The Hawai'i Nurse - August 2022

Create successful ePaper yourself

Turn your PDF publications into a flip-book with our unique Google optimized e-Paper software.

Hawaiʻi-ANA<br />

Empowers nurses<br />

to advocate for the<br />

improvement of the<br />

healthcare system in<br />

the communities where<br />

we live and work.<br />

<strong>The</strong> official Newsletter of<br />

Hawaiʻi - American <strong>Nurse</strong>s Association<br />

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

<strong>August</strong> <strong>2022</strong> | Vol. 3 No. 1<br />

hawaii-ana.nursingnetwork.com<br />

Join Hawaiʻi-ANA & ANA Today!<br />

Only $15 per month.<br />

October<br />

22<br />

Hawai’i-ANA<br />

9am – 3pm | Hilton<br />

Hawaiʻian Village<br />

<strong>2022</strong><br />

Annual Conference<br />

save<br />

the date<br />

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

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

BECOME A<br />


Links to Other Nursing<br />

Organizations<br />

Hawai’i Board of Nursing<br />

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

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

Hawai’i State Center for Nursing<br />

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

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

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

Hawaiʻi - American <strong>Nurse</strong>s Association will be hosting the <strong>2022</strong> Annual Conference<br />

on Saturday, October 22nd from 8:00am - 4:00pm in-person at the Hilton Hawaiian<br />

Village in the Tapa Room, and shared by live webinar across the islands. <strong>The</strong>me:<br />

“Together, We Can!”<br />

This conference is open to all nurses in Hawaiʻi. Invitations are sent out to other nursing<br />

organizations in Hawaiʻi for their members to join in the festivities, so please spread the word!<br />

<strong>The</strong> conference will feature local and national nursing leaders. Focus will be on nurses’ ability<br />

to be powerful voices in policy and government, how to get involved in legislative activities,<br />

and how policy positively impacts your nursing practice and the care your patients receive. We<br />

will offer continuing education*, networking opportunities, booths where vendors will provide<br />

information on their products and services, great food, and much more!<br />

Hawaiʻi-ANA Business Meeting will be open to Hawaiʻi-ANA members where the Board of<br />

Directors will share our strategic and financial plans soliciting input from members for direction<br />

of our Association. Results of the annual election of new Board and Nominating Committee<br />

members will also be announced.<br />

Join us Saturday, October 22nd, <strong>2022</strong> from 8:00am to 4:00pm in person or via Zoom<br />

webinar for engaging opportunities to network with colleagues from around the state!<br />

Register online.<br />

*Northeast Multistate Division (NEMSD) is accredited as a Provider of nursing continuing professional<br />

development by the American <strong>Nurse</strong>s Credentialing Center’s Commission on Accreditation. Hawaii-ANA is a<br />

member of the NEMSD. This activity is being provided by Hawaii-ANA as a member of NEMSD.<br />

current resident or<br />

Non-Profit Org.<br />

U.S. Postage Paid<br />

Princeton, MN<br />

Permit No. 14<br />

Hawai’i-ANA Annual Call for Nominations.2<br />

Why I Became a Member ..........3<br />

Our Mission & Purpose ............3<br />

A Memoir of the <strong>2022</strong><br />

ANA Membership Assembly ..... 4-6<br />

Index<br />

ANA Acts on Climate Change<br />

and Key Nursing Issues .............8<br />

Student <strong>Nurse</strong>s Page ...............9<br />

Hawai’i-ANA Membership .........10-11<br />

ANA-ONLY Members ..............12<br />

<strong>The</strong> power of nursing returns to<br />

Washington, DC in force .........4<br />

<strong>The</strong> New Graduate<br />

RN Workforce Report ...........13-16<br />

ANA’s Racial Reckoning Statement . . 7

Page 2 • Hawaiʻi <strong>Nurse</strong> <strong>August</strong>, September, October <strong>2022</strong><br />




Official Announcement of <strong>2022</strong> Call for Nominations<br />

for Elected Positions, on behalf of Hawai’i-ANA<br />

Nominating Committee and Board of Directors.<br />

As required by the Hawaiʻi-ANA Bylaws 2021, notice is hereby given<br />

to all Hawaiʻi-ANA members of the opening for nominations<br />

for election to office of the following positions:<br />

Vice President<br />

Treasurer<br />

Directors at Large (2 positions)<br />

Nominating Committee (3 positions)<br />

Please consider volunteering your time and talent. Your impact can<br />

make a difference in the lives of many! Join your colleagues already<br />

serving their communities and profession: the benefits are boundless!<br />

Consider your<br />

impact!<br />

Expand your<br />

professional<br />

network!<br />

Be a voice for<br />

change in the<br />

Legislature!<br />

Mentorship!<br />

Advocate for our<br />

profession and our<br />

community!<br />

Learn new skills!<br />


Executive Director: Linda Beechinor, DNP, APRN,<br />

FNP-BC<br />

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

President-Elect: Nancy Atmospera-Walch, DNP,<br />


Vice President: Linda Beechinor, DNP,<br />

APRN, FNP-BC<br />

Secretary: Marion Poirier, M.A., RN<br />

Treasurer: VACANT<br />

Neighbor Island Director: Denise Cohen, PhD,<br />

APRN, FNP-BC<br />

Director-at-large: Bob Gahol, RN, BSN,<br />


Director-at-large: Taryn Amberson, MPH,<br />


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

Director-at-large: Tiffany Hooks, DNP,<br />

FNP-C, RNC-OB<br />

For more information on nominating yourself or a colleague please visit the Hawaiʻi-ANA website<br />


Nominating Committee Chair: Pokiʻi Balaz, DNP,<br />


Member: Brian Fikes, MS, APRN, ACHPN-BC<br />

Member: Soroya Acosta, BSN, RN-BC<br />

Member: Doreen Nakamura, DNP, MBA, RN,<br />

NEA-BC, CCM<br />

Member: Michael Kaneshiro Chou, RN, PCCN, CMGT-BC<br />

<strong>2022</strong> Call for Nominations for Elected Positions<br />

Dear Colleagues –<br />

On behalf of Hawai’i-ANA Nominating Committee and the Board of Directors, we are pleased to announce that<br />

the annual <strong>2022</strong> Call for Nominations for Elected Positions is now open.<br />

Please consider volunteering or nominating for any of the following open positions. Open positions are listed below.<br />

All terms are for 2 years, to begin at the close of the <strong>2022</strong> Hawaiʻi-ANA Annual Conference October 22, <strong>2022</strong>.<br />

Vice President<br />

<strong>The</strong> Vice-President reports to the President and is responsible for the newsletter and social media;<br />

membership growth and diversification; development, communications, and coordination of District activities;<br />

other activities as assigned by the President; and, in the absence of the president, shall assume the duties of<br />

that office. <strong>The</strong> Vice President is a member of the Executive Committee.<br />

Treasurer<br />

<strong>The</strong> Treasurer shall be accountable for the fiscal affairs of Hawai’i-ANA and shall provide reports and<br />

interpretation of Hawai’i-ANA’s financial condition to the Board of Directors, the Annual Conference, and the<br />

membership. <strong>The</strong> treasurer shall be chairman of the Finance Committee. <strong>The</strong> Treasurer is a member of the<br />

Executive Committee.<br />

Director-at-Large (two seats)<br />

<strong>The</strong> Director-at-Large serves on the Hawai’i-ANA Board of Directors to represent the membership who<br />

elected them. Duties are commensurate with assignments made by the Executive Committee, such as to chair<br />

and participate in committee work of Hawaiʻi-ANA.<br />

Nominating Committee (three seats)<br />

<strong>The</strong> Nominating Committee member serves per the committee duties outlined in Article II, Section 2.3. of<br />

the Hawaiʻi-ANA Bylaws 2021.<br />

Timeline:<br />

For more information on how to become a candidate in this election, go to the Hawaiʻi-ANA Website.<br />

<strong>August</strong> 1, <strong>2022</strong> - September 21, <strong>2022</strong><br />

September 22, <strong>2022</strong><br />

October 1, <strong>2022</strong> - October 22, <strong>2022</strong><br />

October 22, <strong>2022</strong><br />

Nominations for positions are open<br />

Slate of eligible candidates will be published to the membership<br />

Voting is open to the membership<br />

Results of the elections will be made available<br />

In accordance with Hawaiʻi-ANA Bylaws 2021, nominations are open <strong>August</strong> 1, <strong>2022</strong> and will close September<br />

21, <strong>2022</strong>. <strong>The</strong> slate will be published to all members with information about each candidate. Voting will be by<br />

secret ballot, beginning October 1, <strong>2022</strong> and closing October 22, <strong>2022</strong>. <strong>The</strong> election will be conducted via an<br />

independent third-party vendor to assure security. Results of the election will be announced at the Hawaiʻi-<br />

ANA Business meeting on October 22, <strong>2022</strong>.<br />


Publisher<br />

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

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

news content.<br />

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

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

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

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

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

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

Hawai’i-ANA.<br />

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

committee. Hawai’i-ANA Editorial Committee reserves the right to<br />

accept or reject articles, advertisements, editorials, and letters for<br />

the Hawai’i <strong>Nurse</strong>. <strong>The</strong> editorial committee reserves the right to<br />

edit articles, editorials, and letters.<br />

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

address:<br />

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

Honolulu, HI 96825<br />

executivedirector@hawaii-ana.org<br />

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

permission.<br />

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

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

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

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

Hawai’i - American <strong>Nurse</strong>s Association website at hawaii-ana.<br />

nursingnetwork.com. Address such requests to the Hawai’i-ANA<br />

Office at the address above or email executivedirector@hawaiiana.org.<br />

Circulation 9,400.<br />

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

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

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

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

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

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

advertisement.<br />

Acceptance of advertising does not imply endorsement or<br />

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

products advertised, the advertisers, or the claims made.<br />

Rejection of an advertisement does not imply a product offered<br />

for advertising is without merit, or that the manufacturer lacks<br />

integrity, or that this association disapproves of the product or<br />

its use. Hawai’i-ANA and the Arthur L. Davis Publishing Agency,<br />

Inc. shall not be held liable for any consequences resulting from<br />

purchase or use of an advertiser’s product. Articles appearing in<br />

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

necessarily reflect views of the staff, board, or membership of<br />

Hawai’i-ANA or those of the national or local associations.

<strong>August</strong>, September, October <strong>2022</strong> Hawaiʻi <strong>Nurse</strong> • Page 3<br />

Why I Became a Member...<br />

“It makes me feel like I’m a part of something greater<br />

and actually making a difference in my community<br />

and my profession.”<br />

“I love networking and meeting so many nurses<br />

around the island”<br />

“With a new mentoring program and combined<br />

networking/education events, there is ample opportunity for<br />

nurses in all career stages to connect and grow with others.”<br />

Our Mission:<br />

Hawaiʻi-ANA empowers nurses to<br />

advocate for the improvement of the<br />

healthcare system in the communities<br />

where we live and work.<br />

Our purpose is to:<br />

1. advocate for nurses in the<br />

workplace, legislature, and the<br />

community<br />

2. provide opportunities for<br />

mentorship, leadership,<br />

continued education, community<br />

engagement, and promotion of<br />

the nursing profession.<br />

3. build a network of empowered<br />

nurses to inspire change and<br />

improve our healthcare system<br />

and community.<br />

“As an active-duty military spouse subject to frequent relocations,<br />

Hawai’i ANA has helped me connect to my local and<br />

interdisciplinary nursing community.”<br />

“It feels great to serve my community”<br />

Your Dream<br />

Find<br />

Job Now!<br />


Page 4 • Hawaiʻi <strong>Nurse</strong> <strong>August</strong>, September, October <strong>2022</strong><br />

A Memoir of the <strong>2022</strong> American <strong>Nurse</strong>s Association<br />

(ANA) Membership Assembly by Hawaiʻi-ANA<br />

President-Elect Dr. Nancy Atmospera-Walch<br />

June was a very exciting month for the Hawaiʻi<br />

- American <strong>Nurse</strong>s Association as it is the month<br />

where the three of its Executive Board Members<br />

were excitedly planning their trip to Washington D.C.<br />

to attend the first Face to Face ANA Membership<br />

Assembly post-covid. Talking about covid,<br />

unfortunately, President, Katie Kemp, could not join<br />

Executive Director/Vice-President Dr. Linda Beechinor<br />

and I, as covid got to her on the day we were all<br />

going to fly out!<br />

Upon arrival in Washington D.C. on June 8,<br />

<strong>2022</strong>, my husband Gerhardt Walch and I invited<br />

Dr. Beechinor and some of my dear friends from<br />

Philippines <strong>Nurse</strong>s Association of American (PNAA)<br />

Metropolitan DC chapter: Dr. Christine Garcia-Pabico<br />

(also Director, Pathway to Excellence Program at<br />

American <strong>Nurse</strong>s Credentialing Center) and her<br />

husband, with Maricon Banzon-Dans (also Assistant<br />

Director, Pathway to Excellence Program at ANCC), to<br />

the prestigious Sulgrave Club. <strong>The</strong> evening went fast<br />

as everyone had stories to share about their favorite<br />

travel places while enjoying our sumptuous dinner<br />

and a private tour after. What a beautiful beginning<br />

for an exciting visit in the nation’s capital.<br />

(LEFT) ANA President Dr. Ernest Grant with Hawaiʻi-ANA President-Elect Dr. Nancy Atmospera-Walch<br />

(RIGHT) Hawaiʻi-ANA President-Elect Dr. Nancy Atmospera-Walch with Executive Director/<br />

Vice President Dr. Linda Beechinor<br />

<strong>The</strong> ANA Membership Assembly officially started<br />

on June 9, <strong>2022</strong>. Dr. Beechinor and I went down to<br />

the meeting proudly wearing our Lei Poʻo (Haku Leis),<br />

which immediately communicated to all that we are<br />

the Hawaiʻi-ANA representatives. It is amazing how<br />

many praises we received. Thanks to Dr. Beechinor<br />

for hand-carrying them and we were able to wear<br />

them for the entire Convention.<br />

Welcome Remarks from ANA President Dr. Ernest<br />

Grant were followed by a keynote address from U.S.<br />

Congresswoman Lucille Royball-Allard (D-CA).<br />

<strong>The</strong> power of nursing returns to Washington, DC in force<br />

Jun 10th <strong>2022</strong><br />

For the first time in three years, nurses, students,<br />

and other leaders gathered today in Washington, DC<br />

for ANA Hill Day on June 9, a related event to the ANA<br />

Membership Assembly Meeting June 10-11. <strong>The</strong>y will<br />

bring nursing priorities to meetings with members of<br />

Congress and their staff to build support for federal<br />

legislation addressing workplace violence and burnout,<br />

preventing unnecessary delays in patient care, and<br />

removing barriers to APRN full practice authority.<br />

Nearly 300 participants from across the country<br />

are sharing their perspectives and expertise during<br />

hundreds of scheduled visits on Capitol Hill and virtually.<br />

Before setting out, participants attended a breakfast<br />

briefing, where they learned more about ANA-supported<br />

legislation and were welcomed by ANA President Ernest<br />

J. Grant, PhD, RN, FAAN.<br />

“We are here today to do what nurses do best:<br />

advocate,” Grant said. “<strong>The</strong> meetings you will take part<br />

in today will forge and strengthen the relationships<br />

with your elected lawmakers and their staff that will<br />

ensure that our voices are heard, and that the nursing<br />

profession is given its well-deserved, hard-earned seat at<br />

the table,” said Grant.<br />

<strong>The</strong> three key issues that Hill Day attendees are<br />

calling attention to are:<br />

• Improving Seniors’ Timely Access to Care Act<br />

(3018/H.R. 3173)<br />

• Full practice authority for Advanced Practice<br />

Registered <strong>Nurse</strong>s (APRNs)<br />

• Valuing the Nursing Workforce – Workplace<br />

Violence Prevention for Health Care and Social<br />

Service Workers Act (4182/H.R. 1195)<br />

Grant participated in the ANA Hill Day version of a<br />

“fireside chat” with U.S. Rep. Lucille Roybal-Allard (D-<br />

CA), the first Mexican-American woman elected to<br />

Congress and co-chair of the Congressional Nursing<br />

Caucus. Roybal-Allard, whose health policy analyst is an<br />

RN, who talked about the need to pass legislation that<br />

would grant full practice authority to APRNs through the<br />

Improving Access to Workers’ Compensation for Injured<br />

Federal Workers Act (H.R. 6087), which would expand<br />

the role of nurse practitioners and physician assistants in<br />

providing services to injured federal workers under the<br />

federal workers’ compensation program. <strong>The</strong> bill passed<br />

the House in early June and is expected to pass the<br />

Senate.<br />

Roybal-Allard encouraged RNs to take steps in their<br />

own communities to advocate for patients and the<br />

profession. “Get to know your elected officials and their<br />

staffs at the state and local level. <strong>The</strong>y are the ones who<br />

create the laws and policies that affect your profession.<br />

Offer to help and educate them.”<br />

What’s next<br />

ANA and its organizational affiliates, comprised largely<br />

of specialty nursing associations, are poised today to<br />

share updates and explore areas for collaboration on key<br />

issues.<br />

In a ceremony later Thursday evening, ANA will honor<br />

the recipients of the <strong>2022</strong> President’s and National Awards.<br />

<strong>The</strong> <strong>2022</strong> ANA Membership Assembly, a meeting of<br />

the association’s governing body, begins Friday, June<br />

10 to address a range of issues, including the impact of<br />

climate change on health, workplace violence, and nurse<br />

staffing, as well as organizational-focused actions.<br />

Stay up to date and join the conversation<br />

For news on ANA Membership Assembly and related<br />

activities, follow us on ANA’s Facebook and Twitter<br />

channels. To follow Hill Day, search #ANAHillDay on<br />


<strong>August</strong>, September, October <strong>2022</strong> Hawaiʻi <strong>Nurse</strong> • Page 5<br />

Dr. Beechinor and Dr. Atmospera-Walch then<br />

UBERed to the Capitol for this day called “ANA Hill<br />

Day.” We met with Congressmen Ed Case (D-HI) and<br />

Kaialiʻi Kahele (D-HI) and his Legislative Correspondent,<br />

Kadara Marshall. We were not able to see US Senator<br />

Brian Schatz, but we had a great meeting with his<br />

assistant, Gabrielle Schecter. We also had a virtual<br />

meeting with US Senator Mazie Hironoʻs assistant<br />

Artin Haghshenas. With all of them Dr. Beechinor<br />

and I advocated for their support on three issues:<br />

1) Advanced Practice Registered <strong>Nurse</strong>s (APRNs)<br />

by supporting the removal of burdensome barriers<br />

permanently for all four APRN roles, 2) We requested<br />

their support of removing practice barriers for nurses<br />

and improving access to care, and 3) Improving<br />

Seniors’ Timely Access to Care Act of 2021. In each of<br />

our visits, we showed our Aloha Spirit by gifting them<br />

with our local and delicious shortbread cookies or<br />

macadamia nut chocolates. <strong>The</strong> best part for us was<br />

being able to eat in the Capitol Cafeteria which had just<br />

opened again to the public.<br />

In the evening of that second day, we attended a<br />

Welcome Reception, and it was a great surprise to see<br />

two very great friends from PNA: Dr. MJ Dia, PNAA<br />

President, representing PNAA as an Organizational<br />

Affiliate, and Dr. Nelson Tuazon, as a member of the<br />

ANA NOMELEC Committee (pictured below)<br />

And here I am as a 1st Attendee for being the<br />

President- Elect of Hawaiʻi-ANA. “Go PNAA SPARK and<br />

SHINE!”<br />

<strong>The</strong> reception was followed by the Presidential<br />

Award Ceremony. This year, President Grant awarded<br />

seven magnanimous nurse leaders, recognizing their<br />

significant contributions to the advancement of ANA’s<br />

strategic activities on behalf of registered nurses and<br />

the nursing profession. This year’s recipients were<br />

honored for their outstanding efforts to advance<br />

inclusivity, promote equity and diversity, and address<br />

the issue of racism in the nursing profession. <strong>The</strong>se<br />

are some of the <strong>2022</strong> recipients:<br />

● Karen Daley, PhD, RN, FAAN, Board<br />

Member, American <strong>Nurse</strong>s Foundation:<br />

During her tenure as ANA President, Dr. Daley<br />

had the vision to leverage the combined<br />

strength of ANA, the American <strong>Nurse</strong>s<br />

Credentialing Center, and the American <strong>Nurse</strong>s<br />

Foundation (the Foundation) to create the<br />

ANA Enterprise. She currently serves on the<br />

Foundation Board, where she helped lead<br />

dramatic growth in annual fundraising to<br />

support research, education, and scholarships.<br />

In addition, Dr. Daley represents the Foundation<br />

on the National Commission to Address Racism<br />

in Nursing, a collaborative of leading nursing<br />

organizations examining the issue of systemic<br />

racism in the profession.<br />

● Rumay Alexander, EdD, RN, FAAN,<br />

Scholar-in-Residence, American <strong>Nurse</strong>s<br />

Association:<br />

Dr. Alexander spearheads ANA’s strategic<br />

initiatives surrounding equity, diversity, inclusion<br />

and racism in nursing across education,<br />

practice, policy, and research. She was pivotal<br />

in the launch of the National Commission to<br />

Address Racism in Nursing. She also developed<br />

a new definition of racism to set a foundation<br />

for the work ahead and was instrumental in<br />

the creation of the Commission’s Foundational<br />

Report on Racism in Nursing. Her insightful<br />

guidance informed the path forward for ANA’s<br />

own Racial Reckoning journey.<br />

• Beverly Malone, PhD, RN, FAAN, CEO,<br />

National League for Nursing:<br />

Dr. Malone brings her extensive experience<br />

as a global health care leader, innovator, and<br />

nursing champion to guide initiatives to improve<br />

inclusivity and equity in the nursing profession.<br />

She contributed expert considerations to ANA’s<br />

racial reckoning journey, ensuring that it<br />

focuses on acknowledgement, accountability<br />

and the need for healing in the nursing<br />

profession. Dr. Malone previously served two<br />

terms as ANA president. In <strong>2022</strong>, Dr. Malone<br />

was featured as one of 25 outstanding women<br />

for Women’s History Month by Diverse: Issues<br />

in Higher Education.<br />

Memoir continued on page 6<br />

<strong>The</strong>se are the nurses of American <strong>Nurse</strong>s Association state associations at “ANA Hill Day” June 9, <strong>2022</strong>, in front of the U.S. Capitol, the meeting place of<br />

the United States Congress and the seat of the legislative branch of the U.S. federal government.<br />

Can you identify the two nurses representing Hawaiʻi-ANA?

Page 6 • Hawaiʻi <strong>Nurse</strong> <strong>August</strong>, September, October <strong>2022</strong><br />

Memoir continued from page 5<br />

June 10, <strong>2022</strong> and an all-day meeting, meals, and<br />

more meetings! I found myself thoroughly enjoying the<br />

ANA Assembly and I am grateful that Dr. Beechinor was<br />

with me, a first timer attendee. As a former active ANA<br />

and Hawaiʻi <strong>Nurse</strong>s Association (HNA) Board member<br />

before it separated from ANA, Dr. Beechinor knew many<br />

people. It was exciting as we were meeting the nurses<br />

who want to lead ANA in the next year. <strong>The</strong> candidates<br />

were impressive and for me, it was hard to decide as<br />

I have not been active in attending the ANA national<br />

conventions; thus, I really did not know the candidates.<br />

But I was lucky as Dr. Beechinor knew a lot of them or<br />

knew someone who knew them as she is a Veteran to<br />

ANA.<br />

I was invited to the ANA Foundation Leadership Donor<br />

Luncheon and since my husband had another meeting<br />

to attend, Dr. Beechinor took his place. It was a great<br />

event as I learned that the Jeannine Rivet National<br />

Leadership Award was made possible by the United<br />

Health Foundation. It was great as I know the President<br />

of the United Health Care in Hawaii, the business side of<br />

the UHC Foundation, who also was one of the Philippine<br />

<strong>Nurse</strong>s Association of Hawaii Sponsors during its recent<br />

Induction Gala.<br />

<strong>The</strong> third day ended with a relaxing by Invitation only<br />

ANA Wes-PAC Reception at their new office PH Roof<br />

Garden: (2 photos below)<br />

Hawaiʻi Flag joined the other Constituent States’ Flag.<br />

Standing in the front and looking around as the 500<br />

attendees were looking at us was just so emotionally<br />

energizing and I knew Dr. Beechinor and I were floating<br />

without wings.<br />

I also participated in one of the Question and Answer<br />

sessions, and all of a sudden, everyone was wanting to<br />

have a picture with me. Actually, one said, “Can I have<br />

a picture with the Hawaiʻi Celebrity?” I didn’t realize that<br />

my simple statement on Abuse and Workplace Violence<br />

made such an impact on the attendees. I met new and<br />

wonderful people, and I’m looking forward to seeing<br />

them again in the near future.<br />

To add to the emotional day, I was saying GoodBye<br />

to Dr. Grant. I met Dr. Ernest Grant in 2018 and saying<br />

goodbye to him today knowing that he will not be with<br />

us next year, was a very difficult act to do. <strong>The</strong> love for<br />

him from everyone was palpable in the entire room, and<br />

the farewell presentation from North Carolina ANA was<br />

moving and filled with kind and loving statements.<br />

<strong>The</strong>re was a run off for the Secretarial position, and<br />

even this was effortless. Time to find out who won the<br />

election! I just VOTED & now, we will find out the result.<br />

How wonderful to have the outcome on the same day.<br />

And the WINNERS are:<br />

• President: Jennifer Mensik Kennedy, PhD,<br />

MBA, RN, NEA-BC, FAAN, of the Oregon <strong>Nurse</strong>s<br />

Association.<br />

• Secretary: Amanda Oliver, BSN, RN, CCRN, of<br />

ANA – Illinois.<br />

• Directors-at-Large: Edward Briggs, DNP,<br />

MS, APRN, of the Florida <strong>Nurse</strong>s Association;<br />

Jennifer Gil, MSN, RN, of the New Jersey State<br />

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

• Director-at-Large, Staff <strong>Nurse</strong>: David Garcia,<br />

MSN, BSN, RN, PCCN, of the Washington State<br />

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

We got together for this photo with the<br />

Representatives from our Island Constituencies: Virgin<br />

Islands, Hawai’i, and Guam (above).<br />

I was feeling so great, I told Dr. Linda that we were<br />

going out to dinner and celebrate the exemplary ending<br />

of the <strong>2022</strong> ANA Membership Assembly. We had another<br />

delicious dinner at the impressive Private Cosmos Club,<br />

pictured below.<br />

However, going to the Cosmos Club was an ordeal as<br />

the traffic was constipated (literally) due to the PRIDE<br />

Parade. But we tolerated it as the ANA’s success was<br />

worth celebrating!<br />

<strong>The</strong> American <strong>Nurse</strong>s Association (ANA) is the Queen<br />

of every Nursing Organization in the world, with its 4.3<br />

million RN members nationally.<br />

<strong>The</strong> ANA Enterprise has three distinct components<br />

that makes the engine of ANA running efficiently and<br />

smoothly: ANA website<br />

<strong>The</strong> American <strong>Nurse</strong>s Association (ANA)<br />

<strong>The</strong> American <strong>Nurse</strong>s Foundation (ANF)<br />

<strong>The</strong> American <strong>Nurse</strong>s Credentialing Center (ANCC)<br />

During the <strong>2022</strong> ANA Membership Assembly, it<br />

was very visual on how the three organizations work<br />

so independently and yet collaboratively that each<br />

component’s contributions to the ANA Enterprise was<br />

felt, seen, and heard. A very organized and impressive<br />

organization and I am proud but humbled and grateful<br />

that I am a part of this magnanimous organization that<br />

is Making a Difference in this world for the health and<br />

betterment of humanity.<br />

June 12, <strong>2022</strong>, Sunday. My elated feeling<br />

continued, so I arranged a last get together Sunday<br />

brunch with more friends from DC/Maryland. I<br />

am so thankful, <strong>The</strong> Pacific Club has so many<br />

reciprocity club members in DC and yes, we went<br />

to another private club, <strong>The</strong> Georgetown Club.<br />

My longtime friend, one of my Bridesmaids, and<br />

the Godmother of my daughter, Ann McHale was<br />

able to join us. You may remember her from <strong>The</strong><br />

Queen’s Medical Center. And we had one Lei Poʻo<br />

(Haku Lei), for her, which was befitting as we had<br />

a pre-birthday celebration. Her birthday is also our<br />

Wedding Anniversary.<br />

I have to close this article with joy and gratitude<br />

for the unbelievable experience I had during the<br />

short trip to our nation’s capital. Aloha, until we meet<br />

again!<br />

Saturday, June 11, <strong>2022</strong>, which means we are on our<br />

last day of the ANA Membership Assembly <strong>2022</strong>. It also<br />

means it is the Voting Day, and Yes, I voted! <strong>The</strong> voting<br />

process was very impressive and organized, but what<br />

impressed me the most was the neutrality of everyone<br />

helping in the voting process. As I entered the Voting<br />

Room, I was told very nicely to remove the campaign<br />

button of one of the presidential candidates, which I had<br />

placed onto my name tag. So, I have to say it again, that<br />

the last three days have been busy but full of learning<br />

and positive experiences for me as a 1st time attendee.<br />

This was a very memorable day for me, and<br />

Dr. Beechnior as Hawaiʻi-ANA was introduced and<br />

acknowledged as the 51st ANA C/SNA and had our

<strong>August</strong>, September, October <strong>2022</strong> Hawaiʻi <strong>Nurse</strong> • Page 7<br />

ANA’s Racial Reckoning Statement<br />

Opening<br />

This is a journey.<br />

Throughout our history, the American <strong>Nurse</strong>s<br />

Association (ANA) has sought to lead nursing into the<br />

future. Through acts of omission, when we failed to<br />

act, and commission, when ANA’s actions negatively<br />

impacted nurses of color, we have caused harm and<br />

perpetuated systemic racism. This statement serves<br />

as a starting point for a journey during which we<br />

seek to acknowledge past actions that continue to<br />

impact the profession today and as a starting point<br />

of a new journey toward the future.<br />

ANA begins this journey in conjunction with the<br />

efforts undertaken by the National Commission to<br />

Address Racism in Nursing (the Commission). This<br />

statement focuses on ANA’s own actions, while the<br />

Commission seeks to address racism in nursing<br />

within the broader profession. We recognize that<br />

as a leader, ANA holds accountabilities at both<br />

the organizational and the broader professional<br />

level. Through both efforts, we are striving for a<br />

more inclusive, diverse, and equitable professional<br />

organization and a nursing profession that meets the<br />

needs of all people.<br />

Our intention with this statement is to publicly<br />

identify and acknowledge our past actions while<br />

addressing the harms that continue today. <strong>The</strong><br />

section on ANA Reckoning is not meant to be a<br />

complete listing of all ANA actions that have caused<br />

harm. Historical exclusions of and transgressions<br />

against Black nurses will be discussed in this<br />

document. This harm has undoubtedly extended<br />

to all nurses of color. In addition, there is much<br />

debate about labels and terms to identify racialized<br />

minorities. We have chosen to use the term “nurses<br />

of color” to reflect all nurses representing race and<br />

ethnic groups. It is our intention to be fully inclusive<br />

in the use of this language.<br />

In the end, it is our actions that will truly<br />

reflect the sincerity of this apology and serve<br />

as the underpinning for forgiveness. For it is<br />

forgiveness that we seek — forgiveness from<br />

nurses of color, the nursing profession and the<br />

communities that have been harmed by our<br />

actions. We fervently hope that this statement, its<br />

subsequent work and the efforts of the Commission<br />

will contribute to healing — individual healing for<br />

nurses, reconciliation with the ethnic-minority<br />

nurse associations and healing of the profession.<br />

ANA wants this statement to reflect genuine<br />

reconciliation and acknowledgment and hopes that<br />

it is a step toward forgiveness. Ultimately, we seek<br />

to contribute to the healing of nursing.<br />

ANA Reckoning<br />

<strong>The</strong>re is much that can be said about ANA’s<br />

history and failure to include and represent the<br />

views and needs of nurses of color. <strong>The</strong> examples<br />

below are not to be considered as a complete<br />

reckoning of ANA’s past, but they are representative<br />

of times and actions when ANA failed.<br />

To begin, we must acknowledge that from<br />

1916 until 1964, ANA purposefully, systemically<br />

and systematically excluded Black nurses.<br />

ANA’s predecessor organization, the <strong>Nurse</strong>s’<br />

Associated Alumnae of the United States and<br />

Canada, was open to alumnae associations of<br />

schools of nursing, including Black hospitals and<br />

nurse training schools (Hine, 1989). <strong>The</strong> <strong>Nurse</strong>s’<br />

Associated Alumnae became the American <strong>Nurse</strong>s<br />

Association, and in 1916, the membership rules<br />

shifted away from an alumnae-based membership<br />

to that of a state- and district-based membership.<br />

This resulted in Black nurses being denied<br />

membership in some state nurses associations.<br />

Despite significant advocacy and pressure from<br />

the National Association of Colored Graduate<br />

<strong>Nurse</strong>s (NACGN), this discrimination persisted.<br />

In 1946, the ANA House of Delegates voted to<br />

adopt a statement that urged the “removal, as<br />

rapidly as possible, of barriers that prevent the<br />

full employment and professional development<br />

of nurses belonging to minority racial groups”<br />

(Carnegie, 1991, p. 76). And in 1948, the ANA<br />

House of Delegates established an “Individual<br />

Membership Category” that was open to all nurses<br />

who were not accepted through a state or district<br />

association. However, it was not until 1964 that a<br />

final district in Louisiana dropped its discriminatory<br />

rule for membership (Carnegie, 1991). This timeline<br />

reflects the failure of ANA leaders to aggressively<br />

pursue changes in its discriminatory membership<br />

rules and allow for full membership regardless<br />

of race. While membership within ANA was hard<br />

fought by NACGN, the full inclusion of Black<br />

nurses within ANA leadership and decision-making<br />

remains unrealized and elusive for all nurses of<br />

color.<br />

One representative incident from 1939 involved<br />

Estelle Massey Riddle Osborne, president of<br />

NACGN from 1934-1939. In 1939, President<br />

Osborne was invited by ANA President Julia C.<br />

Stimson to meet with ANA’s Advisory Council<br />

to discuss the status of Black nurses in the<br />

profession. <strong>The</strong> site of the meeting was the St.<br />

Charles Hotel in New Orleans, where Black guests<br />

were required to use the service entrance and<br />

freight elevator. President Osborne called on<br />

ANA and President Stimson to adamantly protest<br />

this discrimination. Instead of protesting the<br />

discriminatory policy, President Stimson offered to<br />

enter the hotel with President Osborne through the<br />

service entrance. In the end, President Osborne<br />

decided against attending and ANA failed to step<br />

into a space of advocacy and support (Hine, 1989).<br />

President Osborne was the first Black nurse to<br />

earn a master’s degree in the U.S. and became the<br />

first Black nurse elected to the ANA board in 1948.<br />

However, after her four- year term, there were no<br />

Black nurses elected to the board again until 1970<br />

(Carnegie, 1991). This lack of representation on<br />

the policy level for 22 years concerned many Black<br />

nurses, and when it was brought up at ANA’s 1972<br />

convention, it was communicated that the only<br />

obligation of ANA from the dissolution of NACGN<br />

was the awarding of the Mary Mahoney Award.<br />

In 1965, ANA approved a position paper on<br />

nursing education that recommended the minimum<br />

preparation for “beginning professional nursing<br />

practice should be a baccalaureate degree” (ANA,<br />

1976). <strong>The</strong> stated rationale for this change was<br />

the increasing complexity of nursing activities and<br />

patient care. One result of ANA taking this position<br />

was the disenfranchisement of institutions and<br />

schools of nursing that were available to students<br />

of color and the exclusion of nurses who graduated<br />

from those programs. ANA sought to advance<br />

the educational level of nurses without ensuring<br />

that all nurses would have the same access to<br />

the education necessary to achieve the desired<br />

educational level for entry into the profession.<br />

<strong>The</strong>re continues to be a need to examine how<br />

this policy advances nursing today and to<br />

examine strategies for ensuring that educational<br />

opportunities are equally available to all students,<br />

especially students of color.<br />

In 1970, Dr. Lauranne Sams organized a meeting<br />

with 200 Black nurses for the primary purpose of<br />

organizing a Black nurse association. <strong>The</strong> group<br />

reported the following concerns (Carnegie, 1991):<br />

1. Concern over the absence of Black nurses in<br />

leadership positions at ANA.<br />

2. Limited opportunities for Black nurses to support<br />

and shape ANA policies.<br />

3. Persistent tokenism.<br />

4. Limited recognition of Black nurses’ contributions<br />

to the profession.<br />

5. Lack of significant increases in the number of<br />

Black registered nurses.<br />

6. No recognition of achievement with awards (other<br />

than the Mary Mahoney Award).<br />

7. Limited appointments of Black nurses to<br />

committees and commissions.<br />

In 1973, in her first address to the newly created<br />

National Black <strong>Nurse</strong>s Association (NBNA), Dr. Sams<br />

considered the question of why a Black <strong>Nurse</strong>s<br />

Association was needed:<br />

“No, I am speaking about all the past deficits and<br />

discriminatory practice which have continuously<br />

disgraced and limited the full potential, the<br />

development, the selfhood, and the self<br />

determination of Black folk. I am speaking about<br />

today, Here and Now.”<br />

In telling the history of the formation of the<br />

NBNA, the article From Invisibility to Blackness: <strong>The</strong><br />

Story of the National Black <strong>Nurse</strong>s’ Association by<br />

Gloria R. Smith notes that there was a desire on<br />

the part of the <strong>Nurse</strong>s’ Associated Alumnae of the<br />

United States and Canada and ANA for Black nurses<br />

to be members, but these professional associations<br />

granted them few privileges “other than paying<br />

dues” (1975, p. 225).<br />

Although by 1964 there were no tangible rules<br />

preventing membership for nurses of color, it<br />

was evident that exclusionary practices and a<br />

failure to represent all nurses remained. Similar<br />

to the concerns raised by Black nurses, in 1974,<br />

led by Dr. Ildaura Murillo- Rhode, a group of 12<br />

Hispanic nurses who were also members of ANA<br />

came together to consider establishing a Hispanic<br />

<strong>Nurse</strong>s Caucus within ANA because “ANA was not<br />

being responsive to the needs of Hispanic nurses”<br />

(National Association of Hispanic <strong>Nurse</strong>s, <strong>2022</strong>).<br />

Ultimately, this core group and their organizing<br />

efforts led to the establishment of the National<br />

Association of Hispanic <strong>Nurse</strong>s (NAHN). Today,<br />

“NAHN members advocate, educate, volunteer,<br />

seek partnerships, and conduct programming<br />

in the Latino community to improve outcomes,<br />

elevate literacy, heighten education, and influence<br />

policy. We also work collaboratively with others<br />

to improve health equity and to create a future in<br />

which everyone regardless of race or ethnicity has<br />

opportunities to be healthy.”<br />

ANA recognizes that issues of racism persist<br />

today and continue to harm nurses of color.<br />

Findings from the Commission’s 2021 national<br />

survey on racism in nursing (n = 5,600) noted that<br />

racist acts are principally perpetrated by colleagues<br />

and those in positions of power. Over half of<br />

nurses surveyed (63%) said they had personally<br />

experienced an act of racism in the workplace with<br />

the transgressors being either a peer (66%) or a<br />

manager or supervisor (60%). Fifty-six percent of<br />

respondents also noted that racism in the workplace<br />

has negatively impacted their professional wellbeing.<br />

During listening sessions with nurses of color<br />

convened by ANA and the Commission, persistent<br />

themes of stereotyping, prejudice, discrimination,<br />

exclusion, oppression, tokenism, inequity, and<br />

insistence on conformity and assimilation were<br />

found (National Commission, 2021). <strong>The</strong> impact of<br />

these experiences is demoralization, exhaustion,<br />

spirit murder (murder of the soul), invisible<br />

workload, silence, invisibility and self-doubt.<br />

“<strong>The</strong> power in nursing is primarily held by middleage<br />

to old-age white women who have just<br />

recently begun to consider racism in nursing<br />

care. <strong>The</strong>re are racist principles that have<br />

been carried down through history and never<br />

challenged.”<br />

(Anonymous Quote, National Commission to<br />

Address Racism in Nursing, 2021)<br />

Seeking Forgiveness<br />

As leaders of ANA, we apologize for the named<br />

and the unaccounted-for harms. Our past actions<br />

have caused irreparable physiological, psychological<br />

and socioeconomic harm, not only to nurses of<br />

color but to all patients, families and communities<br />

that depend on ANA as the national leader of the<br />

nursing profession. We failed to live up to the<br />

professional values established through the Code<br />

of Ethics for <strong>Nurse</strong>s (ANA, 2015) and our social<br />

contract that guides the relationship between the<br />

Racial Reckoning Statement continued on page 8

Page 8 • Hawaiʻi <strong>Nurse</strong> <strong>August</strong>, September, October <strong>2022</strong><br />

Racial Reckoning Statement continued from page 7<br />

nursing profession and society and their reciprocal expectations (ANA, 2010).<br />

In addition, as ANA sought to “professionalize” nursing, we failed to support a<br />

robust education approach that included the appropriate preparation to care<br />

for ALL our patients, especially patients of color.<br />

More specifically, we apologize to all nurses of color. Not only is the<br />

profession richer for your having persisted, but the people you cared for and<br />

continue to care for today have been better served. ANA failed to uphold your<br />

work and support you as you advanced in nursing and worked to improve the<br />

profession. Having failed you, ANA also failed in supporting and caring for<br />

communities of color and other marginalized people.<br />

We apologize to the ethnic-minority nurse associations that have ably<br />

represented the needs of their nurses and communities. Early in the<br />

profession’s history, there was a stated desire for one association to meet<br />

the needs of all nurses. ANA only represented the needs of some nurses and<br />

some patients. <strong>Nurse</strong> leaders of color stepped into the breach. ANA’s failure<br />

to lead resulted in a fragmentation of the profession that contributed to a<br />

fragmentation in nursing care for minoritized communities.<br />

Moving Forward<br />

As important as it is to reconcile ANA’s history, our path points toward<br />

the future and actions that should be taken as a means of holding ANA<br />

accountable, continuing reconciliation to repair the breach and becoming a<br />

restored association. Each of the actions below will lead to additional actions<br />

and efforts as ANA continues the journey.<br />

<strong>The</strong>refore, the ANA Board of Directors will:<br />

• Continue to reckon with and apologize for past harms that are made<br />

known to ANA.<br />

• Engage in direct reconciliation with each of the ethnic-minority nurse<br />

associations.<br />

• Develop and implement a diversity, equity and inclusion impact analysis<br />

that is considered in all policies and positions of the association.<br />

• Initiate an oral history project dedicated to amplifying the contributions<br />

by nurses of color to ANA and the nursing professions.<br />

<strong>The</strong>refore, the American <strong>Nurse</strong>s Association will:<br />

• Continue to serve as a partner in and support the National Commission<br />

to Address Racism in Nursing as it strives to create antiracist practices<br />

and environments.<br />

• Advocate for and follow established guidance on the reporting of race<br />

and ethnicity in professional journals and publications.<br />

• Advocate for appropriate representation and inclusion in textbooks and<br />

other educational material.<br />

• Actively engage in a program of diversity, equity and inclusion within the<br />

association.<br />

• Provide transparency into the race and ethnic makeup of the ANA Board<br />

of Directors, leadership and staff.<br />

• Deliberately work to build diversity within ANA’s volunteer and<br />

governance structure.<br />

Conclusion<br />

We, as ANA, are on a journey — a journey of reckoning and reconciliation,<br />

forgiveness, and healing. This journey will take some time, but it is one<br />

that ANA is fully committed to. We invite others to join us as ANA seeks to<br />

strengthen who we are as a professional association and the broader nursing<br />

profession through inclusion, diversity and equity as we strive for antiracist<br />

nursing practices and environments.<br />

“As nurses we need to unlearn much of what we thought we knew about<br />

racism — and get comfortable being uncomfortable about our profession<br />

and our own way of being — need to see nursing through a new lens and<br />

be open to what we might see versus stating that racism does not exist.”<br />

(Anonymous Quote, National Commission to Address Racism in Nursing, 2021)<br />

References<br />

American <strong>Nurse</strong>s Association. (2015). Code of ethics for nurses with interpretive<br />

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

American <strong>Nurse</strong>s Association. (2010). Nursing’s social policy statement: <strong>The</strong> essence<br />

of the profession. American <strong>Nurse</strong>s Association.<br />

American <strong>Nurse</strong>s Association. (1976). One strong voice: <strong>The</strong> story of the American<br />

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

Carnegie, M.E. (1991). <strong>The</strong> path we tread: Blacks in nursing, 1854-1990. National<br />

League for Nursing Press.<br />

Hine, D.C. (1989). Black women in white: Racial conflict and cooperation in the<br />

nursing profession 1890–1950. Indiana University Press.<br />

National Association of Hispanic <strong>Nurse</strong>s. (2021). History. https://www.nahnnet.org/history.<br />

National Commission to Address Racism in Nursing. (2021). Defining Racism. finaldefining-racism-june-2021.pdf<br />

(nursingworld.org).<br />

National Commission to Address Racism in Nursing. (2021). Summary Report:<br />

Listening Sessions on Racism in Nursing. final-racism-in-nursing-listeningsession-report-june-2021.pdf<br />

(nursingworld.org).<br />

National Commission to Address Racism in Nursing. (<strong>2022</strong>). Survey Shows Substantial<br />

Racism in Nursing. (nursingworld.org).<br />

Sams, L. (1973, September). Presidential Address. National Black <strong>Nurse</strong>s Association.<br />

Cleveland; Ohio.<br />

Smith, G.R. (1975). From invisibility to blackness: <strong>The</strong> story of the National Black<br />

<strong>Nurse</strong>s Association. Nursing Outlook, 23(4), 225-229.<br />

ANA Acts on Climate Change and Key Nursing Issues<br />

Jun 14th <strong>2022</strong><br />


Shannon McClendon, shannon.mcclendon@ana.org<br />

Keziah Proctor, keziah.proctor@ana.org<br />

SILVER SPRING, MD – <strong>The</strong> representatives of ANA’s Membership Assembly,<br />

the governing and official voting body of the American <strong>Nurse</strong>s Association<br />

(ANA) have acted on compelling and critical issues that greatly impact the<br />

nursing profession and the health of global populations. More than 300 nurses,<br />

observers, and other leaders attended a two-day governance meeting in<br />

Washington, DC, June 10-11. Eligible representatives elected national leaders<br />

including the next national president and acted on nurse staffing, verbal abuse<br />

and workplace violence, and climate change.<br />

• <strong>Nurse</strong> staffing: Recognizing that the COVID-19 pandemic has exacerbated<br />

long-standing nurse staffing issues, the Assembly considered changes to<br />

existing ANA policy related to nurse-to-patient ratios. Participants stressed<br />

the need for enforceable staffing standards and shared their successes<br />

and challenges in implementing various models. Assembly representatives<br />

approved a recommendation that ANA supports safe patient standards<br />

including ratios that are acuity and setting-specific as per nursing<br />

assessment and enforceable, and that ANA will engage with its constituent<br />

and state nurse associations (C/SNAs) to develop further details regarding<br />

standards, implementation, and enforcement. Assembly representatives<br />

also called on ANA to collaborate with organizational affiliates and C/<br />

SNAs to begin to develop evidence-based staffing standards for all nursing<br />

disciplines for publication.<br />

• Addressing verbal abuse and workplace violence: Often, healthcare<br />

stakeholders’ approach to workplace violence (WPV) in health care<br />

focuses on responses to, and prevention of, physical assaults in hospitals.<br />

Discussions often overlook verbal abuse, which can be a risk factor for<br />

physical violence. In addition, practice and policy recommendations<br />

developed for inpatient settings may not be appropriate for or helpful in<br />

community settings, such as schools, community health centers, public<br />

health facilities, and similar places where WPV can occur. Assembly<br />

representatives called on ANA to engage key stakeholders to identify,<br />

develop and advance strategies resulting in a comprehensive culture of<br />

safety and zero-tolerance approach to verbal abuse and violence in all<br />

care settings, advance workplace violence prevention priorities in nursing<br />

practice and public policy, and advocate for better data collection to inform<br />

policy development.<br />

• Impact of climate change on health: Citing statements from<br />

International Council of <strong>Nurse</strong>s, the World Health Organization, and the<br />

American Academy of Nursing, along with editorials from several health care<br />

journals on the danger of climate change on global health, representatives<br />

proposed that ANA, as the leading nursing organization, should take a<br />

strong leadership position in addressing the impacts of climate change on<br />

human and population health and help prepare nurses to engage patients in<br />

conversations about climate change and its health impacts; impacts which<br />

disproportionately affect the most vulnerable populations. To help address<br />

the public health crisis caused by climate change, Assembly representatives<br />

approved the recommendation that ANA, C/SNAs and individual member<br />

division (IMD) include climate crisis and its consequential impact on human<br />

and population health as an essential component of their policy platform.<br />

Voting representatives also endorsed that ANA revise and establish as an<br />

official position the 2008 House of Delegates Statement on Global Climate<br />

Change and Human Health. Finally, the representatives called on ANA, C/<br />

SNAs and the IMD to promote nursing knowledge on the relationship<br />

between climate change and human and population health.<br />

# # #<br />

<strong>The</strong> American <strong>Nurse</strong>s Association (ANA) is the premier organization representing<br />

the interests of the nation’s 4.3 million registered nurses. ANA advances the<br />

profession by fostering high standards of nursing practice, promoting a safe<br />

and ethical work environment, bolstering the health and wellness of nurses, and<br />

advocating on health care issues that affect nurses and the public. ANA is at the<br />

forefront of improving the quality of health care for all. For more information,<br />

visit www.nursingworld.org.

<strong>August</strong>, September, October <strong>2022</strong> Hawaiʻi <strong>Nurse</strong> • Page 9<br />


Hawaiʻi Student <strong>Nurse</strong>s Association (HSNA) is a<br />

member of the National Student <strong>Nurse</strong>s Association<br />

(NSNA).<br />

HISNA has six chapters in these Hawaiʻi<br />

undergraduate nursing programs:<br />

- Chaminade University of Honolulu<br />

- Hawaiʻi Pacific University<br />

- Nancy Atmospera-Walch School of Nursing<br />

(NAWSON) at UH Manoa<br />

- University of Hawaiʻi Hilo<br />

- University of Hawaiʻi Maui College<br />

- University of Hawaiʻi Kapiʻolani Community College<br />

Are you an undergraduate nursing student but not<br />

a member of Hawaiʻi Student <strong>Nurse</strong>s Association?<br />

Join HISNA Today!<br />

*If your school does not have a chapter of HISNA, please<br />

contact Linda Beechinor, Executive Director at Hawaiʻi-<br />

ANA for assistance (executivedirector@hawaii-ana.org or<br />

text/call (808) 779-3001.<br />

All student nurses in Hawai’i can become Student<br />

Subscribers to American <strong>Nurse</strong>s Association for FREE<br />

Join Hawai’i-ANA as a Student Subscriber<br />

<strong>The</strong>se Student <strong>Nurse</strong>s in Hawai’i are<br />

ANA Student Subscribers:<br />

Kiana Meyers<br />

Stephanie Shirota<br />

Samuel Fullmer<br />

Amanda Lauren Barlan<br />

Ka’Imionalani Cobb-Adams<br />

John Mendonca<br />

Whitney Mitchell<br />

Ashley Gusman<br />

Daniel Gardner<br />

Joda P. Derrickson<br />

Sheila Mae Cabasag<br />

Alana Galloway<br />

Patricia Poston<br />

Jillian Raiger<br />

Jennifer Olson<br />

Sequoia Dahlberg<br />

Kacie Shimizu<br />

Laurie Soon<br />

John Eharis III<br />

Uiyeol Yoon<br />

Janina Abdelahad<br />

Janeen Payne<br />

Kathryn Moreno<br />

Alexis Kalani<br />

April Miles<br />

Autumn Devlin<br />

Fatima Reed<br />

Angelique Mara<br />

Matthew Whisenant<br />

Bree Watanabe<br />

Christa Clerico<br />

Joan Cayaban<br />

Evan Manning<br />

Brianna Ganal<br />

Louis Langi<br />

Jennifer Freeman<br />

Jennifer Proctor<br />

Raisa Strom-Okimoto<br />

Melinda Belmodis<br />

Jessica Cocson<br />

Aliyana Haag<br />

Alexis Cortes<br />

Ewa Beach<br />

Hilo<br />

Honolulu<br />

Mililani<br />

Kailua<br />

Honolulu<br />

Kalaheo<br />

Kahului<br />

Honolulu<br />

Honolulu<br />

Pearl City<br />

Honolulu<br />

Honolulu<br />

Honolulu<br />

Honolulu<br />

Lihue<br />

Aiea<br />

Ewa Beach<br />

Mililani<br />

Ewa Beach<br />

Honolulu<br />

Wahiawa<br />

Wailuku<br />

Hilo<br />

Honolulu<br />

Makawao<br />

Waipahu<br />

Honolulu<br />

Honolulu<br />

Honolulu<br />

Makawao<br />

Waipahu<br />

Honolulu<br />

Honolulu<br />

Kaneohe<br />

Honolulu<br />

Honolulu<br />

Aiea<br />

Kapaa<br />

Lahaina<br />

Honolulu<br />

Aiea<br />

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

We’re here to support you in your journey, every step of the way. <strong>The</strong>re’s no need to wait for<br />

licensure to start benefiting from Hawaiʻi-ANA and ANA – as a Student Subscriber, you’re ahead of<br />

the game with access to:<br />

Welcome to the Profession Kit<br />

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

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

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

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

grow your nursing career.<br />

Exclusive Online Student Community<br />

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

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

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

Member-Only Content<br />

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

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

<strong>Nurse</strong> Today and ANA SmartBrief. As well as full ANA Position and Policy papers on important<br />

nursing issues, such as safe patient handling and the opioid epidemic.<br />

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

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

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

Get involved to learn the key issues facing nurses right now. Also get access to ANA’s advocacy<br />

blog, anacapitolbeat.org.<br />

Access to Resources<br />

For example, the vital Code of Ethics for <strong>Nurse</strong>s, the ANA Career Center, and <strong>The</strong> Healthy <strong>Nurse</strong>, and<br />

Healthy Nation Grand Challenge.<br />

In addition, Hawaiʻi-ANA offers<br />

o this monthly newsletter “<strong>The</strong> Hawaiʻi <strong>Nurse</strong>” that goes out to over 9000 nurses in Hawaiʻi, and you<br />

can receive it as a student subscriber!<br />

o to connect nurses and nursing students in Hawaiʻi, to address state and national issues of interest<br />

to our profession<br />

o this Student <strong>Nurse</strong> Page: dedicated to student issues<br />

o opportunity to publish student papers: we solicit scholarly papers quarterly for publication and<br />

distribution throughout Hawaiʻi<br />

o attendance and participation in Hawaiʻi-ANA Board meetings, annual events during <strong>Nurse</strong>s’ Week,<br />

annual Membership Assembly, and other volunteer community activities that include networking and<br />

continuing education programs throughout Hawaiʻi.<br />

Jessica Ely<br />

Andy Tran<br />

Christian Okawa<br />

Lyka Faye Dumbrigue<br />

John Jacob Ferrer<br />

Mary Hall<br />

Alexander Pogzeba<br />

Janeen Payne<br />

Christy Ujimori<br />

Jessica Burke<br />

Honolulu<br />

Honolulu<br />

Honolulu<br />

Waipahu<br />

Honolulu<br />

Anahola<br />

Wailuku<br />

Wahiawa<br />

Waianae<br />

Kapaa<br />

Yun Han<br />

Hailey Tuesday<br />

Jannet Brown<br />

Lili Younce<br />

Harlee Fujimoto<br />

Deva Siblerud<br />

Jennifer Glade<br />

Celeste Pasion<br />

Menierva Lynn Lagundi<br />

Juaquina Soland<br />

Honolulu<br />

Honolulu<br />

Mililani<br />

Honolulu<br />

Lihue<br />

Lihue<br />

Mililani<br />

Honolulu<br />

Honolulu<br />

Ewa Beach

Page 10 • Hawaiʻi <strong>Nurse</strong> <strong>August</strong>, September, October <strong>2022</strong><br />



If your name is here, you enjoy the benefits of joint membership with ANA and Hawaiʻi-ANA, with 343 other RNs in Hawaiʻi.<br />

If your name is here you can vote in Hawaiʻi-ANA Elections in October, <strong>2022</strong>.<br />

JOIN HAWAIʻI-ANA if your name is NOT here.<br />

Melissa Harauchi<br />

Patricia W. Nishimoto<br />

Jailu Navarrete<br />

Marion F. Poirier<br />

Mary G. Boland<br />

Alice Tse<br />

Jennifer Herrington<br />

Valerie Janikowski<br />

Jennifer O. Galicinao<br />

Ruth Honda<br />

Susan Anderson<br />

Lori Kaneshige<br />

Jennifer Zafrani<br />

Paula Sanders<br />

Rosie Elento<br />

Julie Bagchi<br />

Anne Scharnhorst<br />

Shelley Ann Repercio<br />

Mary Frances Oneha<br />

Catherine Marin<br />

Leeah Javier<br />

Kirsten Fisher (nee Bennet)<br />

Jaimelee Peleiholani<br />

Laura Blue<br />

Thyra Wilbur<br />

Ali Bernhardt<br />

Roberta Losik<br />

Carol Petith-Zbiciak<br />

Kimberly Gibu<br />

Len Tanaka<br />

Christine Kramer<br />

Monica Joiner<br />

Anita Becker<br />

Katherine Kemp<br />

Mililani<br />

Honolulu<br />

Ewa Beach<br />

Mililani<br />

Honolulu<br />

Honolulu<br />

Ewa Beach<br />

Lanai City<br />

Honolulu<br />

Honolulu<br />

Honolulu<br />

Honolulu<br />

Mililani<br />

Kailua Kona<br />

Ewa Beach<br />

Dallas<br />

Wailuku<br />

Ewa Beach<br />

Honolulu<br />

Pahoa<br />

Wahiawa<br />

Honolulu<br />

Hilo<br />

Waianae<br />

Beavercreek<br />

Aiea<br />

Kailua Kona<br />

Wailuku<br />

Mililani<br />

Honolulu<br />

Honolulu<br />

Honolulu<br />

Honolulu<br />

Honolulu<br />

Marie Hammond<br />

Nancy Atmospera-Walch<br />

Tara Wilson<br />

Christina Ranan<br />

Francisco Conde<br />

Feliciana Sales<br />

Linda Price<br />

Rachel Cabel<br />

Andrea Montgomery-Kylie<br />

Mazie-Rose Coloma<br />

Valerie Parayno<br />

Karen Kalanta<br />

Lynne Faulkner<br />

Liza Oasay<br />

Elsa Talavera<br />

Suzette Wright-Maximo<br />

Dana Ramos<br />

Lani Tsuneishi<br />

Jill Slade<br />

Michele Hadano<br />

Michelle Higgins<br />

Jennifer Wold<br />

Laura Jambura<br />

Martina TaylorCampbell<br />

Holly Fontenot<br />

Janice Ferguson<br />

Joan Takamori<br />

Peter Gampon<br />

Rhoberta Haley<br />

<strong>The</strong>resa Abraham<br />

Claudine Tomasa<br />

Aileen Siliado<br />

Stephanie Higa<br />

Veronica Mitchell<br />

Hilo<br />

Honolulu<br />

Hilo<br />

Hilo<br />

Honolulu<br />

Pukalani<br />

Kailua<br />

Kahului<br />

Ewa Beach<br />

Honolulu<br />

Hilo<br />

Kapolei<br />

Kailua<br />

Pearl City<br />

Mililani<br />

Ewa Beach<br />

Kahuku<br />

Honolulu<br />

Kapolei<br />

Waipahu<br />

Wahiawa<br />

Kailua<br />

Dallas<br />

Honolulu<br />

Honolulu<br />

Honolulu<br />

Honolulu<br />

Honolulu<br />

Honolulu<br />

Kahului<br />

Kailua<br />

Kekaha<br />

Hilo<br />

Waipahu<br />

Kimberly Hayashi<br />

Jaymilette Moken<br />

Patti Dellaport<br />

Christy Rios<br />

Rachel Coolidge<br />

Elizabeth Pavlik<br />

Laila Kemmerly<br />

Sheri Richards<br />

Wainani Ballard<br />

Zachary Johnson<br />

Lydia Brandes<br />

Alison Diehl<br />

Melveen Camba<br />

Kimberly Chow-Rule<br />

Cortez Fabia<br />

Perie Danao<br />

Jayson O’Donnell<br />

Ruthie Clearwater<br />

Liza Dernehl<br />

Shannon Kunimura<br />

Valerie Gourley<br />

Kawailehua Paikai<br />

Patrick Shine<br />

Katherine Jeffrey<br />

Gayle Bovee<br />

Linda Fukuhara<br />

Ma. Lourdes Brexy Abara<br />

Marlo Lyman-Kekaualua<br />

Susan Minnich<br />

Hulali Trask<br />

Trevor Lidge<br />

Patricia Hensley<br />

Alexandra Gesin<br />

Christian Joseph Gaerlan<br />

Honolulu<br />

Kent<br />

Wailuku<br />

Mililani<br />

Kailua<br />

Madison<br />

Aiea<br />

Kaneohe<br />

Hilo<br />

Honolulu<br />

Kula<br />

Fredericksbrg<br />

Ewa Beach<br />

Ewa Beach<br />

Honolulu<br />

Waipahu<br />

Honolulu<br />

Keaau<br />

Honolulu<br />

Kaneohe<br />

Kailua<br />

Kapolei<br />

Hilo<br />

Pahoa<br />

Hilo<br />

Pearl City<br />

Ewa Beach<br />

Hilo<br />

Kaneohe<br />

Keaau<br />

Mililani<br />

Keaau<br />

Haleiwa<br />

Mililani<br />

Wendy Lai<br />

Chelsey Williams<br />

Nhi Quach<br />

Nancy Capuano<br />

Shelly Lynne Jaynes<br />

Heideman<br />

Margaret Plyler<br />

Maria Fe McGehee<br />

Sorayda Comiso<br />

Emily Levitt -gopie<br />

Young Schoen<br />

Nicasio Baldonado<br />

Kayoko Miura<br />

Melito Orosco<br />

Molly Moore<br />

Katherine Davis<br />

Robin Kalohelani<br />

Darlena Chadwick<br />

Matthew Jenkins<br />

Hilda Vigil<br />

Lynn Dagan<br />

Karen Sawyer<br />

Siarah Roberts<br />

Kara Gormont<br />

Priscilla Morales<br />

Arlene Milam<br />

Daryle Ann Ho<br />

Kimberly Matsunaga<br />

Chutima Forkner<br />

Mohamed Elshehaby<br />

Haley Deforest<br />

Jeny Bissell<br />

Alaina Abbott<br />

Katie Risley<br />

Honolulu<br />

Kailua<br />

Honolulu<br />

Honolulu<br />

Wailuku<br />

Hanapepe<br />

Kaneohe<br />

Kaneohe<br />

Mililani<br />

Honolulu<br />

Honolulu<br />

Honolulu<br />

Honolulu<br />

Honolulu<br />

Honolulu<br />

Ewa Beach<br />

Kapolei<br />

Lihue<br />

Ewa Beach<br />

Mililani<br />

Hilo<br />

Lihue<br />

Honolulu<br />

Kihei<br />

Mililani<br />

Honolulu<br />

Honolulu<br />

Honolulu<br />

Kapolei<br />

Wailuku<br />

Kihei<br />

Kalaheo<br />


<strong>August</strong>, September, October <strong>2022</strong> Hawaiʻi <strong>Nurse</strong> • Page 11<br />

HAWAI’I-ANA MEMBERSHIP (continued)<br />

Hawai’i-ANA Members continued from page 9<br />

Deborah Michiko Fried<br />

Donna Torres<br />

Melanie Tsukamoto<br />

Sapi Purcell<br />

Amelia Greenidge<br />

Kelly Johnson<br />

Dawn Styner<br />

Denise Cohen<br />

Jo Wakayama<br />

Brenda Jackson<br />

Jennifer Booker<br />

Kathleen Burger<br />

Barbara Karodia<br />

Kathleen Sullivan<br />

Abbie Neves<br />

Maureeb Camacho<br />

Natalie Kitamura<br />

Yuka Hazam<br />

Vanessa Lyons<br />

Lisa Ushiroda-Garma<br />

Charlotte Baylon-Jones<br />

Katherine Converse<br />

Elizabeth Seymour<br />

Kathleen Acierto<br />

Teri Fonoti<br />

Shellie Norman<br />

Ethel Koga<br />

Tracy Ingram<br />

Helen Hudson<br />

Janel Manos<br />

Mary Volenec<br />

Andrea Manaea<br />

Ray Morikawa<br />

Christine Prentice<br />

Gary Yoshimoto<br />

Nora Phillips<br />

Verona Chiutena<br />

Barbara Insisiengmay<br />

Dida Dodhi<br />

Anna Schulte<br />

Hilo<br />

Aiea<br />

Aiea<br />

Laie<br />

Kahului<br />

Honolulu<br />

Kailua Kona<br />

Kahului<br />

Honolulu<br />

Kailua<br />

Honolulu<br />

Kailua<br />

Kaneohe<br />

Honolulu<br />

Kaneohe<br />

Covington<br />

Pearl City<br />

Honolulu<br />

Kailua<br />

Honolulu<br />

Wailuku<br />

Ewa Beach<br />

Kailua<br />

Kailua<br />

Aiea<br />

Kailua Kona<br />

Ewa Beach<br />

Mililani<br />

Cottonwood<br />

Kapolei<br />

Everett<br />

Kaneohe<br />

Honolulu<br />

Waianae<br />

Ewa Beach<br />

Wahiawa<br />

Honolulu<br />

Honolulu<br />

Honolulu<br />

Honolulu<br />

Julie Bremholm<br />

Chelsie Miyao<br />

Jason Robinson<br />

Carissa Hamelin<br />

Christy Monaghan<br />

Katherine Silvestri-Elmore<br />

Taryn Amberson<br />

Francia Birulin<br />

Pola Isabelle Bonete<br />

Natalie Mark<br />

Kathryn Jones<br />

Quanae Lill<br />

Jenny Greenlee<br />

Soraya Acosta<br />

Ferna Idica<br />

Rica Lorraine Rabanal<br />

Carrie Alexander<br />

Laine Shikuma<br />

Sarah Perkins<br />

Corinne Suzuka<br />

Erin Von Der Ahe<br />

Patricia Brooks<br />

Cassie Ann Claveria<br />

Fina Havelock<br />

Jason Poe<br />

Lani Untalan<br />

Jessics Caudill<br />

Crystal Nelson<br />

Veronica Russell<br />

Anna Weigand<br />

Noelia Velez<br />

Elvie Marie Quemado<br />

Kirsten McCullum<br />

Karla Hall<br />

Laureen Watanabe<br />

Cristina Vocalan<br />

Philmar Mendoza-Kabua<br />

Paula Nichaelle Aquino<br />

Pablito Gahol<br />

Cheryl Kaaialii<br />

Welcoming 24 New<br />

Members of Hawaiʻi-ANA,<br />

between 05/10/<strong>2022</strong> and<br />

07/10/<strong>2022</strong>:<br />

Moanikaimalinamaealani Bertelmann<br />

Jill Bowman<br />

Julie Bremholm<br />

Verona Chiutena<br />

Analiza Corpuz<br />

Rachelle Cortez<br />

Mohamed Elshehaby<br />

Chutima Forkner<br />

Kimberly Gibu<br />

Joycelyn Gilliam<br />

Helwa Hamdallah<br />

Daryle Ann Ho<br />

Henny Hodges<br />

Karen Jackson<br />

Vanessia Klein<br />

Amy J Lee<br />

Lara Lee<br />

Kimberly Matsunaga<br />

Karen Meredith<br />

Arlene Milam<br />

Janica Solano<br />

Paige Sumida<br />

Leizel Taroma<br />

Kamuela<br />

Waianae<br />

Honolulu<br />

Honolulu<br />

Kalaheo<br />

Honolulu<br />

Kapolei<br />

Honolulu<br />

Mililani<br />

Waianae<br />

Pearl City<br />

Honolulu<br />

Kapolei<br />

Waipahu<br />

Kailua<br />

Honolulu<br />

Pearl City<br />

Honolulu<br />

Honolulu<br />

Mililani<br />

Kaneohe<br />

Hilo<br />

Ewa Beach<br />

Honolulu<br />

Sunnyvale<br />

Kailua<br />

Kapolei<br />

Ewa Beach<br />

Henderson<br />

Bremerton<br />

Mililani<br />

Makawao<br />

San Francisco<br />

Santa Rosa<br />

Kailua<br />

Waianae<br />

Honolulu<br />

Waimanalo<br />

Ewa Beach<br />

Haleiwa<br />

Honolulu<br />

Sterling<br />

Mililani<br />

Naalehu<br />

Kalaheo<br />

Waipahu<br />

Honolulu<br />

Honolulu<br />

Ewa Beach<br />

Haiku<br />

Waianae<br />

Honolulu<br />

Kailua<br />

Kailua<br />

Ewa Beach<br />

Kaneohe<br />

Leesburg<br />

Honolulu<br />

Mililani<br />

Honolulu<br />

Aiea<br />

Kailua<br />

Waianae<br />

Mariam Moran<br />

Makawao<br />

America Toralba<br />

Aiea<br />

Jason Austria<br />

Wahiawa<br />

Juanita Geronimo-Babas<br />

Hilo<br />

Emily Sutton<br />

Kailua<br />

Jaryn Iwamoto<br />

Aiea<br />

Courtney Gunter<br />

Wahiawa<br />

Larisa Skripchenko<br />

Hilo<br />

Alexis Noh<br />

Honolulu<br />

Tiare Caycayon<br />

Honolulu<br />

Juval Tomas<br />

Honolulu<br />

Donna Vanstralen<br />

Kahului<br />

Jill Green<br />

Honolulu<br />

Abigail Sharpe<br />

Honolulu<br />

Kevin Abee<br />

Kapolei<br />

Merlene Jose<br />

Honolulu<br />

MAE Diloretto<br />

Honolulu<br />

Nancy Manali-Leonardo Honolulu<br />

Dulce Gonzalez Melgar Honolulu<br />

Denise Yamada<br />

Honolulu<br />

Margielyn Acierto<br />

Pearl City<br />

Louisse Gayle Aque<br />

Waipahu<br />

Krystel Anne Ordonez<br />

Lihue<br />

Meryl Kate Rebamonte Honolulu<br />

Julienne Mateo<br />

Ewa Beach<br />

Celestia Parsons Yellowstone National<br />

Park<br />

Christina Nases<br />

Hakalau<br />

Kimberly Simmons<br />

Makawao<br />

Toni Ballard<br />

Ewa Beach<br />

Kiana Perez-Santos<br />

Honolulu<br />

Michele Brailo<br />

Mililani<br />

Tina Salvador<br />

Honolulu<br />

Janine Jessica Aguinaldo Waipahu<br />

Sherrane Vargas<br />

Honolulu<br />

Tiffany Hooks<br />

Ewa Beach<br />

Justine Tallon-Satink<br />

Honolulu<br />

Danette Butterfield Ewa Beach<br />

Amy Olsen<br />

Laupahoehoe<br />

Renee Shove<br />

Kailua Kona<br />

Opportunities for<br />

Members:<br />

Attend Hawaiʻi-ANA Board and Committee Meetings:<br />

all members are welcome to attend. Introduce yourself<br />

and learn about the many opportunities available to you<br />

as a member of Hawaiʻi-ANA.<br />

Log into our webpage under<br />

Upcoming Events at Events Page<br />

Click on the Meeting of your choice to register for the<br />

event and acquire the zoom link, such as the next<br />

Board of Directors Meeting:<br />

Saturday, September 10, <strong>2022</strong> at 9:00am HT<br />

Committees you can participate in:<br />

- Advocacy Committee<br />

(policy/legislative & coalitions)<br />

- Student <strong>Nurse</strong>s Committee<br />

- Mentorship Committee<br />

(new graduates, senior students,<br />

mentors, etc.)<br />

- Events Planning Committee<br />

- Marketing Committee (website,<br />

social media, newsletter, advertising)<br />

- Districts & Membership Engagement<br />

Committee (DME: works with Student<br />

<strong>Nurse</strong>s Committee to link Schools of<br />

Nursing in each District)<br />

- Continuing Education Planning<br />

Committee<br />

- Finance Committee<br />

Contact Linda @ executivedriector@ana.org or text/<br />

call (808)779-3001 for assistance with any networking<br />

opportunities.<br />

Joycelyn Gilliam<br />

Witsudar Phothini<br />

Kristen Stone<br />

Deborah Mattheus<br />

Philip Higgins Weimer<br />

Nikki Richardson<br />

Misako Kawakami<br />

Justin Ager Tabbay<br />

Michael Froebel<br />

Maria Lourdes Akagi<br />

Blessie Vergara<br />

Katie Talbot<br />

Michelle Tom<br />

Erin Rodgers<br />

Ricardo Nunez<br />

Kelsey Miyasato-Tanioka<br />

Brittnny Pulido<br />

Rachelle Cortez<br />

Angela Dubbs<br />

Gary Abegonia<br />

Paige Sumida<br />

Jill Bowman<br />

Janica Solano<br />

Moanikaimalinamaealani<br />

Bertelmann<br />

Leizel Taroma<br />

Helwa Hamdallah<br />

Henny Hodges<br />

Vanessia Klein<br />

Karen Jackson<br />

Analiza Corpuz<br />

Maureen O’Brien<br />

Kristine Yearwood<br />

Edna Smith<br />

Michelle Chapman<br />

Karol Richardson<br />

Linda Beechinor<br />

Joan Parker-Dias<br />

Jaclyn Griffin<br />

Carol Lee<br />

Sidney Macaw<br />

Karen Dureg<br />

Naomi Yoshimoto<br />

Petronila Cabana<br />

Kamomilani Anduha Wong<br />

Paul Hannigan<br />

Dolores Soler Bergau<br />

Joselyn Ponce<br />

Maria Moreno Chow<br />

Roxann Rowe<br />

Kathleen Hagan<br />

Sean Slentz<br />

Kristine Qureshi<br />

Kathrine Pope<br />

Gerilyn Corpuz-Takemoto<br />

Marianela Jacob<br />

Alison Kaneshiro<br />

Macey Luo-Souza<br />

Brian Fikes<br />

Leanne Kihara<br />

Mayona Villapando<br />

Brendon Friedman<br />

Marilen Camero<br />

Lena Gebelein<br />

Kathleen Tomasa<br />

Becky Yoza<br />

Katie Azama<br />

Yushiu Lin<br />

Kathleen Garo<br />

George McElravy<br />

John Yoza<br />

Josette Dudoit<br />

Leslie Ann Yanagihara<br />

Kimm Goshi<br />

Lara Lee<br />

Carrie Urban<br />

Karen Meredith<br />

Teah Karamath<br />

Betty Bartleson<br />

Kealohakuualohakuupokii<br />

Aiea<br />

Konstantina Rose<br />

Jason McGregor<br />

Carmen Tsiopanas<br />

Robin Zachary<br />

Rose Hata<br />

Jonathan Felarca<br />

Faith Olivera<br />

Natasha Payne-James<br />

Deborah Virginia Lichota<br />

Waianae<br />

Kapolei<br />

Wahiawa<br />

Waimanalo<br />

Ewa Beach<br />

Kahului<br />

Honolulu<br />

Honolulu<br />

Volcano<br />

Wahiawa<br />

Wahiawa<br />

Makawao<br />

Honolulu<br />

Kaneohe<br />

Wailuku<br />

Honolulu<br />

Honolulu<br />

Honolulu<br />

Honolulu<br />

Kapolei<br />

Hilo<br />

Waianae<br />

Kaneohe<br />

Kamuela<br />

Ewa Beach<br />

Pearl City<br />

Kapolei<br />

Kailua<br />

Waipahu<br />

Kalaheo<br />

Ewa Beach<br />

Ewa Beach<br />

Waianae<br />

Mililani<br />

Honolulu<br />

Honolulu<br />

Honolulu<br />

Ewa Beach<br />

Mililani<br />

Honolulu<br />

Aiea<br />

Honolulu<br />

Wahiawa<br />

Honolulu<br />

Pearl City<br />

Hana<br />

Ewa Beach<br />

Kailua<br />

Hilo<br />

Paia<br />

Honolulu<br />

Haleiwa<br />

Kapolei<br />

Honolulu<br />

Mililani<br />

Aiea<br />

Honolulu<br />

Ellicott City<br />

Hilo<br />

Waipahu<br />

Honolulu<br />

Waipahu<br />

Dpo<br />

Kailua<br />

Pearl City<br />

Honolulu<br />

Honolulu<br />

Waipahu<br />

Wailuku<br />

Pearl City<br />

Waianae<br />

Mililani<br />

Honolulu<br />

Pearl City<br />

Herndon<br />

Honolulu<br />

Mililani<br />

Lahaina<br />

Balaz<br />

Paia<br />

Kaneohe<br />

Waikoloa<br />

Honolulu<br />

Honolulu<br />

Ewa Beach<br />

Honokaa<br />

Honolulu<br />


Page 12 • Hawaiʻi <strong>Nurse</strong> <strong>August</strong>, September, October <strong>2022</strong><br />


If your name is on this list of 93 RNs, you are a member of ANA-Only, and you are not a member of your state nurses<br />

association at Hawaiʻi-ANA. As a member of ANA-Only you cannot vote in elections or represent Hawaiʻi-ANA.<br />

Want to join Hawaiʻi-ANA jointly with ANA? Just email Linda at executivedirector@hawaii-ana.org and say you<br />

“want to be a joint member of ANA and Hawaiʻi-ANA.” We will help you (bonus: it is less $$!).<br />

Kris Aceret<br />

Paula Hulme<br />

Richard Ramirez<br />

Joint membership with ANA and Hawaiʻi-ANA<br />

costs $15 a month or $180 annually<br />

and provides these benefits:<br />

Cindy Arce<br />

Kristin Arrindell<br />

Elizabeth L. Asahara<br />

Tori Ikehara<br />

Christine Inamine<br />

Kristen Ishikawa<br />

Madonna Reisert<br />

Brian Rose<br />

Mary Rovelstad<br />

Free Navigate Nursing webinars with FREE CE<br />

Rosemary Baugh<br />

Nancy Bellatti<br />

Mary Jang<br />

Avril Jenkins<br />

Lindsay Sanchez<br />

Merita Sao Auelua<br />

Save $100 on ANCC certification (initial or renewal)<br />

ANA Community of members-only online discussion groups<br />

Manuel Calupe Jr<br />

Natalyn Cayetano<br />

Clementina D. Ceria<br />

Allan Johnson<br />

Martin Katz<br />

Leanne Kauwe<br />

Karoline Searing<br />

Raelene Shinchi<br />

Sharon Skouge<br />

Advocacy to strengthen nursing’s voice<br />

Opportunities to network with over 240,000 ANA members<br />

Kristen Collat<br />

Mae Kimberly Corpuz<br />

Bobbie-Jean Crivello<br />

Josette Kawana<br />

Ethel Koga<br />

Lydia Ligon<br />

Sharlene Skripko<br />

Dorota Strugala<br />

Cari Suhr<br />

American <strong>Nurse</strong> journal<br />

OJIN - <strong>The</strong> Online Journal of Issues in Nursing & ANA SmartBrief<br />

Trisha Devereaux<br />

Corey Dillman<br />

Glenda Dumayas<br />

Madelyn Locquiao<br />

Alison Lovell<br />

Rachael Lund<br />

Kanoe Tani<br />

Linda Thorp<br />

Janina Tod<br />

ANA Mentorship Program<br />

Discounts on ANA books, professional development resources, and CE<br />

Belinda A. Dungca<br />

Eileen Factora<br />

Janet Francisco<br />

Catherine Marquette<br />

Stephanie Marshall<br />

Tammy McKee<br />

Kim Tomasa<br />

Joyce Trompeta<br />

Jolly Anne Uclaray<br />

Professional tools such as CINAHL, PubMed Citations,<br />

and the Global Disease Alert map<br />

Marcelina Gallardo<br />

Arthur Garza<br />

Cherry Elaine Medina<br />

Mi Mende<br />

Patti Urso<br />

Janet Uyehara<br />

Personal Benefits - Professional Liability Insurance (NSO)<br />

Joseph Giovannoni<br />

Caroline Glover<br />

Mark Mendoza<br />

Semico Miller<br />

Coraleen Valdez<br />

Kristina Valenzuela<br />

Personal Benefits - Term Life and AD&D (Prudential)<br />

Eden S. Goto<br />

Haunani Miller<br />

Susan Von Essen<br />

Personal Benefits - Student Loan Solutions (Laurel Road)<br />

Michelle Grandalen<br />

Frankie Hale<br />

Shirley Morca<br />

Priscilla Navares<br />

Jasmine Wagner<br />

Kimberly Webster<br />

Personal Benefits - Financial Wellness (Prudential)<br />

Linda M. Hamada<br />

Susan Ohlson<br />

Aya Windham<br />

Personal Benefits - Travel Discounts (BookingCommunity)<br />

Cindy Hanscam<br />

Madeline Harris<br />

Grace Pakele<br />

Jennie Pasalo-Dominno<br />

Shelley A. Womack<br />

Elena Woo<br />

Personal Benefits - Long Term Care Insurance (Mutual of Omaha)<br />

Eunice Hipolito<br />

Ralf Ian Pasion<br />

Monina Yamashita<br />

ANA Career Center access<br />

Katie Hokama<br />

Beverly M. Hookano<br />

Melanie C. Pekala<br />

Sandra Quipotla<br />

Valerie Yim<br />

Leigh Ziegler<br />

Want to join Hawaiʻi-ANA jointly with ANA? Just email Linda at executivedirector@hawaii-ana.org and say you<br />

“want to be a joint member of ANA and Hawaiʻi-ANA.”

<strong>August</strong>, September, October <strong>2022</strong> Hawaiʻi <strong>Nurse</strong> • Page 13<br />

<strong>The</strong> New Graduate RN Workforce Report<br />


<strong>The</strong> New Graduate RN Workforce Report on the Hawai’i State Center for Nursing’s<br />

website Released April, <strong>2022</strong>.<br />

To subscribe to Hawaiʻi State Center for Nursing (HSCN) newsletters: click here.<br />

How many New Grads are in Hawai‘i’s<br />

Workforce and Where Do <strong>The</strong>y Work?<br />

We estimate that as of July 2021, there were<br />

approximately 15,070 RNs employed in a variety of<br />

roles throughout Hawai‘i (Hawai‘i State Center for<br />

Nursing, 2021a). Of these, 11% were new graduates.<br />

Why is this information important to you?<br />

“<strong>The</strong> Center’s strategic plan through 2023 places emphasis on research as a vehicle<br />

through which the Center will be data-driven and evidence-based in its decision-making<br />

related to:<br />

• program development, revision, and implementation;<br />

• participation in statewide initiatives related to nursing and healthcare workforce<br />

development;<br />

• support of public policy with implications for the practice of nursing.”<br />

Hawaiʻi State Center for Nursing (<strong>2022</strong>, April 29). Workforce Reports. Retrieved from<br />

https://www.hawaiicenterfornursing.org/data-reports/<br />

New graduates are not equally likely to work in all<br />

settings. When we examine the composition of the<br />

RN workforce in each of five major types of practice<br />

settings, we find that new graduates account for<br />

nearly 20% of the workforce in post-acute/longterm<br />

care settings but 10% or less of the workforce<br />

in any other setting. Similarly, when we examine<br />

the distribution of RNs’ employment setting by their<br />

new graduate status, we find that new graduates<br />

are notably more likely to work in post-acute/longterm<br />

care settings and less likely to work in acute<br />

care hospitals than non- new graduate RNs. Taken<br />

together, these data indicate that new graduates are<br />

overrepresented in post-acute/long-term care settings.<br />

Report continued on page 14

Page 14 • Hawaiʻi <strong>Nurse</strong> <strong>August</strong>, September, October <strong>2022</strong><br />

Report continued from page 13<br />

What’s the Educational Background of the<br />

New Grad Workforce?<br />

A prevailing belief about the new graduate RN<br />

workforce is that Hawai‘i’s schools of nursing are the<br />

primary contributors of new graduates to the local<br />

workforce. Our current Supply Survey data validate<br />

this belief. Nearly 75% of the new graduate RNs<br />

currently working Hawai‘i received their initial nursing<br />

education from a local school.<br />

<strong>The</strong> current statewide nursing shortage (Hawai‘i<br />

State Center for Nursing, 2021d) warrants renewed<br />

focus on addressing the barriers that limit in-state<br />

schools’ ability to expand enrollment in their prelicensure<br />

RN programs and graduate enough new<br />

nurses to meet workforce demand. We have written<br />

several times over the last four years that the two<br />

primary constraints on local schools’ capacity to<br />

educate new nurses are the nursing faculty shortage,<br />

especially for University of Hawai‘i System schools,<br />

and a limited supply of curriculum-appropriate clinical<br />

placements. If these crucial resources continue to<br />

be limited, we are concerned that local schools will<br />

be unable to sustain the RN workforce, especially as<br />

the number of people in the population with greater<br />

healthcare needs grows, such as kūpuna and people<br />

with long-lasting effects of COVID-19.<br />

Despite being affected by constrained resources,<br />

Hawai‘i’s in-state schools of nursing graduated an<br />

average of about 430 new prospective RNs from ADN,<br />

BSN, and GEPN programs each year between 2018<br />

and 2020 (Hawai‘i State Center for Nursing, <strong>2022</strong>b).<br />

Students from BSN or GEPN programs account for<br />

69% of these new graduates. This is consistent with<br />

the 71% of new graduate RNs who told us on our<br />

Supply Survey that they were initially educated in a<br />

BSN or GEPN program. <strong>The</strong> high proportion of new<br />

graduates entering practice with a BSN or graduate<br />

degree has contributed to Hawai‘i having one of the<br />

most highly educated RN workforces in the country<br />

since 2017 (Campaign for Action, 2019).<br />

To access electronic copies of the<br />

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

http://www.NursingALD.com/publications<br />

How Long Does It Take for New Grads to Enter<br />

the Workforce?<br />

One of the most important issues for employers,<br />

schools, and new graduates is how long it takes<br />

new graduates to enter the workforce after<br />

graduation. While the job market is the primary<br />

driver of new graduates’ time to initial employment,<br />

having difficulty scheduling or passing the NCLEX-<br />

RN or lengthy license application review times can<br />

also delay new graduates’ initial job attainment. To<br />

address this possibility, we asked new graduates<br />

how long it took them to get licensed after<br />

graduation.<br />

More than 40% of new graduates reported that<br />

they were licensed less than three months after<br />

they graduated. Within six months of graduation,<br />

more than 80% of new graduates had licenses<br />

in-hand. <strong>The</strong>se data suggest that there are no<br />

significant barriers keeping new graduates from<br />

getting their licenses and becoming eligible to<br />

enter practice quickly after graduation. Without<br />

barriers to licensure, employers can expect an<br />

influx of new graduates to the workforce twice<br />

per year in March and <strong>August</strong>, about three<br />

months after December and May graduations,<br />

respectively.<br />

We also asked new graduates to report<br />

how long after graduation it took them to get<br />

their first nursing jobs. By three months after<br />

graduation, 36% of new graduates were working<br />

in their first nursing job. By six months after<br />

graduation, 65% of new graduates had entered<br />

the nursing workforce.<br />

<strong>The</strong> amount of time it took new graduate RNs<br />

to enter the workforce varied considerably by their<br />

initial employment setting. New graduates whose<br />

first jobs were in non-acute settings had a shorter<br />

time to initial employment than those whose<br />

first jobs were in hospitals. <strong>The</strong> majority of new<br />

graduates whose first jobs were in post-acute/longterm<br />

care (74%), ambulatory (82%), or home health/<br />

hospice settings (88%) were employed within six<br />

months after graduation. In contrast, 54% of new<br />

graduates who took their first jobs in hospitals were<br />

working within six months of graduating. Almost 20%<br />

of new graduates whose initial nursing jobs were in<br />

hospitals took a year or longer to enter the nursing<br />

workforce.<br />

Why Aren’t <strong>The</strong>re Jobs for New Grads in Hawai‘i?<br />

Strong competition for new graduate jobs in<br />

acute care sometimes creates the impression that<br />

the job market in Hawai‘i is inhospitable to new<br />

graduates. In reality, there are ample opportunities<br />

for new graduates to get to work quickly, though<br />

those opportunities may not exist in hospitals.<br />

New graduates who went to work in home<br />

health had the shortest time to initial employment;<br />

75% of new graduates in home health were in<br />

the workforce within three months of graduating.<br />

Among new graduates who chose jobs in postacute/long-term<br />

care or ambulatory settings, about<br />

40% were in the workforce less than three months<br />

after graduation.<br />

<strong>The</strong>se data demonstrate that local new graduates<br />

can get hired in Hawai‘i within a few months of<br />

graduation if they are willing to take their first jobs<br />

in non-acute care settings. Despite most non-acute<br />

settings offering a faster path to initial employment,<br />

hospitals are the most in-demand setting for new<br />

graduates’ first jobs. Hospitals have fewer jobs to<br />

offer than there are new graduates who want them,<br />

a fact which is sometimes interpreted as hospitals<br />

not wanting to hire new graduates. We address that<br />

interpretation in the next section.<br />

Why Don’t Hospitals Want to Hire New<br />

Graduates?<br />

Among graduates from nursing schools in Hawai‘i,<br />

75% indicated that they wanted their first employment<br />

setting to be in a hospital. In contrast, only 31% of<br />

new graduates reported that they actually obtained<br />

employment in a hospital following graduation. This<br />

corresponds to the share of new graduates that<br />

hospitals in the Hawai‘i NRP (HNRP) Collaborative<br />

reported hiring. Between 2018 and 2021, hospitals<br />

that were members of the HNRP hired an average<br />

of about 90 new graduates each year (Hawai‘i State<br />

Center for Nursing, 2021c). If we estimate that<br />

hospitals that were not members of the HNRP hired<br />

another 30 nurses annually, then hospitals hired about<br />

31% of the 400 new graduates who completed ADN or<br />

BSN programs each year during the same time frame.

<strong>August</strong>, September, October <strong>2022</strong> Hawaiʻi <strong>Nurse</strong> • Page 15<br />

Hospitals’ willingness and ability to hire new<br />

graduates varies as a function of several factors such<br />

as the availability of resources to provide transition<br />

to practice support, relative need for generalists vs.<br />

specialty RNs (which new graduates are not), and<br />

relative demand for nurses vs. other types of nonnursing<br />

health professionals. Though these and other<br />

factors influence the acute care new graduate RN<br />

job market, we argue that the single most influential<br />

factor driving hospitals’ limited hiring of new graduates<br />

is that hospitals employ a smaller share of the entire<br />

RN workforce as compared to 15 years ago.<br />

As models of healthcare emphasize disease<br />

prevention, health maintenance, and aging-in-place,<br />

demand for nurses in ambulatory and home health<br />

settings has increased. Simultaneously, the average<br />

patient length of stay in hospitals has become<br />

shorter which has increased demand for nurses in<br />

post-acute/long-term care settings and created a<br />

corresponding decrease in the share of nurses that<br />

work in hospitals. According to historical Supply<br />

Survey data, the proportion of the total RN workforce<br />

that reported a primary employment setting in a<br />

hospital decreased from 62% in 2007 to 42% in<br />

2021. As more nursing care is delivered in nonacute<br />

settings, hospitals employ less of the total<br />

RN workforce, and by extension, less of the new<br />

graduate workforce.<br />

A good question may be why do so many new<br />

graduates want to work in hospitals as compared<br />

to other settings? <strong>The</strong>re are some good reasons for<br />

this, such as:<br />

• Most of nursing students’ clinical hours are<br />

conducted in hospitals. This promotes new<br />

graduates’ familiarity with hospitals as a<br />

practice setting and (erroneously) establishes<br />

an expectation that most nursing practice<br />

happens in hospitals.<br />

• <strong>The</strong> patient load for nurses employed in<br />

hospitals is generally much smaller than that of<br />

nurses who work in most post-acute/long-term<br />

care settings. Having fewer patients to care for<br />

during any given shift makes for a less stressful<br />

and more manageable practice environment,<br />

especially for new nurses.<br />

• Hospitals are more likely than other settings to<br />

offer new graduate NRPs which help to ease<br />

new graduates’ initial transition into practice.<br />

<strong>Nurse</strong>s who complete a new graduate NRP are<br />

more likely to remain in their jobs for at least<br />

a year than nurses who do not receive formal<br />

transition to practice support.<br />

• <strong>Nurse</strong>s who work in hospitals are paid more per<br />

year on average than nurses who work in other<br />

settings, sometimes by an extraordinary margin<br />

(Hawai‘i State Center for Nursing, <strong>2022</strong>a).<br />

While some of these advantages are unique to<br />

acute care and cannot easily be replicated in other<br />

settings, it is important for non-acute employers to<br />

recognize the specific advantages that hospitals<br />

have in the new graduate job market. If non-acute<br />

employers can implement programs or initiatives that<br />

can increase the desirability of their own settings,<br />

then they can draw some of the new graduate<br />

employment demand away from hospitals. Doing so<br />

would benefit new graduates and employers in all<br />

settings over the status quo.<br />

Before we close this section, we want to note<br />

that hospital hiring has been unusually high in 2021<br />

and <strong>2022</strong>. Members of the HNRP hired nearly 290<br />

new graduates for the 2021-<strong>2022</strong> NRP year, most of<br />

whom were hired by hospitals. This is the largest<br />

number of new graduates hired by HNRP facilities<br />

in a single year since at least 2015 (Hawai‘i State<br />

Center for Nursing, 2021c). <strong>The</strong> recent spike in<br />

hospitals’ hiring of new graduates is in response to<br />

a statewide nursing shortage stemming largely from<br />

the COVID-19 pandemic.<br />

As a result, we expect that future Supply Survey<br />

data will reflect a higher proportion of new graduate<br />

hires into acute care than the historical data would<br />

forecast.<br />

How Many Local New Grads Has Hawai‘i Lost to<br />

Out of State Jobs?<br />

When our stakeholders express their concern<br />

about the local job market being unfriendly to<br />

new graduates, we are often asked to quantify the<br />

number of local graduates who have left the islands<br />

for jobs in other states or countries. Unfortunately,<br />

we do not have the data necessary to answer this<br />

question.<br />

<strong>The</strong> major limitation of our Supply Survey is that<br />

nurses complete it when they renew their Hawai‘i<br />

nursing license. If a graduate from a local school<br />

never got a Hawai‘i license or decided not to renew<br />

a Hawai‘i license because they started working in<br />

another state, they do not have access to our Supply<br />

Survey. Additionally, in 2021, we had an unusually<br />

low response rate as compared to prior survey years<br />

(Hawai‘i State Center for Nursing, 2021b). Ordinarily,<br />

our sample is large enough that we have enough<br />

data to compare local graduates who left the state<br />

to those who stayed in Hawai‘i. Those comparisons<br />

do not provide a definitive estimate of the number<br />

of local graduates who have left the state, but we<br />

can formulate a profile of them so we can better<br />

understand their decision to leave. <strong>The</strong> unusually<br />

small sample size in the 2021 study prevented us<br />

from being able to make those comparisons this year.<br />

Though we do not have the data we need to<br />

develop a profile of the local new graduates who<br />

left the state this year, we did have enough data in<br />

2019. We provided a thorough discussion of what we<br />

knew about the local nurses who left the state in our<br />

Education Capacity Report for Academic Year 2018-<br />

2019 (Hawai‘i State Center for Nursing, 2020, pp.<br />

22–26). Two findings from that report are especially<br />

relevant here.<br />

First, in 2019 about 90% of local new graduates<br />

reported a primary residential location in Hawai‘i.<br />

If we extrapolate that proportion to the number of<br />

new graduates from in-state schools, Hawai‘i loses<br />

about 40 prospective RNs to other states or countries<br />

annually. Whether the loss of 40 new graduates<br />

is cause for alarm is a matter of perspective, but it<br />

is the case that most of our local graduates remain<br />

in Hawai‘i. Second, local new graduates who left<br />

the state were much more likely to be employed in<br />

hospitals as compared to new graduates who stayed<br />

in Hawai‘i. <strong>The</strong>se data suggest that new graduates<br />

who had a non-negotiable preference to work in<br />

acute care were willing to take jobs out of state<br />

rather than delaying their entry to the workforce<br />

as did many of their counterparts who remained in<br />

Hawai‘i.<br />

Do Most New Grads Receive Formal Transition<br />

to Practice Support?<br />

NRPs provide new graduate nurses with formalized<br />

support, mentorship, and education during their<br />

transition from their role as student to their role as<br />

practicing clinicians. As a result, NRPs are widely<br />

regarded as playing an important role in increasing<br />

first- and second-year retention rates for new<br />

graduate nurses.<br />

In 2021, less than 30% of new graduate RNs<br />

reported that they had either completed or were<br />

currently participating in an NRP. <strong>The</strong> low overall<br />

rate of NRP participation among new graduates<br />

is explained by the absence of formal NRPs in<br />

non-acute settings. As of October 2021, all of the<br />

members of the HNRP Collaborative were acute<br />

care hospitals (Hawai‘i State Center for Nursing,<br />

2021c). While the Center has worked with postacute/long-term<br />

care to identify and reduce barriers<br />

to implementing NRPs, formal new graduate RN<br />

residencies remain largely a resource provided by<br />

hospitals. As a result, 60% new graduates whose<br />

first or current nursing jobs were in hospitals were<br />

more likely to have completed or currently be<br />

enrolled in an NRP. In contrast, only 6% of RNs<br />

whose first or current jobs were in non-acute<br />

settings have participated in an NRP.<br />

Are Most New Grads Likely to Leave <strong>The</strong>ir Jobs?<br />

Much of the interest in establishing new graduate<br />

NRPs stems from concerns over high rates of firstyear<br />

attrition. Because the transition from student to<br />

nurse is challenging, in the absence of formal support<br />

many new graduates find the nursing profession<br />

overwhelming. Many leave their first employers<br />

within a year in search of more support. In the<br />

worst cases, some new graduates leave the nursing<br />

Report continued on page 16

Page 16 • Hawaiʻi <strong>Nurse</strong> <strong>August</strong>, September, October <strong>2022</strong><br />

Report continued from page 15<br />

profession altogether. Because of the high rate at<br />

which new graduates in Hawai‘i are employed in nonacute<br />

settings that do not have formal NRPs, we are<br />

interested in whether an unusually high proportion<br />

of new graduates are contemplating leaving their<br />

current jobs.<br />

Another worrisome finding is that new graduate<br />

nurses’ intention to leave their current position<br />

varies markedly by their primary practice setting.<br />

Specifically, new graduates employed in postacute/long-term<br />

care settings were much more<br />

likely than nurses in any other setting to have<br />

plans to leave their current jobs within a year. In<br />

contrast, new graduates working in acute care<br />

hospitals were more likely than nurses in any other<br />

setting to indicate having plans to remain in their<br />

current jobs.<br />

Though we do not have the data to test a causal<br />

relationship between NRPs and new graduates’<br />

intention to stay in their current jobs, our data do<br />

suggest that the statewide workforce would likely<br />

benefit from an expansion of NRPs into post-acute/<br />

long-term care settings.<br />

Are New Grads More Diverse & Representative<br />

than More Experienced <strong>Nurse</strong>s?<br />

As compared to nurses who graduated prior<br />

to 2017, new graduate RNs are more likely to be<br />

men, of mixed ethnic ancestry, Native Hawaiian,<br />

or Hispanic/Latinx, but by small margins. Despite<br />

small and important improvements, men and<br />

Native Hawaiians continue to be substantially<br />

underrepresented compared to the residential<br />

population of the state.<br />

We asked nurses to report how likely they were to<br />

leave their current positions within the next 12 months<br />

(equivalent to the middle of <strong>2022</strong>). In comparison to<br />

the rest of the RN workforce, new graduate RNs<br />

expressed less optimism and more uncertainty about<br />

their career intentions for the next year. While more<br />

than 60% of experienced RNs reported that they were<br />

likely or very likely to stay in their current job through<br />

the middle of this year, fewer than 45% of new<br />

graduates reported the same.<br />

Perhaps the most alarming finding related to new<br />

graduates’ 12-month plans was that 33% of all new<br />

graduates were uncertain of whether they would<br />

remain in their current role for the next year. New<br />

graduates’ lack of certainty about changing jobs<br />

creates a challenge for employers who are unable to<br />

plan for turnover that they do not know is coming.

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!