2018 WNA Membership Assembly Recap · 2018 WNA Membership Assembly Recap Membership in WNA...
Transcript of 2018 WNA Membership Assembly Recap · 2018 WNA Membership Assembly Recap Membership in WNA...
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Wisconsin Nurses Association Updates: New Members . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3 2018 WNA Election Results . . . . . . . . . . . . . . . . . 4 2018 WNA Award Winners . . . . . . . . . . . . . . . . . 5 WNA Advocacy Workshop . . . . . . . . . . . . . . . . . 6 WNA Informational Report . . . . . . . . . . . . . . . . . 7 WNA Working for You . . . . . . . . . . . . . . . . . . . . . 8Upcoming Conferences: 2019 APRN Coalition Lobby Day . . . . . . . . . . . .10 Nurses Day at the Capital . . . . . . . . . . . . . . . . . .11
Legislative Updates: WNA Legislative Priorities for 2019-2020 . . . . .12 2018 Midterm Elections . . . . . . . . . . . . . . . . . . . .13 WNA Legislative and Regulatory Agenda for the 2019-2020 Biennium . . . . . . . . . . . . . . . .14 Preserve the Nursing Workforce Survey . . . . .15MIGs Updates: Environmental Health . . . . . . . . . . . . . . . . . . . . .16 Wisconsin Faith Community Nurse Coalition .17Update on WNA APRN Roundtable Meeting . . . 18
VOLUME 5 NUMBER 1DECEMBER 2018
The Official Publication of the Nurses Foundation of Wisconsin, in cooperation withthe Wisconsin Nurses Association. Delivered to you courtesy of the WNA membership.
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WNA Welcome
By Linda Gobis, WNA President and Gina Dennik-Champion, WNA Executive Director
WNA’s Membership Assembly took place on Friday, October 26, 2018 at the Best Western Premier Park Hotel in Madison . The day consisted of an all-morning Dialogue Forum, luncheon speaker, and the afternoon offered two concurrent sessions, Climate and Health: Nursing’s Role and the Role of Nurse and WNA’s Legislative Priorities for the Biennium . The remainder of this article will provide a recap of these events and programs .
WNA Dialogue ForumThree identified topics
were introduced and discussed as emerging issues for WNA . The first topic was Supporting
2018 WNA Membership Assembly Recap
Membership in WNA Organizational Affiliate. The purpose of an Organizational Affiliate structure is to increase or develop better relationships among Wisconsin’s nursing associations . The goal was to identify common issues and collectively develop a united response . Model Organizational Affiliates structures can be found within ANA and with many ANA state nursing associations . The dialogue forum participants discussed and shared their ideas
regarding the member benefits for joining WNA’s Organizational Affiliate . They also reviewed and submitted comments on the draft bylaws .
The second topic of the dialogue forum topic was WNA Commitment to Mentoring of New Graduates of Nursing Programs. The purpose of this discussion topic was to provide input on WNA’s mentoring activities . The goal was to identify if WNA should continue with any of the current mentoring activities and thoughts on how to sustain efforts .
The third dialogue forum topic was The Opioid Epidemic in Wisconsin: Identifying WNA’s Role. The purpose of the dialogue forum topic was to increase the knowledge of the participants on the opioid abuse and addiction and its impact on the individual, family, health and correctional systems . The participants discussed and responded to questions regarding WNA’s role from legislative, nursing workforce and workplace, practice, education, and leadership perspectives .
Dialogue Forum Next StepsThe suggestions and responses to the
three topics have been forwarded to WNA Professional Policy Committee . The Committee
WNA’s Board of Directors supported discussion and ideas during the dialogue forum sessions
Linda Gobis
Gina Dennik-Champion
2018 Membership Assembly Recap continued on page 3
Page 2 The Wisconsin Nurse December 2018
THEWISCONSINNURSE
WISCONSIN NURSES ASSOCIATION2018 BOARD OF DIRECTORS
Linda Gobis, PresidentElizabeth Markham, Vice President
Pam Sanberg, Treasurer Julie Raaum, Secretary
Stacy McNall, Director-at-LargeWendy Crary, Director-at-Large
Nora Gosser, Staff Nurse RepresentativeLisa Pisney, APRN Representative
WISCONSIN NURSES ASSOCIATION STAFFGina Dennik-Champion, Executive Director
Megan Leadholm, Associate Director Allison Champion, Membership &
Communications DirectorTeresa Prattke, Education Program Coordinator
NURSES FOUNDATION OF WISCONSINBOARD OF DIRECTORS
SueAnne TeStrake, PresidentPamela Macari Sanberg, Treasurer
Jana Esden, Secretary Alex Hetzer, Director-at-LargeGina Fellenz, Director-at-Large
Isabelle Garibaldi, Director-at-LargeJill Berg, Director-at-Large
Laurie Radojevich, Director-at-LargeLindsey Lucero, Director-at-LargeRorey Pritchard, Director-at-Large
THE WISCONSIN NURSE EDITORIAL STAFFSueAnne TeStrake, Executive Editor
Gina Dennik-Champion, Deputy Executive EditorAllison Champion, Managing Editor
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Wisconsin Nurses Association Updates
members will review and provide a summary and recommendations for moving forward . WNA’s Professional Policy Committee is sponsoring three “Town Hall” conference calls to review the response from Membership Assembly . The recommendations will then be presented to the WNA membership for a vote at the January 18, 2019 Annual Meeting .
Participants worked on their legislation Talking Points during the Legislative Update program
Dr. Laura Anderko speaking about nurses’ role in climate and health
Luncheon Speaker Wisconsin Politics Today: Focus on the 2018 Midterm Election
Professor David Cannon, PhD from the Department of Political Science, University of Wisconsin-Madison provided information regarding the upcoming 2018 midterm elections . His presentation included history of midterm elections and resulting changes at the legislative and executive branches of government, overview of the 2018 election races, the impact of legislative redistricting and the importance of health insurance coverage and costs for this election year .
Welcome New WNA Members! 9/1/18 – 11/10/18Leslie AdamsElyse AndersonSari ArcherAmy ArnesenAnnie AshleyJessica BaptistCarol BarczakKris BarretteLaura BehnkeJasmin BennettMary BensonJan BeyerJeminese BirrHeidi BlixAmanda BloedowMelissa BohnDana BouffiouRachel BraaschRebecca BrienenKarina BrownWanda BurnsHeather ButakContessa CalhounTrisha CampbellLori CardinalSusan CarmanSamantha CinquepalmiMary Gem CubosChristina DaghaDebbie DegrootAlfonso DennisAlwin Diaz
Dana DuffyRebecca EberhardtTabitha EdenRhonda ElmerElizabeth EricksonMary Jean Erschen-CookeStephanie EversonJennifer FewlessKerry FickLynnea FloresKevin Franco ValleKaylie FuhrmanSheila GansemerKathy GaulMallory GreicarShoua HangCarrie HawleyJessica HeldMelissa HelmLynn HermannsHannah HolbachAmber HollandLindsay HolzhauerShannon HulettKirsten JohansonKaren JohnsonKaylynn JonesDaniella JordanRebecca JorgensenBarbara Jusula
Chelsea KandelJulie KantorErin KanzShayna KargAmanda KelleyNazakat KharaziMelinda KieferMaranda KildeaLynn KittlesonHeather KleinbrookCassandra KneiflAmanda KnollenbergTeresa KotowiczSusan KrampAnne KrausBen KretzKaren KrollScott KruegerEdie KubicekMackenzie KuhnKaren LangeJulie LecheltAbby LeeMelissa LietzCarrie LottCassandra LoweBarbara LueloffKathleen LyonsKristin MajinskiJenny MakovecDiane MarcyjanikSuzanne Marnocha
Jaclyn MartinErla MartinLee McCarthyShauna McCarthyAnna McKittrickMonica MendozaSinafik MengistuSarah MeyerMelissa MickeSandra MilzAndrew MittagCassandra MooreSarah MuellerSarah NelsonAlyssa NewellTahlia Nunez WilliamsKatie OmernikSarah PearsonMagdalena PerezAmanda PeschelJacqueline PowersSharon QuinlanKrystal RafensteinJessica RaminthoSandee RaznerJulie ReeseJen RenstromRonda RichardsTeal RosinskyJoy RyskoskiPatricia Scanlon
Joseph Scarpelli IIIMary SchadMaryAnne SchererKeri ScherrJessica SchrauthMary SchreiberKelly Schubert-FairDeanna ShaverTiffany SheperdTammy SimonAllison SimonAlexandra SmithMelanie SmrstickKatherine Spencer SchuermanJennifer SteeleAmie StegerBeth StraussNicole SwansonKerry TalbertBeejay ThaoChristina ToyKristen VelasquezNicole WalchakRebecca WeixBeth WilliamsSara WollemannEmily WolterRose WooleyKyle WylieJoLyn ZamoraMisty ZempelJessica Zuerner
Concurrent Session - “Climate and Health: Nursing’s Role”
Laura Anderko, PhD, RN – Robert and Kathleen Scanlon Chair in Values Based Health Care at Georgetown University School of Nursing & Health Studies; Professor and Director of the Mid-Atlantic Center for Children's Health and the Environment was the keynote presenter for WNA’s Wisconsin Environmental Health Nurses Coalition Mutual Interest Group annual meeting . Dr . Anderko presented valuable and relevant information related to climate change impact on the quality of our water supply . The participants spent time discussing and identifying ways in which they, as nurses, can implement strategies to promote effective and sustainable water quality into their nursing practice .
Concurrent Session – “WNA’s Legislative Priorities for the Biennium”
WNA Public Policy Council members and other WNA members presented information on WNA’s Policy Agenda for the Biennium, and WNA’s four
legislative priories; Workplace Violence against Nurses, Nurse Faculty Shortage, Preserving the Nursing Workforce Survey, and the APRN Practice Act . The participant learned about the topics followed by table discussion on developing talking points for legislators, nurses and the consumer .
WNA Annual Meeting has been rescheduled for Friday January 18, 2019. More information can be found in this issue of TWN.
2018 Membership Assembly Recap continued from page 1
Page 4 The Wisconsin Nurse December 2018
TriCouncil: Michelle Walker, RN, MSNRN Clinic Quality and Performance Improvement Coordinator, MercyhealthStoughton, WI
Workforce Advocacy Council: Tina DeGroot, APRN, PhDAssistant Professor, Edgewood CollegeMiddleton, WI(not pictured)
Workforce Advocacy Council: Adrianne Ewald-Peterson, RN, BSNAcute Utilization Management Manager, Humana, Inc .Two Rivers, WI
Workforce Advocacy Council: Olivia Schroeder, RN, MSN, CHFNNursing Faculty, Madison Area Technical CollegeMonona, WI
Nominating Committee: Pat Borgman, RN, MSNRetired, Former Occupational Health NurseOconomowoc, WI
Nominating Committee: Carolyn Krause, RN, PhDRetired, Former Nurse AdministratorWaukesha, WI
Nominating Committee: Kathy Rozema, MS, RN, APNP, FNP-BCFamily Nurse Practitioner, UW HealthStoughton, WI
Director-at-Large: Wendy Crary, RN, CNE, PhDProgram Coordinator, UW Madison School of NursingFox Lake, WI
Director-at-Large: Laura Tidwell, MSN, RN, APNPState Wide Travel APNP, United HealthcareElkhorn, WI
WNA Councils and Committees
Public Policy Council: Christina Eliason, RNStaff Nurse- Hospital Float Pool, Gundersen Health System, LaCrosseOnalaska, WI
Public Policy Council: Taylor Hayes, RN, BSNCritical Care Nurse- Trauma & Life Support Center, UW Health University HospitalPardeeville, WI
Public Policy Council: Ginny Spernoga, RN, BSN, MPHStaff RN, General Medicine, Froedtert HospitalMilwaukee, WI
TriCouncil: Linda Matheson, Ph.D.Dean, Marian UniversityFond Du Lac, WI
TriCouncil: Shuba Samuel, PhD(c), MSN, FNP-BC, APNPPrimary Care Provider, Rural VA Clinic, Oscar Johnson VA Medical CenterManistique, MI
WNA Board of Directors
Vice President: Elizabeth Markham, MSN, PhDChief Nurse Administrator, Ashworth CollegeRacine, WI
Secretary:Megan LeClair-Netzel, RN, DNPClinical Coordinator, UW HealthFitchburg, WI
Staff Nurse Representative: Adey Tewolde, RNStaff Nurse, Aurora HealthcareMilwaukee, WI
Wisconsin Nurses Association Updates
Announcing 2018 WNA Elections Results!Thank you for all of those that ran for a WNA
Elected Position and for those of you that took the time to vote . We are looking forward to continuing WNA’s work of protecting, promoting, and advancing professional nursing in Wisconsin . We would like to congratulate the winners and we look forward to working with you all for the next two years!
December 2018 The Wisconsin Nurse Page 5
WNA’s Board of Directors is proud to announce the winners of the 2018 WNA Awards! The purpose of the awards is to recognize outstanding registered nurses who belong to WNA . We had many qualified nominations this year, and we are looking forward to presenting the awards in the new future . Congratulations to all our winners!
Cathy Berry,MSN, RN, CNE, CCRN:2018 Service to WNA Award
Diane Lauver, PhD, RN, FNP-BC, FAAN:
WNA’s 2018 Norma Lang Excellence in Nursing Research Award
Julia Snethen, PhD, RN, FAAN: WNA’s 2018 Rita Kisting Sparks Excellence in Nursing Education Award
Margaret Schmelzer, MSN, RN:
WNA’s 2018 Margaret Schmelzer Community Service Award
Patti Varga, PhD, MSN, RN, CNE: WNA’s 2018 Signe Cooper Image of Nursing Award
Rachael Cabral-Guevara,
FNP: WNA’s 2018 Barbara Nichols
Political Nurse Award
Tina Bettin, DNP, MSN, RN, FNP-BC, APNP, FAANP: WNA’s 2018 Advanced Practice Registered Nurse Award
Wisconsin Nurses Association Updates
Announcing the 2018 WNA Award Winners! WNA’s Annual Meeting is scheduled for Friday, January 18, 2019 at the
WNA Office from 12:00 Noon – 1:00 pm . Members will be able to join virtually but must register ahead of time so that they can be credentialed . The WNA Board of Directors would like for all members to attend . Information can be found on the home page of the WNA Website, wisconsinnurses .org or contact Allison at: 608-221-0383 ext . 201 . WNA will be sponsoring conference calls to discuss the proposed action items throughout December and prior to the Annual Meeting .
WNA Annual Membership MeetingFriday, January 18, 201912:00 noon – 1:00 pm
Agenda
Time Agenda Item Presenter
12:00 pm Call to order Linda Gobis, WNA President
12:02 Roll Call and Determine Quorum Julie Raaum, WNA Secretary
12:10 Annual Meeting Overview and Location of Reports
Linda Gobis, WNA President
12:15 Report of the Treasurer Pam Macari Sanberg, WNA Treasurer
12:20 Report of Bylaw Committee and vote on proposed Bylaw Changes
Marie Garwood, Bylaw Committee Chair
12:25 Report of and vote on the recommendations from the Professional Policy Committee on the following: 1 . Approval of the Recommendations for an Organizational Affiliate structure within WNA . 2 . Approval of the Recommendations for a Mentorship Program within WNA . 3 . Approval of the Recommendations related to WNA’s Role in addressing the Opioid Epidemic in Wisconsin .
Kathy Brunig, Professional Policy Committee Chair
12:40 Information Report on the Status on the adopted 2017 Professional Policy, Mandatory Continuing Education for Nurses as a Condition of License Renewal.
Linda Matheson, WNA Tri Council Chair
12:50 Vote on acceptance of the Informational Report
Linda Gobis, President
12:55 Announcements Linda Gobis, President
12:59 Adjournment Linda Gobis, President
WNA Annual Meeting
Page 6 The Wisconsin Nurse December 2018
Wisconsin Nurses Association Updates
Megan LeClair-Netzel, RN, DNP
The Wisconsin Nurses Association (WNA) Advocacy Workshop took place on September 28-29, 2018 in Madison, Wisconsin . Thirty nurses from all over the state participated in learning sessions related to advocacy . On Friday night, we had several notable presenters discuss their personal and professional experience with policy advocacy . Dr . Karen Daley was our keynote speaker who has actively engaged on a state, national and international level as an advocate for sharps injury prevention . Dr . Barbara Nichols shared her experience as a former WNA and American Nurses Association president . We also had former Wisconsin State Senator Judy Robson, MSN, RN who shared her experience as a nurse legislator . On Saturday, participants learned about the power of messaging in policy work as well as four legislative agendas for WNA in the upcoming legislative session . For lunch, we walked to the State Capitol and met with Forbes McIntosh, WNA’s Lobbyist and State Representative Melissa Sargent who provided tips on effective political advocacy .
Participants worked on the development of an elevator speech using one of the four WNA legislative priorities . All reported that they achieved their personal learning goal(s) for this workshop and feeling motivated to be more involved in policy and advocacy as it relates to nursing . Over this next year, WNA will be providing monthly continued learning opportunities for the participants via web-based meetings and upcoming educational offerings .
There was consensus that WNA should offer an Advocacy Workshop for nurses in the future .
WNA Advocacy Workshop Report
HappyHolidays
from all theBoard of Directors from
Wisconsin Nurses Association, the Nursing Foundation of Wisconsin and WNA Staff
December 2018 The Wisconsin Nurse Page 7
Submitted by WNA Tri-Council to the WNA Membership
BackgroundAt the 2017 WNA Membership Assembly
Dialogue Forum the members received, discussed and generated recommendations on the topic, Mandatory Continuing Education for Nurses as a Condition of License Renewal . WNA’s Tri-Council brought this topic forward that included the results of their survey that was sent out electronically to as many Wisconsin nurses as possible . Of the 586 nurses who responded 76 .05% were in favor of mandating, while only 23 .95% opposed . Information was also shared regarding the status of CE for nurses throughout the U .S .
The attendees of the Dialogue Forum discussed and developed recommendations supporting mandatory continuing education for nurses as a condition of license renewal for Wisconsin . WNA’s Professional Policy Committee developed and submitted a Report, Mandatory Continuing Education for Nurses as a Condition of License Renewal, for approval by the WNA members at the next day WNA Annual Business Meeting . (Refer to Appendix A) . The members voted in favor of the Professional Policy Committee recommendations that contained the following two items:
1 . Take a lead role in advocating for regulatory rule or legislative changes to implement mandatory continuing education .
2 . Evaluate the evidence supporting improvement in quality of care secondary to continuing education .
The WNA Board of Directors decided that before a legislative proposal could be pursued, the second recommendation, Evaluate the evidence supporting improvement in quality of care secondary to continuing education, needed to be completed first . The work for addressing the recommendation was assigned to WNA’s Tri-Council . The Tri-Council formed a Task Force that took responsibility of achieving the work of Recommendation #2 .
Task Force StrategyThe remainder of this report is to share the
information that was compiled by the WNA TriCouncil . The Task Force explored the following:
1 . States in the US that require CE including the frequency, the number of CE, the criteria and any specific CE content .
2 . Review of National Board Accrediting Bodies requirements for CE and,
3 . State of Wisconsin health professional boards CE requirements .
Initial FindingsCurrently, CE is required for nurses in 32 states
across the country, meaning that Wisconsin could be viewed as behind the majority of states for this regulatory requirement . As the field of nursing is constantly changing, advancing and evolving, it is important that nurses maintain competency throughout their careers, so they are able to continue to provide optimum patient care (Refer to Appendix B) .
The American Nurses Credentialing Center (ANCC) requires CE as one of the standards for national board recertification . The rationale for this ANCC standard is found in their handbook which states it “provides evidence to the public that the certified individual is meeting requirements for continued competence by updating his or her knowledge and showing commitment to lifelong learning .” (ANCC)
WNA Informational Report
Wisconsin Nurses Association Updates
Report on the 2017 Professional Policy RecommendationsMandatory Continuing Education for Nurses as a Condition of License Renewal
To gain information about this issue, the WNA Tri-Council conducted a search and review of states that require CE for re-licensure, use of accreditation and certification boards that use CE, and professional organizations that recognize the value of CE in the state of Wisconsin .
FindingsStates in the US that require CE including the
frequency, the number of CE, the criteria and any specific CE content .
The CE Task force explored the requirements per state in all 50 states . Thirty-four states require continuing education to renew a nursing license, including all four of Wisconsin’s border states . As an example, Illinois requires 25 hours per two-year recertification period . Rules associated with CE in Illinois include: maximum 12 CEU can be obtained with online resources (i .e . webinars, videos, etc .) . Nurses may only use one source per renewal period . If the program does not have an identified CE designation, 60 minutes equals one hour of CE .
Activities that are recognized as CE• Obtaining a nursing specialty certification (i .e .
Clinical Nurse Specialist, Nurse Anesthetist, Nurse Midwife, Nurse Practitioner) earns 25 CEU .
• Passing a national nursing specialty exam can result in 10 CEU, with a maximum of 20 CEU earned in this way in each renewal period .
• Academic credit earns CEU, 5 CEU per semester credit and 3 CEU per quarter credit .
• Publication in journals, peer reviewed textbooks or nursing textbooks can also earn a maximum of 10 CEU per renewal period .
• Preceptorship earns CEU with a minimum of 120 hours with a ratio of one student/employee to one preceptor .
• Precepting can earn a maximum of 5 CEU per renewal period . With all of the options, no exam/publication/course may be repeated for credit in the same renewal period .
Recognized Accrediting BodiesDepending on the CE programs or activities
must be approved or offered by The American Association of Nurse Anesthetists (AANA), The American Association of Nurse Practitioners (AANP), The Accreditation Council for Continuing Medical Education (AACME), The American College of Nurse-Midwives (ACNM), The American Nurses Credentialing Center (ANCC), The American Osteopathic Association (AOA), The National Association of Clinical Nurse Specialists (NACNS), The National Association for Practical Nurse Education and Service, Inc . (NAPNES), The National League for Nursing (NLN), or another state or provincial board of nursing .
Review of National Board Accrediting Bodies requirements for CE
Forty-two National Board Accrediting Boards were systematically reviewed with a focus on 1 .) the requirements of CE and 2 .) the categories or standards surrounding the requirements .
Of the 42 boards surveyed, 41 of them required CE as part of the recertification process . While the quantity of CEs required for recertification varies across the Boards, as does the frequency of renewal, the average amount of CE required per year is 15 .
All the Boards had a variety of ways that CE could be earned including academic study, academic teaching, conferences, presentations, publications, preceptorship, exam review and other activities .
Additionally, the majority of boards required a designated proportion of CE be related to the
specific field of nursing, e .g . Medical-Surgical Nursing Certification Board requires 90 CE per five-year re-certification period, and 68 of the CEs must be specific to medical-surgical nursing . It is also noted that many of the Boards give the option of recertifying by exam, albeit some require CEU with the exam .
State of Wisconsin Health Related Boards A review of Wisconsin’s State Licensing Boards in
Wisconsin was also conducted .Of the 50 professional licensing boards:• 11 do not require CE for recertification, which
includes Registered Nurses, Licensed Practical Nurses and Nurse Midwives .
• The other 39 disciplines including chiropractic radiological technician, independent social workers and dental hygienists require continued education, with requirements averaging 26 .9 hours per year .
In the review, it is noted that many professions offer options for earning CE, including academic coursework and preceptorship .
ConclusionsThere is sufficient data about the use of
mandatory CE across the US for both relicensure and national board certification .
It can be said that the majority of states that require CE for nurses, provide for many options to obtain CE which demonstrate value toward life-long learning, competency and career development .
The variety of professionals around the state, in health care and non-health care, positions that require CE further bolsters the themes of validity and rationale of mandatory CE for nurses . Nursing is growing rapidly, nurses need to have the resources and education necessary to grow with these changes .
The WNA Tri-Council does not believe that it was their role to offer recommendations for next steps but rather provide the information as presented, i .e . trends and patterns for national board recertification and states requiring CE and Wisconsin’s licensed health professionals requiring CE as a condition of licensure .
The purpose of the Tri-Council is to seek and identify trends that impact the nursing profession . As other states, boards and professions shift towards a habit of continuing education, we feel that it is important to act and modify our practice, to provide the best patient outcomes and well-educated nurses .
For sources and additional information please visit WNA’s website: wisconsinnurses.org
Page 8 The Wisconsin Nurse December 2018
Wisconsin Nurses Association Updates
WNA provides political advocacy, professional development and strategies that support nursing practice, competence, and personal health .
Nurse Workforce Health, Rights, & Safety
Activity
APRN Modernization Act 2017 Assembly Bill 568
Legislation did not get passed this biennium . WNA is working with key stakeholders on negotiated language . The goal of the legislation is for separate licensure for Advanced Practice RNs and to be able to work to the full practice authority .
APRNs
Board of Nursing Rules Revision CR 17-095
Public hearing on proposed changes to Nursing Rule N1 –requirements for schools of nursing curriculum and clinical experiences, including simulation .
RNs
Board of Nursing Rules SS 016-18
The Board of Nursing N 8 has an Emergency Rule for APNPs collaboration with dentists be added N8 .10
APRNs
Nurse Licensure Compact (eNLC)
The Enhanced Nurse Licensure Compact was signed into law by the Governor Walker . 2017 Wisconsin Act 135 . The Board of Nursing is developing the Adm . Rules
RNs
Addressing Workplace Violence survey
WNA’s Workforce Advocacy Council is surveying nurses regarding prevalence of violence in the workplace . A preliminary report was provided on March 1 .
RNs
Healthy Nurses for Wisconsin MIG
WNA’s Healthy Nurses is a Mutual Interest Group (MIG) is interested in supporting nurse health . Join WNA’s Healthy Nurses for Wisconsin Mutual Interest Group
RNs
Increase autonomy for APRNs
Legislation was passed that allow APRNs treat patients and document encounters without a physician co-signature . 2017 Wisconsin Act 119
APRNs
Preserving the Nurse Workforce Survey
WNA supported the efforts of WHA in pushing back a proposed amendment that would have changed the RN & LPN workforce surveys to voluntary . WNA has convened a workgroup to work on strategies to prevent this happening in 2019 Legislative session .
All
Continued Competence & Conferences
WNA 2018 Educational Offerings
9/14-15 – WNA Advocacy Workshop for Nurses - Madison
10/19/18 – Northwoods Pharmacology Update - Wausau
10/27 – WNA Dialogue Forum & Legislative Update - Madison
WNA 2019 Educational Offerings
2/27/19 – Nurses Day at the Capitol - Madison
3/23/18 – Healthy Nurse Summit – Wisconsin Dells
4/11 – 13/2019 – APRN Clinical & Pharm Update
4/8-4/10/2019 – WI Association of School Nurses – WI Dells
Appropriate Nurse Staffing & Nurse Shortage Topic Activity
Healthcare Workforce Planning
The Wisconsin Council on Medical Education and Workforce (WCMEW), of which WNA is a member, focuses on healthcare workforce data and health care delivery design models .
RNs
RN Workforce Report
The Wisconsin Center for Nursing’s 2016 RN Workforce Report can be found including trends . 2016 Wisconsin RN Survey Report
All
Patient-Centered Team-Based Care
WNA developed a conceptual model that describes the benefits of using team based care for the care of populations with chronic disease can be found on WNA’s website .
RNs
New RN Grads WNA’s sponsoring a mentorship program for WNA members .
RNs
Future Nursing Leader Award
WNA’s requesting nominations for Fall 2018 Future Nursing Leader Award .
RNs
Nurse Faculty Advocating for funding to increase the supply of nurse faculty
RNs
Patient Safety/Advocacy
Topic
Legislation WNA supported a number of legislative bills that support patient access and care
RNs
Team-Based Care & Hypertension
WNA’s Clinical Expert Hypertension Panel has developed recommendations for health care organizations and teams that support decreasing the incidence of hypertension in Wisconsin .
RNs
Opioid Epidemic
WNA Membership Assembly Dialogue Forum will be discussing WNA’s role in Opioid Epidemic .
RNs
WNA Working for You – October 2018
December 2018 The Wisconsin Nurse Page 9
You Were Represented August - October
Topic Audience Location Date
Leadership Presented WNA Barbara Nichols Nurse Advocate Award to Rachael Cabral-Guervara
Oshkosh 10/25
Practice Met with Social Development Commission and other to explore the benefits of utilizing Community Care Workers to support Nurse Care Coordination
Milwaukee 10/24
Leadership WNA Board of Directors Meeting Call 10/20
Practice/ Education
Meeting of WNA Tri-Council Call 10/15
Grant Steering Committee meeting on Community of Practice for Healthy Hearts
Madison 10/12
Policy ANEW Regional Legislative Breakfast for Nurse Faculty Shortage & Survey
Kimberly 10/8
Policy ANEW Meeting Marshfield 10/3
Membership Exhibitor at Aurora-Advocare RN Conference
Fond du Lac 10/1
Policy Preserving the Nurse Workforce Survey Strategy Meeting
Call 10/1
Policy Presented WNA Nurse Advocacy Workshop
Madison 9/29
Policy ANEW Regional Legislative Breakfast – Faculty shortage and Nurse Survey
Milwaukee 9/28
Grant Post HTN Symposium Attendees Follow-up and next steps
Call 9/27
Workforce WNA Workforce Advocacy Council Meeting
Call 9/26
Policy WNA Public Policy Council Meeting Call 9/25
Practice WNA Tri-Council Meeting Call 9/25
Workforce Workforce Data Collaborative Meeting
Madison 9/24
Policy Preserving the Nurse Workforce Survey Strategy Meeting
Call 9/24
Grant Post HTN Symposium Attendees Follow-up and next steps
Call 9/19
Policy ANEW Regional Legislative Breakfast – Faculty shortage and Nurse Survey
Altoona 9/14
Membership WNA APRN Roundtable Exploration Meeting
Wisconsin Dells
9/13
Education UW-Madison Preceptor Orientation Madison 9/5
Membership Awards Committee Meeting Call 9/5
Policy WNA Public Policy Council Meeting Call
9/4
Policy Presentation of WNA Friends of Nursing Award to Sen . Devin LeMahieu
State Capitol
8/29
Policy APRN Coalition Legislative Committee Meeting
WNA 8/25
Policy WNA Public Policy Council Meeting WNA 8/24
Grant Grant Contracted Partner Meeting Madison 8/22
Policy APRN Legislation Update with AANP Lobbyists
Call 8/10
Policy Board of Nursing Meeting Madison 8/9
Practice/Education
Meeting of WNA Tri-Council Madison 8/9
Leadership WNA Bylaw Committee Meeting Call 8/2
For more information go to www .wisconsinnurses .org or info@wisconsinnurses .org
Wisconsin Nurses Association Updates
WNA held the annual fall clinical practice update for APRNs on Friday, October 19, 2018 in Wausau, WI at the Jefferson Street Inn . Approximately 60 APRNs and APRN students attended the day-long conference . Attendees had the opportunity to learn, discuss and network . The clinical practice topics that included the following:
• Asthma Update: Biologic Therapy in Asthma• Atrial Fibrillation: Guideline Directed Treatment• Cancer Immunotherapy: Review and What’s New• Non-Opioid Treatment of Acute and Chronic Pain
There was also a presentation on the status of the Wisconsin APRN Legislation .
The participants were eligible to receive 6 .5 contact hours of Continuing Nursing Education credit . Feedback from the attendees was positive .
WNA Heads to the Northwoods for Annual Fall Clinical Practice Update
David Edmondson, DO, FACP, FAAAAI speaks to Northwoods Clinical Practice Update attendees on the subject, “Asthma Update: Biologic
Therapy in Asthma”
Page 10 The Wisconsin Nurse December 2018
Thursday, January 17, 2019Hilton Hotel and State Capitol7:30 am – 2:00 pmMadison, WI
The purpose of the Wisconsin APRN Coalition Lobby Day is to support and prepare APRNs and APRN students for meetings with their Assembly and State legislators . Meetings will take place in legislator offices at the State Capitol . There are three goals for meeting with legislators:
1 . Educate and inform legislators on the personal role and value as an APRN .
2 . Describe the intent and the key areas of the APRN Practice Act and the benefits of supporting increased patient access and safety .
3 . Find out if the legislator will support the legislation .
APRN Lobby Day AgendaTime Topic7:30 am Registration and breakfast7:45 am Welcome and Introductions8:00 am Bill sponsors remarks8:15 am Briefing
1 . Review of materials 2 . Overview of legislative proposal3 . What and how’s of communicating with legislators
Debriefing1 . Why debrief2 . Location of debriefing room 3 . Evaluation form4 . Thank you note
9:15 am Head over to the Capitol 9:30 – 2:00 pm Debriefing2:00 Adjourn
To find out more information and to register for the APRN Lobby Day go to WNA’s website wisconsinnurses.org.
2019 APRN Coalition Lobby
Day
Upcoming Conferences
Madison College invites candidates to apply for our current job openings by
visiting our careers page at www.madisoncollege.edu/careers
Nurses!! Put your talents to work educating students in our state of the art
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December 2018 The Wisconsin Nurse Page 11
Join us for another great Nurses Day at the Capitol! This year’s main topic will be workplace violence against nurses and the proposed legislation . WNA will schedule a visit with attendees’ legislators and will provide talking points on this important subject .
WNA is excited to announce this year’s Keynote Speaker will be Alex Wubbels, BSN, RN . She is a two-time Olympian Alpine Skier, recipient of University of Utah Excellence Award, and Clinical Nurse Educator at the University of Utah Hospital .
Alex Wubbels was in the news after an incident on July 26, 2017 when she was arrested and assaulted by a police officer for refusing to draw blood from an unconscious patient . Wubbles will be sharing her story about patient advocacy and protection with us on February 27 .
WNA’s Innovation and Motivation education symposium has been rescheduled for May 31, 2019 . The purpose of the event is to provide opportunities for participants to lean new projects or initiatives in areas of nursing including practice, education, leadership and workforce . Presenters will give a rapid-fire presentation followed by time for one-on-one interaction with attendees .
Registration will be open in early spring 2019 .
Innovation & Motivation Event RescheduledSave the date for the 2019 WNA
Nurses Day at the Capitol!
Upcoming Conferences
Page 12 The Wisconsin Nurse December 2018
WNA Board of Directors Approve the Legislative and Regulatory Agenda for the 2019 – 2020 Biennium
The WNA Board of Directors approved the Legislative and Regulatory Agenda for the 2019-2020 Biennium . The purpose of the “Agenda” is to communicate to our stakeholders, legislators and members our positions related to the profession of nursing and our patients . The “Agenda” also serves as guidelines for taking a position on legislative proposals . The “Agenda” was developed by the members of WNA’s Public Policy Council .
Key elements of the document include two assumptions that drive our positions for the categories related to nursing practice, patient access to care, nursing education and nursing workforce .
Top Four Legislative Priorities 2019-2020 WNA has identified four legislative priorities and
described below:
APRN Modernization Act – The purpose of the APRN Practice Act is to better define and clarify Advanced Practice Registered Nursing . The legislation accomplishes this through the creation of a separate APRN license and the four APRN practice roles . In order to receive an APRN license the RN must graduate from a nationally accredited nursing program; obtain national board certification in one of the roles and population foci; receive a master’s degree or higher in one of the four roles . Other language is included that address conditions for prescriptive authority, and 50-plus technical amendments to related statutes .
WNA Legislative Priorities for 2019-2020
Legislative Updates
Workplace Violence against Nurses – The legislation standardizes the criminal penalty for battery to a nurse . Currently, nurses and other emergency room workers have a higher penalty for battery related to financial and years of incarceration . WNA would like the same penalty to apply regardless of the nurses practice setting .
Solution to the Nurse Faculty Shortage – This legislation will hopefully be a part of the Governor’s budget . It puts forth a solution to increasing the supply of nurse faculty that includes offering of fellowships, loan forgiveness, and scholarships to name a few .
Preserving the Nurse Workforce Surveys – Wisconsin is very fortunate to know the status of nursing workforce as it relates to: practice area, location, degree, certification, age, and intention of leaving the workforce . This data is collected every two years and at the time of relicensure . This mandatory survey has provided valuable data for employers, educational institutions, policy makers and other key stakeholders . Reports are generated by the Department of Workforce Development and the Wisconsin Center for Nursing . At the very end of the biennium session, legislation was introduced that called for the repeal of the state statute that requires collection, reporting and the funding of the Wisconsin Center for Nursing . WNA will oppose the legislation if it is introduced again .
All of these legislative issues can be found on WNA’s website under the Advocacy tab . Please let WNA know if you would like to offer assistance in our advocacy/lobbying work by contacting gina@wisconsinnurses .org .
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December 2018 The Wisconsin Nurse Page 13
Legislative Updates
The 2018 midterm elections have been held and the much-talked-about "blue wave" did not occur as hyped due to high mid-term voter turnout by both Democrats and Republicans . Victory margins for Republicans appeared narrower in many of the state Assembly races as compared to past election cycles .
At the federal level, U .S . Senator Tammy Baldwin wins re-election with 55% of the vote, while Wisconsin's eight Congressional Districts remain in the same Republican and Democratic control . Nationally the big news is Democrats win majority control of the U .S . House of Representatives - meaning Wisconsin Democratic Congressional Representatives Gwen Moore (Milwaukee), Mark Pocan (Black Earth\Madison) and Ron Kind (La Crosse) will have more political power in Washington .
Tony Evers will replace Scott Walker as Governor . Many of Evers' policy initiatives could be blocked by the Republican-controlled legislature, and likewise some pieces of GOP-authored legislation could meet Evers' veto pen in coming months and years .
Leadership Positions Announced The four legislative caucuses have met to select
their leaders for the 2019-20 legislative session . The four top legislative leader positions are unchanged from last session, with Sen . Scott Fitzgerald (R), State Rep . Robin Vos (R), Sen . Jennifer Shilling (D) and Rep . Gordon Hintz (D) all returning to lead their respective caucuses or bodies for another session .
WNA Webinar on State Election ResultsOn December 5, 2018 WNA sponsored a webinar
for the WNA membership, “2018 State Election Results: What it means for Nursing Practice in Wisconsin” Presenters included Forbes McIntosh, WNA Lobbyist and Gina Dennik-Champion, WNA Executive Director . You can view the presentation on WNA’s website wisconsinnurses .org under the Advocacy Tab .
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Page 14 The Wisconsin Nurse December 2018
Legislative Updates
The Wisconsin Nurses Association (WNA) is the professional organization for all registered nurses in Wisconsin . This document summarizes the 2019-2020 legislative and regulatory policies that are important to the nursing profession .
Nursing Practice • Improve the care quality, safety and
satisfaction of the patient and their family and caregiver .
• Promote nurses’ role in comprehensive and judicious approach to minimizing overuse/abuse of opioids that include crisis intervention, in-patient, community-based treatment and support and access to Medication Assisted Treatment .
Wisconsin Nurses Association Legislative and Regulatory Agenda for the 2019-2020 Biennium
• Assure nurses’ role in coordinated, community-based health care services that include home care, long-term care, palliative and end-of-life care .
• Allow registered nurses and advanced practice registered nurses to practice to the full extent of their education, training, experience and license to improve patient outcomes .
• Utilize registered nurses as care coordinators throughout all settings of healthcare, including facilitation and coordination of transitions of care .
• Adopt national nursing standards for title recognition, licensure, education, certification and accreditation for advanced practice registered nurses .
• Identify and incorporate public reporting of nursing quality outcome measures and other nursing-related research .
Access• Protect the rights and safety of patients in and
across all health care settings .• Support access to patient-centered team-
based care that includes family/caregivers . • Provide access to telehealth services and
care for the patient that are delivered or coordinated by registered nurses and/or advanced practice registered nurses .
• Continue state funding of services for children, families and vulnerable populations .
• Support community-based prevention services including screening, nutrition, immunizations, family planning, violence prevention and health education across the life-span .
• Provide accessible and affordable prescription drugs, medical supplies, and health care services, including dental and preventative services .
Education• Assure nurses are well prepared to respond to
emergencies and enact recovery systems .• Educate nurses to apply evidence-based care
to improve patient outcomes . • Increase the supply of nurse educators
through a variety of funding options that include student loans, loan forgiveness, fellowships, and financial aid .
• Increase the capacity of nursing education programs to minimize wait times for nursing students through targeted funding .
• Increase the supply of diverse nursing populations by encouraging the selection of nursing as a career supporting degree completion, matriculation of minority nurses and supporting the importance of cultural congruence in health care .
• Continue to fund data driven planning via Nursing Workforce Survey, including forecasting supply and demand needs for future nursing workforce .
Workforce• Implement effective institutional and agency
policies to minimize nurse fatigue in the workplace .
• Report care related concerns by nurses without retaliation .
• Eliminate bullying and violence in the workplace .
• Promote safe patient handling and ergonomic protection for nurses .
• Eliminate exposure to toxins in the health care environment .
AssumptionsRegistered nurses are critical to achieving
the goals of improving population health and reducing health care costs in Wisconsin .
WNA members firmly believe that:• Quality nursing care is dependent upon
an educated, competent and sustainable nursing workforce .
• The practice setting for registered nurses must be conducive to delivering safe, timely, and accessible care .
• Registered nurses and advanced practice registered nurses need to be actively involved in all aspects of planning, advocacy, implementation, care coordination and direct care within a transforming healthcare system .
• Registered nurses and advanced practice registered nurses are essential members of the interdisciplinary team .
• Access to quality healthcare for all people is achievable if registered nurses are utilized to the full extent of their education, skills, expertise and licensure .
• Access to advanced practice registered nurses is critical if all people are to receive quality health care in Wisconsin .
• Barriers and restrictions on the scope of professional nursing practice in Wisconsin should be eliminated .
WNA collectively and collaboratively advocates for access to comprehensive and coordinated health care which enables all individuals to achieve optimal quality of life across the continuum .
WNA members firmly believe that:• Patients, families and caregivers are actively
engaged and valued as equal members of the health care team .
• Efficient, transparent, patient-centered health care systems include: primary care, community-based programs, prevention and wellness services, chronic disease management as well as care transitions that reduce the need for more costly medical treatment and hospitalization .
• Registered nurses and advanced practice registered nurses provide quality health care and patient outcomes .
WNA MissionWisconsin Nurses Association advancing our
profession to improve health for all .
Purposes of WNAWNA is a catalyst for transforming health care
and advancing the nursing profession to improve health for all in Wisconsin .
Core ValuesService-focused, Innovative, Data Driven,
Impactful, Inclusive and Integrity
2820 Walton Commons, Suite 136 | Madison, WI 53718
608-221-0383 | info@wisconsinnurses .org | www .wisconsinnurses .org
December 2018 The Wisconsin Nurse Page 15
Legislative Updates
What is happening?A legislative bill was introduced to repeal
WI State Statute 106 .30 . §106 .30 calls for the Department of Workforce Development (DWD), through a mandatory survey of RNs and LPNs at the time of license renewal, to evaluate the supply of, demand for, and turnover among nurses in this state and determine if there are any regional shortages of nurses, shortages of nurses in any specialty areas, or impediments to entering the nursing profession in this state . §106 .30 also require DWD to provide grants to a statewide nursing center . This center has historically been the Wisconsin Center for Nursing (WCN) . WCN develops strategies to ensure that there is a nursing workforce that is adequate to meet the current and future health care needs of Wisconsin .
What is the importance of this data?This data tells us:- How many RNs and LPNs practice in Wisconsin- Where nurses are working (i .e . actively in
nursing, actively in health care, unemployed, etc .)
- Demographic information about the workplace (i .e . race, sex, age)
- Education level of the workforce (i .e . associate degree, bachelor’s degree, etc .)
- Where the nurses are working (i .e . extended care, hospital, home health, public health, etc .)
- And more!
This information is used by educators, health systems, governmental agencies, workforce planners and policy-makers to implement strategies to address emerging nursing workforce challenges .
Why is this an issue?If §106 .30 is eliminated Wisconsin will lose
important and timely information about the nursing workforce . In the past, Wisconsin has offered the survey in a voluntary format, which resulted in poor return rates and data that did not provide a total picture of the nursing workforce . By design, voluntary surveys are not random and therefore may produce data that is not statistically relevant . For example, we may only have data about nurses from Milwaukee or specialty nurses only responding . Moreover, it insufficiently assesses whether there are regional shortages and/or shortages of nurses in specialty areas .
A nursing shortage is already descending upon Wisconsin . The information from the mandatory workforce survey is used to quantify the threat of the shortage and adapt to changes in the workforce .
What is the solution?It is anticipated that a bill will be re-introduced
at the upcoming legislative session . Working with legislators to vote NO on the new legislative version will be a vital step to preserving this survey .
What you can do!Meet with your legislators! Write letters to your
representatives! Learn more about this issue by contacting WNA, WCN or exploring their websites .
WNA: www .wisconsinnurses .org
Preserve the Nursing Workforce SurveyWCN: www .wisconsincenterfornursing .orgWI Statute 106 .30: https://docs .legis .wisconsin .
gov/statutes/statutes/106/II/30
The nursing workforce survey data has been used to inform decision-making to assure an adequate, competent, and diverse nursing workforce to improve population health in Wisconsin .
In addition to identifying trends in the workforce through survey data, WCN Reports also link the nurse population ratio in different areas of the state to the research being done on the health status of Wisconsin counties by the University of Wisconsin Population Health Institute .
The workforce surveys also provide vital demographic information about the nursing workforce and help to identify underrepresented groups .
The survey also gathers information about the future . The graph located on the right demonstrates the percentage of LPNs who intend to leave patient care in the following years .
Note that 44% of LPNs report plans to leave work in less than 10 years .
The graphics appearing on this page depict RN and LPN demographic data that was collected from the 2016 & 2017 nursing workforce surveys .
Figure 12 on the right shows the distribution of LPNs across the different DHS regions .
Page 16 The Wisconsin Nurse December 2018
Dr. Laura Anderko PhD RNGeorgetown University, School of Nursing & Health Studies
Professor, Scanlon Endowed Chair in Values Based Health Care, and Director, Mid-Atlantic Center for Children’s Health and the Environment
Climate change is a significant threat to human health (https://health2016 .globalchange .gov) .
On October 26, the WEHNC met to learn more about how climate change impacts health, as well as exploring nursing’s role in mitigating greenhouse gases and adapting to changes to reduce detrimental health impacts . There is strong evidence linking a variety of climate changes to a wide range of health impacts . The Centers for Disease Control and Prevention offers the following diagram that outlines some of the key changes in climate and associated health impacts:
Feeling Under the Weather? Nurses Role in Combating Climate Change and Associated Health Impacts
Projections indicate that Wisconsin’s climate will become increasingly warmer, with average summer temperatures increasing by as much as eight to 18 degrees and average winter temperatures rising six to 11 degrees . Increases in extreme heat waves are anticipated with more frequent droughts . As the temperature goes up, air quality goes down, resulting in increases in asthma and allergies . Rising temperatures can also lead to an expansion of ranges for vectors with an increase in vector borne diseases (e .g ., Lyme disease), and extreme weather events leading to depression and post-traumatic stress disorder (PTSD) .
What can nurses do?Participants in the WEHNC workshop reviewed policy statements on climate
and health including the International Council of Nurses (ICN) which was revised in 2018 . This policy statement outlines nursing’s role in combatting climate change and its detrimental health impacts providing recommendations for individual nurses as well as nursing associations https://bit .ly/2RZPyZM
Specific recommendations for nurses’ associations (in collaboration with government entities) include the following:
o Support health care organizations to mitigate climate change through sustainability practices
o Engage in national and multisectoral measures to mitigate impacts with vulnerable populations
o Be involved in developing national action plans and policies for mitigation, adaptation and resilience strategies
o Raise awareness of the health implications of climate change and how to assess and address climate change risks to health by developing policy documents
o Embed the concept of sustainability in nursing practice as well as climate-related knowledge into nursing curricula and in continuing education
o Collaborate with other health professional, intergovernmental, environmental and health organizations, and other civil society groups when developing adaptation plans
o Engage with media to promote public awareness of the harmful effects of climate change on health and to promote mitigation strategies .
o Support incentives for nurses to incorporate environmentally responsible health practices into their interventions
o Strengthen existing and create new partnerships with humanitarian organizations and other national nursing organizations to increase collaborative action
Other recommendations considered by the WEHNC participants included the recent report from the International Panel on Climate Change (IPCC) which supports carbon pricing as a solution to reduce greenhouse gas emissions (http://www .ipcc .ch/report/sr15/) . Also considered was the World Bank (2018) report on carbon pricing strategies worldwide, reporting positive health and economic impacts with resultant reduction in greenhouse gas emissions (https://bit .ly/2MlwX75) .
Carbon pricing refers to strategies to place a fee on carbon dioxide emissions at the source and is central to launch a more rapid decrease in greenhouse gas emissions . Experts project that a fee of $135 to $5,500 per ton of emissions is needed by 2030 to be effective in reducing greenhouse gas emissions . The current White House administration is recommending a fee of $7 per ton .
There are a number of co-benefits gained with the reduction of greenhouse gases from reduced air pollution leading to:
• less illness and less days lost at work or school, • less disability and deaths, • reduced hospitalizations and other related medical costs, and• increased the size of the economy .
Participants at the WEHNC workshop discussed priorities for action for the next 12 months . These priorities centered around a) raising awareness and knowledge about climate change and health impacts, and b) advocating for clean air:
• Write a policy statement from WEHNC/WNA, endorsing a carbon pricing approach
• Participate in at least one webinar on climate and healtho The Alliance of Nurses for Healthy Environments offers webinars,
some for free continuing education credit (https://envirn .org/advancing-clean-air-climate-health-opportunities-for-nurses/)
o The Pediatric Environmental Health Specialty Unit network offers webinars with free continuing education credit: (www .pehsu .net)
• Join the Alliance for Nurses for Healthy Environments, Nurses Climate Challenge to get involved at the national level (https://nursesclimatechallenge .org)
• Increase engagement with climate and health groups, adding links to website such as: o The Georgetown Climate Center has a catalogue of adaptation
plans for cities and states that can be found at: https://www .georgetownclimate .org/adaptation/plans .html
o Health Care Without Harm (www .noharm .org) offers information for health care facilities to reduce greenhouse gas emissions
Taking action to support clean air is critical for our health. Reducing greenhouse gas emissions and driving investment in clean energy technologies strategies that do so such as carbon pricing, is an essential step in lessening the impacts of climate change and providing a more certain future for our health, our environment, and future generations .
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“Teaching health promoting concepts has always been a natural and important part of my nursing practice. The GrapeVine community education programs were the perfect fit to enhance and
expand the efforts of health promotion and disease prevention education.”- GrapeVine Nurse
What is GrapeVine?
GrapeVine is a program of the Wisconsin Women’s Health Foundation (WWHF) that trains nurses, like you, to lead free health education sessions in their communities, throughout Wisconsin . The goal is to educate Wisconsin women about disease prevention and healthy lifestyle changes . Each year, over 2,000 women are reached with information on current women’s health issues .
GrapeVine sprouted out of the idea that faith communities would be a great point of contact for sharing health and well-being resources with women across the state . This idea took off and the seeds that were sown nearly 18 years ago continue to thrive . GrapeVine now welcomes partnerships with all Registered Nurses who carry a Wisconsin license .
There are currently 94 GrapeVine Nurses, covering 33 counties in Wisconsin . We welcome nurses from throughout the entire state, but in an effort to offer sessions statewide, we are especially looking to add partners in the counties highlighted below .
How will GrapeVine benefit me?GrapeVine Nurses receive free, evidence-based
training on women’s health topics, developed with input from academic partners . Participation in GrapeVine allows nurses to utilize their clinical background and expertise to provide health education sessions, including:
Advance Care Planning - Bone Health - Brain Health - Breast Cancer - Diabetes Prevention - Gynecological Cancers - Heart Health - Mental
Health - Opioid Misuse Prevention - Oral Health - Self Care - Smoke Free Spaces
Additionally, GrapeVine Nurses can attend our Annual GrapeVine Conference, a two-day training event that includes respected speakers, panel discussions, exhibits, and more! Next year’s conference will take place on Monday, June 17th & Tuesday, 18th, 2019 at the Sheraton Madison Hotel in Madison, Wisconsin .
What am I committing to as a GrapeVine Nurse?• Watch the Online Orientation Video
o Interested nurses can make the first step in their commitment as a GrapeVine partner by viewing our online orientation . Upon completion, they will be contacted by GrapeVine Staff to review the program, answer any questions and arrange next steps .
• Sign an Annual Memorandum of Understanding (MOU)o The MOU is between each individual
GrapeVine Nurse, as a volunteer, and the Wisconsin Women’s Health Foundation . It details the respective roles in the program .
• Present GrapeVine Sessions in your Communityo Following submission of the MOU,
committed nurses gain access to GrapeVine Unit training and materials, available online . Partners are asked to present (at least) two one-hour education sessions in their community each year .
I’m Interested! What are my next steps?
• Watch the Online Orientation Video . We’ll be in touch!
Questions?• Contact Chelsea Tibbetts, Outreach Manager:
ctibbetts@wwhf .org, 608-251-1675 x118• More Information: www .wwhf .org/grapevine
Kris Wisnefske, RN MSN, Chair, WFCNC
December 2018, where has the year gone? As I contemplate what to write for this newsletter, I am also thinking about the changes that I have experienced over the last year . As many of you know I retired as the Parish Nurse Coordinator with SSM Health Monroe Clinic in July of this year .
I have been fortunate to work with Monroe Clinic since 1986; first in Homecare, then Homecare and Hospice and in January of 2002 as Coordinator of the Parish Nurse Program . Over the years we have seen many changes in health care and in Faith Community Nursing . As the Parish Nurse Coordinator, I have had the privilege of working with Faith Community Nurses (FCNs) throughout the service area of Monroe Clinic . I view their work as an important contribution to not only their congregations but to their communities as well .
On a state level, we have seen the ending of some of the paid Faith Community Nurse programs . With that being said, we continue to have Faith Community Nurses that provide professional nursing care to members of congregations and other faith-based organizations in the unpaid model .
As a mutual interest group of the Wisconsin Nurses Association we have been able to provide annual educational events as well as the Basic Foundation Course for Faith Community Nurses . Personally, I have been involved with the mutual interest group and Faith Community Nursing since the year 2000 . I have also been able to serve several congregations since 2000, including St . Clare of Assisi Parish and St . Andrew Episcopal Church in Monroe . I have also served the mutual interest group in a professional development role as well as the chair .
It is now time to turn the responsibility of the Chair to others . Patti Varga and Deb Ziebarth have volunteered to lead this organization . I will miss serving as the chair but feel it is important for this change to occur . I would like to thank all steering committee members who have served this mutual interest group so well over the years . Special thanks to Patti Varga, Deb Ziebarth, Maryfran Crist, Debbie Prium, Katie Dykes, Sue Schaus, and Peggy Weber . In addition, special thanks to Megan Leadholm, for being so generous with her assistance .
Finally, I wish all of you a blessed holiday season and healthy New Year . Thanks for all you do, Kris
Mutual Interest Groups (MIG) UpdatesWFCNC is a mutual interest group of the Wisconsin Nurses Association
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Page 18 The Wisconsin Nurse December 2018
Dr. Tina Bettin DNP, MSN, RN, FNP-BC, APNP, FAANP
The WNA Board of Directors and the WNA NP Forum Board approved the establishment of a WNA APRN Roundtable on August 25, 2018 . The purpose of the APRN Roundtable is to provide a structure that supports the opportunity for APRNs from across the state to formally meet to dialogue and identify solutions related to current and emerging issues and trends that impact the practice, education, research, workforce and leadership of Advanced Practice Registered Nurses in Wisconsin . This in turn can support and promote a unified voice for APRNs in Wisconsin .
WNA invited representatives from APRN related nursing associations, schools of nursing that offer APRN graduate degree and APRNs that are part of their employers APRN Advisory Councils to attend the September 13, 2018 informational meeting in Wisconsin Dells . The twenty-five meeting attendees were informed of the purpose, goals and member expectations related to the APRN Roundtable . Feedback was also received about the membership dues categories .
There was consensus by the attendees that an APRN Roundtable structure was important to supporting APRN networking, issue identification and unified solutions .
Dr. Tina Bettin DNP, MSN, RN,FNP-BC, APNP, FAANP
Being a member of your national and specialty nurses associations is part of your professional obligation . These organizations are looking out for your best interests as a registered nurse or NP . WNA is working with the other Wisconsin APRN associations to advance legislation that supports full practice authority . All of the national APRN associations are actively involved in supporting this legislative effort . Most NPs do not have the personal time to volunteer their to work on committees or grass-roots lobbying . Very few NPs belong to WNA despite the fact that WNA provides the most resources and time to lobby on legislation and regulation that supports NP practice . Fewer members mean fewer dollars for lobbying and other advocacy work, not to mention the more members an association has the more influence they have in the legislative and regulatory arena .
The Wisconsin Nurses Association (WNA) provides many benefits to its members and in the case of NPs there are the following:
• WNA is the largest nursing organization in Wisconsin and has the most NP members . WNAs NP Forum is the largest organization of NPs in Wisconsin and has been the voice of NPs and APRNs for over 30 years
• WNA partners with WNA’s NP Forum Board of Directors .
• WNA member NPs: o automatically a member of the WNA NP
Forumo receive a discount on educational offerings, o receive a discount for ANCC certification,o representation on WNA’s Board of
Directors, o representation on advisory councils, o representation at AANP’s Regional
meetings,o actively support the annual APRN Lobby
Day,o attending Board of Nursing meetings, o meetings with legislators, o testifying at public hearingso sponsoring the newly created WNA APRN
Roundtable . • When you join WNA, you are automatically a
member of the American Nurses Association . ANA is the largest national organization for all of nursing in the US .
• WNA is an organizational member of the American Association of Nurse Practitioners (AANP), and because of this you receive a discount of $10 .00 .
Consider being a member of WNA/ANA today . Your dues support your practice . To join go to WNA’s website wisconsinnurses .org and click on the blue “Join” button at the top of the page .
Support of Nurse Practitioners through
WNA Membership
Update on WNA APRN Roundtable Meeting Invite
Next stepsWNA will assume the role of facilitator, manage
the infrastructure, create an on-line member application, collect dues, maintain the membership listing, and develop the website . The first official meeting of the APRN Roundtable will be Saturday, February 9 in Steven’s Point, WI . Please see WNA’s website for more details . The agenda items will include a discussion on medical staff bylaws and APRN practice based on Board Certification .
Membership is open to the following:Wisconsin APRN nursing associations that
belong to their national affiliate .Wisconsin APRN nursing associations that exist
without a national affiliate .Wisconsin health systems/organizations that
employ APRNs and provide a formal meeting structure .
Wisconsin Schools of Nursing that educate and graduate nurses in one of the four APRN degrees .
Wisconsin State Agencies that employ APRNsOther nursing associations that have a
relationship with APRNs .
More information can be found on WNA’s homepage of the website: wisconsinnurses .org .
MARLENE S GARVIS, MSN, JDAttorney at LawLicensed to practice in the state and federal courts of Minnesota, Iowa, and [email protected]: (612) 462-9119Fax: (952) 516-5798Web: www.marlenegarvis.com
Answers to the puzzle can be found at wisconsinnurses.org
December 2018 The Wisconsin Nurse Page 19
Each year at WNA’s Annual Meeting, we like to take some time to honor and remember nurses who have passed . At this time, are asking individuals to submit names of nurse friends, colleagues or loved ones who have passed in 2018 so that we may honor them at the Annual Meeting with the Nightingale Tribute .
Pam Macari Sanberg, WNA Grant Project Coordinator
The Wisconsin Nurses Association will continue to partner with the State of Wisconsin Department of Health Services, Division of Public Health, Chronic Disease Prevention Unit through June 2023 with the receipt of CDC Grant 1815 . The goal of the grant is to improve the heart health of the citizens of Wisconsin .
To that end, we have developed a Community of Practice named: Wisconsin Heart Health Community of Practice . A Community of Practice (CoP) represents a group of professionals, informally bound to one another through exposure to a common class of problems and common pursuit of solutions . Communities of Practice are a way of developing social capital, nurturing new knowledge, stimulating innovation, sharing knowledge, and augmenting the assets the group brings . Communities of practice knit people together with peers and their outputs can include best practice sharing and implementation, guidelines, knowledge repositories, technical problem and solution discussions, working papers, and strategies . The Wisconsin Heart Health Community of Practice shall be the statewide forum to address heart health through leverage and synergy . Specifically, this CoP will exist to promote best practices, collaborative activities, organizational and professional relationships, and ideas that help to improve the heart health of all Wisconsin residents . The mission statement of the CoP is: To improve heart health in all Wisconsin communities through the advancement of best practices, establishment of strong relationships, and collaboration among Wisconsin Heart Health Community of Practice partners . (Wisconsin Heart Health Community of Practice, Community Charter, October 2018) .
Simply put, the CoP develops a culture that can socialize, develop trust and share in strategies to improve an area of practice . Our CoP is organized around team-based care and includes all entities and providers across the continuum of care including physicians, advanced practice nurses, nurses, pharmacists, payers, and community service workers .
Heart health is an extremely valuable priority for the citizens in WI and partners are invited to contribute where they see fit . WNA focus will continue to be hypertension with an added component related to monitoring cholesterol . In addition, promotion of “Heathy Nurse, Healthy Nation” through ANA will continue to be promoted .
You are welcome to join our CoP to make WI hearts healthy . If you are interested, please contact the WNA office .
Call for Nightingale Tribute Names A Community Worth Joining
Nurses Foundation of Wisconsin
The Nightingale Tribute is a ceremony that honors nurses for their commitment and dedication to the profession . Family and friends of nurses can request that the tribute be performed during funeral and memorial services . WNA and the Nurses Foundation of Wisconsin will provide the materials and an individual to perform the ceremony, as well as listing the name of the nurse on our website .
If you would like to submit a name for our tribute during the annual meeting, or if you would like more information about having the ceremony during a memorial service, please contact the WNA office info@wisconsinnurses .org or 608-221-0383 . WNA’s Annual Meeting will take place on Friday, January 18, 2019 .
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