. She is

the Robert Wood Johnson Foundation Senior Advisor

for Nursing. Hassmiller served as the study director

for the landmark 2010 Institute of Medicine Report,

The Future of Nursing: Leading Change, Advancing

Health. She served as the director of the 10 year

national campaign to improve health through nursing

in partnership with AARP. Hassmiller's leadership, in

collaboration with the Center to Champion Nursing

in America, has helped the nursing profession realize

unprecedented gains: more diverse nurses attaining

baccalaureate and doctoral degrees, millions more

people having access to nurse practitioners, and

over 10,000 nurses appointed to boards. As the

National Academy of Medicine Senior Scholar in

Residence and Senior Advisor to the President, she

helped to develop the consensus study, The Future

of Nursing 2020-2030: Charting a Path to Achieve

Health Equity, a report that was recently launched

and is being used worldwide. An advocate for nursing

philanthropy, Hassmiller's leadership at the Robert

Wood Johnson Foundation has helped secure over

$450 million for nursing initiatives nationwide.

Hassmiller, an elected member of the National

Academy of Medicine, American Academy of Nursing

fellow, is a board member at Hackensack Meridian

Health System, United Health Group Center for

Clinical Advancement, Carrier Clinic, and the

American Red Cross. A recipient of four honorary

doctorates, she was awarded the Florence Nightingale

Medal, the highest international award given to a

nurse by the International Committee of the Red


A George Mason University PhD recipient.

Hassmiller was awarded a MSN at the University

of Nebraska, and MEd and BSN at Florida

State University. Her hallmark hashtag is

#LeaveNoNurseBehind which honors her

beginning career as an Associate Degree nurse.

Winifred Quinn Selected

AAN Honorary Fellow

Each year honorary fellows are selected from

outside the nursing profession. Winifred Quinn, PhD,

Center to Champion Nursing in America, Director of

Advocacy and Consumer Affairs since its inception

in 2007, was inducted as an honorary fellow at the

American Academy of Nursing 2021 ceremony. A

Rutgers University graduate, Quinn's career began as

a patient advocate at AARP New Jersey. In 2008,

she was an advocate for full practice authority for

advanced practice nurses in Colorado, believing that

full practice authority was an access to care issue.

Her efforts have expanded

into nursing education and

diversity. Quinn sees nurses

as "the engineers of health

care. There has been no

time when that has been

more evident than during

the COVID-19 pandemic."

Quinn's work embraces

health equity, believing

that the demographics of

professional nurses must

more closely match the

patients receiving their

Winifred Quinn

care. Barbara Nichols, ANA past president, and a

nominator of Quinn as an honorary fellow, said she

was struck by Quinn's passion for diversity in nursing

before others were focused on it. Nichols has shared

that "(her) impact shows the importance of allies from

outside the profession...we need champions besides


Why didn’t our efforts make a difference?

A nurse educator’s reflection on student success.

Dr. Erica Edfort,


When nurse educators identify students performing

below the benchmark, we work tirelessly to assist the

student to achieve success. We refer the student to the

appropriate resources within the institutional setting

(tutors, hosting review sessions, group study session,

1:1 meetings). All the efforts we put forth are student

centered; however, not always, does this lead to a

positive outcome. Some reasons for this phenomenon

may be the students personal schedule (Nasr &

Jackson-Harris, 2017). Students may very well take

their academic responsibilities seriously; however,

we all know that “life happens” outside of the

educational realm. Students may not be able to revise

their personal schedules related to their personal

responsibilities (childcare, work, transportation,

religious or cultural obligations). This may lead the

student to fall behind in assignments, be late to class,

or not have sufficient time to prepare for exams.

If we take a deeper look as to the reason students

may not perform satisfactorily in a course or program,

it may not only reflect their personal responsibilities,

it may be due to their age, cultural background or

education level–what is the students motivation

to learn? Pizzolato et al (2017) identified that to

understand the student’s role in the academic setting

(success-oriented students) would further define the

student’s goals and identify how their motivation to

learn develops over time. They also investigated if the

goals were flexible or are students unable to modify

their goals according to their learning capabilities.

Student motivation was identified not to only be

reflective of a student’s classroom goal achievement

but also on their roles outside the academic setting.

The varied roles of a nursing student must be taken

into consideration as we realize “adult students have

full roles they play besides students, motivation to

learn must be considered as one part of the broader

motivation constellation.”

In addition to motivation to learn, stress may

play a large part in the capability of students to

perform successfully in the academic program. The

cause of stress in both the classroom as well as in

the clinical setting is a factor that may affect the

student’s motivation to learn as well as their successful

completion of an academic program. The fact that

nursing students are fearful of making mistakes in

the clinical setting puts an added burden on their

success factor (Karabulut et al, 2021). Excessive stress

levels may diminish a student’s attention span as

well as a decrease in concentration during classroom

instruction. This may lead to poor academic

outcomes. Increased motivation will allow students to

develop skills, retain theoretical knowledge and meet

learning goals.

The learning needs of students must also be

identified. Students learn at different levels, utilizing

varied methods to learn as well as study. Strategies

to assist students must be identified by faculty to

augment student success. Welsh (2017) identified the

importance of determining the learning needs of the

students enables the developing of a resource network

promoting student success. As faculty, learning needs

must be identified by faculty and tutors alike to fashion

individualized learning plans for students. Tutors

may be bachelor’s or master’s prepared nurses in

the education setting who do not teach but reinforce

learning, provide review sessions, guide students

as they attempt to learn new skills and techniques.

Faculty, as master’s, PhD, DNP or EdD prepared

nurses, take the lead in the learning process; however,

work side by side with the tutors to enable student


Students must take responsibility for their action.

Knowing what is required, following the established

practices, protocols and policies of an academic

institution are factors that many students learn early

in their academic career. However, many students

procrastinate when assignments are due which may

lead to negative outcomes if external events prevent

a student from completing the requirements of an

academic course. Procrastination has a direct link to a

lack of motivation to learn. Attia & Abdelwahid (2020)

noted that academic procrastination is related to the

learning environment related to assignments, studying,

submission of assignments in a timely manner.

Procrastination leads to poor performance on exams

and assignments which may lead to negative student

outcomes. One of the recommendations from Attia &

Abdelwahid is for educators to “understand students’

different capacities and hence must introduce subjects

and topics in a way that all students can comprehend


The nurse educator must identify the needs of

the student and bring them to his/her attention

to enable academic success. These conversations,

although sometimes difficult if the student is nearing

unsuccessful completion of a course, are critical to the

student’s academic success. Critical conversations, as

noted by Castellani (2021) may occur when dealing

with “under- or poor performance, confronting

instances of unacceptable behavior, handling

a grievance or disciplinary process, or dealing

with sensitive personal issues.” A comfort level is

necessary for all parties during a critical conversation.

Depending on the circumstances, faculty may not

be comfortable holding a critical conversation with a

student. No matter what the issue, we as faculty, must

take the lead to identify and discuss issues before they

become unmanageable, and a student success plan is

unable to be managed.


Attia, N.M., & Abdelwahid, A.E. (2020). Grit, Self-

Regulation and Self-Efficacy as Predictors of

Academic Procrastination among Nursing Students.

International Journal of Nursing Education,

12(1). 130-135. DOI Number: 10.5958/0974-


Castellani, D. (2021). Critical Conversations: Why are they

so hard? New Jersey Nurse, 51(3), 15.

Karabulut, N., Gurcayi, D., Yildiz, B.Z. (2021). Effect of

Stress on Academic Motivation and Achievement of

Students in Nursing Education. International Journal

of Caring Sciences, 14(1), 370-384.

Nasr, P., Jackson-Harris, C. (2017). Paving the Path for

Student Success- It is not all about the Student!

Clinical Laboratory Science, 30(2), 90.

Pizzolato, J.E., Olson, A.B., Monje-Paulson, L.N. (2017).

Finding Motivation to Learn: Exploring Achievement

Goals in California Community College CalWORKs

Students. Journal of Adult Development, 24, 295-

307. DOI 10.1007/s10804-017-9267-8

Welsh, D. (2017). Academic Support Strategies for MedVet

- BSN Students. Kentucky Nurse, 65(2): 19-19

January 2022 New Jersey Nurse & Institute for Nursing Newsletter Page 5

2021 Governor and Legislative Election Results

Anne Duggan Ugrovics, MSN RN

INPAC Member

The 2021 Election is completed. Some of the

results were a surprise, others not so much. Here

is a listing of the winners. GOP (Republican) DEM

(Democrat) denote party affiliation. If the name is

followed by (I) then the member has been elected for

another term. If the name is followed by an * then

NJSNA endorsed the member for election.


Dist 21 Senate Jon Bramnick GOP

Assembly Nancy Munoz GOP (I) *

Assembly Michele Matsikoudis GOP *

Dist 24 Senate Steve Oroho GOP (I) *

Assembly Parker Space GOP (I) *

Assembly Harold Wirths GOP (I) *

Dist 25 Senate Anthony Bucco GOP (I)

Assembly Aura Dunn GOP(I) *

Assembly Brian Berger GOP (I) *

Dist 27 Senate Richard Codey DEM (I)

Assembly John McKeon DEM(I) *

Mila Jasey DEM (!) *

Dist 34 Senate Nia Gill DEM (I) *

Assembly Thomas Giblin DEM (I) *

Britnee Timerlake DEM (I) *

Dist 35 Senate Nelida Pou DEM (I) *

Assembly Benjie Wimberly DEM (I) *

Assembly Shavonda Sumter DEM (I) *

Dist 36 Senate Paul Sarlo DEM (I)

Assembly Gary Schaer DEM (I) *

Assembly Clinton Calabrese DEM (I)

Dist 38 Senate Joseph Lagana DEM (I) *

Assembly Lisa Swain DEM (I) *

Assembly Chris Tully DEM (I) *

Dist 39 Senate Holly Schepisi GOP (I) *

Assembly Robert Auth GOP (I)

Assembly Deanne De Fucci GOP (I)

Dist 40 Senate Kristin Corrado (I) *

Assembly Kevin Rooney GOP (I) *

Assembly Christopher DePhillips GOP (I) *


Dist 31 Senate Sandra Cunningham DEM (I)

Assembly Angela McKnight DEM (I) *

Assembly Brandon Vila GOP

Dist 32 Senate Nicklos Sacco DEM (I)

Assembly Angelica Jimenez DEM (I) *

Assembly Pedro Mejia DEM (I) *

Dist 33 Senate Brian Stack DEM (I) *

Assembly Annette Chaparro DEM (I)

Assembly Raj Mukherji DEM (I)

Dist 35 Senate Nelida Pou DEM (I) *

Assembly Benjie Wimberly DEM (I) *

Assembly Shavonda Sunter DEM (I) *

Dist 36 Senate Paul Sarlo DEM (I)

Assembly Gary Schaer DEM (I) *

Assembly Clinton Calabrese DEM (I)

Dist 37 Senate Gordon Johnson DEM (I) *

Assembly Ellen Park DEM

Assembly Shama Haider DEM

Dist 38 Senate Joseph Lagana DEM (I) *

Assembly Lisa Swain DEM (I) *

Assembly Christopher Tully DEM (I) *

Dist 39 Senate Holly Schepisi GOP (I) *

Assembly Robert Auth GOP (I)

Assembly Deanne DeFuccio GOP (I)

Dist 40 Senate Kristan Corrado GOP (I) *

Assembly Kevin Rooney GOP (I) *

Assembly Christopher DePhillips GOP (I) *


Dist 20 Senate Joseph Cryan DEM (I) *

Assembly Annette Quijano DEM (I) *

Assembly Reginald Atkins DEM (I) *

Dist 21 Senate Jon Bramnick GOP

Assembly Nancy Munoz GOP (I) *

Michele Matsikoudis GOP *

Dist 27 Senate Richard Cody DEM (I)

Assembly John MKeon DEM (I) *

Assembly Mila Jasey DEM (I) *

Dist 29 Senate Ronald Rice DEM (I)

Assembly Eliana Pintor Marin DEM (I) *

Assembly Sanique Speight DEM (I) *

Dist 34 Senate Nia Gill DEM (I) *

Assembly Thomas Giblin DEM (I) *

Assembly Bretnee Timberlake DEM (I) *

Dist 40 Senate Kristin Corrado GOP (I) *

Assembly Kevin Rooney GOP (I) *

Assembly Christopher DePhillips GOP (I) *


Dist 12 Senate Samuel Thompson GOP (I)

Assembly Ronald Dancer GOP (I) *

Assembly Robert Clifton GOP (I) *

Dist 14 Senate Linda Greenstein DEM (I) *

Assembly Wayne DeAngelo DEM (I) *

Assembly Daniel Benson DEM (I) *

Dist 15 Senate Shirley Turner DEM (I) *

Assembly Anthony Verrelli DEM (I) *

Assembly Verlina Reynolds DEM (I) *

Dist 16 Senate Andrew Zwicker DEM (I) *

Assembly Roy Freiman DEM (I) *

Assembly Sadaf Jaffer DEM *

Dist 17 Senate Bob Smith DEM (I)

Assembly Joseph Egan DEM (I)

Assembly Joseph Danielson DEM (I)

Dist 18 Senate Patrick Diegnan DEM (I) *

Assembly Robert Karabinchak DEM (I)

Assembly Sterly Stanley DEM (I)

Dist 19 Senate Joseph Vitale DEM (I) *

Assembly Craig Coughlin DEM (I) *

Assembly Yvonne Lopez DEM (I) *

Dist 21 Senate Jon Bramnick GOP

Assembly Nancy Munoz GOP (I) *

Assembly Michele Matsikoudis GOP (I) *

Dist 25 Senate Anthony Bucco GOP (I)

Assembly Aura Dunn GOP (I) *

Assembly Brian Bergen GOP (I) *


Dist 1 Senate Michael Testa GOP (I)

Assembly Erick Simonsen GOP (I)

Assembly Antwan McClellan GOP (I)

Dist 3 Senate Edward Durr GOP

Assembly Beth Sawyer GOP

Assembly Patrick McCarthy GOP

Dist 4 Senate Fred Madden DEM (I) *

Assembly Paul Moriarty DEM (I) *

Assembly Gabriel Mosquera DEM (I) *

Dist 5 Senate Nilsa Cruz-Perez DEM (I) *

Assembly William Moen DEM (I) *

Assembly William Spearman DEM (I) *

Dist 6 Senate James Beach DEM (I)

Assembly Louis Greenwald DEM (I) *

Assembly Pamela Lampitt DEM (I) *

Dist 7 Senate Troy Singleton DEM (I) *

Assembly Carol Murphy DEM (I) *

Assembly Herb Conaway DEM (I)

Dist 8 Senate Jean Stanfield DEM (I) *

Assembly Michael Torrissi GOP

Assembly Brandon Umba GOP

Dist 9 Senate David Wright DEM

Assembly Brian Rumpf GOP (I) *

Assembly DiAnne Gove GOP (I) *

Dist 12 Senate Samuel Thompson GOP (I)

Assembly Ronald Dancer GOP (I) *

Assembly Robert Clifton GOP (I) *


Dist 2 Senate Vince Polistina GOP

Assembly Clair Swift GOP

Assembly Don Guardian GOP

Dist 8 Senate Jean Stanfield GOP *

Assembly Brandon Umba GOP

Assembly Michael Torrissi GOP

Dist 9 Senate David Wright DEM

Assembly Brian Rumpf GOP

Assembly Brandon Umba GOP

Dist 10 Senate James Holzapfel GOP (I) *

Assembly John Catalano GOP (I) *

Assembly Gregory McGuckin GOP (I) *

Dist 11 Senate Vin Gopal GOP (I) *

Assembly Marilyn Piperno GOP

Assembly Kimberly Eulner GOP

Dist 12 Senate Samuel Thompson GOP (I)

Assembly Ronald Dancer GOP (I) *

Assembly Robert Clifton GOP (I) *

Dist 13 Senate Declan O’Scanlon GOP (I)

Assembly Gerard Scharfenberger GOP (I)

Assembly Vicky Flynn GOP

Dist 30 Senate Robert Singer GOP (I) *

Assembly Sean Kane GOP (I) *

Assembly Edward Thomson GOP (I) *

Hats off to NJSNA INPAC and our Board of

Trustees for supporting 97% of this year’s candidates

who went on to win their seats. We could not have

done this with out the help of our CEO Judy Schmidt

and our Lobby firm Princeton Public Affairs.

Congratulations to each and every one of you

for going out and voting. Governor Murphy won

reelection by 65,375 votes. We now have 38

members of the state Senate and 56 members of the

state Assembly who are supportive of the issues that

are critical to our practice and profession

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Page 6 New Jersey Nurse & Institute for Nursing Newsletter January 2022

American Academy of Nursing Inducts Seven NJ Nurses



School Nurse

Camden City School District

New Jersey

Robin Cogan, a Nationally Certified School Nurse

(NCSN), has practiced for 21 years in the Camden City

School District. She relentlessly advocates for school

safety, gun violence prevention and champions healing

centered schools. Cogan is the Legislative Co-chair

for the New Jersey State School Nurses Association.

In January 2022, she will become the NJ State Director for the National

Association of School Nurses. Cogan serves as a part-time lecturer at Rutgers

University-Camden School of Nursing, where she teaches the next generation of

school nurses. She is the creator of The Relentless School Nurse blog and also

contributes to the My Nurse Influencer column for MyAmerican Nurse. Cogan's

work was highlighted as a case study in the National Academy of Medicine’s

Future of Nursing 2020-2030 Report.

Cogan is a Johnson & Johnson School Health Leadership Fellow and past

Program Mentor. She is the honored recipient of multiple awards for her work

in school nursing and population health including the 2019 and 2020 National

Association of School Nurses President’s Award, 2018 NCSN School Nurse of the

Year, 2017 Johnson & Johnson School Nurse of the Year, and the New Jersey

Department of Health 2017 Population Health Hero Award. She was presented

the 2018 Rutgers Camden Chancellor’s Teaching Excellence Award



Associate Dean & Associate Professor

Rutgers University

New Jersey

Caroline Dorsen is the Associate Dean of Clinical

Partnerships at Rutgers School of Nursing where she is an

Associate Professor of Nursing and Public Health. Dorsen

is a nurse scholar, educator, and clinician whose passion

is the intersection of health and social justice. She is a

nationally recognized expert and clinical scholar on sexual

and gender minority health who has authored or co-authored over 50 publications

and received numerous awards for her writing. In recognition of her expertise as

an educator, Dorsen was the 2020 recipient of the Dean’s Distinguished Teaching

Award at NYU Meyers College of Nursing. In 2020, she was also the recipient

of NYU’s MLK, Jr Faculty Award sponsored by the President and Provost for

“exemplifying the spirit of Dr. Martin Luther King Jr. through teaching excellence,

leadership, social justice activism, and community building.”

Dorsen serves as the Vice Chairman of the Board of Directors for Community

Health Network, is Senior Associate Editor of the journal Annals of LGBTQ Public

and Population Health and was Nursing Chair (2018-2020) of GLMA: Health

Professionals Advancing LGBTQ+ Equality. She sits on numerous diversity, equity

and inclusion task forces, including ENRS and the HHS Office of Minority Health.

Dorsen received a BA in Anthropology from UC Berkeley, a BS in Nursing

from NYU Meyers, a Master’s in Nursing from Yale School of Nursing, and a

PhD in Nursing Research and Theory from NYU Meyers. She completed a postdoctoral

fellowship in translational science at NYU Langone Health.



Chief Nursing Officer

Rutgers Cancer Institute of New Jersey/RWJBarnabas


New Jersey

Carolyn Hayes currently serves as the Chief Nursing

Officer at Rutgers Cancer Institute of New Jersey and

the RWJBarnabas Health Oncology Service Line. In

addition, Hayes is an associate professor in the Division

of Nursing Science, at Rutgers School of Nursing. As a

cofounder, she continues to serve as the President and Executive Director of the

Greater Boston Nursing Collective (GBNC). In past positions, she has served as a

clinical nurse and in nursing administration at various academic medical centers

in Chicago and Boston. Prior to leaving to partner with a local philanthropist to

launch the GBNC, Hayes held the position of associate chief nurse for Oncology,

Medical and Integrative Nursing at Brigham & Women’s Hospital and Dana-

Farber Cancer Institute. Hayes is also an alumnus of the Robert Wood Johnson

Executive Nurse Fellows Program. Her clinical and leadership practice, teaching,

research and publications have been focused on integrative nursing, clinical ethics,

leadership and end-of-life nursing care.

Hayes earned a BSN at Georgetown University, a Masters in Nursing Service

Administration at the University of Illinois at Chicago and Doctorate in Philosophy

at Boston College. She completed fellowships in Medical Ethics at Harvard

Medical School, Nursing Administration at University of Chicago Hospitals and a

Leadership Program at Harvard Business School.



Assistant Professor; Nurse Scientist

Columbia University, Hackensack Meridian Health

New Jersey

Amanda Hessels is an Assistant Professor at Columbia

University, School of Nursing and a Nurse Scientist at

Hackensack Meridian Health. With an exceptional nursing

career spanning 25 years, Hessels is respected as a

researcher, educator, and clinician. By bridging academia

and the healthcare setting, she is distinctly capable of

identifying and addressing real-world problems and through leadership, innovation and

action, she is creating a legacy that includes both scientific acumen and sensitivity to

clinical operations and practice. The signature of her substantive sustained and lasting

impact on nursing and health is a body of research at the intersection of patient safety

and occupational health. By describing and quantifying the role of human factors,

organizational and clinical practice predictors of healthcare associated infections and

occupational health injuries her work has led to practice and policy change regionally,

nationally, and internationally. Advancing these scientific breakthroughs and with

current federal funding she is developing interventions to improve adherence to

infection prevention practices. Hessels’ scholarly contributions are vast and include

numerous Editorial Board positions nationally and internationally, leadership roles in

national organizations, such as the Association for Professionals in Infection Control

and Epidemiology, and selected invitations and appointments to national scientific

panels and committees.

Hessels earned a BSN degree from the University of Rochester, MSN and

MPH degrees from the City University of New York, Hunter College, and PhD

degree in nursing from Rutgers University, College of Nursing. She completed a

Postdoctoral Research Fellowship at Columbia University, School of Nursing.



Assistant Professor

Rutgers University

New Jersey

Olga Jarrín Montaner is an Assistant Professor at

Rutgers, The State University of New Jersey. She directs

the Community Health and Aging Outcomes Laboratory

which focuses on evaluating how environmental factors

(including structural and systemic racism), other health

system factors, and state policies shape racial/ethnic

disparities in access to health care services and health outcomes among Medicare

beneficiaries living with dementia and other chronic illness. Jarrín Montaner leads

two large NIH funded team science research projects focused on improving late

life care quality and outcomes for people living with advanced illness including

Alzheimer’s disease and other dementias. These projects build on her ongoing

work focused on the comparative effectiveness home health care on outcomes

for racial/ethnic minority older adults living with chronic and advanced illness,

originally started with a pathway to independence award from the Agency for

Healthcare Research and Quality. The long-term goal of this program of research

is to develop policy and practice recommendations to meet the needs of the racially

and ethnically diverse population of older adults in the U.S. Jarrín Montaner’s earlier

work conceptualizing an integral philosophy and definition of nursing has been

cited in major nursing texts in the United States and Mexico, numerous doctoral

dissertations, and peer-reviewed papers from six continents.

Jarrín Montaner earned a BS, MS, and PhD in Nursing Science from the

University of Connecticut and completed postdoctoral fellowships at the University

of Pennsylvania, supported by the National Institute of Nursing Research and the

National Hartford Center of Gerontological Nursing Excellence.

AAN Inductees continued on page 7

January 2022 New Jersey Nurse & Institute for Nursing Newsletter Page 7





Rutgers Robert Wood

Johnson Medical School

New Jersey

Maureen A. Madden is

a Professor of Pediatrics at

the Rutgers Robert Wood

Johnson Medical School

and a Nurse Practitioner in pediatric critical care

at the Bristol Myers Squibb Children's Hospital in

New Jersey. Madden is an experienced clinician and

academician. As a highly recognized thought leader

in four international professional organizations, she

influenced interprofessional teams' preparation and

promoted standards that improved health outcomes for

critically ill and injured children. Madden has contributed

to the development of new interprofessional educational

models resulting in more equitable treatment of critically

ill and injured children by preparing healthcare providers

in underserved and less-resourced environments with

the latest evidence-based management strategies and

psychomotor skills. Her leadership pioneered the first

multimodal international training program, known as

the Pediatric Fundamentals of Critical Care Support

(PFCCS) course. Madden has many publications and

book chapters on topics in pediatric critical care and

served as an invited speaker at many national and

international conferences. Her expertise led to being

an invited editor for the textbook Pediatric Acute Care

2nd edition, the development of interprofessional

practice guidelines with the American College of

Critical Care Medicine, and a selected leader for practice

and education on the Pediatric Nurse Practitioner

Certification Board. She is a department editor and

editorial board member for the Journal of Pediatric

Health Care.

Madden received a BSN from Columbia University,

MSN from the University of Pennsylvania, and DNP

from Rutgers University.




Chair of the MSN & Post

Master Certificate Programs

Stockton University

New Jersey

Larider Ruffin is Chair of

the MSN and Post-Master

Certificate programs at

Stockton University. He is

the Chairman and CEO at Ruffin Associates Healthy

Housecalls where he maintains clinical practice as an

Adult-Gerontology Primary Care Nurse Practitioner

and Certified Tobacco Treatment Specialist.

Ruffin chairs the National Black Nurses Association

(NBNA) Smoking and Vaping Advocacy Committee.

As the inaugural chair, he led NBNA to adopt

“NBNA No Tobacco Day” in support to the “World

No Tobacco Day Initiative” to advocate for increased

awareness of the negative impacts of smoking and

vaping. He crafted the national tobacco policy agenda

and led the NBNA tobacco awareness campaign with

95 NBNA chapters in 35 states.

As Professor of Nursing, Ruffin teaches and

mentors NP students to become competent clinicians.

He successfully developed a college level course

entitled “Smoking and Vaping along the Continuum”

to increase student’s awareness to the deleterious

effects of smoking. Through federal, state, and local

level advocacy, he pushes for policy solutions that stop

tobacco industry’s predatory practices in underserved

communities to decrease health disparities. He

advocates for clinicians to treat smoking and vaping

as chronic diseases. Ruffin’s extraordinary and

sustained scholarly work has been disseminated in

the US, Spain, France, and Haiti through various

presentations, the development of regional, national,

and international tobacco programs, as well as

multiple peer-reviewed publications.

Dr. Ruffin earned a BSN from Rutgers University,

MSN and Tobacco Treatment Specialization from

University of Medicine & Dentistry of New Jersey

(now Rutgers), and DNP from Wilmington University.



We are looking for qualified staff to join our caring team today!

Sign-on-Bonuses Included

Schedule an Interview Today

For more information and to submit your resume, please contact:

Shane Doughty, Recruiter - Integrity House, 103 Lincoln Park, Newark, New Jersey 07102

(e): (p) 929. 367. 8757


Why us? We transform lives, We are committed, We value Team Work


Visit us at:




Nursing Opportunities

Available Today!

Apply today at

3000 Essex Road, Tinton Falls, NJ 07753 | 732-481-6084

Page 8 New Jersey Nurse & Institute for Nursing Newsletter January 2022

R egion News

Region 1

Morris, Passaic,

Sussex, Warren

Meghan Keaveney, BSN, RN, VP of


The Region 1 Board Members would like to wish

everyone a happy New Year. We look forward to

find out the wonderful things 2022 has in store for

the nursing profession. Our Region continues to

proudly offer and provide assistance to a nursing

Dover Public Schools is a progressive, culturally diverse

school district in Morris County serving approximately 3,400

students, Pre-K through grade 12 is currently accepting

applications for the position of a District Head Nurse. This is a

full-time, non-affiliated position with immediate availability.

Funding for this position will be supported by the Preschool

Expansion Grant and ESSERS II Funds.


Current License as a Registered Nurse (RN) in New Jersey

Valid New Jersey School Nurse Certificate preferred

Experience in healthcare delivery in a public school setting

Essential Function:

This position will oversee all aspects of nursing services in the Dover

Schools and will serve as the primary contact with community health

agencies. Other duties will include monitoring and health services of

students in the district’s preschool program.

Application Procedure:

To be considered for the position, apply online via Applitrack and complete

all of the required components of the application.

Dover Public Schools is an Equal Opportunity / Affirmative Action Employer, and all qualified

applicants are encouraged to apply.

student by sponsoring the Dr. Foley and Brian

Foley scholarship. Please visit the NJSNA IFN

website for more information. We continue to offer

our Nightingale lamp notecards for purchase (pack

of 10 for $20). Please contact President Parker

( if interested in

purchasing notecards. This fundraiser assists our

region in our philanthropic endeavors.

Region 1 has started to safely attend community

service events. Of those events members have

attended Out of the Darkness Northwest New

Jersey Walk to Fight Suicide. We hope to be able to

participate in the Chester Science Fair and Autism

Speaks events as we have done in past years. We

continue to donate to various food banks in the



Thank you to Sheriff Gannon for presenting

at our October meeting about Hope One. Hope

One is a mobile substance use and mental health

disorder outreach that visits local communities in

Morris County and surrounding communities to

provide substance abuse counseling, resources,

Narcan training and Naloxone kits. The website

is as follows:



A special thank you for your commitment

and service to Region 1 to our “retiring”

board members: Josie Sanchez (Morris County

Coordinator), Daria Napierkowski (Sussex County

Coordinator), Lauren Krause (VP for Membership)

and Dan Misa (Nominations Committee Chair) and

Elisa Green (Nominations Committee Member). You

have done an outstanding job supporting Region 1.

Business Meetings

We had a wonderful and safe in-person

meeting in October at the Knights of Columbus in

Hackettstown, Warren County.

Upcoming Meetings:

We look forward to our upcoming meetings. Our

first meeting will be on January 22nd. This meeting

will be virtual. The topic is Opiate Alternatives

used in the field by paramedics presented by St.

Joseph’s Mobile ICU. Access to the meeting will be

communicated closer to the date. Then we meet

March 19th in a Morris County Location. The

presentation will be Verbal Abuse in the Outpatient

Setting and Maintaining a Safe Work Environment

for Nurses presented by Wendy Pritchett MSN, RN,

OCN, and Karen Kinsley, BSN, RN, OCN. More

information to follow.

NJSNA Election 2022

We were excited to retain valuable members of

our Board of Directors with the installment of our

new members. We look forward to another term

with the returning and new members.

Social Media Presence

Follow our social media pages for the most up-todate

for our events and news postings. Twitter and

Instagram handles are @NJSNARegion1. Facebook

link is as follows:


Region 2

Bergen, Hudson

Mary Jane Genuino, DNP RN-BC

It is that time of year again. The air is crisp, and

the hope for the future is brighter. We can smell

pumpkin spice everywhere, and our lists are filled

with ideas for gift-giving. It is a far cry from where

we were a year ago—but it is exactly where we’re

supposed to be—a place of hope and brighter


Region 2 is gearing towards a packed 2022. A

couple of projects are underway to provide more

exposure for the region. A new nurse mentorship

committee will give our graduating nursing

students an avenue to connect and be mentored by

experienced members. With the current workforce

shortage, we need our new nurses to stay and be

empowered to persevere. It will not only benefit

them, but it can positively impact patient outcomes,

as well. An annual event is also in the planning

stage to highlight our region’s best and brightest

within their different field of specialty. The best and

brightest–this is an excellent time to mention the

accomplishments of some of our members. Fatima

Sanchez was one of the awardees—unsung heroes,

from Lisa’s Living Room, a non-profit organization

for professional women of color. Kiki Magno

was involved in spearheading a Zen room for the

Emergency Department at Hackensack Medical

Center. Latiema Merilus earned two certifications

and is now double certified in Psychiatric Mental

Health Nursing through the ANCC and the

Addictions Nursing Certification (CARN).

Region 2 had two educational events—one in

September, which AbbVie Medical Affairs hosted.

The topic was on the challenges in differentiating

depression in today’s practice. It was well-attended

and provided great insights into the current

treatment and management trends of bipolar

disorder and depression. We also had a webinar

on October 14th with one of our own, Dr. Valera

Hascup, Assistant Professor of Nursing at St. Peter’s

University, who spoke about her recent study on

“Incivility in Academia.” Her study was funded by

the New Jersey Collaborating Center for Nursing

via the George Hebert Award. Dr. Tess Medina,

the current president of the Philippine Nurses

Association of NJ, also spoke on “Resiliency and

Preventing Burnout.” Both topics and presentations

were well received and gave the participants a lot

of good information to take and apply in their daily

nursing practice. The plan is to provide educational

offerings regularly utilizing the talents within our


The past year or so has been challenging for

most of us. As we near the end of 2021, we

hope that 2022 will be the year for change and

innovation—a year for hope and renewal. A year

for our profession to shine further.

Region 3

Essex, Union Counties

Elsie A. Rivera, DNP, APN. FNP-C

VP Communications

President’s Message: Lois Greene, DHA, MBA,


Hello please allow me to introduce myself

my name is Lois Greene and I am your Region 3

president for 2022-2023. I have had the privilege

of working with many of you in different capacities

and I look forward to meeting many more of you in

the future. If I have learned anything in nursing, it

is that our connections are what makes us thrive.

Connections make the work better and ultimately

it is our connections that helped us thrive and

grow as professionals. The year of the nurse was

celebrated in both 2020 and 2021, and we can truly

say were the most unforgettable years of our lives.

Nurses in every professional environment have been

stretched, challenged, and come out on the other

side very different. I am so proud of being a part

of this amazing community of professionals. The

accomplishments of nurses are undeniable. This

year I ask you to share with our community what

helped you thrive? We will be collecting stories

called “Pearls of the Pandemic.” In this space I

am asking nurses from all over the region to share

their resiliency strategies. The information may be

sent by email, or you may drop your “pearls” via

social media. What I would like to see is a sea of

pearls that we can share widely that may turn into

something bigger. My plan for Region 3 is simple.

First, provide a network of colleagues that are

available to each other. Secondly, provide a forum

to share professional excellence. In this space

January 2022 New Jersey Nurse & Institute for Nursing Newsletter Page 9

R egion News

you may brainstorm and share your creative and

innovative ideas and publish, publish, publish!!

Finally, I would like Region 3 to be at the forefront

of advocacy for the nursing profession. We have

the opportunity to educate our colleagues, our

community and decision makers. We get to promote

the profession of nursing; advance the practice

of nursing and advocate for nurses! Let’s do it

together. Thank you for allowing me to serve.

In keeping with President Greene’s initiative

to publish and share nursing knowledge, we

congratulate Rachel Lyons for her publication:

Lyons, R., Colbert, A., Browning, M., & Jakub, K.

(2021). Urban greenspace use among adolescents

and young adults: An integrative review. Public

Health Nursing (In Press).

The Region 3 Board would like to extend our

gratitude to all the nurses in our region for your

continued commitment to our residents. We will

continue to pursue opportunities to strengthen

nursing networks to improve our membership

during the upcoming year.

Members update your profile on the NJSNA

website and stay informed. Follow us on Facebook

and LinkedIn.

Region 4

Bucks, Hunterdon,

Mercer, Middlesex,

Somerset Counties

Maureen Clark-Gallagher MS, RN


The Region 4 Board continues to work for you.

We thank you for all that you are doing for the

nursing profession and the communities that we


We continue to have monthly Board meetings.

The meetings are held on the second Thursday of

every month at 7 pm. The exception was the month

of November as we had our annual meeting on

November 13. The meetings are held via Zoom and

we also have a good time. The more the merrier!

Please contact me at and I will

send you the meeting link and agenda.

We hope you are enjoying the Region 4

newsletters. Region 4 members are automatically

emailed the monthly newsletter. If you are not a

member of Region 4 and would like to receive a

copy, please email me and I will gladly email it to


We welcome your contributions and/or ideas

on what you would like covered in the Newsletter.

Please send us your accomplishments, photos, or

anything else you deem relevant to nursing. We also

encourage you to write an article for the Newsletter.

The Region 4 annual virtual meeting was held on

November 13, 2021.

The speakers were Dr. Barbara Wright, a

longtime NJSNA and Region 4 member and past

NJ Assembly Woman, and Dr. Susan Reinhard,

Senior Vice President and Director of AARP

Public Policy Institute and Chief Strategist Center

for the Champion Nursing in America and Family

Caregiving Initiatives. The topic was “A Journey of

Professional Nurses: Mentor and Mentee.” It was

indeed a wonderful presentation and networking

opportunity for Region 4 members and guests.

Kudos to Region 4 member Dr. Ana Maria

Catanzaro, Associate Dean of the Thomas

Edison State (TESU) W. Cary Edwards School of

Nursing and Health Professions. Dr. Catanzaro

was honored with the TESU Presidential Award for

Distinguished Service for her contributions to the

University to advance its mission and strategic plan

and for her ongoing service to the local community

by organizing TESU students and staff to help

vaccinate more than 11,000 Trenton residents

against COVID-19.

Region 4 members are encouraged to use the

new MemberClicks membership website. We

are also working on a Microsite that will feature

information from Region 4. Stay tuned for further


Please know that the Region 4 Board is here for

you. Feel free to reach out to me or any member of

the Region 4 Board.

Region 5

Burlington, Camden,


Gloucester, and Salem

Dr. Barbara McCormick, DNP, RN, CEN

NJSNA Region 5 President

The Board of Region 5 continues to thank

all nurses in our Region for their relentless

commitment to the health care of our fellow

citizens. Together, you have made a difference, and

we continue to keep you in our hearts and minds

as this pandemic continues. Please take some time

over this holiday season to celebrate with friends

and family.

Dr. Barbara Chamberlain, PhD, RN was the

recipient of the 2021 Philippine Nurses Association

NJ (PNANJ) Legacy Award. Both Barbara

Chamberlain and Barbara McCormick attended the

event on October 2nd, along with other NJSNA

members. It was a wonderful event and kudos to

PNANJ planners and participants!

Please follow our Facebook and Twitter pages for

more info and please join us for our monthly Zoom

meetings. We are looking for volunteers to join us in

supporting all nurses.

Region 6

Atlantic, Cape May,

Monmouth, Ocean

Jacqueline Bortu BSN, RNC-OB, CBC,

C-ONQS, VP Communications

Region 6 Board Members are actively discussing

how Region 6 can impact policy and better the

community for nurses and all residents. Recent

topics discussed included: recruitment initiatives

to increase and unite the voice of our region, and

holding town hall type discussions with the region’s

political representatives to discuss pertinent nursing


The Nominations Committee is looking for

volunteers for NJSNA Region 6 Board positions

each year. If you are interested in increasing your

involvement in the NJSNA, please reach out to

Denise Nash-Luckenbach for more information

regarding these positions at dnash918@hotmail.

com. Region 6 is especially looking for membership

representation from Atlantic and Cape May

Counties where membership has been historically

less than the other counties. Every voice matters.

Please join our Facebook page, “New Jersey

State Nurses Association Region 6.” Please check

your emails for the latest updates and zoom links

for membership meetings. We look forward to your

input and participation. Invite your friends and

consider joining a committee.

Region 6 members: If you did not receive

an email blast from NJSNA about the Region’s

educational meetings this year, please contact to verify and update your

membership information.

Page 10 New Jersey Nurse & Institute for Nursing Newsletter January 2022

RAMP Oversight Body

The Oversight Body (OSB) was established at the September 2020

meeting of the NJSNA Board of Directors meeting. The Oversight Body, an

independent body, was the recommendation of the RAMP task force and the

RAMP subcommittee of the same year. The OSB is a progression of the RAMP

Advisory Board established with the New Jersey Board of Nursing, NJSNA, and

the Institute for Nursing (IFN) in 2011. The purpose of the OSB is to secure and

maintain trust in the operation of the Recovery and Monitoring Program (RAMP).

The mission of RAMP is to protect the public and support nurses with the

disease of addiction who are engaged in their own wellness. RAMP achieves

its mission through a treatment and recovery program for nurses, advocacy for

nurses, education of nursing and consumer communities, and ongoing program

evaluation to assure the implementation of best practices and outcomes.

Recommendations of the OSB assist with the improvements to RAMP

protocols and participants services. A call went out for members of NJSNA who

were interested in serving on the OSB to submit a consent to serve form and a

resume. At the November 2020 NJSNA Board of Directors meeting eight NJSNA

members were appointed to the OSB. These volunteer members are:

Eleanor Dietrich-Withington Co-Chair

Linda Gural Co-Chair

Heather Ashfield

Lisa Laphan-Morad

Margaret Pipcheck

Rosemary Smentkowski

Dorothy Grandjean Smith

Susan Rux

The first meeting of OSB was March 19, 2021. The OSB has met biweekly

to review all RAMP documents. Based on the review the Body recommended

the following updates: RAMP personnel job descriptions, update of policies

and procedures, criteria for awarding scholarships, grievance procedure for

participants in the RAMP program, evaluation of the program. Meetings were

held with Terri Ivory Director of RAMP, Judy Schmidt CEO NJSNA, and Elizabeth

Temple CEO of Birchwood, a provider of nurse support groups, in order to

inform them of the results of the OSB reviews.

In October 2021, the OSB transitioned the meetings to occur monthly.

Susan Rux is no longer a member of the Body therefore currently there are

three positions available for qualified candidates to serve on the OSB. Call for

appointment will go out March 1st, 2022. Interested NJSNA members in good

standing should contact Jennifer Chanti at for consent to

serve form. Form and updated resume to be returned to NJSNA by April 15th,

2022. Materials submitted will be reviewed by the NJSNA board at the May 2022


The Importance of Practicing

“Mindfulness” in Nursing

Donna L. Castellani, MSN.Ed, RN, CNE

By its very demanding nature, the environment of healthcare requires the

need for stress reduction and resilience building for its nurse workforce. The

American Nurses Association’s Health Risk Appraisal report found that 82% of

nurses believe they’re at a significant level of risk for illness due to workplace stress

(Penque, 2019, para1). There has been a great deal of literature which speaks

to the physiological and psychological benefits of incorporating the practice of

“mindfulness” into our daily nursing practice. Mindfulness is claimed to have a

proven reduction in stress, anxiety and burnout as well as enhancing resilience

(van der Reit,, 2018). Certainly, addressing the issues surrounding stress

management in the work environment is crucial to help recruit and retain qualified

professional nurses.

Workplace wellness initiatives often focus on decreasing an intuition’s employee

health care while at the same time increasing productivity (Sos & Melton,

2020). However, stress and its effects also lead to increased absenteeism- adding

additional stress for those who must now shoulder additional patient assignments.

Occupational stress manifests itself in physical and psychological ways such as

chronic fatigue, lack of concentration, “burn-out”, and emotional exhaustion (Sos

& Melton, 2020). Managing work stress becomes important therefore not only

to ensure patient safety, but to also to improve nurses’ overall health and job

satisfaction. It is important that institutions look to incorporate stress management

and mindfulness programs into their existing employee wellness programs.

One solution to this issue is to develop a program of “mindfulness.” Mindfulness

has been described as “an awareness of the present moment” (Penque, 2019,

para. 3). Nurses often encounter stressful situations during encounters with

patients, families, and fellow healthcare team members. Developing a program of

mindfulness may help foster self-compassion and serenity, as well as providing a

means to put situations in perspective and promote positive responses to stress

(Penque, 2019). Techniques such as focused breathing, meditation, focused

visualization, taking a short walk down the hall or outside, or simply pausing for

reflection can easily be employed during the workday to help cope with stressful

situations or to deal with a build-up of stress. Such mindfulness techniques have

been shown to be as effective as yoga in decreasing stress (Sosa & Melton, 2020).

Mindfulness can help redirect negative thinking and reframe difficult situations

(Penque, 2019). The more one practices mindfulness techniques, the more one

can begin to separate negative emotions and gain better insight into the situation

(Penque, 2019).

Nursing is an extremely stressful occupation. Stress is taking a toll on our nurse

workforce. Developing and implementing mindfulness-based programs will help

nurses develop the skills needed to manage workplace stress and improve their

overall health and wellbeing. Mindfulness programs can be incorporated easily

into existing wellness programs. This in turn will increase job satisfaction leading

to increased productivity, patient safety, and staff retention, while decreasing

absenteeism and burn-out. Mindfulness is a valuable tool in the nursing toolbox.


Penque, S. (2019). Mindfulness to promote nurses’ well-being. Nursing Management 50(5):


Sos, T., & Melton, B. (2020). Incorporating mindfulness into Occupational Stress

Management programming for nursing staff. Workplace Health & Safety 63(4): 203-


January 2022 New Jersey Nurse & Institute for Nursing Newsletter Page 11

My Reflections About Nursing

During COVID-19

Gina Monk, BSN, RN, CCRN

Working through a pandemic is not something that can easily be taught. There

is no way to prepare for the emotional, physical and spiritual distress that comes

along with caring for innocent people all affected by the same evil. There is no

way to teach how to handle the haunting memories you are left with once the

units have been cleaned and normal work functions have resumed.

It is impossible to forget the sights of the units in which we worked so tirelessly.

It is hard to know if we will ever be able to walk by a room without picturing

the faces of patients we fought so hard for when they were unable to fight for


The truth is, no one really knows what we went through. It is impossible to

describe the extreme physical and emotional exhaustion we felt after a shift of one

emergency after another, or the heartbreak we felt every time a new patient came

in because we knew the sequence of events that were about to occur. There is no

way to describe the way we treated our patients with dignity even in the midst of


And in the peak of this chaos, we took nurses under our wings to teach them

to care for the critically ill. Even though our spirits were weak and our bodies were

tired, we stayed strong and positive for our newly trained nurses, because soon

enough they too would understand the sheer panic, the fear and the heartbreak

we had been experiencing all along.

But most of all… I will never be able to describe the moment that I realized that

this was truly a pandemic… when I looked up and saw “DNR” written across a

glass door. In this moment I knew that this pandemic was bigger than us, bigger

than OMC, and bigger than the policies and procedures that were previously

engrained in our minds. We were in survival mode. We were adaptive, creative

and innovative when we had to be. Even though our spirits were breaking, and our

bodies were tired, on my darkest moments, and on my hardest days, I would think

back to the “DNR” written on the glass door and know that everything we were

doing was for a purpose. It was not something that was taught, but something we

knew we had to do. We were advocates when no one else could be. We were the

ones who went in the rooms when nobody else would. We were the ones who

adapted to the everchanging “rules,” even though no one knew what it actually

looked like behind closed doors except for us.

COVID-19 hit us like a hurricane and the residue from the storm will never

be fully washed away. And now, even though the “sun has come out,” there will

always be a cloud of darkness that lingers above to remind us of a time that broke

us, but somehow in the end made us more resilient than ever.

Reflections: Caring at End of

Life During COVID-19

Jacqueline A. Tierney, MSN, RN, CHPN

Hospice and Palliative Care, Simon 3

Morristown Medical Center

I am a hospice and palliative care nurse. My calling is to comfort patients at

the end of life, along with their families, and allow for a peaceful and dignified

death. During the height of the COVID-19 crisis, I was tasked by my manager

to aid in the opening of an off-site palliative care unit, for patients who required

end-of-life care throughout our health system. I collaborated to secure staff who

had been displaced from their usual practice areas. Once they were onboarded,

I needed to determine their training needs, coordinate their schedule, and ensure

they understood their new daily responsibilities. I worked closely with leadership,

Informatics and Nursing Education to develop an innovative way to train the staff

on donning PPE, charting in our EHR, administering comfort medications, and

practicing the skill of communicating in unique and extreme circumstances.

As a practicing hospice nurse, the most difficult component of this was not

being able to provide physical touch and comfort to patients and their families.

We were restricted in the duration we were able to spend inside a patient’s room

and family members were not permitted to visit at all. This provided a great deal

of emotional distress for nurses and families, as they were unable to participate

in their final days and hours and share their goodbyes. It was essential that I was

able to convey to families that I was there to provide comfort to their loved ones,

to bear witness to their passing, and that I was able to convey their love in their


Communication was key and we instituted a plan, that the nurse would call

the family scheduled intervals throughout each day, as well as offering regular

opportunities to use video technology. We created a personalized narrative

about each patient which alleviated a great deal of moral distress for all of us and

enhanced our connections to our patients.

I felt that my greatest contribution to the staff was the gift of resiliency. When

staff was experiencing the death of so many people, it was important that I

stand with them at the bedside and help them to care for the patient, providing

them with encouragement and support, and helping them to get off the unit to

decompress when they needed it the most. We cried together and celebrated

through group discussions, gatherings, and planting a “Garden of Souls” in

remembrance of all those we lost.

Throughout this experience, I reflect that my purpose is to bring comfort to

others at the end of life and in turn, I am comforted as well. Through the use

of effective communication, collaboration, resilience, and innovation, we crafted

a caring environment that brought together an amazing and dedicated group of

nurses who provided the very best care to our patients when their families could

not be by their side.

Help INS Celebrate National IV

Nurse Day

Susan H. Weaver, PhD, RN, CRNI, NEA-BC

National IV Nurse Day is every

January 25th, a day to recognize

infusion nurses. As infusion therapy

has been a critical component in

patient care during the COVID-19

pandemic, it is especially important

to recognize infusion nurses this

year. While caring for patients with

COVID-19, nurses—especially

infusion nurses—have been

challenged as never before.

The Infusion Nurses Society’s

(INS) theme for this year, “Strong

I(nitiatives), N(urses), S(tandards),” honors the characteristics that nurses exemplify.

It also recognizes the importance of the 2021 Infusion Therapy Standards of

Practice (the Standards) in infusion nurses’ practice. The Standards, which INS

now releases every three years, are based on the most current evidence available,

and infusion nurses are now incorporating the Standards into their organizations

and clinical practice.

“While infusion nurses are integral members of the patient’s health care team,

during the pandemic their clinical expertise has been invaluable as they have

addressed some unusual circumstances such as insertion of peripherally inserted

central catheters with patients in the prone position and management of infusion

pumps outside of patients’ rooms. Especially on IV Nurse Day, INS acknowledges

the contributions these nurses have made to patient care,” said Mary Alexander,

MA, RN, CRNI®, CAE, FAAN, Chief Executive Officer of Infusion Nurses


In 1980, the US House of Representatives designated January 25 as a day

each year to honor and recognize the accomplishments of the nation’s infusion

nurses—as well as a day to honor and recognize the National Intravenous

Therapy Association, now known as Infusion Nurses Society. Then Massachusetts

congressman Ed Markey called the specialty “a vital branch of our nation’s nursing


INS is a nonprofit organization dedicated to the specialty practice of infusion

nursing. The organization was founded more than 48 years ago to support

infusion health care professionals by providing educational programs, establishing

standards of practice, and disseminating research through its peer-reviewed

publication, the Journal of Infusion Nursing. Today, INS has over 5,500 members

in 33 different countries, and over 2,700 nurses certified in infusion nursing.

As the premier association for infusion nursing, INS is dedicated to exceeding

the public’s expectation of excellence by setting the standard for infusion care.

The mission of INS is to develop and disseminate standards of practice, provide

professional development opportunities and quality education programs, advance

the specialty through evidence-based practice and research, promote the

importance of certification, and advocate for the public, our patients.

So whether you have a certificate for completing an intravenous therapy course

or specialize in infusion therapy and have obtained national certification as a

certified registered nurse of infusion (CRNI®), all infusion nurses are recognized

on IV Nurses Day. For more information about INS and to learn how to participate

in their IV Nurses Day social media campaign, visit

Page 12 New Jersey Nurse & Institute for Nursing Newsletter January 2022

By Wendy Jo Davis, LPN,



Happy New Year to All

from the LPN Forum! 2022

will be an exciting year and I

am happy to announce that

we now have our Executive

Committee in place–and we

are ready to roll!

Please welcome the new Executive Committee

Members of the FLPN:

Chairperson: Wendy Jo Davis, LPN, CMCN

Secretary: Tiffany Hooper, LPN

Vice-Chairperson: Kimberlea Key, LPN

Treasurer: Natalie Griffith, LPN

I would also like to send out a warm welcome to

Lisa Golini, MSN, PhD(c), RN, Director of Clinical

Operations: Practice and Education with the NJSNA/

IFN. Lisa was also an LPN in her past life, and she

has graciously offered us her services and time to

assist the FLPN with continuing education, discussions

and more! If there is a topic/discussion/theory/area

in nursing that you would like to discuss–please reach

out to the FLPN and we can coordinate with Lisa.

I am super-excited and look forward to working

together this year with these motivated NJ LPNs

and Lisa to promote the mission of the FLPN! The

purpose of the NJSNA LPN Forum (FLPN) is to

develop and provide a central space to enhance the

role of Licensed Practical Nurses (LPNs) to assure that

LPNs have the opportunity to practice nursing to the

fullest extent of their scope of practice.

The mission of the FLPN shall be to:

1. Continue to develop and enhance the role of

LPNs in their delivery of nursing care in various


2. Promote collaborative nursing discussions

concerning nursing issues, patient care and

nursing education.

3. Provide educational opportunities for the

growth and development of LPNs.

4. Foster networking and mentoring opportunities

among LPN members.

5. Promote activities that increase the visibility of

the LPN role in New Jersey.

Ongoing FLPN Update & Building Plans:

At the time of this writing, we now have 461 FLPN

Facebook members and 152 email subscribers!

Regional Contributors/Committees - We

continue to establish multiple committees for planning

upcoming projects like the membership drive,

future in-person meetings, regional meetings, etc.

(The FLPN will utilize the NJSNA Regions map).

Volunteers listed on the FLPN Regions Map will be

"hooked-in" to network with our respective NJSNA

Regional Directors/members as well.

More regional contributors are always welcome and

needed – just mark your name down on the FLPN

Regions Map on Facebook or email the FLPN directly

to be added to the list.

Membership Drive - NJ has 23,600+ LPNs! We

need to reach as many LPNs as possible to build the

FLPN so that all LPN voices may be heard!



h t t p s : / / w w w . g o o g l e . c o m /





Meeting ID: 957 2655 3459

Password: 052683

One tap mobile

+13017158592,,95726553459# US (Washington DC)

+13126266799,,95726553459# US (Chicago)

Join By Phone

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+1 312 626 6799 US (Chicago)

+1 646 558 8656 US (New York)

+1 253 215 8782 US (Tacoma)

+1 346 248 7799 US (Houston)

+1 669 900 9128 US (San Jose)



h t t p s : / / w w w . g o o g l e . c o m /





Meeting ID: 975 8176 1965

Password: 699729

One tap mobile

+16465588656,,97581761965# US (New York)

+13017158592,,97581761965# US (Washington DC)

Join By Phone

+1 646 558 8656 US (New York)

+1 301 715 8592 US (Washington DC)

+1 312 626 6799 US (Chicago)

+1 669 900 9128 US (San Jose)

+1 253 215 8782 US (Tacoma)

+1 346 248 7799 US (Houston)

Use the links below to share the FLPN with

your LPN/LPN Student colleagues!

Please join the "New Jersey State Nurses LPN

Forum" Facebook group at: https://www.facebook.


Please SUBSCRIBE for FLPN News/Updates on

our current email platform at: https://njsna-lpn-forum.

Questions/Comments? Email the FLPN directly at:

January 2022 New Jersey Nurse & Institute for Nursing Newsletter Page 13

Medication Administration by Unlicensed Assistive Personnel

Susan H. Weaver, PhD, RN, CRNI®, NEA-BC

The Congress on Policy and Practice has revised and updated the position

statement on Medication Administration by Unlicensed Assistive Personnel.

Linda Hassler, DNP, RN, GCNS-BC, CNE, FGNLA, (NJSNA Region 6 member

and Assistant Professor, Baccalaureate Division at Rutgers University) and

Reginaldo Antonio, MSN, RN (Director of Wellness, The Willows Assisted

Living Facility) assisted COPP with this revision. Hassler, who updated the

previous version of this position statement, explained “This position statement

originated to inform nurses about the need for Certified Medication Aide

(CMAs), particularly in assisted living residences, because initially nurses did not

understand and were even against having CMAs.” Now available on the NJSNA

website, this position statement provides information on the requirements to

become a CMA and the registered nurse’s responsibility regarding delegation.

Medication Administration by Unlicensed Assistive Personnel


New Jersey State Nurses Association recognizes that according to New Jersey

(NJ) administrative code 8:36 - 9.2 (2013) medications can be administered by

or given with the assistance of unlicensed assistive personnel in settings such

as assisted living residences, comprehensive personal care homes, and assisted

living programs.

New Jersey State Nurses Association supports medication administration or

assisted self-administration by unlicensed assistive personnel when the assistive

personnel obtain certification as a Certified Medication Aide (CMA) and the

registered nurse (RN) who is delegating obtains the recommended education and

adheres to the obligations related to delegation as outlined by the NJ Board of

Nursing (BON).

Explanation of Issues:

The NJ standards for assisted living residences, comprehensive personal

care homes, and assisted living programs specify to administer medications,

CMAs must meet the following requirements: 1) have certification as a nurse

aide (CNA), homemaker/home health aide (CHHA), or personal care assistant

(PCA), 2) complete the 30-hour medication aide training course approved by

the New Jersey Department of Health (NJDOH), and 3) successfully pass the

NJDOH Certified Medication Aide standardized exam regarding medication

administration by personal care assistants (NJ Admin Code 8 § 36 - 9.2, 2013).

In order to maintain certification, the CMA must renew their certification and

complete ten hours of continuing education every two years (NJ Admin Code 8

§ 36 - 9.2 (d), 2013).

The NJ Board of Nursing (BON) administrative code 13:37 - 6.2 (2020),

specifies that only a RN may delegate the medication administration task to a

PCA/CHHA/CNA who has received verifiable education and demonstrated

adequate knowledge, skill, and competency to perform the task of medication

administration. Additionally, the NJ BON administrative code, 13:376.4 (2020)

outlines the RNs’ obligations relating to delegations to a certified HHA or

assistive person.

To assist facility trainers/instructors in preparing qualified PCAs, CHHAs,

and CNAs to administer medications, under circumstances when the RN

delegates the task, the NJDOH requires trainers to attend the Train-the-Trainer

Workshop offered by the Health Care Association of New Jersey (HCANJ).

The NJDOH has also developed the “Trainer Manual: A resource guide for

medication administration" to prepare PCAs, CHHAs, and CNAs to administer

medications in assisted living residences, comprehensive personal care homes,

or assisted living programs (NJDOH, 2014). It is strongly recommended that

RNs who delegate to CMAs attend the Train-the-Trainer Workshop offered by

the HCANJ.

Explanation/Definition of Terms

Note that a Certified Medication Aide (CMA) is different from a Certified

Medical Assistant. A certified medical assistant is a medical assistant who has

achieved certification through the Certifying Board of the American Association

of Medical Assistants (AAMA) and has been educated and tested in a wide scope

of general, clinical, and administrative responsibilities.

Unlicensed assistive personnel are defined as those individuals who have

not completed a nursing course of study and have not passed a licensing

examination by the Board of Nursing.


An essential element of assisted living is that residents are encouraged

to maintain their autonomy and to participate in self-care. To the extent that

they are capable, residents in assisted living settings should self-administer their

medications and keep their supply of medications in their own apartment/room.

When residents are unable to independently self-administer medications, CMAs

can supervise or assist the resident in taking the medications or administer the



American Association of Medical Assistants.

NJ Admin. Code tit. 8 § 36 - 9.2. (2013, December 23).


NJ Admin. Code tit. 13 § 37-6.2 and 6.4 (2020, October 19). https://www.

NJ Department of Health. (n.d.) Certified Medication Aide.

NJ Department of Health. (2014). Trainer Manual: A resource guide for medication



Written by: Congress on Policy and Practice

Formulated: April 1993 - Legislative Committee

Revised: January 2011, by Linda Hassler & Karla Tramutola, COPP members

Revised: June 2021, Congress on Policy and Practice, Susan H. Weaver, PhD, RN, Linda

Hassler, DNP, RN, and Reginaldo Antonio, MSN, RN

Approved: September 14, 2021, Congress on Policy and Practice

Adopted: September 28, 2021, NJSNA Board of Directors

How will you help your community?

MRC Volunteers support local public

health & emergency response efforts in

the community.

Interested in joining?

Apply online:

Somerset County Department of Health


Page 14 New Jersey Nurse & Institute for Nursing Newsletter January 2022

Healthy Nurse Healthy New Jersey

One Step Closer to Where You’d Like to Be

Lisa Ertle, BA, RN and the Healthy Nurse Healthy

New Jersey Team

I love it when someone new comes to where I

work. Sometimes it’s a brand-new nurse, a surgical

technician, or someone who is hired to run the front

desk. Occasionally I’ll have the pleasure of watching a

new physician’s assistant or resident learn the ropes,

or in some cases a medical device representative takes

on a new territory—or even starts his or her first job

out of college. One of my absolute favorites is the

mid-career nurse who just got off of nights for the

first time in 15 years because he wanted to be awake

during the day to spend more time with his children

and start taking classes.

I enjoy watching these change embracers learn and

adjust to their new positions until they’ve got it down

pat. All of them remind me that while the cocoon can

be uncomfortable, the joy of transformation can far

outweigh the struggles.

Last year, I watched one Healthy Nurse friend change

jobs two times before she found the right fit. “I know it

seems crazy, she said, “but I love what I do, and I know

there is a place I can be happier.” Another left her job

only a few years before retirement because the stress she

was experiencing from the changes at her hospital were

making her sick. One month out, both of them looked

happier and more relaxed than I’d ever seen them.

Job changes aren’t the only professional changes that

inspire me. I watched another Healthy Nurse take on a

volunteer political position because she wanted to be an

advocate and leader for nurses in the state.

Three years ago, at age 46, I took an opportunity

to learn the OR. Once I had gotten my bearings, I

used the momentum from the job change to go back

to school. Talk about growing pains! Once I got the

hang of fully online classes, I really started to see how

I could use what I was learning in my current work

and beyond. There’s no denying I was somewhat

trepidatious about taking on these new experiences,

but I used the courage I saw in others to take my

own leap of faith. My mentor from back in nursing

school, after graduating with her DNP, reminded me

that it’s never too late to go for it. Getting to the other

side can be exhilarating. And often in hindsight, the

struggle can be beautiful as well.

Healthy New Jersey Nurses, let’s make 2022 the year

of changes that will ultimately bring us joy. They don’t

have to be drastic. For example, if you’ve been unhappy

with your job, set up some interviews to explore new

work environments. Keep an open mind. If you would

like to feel healthier, start with a short walk each day.

If you are thinking of going back to school, and if time

and finances allow, you can always take one class at a

time. And then there’s diving right in. When you lack the

courage to take a leap of faith, look to those around you

who are in various stages of personal and professional

growth. They can be great teachers.

Take good care of yourselves.

HNHNJ welcomes you to enhance our community

by posting your favorite healthy ideas, recipes,

workouts, meditations and the like to our New Jersey

State Healthy Nurses Facebook page at https://www. and visit

our HNHNJ site at

to read essays by nurses, for nurses and take the

Healthy Nurse Pledge. For monthly challenges, visit

January 2022 New Jersey Nurse & Institute for Nursing Newsletter Page 15

Will Your Next Prescription

be for the Pharmacy or the


Making a Difference in Mental

Health on College Campus

and in NJ

Joanne Evans MEd, RN, PMHCNS-BC

Adapted from the

Indiana Nurse Association Bulletin

Almost 2500 years ago, Hippocrates said, “Let food be thy medicine and

medicine be thy food”. These words are still relevant today. Over 20,000

prescription drug products are approved for marketing and pharmaceutical

companies benefit the most from people being sick.

There has been extensive research for well over 40 years showing how

food can be used to treat and sometimes reverse many chronic diseases. What

specifically is plant-based nutrition PBN? What does it include?

• Vegetables – dark greens, dark yellows and orange, sweet potato, etc.

• Whole Grains – pasta, rice, corn, whole grain bread, tortilla, etc.

• Fruit – whole fruit

• Legumes – beans, peas, lentils, tofu, soymilk, chickpeas, etc.

• Nuts and seeds

• Limited processed foods

• Avoiding oil, flour, and sugar

With over 3 million nurses we can make a dramatic change in health care

for people if we share information about PBN. There seems to be many

reasons nurses do not do this. Some feel they do not know enough and are

worried they could not answer the patient’s questions; they think it is too

difficult; do not know whom to refer patients to; think it may be too expensive

to adhere to, and think patients may not be interested .

All the nurses who interviewed for Cultivating Seeds of Health with Plant-

Based Nutrition, Nurses Share Educational Approaches to Prevent and Reverse

Chronic Disease, learned about PBN after graduation from their nursing


There are several groups available for nurses interested in learning more

about PBN. Physicians Committee For Responsible Medicine (PCRM) hosts

the Nurses Nutrition Network, which provides educational programs for nurses


The American College of Lifestyle Medicine has a nurse support group and

provides educational presentations open to all nurses. https://lifestylemedicine.


Our patients need to have a choice on how they will resolve their chronic

health issues, and nurses are well-positioned to educate patients on nutritional

options to help prevent and possibly reverse many chronic diseases. Patients

should be given all the options to make an educated decision about their

health. Sometimes it starts with medications while they are making nutrition

and lifestyle changes. Eventually, it may be the nutritional changes that reverse

the chronic disease process. Let 2021 be the year of change!

By Faith Atte, PhD, RN and

Renee Pevour, MS, RN

Mental Health First Aid (MHFA) is a daylong training to reduce the stigma

towards mental illness and increase a person's likelihood to refer others for

support and professional help. Dr. Faith Ikarede Atte PhD, RN previously

offered this content to William Paterson Nursing Students. However, to

expand the reach Dr. Atte, Assistant Professor and her mentor Dr. Brenda

Marshall, Professor, both faculty at the Department of Nursing at William

Paterson University put together a training project – We Provide Mental

Health Awareness (WP MHA) and were awarded a grant of $625,000 from

the Substance Abuse and Mental Health Services Administration (SAMHSA).

WP MHA is projected to reach over 3,000 individuals with the SAMHSA

approved, evidence-based MHFA trainings (youth, teen and adult). This

expansion will provide instruction for faculty, staff, and students and also

include the community.

The program will offer first aid certification and will also offer a train the

trainer component. Providing the MHFA trainer training to William Paterson

University faculty, staff, students as well as the surrounding community

members will increase the capacity to deliver MHFA to the even larger NJ

community. The training will include assessment of suicide and self-harm

thus increasing the understanding of the spectrum of mental illness and

continuum of mental health to the diverse community of WPUNJ.

Given the recent pandemic of 2020 and its impact on mental health –

WP MHA is timely and needed. This training can change the community

awareness and attitudes toward challenges of mental illness and provide the

needed skills for the diverse faculty, staff, students and community members

to identify high risk behaviors that indicate the need for mental health


To obtain more information or schedule a session, contact Dr. Faith

Ikarede Atte PhD, RN at

Resources for learning about PBN are the following:

• Campbell, T. C., & Campbell,T. The China Study. Startling implications

for diet, weight loss and long-term health.

• Greger, M. How not to die.

• Esselstyn, C. Prevent and reverse heart disease


• Dr. Greger -

• Dr. McDougall -

• Forks Over Knives -

• Physicians Committee for Responsible Medicine –


• 21-Day Vegan Kickstart – PCRM

• Forks Over Knives

• Dr. Gregers’ Daily Dozen

Plant-based movies include:

• Forks Over Knives – especially for diabetes, heart disease, and chronic

health issues

• Code Blue – focusing on medical training and health care system

• Game Changers - focus on vegan athletes

Visit 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.

Page 16 New Jersey Nurse & Institute for Nursing Newsletter January 2022

Help for Children, Women and Families, is Just a Phone Call Away

As schools, retail businesses and places of employment advance economic

recovery from the pandemic, children and families may continue to struggle

– afraid and not knowing how to take steps toward a new normal. Nurses are

often the first line of contact with a child experiencing physical or mental health

challenges, whether it occurs at school, requires an appointment with the

pediatrician or results in a trip to a hospital emergency department.

You can connect them to important programs and needed supports through the

New Jersey Department of Children and Families.

• The 2nd Floor Youth Helpline, accepts calls and

text messages from young people, ages 10 to 24. 2nd Floor’s website has

many resources that address the issues young people are facing.

• The Department of Children and Families’ Child Abuse Hotline, 1-877-652-

2873, also serves as a resource for families who may benefit from referrals

to social services.

• DCF’s Children’s System of Care, DCF | Children's System of Care (

serves children and adolescents with emotional and behavioral health care

challenges, children with developmental and intellectual disabilities, and

children with substance use challenges and their families.

Thank you for your ongoing partnership, and for all you do to help New

Jersey’s families be safe, healthy and connected.


Barbara Maher RN BSN NJ-CSN

Lead Nurse Rahway School District

Franklin School Nurse

President, Union County School Nurses Association

Membership Chair and County Liaison NJSSNA

Are you tired of 12-hour shifts, being on call and working holidays and

weekends? How would you like a career where your schedule matches that of

your school age children? If that sounds interesting, then you should consider a

career in school nursing. There is a huge need for school nurses and a gratifying

career could be waiting for you. Along with an enviable schedule, school nursing

provides generous compensation and a defined pension. But the benefits are not

all material.

The dedication and energy that you bring as a school nurse can make a real

difference in the lives of our children. It’s not uncommon that a school nurse is

the primary or even the only health care provider a child sees. Families frequently

need help navigating the various requirements for vaccinations and the pitfalls and

confusion of government programs. From basic hygiene and nutrition to procuring

dental care and eyeglasses, your efforts and skill can have a real tangible impact.

The rapport you build with your kids is something you are likely to treasure for a


School nurse certification programs are available at most NJ colleges. If you are

tired of the rat race and are looking for a way to provide a significant and lasting

contribution, please consider a career as a school nurse.

For more information, visit the New Jersey State School Nurses Association’s

website @

January 2022 New Jersey Nurse & Institute for Nursing Newsletter Page 17

A Double Whammy:

Widowhood and Covid 19 Pandemic.

Dr. Prisca Anuforo, DNP, CTN-A, RN, Executive


Kristal Suggs, B.A, Graduate Assistant

School of Nursing, Kean University, Union New


All correspondences should be sent to: Prisca

Anuforo, DNP, CTN-A, RN

School of Nursing, Kean University, Union New

Jersey, 07083


The only certainty in life is that it must come to an

end. How and when it comes to that end is unknown

to humanity. When life ends, there is always someone

left to mourn the loss. The Covid-19 pandemic

resulted in over 700,000 deaths leaving children,

widows, and widowers to mourn the loss of their

loved ones. Widowhood is defined as the disruption of

marriage due to the death of the spouse. A widow is a

woman whose husband is deceased, while a widower

is a man whose wife is dead (Cliffnotes, 2021).

Widowhood affects Blacks and women at a higher

rate than other groups (Umberson et al., 2017). In

the United States, there are about 15,307,085 million

widows in 2019 (Curtin, Tejada-Vera, & Anderson,

2021). This number is presumed to be much higher

because of Covid-19 pandemic and bereaved

individuals who lived together as partners but did not

have an official marriage certificate.

Widowhood comes with grave consequences. The

average life expectancy of widowed individuals is 15

years after the spouse has passed away (Curtin, S.

C., Tejada-Vera B., 2019). Widowed adults had the

highest age-adjusted death rates of all marital status

groups, increasing 4% from 2010 to 2019 (Curtin,

Tejada-Vera, & Anderson, 2021). Bereavement

is ranked number 1 on the Holmes-Rahe Stress

Inventory (American Institute of Stress, 2020), and

because of social isolation imposed by COVID, the

stress in this population is magnified. Widows are

dying at a higher rate and are sicker than married

couples. Compared to unmarried people, widows

have the worst health and elevated mortality risk (Liu

& Umberson, 2008). Men have the highest death

rate within three months of bereavement, known as

the widowhood effect. Within all gender and racialethnic

subgroups, widowhood effects on mortality

were largest for Hispanic men. Hispanic and Black

women also suffered significant widowhood effects on

mortality than the white women (Liu, Umberson, &

Xu, 2020).

It appears from the statistics presented that

widowhood is a death sentence sooner or later. As

healthcare professionals, the plight of widows and

widowers should be on our radar. Some interventions

are known to improve wellness in widowhood.

However, more needs to be done to improve the

health and welfare of widows and widowers. The

most effective way to overcome an illness is to

prevent it from occurring in the first place. NINR

supports research to promote long-term health,

including healthy behaviors, and avoid disease and

comorbidities across health conditions, settings, and

the lifespan. Research supported in this area focuses

on the physical, social, behavioral, and environmental

causes of illness, determinants of health, and

assessment of behaviors that lead to healthy lifestyle

choices (Grady, 2017). Most of the available research

on widowhood is from the social sciences. This article

brings awareness to the health status in widowhood

and a call to action to improve the health of widows

by nurses. We can mitigate these health conditions

and improve lives. The widowed should not die

because they lost a loved one.


American Institute of Stress. The Holmes Rahe Stress

Inventory. 2020.

Curtin, S. C., Tejada-Vera, B. & Anderson, R. N. (2021).

Death Rates by Marital Status for Leading Causes

of Death: United States, 2010–2019 National Vital

Statistics Report Volume 70 no 10. Hyattsville, MD:

National Center for Health Statistics. DOI: https://

Cliffnotes. Widowhood. Retrieved October 30, 2021


Grady, P. A. (2017). Advancing Science, Improving Lives:

NINR's New Strategic Plan and the Future of Nursing

Science. Journal of Nursing Scholarship: an official

publication of Sigma Theta Tau International Honor

Society of Nursing, 49(3), 247-248. https://doi.


Liu H, Umberson DJ. (2008). The times they are

a-changin’: Marital status and health differentials from

1972 to 2003. Journal of Health Social Behavior


Liu, H., Umberson, D., & Xu, M. (2020). Widowhood

and mortality: gender, race/ethnicity, and the role

of economic resources. Annals of Epidemiology,

45, 69–75.e1.


Umberson DJ, Olson JS, Crosnoe R, Liu H, Pudrovska

T, Donnelly R. Death of family members as an

overlooked source of racial disadvantage in the United

States. Proceedings of the National Academy of

Sciences 2017;114(5):915–20.

Page 18 New Jersey Nurse & Institute for Nursing Newsletter January 2022

Judith T. Caruso, DNP, MBA, RN, NEA-BC,

FACHE, ONL NJ NWESC Commission and Susan

Cholewka, MBA, Executive Director ONL NJ

Strong Interest Continues: Additional Hospitals


Strong interest continues in New Jersey to create

and sustain healthy work environments. In November

2021, the Organization of Nurse Leaders New Jersey

(ONL NJ) welcomed six more hospitals into the

statewide program for education and implementation

of this statewide innovative Nurse Workplace

Environment and Staffing Councils (NWESC), joining

the 38 acute care hospitals (more than 50 percent of

NJ hospitals) currently involved statewide. See exhibit

1 of the state map. This Cohort Group #5 includes

the following additional hospitals:

• Holy Name Medical Center, Teaneck*

• Atlantic Health System - Chilton Medical

Center, Pompton Plains*

• Hackensack Meridian Health Southern Ocean

Medical Center, Manahawkin*

• Hackensack Meridian Health Palisades Medical

Center, North Bergen*

• Atlantic Health System - Overlook Medical

Center, Summit NJ*

• Hackensack Meridian Health - Ocean

University Medical Center, Brick, NJ*

* not included on the map

The series of three virtual education programs

were scheduled for November 2021, January 2022

and March 2022. More than eleven existing hospitals

with their own NWESC also sent council members

for orientation and/or updates as desired. The six

interdependent American Association of Critical-

Care Nurses (AACN) Standards for Establishing

and Sustaining Healthy Work Environments and

Continued Actions to Improve Nurse

Workplace Environments in New Jersey

evidenced-based practices related to these standards

for a healthy work environment were discussed in

detail: skilled communication, authentic leadership,

effective decision making, meaningful recognition,

true collaboration, and appropriate staffing (AACN,

2016). Evidenced-based practices on personal, unit

based, and organizational resiliency were also added

to the conference content.

Research Continues: Work Environment Improves

Qualitative research published from the original

cohort #1 in 2017 was reported from firsthand

accounts described by clinical nurses of a healthy

work environment (HWE) with the importance of

teamwork, like a “symphony” working together,

being valued and having meaningful recognition. The

nurse managers stressed the importance of respect

and collaboration across all discipline (Johansen, de

Cordova & Weaver, 2021). A manuscript from the

recent research based on the three years work of

cohort #1 hospitals has been submitted and reports

the continued improvement over time in the six

standards for a HWE as measured by the AACN

Healthy Work Environment Assessment Tool (Connor

et al., 2018).

National Interest Continues: Presentations


There is national interest in this innovative

statewide model for healthy work environments.

A presentation by ONL NJ leaders regarding the

statewide action plan implementing and sustaining

healthy work environments is scheduled at the

American Hospital Association Advancing Care

national conference March 7-9, 2022 in Chicago.

Additional abstracts have been submitted to the

American Association of Critical Care Nurses

(AACN), the American Organization of Nurse Leaders

(AONL), and Sigma Theta Tau for presentations at

conferences in 2022.

Healthy Work Environments in New Jersey: Future


The ONL NJ NWESC Commission goal is to have

a strong healthy work environment focus through

NWESC in 90% of acute care hospitals by the end of

2022. Plans are already in place for the Cohort #6 to

start their education in spring of 2022. Current and

new NWESC members can also attend for education


For more information, contact Susan Cholewka,

executive director of ONL NJ, at


American Association of Critical-Care Nurses. (2016).

AACN standards for establishing and sustaining

healthy work environment: a journey to excellence

(2nd Ed.). Retrieved from


American Association of Critical-Care Nurses. Healthy

Work Environment Assessment Tool. Aliso

Viejo, CA: American Association of Critical-Care

Nurses. ©AACN. All rights reserved. Modified with


Connor, J. A., Ziniel, S. I., Porter, C., Doherty, D., Moonan,

M., Dwyer, P., …Hickey, P. A. (2018). Use and

calibration of the AACN Healthy Work Environment

Assessment Tool. American Journal of Critical Care,

27(5), 363-371.

Johansen, M., de Cordova, P., & Weaver, S. (2021).

Exploration of the meaning of healthy work

environment for nurses. Nurse Leader, 97(4), 383-


Ulrich, B., Barden, C., Cassidy, L., & Varn-Davis, N.

(2019). Critical care nurse work environments 2018:

Findings and implications. Critical Care Nurse, 39(2),


Exhibit 1: NWESC Hospitals by County in NJ

January 2022 New Jersey Nurse & Institute for Nursing Newsletter Page 19

Attendance & Motions for NJSNA September 28, 2021

Board of Director’s Meeting

Mary Ellen Levine – President

Sandra Foley – President-Elect

Regina Adams – Vice President

Daniel Misa – Treasurer

Linda Gural – Secretary

Margaret Daingerfield – Director

Tara Heagle – Director

JoAnne Penn – Director/Staff Nurse

Susan Weaver – COPP Chair

Patricia Baxter – Region 1 President

Mary Genuino – Region 2 President

Norma Rodgers – Region 3 President

Maureen Clark-Gallagher – Region 4 President

Barbara McCormick – Region 5 President

Judy Schmidt – CEO

Jennifer Chanti – Executive Assistant

Debra Harwell – Deputy Director

Terri Ivory – RAMP Director

Lisa Golini – Director Clinical Operations

Lynne Stauffer – Bookkeeper

Kathleen Gillespie – Immediate Past President

Wendy Jo Davis – Chair LPN Forum

Beth Knox – Bylaws Committee Chair

Motion #1

Motion #2

Motion #3


Motion passed


Accept minutes from May, June, July

2021 as edited

Motion passed.

Treasurer Dan Misa presented three

RFP for Accountant

Move that NJSNA/IFN BOD approve

Motion #4

Motion #5

Motion #6

Motion #7

Non-profit Accounting Solutions, LLC

Motion passed, Treasurers report out

of committee and filed.

Conflict of Interest Policy, Move that

Conflict-of-Interest Policy is approved

with Correction, Approved with

unanimous consent

Financial Philosophy, Policies, and

Guidelines for the NJSNA and IFN

Investment Portfolio, Move that

Financial Philosophy is approved,

Policy referred back to committee

Purchase of Services Policy

Move that Purchase of Services

Policy be accepted with correction of

NJSNA before CEO in Procedures #2,

Adopted as edited

Resolutions Policy

Move Archive Call for Resolutions

and Policy on resolution and approve

Resolutions Policy, Policy referred

back to committee and hold archiving

to next meeting

Motion #8 Position Statement, Medication

Administration by Unlicensed Assistive


Moved by Sue Weaver adoption by

NJSNA Board of Directors.

Adoption as presented

Motion #9

Motion #10

Motion to break for lunch, Adopted

with unanimous consent

Convention 2021, Motion to cancel

Convention 2021, Discussion

Motion #11

Motion #12

Motion #13

Motion #14

Motion #15

Motion #16

Motion #17

Motion #18

Motion #19

concerning fee for cancellation, annual

meeting, and poster presentation,

Motion passed

Call the Question Motion, Motion


Annual meeting, Motion to hold an

annual meeting virtually, Motion


Move Annual Meeting, Motion to

move the annual meeting to Spring of


Motion passed

Motion to move the discussion on

Motion 13 to after the discussion,

Motion failed

LPN Schools, Motion to support the

Home Health and Hospice to lift the

moratorium on new LPN schools,

Susan Weaver asked to wait until

she does some research on the LPN


Motion to table Motion #15, Motion


Marijuana Task Force, Motion to

appoint Rosemary Smentkowski to

the Marijuana Task Force, Adopted

without objection

Oversight Body, Motion to discharge

member from the Oversight Body due

to Absence, Adopted without objection

Adjournment 3:45pm

Page 20 New Jersey Nurse & Institute for Nursing Newsletter January 2022

Providing Competent, Supportive Care for

People Who are Transgender

F. Patrick Robinson, PhD, RN, ACRN, CNE, FAAN

Sherry L Roper, PhD, RN

Reprinted with permission from Illinois The Nursing

Voice, June 2021 issue

The idea that gender is binary (male or female) and

determined at birth predominates Western cultures.

However, research evidence and lived experiences

suggest that gender exists on a spectrum with many

options. Some people identify as a gender different

from their gender determined at birth (Deutsch, 2016).

Our traditional understanding of gender, based on

chromosomes and primary (genitalia) and secondary

sex characteristics, is often called biological sex or

gender (or sex) assigned at birth. Gender identity, on

the other hand, is the innermost concept of self as

male, female, a blend of both, or neither (Lambda

Legal, 2016.).

The majority of people are cisgender, which occurs

when gender assigned at birth and gender identity are

the same. However, the best available data suggest

that approximately 1.4 million adults do not selfidentify

with their gender assignments (e.g., someone

assigned female at birth but identifies as male) (Flores

et al., 2016). Transgender is an umbrella term for this

population. A visibly growing segment of the U.S.

population does not identify with the binary notion

of gender. Nonbinary is a collective term for this

population, but individuals may use terms such as

genderqueer, gender fluid, or gender non-conforming.

There is no standard or correct way to be (or

be seen as) transgender. Some people who are

transgender choose gender-affirming hormone

therapy to achieve masculinizing or feminizing effects;

others do not. Surgery that revises genitals to conform

to gender identity is a critical part of the transition

for many people who are transgender (Deutsch et

al., 2019). Others do not feel that genital surgery is

a necessary part of transition but may opt for nongenital

surgeries to produce desired characteristics,

including breast augmentation or removal and

body contouring procedures. In other words, the

importance of therapy related to the quality of life

varies by individual. Also, some people who are

transgender may want these services but do not have

access to them because they are (a) unavailable in the

community; (b) not covered by insurance (even if the

individual has insurance, and many do not), and (c) too


Remember: there is no one way to "be"

transgender or cisgender. People choose to express

their gender identities in personally satisfying ways,

which may or may not match social expectations

of what it means to look and behave as a male or

female. Some transgender women choose not to wear

makeup or dresses, and some cisgender men choose

to wear their hair long and earrings.

Health Disparities in People Who are


Negative attitudes and discrimination toward

the transgender community create inequalities that

prevent the delivery of competent healthcare and

elevate the risk for various health problems (Grant

et al., 2011). In comparison to their cisgender

counterparts, people who are transgender experience

higher incidences of cancer, mental health challenges,

and other health problems (Department of Health

& Human Services, n.d.). For instance, transgender

women, compared to all other populations, are at

the highest risk of injury from violence and death by

homicide. People who are transgender are also more

likely to smoke, drink alcohol, use drugs, and engage

in risk behaviors (Institute of Medicine, 2011).

Furthermore, discrimination and social stigma

increase poverty and homelessness in people who

are transgender (Safer et al., 2017). The inability to

afford basic living needs may lead to employment in

underground economies, such as survival sex work or

the illegal drug trade, which place the person who is

transgender at an even higher risk for violence, drug

use, and sexually transmitted infections (Deutsch,


People who are transgender are more likely to

rely on public health insurance or be uninsured than

the general population. Even those insured report

coverage gaps caused by low-cost coverage that

does not include standard services for preventative,

behavioral health, or gender-affirming therapies,

including hormones (Deutsch et al., 2019). Lack of

access to comprehensive health care leads some

people who are transgender to seek hormones from

the community and social networks without clinical

support and monitoring, putting them at additional

risk for adverse reactions and complications.

Researchers suggest that healthcare providers'

inability to deliver supportive and competent care

serves as a powerful mechanism underlying health

disparities (Fenway Institute, 2016). The experiences

of people who are transgender are often not included

in healthcare provider diversity and inclusiveness

training. While transgender-related content in health

professions basic education programs would effectively

improve provider knowledge, skills, and attitudes,

transgender health has not been prioritized in

nursing education. The result is a nursing workforce

inadequately prepared to care for people who are

transgender (McDowell & Bower, 2016).

Nursing Care of People Who Are Transgender

Competent, supportive transgender care requires

nurses to recognize potential biases and understand

gender that may differ from their current beliefs

and social norms. Honest reflection on these

feelings is an essential step in providing competent

transgender care. Using a lens of cultural humility,

where cisgender nurses acknowledge that they do

not adequately know about being transgender while

also being open to learning, is helpful. In this spirit,

open, transparent inquiry on the part of nurses when

they do not know something (When I speak to your

children, what name should I use to refer to you?) or

how to proceed with care (I need to place a catheter

into your bladder, and I know you have had genderaffirming

surgery. Do you want to give me any special

instructions?) can build trust.

While gender-affirming care such as hormones,

androgen-blocking agents, and surgeries require

specialist care management, nurses will encounter

transgender patients in all healthcare areas. Assessing

the history and current status of gender-affirming

therapies is critical to inform safe care. For example,

hormone-induced changes in muscle and bone

mass, along with menstruation or amenorrhea, can

alter gender-defined reference ranges for laboratory

tests such as hemoglobin/hematocrit, alkaline

phosphatase, and creatinine (Deutsch, 2016).

Nurses should consider the gender assigned at

birth (especially if it is the only gender information

to which the lab has access) and gender-affirming

therapy-induced physiological changes to make valid

inferences about lab values. Nurses should also ensure

that a complete history of the use of hormones and

androgen blockers (including those obtained from nonlicensed

providers) is taken. Nurses should work with

other providers to ensure that hormone therapy does

not stop with hospitalization unless contraindicated by

current pathology or prescribed medications. Abrupt

cessation of hormone therapy can have a significant

and negative impact on emotional and physiological


Systems-Level Policies, Processes, and


Professional nurses can play a crucial role by

advocating for policies and processes that promote

safe, effective, and supportive care for people who


January 2022 New Jersey Nurse & Institute for Nursing Newsletter Page 21

are transgender. Misgendering a patient (making an

incorrect assumption about gender identity) can cause

emotional distress and erode patient-provider trust.

Unfortunately, electronic health records (EHR) often

do not support competent care for people who are

transgender. For instance, healthcare providers should

use a 2-step gender identification process (Deutsch,

2016). However, many do not, and EHR systems

rarely provide prompts for the processor space for

easy documentation and access to information derived

from the process. Asking about a patient's current

gender identity can result in several responses. The

EHR should make checkboxes for a reasonable

number of those responses, including male, female,

transgender male, transgender female, and nonbinary.

A fill-in-the-blank is needed for other identifies. The

gender assigned at birth also requires options beyond

male or female; people born with external genitalia,

gonads, or both that do not conform to what is

typically male or female (intersex) may have been

identified incorrectly at birth. The EHR should provide

an intersex option to this question. Some people

who are transgender are uncomfortable revealing

gender assigned at birth, so decline-to-state should be

another option. Note that this process should be the

standard for all patients, not just those assumed to be


People who are transgender may use names

other than their legal names (Lambda Legal, 2016).

Navigating a legal name change is complicated

and costly. Some people who are transgender do

not have the resources for a legal name change; for

others, it may not be safe, given current social or

legal circumstances. Using a patient's chosen name

and pronouns is critical to patient-centered care.

The EHR should prominently document the patient's

chosen name and pronouns, which should also be

used outside the EHR, including for appointments

and prescriptions. Patients should only have to

provide the information once, decreasing the need

to correct providers and improving patient-provider

relationships. EHRs should also contain an organ

inventory, perhaps as part of surgical history, as

providers will need to know about the presence or

absence of reproductive and gonadal organs to inform

clinical decision-making. This information must be

clear, unambiguous, and easily accessible in the EHR

to inform care and prevent medical and surgical


Nurses should work within governance

processes to ensure that all institutional policies

support transgender patients, staff, and visitors.

Nondiscrimination statements should include gender

identity. Policies about restrooms and staff changing

rooms (usually labeled in gender-binary terms) should

state that a person's gender identity rightly determines

the room to be used and that that right should not

require any proof (e.g., health provider confirmation)

related to gender or gender identity. Finally, clear

guidelines concerning non-private room assignments

should include assigning roommates based on gender

identity rather than gender assigned at birth.

Power to Make a Difference

The ANA Code of Ethics obligates nurses to

practice "compassion and respect for the inherent

dignity, worth, and unique attributes of every

person" (ANA, 2015, para 1). While some nurses

may intentionally discriminate against people who

are transgender, it is more likely that a lack of

knowledge and experience leads to nursing actions

that result in suboptimal care. Nurses play critical

roles in transgender care by (a) providing supportive,

affirming care, (b) creating an inclusive environment,

and (c) leading interprofessional teams toward genderaffirming

care. Education and a commitment to

understanding the lived experiences of people who

are transgender is, therefore, essential for all nurses.


American Nurses Association. (2015). What is the nursing

code of ethics?

Department of Health and Human Services, Office of

Disease Prevention and Health Promotion. (n.d.).

Healthy people. Lesbian, gay, bisexual, and

transgender health. https://www.healthypeople.


Deutsch, M.B. (2016). Guidelines for the primary and

gender-affirming care of transgender and gender

nonbinary people (2nd ed.). Center of Excellence for

Transgender Health, University of California at San


Deutsch, M.B, Bowers, M.L., Radix, A., & Carmel, T.C.

(2019). Transgender medical care in the United States:

A historical perspective. In J.S. Schneider, V.M.B.

Silenzio, & Erikson-Schroth, L. (Eds.). The GLMA

Handbook on LGBT Health (1, 83-131). Santa

Barbara, CA: Praeger.

Fenway Institute, National LGBT Health Education Center.

(2016). Providing inclusive services and care for

LGBT people. https://www.lgbtqiahealtheducation.


Flores, A.R., Herman, J.L., Gates, G.J., & Brown, T.N.T.

(2016). How many adults identify as transgender in

the United States? UCLA School of Law, William



Grant, J. M., Mottet, L. A., Tanis, J., Harrison, J., Herman,

J. L., & Keisling, M. (2011). Injustice at every turn:

A report of the National Transgender Discrimination



Institute of Medicine. (2011). The health of lesbian,

gay, bisexual, and transgender people: Building a

foundation for better understanding. http://www.


Lambda Legal. (2016). Transgender rights toolkit. https://

McDowell, A. & Bower, K. (2016). Transgender health care

for nurses: An innovative approach to diversifying

nursing curricula to address health inequalities.

Journal of Nursing Education, 55(8), 476-479. DOI


Safer, J. D., Coleman, E., Feldman, J., Garofal, R.,

Hembree, W., Radix, A., & Sevelius, S. (2017).

Barriers to health care for transgender individuals.

Current Opinion in Endocrinology, Diabetes,

and Obesity, 23(2), 168-171. DOI: 10.1097/


Singh, S., & Durso, L. E. (2017). Widespread

discrimination continues to shape LGBT people's

lives in both subtle and significant ways. Center for

American Progress. https://www.americanprogress.



Happy Holidays

from the Board of Directors and Staff of

New Jersey State Nurses Association/

Institute for Nursing

Page 22 New Jersey Nurse & Institute for Nursing Newsletter January 2022

Nursing Contributions for Safe & Effective Opioid

Pain Management

Delores Jackson, PhD, MSN, BSN, ASN, RN

Reprinted with permission from Tennessee Nurse May 2021 issue

Dependency and Abuse of Opioids

Prescribing opioids is not the problem. Opioids provide highly effective

pain management for acute pain originating from injury, surgery, cancer, and

palliative or end-of-life-care. Appropriate prescribing achieves adequate pain

control; reduces patient addiction risks, abuse, or toxicity; and minimizes drug


Nevertheless, abuse and overdose deaths are still problematic, although data

indicate US healthcare providers are making headway; since 2012, prescription

overdose deaths have been declining. There were 67,367 US drug overdose

deaths in 2018, which represented a 4.1% decline from 2017. Seventy percent

of US drug overdose cases involved opioids. But deaths from natural and semisynthetic

opioids such as those typically prescribed by primary care practitioners

(hydrocodone, oxycodone, or codeine) actually declined 14% from 2017 to 2018.

Tennessee deaths from prescribed opioids also declined in 2018.

Nursing Roles

All RNs contribute to safe care delivery, patient assessment, pain

management and education, whether working as an office RN, Advanced

Practice Registered Nurse (APRN), or Nurse Practitioner (NP) with advanced

practice credentials that include specialized pharmacology education with

prescriptive authority.

The diversified roles of RNs extend beyond primary care to assorted direct

patient care and leadership positions. As skilled educators and patient advocates,

nurses help patients and families understand other pain management modalities

such as physical therapy, psychological management options, complementary

medicine and non-opioid management strategies to ease the burden of pain. The

American Nurses Association (ANA) noted that in part, the current US crisis

has been created by ineffective medical efforts to manage chronic pain. The

ANA applauds nurses as key players for pain management by providing early

recognition and pain interventions in primary care settings, including patientcentered,

interdisciplinary and self-management strategies.

How Can Nurses Provide Safe Pain Management?

Remove Barriers to Effective Pain Management

Several barriers exist that can impact effective pain management. Nurses can

overcome these barriers by transforming their practice to eliminate key problems

that interfere with adequate pain control.

1) At the clinical institution level, interdisciplinary teams can develop best

practices for pain management, treatment plans and drug prescriptions.

2) Individually, nurses should expand their education by attending

conferences, searching for current evidence-based practices via

professional literature, and taking additional coursework (CEUs) on

opioid prescription best practices. Best practice should include an

interdisciplinary focus that includes mental health, behavioral health, and

complementary or alternative pain management approaches.

3) Nurses must remain diligent to avoid cultural or societal stigma for those

who report pain. It is our duty and responsibility to treat pain to promote

an optimal quality of life and reduce suffering. Likewise, we must be

cognizant that patient cultural barriers might exist that could impede the

patient’s willingness to discuss pain.

4) Costs of pain management can be a barrier, particularly if we recommend

or order treatment plans other than drug management. Some insurances

will not pay for alternative or complementary medicine options, mental

health services, or other care modalities outside drug regimens. Antiinflammatory

herbals may be useful, but not if the patient cannot afford

these expensive nutritional supplements. Even rehabilitation services such

as PT may be limited under many insurances and Medicare plans.

Know State Regulations for Prescription Drug Monitoring Programs


All 50 states have developed PDMPs. Access to PDMPs may determine

if the patient has a history of using multiple doctors, frequent ER visits, or

demonstrates other evidence of prior drug abuse such as frequent opioid

prescriptions. The PDMP also records primary care prescription activity. It is

the provider’s responsibility to know all state regulations and required reporting.

Unfortunately, inconsistent data collection and non-standardized regulations have

created confusion for providers and thus have not been as effective as hoped.

Worse, in some cases, these regulations have thwarted some primary care

providers’ desire to order opioids, which have caused fears that some patients’

pain management needs are not effectively met which could lead to patients

seeking illicit pain relief strategies.

Other state or federal guidelines. To curb abuses, states mandate physical

assessments prior to prescribing an opioid drug. To protect the public,

prosecution immunity is enacted for citizens who attempt to assist a person

who may have overdosed. Drug disposal, community education, and expanded

naloxone distribution are other safety mechanisms set forth by legislation.

Create Treatment Plans that Include Addiction Risk Assessments

Nurses obtain thorough patient histories and should verify injury by usual

diagnostic assessments. Assessments should include level and intensity of pain;

pain relief measures; how pain interferes with quality of life, such as its impacts

on physical and psychological function; household support systems; and if pain

is interfering with work, home relationships, mood, sleep, exercise, leisure

activities, or food consumption.

Information from family members, the patient interview, and a thorough

assessment include screening tools to define the patient’s addiction risks. Lowrisk

patients would receive the usual amount of monitoring and follow-up. As

the risk increases, the level of monitoring and frequency of follow-up visits

increase. Monitoring could include pill counts and urine drug screens. Higher

risk patients should be referred to pain management clinics and always receive

short acting opioid formulas.

Based on the patient’s history and family member accounts, the nurse

determines if the patient demonstrates or verbalizes behaviors that might suggest

high risk for drug addiction or abuse. Behaviors that might suggest a problematic

return to normal daily activities include daytime sleeping instead of night; lack of

usual family involvement and interactions; decreased appetite; poor hygiene and

appearance, mood swings or volatility; and impaired functioning due to potential

effects of drug use.

The decision to continue, alter, or stop opioid drug regimens is based on the

patient’s progress in meeting treatment plan objectives while avoiding adverse

behaviors suggestive of overdose or diversion. Satisfactory plan of care outcomes

are improving pain levels, function, and quality of life.

January 2022 New Jersey Nurse & Institute for Nursing Newsletter Page 23

Opioid Prescription Patient Education by Nurses

1) Take opioid as prescribed, noting the importance of sticking with the dose

regimen. Patients should know what to do if they miss a dose or if pain is

not managed by the recommended doses.

2) Remind patients that the medication should not be crushed or chewed.

3) Warn patients of the dangers of using CNS depressants, including

sedatives, alcohol, or illicit drugs.

Achieving Racial and

Ethnic Equity in US Health

Care: A Scorecard of State


4) Reinforce the fact that due to the addictive nature of the drugs,

discontinuation should be accomplished by tapering the drug’s dosing with

primary care provider assistance.

5) Drugs should never be shared. To avoid diversion, opioids should be

locked up in a secure location.

6) Potential side effects include death due to respiratory depression.

7) The drug could impact one’s ability to drive, operate machines, or affect

balance that could cause falls.

8) Instruct the patient on safe disposal of unused opioids. Many senior

centers or primary care offices are depositories for unused drugs.

Community awareness. Nurses are often instrumental in providing community

education. These educational sessions might be in schools, at hospitals, senior

centers, or at other community locations. All aspects of opioid safety should be

taught to interested key community members to heighten awareness.

Naloxone. Release of Naloxone (Narcan) toolkits to the general public,

families of those who use opioids, and patients themselves has increased in

the US over the last few years. These life-saving kits do not treat overdoses of

benzodiazepines, stimulants, or barbiturates but do reverse the effects of opioids,

including heroin and fentanyl, when the first symptoms of respiratory arrest or

coma occur. Since 2019, Narcan can be dispensed for Tennessee individuals at

risk of opiate-related overdose.


The ANA advocates for all RNs, APRNs and NPs to practice in the fullest

extent of their education and practice authority for the implementation of patient

treatment plans and access to care to combat pain and the opioid crisis. The

ANA promotes care delivery instead of litigation or legal actions against those

who have fallen victim to this national epidemic.

Commonwealth Fund Report

The Commonwealth Fund has conducted a recent study, "Achieving Racial

and Ethnic Equity in US Health Care: A Scorecard of State Performance"

(November 2021).The study reports that "profound racial and ethnic disparities

in health and well-being have long been the norm in the United Sates" (p.1).

Black and American Indian/Alaska Native (AIAN) people are more likely to die

from treatable conditions, to die during or after pregnancy and to suffer serious

pregnancy-related complications, and to lose children in infancy. They are also

at higher risk for many chronic conditions such as diabetes and hypertension.

Racial and ethnic health inequities are impacted by issues unrelated to the

health care system. In communities of color poverty rates are higher than

average, residents work in lower paying jobs, and may live in higher risk


In a state-by-state analysis, New Jersey data reported access to quality

care and outcomes for Black, White, Hispanic, Asian, Americans, Native

Hawaiians, Pacific Islanders, and Native Americans While White and Asian

people ranked in 90th and 94th percentile higher than the median in the US,

Hispanics were at 47% and Blacks at the 42% percentile. Deaths of Blacks

before the age of 75 were notable, reported in relation to the population as

141 per 100,000, compared to Whites at 67 per 100,000, Hispanics at 55,

and Asians at 37.

The data reported in the score care is the primarily from 2019 government

sources, they do not account for the impact of the COVID 19 pandemic.

Inequities reported in the study are likely to be worse.


The Commonwealth Fund (November, 2021). Achieving Racial and Ethnic Equity in

US: Health Care: A Scorecard of State Performance. New York, NY.

Stainton, L.H. (November 18, 2021). NJ Faces Challenges on Healthcare Inequity for

Blacks, Hispanics, Healthcare Scoreboard Finds

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