New Hampshire Nursing News - June 2022

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Page 10 • New Hampshire Nursing News June, July, August 2022 Early Career and Graduating Student Nurse Conference 2022 – Your Future in Nursing We were delighted that this year the NHNA Student Nurse Conference was held as an in-person event on April 14, 2022, at Plymouth State University. In recognition that the past two years graduating students did not have the opportunity to attend an in-person event registration was opened to Early Career Students as well. We were delighted to have over 100 registrants from 6 schools, mostly from the North Country. We counted on the generous donations from sponsors to support the event. We were able to defray the costs for lunch and breaks thanks to our lunch sponsor Southern New Hampshire University and our break sponsors University of Southern Maine and Cheshire Hospital. (Names of the other Gold, Silver and Friends sponsors can be found elsewhere in this issue). The annual program is planned by the Commission on Nursing Practice. Thanks to the Commission members in Table 1 below. Table 1: Commission on Nursing Practice Members Carol Allen-Chair Teresa Knight Jamye Cutter Kerriann Reynolds Shelley Freidman-Davis Pamela Kallmerten Bonnie Aybar-Crumley This year’s program was based on the theme “Your Future in Nursing.” The idea emerged organically from conversations the commission members engaged in related to the challenges and realities of the nursing profession. Considering the National Institute of Medicine’s publication of the Nurse of the Future 2020-2030 document the Commission wanted to focus on the themes identified including a focus on opportunities in public health and community health post pandemic, social determinants of health and climate action. This cohort of students has been presented with challenges and they have proven their resilience. The Commission wanted to focus on the many innovative opportunities students will encounter in their careers as professional nurses. We thank our agenda of speakers for a very engaging day. Holly McCormack, RN DNP the current president of NHNA began the program with her opening remarks congratulations to the attendees and acknowledged all they have endured during their education. She also referenced how grateful NHNA was to be able to have an in person event. As President and CEO of Cottage Hospital she recognized the unique needs of the north country and was delighted to be able to host an event at Plymouth. Dr. McCormack then introduced the director of the Plymouth State University Nursing Department, Donna Driscoll who introduced the PSU President Dr. Donald L. Birx, Ph.D who humorously referred to himself as Dr. Birx’s sister (the American physician and diplomat who served as the White House Coronavirus response coordinator). He recalled the healthcare service by several of his family members and thanked the students for choosing nursing and wished them well. Shelley Friedman with Caitlin Yazel Julie Cote Lori Shibinette – Keynote The keynote speaker was the Commissioner of the Department of Health and Human Services, Lori Shibinette. The Commissioner gave a very engaging presentation about her trajectory in nursing. Starting as a nurse at NH Hospital not realizing it was a psychiatric facility, she wanted to be a Maternity Nurse. She eventually fell in love with psychiatric nursing. When she found that she was looking for advancement opportunities she ended up leaving NH Hospital and the rest is history. The key point that she made to the audience was the importance of life work balance. Her message stressed that finding the perfect job did not necessarily mean finding the job that offered the most money but students were asked to consider all of the other factors that would influence their longevity in the profession. She asked them to consider continuing education opportunities, flexible benefits, advancement opportunities and other non-monetary considerations. In advance of a Workforce Roundtable that the Commissioner was hosting on April 18, 2022 (see Giving Care: A Strategic Plan to Expand NH Workforce in this issue), she asked the audience for ideas. She asked: If you could present a package to the Governor that would expand the workforce what should it include? The major themes that emerged were loan repayment and expanded pathways to becoming a nursing. Many commented on the many barriers to nursing program admission, while others felt that advancement through education is not attainable because they will have outstanding loans that will in themselves be difficult to repay. The Commissioner promised to take these ideas back to the roundtable. The perennial program favorite was a panel discussion with recent graduates. This year there were two recent graduates Benson Canfield RN, who currently works at Cottage Hospital and Abigail Buchanan RN who currently works at Dartmouth Health. They both clearly love their jobs. Carol Allen, Chair of the Commission facilitated the discussion. The biggest take home point the new graduates shared was: ask for help. They talked about how one day you are a student and the next you are “the nurse.” Asked how they flipped the switch they both stated that they had to remind themselves to use and be confident in the knowledge and skills they learned in school. They also cautioned though that there are times that you need to use your resources. “There may be tears!” Students in the audience were most interested in how to pass NCLEX. Both panelists passed the exam on their first attempt (not without angst) using different testing strategies, Abigail was determined to pass because she had a job waiting for her, so she used UWorld and maxed out on the number of practice questions she took. Benson used the program
June, July, August 2022 New Hampshire Nursing News • Page 11 he used in school, ATI. Benson noted that he thought that ATI was harder than NCLEX but was still sure leaving the testing center that he had failed. Fortunately, both passed the exam and are currently licensed. We wish them both long and successful careers. There were three live presentations based on the theme of Your Future in Nursing Caitlin Yazel BSN, APRN, CPNP, Nurse Manager & Pediatric Nurse Practitioner in the Department of Dermatology – Dartmouth Hitchcock Medical Center focused her presentation on Your Future in Nursing Ambulatory Care. Here are her key messages 1. There is a gap between the world of in-patient nursing and outpatient nursing and we have to find where these two worlds collide. We know what the day-today work of the inpatient nurse is but we have to find a way to define the role of the ambulatory care nurse. The ambulatory care nurse role is to help patients adhere to treatment with the restrictions the pandemic places on the system. 2. There is good news we are on the cusp of a massive change in healthcare! It scares some, but it shouldn’t! Change=powerful Nursing talents are becoming highlighted now more than ever because of the shortage. 3. How nurses can get involved: Nurses on Boards, Nurses as authors, Nurses in leadership positions (find a mentor) and Nurses as innovators Kaitlyn Liset, RN, MS Chair of the Commission on Climate Action and Health and her panel of Brooke and Jacob McGinnis and Brooke Hall, both student members from UNH DEMN program presented: Your Future in Nursing: Climate Action and Health. Their key messages included 1. The link between climate change and health: “Between 2030 and 2050, climate change is expected to cause approximately 250,000 additional deaths per year, from malnutrition, malaria, diarrhea and heat stress.” https://www.who.int/news-room/factsheets/detail/climate-change-and-health. “We in New Hampshire are no longer immune to poor air quality, extreme heat, flash flooding and its associated soil erosion and run-off contamination, unexpected drought as happened this year, warming waters and their effect on fish, shellfish and food safety, longer pollen and allergy seasons, more weeds and pests, increased tick and mosquito hosts for Lyme disease, West Nile and Eastern Equine Encephalitis, let alone the inevitable coastal flooding from sea level rise.” 2. An example of how climate change is linked to health is the increasing risk for Lyme Disease as the climate in our area is warming, is wetter, and LD is already endemic. We do have opportunities to provide better education and increased awareness among patients and the population. Early recognition and treatment are highly effective in preventing the downstream consequences of Lyme Disease. Nurses can: - Increase awareness - Prevent exposure - Assist in diagnosis and prompt treatment through identification - Assess and monitor risks - Report for tracking and trending For more information about Climate Action and Health visit: https://www.nhclimatehealth.org/ Julie Cote, DNP, MBA, RN, CNE focused her presentation on: The Future of Nursing: Advancing Health and Health Equity. Dr. Cote centered her remarks on the Upstream/ Downstream Parable of Health Equity. Here are her key messages: • Downstream. Chronic disease treatment— emergency services, pharmacology, surgery, and dialysis. • Mid-stream. Modifying individual behavior—physical activity, nutrition, tobacco use, maternal health, high school graduation, and violence control. • Upstream. Addressing social determinants of health—conditions in which people are born, grow, live, work, and play. The point being that in healthcare we need to consider the Social Determinants of health and being to shift our focus from downstream (individual treatment) to upstream (prevention strategies for the whole community, with a focus on the vulnerable). Dr. Cote engaged the student with her own experiences illustrating the parable. ANA was offering a webinar presentation on the Top Ten Workplace Hazards, a program designed for New Graduates and Early Career Nursing. The 90 minute live webinar was streamed during the program. The common workplace hazards including commonly cited hazards and how to avoid them included slips, trips and falls, ergonomic or back injury, needlestick injury, chemical hazards but most importantly was the hazard of workplace violence. Attendees were sent the link to access and share the webinar after the program. We received positive feedback from the conference attendees and also some feedback on how we can improve the conference in the future which we will consider for our 2023 in person conference. The date and location will be announced well in advance to encourage as many schools as possible to send students for this important professional opportunity.
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New Hampshire Nursing News - June 2022

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