Review · 2019-08-23 · The Ohio Nurses Review (ISSN 0030-0993) is the official publication of the...

The Official Publication of the Ohio Nurses Association

www.ohnurses.org

OHIO NURSESReviewVolume 94, Issue 3

CONVENTION ISSUE

The Ohio Nurses Review (ISSN 0030-0993) is the official publication of the Ohio Nurses Association, 3760 Ridge Mill Drive, Hilliard, OH 43026, (614) 969-3800. Indexed in International Nursing Index and Cumulative Index to Nursing and Allied Health Literature. Published quarterly. Circulation approximately 10,000. Periodicals Postage Paid at Columbus, OH.

Published by ONA Staff and Arthur L. Davis Publishing Agency Inc., 517 Washington, Cedar Falls, IA 50613. Layout and Design: Chris Hall

ANNUAL SUBSCRIPTION – Members of ONA, $15, included in dues as a member benefit; Corporate first class postage subscription, $40; Agencies, $40; members of the Ohio Nursing Students’ Association, $15 with a copy of NSNA membership card. Replacement copies, $5 prepaid with order.

POSTMASTER – Send address changes to Ohio Nurses Review, 3760 Ridge Mill Drive, Hilliard, OH 43026

MISSION STATEMENT – The mission of the Ohio Nurses Review is: To advance professional nursing practice in Ohio in service of quality health care.

Articles appearing in the Ohio Nurses Review are presented for the information of our members. They are not intended as legal advice and should not be used in lieu of such advice. For specific legal advice, readers should contact their legal counsel.

Copyright © 2018 by Ohio Nurses Association.

ONA BOARD OF DIRECTORS

OFFICERSBrian Burger, President, CincinnatiShelly Malberti, First Vice-President, EuclidJacinta Tucker, Second Vice-President, WestervilleJoyce Powell, Secretary, Cuyahoga FallsJanet Timmons, Treasurer, Columbus

DIRECTORS, UNSTRUCTURED Paula Anderson, Westerville Gina Severino, CanfieldBenitha Garrett, North Olmsted Barb Welch, Lancaster

DIRECTORS, STRUCTURED Mary Bales, Lima Iris Marcentile, Coshocton Jessica Frymyer, Orient Jeannette Porter, CincinnatiRobert Weitzel, Cincinnati

NEW NURSEHolly Renninger, Uniontown

ONA STAFF

Kelly Trautner, Interim CEO

Sharon Bennett, Assistant to CEO

Tiffany Bukoffsky, Director of Health Policy

Carolyn Carmack, Labor Representative

Bob Cousins, DEO of Labor Relations

Michelle Donovan, Communication and Development Coordinator

Dodie Dowden, Membership Controller

Dennis Dugan, Labor Representative

Jessica Dzubak, Director of Nursing Practice

Alex Gehrisch, Receptionist and Membership Processing

Molly Homan, Director of Communications and Marketing Technology

James Humphreys, Organizer

COUNCIL ON PRACTICE

Iris Marcentile, Chair, Coshocton

Annie Bowen, Etna

Benitha Garrett, North Olmsted

Kristen Sanders, Canal Winchester

Deborah Schwytzer, Cincinnati

Michelle Slater, Medina

Jonathan Stump, Canton

Robin Sundberg, Ashville

Jean Swaney, East Canton

HEALTH POLICY COUNCIL MEMBERS

Yvonne Smith, Chair, Canton

Kelly Duffey, Bellville

Jason Fisher, Dayton

Margaret (Peggy) Halter, Akron

Shelly Malberti, Euclid

Teresa Monnin, Celina

Gina Severino, Canfield

Carol Smith, Youngstown

Jacinta Tucker, Midvale

Linda Warino, Canfield

Robert Weitzel, Harrison

Barb Welch, Rushville

Teresa Wood, Pickerington

CONTINUING EDUCATION COUNCIL

Barb Brunt, ChairMA, MN, RN-BC, NE-BC

Tahnee Andrew, MSN, RN

Lucinda Cave, MSN, RN, BC

Stephanie Clubbs, MSN, RN-BC, CNS

Susan Copeland, MS, RN, BC

Melanie Morris, MBA, BSN, RN-BC, CCRN-K

Diane Moyer, MS, BSN, RN

Laura Rafeld, MSN, RN

Gail Rhodes, MS, BSN, RN, OCN

Deb Shields, PhD, RN, CCRN, QTTT

Pam Dickerson, PhD, RN-BC (MS, BSN), FAA, Liaison for ANCC)

OHIO NURSES REVIEW COMMITTEE

Barb Brunt

Jamie Burchett

Jessica Dzubak

David Foley

Deanna Miller, (in memorandum)

Michelle Slater

Bobbi Spring

OHIO NURSES Review

Sangita Koparde, Organizer

Angie Lemery, Business Office Administrator

Cathy McClelland, Finance Manager

Anne Mueller, Labor Representative

Anne Ransone, Deputy Executive Officer - Operations

Amy Rossio, Nurse Planner

Kelli Schweitzer, Senior Director of Professional Practice

Robin Smith, Membership Controller

Sandy Swearingen, Continuing Education Specialist

Lisa Walker, Health Policy and Nursing Practice Specialist

Rachel Wolfe, Assistant to DEO, Labor Relations

ECONOMIC & GENERAL WELFARE COMMISSIONERS

Jessie Frymyer, ChairOrient

Robert Weitzel, Co-Chair Harrison

Mary Bales, SecretaryLima

Iris Marcentile Coshocton

Jeannette Porter Cincinnati

Jennifer DonaldsonCincinnati

Rick LucasNew Lexington

2 | Ohio Nurses Review | Volume 94, Issue 3 | www.ohnurses.org

3www.ohnurses.org | Ohio Nurses Review | Volume 94, Issue 3 |

vCONTENTSHotel Map .................................................................... 4

2019 ONA Convention Sponsors and Exhibitors ............................................................... 5

Convention 2019 App .............................................. 5

Logo Day is Saturday ............................................... 5

ONA 2019 Convention Agenda ............................ 6

Continuing Education: ............................................ 8

Official Call-ONA 2019 Convention ..................... 9

Delegate Information ............................................. 9

2019 House of Delegates Agenda ..................... 10

Proposed Standing Rules for Conducting Business at the 2019 ONA House of Delegates ............................................................. 11

Parliamentary Information-Robert’s Rules of Order ..................................................... 12

By Laws, Reference Proposals, and Finance Committee Hearing via Webinar ................. 13

Reference Proposals ............................................... 13

Candidate Profiles ...................................................50

2019 Approved Campaign Practices ............... 55

2019-2020 ONA Biennium Leadership Meeting Schedule ............................................56

Instructions for Voting in the 2019 Elections 57

The Nightingale Tribute ....................................... 57

ONA Health Policy Platform ...............................58

PCE Silent Auction .................................................58

Congratulations to the 2019 Award Winners ....59

Dorothy Cornelius Leadership Congress ........60

ONA Cultural Covenant ......................................... 61

ONA Live Events ......................................................62

THE WESTIN CINCINNATI21 East 5th Street, Cincinatti, OH 45202

Overlooking historic Fountain Square, the Westin boasts an outstanding location in the heart of Cincinnati's bustling central business district and downtown's vast array of fine restaurants, shops, museums, theaters, and celebrated sports stadiums. Whether you take advantage of the invigorating WestinWORKOUT® Fitness Studio, the modern atmosphere of "Ingredients…some assembly required," or 29,000 square feet of function space, this urban oasis abounds with amenities to keep you healthy and productive. The guest rooms and suites feature the Westin Heavenly® Bed, generous work stations, and 37" LCD TVs. Each room offers a contemporary experience with a soothing color palette and striking views of the city skyline or historic Fountain Square.

ONA Room Block Information Convention attendees have access to a limited amount of discounted rooms. When booking your room, please indicate you’re with the ONA Convention.

Reservations:https://www.marriott.com/hotels/travel/cvgwi-the-westin-cincinnati/ or 513-621-7700

Room RatesKing or Double $139 per night

LOCAL ATTRACTIONS: Fountain Square0 miles from hotelKrohn Conservatory2 miles from hotelNational Underground Railroad Freedom Center0.1 miles from hotelNewport on the Levee2 miles from hotelCincinnati Art Museum2 miles from hotelCincinnati Museum Center at Union Terminal2 miles from hotelContemporary Arts Center0.1 miles from hotel

HOTEL INFORMATION

HONORED DISTRICTLast convention, a district was drawn at random to be the honored district for the 2019 convention. It was also decided at the last convention that the naming of the honored district would follow in sequential district numbers for future conventions. The honored district is seated first in the House of Delegates. The 2019 honored district is the Knox-Licking district.


Meeting and Banquet Facilities - Second Level

Meeting and Banquet Facilities - Third Level


Bring your iPhone, Android, or Tablet to Convention to Take Advantage of the Convention 2019 AppGet the Convention app beginning October 1st!

Get convention updates, resources and materials in the palm of your hand with the Convention app. The most updated materials, including agendas, room changes and more are housed within this app. Plus, you can customize your schedule so you don’t miss a thing. Download the app by searching for Eventsential in your app store. Once the app is downloaded, choose ONA from the list and find Convention 2019.

Get your ONA GearShow your ONA pride on Saturday during logo day!

ONA has partnered with multiple shops to give you many options for this logo day.

LOGO DAY IS SATURDAY!DOWNLOAD THE APP!

Land’s EndVisit https://business.landsend.com/store/ona/ and select the ONA logo and location after choosing your item.

The Union ShopVisit www.theunionshop.org and choose the ONA logo in the dropdown menu.

The Thread ShopVisit ONA.threadshop.com for ONA-specific and nurse-themed options.

2019 CONVENTION SPONSORS AND EXHIBITORS

PLATINUM-AWARDS CELEBRATIONCalifornia Casualty

GOLDArthur L. Davis Publishing

Cloppert, Latanick, Sauter & Washburn

SILVERAon Affinity/NSO

District 3 Ohio NursesMODNA

LANYARDS/MEMBER PARTYSONA

EXHIBITORSAshland University

Central Michigan UniversityDavin Workforce SolutionsGrand Canyon University

Mount St. Joseph UniversityNorthern Kentucky University

Notre Dame CollegeOhio End of Life Options

Ohio HealthCare FCUOhio University

The Patterson Matola Alexander & Rose Private Wealth Management

Group of Wells Fargo Advisors

SPONSORSCONVENTION BAG

Kent State University College of Nursing

BREAK AND SNACKSGordon Flesch

Government Advantage GroupOhio State College of Nursing

Summit & Portage

500.00Stark Caroll District Nurses Association

250.00Thomas Fenner Woods


THURSDAY, OCTOBER 10TH6:00pm - 8:00pm Cornelius Leadership Congress Induction Ceremony Dinner (invitation only, ticket required) - Fountain Room

FRIDAY, OCTOBER 11TH7:00am Registration Opens - Level 3

8:00am - 6:00pmSilent Auction - Gibson Foyer

8:00am - 11:15amThe Cornelius Leadership Conference (separate registration required) - Presidential Ballroom

11:30am - 12:15pm Welcome Reception/Registration/Lunch - Foyers

12:30pm - 1:30pm Opening of the House - Presidential Ballroom

1:30pm - 3:00pmBylaws Hearing - Presidential Ballroom

3:30pm - 4:30pmDistrict Caucuses - Various Rooms

4:30pm - 6:00pm Dinner/Exhibits - Gibson Foyer

4:45pm - 6:15pm Local Unit Forum - Taft

6:30pm - 8:30pm House of Delegates - Presidential Ballroom

AGENDATHE 2019 OHIO NURSES ASSOCIATION CONVENTION

Schedule subject to change


AGENDATHE 2019 OHIO NURSES ASSOCIATION CONVENTION

SATURDAY, OCTOBER 12TH7:00am Registration - Level 3

8:00am - 9:45pm Breakfast/Candidates Hall/Candidates Forum - Presidential Ballroom

10:00am - 11:00am District Caucus - Various Rooms

11:00am - 6:00pmVoting - Garfield

11:30pm - 1:00pm Lunch on Your Own/Break/ Voting

1:00pm - 4:00pmHouse of Delegates - Presidential Ballroom

4:00pm - 5:45pmBreak/Voting

5:45pm - 7:45pm Awards Dinner - Presidential Ballroom

8:00pm - 12:00pm Member Celebration - Taft

SUNDAY, OCTOBER 13TH8:30am - 9:30amBreakfast - Gibson

9:45am - 12:45pm House of Delegates - Presidential Ballroom

1:00pm - 2:00pm Newly elected board meeting - Hayes

Schedule subject to change


THE CORNELIUS LEADERSHIP CONFERENCEThe biennial Cornelius Leadership Conference is named for past ONA executive director and international nurse leader, Dorothy Cornelius.

8:00am - 8:10am Welcome/Introductions

8:10am - 9:10am Linda Aiken, PhD, FAAN, FRCN, RN Communications Considerations in Advancing Improvements in Nurse Staffing – 1 contact hourNurse staffing remains a contentious issue among health care stakeholders, as evidenced by the recent debate in Massachusetts over a nurse staffing ballot issue. This presentation explores strategies for how nurse stakeholder groups might be able to present a united consistent perspective to the public on the importance of nurses.

9:10am - 9:20am Break

9:20am - 10:20am Linda Aiken, PhD, FAAN, FRCN, RNLeadership Strategies for Making the Most Out of Research On Safe Nurse Staffing – 1 contact hourThis presentation reviews what we know from research on nurse staffing and how we can use a business case perspective to advance improvements in patient care through investments in nurses.

10:20am - 10:30am Break

10:30am - 11:15am Natalie Cline, MSN, RN and Craig Tobias, BSN, RNManaging Second Victim Phenomenon – 0.75 contact hour

Total Contact Hours: 2.75

EDUCATION BUNDLERegistrants of the Cornelius Leadership Conference will also receive the following recorded webinars. The instructions and webinars will be delivered to learners by October 1st.• Advocating for Our Profession – Tiffany Bukoffsky, MHA, BSN, RN, 1 contact hour

• Benefits of Being an ONA Member – ONA Staff, contact hour TBD

• Stepping Into Leadership: A Webinar for Emerging Nurse Leaders, Dr. Rose Sherman, 1 contact hour

• View this webinar to hear from leadership expert Dr. Rose Sherman as she explores ways to develop your leadership so you are ready to take the next step in your career. Topics will include cutting edge information on emotional intelligence, mastering communication, working on teams, and gaining visibility by building a strong professional brand.

• Another great offering, TBD.

Registration: $99, ohnurses.org > events > Convention 2019 > The Cornelius Leadership Conference + Education Bundle

The Ohio Nurses Association is accredited as a provider of continuing nursing education by The American Nurses Credentialing Center’s Commission on Accreditation. (OBN-001-91)

CONTINUING EDUCATIONTHE CORNELIUS LEADERSHIP CONFERENCE + EDUCATION BUNDLE

The Cornelius Leadership Conference + Education Bundle includes the live, in-person conference on Friday, October 11, 2019 plus a series of recorded webinars.An additional registration is needed for the Conference + Education Bundle. Convention attendees and non-attendees are welcome to participate. The cost is $99.


OFFICIAL CALLOHIO NURSES ASSOCIATION 2019 CONVENTION

The ONA House of Delegates will convene at 12:30pm in the ballroom of the Westin Cincinnati on October 11, 2019. The district apportionment for the 2019 House of Delegates is as follows:

Districts Total Members December 31,

2018

Delegate Apportionment

201903 District Three 623 2505 Mohican 44 207 Erie-Huron 25 208 Southwestern Ohio 1,900 7610 District Ten 224 912 Mid-Ohio 4,451 17913 West Central 386 1615 Southern Ohio 107 516 Greater Cleveland 776 3217 East Central 323 1318 Knox-Licking 37 219 Lake County 46 228 Muskingum Valley 100 433 Stark Carroll 219 934 Summit & Portage 1,061 4335 Northwest Ohio 257 1137 At- Large District 408 17TOTAL MEMBERS 10,987 447

DELEGATE INFORMATIONROLE OF THE DELEGATEThe House of Delegates is the governing and official voting body of the Ohio Nurses Association. The House of Delegates consists of the members of the ONA Board of Directors and the accredited delegates from the district nurses associations. Delegates are elected to the House of Delegates to: “a) approve the Vision and Mission of ONA; b) determine policy on substantive issues requiring authority and backing of the official voting body of ONA; c) adopt and maintain bylaws; and d) in accordance with all applicable federal and state laws and regulations, elect the members of the Board, the Nominating Committee, the Commission on Economic and General Welfare, and the representatives to national organizations to which ONA pays an assessment.”

To provide direction and support for the work of ONA, each delegate must study the issues thoroughly, attend forums and engage in open-minded listening, dialogue and debate at each meeting of the House. This commitment will benefit the individual delegate, the association, and the profession of nursing.

PROCEDURE FOR DELEGATE REGISTRATIONRegistration and attendee check in will be at the Westin in Cincinnati on Friday, October 11, 2019 beginning at 7:00am.

Advanced registration is highly recommended. Registration at the event does not guarantee meals that are typically included in convention registration. Your delegate ribbon will be available at the registration desk.

Check-in prior to 11:30am is recommended. Convention will begin Friday, October 11, 2019 at 11:30am and the House of Delegates officially opens at 12:30pm.

DELEGATE CREDENTIALSDelegates must retain their delegate ribbons. The ribbon must be worn to be admitted to the floor of the House of Delegates. At the time of voting, a teller will validate delegate and membership status.

If a delegate who has been seated in the House of Delegates must be absent from an entire session of the House, or must leave permanently, the delegate ribbon is to be surrendered to an authorized alternate who must register as a delegate.

Delegate changes are made at the registration desk by the district’s authorized representative. Authorized alternate delegates are only those elected by district members through the district to serve as alternate delegates in the event an elected delegate cannot serve during the meeting of the House.

Only delegates and alternates whose names are submitted to ONA on the Official Delegate and Alternate Forms may be seated.

Should the delegate return, the delegate ribbon assigned to the original delegate must be obtained from the alternate who replaced the delegate in order to re-register and be credentialed as a delegate once again.

ONR YEAR-IN-REVIEWReport your district’s or local’s accomplishments in 2019 in the December ONR, Year-in-Review issue!

Information we would like to receive from districts and locals include:

• The number of meetings held in the biennium• Number of Members• District Activities/Accomplishments

Please send this information to Michelle Donovan at [email protected] by October 21, 2019.

DISTRICT AND LOCAL UNIT EXHIBITS If your district or local unit would like a table at the Exhibit Hall, please contact Lisa Walker at 614-969-3831 or [email protected].


VOTING IN THE HOUSE OF DELEGATESThe voting body of the Ohio Nurses Association consists of the following:

• Delegates duly elected by members of constituent District Nurses Associations (DNAs) and the ONA Board of Directors (voting rights as stipulated by the ONA Bylaws).

• Each delegate is entitled to one vote on each issue coming before the House of Delegates. To facilitate voting in the House, a block of seats is reserved for delegates from each constituent DNA.

• At the time of registration, each delegate shall be issued a ribbon. Each delegate as identified by their ribbon will be issued a voting keypad at each meeting of the House of Delegates. Voting keypads shall not be removed from the House of Delegates. At the conclusion of any House of Delegates meeting, or when leaving the House of Delegates for any other reason, a delegate shall give the voting keypad to a designated ONA staff member.

• When directed by the presiding officer, a delegate, while remaining seated, shall vote using the keypad as directed by the chair. Voting by the keypad shall be deemed to be a division of the House, or where appropriate, a ballot vote. Keypad voting shall be open for fifteen (15) seconds for voting on each question for which it is used. The presiding officer may direct any necessary changes to these procedures.

• The Knox-Licking district will be seated first as determined by drawing at the previous convention.

• Seats are reserved on the platform for members of the Board of Directors. The District executive who is not a delegate may sit with the delegation, but cannot vote.

• The Candidates Forum is scheduled from 8:00 a.m. to 9:45 a.m. on Saturday, October 12, 2019.

• The Finance, Bylaws and Reference Proposal Hearings will be held via webinar in September. Information on registering for these webinars can be found on page 13.

ROLL CALL VOTINGWhen the presiding officer calls for a roll call vote, the process is facilitated by first polling within district delegations. A spokesperson from each delegation then steps to a microphone to announce the following as the roll is called:

1. Name of the DNA2. Total number of accredited delegates assigned to the DNA3. Number of delegates present at this session4. Number of affirmative votes5. Number of opposing votes6. Number of abstentions

Vote tally forms to record this information are supplied by monitors. The vote tally form is to be returned to a monitor immediately after the spokesperson has announced the vote.

2019 HOUSE OF DELEGATES

AGENDAPresident Brian Burger presiding1) Call to order2) National Anthem3) Introductions/Greetings

a. Board of Directorsb. Commissionersc. Past Presidentsd. District Presidents and Executive Directorse. Local Unit Presidents/Chairsf. Cornelius Congress Membersg. Staffh. Special Guests

4) Registration Report5) Establishment of a Quorum6) Special Opening Speakers:

a. Randi Weingartenb. Linda Aiken

7) Standing Rules for the 2019 House of Delegates8) Establishment of Agenda9) ONA President’s Address10) Report of the Bylaws Committee11) ONA Nominating Committee Report

a. Nominations from the floorb. Announcement of Tellersc. Voting Announcements

12) Reference Committee Report13) CEO Address14) Report of the Secretary15) Report of the Treasurer16) Report of E&GW Commission 17) Report of ONF18) Nightingale Tribute19) Reaffirm Mission and Vision20) Legislative Platform Action21) Teller’s Report22) Declaration of Election23) Unfinished Business24) Other Business25) Adjourn


1. Admission to the hall where the business sessions of the ONA House of Delegates is conducted shall be restricted to credentialed delegates; credentialed DNA executive directors who are not delegates ONA members; ONA invited guests; nursing students; ONA staff; and designated DNA staff.

2. Delegates shall be required to wear the official delegate’s ribbon issued upon registration. Only delegates will be admitted to the delegate area. Voting on issues at the ONA House of Delegates business sessions shall be restricted to delegates only.

3. Courtesy seating on the floor of the ONA House of Delegates shall be provided to non-delegate executive directors of district nurses’ associations (DNA) permitting attendance without vote. Any DNA member non-delegate executive director may be granted permission to speak, but only once to a question. Such DNA executive directors will register and receive an identifying ribbon to wear for entrance to the delegate seating area.

4. To obtain the floor, a delegate shall go to a microphone, wait for recognition by the chair, and state name and district.

5. Delegates may not speak and debate more than twice to the same question on the same day without permission of the House, granted by a two-thirds vote without debate. No delegate may speak a second time to a question if another delegate who has not spoken wishes to do so. All speakers are limited to three (3) minutes each time.

2019 Proposed Standing Rules for Conducting Business at the 2019 ONA House of Delegates

6. Any non-delegate member of ONA may be granted permission to speak once to a question. After going to a microphone the non-member shall indicate that he or she is not a delegate and give name and district.

7. Debate shall not exceed twenty minutes on any question without permission of the House, granted by a two-thirds vote without debate.

8. All main motions offered by a delegate shall be in writing, signed by the maker and the seconder, and shall be sent directly to the chair prior to the speaker beginning to speak. Only delegates may present motions.

9. Business interrupted by a recess shall be resumed at the next session at the point where it was interrupted.

10. A nominating speech of one minute shall be allowed for each nomination from the floor. No delegate shall make more than one nomination at a time.

11. Any resolution previously forwarded to ONA, before the deadline for submission, for consideration by the Reference Committee but not approved for presentation, if presented by a delegate, must receive a two-thirds vote of the House for consideration and a majority vote to be adopted.

12. Any substantive resolution not of emergency nature and not previously forwarded to ONA, if presented by a delegate, must receive a three-fourths vote of the House for consideration and a majority vote to be adopted.

13. Emergency resolutions may be submitted to the ONA Reference Committee up to noon on the day the House opens. If endorsed by the Reference Committee, the resolution shall be announced at the first meeting of the House and must receive a majority vote of the House for consideration. The resolution shall be placed on the agenda for consideration at the appropriate time.

14. Committee or district resolutions shall have been presented to the Board of Directors, and if approved of the Board for consideration, the resolution shall be presented to the House at the time designated by the Chair.

15. Announcements shall be in writing, signed by the authorizing person, delivered to the ONA secretary and except in emergencies, made immediately preceding the next recess.

16. All cell phones, tablets and other computers must be on vibrate or silent when the House is in session.

17. The ONA House of Delegates is a fragrance-free environment.


PARLIAMENTARY INFORMATION FOR THE HOUSE OF DELEGATESRobert's Rules of Order, Newly Revised 11th editionRobert's Rules of Order, Newly Revised 11th ed. is the parliamentary authority that shall govern the ONA House of Delegates. The chair, as the presiding officer, rules on all matters relative to parliamentary law and procedures. The parliamentarian serves only in an advisory capacity to the presiding officer and members of the House of Delegates.

Delegate participation in the business session is governed by the standing rules of the House of Delegates.

The motions that follow are defined in terms of action a delegate may desire to propose. Rules governing these motions are listed in Table I.

Main Motion: A main motion introduces a subject to the House of Delegates for consideration and is stated: “I move that...”

Amendment: An amendment (primary) is a motion to modify the wording of a motion. The motion to amend may be made in one of the following forms, determined by the action desired: “I move to amend by...

• ... striking (word, phrase, paragraph).”• ...inserting (word, phrase,

paragraph).”• ...striking and inserting (word,

phrase, paragraph).”• ...adding (word, phrase or paragraph

at the end of the motion).”• ...substituting (paragraph or entire

text of a resolution or main motion and inserting another that is germane.)”

Amendment to an Amendment: An amendment to an amendment is a motion to modify the wording of the proposed amendment and is made as follows: “I move to amend the amendment by...” The same forms for making an amendment are applicable for making a secondary amendment.

Motion to Commit or Refer: The motion to commit or refer is generally used to send a pending motion (also called “the question”) to a small group of selected persons such as a committee, board, or cabinet. The purpose is so that the question may be studied and put in better condition for the assembly to consider. The motion is stated: “I move to commit the question to ... for further study.”

Motion to Close Debate (Previous Question): The motion to close debate (previous question), if seconded and approved by a two-thirds vote, stops discussion and amendment on the pending question and is stated: “I move the previous question.”

Division of the Question: A division of the question may be called when a pending motion relates to a single subject that contains several parts, each capable of standing as a complete proposition. The parts can be separated and each considered and voted on as a proposition or as a distinct question. The motion is stated: “I move to divide the question ... as follows...”

Division of the Assembly: A division of the assembly may be called by any one delegate, if the chair’s decision on a voice vote is in question. The delegate proceeds to the microphone and states: “I call for a division of the house.” The chair then takes a standing or roll call vote.

Motion to Reconsider: The motion to reconsider enables a majority of the assembly to bring back for further consideration a motion that has already been voted. The purpose of reconsidering a vote is to permit correction of hasty, ill-advised, or erroneous action, or to take into account added information or a situation that has changed since the vote was taken.

Parliamentary Inquiry: Parliamentary inquiry is a question directed to the presiding officer to obtain information on parliamentary law or the rules of the organization as relevant to the business at hand. A delegate addresses the chair and states: “I rise to a point of parliamentary inquiry.”

Request for Information: Request for Information is directed to the chair or through the chair to another officer or member, for information relevant to the business at hand. The request is not related to parliamentary procedure. The delegate addresses the chair and states: “I rise to a request for information.”

Motion to Appeal the Decision of the Chair: The motion to appeal the decision of the chair is made at the time the chair makes a ruling. If it is made by a delegate and seconded by another delegate, the question is taken from the chair and vested in the house for a final decision. The motion is stated: I appeal the decision of the chair.”

Raising a Point of Order: The point of order motion is used when a parliamentary rule or bylaw is being broken. This motion can interrupt the speaker. This motion is stated: “I rise to a point of order” or “Point of order.”

Before a delegate can make a motion or address the assembly on any question, it is necessary that he or she obtain the floor through recognition by the presiding officer. The delegate must:

• Rise and proceed to the microphone.• Address the chair by saying,

“Madam/Mister Chairperson.”• Await recognition.• Give name and district he or she is

from.• State immediately the reason he or

she has risen.


ONA’s finances, proposed bylaws amendments and reference proposals will be reviewed via webinar prior to Convention. Dates and times are listed below. Two times are offered for each webinar to allow the option to attend at least one on each topic. Reference proposals and finances will be combined. There are NO changes made to the proposals during these webinars. The hearings serve as a platform for members to provide and gather information to allow for a more focused conversation during the House of Delegates at Convention. There will be an additional Bylaws Hearing held during Convention. September 12 from 10-NOON – Bylaws HearingSeptember 13 from 10-NOON – Reference Proposals & Finance Committee HearingSeptember 16 from 6-8 PM – Bylaws HearingSeptember 17 from 6-8 PM - Reference Proposals & Finance Committee Hearing

BYLAWS, REFERENCE PROPOSALS & FINANCE COMMITTEE HEARINGS VIA WEBINAR & PARLIAMENTARY PROCEDURE TRAINING

Introduction to Parliamentary ProcedureWebinar - September 10th at 1pm Attention Delegates!Join Mary Remson, Parliamentarian, for a live webinar on parliamentary procedure – the procedure used to run the House of Delegates. This webinar is strongly recommended for those attending the ONA Convention. Register at www.ohnurses.org > eventsContact hours will be awarded with successful completion of this learning activity.Registration closes September 6th. This webinar will also be recorded and posted within the Convention 2019 Community on ONAConnect.Please register at least one day prior. Registration links can be found within the Convention Community in ONA Connect. Email Rachel Wolfe, [email protected] for help registering.The Ohio Nurses Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation. (OBN-001-91)

IMPORTANT ONA BYLAWS INFORMATIONA copy of the 2019 proposed bylaws changes can be located within the ONA Connect Convention Community AND will be given as a handout during Convention. Forward bylaws questions to [email protected].

Reference Proposals2019 Ohio Nurses Association Biennial ConventionReference Proposal # 1TITLE: ONA Role in Curbing the Public Health Epidemic of Gun ViolenceSUBMITTED BY: Stark Carroll District

RECOMMENDED ACTION(S)1. Promote firearm safety and prevention as a public health issue in Ohio.2. Support suicide risk and prevention strategies related to firearm education and anticipatory guidance.3. Promote and support initiatives that call for additional access to mental health services. 4. Support and advocate for the funding and research related to firearm injury prevention and death, including but not

limited to the Centers for Disease Control and Prevention. 5. Support legislation that requires universal background checks prior to the purchase of a firearm.6. Collaborate with other organizations with the intent to create a Health Care Demands Action division of Everytown

for Gun Safety. 7. Call on the ONA Board of Directors to create an association Position Statement on firearm safety and prevention.

ONA CORE VALUESVision: The Ohio Nurse Association is the recognized leader and advocate for professional nursing and nurses in Ohio.

Mission: To advance registered nurses, promote professional nursing practice, and advocate for quality health care. This will be accomplished by:

• Evolving evidence-based practice• Influencing legislators• Promoting education• Improving Economic and general welfare• Advocating for quality health care in a cost effective and economically stimulating manner

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ONA Core Values: Social Responsibility - ONA will function ethically and contribute to the welfare of the community.

Collaboration - ONA will collaborate with other stakeholders who have a vested interest in gun violence as a public health concern.

RATIONALEGun control, safety, violence and prevention spurs lively debate among Americans, including healthcare professionals.

The conversation centers around the role of medical professionals with respect to preventing gun violence and whether or not it is the medical community’s duty and right to be included in the conversation. Many see gun violence as a public health issue because it is, in fact, killing patient populations in some form or another.

Just recently the National Rifle Association (NRA) received backlash from the medical community after posting a tweet on November 7, 2018 stating, “Someone should tell self-important anti-gun doctors to stay in their lane. Half of the articles in Annals of Internal Medicine are pushing for gun control. Most upsetting, however, the medical community seems to have consulted NO ONE but themselves” (www.twitter.com). The NRA’s post stimulated a flurry of responses from healthcare professionals sharing stories about the gun violence victims they have treated or a life they have tried to save. The response has created new campaign hashtags, including, #ThisIsMyLane and #ThisIsOurLane, as a rebuttal to the NRA telling anti-gun doctors to “stay in their lane.”

Gun violence is a public health issue because every day healthcare professionals are treating victims and families of firearm-related injuries and deaths. These firearm-related injuries and deaths can be attributed to domestic violence, mass shootings, suicides, and unintentional deaths. Several statistics have been reported by Everytown for Gun Safety (Everytown for Gun Safety Support Fund, 2018) and Dr. Matthew Miller of the Harvard Injury Control Research Center (O’Connor, 2017). Most notably, the following statistics shed light on the public health crises the United States finds itself in:

• 1 in 3 homes in the United States has a gun.• Approximately 44% of American adults report knowing someone who has been shot.• There are 36,000 firearm deaths in the United States each year. • On an average day, 96 Americans are killed with guns.• On average, there are nearly 13,000 gun homicides a year in the United States.• For every 1 person killed with guns, 2 more are injured.• 62% of firearm deaths in the United States are suicides.• More gun suicides occur than homicides. • 7 children and teens are killed with guns in the United States on an average day.• Firearms are the second leading cause of death for American children and teens.• Black men are 13 times more likely than white men to be shot and killed with guns.• The presence of a gun in a domestic violence situation increases the risk of the women being killed by 5 times. • In an average month, 50 women are shot to death by intimate partners in the U.S. Background checks have blocked

over 3 million gun sales to prohibited people.

To put the issue in perspective, on an average day, 96 Americans die from guns, in comparison to 115 Americans dying, on average per day, from an opioid overdose (Centers for Disease Control and Prevention, 2017). Elected officials, community leaders, and healthcare professionals are at the table discussing how to address the opioid addiction and overdose epidemic, however, not much discussion has occurred among the same interested parties when it comes to addressing gun violence, safety and prevention.

Healthcare professionals and associations should take the lead in starting the conversation, as healthcare is on the frontline when victims and families are affected by firearm-related injuries and death. According to former Surgeon General Antonio Novella, “Just as health professionals have done for other health problems, we have a clear duty to take a leadership role in the antiviolence movement….As health professionals, the prevention of violence by using public health methods in our communities is as much our responsibility as is the treatment of its victims” (Trafford, 1992).

The Ohio Nurses Association (ONA) has not discussed or addressed gun violence in prior Conventions. However, ONA members are still bound by the same ANA Code of Ethics and the association itself acts as the voice and recognized leader of approximately 210,000 registered nurses in Ohio. With a Vision of being the recognized leader and advocate for professional nursing and nurses in Ohio, the ONA has been promoting and protecting nurses, the nursing profession and those who receive nursing care for more than one-hundred years. With a Core Value centered around Social Responsibility, ONA believes in functioning ethically and contributing to the welfare of the community. ONA and registered nurses should have a voice at the table when discussing all public health issues.

EXPECTED OUTCOMES1. ONA will be seen as a leader in the recognition of the significance of this public health crisis and implementation of

strategies to address the crisis. In addition, ONA will be seen as an advocate committed to helping nursing stand as a leading provider in firearm safety and prevention strategies.


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2. Registered nurses will be an integral part of communities who develop effective strategies to increase awareness and encourage prevention as the epicenter of possible solutions to fight against firearm injury and death.

3. ONA will raise awareness through the dissemination of information, data, and research that takes a bipartisan lens on firearm safety and prevention and incorporates shared responsibility without placing blame on one particular group/groups.

SUGGESTED ACTIVITIES1. Develop and/or provide educational materials for registered nurses on firearm safety and prevention from a public

health perspective.2. Work with Everytown for Gun Safety to create a Health Care Demands Action division and connect with the

American Nurses Association, the American Federation of Teachers, Nurses and Health Professionals, and other statewide and national healthcare associations to encourage a collaborative effort among all healthcare organizations.

3. Develop resolutions to be considered at the American Nurses Association annual Membership Assembly and the American Federation of Teachers, Nurses and Health Professionals biennial Convention.

FINANCIAL IMPACTTBD by ONA Staff/Board

REFERENCESBerg, Sara. (2018). AMA backs common-sense measures to prevent gun injuries, deaths. AMA Wire. Retrieved from: https://

wire.ama-assn.org/ama-news/ama-backs-common-sense-measures-prevent-gun-injuries-deathsButkus, R., Doherty, R., Bornstein, S.S. (2018). Reducing firearm injuries and deaths in the United States: A position

paper from the American College of Physicians. Annals of Internal Medicine. Retrieved from: http://annals.org/aim/fullarticle/2709820/reducing-firearm-injuries-deaths-united-states-position-paper-from-american

Centers for Disease Control and Prevention. (2017). Opioid overdose: Understanding the epidemic. Centers for Disease Control and Prevention. Retrieved from: https://www.cdc.gov/drugoverdose/epidemic/index.html

Dowd, M. D., Sege, R. D., (2012). Firearm-related injuries affecting the pediatric population. Pediatrics, 130(5). Retrieved from: http://pediatrics.aappublications.org/content/130/5/e1416

Everytown for Gun Safety Support Fund. (2018). Gun violence by the numbers. Everytown Research. Retrieved from: https://everytownresearch.org/gun-violence-by-the-numbers

Gooch, K. (2018). Amid national gun control debate, hospitals avoid partisanship: 6 things to know. Becker’s Hospital Review. Retrieved from: https://www.beckershospitalreview.com/hospital-management-administration/amid-national-gun-control-debate-hospitals-avoid-partisanship-6-things-to-know.html

Knestrick, J. (2018). Statement by the American Association of Nurse Practitioners on gun violence. American Association of Nurse Practitioners. Retrieved from: https://www.aanp.org/news-feed/statement-by-the-american-association-of-nurse-practitioners-on-gun-violence

National Association of Pediatric Nurse Practitioners. (2018). NAPNAP official statement on firearm injury prevention. National Association of Pediatric Nurse Practitioners. Retrieved from: https://www.napnap.org/napnap-official-statement-firearm-injury-prevention

National Rifle Association. (2018). Tweet. NRA Twitter Account. Retrieved from: https://twitter.com/NRA/status/1060256567914909702

O’Connor, M. (2017). The public health approach to addressing gun violence. Hospitals & Health Networks. Retrieved from: https://www.hhnmag.com/articles/8178-the-public-health-approach-to-addressing-gun-violence

Ohio Nurses Association. (2018). You care for everyone else, we care for you. Ohio Nurses Association. Retrieved from: http://www.ohnurses.org/about

Trafford, A. (1992). Violence as a public health crisis. Washington Post. Retrieved from: https://www.washingtonpost.com/archive/lifestyle/wellness/1992/06/16/violence-as-a-public-health-crisis/13e4a09b-ebfc-4429-9147-34c896265fd4/?noredirect=on&utm_term=.8a3ecfe266be

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2019 Ohio Nurses Association Biennial ConventionReference Proposal # 2TITLE: Ending the use of on call as mandatory overtimeSUBMITTED BY: Registered Nurses Association (District 8) Maria Caldwell & Jennifer Donaldson

RECOMMENDED ACTION(S)1. ONA will support legislation to eliminate the use of on call being used as mandatory overtime.2. ONA will educate on the hazards of nurses working long shifts, which includes nurses having to work on call hours

before or after their shifts.

ONA CORE VALUESSocial Responsibility: This proposal speaks to the core value of social responsibility. It is the responsibility of ONA to ensure that nurses are treated with dignity, respect, to support a work-life balance, and to promote safety. By using on call as mandatory overtime, call impedes the ability of the nurse to obtain proper rest and maintain a work-life balance.


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ONA Goal: • To achieve elimination of mandatory overtime in the state of Ohio in any form, including the use of on call.

RATIONALEUnfortunately, mandatory overtime by using on call in hospital settings continues. As hospitals struggle with staffing

models, mandatory overtime and on call have become a tool for staffing units. There is a need for ONA to advocate and educate nurses and the community at large about this all to prevalent occurrence. Development of staffing models that do not include mandatory overtime of any kind is a necessity to ensure patient safety and nurse safety. Mandatory overtime cannot be tolerated.

Historical Perspective: Hospitals continue to work short staffed, staff nursing units with longer shifts, and use on-call in specialty units as a staffing tool. This leads to nurse fatigue and an increase in patient errors and nursing staff turnover. Fatigue levels have been negatively correlated with nursing performance, which further supports the role of fatigue in nursing performance (Barker & Nussbaum, 2011). Working overtime and longer shifts were associated with a decrease in quality of patient care and an increase in patient safety reports and care left incomplete in a study performed in 12 European countries (Griffiths et al., 2014). Furthermore, the impact of fatigue due to working on call, long work hours, and inadequate rest periods can lead to documentation errors. A study examined the relationship between fatigue and nurse charting errors before and after a reduced call schedule was implemented at a Magnet community hospital (Warren & Creech, 2008). The study found a significant reduction in nursing documentation errors after implementation of a reduced call schedule, particularly with the greatest reduction in errors among nurses working 12-hour or call shifts (Warren & Creech, 2008).

EXPECTED OUTCOMES1. Registered nurses will be provided a safe work-life balance.2. ONA will be seen as a leader in addressing significant patient safety risks created by mandatory overtime and the use

of call when it creates mandatory overtime. In addition, ONA will be an advocate for nurses.3. Healthcare settings will be viewed as safer places for patients. 4. Recruiting and retention will be more attractive to the nursing profession when nurses can maintain a work-life

balance.

Political Impact:• Continued education of current legislators about the use of mandatory overtime on patient safety.

SUGGESTED ACTIVITIES1. Continue interaction and communication with Ohio Health Association and other organizations that enforce zero

tolerance in the workplace.2. ONA will encourage all local units to strive for language to eliminate the use of on call as mandatory overtime.3. Continue education of legislators regarding the impact of mandatory overtime on nurses and patients, and the needs to

pass legislation eliminating mandatory overtime.


REFERENCESBarker, L.M. & Nussbaum, M.A. (2011). Fatigue, performance, and the work environment: a survey of registered nurses.

Journal of Advanced Nursing, 67(6), 1370-1382. doi: 10.1111/j.1365-2648.2010.05597.x

Griffiths, P., Dall’Ora, C., Simon, M., Ball, J., Lindqvist, R., Rafferty, A.M., Schoonhoven, L., Tishelman, C., & Aiken, L.H. (2014). Nurses’ shift length and overtime working in 12 European countries. Medical Care, 52(11), 975-981. doi: 10.1097/MLR.00000000000000233

Warren, A., & Tart, R. (2008). Fatigue and charting errors: The benefit of a reduced call schedule. AORN Journal, 88(1), 88-95. doi: 10.1016/j.aorn.2008.03.016

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2019 Ohio Nurses Association Biennial ConventionReference Proposal # 3TITLE: Workplace ViolenceSUBMITTED BY: Workplace Violence Workgroup on behalf of the ONA Board of Directors

RECOMMENDED ACTION(S)1. Increase public awareness of workplace violence against nurses and healthcare professionals.2. Provide education about nurses’ rights, the current Ohio law, and the prevalence of workplace violence.3. Establish general tracking mechanism in collaboration with a specific organization and include reporting requirements

related to incidents of violence when hospitals submit staffing plans.


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4. Survey Ohio nurses about if they have been victim to workplace violence, if they report the incident, if violence is a prevalent phenomenon in the workplace, and does the employer offer de-escalation training and have protocols in place for workplace violence.

5. Advocate for a question to be added to licensure questionnaire asking if nurses have been victims of workplace violence and if they reported the incident.

6. Advocacy at the state and federal level to abolish workplace violence. 7. Establish reporting requirements related to incidents of violence when hospitals are submitting staffing plans.8. Develop model protocol for healthcare employers.9. Ensure reporting of incidents of violence is standard operating procedure. 10. ONA establish a special interest caucus to focus on workplace violence.

ONA CORE VALUESVision: The Ohio Nurses Association is the recognized leader and advocate for professional nursing and nurses in Ohio.

Mission: To advance registered nurses, promote professional nursing practice, and advocate for quality health care.

Core Values:Social Responsibility – ONA will function ethically and contribute to the welfare of the community.Collaboration – ONA will work jointly with others.Integrity – ONA, in all professional relationships, practices with integrity.Professionalism – ONA embodies the conduct, aims, and qualities of the profession.

RATIONALEONA is aware that nurses across the country are becoming victims of workplace violence (WPV) at alarming rates and

nurses are at increased risk. Healthcare and social service workers are victims of an estimated 69 percent of WPV injuries. They are five times more likely to be assaulted at work when compared to all other professions. To date, nine states have passed laws requiring employers to establish a workplace violence prevention program; of which Ohio is not one. Therefore, ONA is tasked with attempting to minimize risk to Ohio Nurses.

ONA is not only concerned with decreasing risk to Ohio nurses, but also to retaining current nurses in the profession who are fearful for their safety. ONA hopes to mitigate attrition by holding employers accountable, by educating Ohio nurses on identifying and avoiding escalating violence, and by preparing nurses to report all occasions of physical violence and verbal abuse. In addition, ONA will attract new nurses and students to a secure environment to build their careers.

Decreased staffing across all hospital environments have created increased wait times for patients and overcrowding. Factoring in a climate where hospital reimbursement is tied to patient satisfaction, workplace violence in the healthcare setting has been permitted to spin out of control. “The U.S. Department of Labor defines workplace violence as an action (verbal, written, or physical aggression) which is intended to control or cause, or is capable of causing, death, or serious bodily injury to oneself or others, or damage to property. This includes abusive behavior toward authority, intimidating or harassing behavior, and threats, “(The Joint Commission, 2018, p.1). Between 2007 and 2017, the rate of injuries from violence within the hospital grew by 123 percent, 201 percent in psychiatric settings, and 28 percent in social services.

ONA renounces all forms of WPV. ONA will have a “zero tolerance” position when speaking on behalf of and advocating for Ohio nurses. ONA needs to encourage all registered nurses and employers within the state of Ohio to also adopt a zero tolerance approach to WPV, so that nurses are able to feel safe and supported.

EXPECTED OUTCOMES1. Nurses feel empowered to report incidences of workplace violence, therefore increasing the number of reported

incidences. 2. The public will understand the magnitude of this issue, which will increase pressure on hospitals to handle situations

correctly and decrease the likelihood of victimization. 3. Nurses, student nurses, healthcare professionals, patients and patients’ families will feel safe within the healthcare

environment.4. Nurses will recognize all types of violence and know the importance of reporting it. 5. The collection of evidence to express and support the magnitude of this issue. This evidence could help support future

legislation, workplace policies, and collective bargaining campaigns.

SUGGESTED ACTIVITIES1. Add to licensure questionnaire if nurses have been victims of workplace violence and if they reported the incident.2. Develop a toolkit about the law, nurses’ rights and what to do if they are a victim.


REFERENCES


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2019 Ohio Nurses Association Biennial ConventionReference Proposal # 4TITLE: Safe Staffing StandardsSUBMITTED BY: Staffing Workgroup on behalf of the ONA Board of Directors

RECOMMENDED ACTION(S)1. ONA Board of Directors will create a special interest caucus on Safe Staffing to continue the work of research,

advisement, and strategies of the Association’s position on staffing standards2. ONA will prioritize developing and introducing legislation that establishes Safe Patient Limits for Ohio hospitals, and

may include a ballot initiative 3. ONA will pursue safe staffing limits through the collective bargaining process 4. The ONA will develop a Nursing Empowerment Academy Series5. ONA lead collaboration with other states to push for changes at the ANA’s Membership Assembly to include safe

staffing limits in Magnet Status criteria

ONA CORE VALUESGoal: Members of the General Assembly will utilize ONA expertise when issues impacting the safety and welfare of the public are being impacted.

ONA promotes access to quality health care services for all; with emphasis on adequacy and appropriateness of nurse staffing as provided in the American Nurses Association’s Staffing Principles.

VISIONThe Ohio Nurses Association is the recognized leader and advocate for professional nursing and nursing in Ohio.

MISSIONTo advance registered nurses, promote profession nursing practice, and advocate for quality health care. This will be accomplished through:

• Evolving Evidence-Based Practice• Influencing Legislators• Promoting Education• Improving Economic and General Welfare• Advocating for Quality Health Care in a Cost Effective and Economically Stimulating Manner

RATIONALENeed for Proposal: To provide for safe patient limits needed to ensure quality patient care and a safe work environment.

Appropriate registered nurse staffing is directly linked to patient safety. An array of conditions leads to medical errors (commission and omission), such as fatigue, interruptions, lack of knowledge, and feeling rushed. Lack of necessary staffing is a primary reason for such errors. Nurses have a penchant to bypass safety standards to save time and complete all workload demands. Despite the addition of technology such as computerized physician ordering, barcoding and automated dispensing, medication and medical errors continue to impact patient outcomes, and are financially disadvantageous.

Additionally, the lack of nurse staffing and accompanying fatigue has only perpetuated an already incomprehensible number of medical errors, errors of omission, poor quality outcomes, poor job satisfaction, and attrition. Hospital decision-makers must consider investing in both technological, as well as human resources.

Evidence supports that hospitals with appropriate nurse-patient ratio have lower readmission rates, most likely because basic nursing care, proper discharge planning, coordination of care activities, surveillance and prevention measures require direct nursing time, and are often overlooked when nursing units are inadequately staffed. Greater registered nurse staffing hours spent on direct patient care are associated with decreased risk of hospital-related deaths and shorter lengths of stay. Essentially, hospitals spend more money by attempting to decrease nursing labor costs, instead of safely staffing and earning financial rewards through cost effective, quality health care.

The Magnet Recognition Program® was created to recognize organizations that empower nurses to reach their potential and lead healthcare organizations to change. The initiative focuses on promoting quality care and excellence in the provision of nursing care; however, measurable staffing standards are not measured in the credentialing process or re-credentialing cycle.

Historical Perspective:Issues surrounding safe registered nurse staffing levels have been on the forefront of healthcare discussions and has been

well studied in the United States for decades. The research studies have established a direct link between patient outcomes and registered nurse staffing levels. The evidence supports the need for appropriate nurse-to-patient ratios to ensure the safety of the healthcare consumer and assist to offset the climbing cost of hospital care.


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In 2008, Ohio implemented conservative staffing legislation designed to engage healthcare organizations in creating safer working environments for nurses and patients. Reporting how staffing numbers affect inpatient care, outcomes and clinical management is the onus of the hospital, and lack of penalties or public reporting thwarted progress of this staffing initiatives.

The time is now for safe patient limits in Ohio hospitals.

EXPECTED OUTCOMES• Safer hospitals• Safe Patients• Safe Nurses• Improved clinical outcomes for patients• Improved job satisfaction

- less stressful work environment- less burn out - work life balance

• Better retention of bedside nurses• Decreased medical error• Empowered nurses

SUGGESTED ACTIVITIES1. Collaboration with other State nursing associations to create a united message regarding safe staffing limits2. Collaborate with Senator Brown for changes in CMS language to include specific staffing requirements for hospital

participating in Medicare funding3. Dialogue with the Joint Commission on hospital accountability related to safe staffing limits and following Ohio Law4. Develop a submersion/simulation for legislators to provide hands-on experience to issues face on the job5. The E&GW Commission shall collaborate with the special interest caucus on Safe Staffing to develop model contract

language6. Dialogue with ANA to include staffing standards in MAGNET status


REFERENCESAiken, L., Sloane, D., Bruyneel L., Van de Heede, K., Griffiths, P., & Brusse, R., (2014). Nurse staffing and education

mortality in nine European countries: a retrospective observational study. Lancet, volume 383, 1824-30.l http://doi.org/10.1016/

Aiken, L., Sloane, D., Cimiotti, J., Clarke, S., Flynn, & Seago, J. (2010). Implications of the California nurse staffing mandate for other states. Health Services Research. Doi: 10.1111/j.1475-6773.2010.01114.x

ANCC Magnet Recognition Program (n.d.) Retrieved from https://www.nursingworld.org/organizational-programs/magnet/

Kalisch, B., & Xie, B., (2014). Errors of omission: Missed nursing care. Western Journal of Nursing, Nursing Research, 376(7), 875-890. Doi: 10.1177/0193945914531859

Kane, R., Shamliyan, T., Mueller, C., Duval, S., & Wilt. T. (2007). Nurse Staffing and Quality Patient Care (AHRQ 07-E005). Agency for healthcare research and quality. Minnesota Evidence-base Practice Center

McHugh, M., Berez, J., & Small, D. (2013). Hospitals with higher nurse staffing had lower odds of readmission penalties than hospitals with lower staffing. Health Affairs, 32(10), 1440-1447. Doi: 10.1377/hlthaff.2013.061

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2019 Ohio Nurses Association Biennial ConventionReference Proposal # 5TITLE: Immunization EducationSUBMITTED BY: District Three, ONACarol Smith, President

RECOMMENDED ACTION(S)1. ONA develop and implement a campaign to effectively communicate with the public at large, including those from lower

socioeconomic backgrounds, nursing’s position regarding immunizations and their role in protecting public health.

ONA CORE VALUESONA’s First Core Value: Social Responsibility;


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ONA functions ethically and contributes to the welfare of the community.*Diversity: ONA recognizes the distinct qualities of the community.*Service: ONA maintains an active role in the community. *Advocacy: ONA pleads the relevant causes of the community

ONA’s Fourth Core Value: Professionalism; ONA embodies the conduct, aims, and qualities of the profession; Life-long learning: ONA is responsible for advancing the profession through knowledge development, dissemination, and application to practice.

RATIONALE“Current evidence and research show that immunizations are essential to the primary prevention of disease from

infancy through adulthood. In fact, the reduction and elimination of vaccine-preventable diseases has been one of the great public health achievements in the United States (CDC, 2011). Effective vaccination programs for both children and adults, according to current recommendations from the CDC and ACIP, are for promoting and maintaining the health of the public. Vaccine-preventable diseases include seasonal influenza, for which annual immunization is recommended. Between 1976 and 2007, the number of deaths annually from influenza ranged from 3,000 to 49,000, with many more people hospitalized due to severity of symptoms (CDC, 2013).” #1

While we are doing better in the US with regard to immunizations overall, there is still room for improvement. One recent example of this is reflected by the measles outbreak in March 2019. Facts show the per cent of children aged 19 to 35 months receiving immunizations for a variety of diseases reflect the following:

• “Diphtheria, Tetanus, Pertussis (4+ doses DTP, DT, or DTaP): 83.4%• Polio (3+ doses): 91.9%• Measles, Mumps, Rubella (MMR) (1+ doses): 91.1%• Haemophilus influenzae type b (Hib) (primary series + booster dose): 81.8%• Hepatitis B (Hep B) (3+ doses): 90.5%• Chickenpox (Varicella) (1+ doses): 90.6%• Pneumococcal conjugate vaccine (PCV) (4+ doses): 81.8%• Combined 7-vaccine series: 70.7%” #6

Statistics for other immunizations not so widely used such as Influenza are as follows:

• “Percent of children aged 6 months to 17 years who received an influenza vaccination during the past 12 months: 47.8%

• Percent of adults aged 18-49 who received an influenza vaccination during the past 12 months: 33.4%• Percent of adults aged 50-64 who received an influenza vaccination during the past 12 months: 45.5%• Percent of adults aged 65 and over who received an influenza vaccination during the past 12 months: 67.8%” #6

With regard to Pneumonia:

• “Percent of adults aged 65 and over who had ever received a pneumococcal vaccination: 69.0%” despite the fact that there were 48,632 deaths as a result of this disease in 2016.” #6

“The Ohio Nurses Association (ONA) believes that immunization, from infancy through adulthood, is a vital component

of protecting the public’s health. Wide spread immunization not only protects those that have been immunized, but also provides a measure of defense to those few persons who cannot receive vaccination due to compromising health conditions.”#9 In the American Nurses Association’s 2015 Code of ethics for nurses, it is clearly stated in the third provision that a professional nurse “…promotes, advocates for, and protects the rights, health, and safety of the patient.”#3 The provision serves as an ethical mandate that nurses do whatever possible to protect the health of their patients including but not limited to using their credibility and relationship with the public to educate them about the health advantages of receiving approved immunizations.

The best way to effectively communicate anything to the public is to first “…earn the trust of and prove your credibility to the community.”5. CDC Since nurses are already thought of as the most trusted and credible professional in the United States (as per the Gallup public opinion poll) #5 and have been for several years running, the success of our work disseminating this information to the public and educating them is almost assured. It is our responsibility to at least arm them with dependable information that will help them to stay healthy and safe. The ultimate choice of whether or not to take advantage of this available health benefit belongs solely to the patient.

EXPECTED OUTCOMES1. Information regarding the prudence and safety of receiving immunizations will reach a larger number of our

community at large including targeting consumers of the lower socioeconomic end of the societal continuum.2. More people will avail themselves of available immunizations producing a healthier population and a reduced risk

among the frail members of the community.3. ONA and its RN members will once again be showcased as patient, public and health advocates.


SUGGESTED ACTIVITIES1. ONA use its clout with the Ohio public by more widely disseminating its updated Position Statement on Immunization

(2015 and revised 6/2017) for educational purposes with regard to the recognition and acceptance of immunizations as a means to better health for individuals and the community as a whole.

2. ONA reach out to all Ohio RNs regardless of care setting and encourage them to incorporate this information in their ongoing patient education practice.

3. ONA publicize its position on Immunizations for all ages in PSA’s using multimedia so to reach the maximum audience in Ohio.

4. ONA develop and widely disseminate educational tools or refer and give credence to other preexisting tools (NIH, CDC, and other public health forums) that allow for direct and easy-to-understand information about the benefits of immunization.

5. ONA use communication strategies and messages to best meet the needs of the community (no matter their socioeconomic status) with culturally appropriate public health information and materials. Health communication may include public meetings, fact sheets, media support, translation, etc.


REFERENCESAmerican Nurses Association Position Statement on Immunizations, July 21, 2015

American Nurses Association. ANA Immunize. www.anaimmunize.org

American Nurses Association. (2015) Code of ethics for nurses with interpretive statements.

Centers for Disease Control and Prevention. (2011). Advisory Committee on Immunization Practices. General recommendations on immunization. January 28, 2011. Morbidity and Mortality Weekly Report/Recommendations and Reports/Vol.60/No. 2.

https://www.atsdr.cdc.gov/hac/phamanual/ch4.html.

Health, United States, 2017, table 66 Cdc-pdf[PDF – 9.8 MB] (data are for 2016)

https://news.gallup.com/poll/224639/nurses-keep-healthy-lead-honest-ethical-profession.aspx (December 2018)

Maglione, M., Das, L., Raaen, L., Smith, A., Chari, R., Newberry, S., Shanman, R., Perry, T., Goetz, M., Gidengil, C. (2014) Safety of vaccines used for routine immunizations of US children: a systematic review. Pediatrics, 134(2), 325-337.

Ohio Nurses Association, ONA Position on Immunization, 2015 and revised 6/2017.

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4927017/

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2019 Ohio Nurses Association Biennial ConventionReference Proposal # 6TITLE: ONA’s Role in the Maintenance of cost free clinical sites for use in nursing education SUBMITTED BY: District Three, ONACarol Smith, President

RECOMMENDED ACTION(S)1. ONA use its influence and credibility to explore the practice of levying charges for the use of clinical sites for nursing

education and to petition for continued uncompensated use of existing and new clinical sites for nursing education.

ONA CORE VALUESSocial ResponsibilityONA functions ethically and contributes to the welfare of the community.

• Diversity: ONA recognizes the distinct qualities of the community.• Service: ONA maintains an active role in the community.• Advocacy: ONA pleads the relevant causes of the community.

CollaborationONA works jointly with others.

• Teamwork: ONA works as a unit in close association with others.• Inter-professional/Intra-professional: ONA values the collective intelligence of groups, whether it is within the nursing

profession or outside of the nursing profession.


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ProfessionalismONA embodies the conduct, aims, and qualities of the profession.

• Life-long learning: ONA is responsible for advancing the profession through knowledge development, dissemination, and application to practice.

• Reasoned discourse: ONA expresses itself with conversation based in logic.• Diversity: ONA recognizes the distinct qualities of the individual.• Advocacy: ONA operates on the belief that the nurse's primary commitment is to the patient, whether an individual,

family, group, or community.

RATIONALEAccording to a white paper published by the American Association of Colleges of Nursing (AACN), hands-on job

experience prepares nursing students for a diverse patient-care environment in a variety of settings. This is due to the broad field of nursing as a whole – there are many specialties, care settings, positions, and more – and no two days are alike. Clinical experience before entering the professional world in full provides a vast wealth of knowledge to nursing students. #4In supervised learning environments, nursing students can practice their skills and hone key traits with real patients but under the watchful eye of {experienced nursing} professionals. This safety net helps them develop a mastery of their skills faster than would be possible on their own, without sacrificing quality patient outcomes. #4

Recently on an American Nurses Association’s Nursing Leaders Online Community, a discussion began entitled “Charging for Clinicals.” The discussion included comments from many concerned nurses about facilities and preceptors charging for nursing student clinical experience. The participants in the discussion included nurses presenting from several different states and from academic settings, hospital facilities, and community health settings in a variety of positions ranging from CEO and provost to preceptors and staff nurses. The common thread in their discussion was the immerging practice of charging for the use of clinical sites for undergraduate and graduate nursing students alike. The practice varied from the facilities charging the college of nursing, to taxing each individual student with the expense. Charging for clinical sites would only add to the financial burden for Departments of Nursing. In addition, the nursing schools receive pressure from Colleges each year to increase the number of nursing students accepted as well as managing the very difficult task of hiring qualified faculty. An added concern, is that Clinical areas may also become competitive in drawing students to their health care facilities making the process of finding clinical teaching sites even more difficult.

Examples of expressed concerns are as follows:“We are having some issues in NY State with hospitals trying to charge an hourly rate for nursing students to have

clinical placements.” (Lapidus-Graham)

“It is difficult to find clinical placements due to the high demand for them {and} Competition between the different professions. In NH some Medical programs and PA programs are already offering a stipend to health agencies for their placements. This is creating a challenge for nursing. We have limited placements and if the agencies choose to go where the money is, nursing will lose some sights. I am not sure we have the choice to go elsewhere...there may not be another option.” (Kinney)

“We are having the same issue in Phoenix AZ…” (Banahan)

“In Utah, we are beginning to see the practice of charging for clinical placement seep into the practice arena.” (Garrett) #3

Some of the contributors to the discussion speak of creating partnerships between academia and the facilities in order to head this practice off. Others see clinical simulation technology and nurse residencies post-graduation as the solution. Many commenters expressed concern about outcomes for the profession if this becomes an accepted practice across the US. The Ohio Nurses Association (ONA) should monitor and have input into the discussion as well as have a say as to how this issue gets resolved in Ohio, if not for the nation. At the very least, ONA should be aware of the changing practice and do its best to address the issue for all Ohio nurses and future nurses.

EXPECTED OUTCOMES1. Academic institutions providing nursing education can continue to do so without further financial stress. 2. Students emerging from undergraduate studies will be as prepared as possible for real patient care without added

financial burden from clinical site expense.3. Patients will continue to be better protected by providing graduate nurses who are experienced in real life nursing

care.4. It will be a recognized criterion to include nurses in the ongoing clinical education of future nurses.

SUGGESTED ACTIVITIES1. ONA call for an Environmental Scan of all the stakeholders as a prelude to any changes proposed regarding charges

levied for the use of clinical sites for nursing education in Ohio.2. ONA survey its members, particularly Ohio Nursing Faculty and Ohio Organization of Nurse Executive (OONE)

Members, for information regarding the practice of clinical site sources imposing charges for the use of their facilities as clinical sites for nursing education.


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2019 Ohio Nurses Association Biennial ConventionReference Proposal # 7TITLE: Support of Grass Roots and Legislative Initiatives to Improve Patient Access to Medical Aid in Dying (MAID)SUBMITTED BY: Greater Cleveland Nurses Association Barbara Daly and Ildiko Yuryev

RECOMMENDED ACTION(S)1. ONA will endorse the mission of the Ohio End of Life Options, the coalition working towards legislative action.2. ONA will formally recognize the need for legislation to protect the rights of dying patients to control the

circumstances and conditions of their death.3. ONA will participate in the education of legislators and the public regarding the option of medical aid in dying (also

known as “Death with Dignity” and “Physician Aid in Dying”).4. ONA will provide resource material and continuing education to nurses regarding the nurse's role in caring for

patients regarding MAID or any form of treatment limitation.

ONA CORE VALUESAdvocacy: ONA pleads the relevant causes of the community.

RATIONALEHistorical Perspective

Stemming from the core duty to respect the inherent worth and dignity of others, autonomy directs us to foster self-determination of our patients through support of informed decision making, regardless of our personal views or preferences (ANA Code of Ethics). The unfettered right of adults with intact decision making capacity establishes the permissibility of decisions that hasten death, such as refusal of life sustaining therapies or withdrawal of these therapies.

As advances in life-prolonging interventions have extended the duration of the terminal phase of illness, some patients find themselves in situations that are unendurable and contrary to their values and wishes regarding the circumstances of their dying. Such circumstances include loss of dignity, loss of function, fear of loss of capacity, and intractable physical symptoms. In particular, the fear of loss of control is common (Monforte-Royo et al, 2012).

The option of medical aid in dying (MAID) provides a patient who has a terminal illness and who has intact decisional capacity to choose to ingest a lethal dose of a medication, prescribed by his/her physician, in order to end his/her life. Oregon was the first state to enact legislation to legalize medical aid in dying (MAID) in 1997. Since then, 7 additional jurisdictions have passed similar legislation (Washington, Vermont, California, Colorado, Hawaii, New Jersey and Washington D.C.). While there are minor differences in the language of each state’s laws, they have most elements in common, including the requirements that:

1. The patient must have an established terminal illness (prognosis less than 6 months), confirmed by 2 physicians.2. The patient must be an adult and have full decision-making capacity.3. The patient must make the request twice, with requests separated by 2 weeks.4. The patient must be capable of self-administering the medication.5. The patient must be counseled about other end-of-life options (hospice, palliative care).

Concerns about legalization of MAID often stem from confusion in terminology. MAID is not equivalent to euthanasia, which is the act of one person ending another person’s (i.e. patient’s) life for reasons of mercy, and is illegal in all jurisdictions. While early discussions of aid-in-dying used the term “assisted suicide,” this terminology has been discouraged because of the association of “suicide” with assumptions about some form of mental illness, such as severe depression.

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3. ONA encourage and assist academic institutions and healthcare facilities to establish partnerships that allow for the much needed standardized cost-free nursing student clinical experience.


REFERENCESAmerican Association of Colleges of Nursing

American Nurses Association, (2015) Code of Ethics for Nurses with Interpretive Statements. Silver Spring, MD: American Nurses Publishing. www.community.ana.org

http://www.aacn.nche.edu/aacn-publications/white-papers/RN-BSN-White-Paper.pdf

Pros & Cons of Clinical Simulation in Nursing Lambert, January 2015 Volume 11, Issue 1, Pages 1-3


Other concerns that have been voiced include the worry that the practice of MAID will evolve in to a “slippery slope” and will lead to expansion to widespread and inappropriate use, that the practice will become so common that patients will perceive they are expected to request MAID, and that the availability of MAID will be associated with decreasing use of hospice. However, data from Oregon, the jurisdiction with the longest history of legalization of MAID, contradicts all of these concerns. The Oregon Public Health Authority reports on prescriptions under the “Death with Dignity Act” and on any data regarding abuse of the law. Since the Act was passed in 1997, a total of 2,217 prescriptions have been provided, and 1,459 people died from the lethal ingestion. In 2018, 249 prescriptions were written; 37% of patients have not used the medication. The deaths associated with MAID in 2018 were 45.9 per 10,000 deaths. Of all patients who received prescriptions and later died , 90.5% were enrolled in hospice.

Need for ProposalA survey by Public Policy Polling, in October 2018, reported that 87% of polled Ohioans (n=654) strongly (71%) or

somewhat (16%) agree that patients should be allowed to die in as humane and dignified manner as they see fit. 77% agreed with the statement, “It’s my body and my choice to make the best medical decision for myself in consultation with my doctor, including my end of life decisions.”

The American Nurses Association is in the process of revising their position statement, “The Nurse’s Role when a Patient Requests Aid in Dying.” While this has not been formally accepted, it is consistent with the content of the 2015 Code of Ethics. Both the Code and the draft statement affirm the responsibility of nurses to support dialogue on this issue and informed decision making, but neither address the obligation of the profession to take a public stance on this - that is, public support is neither prohibited nor encouraged in these documents.

The right of competent adults to receive care at the end of their life that is consistent with their values and wishes is one of the most important liberties. Nurses have a duty to support legislation needed to enable Ohio citizens to exercise this right. In the absence of an official position by ANA, it is up to each state nursing organization to participate in educating both the public and legislators about this critical patient right.

In 2018, Ohio Senator Charleta Tavares sponsored Senate Bill 249, the “End of Life Option Act.” However, Senator Tavares’ term ended before she could successfully defeat opposition and shepherd this through committee. Ohio End of Life Options is a grass-roots organization whose mission is to support legislation that would legalize MAID. Currently, MAID is endorsed by the American Public Health Association, the American Medical Women’s Association, the American College of Legal Medicine, and the American Civil Liberties Union. The Ohio Nurses Association should join these respected bodies in taking action to assure that legislation is passed allowing patients the option of a dignified death.

EXPECTED OUTCOMES1. Collaboration with and support of a legislator who will re-introduce the “End of Life Option Act” in the 2020

legislative session.2. Opportunity to testify before the Ohio legislature when the bill is presented for discussion, either in the Health

Committee or in full session.3. Recognition of ONA as the voice of Ohio nurses and as advocate for the public.

SUGGESTED ACTIVITIES1. Provide a letter of support to “Ohio End of Life Options,” the grass-roots coalition working towards legislation.2. Identify a legislator who has interest in health issues; provide “talking points” for discussion and meet with him/her to

discuss strategy for re-introducing Senator Tavares’ bill.3. Provide continuing education for Ohio nurses specific to the topic of MAID.4. Provide on-going education to members regarding all options at end of life, including treatment withholding, treatment

withdrawal, “Do Not Attempt Resuscitation” orders, and Ohio’s out-of-hospital “DNR Comfort care” protocol.


REFERENCESANA Code of Ethics. American Nurses Association, Washington, D.C., 2015.

Monforte-Royo C, et al. What lies behind the wish to hasten death? A systematic review and meta-ethnography from the perspective of patients. PLoS One 2012; 7 (5): e37117

Oregon Public Health Authority, Public Health Division. Oregon Death With Dignity Act, 2018.

Hamric AB. Assisted suicide/Aid in dying: What is the nurse’s role? Am J Nurs 2018; 118 (5): 50-59.

Public Policy Polling. Ohio voters strongly support giving terminally ill patients the right to control the end of their lives. Raleigh, N.C.: October 19, 2018.

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2019 Ohio Nurses Association Biennial ConventionReference Proposal # 8TITLE: The Depth and Value of NursingSUBMITTED BY: ONA Health Policy Council

RECOMMENDED ACTION(S)1. ONA to compile, promote and effectively disseminate the evidence of the depth and value of Nursing and Nurses’

contributions to the greater community including legislators and health-related governing boards.2. ONA to develop a Legislator Academy for the purpose of informing and educating legislators on the depth and value

of nursing and the integral part nurses have in caring for all Ohioans.3. ONA explore options for a campaign that will effectively get RNs “counted” monetarily as well as being counted on

for patient care.4. ONA develop strategies to support efforts to increase the number of nurses serving on governing boards that impact

the health and welfare of others.

ONA CORE VALUESSocial ResponsibilityONA functions ethically and contributes to the welfare of the community.

• Diversity: ONA recognizes the distinct qualities of the community.• Service: ONA maintains an active role in the community.• Advocacy: ONA pleads the relevant causes of the community.

CollaborationONA works jointly with others.

• Teamwork: ONA works as a unit in close association with others.• Inter-professional/Intra-professional: ONA values the collective intelligence of groups, whether it is within the nursing

profession or outside of the nursing profession.

IntegrityONA practices with integrity in all of its professional relationships.

• Accountability: ONA takes ownership for its judgment and action.• Stewardship: ONA is actively engaged in the direction of the profession.• Honesty: ONA is free of deception.

ProfessionalismONA embodies the conduct, aims, and qualities of the profession.

• Life-long learning: ONA is responsible for advancing the profession through knowledge development, dissemination, and application to practice.

• Reasoned discourse: ONA expresses itself with conversation based in logic.• Diversity: ONA recognizes the distinct qualities of the individual.• Advocacy: ONA operates on the belief that the nurse's primary commitment is to the patient, whether an individual,

family, group, or community.

RATIONALE ONA’s Core Values as well as the Mission and Vision are very clear as to the direction nurses should be moving toward

with regard to our profession and the care that we deliver:

Vision: The Ohio Nurses Association is the recognized leader and advocate for professional nursing in Ohio.Mission: To advance professional nursing in Ohio.

This will be accomplished through: Evolving Evidence-Based Practice, Influencing Legislators, Promoting Education, Improving Economic and General Welfare Advocating for Quality Health Care in a Cost Effective and Economically Stimulating Manner

In keeping with this clear articulation of ONA’s charge and the charge of our profession, we need partners who value our contribution to healthcare. Research supports the value and quality of nursing care as well as essential contributions to the health of Ohioans. The degree of research support has not been replicated for other healthcare providers (see reference#1,2,5). Despite well-documented facts, we believe that the true value of nurses is not recognized. The obvious question is “Why?” The following explanation provides some clarity to this inquiry: “Not everything that can be counted counts, and not everything that counts can be counted.” is a phrase often attributed to Albert Einstein. ANA’s health economist, Dr. Peter McMenamin, introduced himself to the ANA Board of Directors with the following mantra, “In Washington the things that can be counted do become the things that count. Registered nurses are merely counted upon.” As it happens, many of the services provided by RNs and APRNs remain uncounted, diminishing nurses’ visibility. Further,

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where current RN/APRN counts do exist, they are scattered across various websites, collected using a variety of definitions, and tabulated over different time frames.” #4

Nurses may not be “counted” but they are very well thought of. “For the 16th consecutive year, Americans' ratings of the honesty and ethical standards of 22 occupations finds nurses at the top of the list. More than eight in 10 (82%) Americans describe nurses' ethics as "very high" or "high".” #3 Nearly a decade ago, the National Academy of Medicine (formerly known as the Institute of Medicine) identified nurses as being integral to health care decision-making. From this landmark report emerged a coalition of interested parties who sought to increase the number of nurses serving on governing boards to “improve the health of communities and the nation.” #6

Rather than fortifying the real value and worth of nurses in health care, these efforts somehow translate into a “halo” effect. Even though the public trusts nurses and sees them as “angels of mercy,” they are still not willing or maybe they are just not able to recognize them for their true strength, contributions and importance. Further, despite the efforts of organizations such as the National Academy of Medicine, the Robert Wood Johnson Foundation, AARP, and ANA, there remains a disconnect between the perception of nurses being a necessary component in health care and the number of board seats held by nurses. This soft view of nurses causes further confusion as to the profession’s true value. The in depth study entitled, The Economic Value of Professional Nursing publicized by the Lewin Group in 2008 concluded that, “Only a portion of the services that professional nurses provide can be quantified in pecuniary terms, but the partial estimates of economic value presented illustrate the economic value to society of improved quality of care achieved through higher staffing levels.” #2 Despite all of these factors, the nursing profession continues to struggle to be properly recognized for the full weight of nurse value and contributions.

A great example of how this misperception permeates real life situations is the account of how ONA has tried repeatedly to get effective legislation passed by the General Assembly that would ensure safe nurse staffing for Ohio’s patients. Although Ohio law (since 2008) has mandated that hospitals develop staffing plans that take into consideration the multiple factors that should go into staffing decisions, there is no enforcement mechanism associated with that law. Consequently, compliance is inconsistent and not reflective of the intent of the law as ONA envisioned it.

Further, in the 132nd General Assembly, efforts to prohibit mandatory overtime for nurses were not successful, therefore allowing hospitals to continue to coerce nurses into working extended hours even when the nurse knows he/she is unable to do so safely. In considering why lawmakers are so reluctant to effectively address this important issue, one can conclude that they are not sufficiently aware of the value nurses bring to the healthcare system, both monetarily and from a quality care/patient outcome perspective. In other words, Ohio Nurses’ contributions to the state’s healthcare systems are being counted on but not counted where it matters to those influencing law makers’ decisions – the monetary bottom line. The reason, in part, is because nurses’ contributions are hidden in the hospital room and board costs rather than seen as the revenue generator. Hospital charge masters rarely, if at all, list nursing rendering it invisible from a financial perspective. This heavily contributes to keeping the monetary value of nurses a well-kept secret. While it may be distressing to the core values many nurses hold, one can readily conclude that the U.S. Health care system is founded on a business model where revenues are the over-riding factor in most policy decisions. As long as nurses are not seen as something that counts monetarily, efforts to change how staffing or any other decisions are made will fall short of the intended goal. If ONA is to be successful in achieving safe nurse staffing, it must change the focus of its message to lawmakers. Doing so means that the groundwork needs to be laid so that the message is consistent with what drives policy decisions.

The value nurses bring to the health care system must be made clear and framed in terms that resonate with those who will be making these decisions in the future. The value of nursing and nurses’ contributions must be promoted and the ONA is well-positioned to increase the visibility of nurses in Ohio and ensure an increased presence of nurses in health care decision-making through board governance.

EXPECTED OUTCOMES1. Professional nurses will take their equitable place in the power structure that exists in the healthcare system, the

policy making arena and in the community at large. This will be evidenced by nursing presence on governance boards among healthcare provider organizations, health insurers, business and industry within and outside of healthcare, community foundations, and local and state government. Nursing leadership will be expanded within management teams of healthcare provider organizations and wherever they can contribute value.

2. Legislators, healthcare stakeholders including the overall community at large will more fully recognize nurse contributions and cooperate with professional nurses instead of opposing efforts towards patient safety, health promotion and other areas where nursing expertise is valued.

3. The value of nursing will be well-understood within and outside of the profession, respected, and appropriately compensated.

4. RNs will take their equitable place on health care boards.

SUGGESTED ACTIVITIES1. ONA will establish a work group to promote understanding, communicating, and compensating nursing value.2. ONA will establish a sub-group to pursue research to better understand nursing value by collaborating with Ohio

academic institutions, hospitals, and healthcare organizations. Dimensions of nurse value to be investigated include


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productivity, cost, efficiency, patient acuity, effectiveness, quality, safety, assignments, staffing, and patient outcomes at the individual nurse-patient level.

3. ONA will establish a sub-group to work with the Ohio Hospital Association and its member hospitals to reconfigure its accounting and billing of nursing services and ultimately billing practices.

4. An ONA developed sub-group will investigate unbundling and billing of inpatient nursing services as a requirement of the Ohio Department of Medicaid and the Ohio Medicaid Plan.

5. ONA to examine the charge masters for a representative sampling of hospitals—rural, urban, public, private, small, large, teaching, etc. to determine if changing the fee schedule will positively impact nursing services.

6. A work group will be established by ONA to investigate and pursue media opportunities for demonstrating nursing value. Members of the work group will seek additional media training from a diversity of sources prior to these efforts. This work group will collaborate to develop and distribute among ONA districts a media tool kit and ONA member media training with CNE credit. ONA will guide, review, and approve members’ media efforts in advance while promoting a massive statewide effort of members sharing the value of nursing. This shall not preclude members from independently working with the media without representing ONA or its affiliates, in which case ONA may consult with members.

7. ONA compile resources for nurses interested in serving on governing boards.8. ONA will collaborate with the Nurses on Boards Coalition, the Ohio Action Coalition, local and state government,

healthcare organizations, business, industry, and foundations to increase the number of nurses serving on governing boards.


REFERENCESAiken, Linda PhD, RN; Clarke, Sean PhD, RN; Hospital Nurse Staffing and Patient Mortality, Nurse Burnout, and Job

Dissatisfaction. JAMA. 2002;288(16):1987-1993. doi:10.1001/jama.288.16.1987

Dall, Timothy M. MS*; Chen, Yaozhu J. MPA*; Seifert, Rita Furst PhD*; Maddox, Peggy J. PhD†; Hogan, Paul F.The Economic Value of Professional Nursing. Medical Care: January 2009 - Volume 47 - Issue 1 - p 97-104.

https://news.gallup.com/poll/224639/nurses-keep-healthy-lead-honest-ethical-profession.aspx (December 2018)

McMenamin, P. ANA’s Nurses by the NumbersTM, June 2016 Edition: Bureau of Labor Statistics Focus on Employment and Compensation of Registered Nurses (RNs) and Advanced Practice Registered Nurses (APRNs).

Phillips, R. (2003). Health Care Policy: The Nurse's Crucial Role. Viewpoint, 25(3), 3-4.

Nurses on Boards Coalition (2019). About. Retrieved from: https://www.nursesonboardscoalition.org/about/

2019 Ohio Nurses Association Biennial ConventionReference Proposal # 9TITLE: ONA Role in Advocating for Employer Mandated Rest and Meal BreaksSUBMITTED BY: Southwestern Ohio Nurses AssociationMelissa Taylor DNP, MPH, RNC-OB, CEN, CPEN

RECOMMENDED ACTION(S)1. Present evidence-based data from the scientific literature associating lack of employer mandated rest and meal breaks

as factors negatively impacting public health and safety.2. Support innovative, sustainable means to support employer mandated rest and meal breaks in healthcare settings. 3. Support legislation that requires employer mandated rest and meal breaks in all health care settings.4. Promote education to empower health care employers to design cost-effective, employee-focused, rest and meal break

standards. 5. Advocate for research related to the effect of lack of meal and rest breaks on Nurses, including generational effects.6. Collaborate with other professional health care and Nursing organizations, colleges/universities to increase education

on the critical physiologic importance of workplace rest and meal breaks. 7. Formally propose that the ONA Board of Directors create an association Position Statement on employer mandated

rest and meal breaks in Ohio.

ONA CORE VALUESVISION:

ONA is the recognized leader and advocate for professional nursing and nurses in Ohio. MISSION:

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To advance registered nurses, promote professional nursing practice, & advocate for quality health care.This can be accomplished by:

• Evolving evidence-based practice.• Educating and influencing legislators.• Promoting interdisciplinary and intradisciplinary education.• Addressing incivility among nursing professionals and promoting cohesiveness.• Improving economic and general welfare.• Advocating for quality health care in a cost effective and economically stimulating manner.

Core Values:

Collaboration: ONA will work in collaboration with both interdisciplinary and intradisciplinary stakeholders with a vested interest in understanding, and addressing, lack of employer mandated rest and meal breaks as a professional and public health concern.

Integrity: ONA practices with integrity and demonstrates faithful stewardship by actively engaging in the direction of the profession to increase the well-being of professionals and promote safer patient care.

Professionalism: ONA will honestly communicate and educate on the critical physiologic need for employer mandated rest and meal breaks to facilitate nurses, and other employees, functioning at their fullest capacity in the workplace, and other aspects of their lives.

RATIONALENurses’ shift length, workload and patient acuity have increased throughout the past three decades, but no evidence

suggests a concurrent increase in rest breaks or meal periods (Witkoski, Dickson, 2010). Studies have shown correlations between Nurses working extended shifts of 12 hours or more, and increased incidences of fatigue, emotional disturbance, occupational injury and errors in patient care leading to poorer outcomes (Rogers, et al, 2004; Trinkoff, et al 2006; Witkoski, Dickson 2010; White, 2019). In one study, Nurses reported having a break only 42% of the time during an entire month of regular work schedules (Rogers, Hwang, Scott, 2004). This study by Rogers, Hwang, and Scott (2004) examined work breaks and errors in a sample of hospital staff nurses. They found a 10% decrease in the odds of making an error when nurses had an additional 10 minutes for their meal and break periods.

Workplace “cultural environments,” also influence Nurses’ ability to engage in substantial work and meal breaks, such as understaffing, high patient load and acuity, reluctance to burden colleagues, lack of solid administrative support for breaks, tendency to prioritize patient care over self-care, and the repercussions of working longer hours to complete work. Additional influences include the presence of unhealthy food options, and regulations restricting nurses’ ability to eat and drink in the workplace (Monaghan, et al. 2018). Innovative, multi-level interventions are necessary to ensure nurses take appropriate rest breaks and maintain satisfactory nutritional habits.

Provision 5 of ANA Code of Ethics for Nurses with Interpretive Statements asserts that it is the Nurses’ duty to care for her/his own self and safety, to enhance professional safety by securing the proper balance of exercise, nutrition and rest. It is the responsibility of nursing leadership to foster this balance within their organizations (ANA, ND). Proper meal and rest breaks facilitate the following employee and patient care benefits:

• Employees who take regular breaks perform better than those who don’t (White, 2019)• Many other industries enforce regular shift breaks to increase employee and consumer safety, e.g. National Travel

Safety Administration air traffic controllers. (Witkoski, Dickson, 2010)• Lack of meal breaks = increased fatigue and psychological distress = Increased risk of injury to patients AND

Nurses. Also leads to burn-out and nursing shortages (Hurtado, et al, 2015)• Restorative breaks at work give the brain much needed rest which is critical to productivity (White, 2019).• True “meal periods” = 30 minutes or more, unpaid as work time. Worker must be completely free of his or her work

duties (Fitzgerald, 2016). There are 22 states in the U.S. that have laws with some form of provision for required work breaks. In 2018, the state

of Washington recently passed HB 1715 guaranteeing employee rest breaks and limiting mandatory overtime for Nurses (WSNA, 2019). The state of Ohio currently has no employer mandated rest and meal breaks (Fitzgerald, 2016). Under federal rules only, employers do not need to give most employees lunch or other types of breaks at all. Lunch and meal breaks are largely a function of state law. (US Legal, 2016). Nurses and other healthcare professionals should take the lead to move legislation and initiatives forward that bring employer mandated rest and meal breaks to Ohio.

The Ohio Nurses Association (ONA) understands and has advanced initiatives to promote the safety and well-being of

health professionals and consumers in Ohio. The Association advocates as the voice and recognized leader of approximately 210,000 registered nurses in Ohio. With a vision of being the recognized leader and advocate for professional nursing and

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nurses in Ohio, the ONA has been promoting and protecting professional nurses, and their patients, for more than one-hundred years. ONA and registered nurses should have a voice at the table when discussing this urgent public health issue.

EXPECTED OUTCOMES1. ONA will be viewed as a leader in advocating for employer mandated rest and meal breaks in the State of Ohio,

highlighting its significance as a professional and public health concern. 2. Nurses from various specialties and professional roles will be an integral part of designing effective strategies to

increase awareness. They can propose and implement innovative, sustainable means to support employer mandated rest and meal breaks.

3. ONA will raise awareness through the dissemination of information, data, and research that takes a bipartisan lens on furthering professional and patient safety. The information provided will support shared responsibility in promoting public health and safety.

SUGGESTED ACTIVITIES1. Develop and/or provide educational materials for registered nurses on the physiologic, professional and patient safety

needs for employer mandated rest and meal breaks from a public health perspective.2. Promote and support initiatives for nutritious meal options for health care professionals. 3. Work with the American Nurses Association, American Association of Occupational Health Nurses, interested

individual Nurses, Nutritionists, Health Coaches and Health Professionals, and other statewide and national healthcare associations to encourage a collaborative effort among all healthcare professionals, advocating for employer mandated rest and meal breaks.

4. Support a resolution on employer mandated rest and meal breaks to be considered at the ONA Convention in October 2019

5. Develop resolution(s) to be considered at the American Nurses Association annual Membership Assembly and Convention.


REFERENCESAmerican Nurses Association (ND). ANA Code of Ethics for Nurses with Interpretive Statements. Retrieved from https://

www.nursingworld.org/coe-view-only

Fitzgerald, S. (2016, April 6). Ohio Lunch and Break Law Requirements. Retrieved from: https://www.laborlawcenter.com/education-center/ohio-lunch-and-break-law/

Hurtado, D., Nelson, C., Hashimoto, D., Sorensen, G. (2015). Supervisors’ Support for Nurses’ Meal Breaks and Mental Health. Workplace Health and Safety, 63 (3), 107-115.

Monaghan, T., Dinour, L., Liou, D., Shefchik, M. (2018). Factors Influencing the Eating Practices of Hospital Nurses During Their Shifts. Workplace Health & Safety, 66(7), 331-342. DOI: 10.1177/2165079917737557

Rogers, A., Hwang, W., & Scott, L. (2004). The Effects of Work Breaks on Staff Nurse Performance. JONA, 34(11), 512-519.

Rogers A., Hwang W., Scott L., Aiken L., Dinges D. (2004). The Working Hours of Hospital Staff Nurses and Patient Safety. Health Aff (Millwood), 23(4):202-12.

Trinkoff, A., Geiger-Brown, J., Brady, B., Lipscomb, J., Muntaner, C. (2006). How Long and How Much Are Nurses Now Working? Too long, too much, and without enough rest between shifts, a study finds. AJN, 106(4), 60-71.

US Legal.com, (2016). Federal Law Regarding Lunch Breaks. Retrieved from: https://lunchbreaklaws.uslegal.com/federal-law-regarding-lunch-breaks/

Washington State Nurses Association (2019). Legislative Affairs: Guarantee Rest Breaks and Limit Mandatory Overtime. Retrieved from https://www.wsna.org/legislative-affairs/2017-2019-legislative-biennium/2018/legislative-priorities-for-2018/guarantee-rest-breaks-and-limit-mandatory-overtime

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Witkoski, A., Dickson, V. (2010). Hospital Staff Nurses’ Work Hours, Meal Periods, and Rest Breaks a Review from an Occupational Health Nurse Perspective. American Association of Occupational Health Nurses Journal, 58 (11), 489-497. https://journals.sagepub.com/doi/pdf/10.1177/216507991005801106

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Name/Local Unit/District proposing change: The E&GW Commission

Rationale: This document contains many proposed amendments to ONA Bylaws, which, at first glance, may seem overwhelming. The E&GW Commission would like to take this opportunity to explain the reasoning behind the changes. We have spent many hours discussing the direction of ONA, the make-up of membership, and the composition of the Board of Directors. The current membership at ONA is weighted toward collective bargaining members, representing the majority of ONA’s bedside members. If ONA is to experience growth beyond collective bargaining, then ONA must take a strong stance on issues that matter to bedside nurses. ONA has a voice that must be exercised. Power is only good to have if used. The House of Delegates sets the Mission of ONA. The Board of Directors and E&GW Commission set the Strategic Plan for the CEO. For all elected officials to have a vote on decisions, the Commission is proposing changes to the make-up of the Board and Commission. There is currently a divide between collective bargaining and non-collective bargaining members, which is a detriment to our important work as an organization. The proposed changes will strengthen communication between all facets of our membership, ensuring we continue moving as One ONA, not a house divided. Insulation will remain between the E&GW Commission and Board but move away from the isolation that currently exists. Thank you for your thoughtful consideration of the proposed bylaws changes and we look forward to seeing everyone at Convention.

Board Changes

New Article 3 – Commission on Economic & General Welfare (current Art. 15)Section 1 – A.

The ONA Commission on Economic and General Welfare (hereinafter Commission) shall consist of eight(8) members of ONA who are represented for collective bargaining by ONA. Five (5) Six (6) Commission members shall be members of the Board and members of any ONA local unit and will be structured director positions. Two (2) members of the Commission who are not also members of the Board shall be elected at each the House of Delegates for a term of two (2) years.

Proviso: The current four-year unstructured commissioner will be moved to the structured four-year seat for the remainder of their term.

Rationale – Increased number of structured positions on the Board of Directors.

BYLAWS PROPOSALSProposals from the E&GW Commission

New Article 3 – Commission on Economic & General Welfare (current Art. 15)Section 2 – Officers

The Commission shall elect from among its members a chair, and a vice co-chair and a secretary who shall serve for two (2) years or until successors are elected, and the chair and co-chair shall be structured.

Rationale – Current practice.

New Article 9 – Board of Directors (current Art. 8)Section 1 – Definition of BOD

There shall be a Board of Directors of the Ohio Nurses Association (Board), which shall consist of fifteen(15) members: the officers of the association and ten (10) directors. At least five (5) six (6) of the directors shall meet the criteria to serve on the Commission on Economic and General Welfare.

Rationale – Follow the changes made to E&GW Commission New Article 3.

New Article 9 – Board of Directors (current Art. 8)Section 2 Eligibility – A. 4 and New 5.New Art. 9, Section 2 – A.4 - Conforming Amendment to New Article 11, Section 2B.

4. Meet the requirements set forth in these bylaws with respect to term or length of service limitations.

5. Hold a current nursing license.

Rationale – Licensure ensures BOD members and officers are current on issues relating to nursing practice

New Article 9 – Board of Directors (current Art. 8)Section 5 – Term – B.

No member of the Board shall be eligible to serve more than eight (8) consecutive years as a director or an officer.

Rationale – Democratic process.

New Article 10 - Duties of the Board of Directors (current Art. 9)Section 3 – Finance Committee

There shall be a finance committee composed of the treasurer as chair, the president, and a combination of Board members, Commissioners and non-Board members who have experience in financial management appointed by the president. The committee shall:

Rationale – Ensures Commissioners are included on the Finance Committee.


New Article 11 - Officers & Duties of Officers (current Art. 10)Section 1 - Definition of Officers

The officers of ONA shall be the president, first vice president, second vice president, secretary, and treasurer and the E&GW Commission Chair.

Rationale – To provide the leadership of the Commission a voice and vote on the executive BOD.

New Article 11 - Officers & Duties of Officers (current Art. 10)Section 2 Term - B.Has a Conforming Amendment - New Art. 9, Section 2 – A.4

B. No officer shall serve more than two (2) consecutive terms in the same office or more than eight (8) consecutive years on the Board. Service for a portion of the term greater than one half (1/2) of the years designated for that position shall be considered a full term for purposes of calculating the total number of years served.

Rationale – Reflect changes in term limits.

New Article 11 - Officers & Duties of Officers (current Art. 10)Section 4 – Duties of President – B.

The president shall be an ex officio member of all committees except the Nominating Committee and shall serve as the ONA representative at meetings of the Leadership Council of ANA and as a representative to the Membership Assembly of ANA, if concurrently elected to do so.

Rationale – Ensure President is automatically an ANA representative as part of duties.

Membership ChangesNew Article 4 – Membership (current Art. 3)Section 1 – A. General Information.

In order to qualify for membership in ONA an individual must have been granted a license to practice as a registered nurse in at least one state, territory, or District of Columbia of the United States and must not have a license under suspension or revocation in any state except when the suspension is stayed contingent upon compliance with board of nursing or other regulatory entity requirements; or the individual is otherwise entitled by law to practice nursing. Retired nurses may join ONA as be a member without the requirement of an active registered nursing license.

Rationale – Language clean-up.

New Article 4 – Membership (current Art. 3)Section 2 - Definitions

A member is an individual who meets the qualifications set forth in Section 1 of this Article. The term “good standing” refers to a member who is not delinquent in the payment of any assessments, fees and dues as prescribed in ONA Bylaws Article VII-Assessments & Dues or which is not under ONA

suspension, and which is otherwise in compliance with all requirements of these bylaws pertaining to such bodies.

Rationale – For membership benefits

New Article 4 – Membership (current Art. 3)Section 5 – Obligations - B. – New 3.

Refrain from interfering with ONA organizing efforts or support organizing efforts of one or more directly competing labor organizations.

Rationale – For the betterment of ONA.

New Article 5 – Disciplinary Action & Rights of Members Facing Discipline (current Art. 4)Section 1 Disciplinary Action – C – 3.

Depending on the severity of the disciplinary violation, as determined by a two-thirds (2/3) vote of the ONA Board of Directors, a member may be:

1. Reprimanded;2. Censured;3. Fined4. 3. Suspended from membership; or5. 4. Permanently expelled from membership.


New Article 7 – Assessments & Dues (current Art. 6)Section 3 – Payment Calculation – C.

C. Special payment rates for the following dues categories apply as follows:

1. All first time new members receive a 50% discount off their first year of membership.

2. 1. All retired nurses may receive a 75% discount.3. 2. In addition to the special payment rates set forth in

this paragraph, the Board may establish membership pilot programs that would allow payments to be adjusted to encourage membership for non-collective bargaining members.

Rationale – Increased complexity unnecessarily. Did not increase membership numbers. Loss of approximately $300,000 in dues revenue over the course of a year.

New Article 8 – House of Delegates (current Art. 7)Section 3 Functions – New E.

Only collective bargaining members can vote on Article III-Commission on Economic & General Welfare bylaws amendments solely impacting the Economic & General Welfare program.

Proviso – Effective January 1, 2020.

Rationale – Mechanism ONA needs to implement to safeguard insulation.


Language ChangesProviso for beginning of Bylaws doc for HOD

“When referenced, the words “American Federation of Teachers (AFT)” and “American Nurses Association (ANA)” will be replaced with “nationally affiliated organizations” to reflect governing documents of said affiliates. The word “AFT” or “ANA” will not change where the provision applies only to AFT or ANA.”

Article 1 – Name, Purposes & FunctionsSection 3 – H.

Provide for representation at all nationally affiliated organizations. in the ANA Membership Assembly;

Rationale – Clean up language, inclusive for all national affiliates

Article 1 – Name, Purposes & FunctionsSection 3 – L.

Comply with all applicable provisions of ANA bylaws and policies, bylaws, constitutions and policies of national affiliated organizations.

Rationale – clean up language, inclusive for all national affiliates and all governance documentation

New Article 3 – Commission on Economic & General Welfare (current Art. 15)

Renumber Article 15 to Article 3, and renumber articles throughout the rest of the document.

Rationale – Move article closer to Article 2 (Districts) for governance structure.

New Article 3 – Commission on Economic & General Welfare (current Art. 15)Section 4 – Local Units – New F

Submit local unit bylaws proposals for consideration to Commission to ensure conformity with ONA bylaws.


New Article 3 – Commission on Economic & General Welfare (current Art. 15)Section 4 – Local Units – New G

In the event a local unit disbands, the balance in the treasury shall be forwarded to the Professional Security Fund absent any other provision in the local unit’s bylaws.

Rationale – Default mechanism for placement of funds.

New Article 7 – Assessments & Dues (current Art. 6)Section 2 Payment of Assessments, Fees & Dues – New E.

ONA has an obligation to pay per capita to AFT in accordance with per capita policies adopted by the delegates to the AFT Convention.

Rationale – To be congruent with ONA bylaws.

New Article 7 – Assessments & Dues (current Art. 6)Section 3 – Payment Calculation – New 1.

For individuals who are members of an ONA collective bargaining unit (including fair share payers):

Section 3 – Payment Calculation – New 1a.a. The salary basis shall be sixty-two thousand dollars

($62,000.00) in 2008.

Section 3 – Payment Calculation – New 1b.b. For any registered nurse who is represented for purposes

of collective bargaining by ONA and who has 988 or fewer hours paid in the preceding calendar year, subject to verification, may qualify for the twenty-five (25) percent rate.

Rationale – Reduced rate for collective bargaining members on part-time status and medical leave.

New Article 8 – House of Delegates (current Art. 7)Section 4 – Election of Delegates -New D

Include current ONA Board of Directors and Economic and General Welfare Commission as delegates in respective districts without counting against their apportionment.

Rationale – Ensure Commission and Board members are included as delegates at convention.

New Article 15 - Councils (current Art. 14)Section 6—Health Policy Council (HPC) – A and C-7.

A. HPC is accountable to the Board for overall policies and procedures but has autonomy over and make specific endorsement recommendations to the Board and Economic and General Welfare Commission regarding decisions and disbursement of political contributing entity (PCE) monies and potential endorsement of candidates.

C – Functions – HPC shall:

7. Implement the candidate endorsement process in election years. As part of the candidate endorsement process the HPC shall implement a process to determine a candidate’s position with respect to ONA’s mission and vision prior to making a final decision recommendation to the Board on any endorsement; and

Rationale – Increase the role of Commissioners and BOD on HPC.


Article 18 – Representation to the American Nurses AssociationSection 3 Disaffiliation – B.

ONA shall continue to maintain membership in ANA pursuant to ANA Bylaws and Membership Assembly policy until such time as two-thirds (2/3) vote of the House of Delegates of the entire ONA membership votes to disaffiliate from ANA.

Rationale – Move business to the House of Delegates.

Name/Local Unit/District proposing change: District Three, ONA

Rationale:Due to significant changes in methods of communication and societal mores as well as growing financial strain on small business entities, the District division of the Ohio Nurses Association (ONA) no longer appears to be the most beneficial configuration to all parties concerned. In an interest to better serve the Ohio Nurses Association and its registered nurse members in a nondiscriminatory, more efficient, more effective and less costly fashion, a proposal to structure ONA into relatively equal regions rather than irregularly sized (demographically and geographically) districts is judicious. We believe that the ONA Membership should have available to it all possible choices for a new structure. We are putting forth this Bylaws revision yet again (proposed in 2015 and again in 2017) because despite over four years having passed since this discussion began, no structural changes are pending or have occurred. We encourage a wide discussion and revision by all interested parties so that ONA will ultimately be structured in a fashion that will best serve all of its members (present and future).

ARTICLE II – DISTRICTS RegionsSection 1—Definitions

A. ONA shall be made up of districts regions. One category shall be district regional associations and the other category shall be an at-large district regional designation. Collectively these categories are ONA districts regions.

B. A district regional association shall be a combination of demographic and geographic areas that has have been approved by the ONA Board, hereinafter referred to as Board, in accordance with Board policy. A regional association shall be as equal in demographics as other regions and as contiguous in geographic area as possible. A district regional association shall comply with Section three (3) of this article and shall ensure that its bylaws are consistent with the bylaws of ONA and ANA.

C. An at-large district region shall meet the criteria adopted and published by the Board and shall comply both with the operating rules or guidelines established by the Board and with Section three (3) of this article. Operating guidelines shall be consistent with the bylaws of ONA and ANA.

D. ONA may enter into an agreement with another state nurses association in order to provide representation to nurses working in the other state. Such action shall require a two-thirds vote of the Board. Upon entering into such an

Change from Districts to Regions

agreement, the Board shall define either the whole of the other state or parts of it with clearly defined boundaries as a district regional association of ONA. Nurses who are members of such district regional associations shall have rights of membership in ONA as defined in the agreement between ONA and the other constituent member association (CMA). A twothirds vote of the Board shall be necessary to change the boundaries/demographics of any district regional association located in another state. Such district regional associations shall remain in existence as district regional associations of ONA only for the term of the agreement between ONA and the other CMA. If such a district regional association terminates before the close of a membership year, member dues or fees shall not be refunded for the remainder of the membership year.

Section 2—Rights of Districts Regions

It shall be the right of districts regions to:

A. Have representation in the ONA House of Delegates;B. Submit proposals for consideration by ONA;C. Submit the names of nominees for ONA elective and

appointive positions; andD. Exercise other rights as provided by common parliamentary

or statutory law.

Section 3—Duties of Districts Regions

A. All districts Regions shall:1. Report to the Board biennially in accordance with Board

policy.2. Provide for representation in the ONA House of Delegates.3. Comply with all provisions of ANA and ONA bylaws.

B. In addition to the requirements set forth in paragraph A of this Section, a district regional association shall:

1. Require that all of its members meet the qualifications specified in Article III of the bylaws.

2. Make provision for transfer of membership in accordance with Article III of the bylaws.

3. Send to the Chief Executive Officer (CEO) of ONA the names and addresses of members of its board of directors immediately after their election or appointment.

4. Submit all amendments to district Regional association bylaws to the ONA bylaws committee in accordance with Board policy.

5. Ensure that the most recent version of its bylaws is on file with ONA; and

6. Meet all requirements necessary to maintain legal status as set forth in relevant state and federal laws and regulations.

C. ONA shall carry out relevant duties set forth in paragraph B of this Section for the at-large district region

Section 4—Disqualification of a District Regional Association

A. A district regional association that fails to comply with the requirements of ANA and ONA bylaws, or for other cause deemed sufficient, may be disqualified as a district regional association of ONA by a twothirds vote of the Board. ONA shall provide written notice of a proposed disqualification to the last known district regional association officers at least three (3) months before the vote is taken. A hearing shall be


conducted in accordance with Board policy before a vote is taken.

B. A disqualified district regional association may be reinstated by a two-thirds (2/3) vote of the Board.

NOTATION

• Revise All Articles & Sections of the ONA Bylaws regarding Regions previously referred to as Districts and add or delete language accordingly to make it comply. For example: Article III, Section 1, B. Would be modified to read as follows:

Individuals who meet the definition set forth in this Section are eligible for membership in the district regional association where they live, work, or are enrolled in an Ohio nursing education program. If a district regional association is not in existence, the individual shall participate in the at-large district region.

And so on throughout the ONA Bylaws.

• Also, the regions/regional associations would be subject to Board policy as are the districts/district associations in present language.

• Any fees necessary for the operation of the Regions should be borne by ONA. This information should be shared with the 2019 ONA HOD before the vote on this proposal is taken.

• A proviso shall be included in this proposal to the bylaws declaring an effective date to be determined by the ONA Board (with Staff influence) for this action and must be voted on by the ONA HOD along with the proposal itself.

Name/Local Unit/District proposing change: Joylynn Daniels

Rationale: I deliberately waited until the document from the task force, which I was a part of, was submitted. The draft bylaws I have worked on are not my original document as I wanted to add the thoughts and information discussed from the members of the task force. This document was not given to the task force as I did not want to interfere with the work of the group, however, much of the content does come from some of the discussions we had. It is not a document from our task force although I did share information they requested regarding my research. These draft bylaws, with revisions/amendment changes, are a result of significant research done by me prior to the formation of our task force. The research included contacting other states that have eliminated districts and implemented a different structure, i.e. centralized or regional operations, that have been successful. The states I talked with were Pennsylvania, North Carolina (who is currently making some additional minor changes), and Florida (information taken from their web site). I have also had conversations with a number of ONA members about the lack of member participation at the district level and the concept of regional areas. The following are some of the issues considered for developing these draft bylaws:1. Reduce dues where we could (i.e. regional areas would not

be set up like a district requiring bylaws, officers, board etc. and have no additional dues)

2. Regional Areas to be established and operated by the ONA BOD who would be responsible for developing guidelines and rules) This is not much different than the operational set up by ONA to service the district-at-large.

3. Regional Area members would be direct members to ONA.4. Benefits to remain the same for all members – regional and

district.5. Allow districts to remain a district if they so choose.6. A significant change in communication to members that

is timely and more detailed using all types of virtual apps (most are currently in place)

7. Staff going to members with CE’s and other activities (free) that address practice, legislative, health issues etc. with the intent of increasing member participation and membership. (Some of this has already been done).

8. Increase member involvement in committees, councils, task forces, meetings etc. by using zoom for face to face participation from home when they are not always able to come to ONA.

I presented the draft amendments/revisions within the current ONA bylaws as it would be difficult to follow such a significant change if they were submitted individually. Please know that I realize it is up to the Bylaws Committee to develop a draft of bylaw changes that they believe are best for the organization so understand, while these are my recommendations, they may not be the direction that the Committee and BOD want to go. Since I had not heard that the Board or anyone else was looking at a change in structure, I thought it was important for the long term survival of the organization that some one should do it. That is what prompted me to do the work that I did.

District & Regional Areas


Proposed Bylaw Amendments/RevisionsSubmitted by Joylynn Daniels

Table of ContentsArticle I Name, Purposes & Functions

Section 1 NameSection 2 PurposesSection 3 Functions

Article II District & Regional AreasSection 1 DefinitionsSection 2 RightsSection 3 DutiesSection 4 Disqualification of a District Association

Article III MembershipSection 1 General InformationSection 2 DefinitionsSection 3 Establishment of MembershipSection 4 RightsSection 5 ObligationsSection 6 Transfer of Membership

Article IV Disciplinary Action & Rights of Members Facing Discipline

Section 1 Disciplinary ActionSection 2 Disciplinary Action by a DistrictSection 3 Appeal of Disciplinary Action

Article V Organizational Affiliates of ONASection 1 QualificationsSection 2 ResponsibilitiesSection 3 Rights

Article VI Assessments & DuesSection 1 DefinitionsSection 2 Payment of Assessments, Fees & DuesSection 3 Payment CalculationSection 4 Change of Assessments, Dues & Dues Category

Article VII House of DelegatesSection 1 Meetings of the House of DelegatesSection 2 Voting BodiesSection 3 FunctionsSection 4 Election of ONA DelegatesSection 5 Basis for Computing Number of DelegatesSection 6 Seating of Delegates

Article VIII Board of DirectorsSection 1 Definition of Board of DirectorsSection 2 EligibilitySection 3 AuthoritySection 4 AccountabilitySection 5 TermSection 6 MeetingsSection 7 AttendanceSection 8 Referendum

Article IX Duties of the Board of DirectorsSection 1 DutiesSection 2 Executive CommitteeSection 3 Finance Committee

Article X Officers & Duties of OfficersSection 1 Definition of OfficersSection 2 TermSection 3 General Duties of OfficersSection 4 Duties of PresidentSection 5 Duties of Vice PresidentsSection 6 Duties of SecretarySection 7 Duties of Treasurer

Article XI NominationsSection 1 Source of NominationsSection 2 Eligibility of Nominees

Article XII ElectionsSection 1 General InformationSection 2 Election ProcessSection 3 Voting EligibilitySection 4 Election ResultsSection 5 Process for Challenging ElectionsSection 6 Post Election Records

Article XIII Committees of the House of DelegatesSection 1 CommitteesSection 2 CompositionSection 3 TermSection 4 AbsenceSection 5 Bylaws CommitteeSection 6 Nominating CommitteeSection 7 Reference Committee

Article XIV CouncilsSection 1 DefinitionSection 2 TermSection 3 CompositionSection 4 Continuing Education Approver CouncilSection 5 Council on PracticeSection 6 Health Policy Council

Article XV Commission on Economic & General WelfareSection 1 CompositionSection 2 OfficersSection 3 FunctionsSection 4 Local UnitsSection 5 TrusteeshipSection 6 Local Unit Forum

Article XVI Special Interest CaucusSection 1 DefinitionSection 2 Criteria & ResponsibilitiesSection 3 Officers

Article XVII Leadership AssemblySection 1 PurposeSection 2 CompositionSection 3 Meetings

Article XVIII Representation to the American Nurses AssociationSection 1 Delegates to ANASection 2 ANA Constituent AssemblySection 3 Disaffiliation

Article XIX QuorumSection 1 House of Delegates or Special MeetingsSection 2 Board of DirectorsSection 3 Committees & CouncilsSection 4 Commission

Article XX Parliamentary AuthorityArticle XXI Official PublicationsArticle XXII Amendments

Section 1 With NoticeSection 2 Without Notice

ARTICLE I— NAME, PURPOSES & FUNCTIONSSection 1—Name

The name of this association shall be the Ohio Nurses Association, hereinafter referred to as ONA.


Section 2—Purposes

The purposes of this association shall be unrestricted by considerations of nationality, race, religion, creed, lifestyle, color, gender, disability, sexual orientation, health status or age. The purpose shall be as stated in the Articles of Incorporation and, further, to:

A. Work for the improvement of health standards and the availability of health care services for all people;

B. Foster high standards of nursing;C. Stimulate and promote the professional development of

nurses; andD. Advance the economic and general welfare of nurses.

Section 3—Functions

The functions of ONA shall be to:

A. Promote through appropriate means standards of nursing practice, nursing education, nursing services and nursing research, as defined by the American Nurses Association, hereinafter referred to as ANA;

B. Promote adherence to the Code of Ethics For Nurses established by ANA;

C. Initiate and influence legislation, governmental programs and state health policy;

D. Promote and protect the economic and general welfare of nurses;

E. Provide for the continuing professional development of nurses;

F. Represent nurses and serve as their state spokesperson with allied health groups, community and governmental groups, and with the public;

G. Promote the recruitment and retention of members;H. Provide for representation in the ANA Membership

Assembly;I. Promote relationships with the Ohio Nursing Students’

Association;J. Recruit students for nursing;K. Provide information regarding employment opportunities to

nurses and potential employers; andL. Comply with all provisions of ANA bylaws and policies.

ARTICLE II – DISTRICTS AND REGIONAL AREASSection 1—Definitions

A. ONA shall be made up of districts and regional areas. One category shall be district associations and the other category shall be regional areas. Collectively these categories will constitute the membership of ONA.

B. A district association shall be a geographic area that has been approved by the ONA Board, hereinafter referred to as Board, in accordance with Board policy. Regional areas shall be established by the Board in as equal in demographics and geographically contiguous as possible. Districts shall ensure that its bylaws are consistent with the bylaws of ONA and ANA.

Regional Areas shall meet the criteria adopted and published by the Board and shall comply both with the operating rules or guidelines established by the Board and with Section three (3) of this article. Operating guidelines shall be consistent with the bylaws of ONA and ANA.

New C. ONA may enter into an agreement with another state nurses association in order to provide representation to nurses working in the other state. Such action shall require a two-thirds vote of the Board. Upon entering into such an agreement, the Board shall define either the whole of the other state or parts of it with clearly defined boundaries as a member association of ONA. Nurses who are members of such an association shall have rights of membership in ONA as defined in the agreement between ONA and the other state nurses association. A two-thirds vote of the Board shall be necessary to change the boundaries of the other state member association. Such member association shall remain in existence only for the term of the agreement between ONA and the other state nurses association. If such member association terminates before the close of a membership year, member dues or fees shall not be refunded for the remainder of the membership year.

Section 2—Rights of Districts and Regional Area Members

It shall be the right of districts and Regional Areas to:

A. Have representation in the ONA House of Delegates;B. Submit proposals for consideration by ONA;C. Submit the names of nominees for ONA elective and


or statutory law.

Section 3—Duties of Districts and Regional Areas

A. All districts and regional areas shall:1. Require that all of its members meet the qualifications

specified in Article III of the bylaws.2. Make provision for transfer of membership in accordance

with Article III of the bylaws.3. Send to the Chief Executive Officer (CEO) of ONA the

names and addresses of members of its board of directors immediately after their election or appointment.

B. All districts shall:1. Report to the Board biennially in accordance with Board

policy.2. Provide for representation in the ONA House of

Delegates.3. Comply with all provisions of ANA and ONA bylaws.4. Submit all amendments to district association bylaws to the

ONA bylaws committee in accordance with Board policy.5. Ensure that the most recent version of its bylaws is on file

with ONA; and6. Meet all requirements necessary to maintain legal

status as set forth in relevant state and federal laws and regulations.

C. ONA shall carry out relevant duties for regional areas as set forth in the operating rules and guidelines established by the Board.

Section 4—Disqualification of a District

A. A district association that fails to comply with the requirements of ANA and ONA bylaws, or for other cause deemed sufficient, may be disqualified as a district association of ONA by a two-thirds vote of the Board. ONA shall provide written notice of a proposed disqualification to the last known district association officers at least three


(3) months before the vote is taken. A hearing shall be conducted in accordance with Board policy before a vote is taken.

B. A disqualified district association may be reinstated by a two-thirds (2/3) vote of the Board.

ARTICLE III – MEMBERSHIPSection 1—General Information

A. In order to qualify for membership in ONA an individual must have been granted a license to practice as a registered nurse in at least one state, territory, or District of Columbia of the United States and must not have a license under suspension or revocation in any state except when the suspension is stayed contingent upon compliance with board of nursing or other regulatory entity requirements; or the individual is otherwise entitled by law to practice nursing.

B. Individuals who meet the definition set forth in this Section are eligible for membership in the regional area or district association where they live, work, or are enrolled in an Ohio nursing education program.

C. ONA shall consist of the members in regional areas and the district associations.

D. Membership shall be unrestricted by considerations of nationality, race, religion, creed, lifestyle, color, gender, disability, sexual orientation, health status or age.

Section 2—Definitions

A member is an individual who meets the qualifications set forth in Section 1 of this Article.

Section 3—Establishment of Membership

Receipt of a completed membership application at the ONA office that is submitted by an individual eligible for membership, together with appropriate dues and pertinent service fees, shall establish an individual as a member of ONA provided the individual is not currently sanctioned for violation of the Code of Ethics for Nurses, or ANA or ONA bylaws.

Section 4—Rights

A member shall be entitled to all benefits associated with ANA and ONA membership including being a candidate for any ONA or ANA elective or appointed position or participating in the election of ANA delegates or alternates. Every ONA member shall have the right to:

A. Receive membership verification/notification, the Ohio Nurses Review, The American Nurse, and any other publications developed by ONA and ANA as a benefit of membership;

B. Be a candidate for ONA and ANA elective and appointive positions, in accordance with ONA and ANA bylaws and policies;

C. Participate in the election of ONA’s delegates and alternates to the ANA Membership Assembly, in accordance with established policy and ONA and ANA bylaws;

D. Attend meetings of ONA and ANA Membership Assembly and other unrestricted ONA and ANA activities;

E. Submit proposals to ONA for consideration;F. Attend the Congress of the International Council of Nurses;

G. Affiliate with ONA special interest caucuses, in accordance with ONA bylaws and policies;

H. Be accorded other rights as provided by common parliamentary or statutory law, including the freedom of speech and assembly; and to form, join and assist any labor organization that is not in direct competition with ONA, other ANA constituent associations or ANA; and I. Due process.

Section 5—Obligations

A. Every member shall be obligated to:1. Uphold the bylaws of ANA and ONA.2. Uphold district association bylaws as a member of a

district or operating guidelines of the regional area.3. Abide by the ANA Code of Ethics for Nurses as adopted

by the ANA Membership Assembly.4. Fulfill all the requirements of the office or committee post

to which the member is elected or appointed.5. Pay assessments, ONA dues as established by the ONA

House of Delegates and other dues amounts as required by their district association, and any and all service fees or other charges assessed by ONA related to services received or membership payment mechanisms selected by the member.

6. Ensure all monies owed in accordance with paragraph five (5) of this Section are paid in a timely manner as required, including, but not limited to, monies that are paid via payroll deduction arrangements.

B. Working collaboratively or collectively with other unions representing nurses in support of the nursing profession and fellow nurses shall not be considered dual unionism. Every member who is eligible to be organized for purposes of collective bargaining shall:

1. Refrain from dual unionism, which is defined as participating in or giving assistance to one or more labor organizations that are in direct competition with ONA, other constituent member associations (CMAs) of ANA that act for and represent the collective bargaining interests of members; and

2. Refrain from participating in or giving assistance to one or more directly competing labor organizations that advocate or engage in activities that would eliminate or interfere with any CMA’s collective bargaining activities.

Section 6—Transfer of Membership

A. A member who moves out of Ohio to another state may apply to the secretary of ONA for transfer to another constituent association of ANA. ONA shall not refund the remainder of a paid membership year.

B. A member of another constituent association of ANA who has paid applicable assessments, dues and fees for the membership year and who moves into, works in, or is enrolled in a nursing education program within the boundaries of Ohio may transfer to ONA. Additional assessments or dues or service fees shall not be required nor refunded for the remainder of the membership year.

B. A member who moves between ONA regional areas or districts shall notify the ONA Membership Department and, in the case of districts, apply to the secretary of their district association of which the nurse is currently a member for transfer to the new district or regional area. The nurse must live, work, or be enrolled in a nursing education program


located within the boundaries of the district regional area to which the transfer occurs.

ARTICLE IV – DISCIPLINARY ACTION & RIGHTS OF MEMBERS FACING DISCIPLINESection 1—Disciplinary Action

A. Members of ONA shall be subject to disciplinary action including censure or expulsion for:

1. Violations of these bylaws or ANA bylaws;2. Violations of the Code of Ethics for Nurses as established

by ANA; or3. Actions detrimental to the purposes of ONA or ANA.

B. Disciplinary proceedings shall be conducted in accordance with policies and procedures established by the Board of Directors and pursuant to common parliamentary procedure and state and federal law. ONA members shall be guaranteed due process rights. The Board of Directors shall have final disciplinary authority over members.

1. ONA shall provide the member specific charges and a copy of the ONA Policies and Procedures for Disciplinary Action at least thirty (30) days before the vote is taken.

2. A hearing shall be conducted before the vote is taken.C. Depending on the severity of the disciplinary violation, as

determined by a two-thirds (2/3) vote of the ONA Board of Directors, a member may be:

1. Reprimanded;2. Censured;3. Fined;4. Suspended from membership; or5. Permanently expelled from membership.

D. A member who has been disciplined may be reinstated by a two-thirds (2/3) vote of the Board.

E. Any disciplinary action taken by any other ANA constituent member against one of its individual members, or against an individual member of ONA, shall be given full recognition and enforcement, provided that such action was taken guaranteeing the due process rights of ONA members during that disciplinary process and in accordance with the bylaws and disciplinary procedures of the appropriate district or ANA constituent member.

Section 2—Disciplinary Action by a District

A. Any disciplinary action by a district shall be in accordance with the published ONA Policies and Procedures for Disciplinary Action established and approved by the Board.

B. Expulsion from a district shall result in expulsion from ONA upon certification thereof by the district to ONA.

Section 3—Appeal of Disciplinary Action

Appeal of disciplinary action shall be conducted in accordance with published policies and procedures established by the Board of Directors, which shall have final disciplinary authority over members.

ARTICLE V – ORGANIZATIONAL AFFILIATES OF ONASection 1—Qualifications

An organizational affiliate of ONA is an association that:

A. Is a state nursing organization or local nursing organization chapter that meets criteria established by the ONA Board of Directors;

B. Has a governing body composed of a majority of registered nurses;

C. Has been granted organizational affiliate status by the Board of Directors; and

D. Has paid an organizational affiliation fee to ONA.

Section 2—Responsibilities

Each organizational affiliate shall maintain a mission and purpose harmonious with the purposes and functions of ONA.

Section 3—Rights

Each organizational affiliate shall be entitled to:A One (1) nurse participant who shall have voice, but no vote,

in the ONA House of Delegates;B. One (1) nurse participant who shall have voice, but no vote,

in the Board meetings;C. Make reports or presentations to the ONA House of

Delegates within its area of expertise; andD. Submit the names of nurse representatives qualified

for appointment to ONA ad hoc groups; task forces; committees, as appropriate; and councils. These appointees shall:

1. Have voice but no vote in the actions taken by the group, task force, committee, or council; and

2. Be in addition to the number of appointees specified in Article XIV of these bylaws.

ARTICLE VI – ASSESSMENTS & DUESSection 1—DefinitionsA. “Membership year” means a period of twelve consecutive

months.B. “Assessment” means an eligible individual member’s share

of the cost incurred by ONA to secure representation on behalf of eligible ONA members in ANA or other state or national organizations.

C. “Dues” means the money owed by an individual to obtain rights and benefits of membership in ONA. ONA membership dues include the amounts for ANA and ONA. Dues also include the amounts collected by ONA on behalf of local units and districts.

D. “Service fees” means the monies paid to cover the cost of optional services chosen by an individual member, including but not limited to, costs associated with payroll deduction and other dues payment options.

Section 2—Payment of Assessments, Fees & Dues

A. All assessments, dues and service fees as defined in Section one (1) of this article shall be paid in accordance with policy established by the Board. All membership rights and benefits shall be forfeited if all applicable assessments, dues and incurred services fees are not paid as required by the policy.

B. A member shall pay applicable assessments, dues and service fees if the member chooses optional services for which a service fee is incurred.

C. If the amount of an assessment charged by a state or national organization to which ONA belongs increases more than the cost of living adjustment, the amount of the


increase that exceeds the cost of living adjustment may be passed along in dues to applicable ONA members.

Section 3—Payment Calculation

A. The amount paid to ONA shall be based on eight-tenths percent (0.8%) of the following:

1. For individuals who are members of an ONA collective bargaining unit (including fair share payers), the salary basis shall be sixty-two thousand dollars ($62,000.00) in 2008;

2. For individuals who are not members of an ONA collective bargaining unit the salary basis shall be forty-eight thousand dollars ($48,000.00) in 2008; and

B. Each subsequent year, any increase in payment shall be calculated by determining the average percentage salary increase negotiated by ONA for its bargaining unit members as of October first (1st). That percentage increase shall apply to the salary basis for both bargaining unit and non-bargaining unit members. The percentage increase shall never be less than zero (0) nor more than five (5) percent.

C. Special payment rates for the following dues categories apply as follows:

1. All first time new members will receive 50% off their first year of membership

2. All retired nurses ages 62 or older or totally disabled and are not employed will receive a 75% discount.

3. In addition to the special payment rates set forth in this paragraph, the Board may establish membership pilot programs that would allow payments to be adjusted to encourage membership for non-collective bargaining members.

D. One dollar ($1.00) of each member’s dues shall be placed in the ANA Delegate Fund. Monies in this fund shall be distributed equally among persons who serve as ANA delegates, in accordance with policies established by the Board of Directors.

E. One dollar ($1.00) per month of each member’s dues shall be transferred each month to the ONA Political Contributing Entity (PCE). Monies in this fund shall be distributed in accordance with Ohio’s campaign finance/election laws as directed by the Health Policy Council. Members who do not wish to participate shall notify ONA in writing of that decision and upon receipt of that notification, no portion of their dues money will be transferred to the PCE.

F. The Board shall fix the amount of service fees which shall be paid, in addition to the amount of the assessments and dues stated above, by those persons who elect to pay dues on a partial-payment plan.

Section 4—Change of Assessments, Dues & Dues Category

A. No money shall be refunded nor additional money collected when a change in assessments and dues category (as set forth in Section 3 paragraphs A and C of this article) is made within a membership year, provided the member was eligible for the assessments and dues category in which the member was placed when assessments and dues were paid.

B. Changes to a district or local unit dues shall be reported in writing to ONA and shall become effective only as of January first (1st).

ARTICLE VII – HOUSE OF DELEGATESSection 1—Meetings of the House of Delegates

A. ONA shall hold a biennial House of Delegates meeting in the odd numbered years. The Board shall determine the time and place of the House of Delegates. Notice of the biennial meeting of the House of Delegates shall be sent to each Regional Area and district member at least six (6) months prior to the meeting.

B. A special meeting of the House of Delegates may be called by the ONA Board of Directors or shall be called by the president upon the written request of 25% of the ONA membership. Notice of each special meeting shall be sent to each regional area member, district and local unit at least thirty (30) days before the first day of the special meeting.

Section 2—Voting Bodies

A. The voting body at the biennial House of Delegates and special meetings of ONA shall consist of the members of the Board and the accredited delegates from each regional area and district. No member of the voting body shall be entitled to more than one (1) vote.

B. All members may vote on bylaws amendments pertaining to dues for the membership year.

C. All members may vote for ANA delegates and alternates.


The House of Delegates shall:A. Approve the Vision and Mission of ONA;B. Determine policy on substantive issues requiring the

authority and backing of the official voting body of ONA;C. Adopt and maintain bylaws; andD. In accordance with all applicable federal and state laws and

regulations, elect members of the Board, the Nominating Committee, the Commission on Economic and General Welfare, and representatives to national organizations to which ONA pays an assessment.

Section 4—Election of ONA Delegates

A. The House of Delegates shall be made up of at least one (1) delegate for every twenty-five (25) members representing each regional area and district consistent with the percentage of members outlined in the Member Regional Area Map and districts defined annually by the Board of Directors. Delegate representation shall include at least one representative from each county of the state unless no member is available in a county to run. Members that do not live or work in a county in the state of Ohio will be recognized as an 89th county.

B. Delegates and alternates shall be elected by secret ballot by the members in each regional area and district in accordance with the Labor Management Reporting and Disclosure Act of 1959 and other applicable federal and state laws and regulations. The election for regional areas will be conducted by ONA and shall take place no later than December 15th of the even number year.

C. Delegates and alternates are elected for two (2) years or until replaced.


Section 5—Basis for Computing Number of Delegates

A. ONA shall notify the members in each Regional Area and district of the number of delegates to which it is entitled for any House of Delegates or special meeting. Notification of the number of delegates for the House of Delegates will occur by January thirty-first (31st) of the year in which a meeting of the House of Delegates is scheduled to take place.

B. The basis for computing the number of delegates for each regional area or district to the House of Delegates shall be the number of its members who were members of ONA on December thirtyfirst (31st) of the preceding year, as evidenced by appropriate dues paid to ONA. The size of the delegation shall remain the same for any special meeting held during the ensuing biennium.

Section 6—Seating of Delegates

A. Each regional area and district shall submit the names of all delegates and alternates elected by the respective regional area and district to the ONA headquarters office according to written policies of the Board. Only persons whose names appear on the list of delegates and alternates shall be seated in the House of Delegates.

B. If all the elected delegates from a regional area or district are not in attendance at a House of Delegates or special meeting, elected alternates whose names appear on the official list of delegates and alternates for that district regional area or district shall fill the vacancies according to written policies of the ONA Board.

ARTICLE VIII – BOARD OF DIRECTORSSection 1—Definition of Board of Directors

There shall be a Board of Directors of the Ohio Nurses Association (Board), which shall consist of fifteen (15) members: the officers of the association and ten (10) directors. At least five (5) of the directors shall meet the criteria to serve on the Commission on Economic and General Welfare. (At least one member of the ONA Board (Director or Officer) should come from each of the regional areas.)? One (1) of the remaining director positions shall be filled by a person who first received a license to practice nursing no more than five (5) years prior to January first (1st) of the year in which the election is held. If no candidate meets the requirement for this position, it shall be filled by a person who meets the eligibility requirements set forth in paragraph (A) of Section two (2) of this Article.

Section 2—Eligibility

A. To be eligible to serve on the Board, a person shall:1. Hold current membership in ONA;2. Not serve concurrently as an officer or director of another

organization if such participation might result in a conflict of interest with ONA;

3. Support all programs of ONA; and4. Meet the requirements set forth in these bylaws with

respect to term or length of service limitations.B. In addition to the eligibility criteria set forth in paragraph (A)

of this Section, if serving in a position that is designated for the Economic and General Welfare Commission, a person shall meet all the requirements set forth in Article XV of these bylaws.

Section 3—Authority

The Board shall have the authority delegated to it by the House of Delegates, including the duty and power of acting for the membership in the intervals between meetings of the House of Delegates, and other duties and powers as defined in these bylaws.

Section 4—Accountability

The Board shall report and be accountable to the House of Delegates.

Section 5—Term

A. “Term” shall be defined as serving for two (2) years as an officer or four (4) years as a director. Service for a portion of a term greater than one-half (1/2) of the years designated for that position shall be considered a full term for purposes of calculating the total number of years served.

B. No member of the Board shall be eligible to serve more than eight (8) consecutive years as a director or an officer.

Section 6—Meetings

A. Meetings of the Board shall be open to members, except when the Board determines that open discussion would infringe on the rights of individuals or have an adverse effect on ONA goals.

B. The Board shall meet at the times and places it determines.C. Special meetings of the Board may be called by the

president or shall be called by the president upon the written request of at least five (5) members of the Board.

Section 7—Attendance

Attendance at all regular meetings within a biennium shall be required of all Board members. The length of a regular meeting shall be from the call to order to adjournment. A Board member must be present at seventy-five percent (75%) of each regular meeting to constitute attendance. Absence from two (2) regular meetings of the biennium may be cause for declaring a vacancy in the Board position. Such action shall be determined by a majority vote of the Board.

Section 8—Referendum

Between regular meetings of the Board, the president may refer to Board members questions relating to the affairs of ONA, which, in the opinion of the president, require immediate action on the part of the Board. The result of such a referendum, which requires a majority vote of the Board, shall control the actions of ONA and its directors, officers, committees, agents, units and employees and shall be reported at and included in the minutes of the next regular meeting of the Board.

ARTICLE IX – DUTIES OF THE BOARD OF DIRECTORSSection 1—Duties

The Board shall:A. Appoint a chief executive officer (CEO) to manage the

operations of ONA and establish the parameters under which the CEO carries out the functions of the position;


including, but not limited to, employing, directing, promoting and terminating all ONA staff;

B. Annually review the performance of the CEO;C. Transact the business of ONA in the interim between

meetings of the House of Delegates;D. Exercise the corporate responsibility and fiduciary duties of

ONA consistent with applicable provisions of law;E. Complete the strategic planning and program evaluation

process using the vision and mission approved by the House of Delegates;

F. Establish policies and procedures governing the operations of the Regional Areas.

G. Provide for implementation of ONA positions approved by the ONA House of Delegates;

H. Establish policies and procedures for the transaction of business, coordination of ONA activities and operation and maintenance of a state headquarters;

I. Establish financial policies and procedures, adopt the budget, submit all books annually to a certified public accountant for audit, and present financial statements to the membership annually and at each meeting of the House of Delegates;

J. Establish policies and procedures for approving publications and other printed materials prior to their distribution;

K. Establish standing and special committees of the Board as deemed necessary for the performance of its duties, and define the purpose and authority of such committees;

L. Appoint committees, councils, commissions (except for the Commission on Economic & General Welfare and the Nominating Committee) and task forces to facilitate the activities of ONA;

M. Have power to fill vacancies on the Nominating Committee, Commission on Economic and General Welfare and on the Board, except those occurring in the office of president or first vice president;

N. Determine the date and place of the following meetings: the House of Delegates, special meetings of ONA, the Leadership Assembly and the Board;

O. Ratify votes of the Board secured by referendum;P. Serve as a liaison to Regional Areas and districts.Q. Provide for the establishment and dissolution of functional

work groups, including but not limited to a special interest group, as needed to achieve the mission of ONA;

R. Select candidate(s) for the Ohio Board of Nursing and submit the name(s) to the Governor of Ohio;

S. Define qualifications for appointive office unless otherwise specified in these bylaws;

T. Approve district associations meeting qualifications established in the bylaws and dissolve those associations that fail to meet the qualifications in accordance with Article II of the bylaws;

U. Establish policies and procedures for disciplinary action against members and districts

V. Establish fees for the House of Delegates, specified activities and services;

W. Control the use of the official ONA logo and the procurement and sale of replicas thereof;

X. Provide for representation at meetings of voluntary organizations and of public or governmental agencies;

Y. Establish relationships and collaboration with the Ohio Nursing Students’ Association; and

Z. Assume other duties as may be provided for elsewhere in these bylaws and by the ONA House of Delegates.

Section 2—Executive Committee

There shall be an Executive Committee of the Board composed of the president, the two (2) vice presidents, the secretary and the treasurer of the association. This committee shall have all the powers of the Board to transact business of an emergency nature between Board meetings. All transactions of this committee shall be reported in full at the next regularly scheduled meeting of the Board. The committee shall serve as the personnel committee of the Board.

Section 3—Finance Committee

There shall be a finance committee composed of the treasurer as chair, the president, and a combination of Board members, and non-Board members who have experience in financial management appointed by the president. The committee shall:A. Provide advice to the Board during preparation of the ONA

annual budget; andB. Regularly review the financial statements and give advice to

the Board regarding financial matters.

ARTICLE X – OFFICERS & DUTIES OF OFFICERSSection 1—Definition of Officers

The officers of ONA shall be the president, first vice president, second vice president, secretary and treasurer.

Section 2—Term

A. “Term” shall be defined as serving for two (2) years as an officer of ONA.

B. No officer shall serve more than two (2) consecutive terms in the same office or more than eight (8) consecutive years on the Board. Service for a portion of the term greater than one half (1/2) of the years designated for that position shall be considered a full term for purposes of calculating the total number of years served.

Section 3—General Duties of Officers

A. Officers shall perform the duties usually performed by such officers in addition to those prescribed by these bylaws or by the Board.

B. Serve on the Executive Committee.

Section 4—Duties of President

A. The president shall chair the Board, the Leadership Assembly and the Executive Committee; and preside over meetings of the Board and the House of Delegates.

B. The president shall be an ex officio member of all committees except the Nominating Committee and shall serve as the ONA representative at meetings of the Constituent Assembly of ANA and as a delegate to the Membership Assembly of ANA if elected to do so.

C. The president may delegate assignments to the officers and directors.

D. The president shall appoint Board members to Board committees.


Section 5—Duties of Vice Presidents

A. The vice presidents shall assume duties as assigned to them by the Board.

B. In the absence of the president, the vice presidents in order of rank shall assume the duties of the president.

C. If a vacancy occurs in the office of president, the first vice president shall serve as president until the adjournment of the next House of Delegates or until a successor is elected.

D. If a vacancy occurs in the office of first vice president, the second vice president shall serve as first vice president until the adjournment of the next House of Delegates or until a successor is elected.

E. A vice president who assumes the duties of the president or who fills a vacancy in the office of the president shall not serve as an ANA delegate or alternate unless separately elected as an ANA delegate or alternate.

Section 6—Duties of Secretary

The secretary shall be responsible for ensuring that records are maintained of meetings of the House of Delegates, the Board, the Executive Committee of the Board, and the Leadership Assembly and shall notify regional and districts members of meetings of the House of Delegates.

Section 7—Duties of Treasurer

The treasurer shall be responsible for monitoring the fiscal affairs of ONA and shall provide reports and interpretation of the financial condition of ONA to the House of Delegates, the Board and the membership.

ARTICLE XI – NOMINATIONSSection 1—Source of Nominations

Nominations for ONA officers, directors and other elected positions shall be submitted by the Nominating Committee or may come from the floor of the House of Delegates.

Section 2—Eligibility of Nominees

A. Nominees shall meet all requirements for serving in the position to which the individual is nominated.

B. No nominee shall appear on the ballot without a signed statement of qualifications and consent to serve if elected.

C. Nominees from the floor of the House of Delegates shall be added to the ballot after providing a signed statement of qualifications and consent to serve if elected.

D. The nominee shall be supportive of the mission, vision, goals and programs of ONA. No nominee shall serve concurrently as an officer or director of another organization if such participation results in a conflict of interest with ONA.

E. An ONA member shall be eligible to serve in only one (1) elective office in ONA at any one (1) time with the exception of serving as a delegate or alternate delegate to a national affiliated organization.

ARTICLE XII – ELECTIONSSection 1—General Information

A. An election shall be held at each regular biennial meeting of the House of Delegates. The term of office of all those elected at any House of Delegates shall commence at the adjournment of such House of Delegates and shall continue until their successors are elected.

B. A candidate may designate a representative to observe the election.

C. Voting shall be done by secret ballot and may be conducted by any electronic mechanism that is designed and implemented so as to maintain the secrecy of the voting process.

D. A plurality vote of those present, entitled to vote, and voting, shall constitute an election.

E. All elections shall be conducted in accordance with federal and state laws and regulations, including, but not limited to, the Labor Management Reporting and Disclosure Act of 1959.

Section 2—Election Process

A. In accordance with Article XI of the bylaws, a ballot shall be prepared that consists of the names of individuals seeking election and the name of the regional area, district and county to which the individual belongs. The ballot shall provide for write-in voting.

B. Voting shall be conducted during the period of time specified by the Board and publicized in materials prepared for the House of Delegates.

C. To ensure the integrity of the election, the president shall appoint tellers to monitor the credentialing and voting processes. Tellers shall be individuals with no vested interest in the outcome of the election. The president shall designate one of the tellers to serve as chief teller.

D. Prior to the commencement of voting, a complete list of ONA delegates shall be furnished to the chief teller.

E. An individual shall not be issued a second ballot for any reason.

Section 3—Voting EligibilityA. Only delegates who are represented by ONA for

collective bargaining purposes shall be eligible to vote for those members of the Economic and General Welfare Commission who serve only on the Commission.

B. All ONA members who are represented by ONA in a national organization may vote for delegates to the applicable national organization in accordance with applicable national bylaws or constitutions.

C. Eligibility for voting shall be determined as follows:1. To obtain a ballot to vote for officers, directors, members

of the nominating committee and members of the Commission on Economic and General Welfare, the member must submit a valid government issued photo ID and the teller shall verify that the individual’s name appears on the list of delegates submitted to ONA and that the individual is a member in good standing in accordance with Article III.

2. To obtain a ballot to vote for national organization delegates or bylaws amendments related to dues, member must submit a valid government issued photo ID and the teller shall verify that the individual is a member in good standing in accordance with Article III.


Section 4—Election Results

A. The election outcome shall be decided by lot in case of a tie.B. Candidates will be informed of the election results prior to

the official announcement to the House of Delegates.

Section 5—Process for Challenging Elections

An election may be challenged if a candidate reasonably believes that the election results are inaccurate or that there is a violation of the election process.A. Any time during or within two (2) hours after the time

election results are available, a candidate may challenge an election. To challenge an election, the candidate shall submit the following in writing to the chief teller:

1. The nature of the challenge;2. The rationale supporting the belief the election was

flawed; and3. Other pertinent information supporting the challenge.

B. Upon receipt of the written documentation required by paragraph A of this Section, the chief teller, in consultation with the other tellers and the parliamentarian for the House of Delegates, shall attempt to resolve the challenge.

C. If resolution of the challenge requires a recount of election results, the chief teller shall conduct the recount. Each candidate on the official ballot for the position being contested shall be entitled to have one (1) observer present for the recount. The chief teller shall notify the House of Delegates of the results of the recount.

D. If the chief teller finds a new election is required to resolve the challenge he/she shall report that conclusion to the chief executive officer of ONA who shall immediately take all steps needed to conduct a new election.

Section 6—Post Election Records

All ballots, delegate credentials, and other records pertaining to the election shall be preserved for one (1) year after the election, or for the length of time required by relevant federal and state laws and regulations.

ARTICLE XIII – COMMITTEES OF THE HOUSE OF DELEGATESSection 1—Committees

A. The committees of the House of Delegates shall be:1. Bylaws2. Nominating3. Reference

B. These committees shall assume such duties as are specified in these bylaws and such other duties as may be assigned by the House of Delegates.

C. These committees shall report to the House of Delegates regarding their identified areas of responsibility and shall regularly communicate with and seek input from the Board.

Section 2—Composition

A. Unless otherwise specified in these bylaws, a committee shall be composed of at least three (3) members of ONA and may include representatives from an organizational affiliate of ONA as appropriate.

B. Except for the Nominating Committee, which is elected, committee members shall be appointed by the Board at or after each regular meeting of the House of Delegates

to serve for two (2) years or until their successors are appointed.

Section 3—Term

A. For all appointed committees of the House of Delegates, a term shall be two (2) years with no appointee eligible to serve more than three (3) consecutive terms on the same committee. Service for a portion of a term greater than one-half (1/2) of the years designated shall be considered a full term for purposes of calculating the number of terms served.

B. If an open position has been advertised, through written and electronic methods to regional area and district members in ONA communications and if there is no one qualified, interested or able to fill the position, a former member of the appointed Committee is eligible to be appointed again so long as s/he has been off the Committee for six months or longer.

Section 4—Absence

Absence without good cause from two (2) meetings of a committee shall constitute a resignation.

Section 5—Bylaws Committee

This committee shall:A. Review bylaws and proposed amendments to the bylaws of

ONA and submit recommended changes to the Board and to the next House of Delegates;

B. Review the bylaws of any nurses’ association on a district level wishing to become a district association of ONA. The committee will report to the Board whose decision on the recommendations will be final;

C. Review bylaws of district associations and local units to ensure conformity with ONA bylaws.

Section 6—Nominating CommitteeA. Composition—The committee shall consist of seven (7)

ONA members who shall be elected by the House of Delegates. The member receiving the highest number of votes in the election shall be the chair. Not more than any one (1) member of this committee is to be a member of any one (1) district or regional area.

B. Term—A term shall be for two (2) years and limited to two (2) consecutive terms. Service for a portion of a term greater than one-half (1/2) of the years designated shall be considered a full term for purposes of calculating the number of terms served.

C. Duties—The committee shall:1. Solicit nominations from regional areas, districts,

structural units and members. All names obtained shall be submitted to the Nominating Committee. The committee shall not be limited to the submitted names in preparing the ticket;

2. Prepare a ticket consisting of at least one (1) nominee for each position to be filled. The ticket shall include representatives of the three (3) major areas of nursing, namely: nursing practice, nursing education and nursing administration, and be representative of the various geographical areas of ONA. The ticket and elections shall ensure that the Board includes at least five (5) directors


who meet criteria for service on the Commission on Economic and General Welfare; and

3. Present the ticket to the Board for publication to the membership at least one (1) month prior to the meeting of the House of Delegates.

D. Limitations—Individuals serving on the nominating committee shall not run for an ONA elective office, except the ONA nominating committee, but may run for a national office if eligible and for delegate to a national organization to which ONA belongs for purposes of securing representation on behalf of eligible ONA members.

Section 7—Reference Committee

This committee shall:A. Receive, review and report on proposals submitted for the

consideration by the House of Delegates;B. Provide for hearings on proposals at meetings of the House

of Delegates;C. Recommend action on proposals to be considered by the

House of Delegates; andD. Develop procedures for presentation of proposals to the

House of Delegates for adoption.

ARTICLE XIV – COUNCILSSection 1—Definition

A. A council is an advisory panel to the Board that carries out specific functions promoting ONA’s organizational mission.

B. Councils include the:1. Continuing Education Approver Council (CEAC); 2. Council on Practice (COP); and3. Health Policy Council (HPC).

Section 2—Term

A. A term shall be two (2) years. No appointee eligible to serve more than three (3) consecutive terms on the same council. Service for a portion of a term greater than one half (1/2) of the years designated shall be considered a full term for purposes of calculating the number of terms served.

B. If an open position has been advertised through written and electronic methods to regional area and district members in ONA communications, and if there is no one qualified, interested or able to fill the position, a former member of the Council is eligible to be appointed again so long as s/he has been off the Council for six months or longer.

C. The Board shall make appointments to the councils at or after each regular meeting of the House of Delegates, except for members of HPC who are appointed in November of even numbered years to coincide with the biennial terms of the legislature.


A council shall be composed of no fewer than seven (7) or more than seventeen (17) ONA members who meet the qualifications for appointment to the particular council to which the appointment is being made plus any appointed representatives from an organizational affiliate of ONA. Two (2) members of the Board may also be appointed by the president as ex officio members of each council and shall have voting privileges. The Board shall designate which appointee shall serve as chair of a council.

Section 4—Continuing Education Approver Council (CEAC)A. Composition—CEAC shall be composed of members who

meet the most current accreditation and approval criteria and rules for peer reviewers.

B. Functions—CEAC shall:1. Study and evaluate matters relating to continuing

education and recommend appropriate action;2. Oversee the approval process for individual continuing

education activities and providers of continuing education;

3. Identify the need for state legislation in the field of continuing education and recommend appropriate action; and

4. Perform or initiate other duties related to continuing education with the approval of the Board.

Section 5—Council on Practice (COP)A. Composition—COP shall be composed of members from a

mixture of current clinical nursing practice areas.B. Functions—COP shall:

1. Interpret professional standards of practice within the state and devise means for putting these into effect;

2. Provide for consideration of concerns relating to nursing practice within the state;

3. Assist members in regional areas, districts and special interest groups in consideration of nursing practice concerns;

4. Receive and take appropriate action upon complaints and problems of nursing practice from the profession and the public and otherwise to bring about adherence to ethical, professional and legal standards of nursing practice;

5. Work with related groups as appropriate on matters of nursing practice and concerns in special areas of health and medical care;

6. Assist nurses in implementing the ANA Code of Ethics for Nurses and national practice standards;

7. Assist members to understand, accept and respect societal differences in all policy statements and actions; and

8. Assure consideration of ethical and human rights issues in all policy statements and Sections.

Section 6—Health Policy Council (HPC)

A. HPC is accountable to the Board for overall policies and procedures but has autonomy over specific endorsement decisions and disbursement of political contributing entity (PCE) monies raised for endorsement purposes.

B. Composition—HPC shall be composed of members selected from the various regional areas and districts of the state. Consideration will be given to political party representation.

C. Functions—HPC shall:1. Evaluate proposed federal, state and local legislation for

its implication for nurses, nursing and health, and make recommendations to the Board;

2. Develop and institute a state legislative program with the approval of the Board;

3. Advise the Board, structural units and members in regional areas and districts on legislative and political issues;

4. Develop a grassroots political participation program;5. Promote appointment of qualified nurses to key leadership

positions in government, industry, state, health related foundations and consumer organizations;


6. Oversee fund raising efforts for support of candidates seeking statewide office and candidates for the Ohio General Assembly;

7. Implement the candidate endorsement process in election years. As part of the candidate endorsement process the HPC shall implement a process to determine a candidate’s position with respect to ONA’s mission and vision prior to making a final decision on any endorsement; and

8. Serve as the governing body of the political contributing entity (PCE) and biennially appoint the ONA chief executive officer as treasurer of the PCE.

ARTICLE XV – COMMISSION ON ECONOMIC & GENERAL WELFARESection 1—Composition

A. The ONA Commission on Economic and General Welfare (hereinafter Commission) shall consist of eight (8) members of ONA who are represented for collective bargaining by ONA. Five (5) Commission members shall be members of the Board and members of any ONA local unit. Two (2) members of the Commission who are not also members of the Board shall be elected at each House of Delegates. The individual receiving the highest number of votes shall serve for four (4) years, and the individual receiving the second highest number of votes shall serve for two (2) years.

B. No officer/member of the Commission shall serve more than eight (8) consecutive years on the Commission. Service for a portion of a term greater than one-half (1/2) of the number of years specified for that position shall be considered a full term for purposes of calculating the total number of years served.

C. Loss of ONA collective bargaining employment status or employment in any management position by a Commission member shall constitute a resignation from the Commission and/or Board Commission seat.

D. Vacancies on the Commission shall be filled as follows:1. A vacancy in a position formerly filled by a Board

member shall be filled by the Board from a list of eligible ONA collective bargaining unit members as recommended and verified by the Commission; and

2. A vacancy in a position formerly filled by a local unit member shall be filled by the Commission from a list of eligible local unit members.

E. A member appointed to fill a Commission vacancy shall serve for the remainder of the term of that position.

Section 2—Officers

The Commission shall elect from among its members a chair and a vice chair who shall serve for two (2) years or until successors are elected.


The Commission shall:A. Oversee the Economic and General Welfare (E&GW)

program of ONA within the guidelines established by the Board under the framework established by the House of Delegates;

B. Carry out the responsibilities of ONA for the economic and general welfare of its members and bargaining units;

C. Develop economic and employment standards and policies and devise methods of implementation and evaluation;

D. Establish procedures for economic and general welfare complaints;

E. Evaluate and revise the E&GW program and policies periodically;

F. Provide information and counseling regarding employment conditions;

G. Require local bargaining units to have rules on elections, internal governance, removal of elected representatives and such other requirements as may be established by the Commission or by applicable labor law;

H. Have the right, for cause shown and after notice and hearing, to remove elected representatives of local bargaining units and manage the local unit if the elected representatives are violating ONA bylaws, local unit charter rules and/or labor law; and

I. Verify which ONA members shall be eligible to serve on the Commission.

Section 4—Local Units

Local units shall exist for the purpose of improving the professional, economic and general welfare of persons represented by ONA in collective bargaining units under the provisions of state or federal law. The local units established and existing pursuant to this Article shall conform to the following minimum requirements and such other requirements established from time to time by the Commission.

Each local unit shall:A. Establish its own bylaws that shall be consistent with

the provisions of this Article and with overall ONA philosophies.

B. Provide for the election from its membership of officers in accordance with local unit bylaws.

C. Under the guidance of the Commission, select a collective bargaining committee from its membership whose functions shall include:

1. Recommendation of contract proposals;2. Work with ONA to negotiate the collective bargaining

agreements on behalf of ONA and the local unit with the employer of the unit member; and

3. Administration of such collective bargaining agreements after ratification of such agreements by the local unit membership.

D. File appropriate financial reports with ONA and other governmental agencies as required; and

E. Determine, in conjunction with local unit members, local unit dues that shall be incorporated into the ONA dues structure to the extent feasible in accordance with Article VI, Section 4, paragraph B.

Section 5—Trusteeship

A. The Commission shall have the right to place any local unit into trusteeship for violation of local unit bylaws, ONA bylaws, or the provisions of this Article or for such other reasons that are permitted by law.

B. The Commission may impose a trusteeship on a local unit only for the purposes of:

1. Correcting corruption;2. Correcting financial malpractice;3. Ensuring their performance of collective bargaining

agreements, or other duties of a collective bargaining representative;


4. Restoring democratic procedures; or5. Otherwise carrying out the legitimate objectives of the

local unit.C. Trusteeship will be imposed on a local unit for cause shown

only after notice and a full, fair hearing by the Commission. However, in emergency circumstances, the Commission may impose a trusteeship on a local unit prior to a full and fair hearing. In that event, the Commission shall within a three (3) month period hold a full, fair hearing on the issues of trusteeship.

D. The Commission shall establish the procedures for a trusteeship hearing in accordance with governing law and regulations.

E. Trustees serve at the will of the Commission.

Section 6—Local Unit Forum

A local unit forum shall provide a medium for open discussion and information sharing and shall report and make recommendations to the Commission.

A. Membership in the local unit forum is limited to members who are represented by ONA’s Economic and General Welfare Program.

B. Members of the forum shall elect a chair and a secretary who shall serve for two (2) years or until successors are elected:

1. The officers shall conduct business of the forum including selecting nominees for elections; and

2. The forum may identify additional officers as necessary and elect members to fill those positions.

ARTICLE XVI – SPECIAL INTEREST CAUCUSSection 1—Definition

A special interest caucus (Caucus) is a group of ONA members who have a mutually defined common focus, topic/issue to discuss, and /or research/study.

Section 2—Criteria & Responsibilities

A. To establish a Caucus there must be a demonstrated need that cannot be met by an existing organizational unit.

B. A Caucus shall be established and dissolved only by the Board.

C. A Caucus shall develop a statement of purpose and functions that shall be submitted to the Board for approval.

D. Each Caucus shall submit a bi-annual report to the ONA BOD as long as it is in existence.

Section 3—Officers

A. Each Caucus shall elect a chair and a secretary who shall serve for two (2) years or until successors are elected.

B. The officers shall conduct the business of the Caucus including selecting nominees for elections.

C. The Caucus may identify additional officers as necessary and elect members to fill those positions.

ARTICLE XVII – LEADERSHIP ASSEMBLYSection 1—Purpose

There shall be a Leadership Assembly (Assembly) to facilitate communication among the Board, E&GW Commission, regional areas, districts and local units.


The Board, the E&GW Commission, the presidents and representatives of each district, regional area members and local unit chairs shall constitute the Assembly.

Section 3—Meetings

The Board shall determine the times and places for the meetings of the Assembly. Meetings shall be called upon the request of twenty-five percent (25%) of the Leadership Assembly members of ONA.

ARTICLE XVIII – REPRESENTATION TO THE AMERICAN NURSES ASSOCIATIONSection 1—Delegates to ANA

A. ONA is entitled to representation at the Membership Assembly and special meetings of ANA as provided in the bylaws and policies of ANA.

B. The allotted number of non-voting delegates shall include at least one (1) representative from each of the following nursing areas: administration, practice and education.

C. ANA delegates and alternates, except for the president and CEO if eligible and elected, will be limited to four (4) consecutive terms.

D. ANA delegates and alternates shall be elected in accordance with Article XII of the ONA Bylaws.

Section 2—ANA Constituent Assembly

The president, or designee, and the CEO, or designee, shall serve as members of the ANA Constituent Assembly.

Section 3—Disaffiliation

A. “ONA membership” for these purposes, is defined as individual members of ONA who have ANA rights and privileges of membership as a result of their ONA membership.

B. ONA shall continue to maintain membership in ANA pursuant to ANA Bylaws and Membership Assembly policy until such time as two-thirds (2/3) of the entire ONA membership votes to disaffiliate from ANA.

C. The members of ONA shall continue to have all rights of membership in ANA as provided in ANA bylaws until the disaffiliation vote set forth in paragraph B of this Section is completed.

The vote to disaffiliate may occur by mail or electronic ballot, with appropriate notice and implementation of procedures to protect the integrity and validity of the vote.


ARTICLE XIX – QUORUMSection 1—House of Delegates or Special Meetings

Seven (7) members of the Board, one (1) of whom shall be the president or a vice president, and a majority of representatives from the regional areas and districts shall constitute a quorum for the transaction of business at any House of Delegates or special meeting of ONA.

Section 2—Board of Directors

A majority of the Board, one (1) of whom shall be the president or a vice president, and two (2) of whom shall be members of the Commission on Economic and General Welfare, shall constitute a quorum at any meeting of the Board.

Section 3—Committees & Councils

A majority of the members of a committee or council shall constitute a quorum.

Section 4—Commission

A majority of the members of the Economic and General Welfare Commission shall constitute a quorum, provided at least three (3) Board members and two (2) local unit members are present.

ARTICLE XX – PARLIAMENTARY AUTHORITY

The rules contained in Robert’s Rules of Order Newly Revised shall govern meetings of ONA in all cases to which they are applicable and in which they are not inconsistent with ONA bylaws.

ARTICLE XXI – OFFICIAL PUBLICATIONS

The Ohio Nurses Review and the ONA web site shall be the official publications of ONA.

ARTICLE XXII – AMENDMENTSSection 1—With Notice

A. Except for Article VI entitled Assessments & Dues, Section 3, paragraph A, the ONA bylaws may be amended at any House of Delegates meeting by a two-thirds (2/3) vote of the delegates present and voting.

B. Article VI, Section 3, paragraph A may be amended at any House of Delegates by a two-thirds (2/3) vote of the members present and voting by secret ballot.

C. All proposed amendments shall be in the possession of the CEO of ONA at least two (2) months before the date of the House of Delegates and shall be appended to the call for the meeting.

Section 2—Without Notice

Except for Article VI entitled Assessments & Dues, Section 3, paragraph A, the ONA bylaws may be amended without previous notice at any House of Delegates meeting by ninety-nine percent (99%) of the delegates present and voting.

Name/Local Unit/District proposing change: Shelly Malberti

Rationale: Workplace violence is occurring more frequently. Bylaws need to reflect the current workplace culture and have language that allows the BOD to act quickly if needed.

Article Name: Disciplinary Action and Rights of Members Facing DisciplineArticle Number: IVNew Section: 2 - Disciplinary Action of a Board Member

Proposed Change: Disciplinary proceedings shall be conducted if a Board member engages in behavior that is perceived to be threatening or harmful to members and/or staff or repeatedly engages in disruptive behavior that prevents the Board from conducting its normal course of business. As determined by majority vote, the Board of Directors may immediately suspend a member of the Board from all responsibilities pending Discipline committee investigation. The investigation process is determined by the Board policy.

Renumber Sec 2-Disc Action by a District to Sec 3; and Sec 3-Appeal of Disc Action to Sec 4.

Discipline

Name/Local Unit District Proposing Change: District Three, ONA

Rationale: Membership is the substance from which the organization is formed and sustained. When an organization truly values it members and openly demonstrates that the members are the primary driver of the organization, membership retention and growth will be a given and an ONA obligation easily fulfilled (as noted in Article I—NAME, PURPOSES & FUNCTIONS, Section 3. Functions, G. Promote the recruitment and retention of members.

For example: Having an ongoing and accurate membership list would allow the ONA to keep track of members status, provide a mechanism for member outreach to keep them interested and aware of their value, as well as to reach out to them with retention enticements (personal notes, Free CE, discounted membership options, etc.)

Membership


ARTICLE III – MEMBERSHIPSection 4—Rights

A member shall be entitled to all benefits associated with ANA and ONA membership including being a candidate for any ONA or ANA elective or appointed position or participating in the election of ANA representatives or alternates. Every ONA member shall have the right to:

Insert NEW A. Be valued by ONA and recognized as the driver of the organization as a whole.

(then re-letter the remaining list accordingly)

A B. Receive membership verification/notification card and publications developed by ONA, ANA member publications, and any affiliates as a benefit of membership;

B C. Be a candidate for ONA and ANA elective and appointive positions, in accordance with ONA and ANA bylaws and policies;

C D. Participate in the election of ONA’s representatives and alternates to the ANA Membership Assembly, in accordance with established policy and ONA and ANA bylaws;

D E. Attend meetings of ONA and ANA Membership Assembly and other unrestricted ONA and ANA activities;

E F. Submit proposals to ONA for consideration;F G. Attend the Quadrennial Congress of the International

Council of Nurses;G H. Affiliate with ONA special interest caucuses, in

accordance with ONA bylaws and policies;H I. Be accorded other rights as provided by common

parliamentary or statutory law, including the freedom of speech and assembly; and to form, join and assist any labor organization that is not in direct competition with ONA, other ANA constituent/state nurses associations or ANA; and

I J. Due process.

Districts & Regional AreasName/Local Unit/District Proposing Change: The Task Force on Districts and Regional Areas

ARTICLE II – DISTRICTS AND REGIONAL AREASSection 1—Definitions

A. ONA shall be made up of districts and regional areas. One category shall be district associations and the other category shall be an at-large district designation regional areas. Collectively these categories are ONA districts and regional areas.

B. A district association shall be a geographic area that has been approved by the ONA Board, hereinafter referred to as Board, in accordance with Board policy. A regional area shall be as equal in demographics as other regions and as contiguous in geographic area as possible. District associations and regional areas shall comply with Section three (3) of this article and shall ensure that its bylaws are consistent with the bylaws of ONA and ANA.

C. An at-large district shall meet the criteria adopted and published by the Board and shall comply both with the operating rules or guidelines established by the Board and with Section three (3) of this article. Operating guidelines shall be consistent with the bylaws of ONA and ANA.

D. New C. ONA may enter into an agreement with another state nurses association in order to provide representation to nurses working in the other state. Such action shall require a two-thirds vote of the Board. Upon entering into such an agreement, the Board shall define either the whole of the other state or parts of it with clearly defined boundaries as a district association or regional area of ONA. Nurses who are members of such district association or regional area shall have rights of membership in ONA as defined in the agreement between ONA and the other constituent member association (CMA). A two-thirds vote of the Board shall be necessary to change the boundaries/demographics of any district association or regional area located in another state. Such district associations or regional area shall remain in existence as district associations or regional areas of ONA only for the term of the agreement between ONA and the other CMA. If such a district association or regional area terminates before the close of a membership year, member dues or fees shall not be refunded for the remainder of the membership year.

Section 2—Rights of Districts and Regional Area Members

It shall be the right of districts and regional area to:A. Have representation in the ONA House of Delegates;B. Submit proposals for consideration by ONA;C. Submit the names of nominees for ONA elective and


or statutory law.

Section 3—Duties of Districts and Regional Areas

A. All districts and Regions shall:1. Report to the Board biennially in accordance with Board

policy.2. Provide for representation in the ONA House of Delegates.3. Comply with all provisions of ANA and ONA bylaws.

B. In addition to the requirements set forth in paragraph A of this Section, a both district and regional associations shall:

1. Require that all of its members meet the qualifications specified in Article III of the bylaws.

2. Make provision for transfer of membership in accordance with Article III of the bylaws.

3. Send to the Chief Executive Officer (CEO) of ONA the names and addresses of members of its board of directors immediately after their election or appointment.

4. Submit all amendments to district and Regional association bylaws to the ONA bylaws committee in accordance with Board policy.

5. Ensure that the most recent version of its bylaws is on file with ONA; and

6. Meet all requirements necessary to maintain legal status as set forth in relevant state and federal laws and regulations.


C. ONA shall carry out relevant duties set forth in paragraph B of this Section for the at-large district (if and only if it remains) and region

Section 4—Disqualification of a District or Regional Association

A. A district or regional association that fails to comply with the requirements of ANA and ONA bylaws, or for other cause deemed sufficient, may be disqualified as a district or regional association of ONA by a two-thirds vote of the Board. ONA shall provide written notice of a proposed disqualification to the last known district or Regional (if any) association officers at least three (3) months before the vote is taken. A hearing shall be conducted in accordance with Board policy before a vote is taken.

B. A disqualified district or regional association may be reinstated by a two-thirds (2/3) vote of the Board.

NOTATION• Revise All Articles & Sections of the ONA Bylaws

regarding Districts and Regional Areas previously referred to as Districts and add or delete language accordingly to make it comply. For example: Article III, Section 1, B. Would be modified to read as follows:

Individuals who meet the definition set forth in this Section are eligible for membership in the district association or regional area where they live, work, or are enrolled in an Ohio nursing education program. (eg. ARTICLE II – DISTRICTS and/or Regional Areas with that change/addition applied everywhere Districts are mentioned)

And so on throughout the ONA Bylaws.

• Also, the regions/regional associations would be subject to Board policy as are the districts/district associations in present language. Districts and regions have been dealt with equally here in the interest of simplifying the proposed bylaws revisions but there is room for modifications as the Board, Bylaws Committee or ultimately the ONA HOD sees fit.

• Any fees necessary for the operation of the Regions should be borne by ONA. This information should be shared with the 2019 ONA HOD before the vote on this proposal is taken.

• The structure of the ONA Board of Directors should reflect 1 representative from each regional area.

• A proviso shall be included in this proposal to the bylaws declaring whether Districts will have a choice to remain Districts and not join Regions; also included should be an effective date for Region inception.

This date is to be determined by the ONA Board (with Bylaws Committee and Staff influence) for this action and must be voted on by the ONA HOD along with the proposal itself.

Members of Districts and Regional Areas Task ForceAnnie BowenJoylynn DanielsRobert WeitzelLinda WarinoPat Didion

Name/Local Unit/District Proposing Change: Rick Lucas

Rationale: Standard among other organizations to include this information in their constitution/bylaws.

VISION: The Ohio Nurses Association is the recognized leader and advocate for professional nursing and nurses in Ohio.

MISSION: To advance registered nurses, promote professional nursing practice, and advocate for quality health care.

CORE VALUES:• Social Responsibility – ONA will function ethically and

contribute to the welfare of the community.• Collaboration – ONA will work jointly with others.• Integrity – ONA, in all professional relationships,

practices with integrity.• Professionalism – ONA embodies the conduct, aims, and

qualities of the profession.

ONA’s Vision, Mission & Core Values


PRESIDENT (ELECT 1)DEBORAH ARMS –Professor of Nursing, Walden University, Masters Leadership and Management Program; Ohio Department of Health, Chief of Division of Prevention; Assistant Professor, Wright State University. Education: PhD-Human Development and

Family Science, OSU; MS-Nursing, OSU; BSN-Nursing, OSU. District: MODNA. Related Activities: Research Grant Committee Member, CANE Past Chair and Member (2014- present); Retired Nurses Conference Committee Member; Cornelius Congress Committee Member (2019); Past ONA Board of Directors Member and Treasurer; ONF Board of Directors Member; MODNA Member (1974-Present); MODNA President (2010-2014) and Board of Directors Member (10 years); Scholarship Committee Member (2010-Present).

POSITION STATEMENT: I have been an active member of ONA for 45 years and have held numerous committee, board and officer positions including Treasurer of the Association. I have also held a staff position in the late 1980s. Therefore, I believe I have the leadership skill-set to be qualified for President. If elected, I would focus the organization back to the multipurpose focus of the professional organization. I would continue to support and strengthen the role of collective bargaining, legislative advocacy and promoting policies for safe nursing practice.

FIRST VICE PRESIDENT (ELECT 1)BARBARA K. WELCH, Simulation Education Coordinator & Assistant Professor at Mount Carmel College of Nursing. Education: MSN-Clinical Systems Management, Excelsior College, New York; BSN-Nursing, Excelsior College, New York; AAS-Medical Assisting,

Youngstown State University; Diploma-RN, St. Elizabeth School of Nursing, & Medical Specialist, US Army. District: MODNA. Related Activities:ANA Membership Assemblies & ANA Biannual Conventions as ONA delegate since 2008. ONA Board of Directors (2015-present); ONF Board of Directors (2014-present); ONA Health Policy Council (2015-present). ONA Biannual Conference delegate since 2007. MODNA Board Member (2012-2014) and President (2014- 2018); Local Unit (OSUNO) Vice President (2010), Treasurer (2009) and Treasurer Elect (2008, 2007); Member at Large (2004, 2002); Negotiating Committees, Labor Management Committee & Professional Management Committee (2007-2010).

POSITION STATEMENT: I believe what qualifies me for 1st VP position is that I have been involved with ONA for 22 years. I have seen the changes that the association has gone through which gives me insight into the possibilities for the future of ONA. I will continue to promote honesty & transparency in the association. As 1st VP, I will continue to uphold the vision/

mission of the ONA, advocate for the nursing profession through evidence-based practice, get involved with legislators to promote nursing/health care, promote education of new/existing nurses, advocate for quality health care and help improve Economic & General Welfare.

SECOND VICE PRESIDENT (ELECT 1)JACINTA TUCKER - Cleveland Clinic Union Hospital, ICU Staff Nurse. After nursing school graduation, I started in long term care working at a Nursing Home for five years. After holding various positions in long term care, I decided to do hospital nursing, adding a causal position

at Genesis Hospital working in Telemetry, Medical Surgical and Intensive Care Units for 12 years.. I have been employed at Cleveland Clinic Union Hospital for over 23 years as a Staff Nurse, starting in the Float Pool and now in the Critical Care Unit. I am a charge, preceptor and resource nurse for the unit. I have been involved in our local collective bargaining unit. EDUCATION: MSN-Regis University; BSN-Malone University; ADN-Central Ohio Technical College. District: East Central District. Related Activities: ONA Board of Directors Second Vice President and Interim Treasurer; Interim Finance Committee Chair; Past E&GW Commission Chair; Health Policy Council Member. Other: National Federation of Nurses; American Nurses Association; American Federation of Teachers and Health Care Professionals; National Association for the Advancement of Colored People (NAACP); United Negro College Fund (UNCF); Ohio Democratic Caucus; Association of Critical Care Nurses (ACCN); Sigma Theta Tau International. COTC Academic Achievement (1992); “Who’s Who – Students” (1992, 2003, 2009); “Who’s Who - Professional Women” (2010-2019); Pillars Award for Community Service (2008); Academic Achievement Award, Regis University (2011); Sigma Theta Tau International Chapter (2012-Present); Cornelius Congress Leadership. Served/volunteered 19 years with Coshocton County EMS as Emergency Medical Technician; Free Clinic Volunteer – Diabetes Education, Fund Raising, Community Outreach, Resource Awareness; Pillars Club – Scholarship Sponsors/Awards and Community Outreach; Mt. Olive Missionary Baptist Church, Member. POSITION STATEMENT: As a long standing active member of ONA since 1998, I am a staff nurse. I currently serve as 2nd Vice President of ONA, President of East Central District and serve on various local, state and national ONA committees. My passion and dedication for the nursing profession is strong. Therefore, I will continue to serve as an advocate for all nurses encouraging involvement and keeping a strong voice for the future of the nursing profession and ONA.

CANDIDATE PROFILES 2019


SECRETARY (ELECT 1)JOYCE POWELL – Retired, Akron General Medical Center, Staff Nurse. Education: BSN-Nursing, Malone University; Diploma-Nursing, Akron General Medical Center School of Nursing; Diploma, LPN- Practical Nursing, Akron School of Practical Nursing. District:

Summit & Portage. Related Activities: ONA Board Secretary (2017-2019) and Member (1990-1995, 2007-2015); ONF Board Secretary (2017-2019); E&GW Commission Secretary (1987-2011, 2015-2017); ANA Delegate (2017-2019 and 2002-2008); ANA Observer (2014, 2015); ANA Delegate Credentialing Committee (2010, 2012); Chair, Verbatim Committee (2017-2019); Health Policy Council Member (2007-2009); Finance Committee Member (2009-2011); Nominating Committee Chair (1980-81); District Nominating Committee Member (1982-1983); District Bylaws Committee Chair (1990-1991) and Member (1987-1990); District Director and First Vice President. Other: Member, Cornelius Congress; Elizabeth K Porter Recipient; Sigma Theta Tau Member; Emergency Nurses Association Member. Certified Emergency Nurse.

POSITION STATEMENT: I have served in a variety of positions at all levels of the organization and will bring that experience and knowledge to accomplish the work of the Association. I will continue to make ONA a priority and bring active participation, experience and a thoughtful approach to all the work of the Association.

TREASURER (ELECT 1)RICK LUCAS – The Ohio State University Wexner Medical Center, Staff RN. Education: ADN-Nursing, Ohio University, Zanesville; BSN-Nursing, Ohio University, Athens. District: MODNA. Related Activities: E&GW Commission Member (2017-Present);

MODNA President (2018-Present) OSUNO President (January 2019-Present); AFT Delegate (2018); AFL-CIO Delegate (2018); ONA Delegate (2017); OSUNO 1st Vice President (2018); OSUNO Board Member (2017).

POSITION STATEMENT: As an active member and leader of ONA, I will continue working to keep the membership engaged and active to support the ONA’s mission to advance professional nursing in Ohio. Ohio Nurses deserve for their professional nursing organization to be vibrant and work to address the issues that affect our members every day. As treasurer I will work to safeguard the members’ dues and ensure that funds are used to advance the mission of ONA. I will also continue to fight for the issues that affect our members such as: Safe Staffing, Mandatory Overtime and Workplace Violence.

BOARD OF DIRECTORS, UNSTRUCTURED, (ELECT 2)BENITHA GARRETT – Benevolent Care Centers, LLC, Owner/CEO. Education: MSN-Education, Norwich University. District: GCNA. Related Activities: ONA Board of Directors, Unstructured Member (2015-Present); Director, Administration,

GCNA (2011-2017). Other: Adjunct Faculty, Notre Dame College (2016-Present); Nurse Manager, Koinonia Homes, Inc. (2003-2018).

POSITION STATEMENT: I have demonstrated a whole-hearted commitment to ONA and members, challenging the status quo and serving to ensure the initiatives of ONA and members are actualized. I have a strong work ethic which empowers me to be creative and contribute positively to ONA leadership. I will give of my talents, time, resources and energy to address issues of greatest concern to ONA members, including safe work conditions and patient safety. I will not shy away from being the voice of advocacy on behalf of Ohio nurses.

LAURIE HORNBERGER – University Hospital, RN. Education: BSN-Nursing, Kent State University (Currently); ADN-Nursing, Kent State University. District: District Three. Related Activities: YGDNA President (2016-2019) and Board Member (2014-2016); E&GW Commission Member (2015-2018);

ONA Bylaws Committee Member (2016-2018); District Bylaws Committee (2015-Present); District House of Delegates (2019, 2017, 2015). Other: Quality Practice and Nursing Commission Co-Chair, (former) Northside Hospital, (2016-2018); Co-Chair, Shared Governance Council, University Hospital (Present); Mary Ellen Patton Award (2019); Outstanding Local Unit Leader, E&GW Commission (2018); Barbara Donaho Distinguished Leadership Award, Kent State University (2015).

POSITION STATEMENT: Fighting for rights of patients and fighting for rights of nurses comes naturally to me. I enjoy engaging with membership and empowering them with knowledge and a voice. I have served in multiple leadership roles that supported the improvement of working conditions and patient outcomes. I can view issues from multiple angles. My experience has included collective and non-collective employers. I have also been a mentor to nursing students and new nurse employees. I am passionate about the nursing profession. As a board member, I will fight to build a stronger nursing organization. I believe in a member driven organization.

AMBER MIRANDA – St. Vincent Charity Medical Center, RN (Critical Care). Education: BSN-Nursing, Indiana Wesleyan; ADN-Nursing, Cuyahoga Community College. District: GCNA. Related Activities: Local Unit President (2017-Present) and Secretary (2015-2017), Director at Large, GCNA (Present).

POSITION STATEMENT: I have worked as a union representative, Secretary and President, of the St. Vincent Charity Medical Center PPU. I am familiar with current health care and nursing practice issues. If elected, I will do anything I can to improve the working conditions for nurses and patient safety.

JANTERRIA MATTHEWS – Cleveland State University, Clinical Assistant Professor, Nursing. Education: DNP-Nursing Practice, Loyola University; MEd-Community Health, Cleveland State University; BS-Nursing, Cleveland State University. District: GCNA. Related Activities: GCNA Nurses Association (Present).

POSITION STATEMENT: I believe I am qualified for this office due to my leadership skills, and the ability to influence


and motivate others in the nursing community. If elected, I will attend meetings, as well as support the mission of ONA and Ohio nurses.

JEANETTE PORTER – University of Cincinnati Medical Center, RN. Education: RN, Jewish Hospital School of Nursing. District: SONA. Related Activities: ONA Board of Directors, Member (2015-Present); E&GW Commission (2015-Present); President (2015-Present) as well as Secretary and multiple negotiation teams at state level.

BOARD OF DIRECTORS/E&GW COMMISSION, STRUCTURED, (ELECT 3)AMBER MIRANDA- See “Board of Directors, Unstructured”

IRIS MARCENTILE – Coshocton Regional Medical Center, Staff Nurse. Education: BSN-Nursing, University of Phoenix; ADN-Nursing, Central Ohio Technical College. District: Muskingum Valley. Related Activities: ONA Board of Directors Member (2015-Present); ONA E&GW Commission Member (2015-Present); Secretary, Ohio PeriAnesthesia Nurses Association (2010-present); President, Central Ohio Perianesthesia Nurses Association Member (2017-Present) and Vice President (2015-2017); Legislative Ambassador (2016-present); Safe Staffing, Coshocton Regional Medical Center (2015-present); ONA Governance & Dues Task Force (2016-2017); CRMC Local Unit President (2017-Present) and Vice President (2015-2017).

POSITION STATEMENT: Nursing is a profession and I will continue to promote ONA’s growth and importance in Ohio. I desire to be a part of a strong voice for our future and will continue to serve as a strong advocate by encouraging involvement and strength in our profession. I will be prepared to participate in discussions and decision-making that affect ONA and the nursing profession. Additionally, I will utilize my current experience as a member of the ONA Board of Directors and E&GW Commission, while also being open to new information regarding the direction of ONA.

AFL-CIO DELEGATE (ELECT 10)RICK LUCAS – See “Treasurer”

HOLLY ROWE – The Ohio State University Wexner Center, Staff Nurse. Education: BSN-Nursing, Capital University. District: Mid-Ohio. Related Activities: Vice President, MODNA (2019-2020).

POSITION STATEMENT: I am involved in local and district levels of ONA. I support the membership as a whole. Every voice should be heard and supported. I am committed to serving and attending the conventions. If elected, I will attend conference as a delegate, participate in voting, collaborate in breakout sessions and engage members.

JACINTA TUCKER – See “Second Vice President”

CHERYL WIGNER

NOMINATING COMMITTEE (ELECT 7)GLORIA KLINE – The University of Akron, Retired and Adjunct Faculty-Nursing. District: Stark Carroll. Related Activities: ONA Nominating Committee (2017- Present); Governance & Dues Task Force Member (2015-2017); Board Member, Stark Carroll District (2018 – Present); Board of Directors President (2014 – 2018) and Member (2013 – 2014); Delegate to ONA Convention (2017 & 5 previous years).

POSITION STATEMENT: I have been a member of ONA since 1974 which demonstrates my commitment to the organization. I believe in ONA’s mission of advancing the nursing profession and supporting nurses in their pursuits for promoting health care for all individuals. I am organized and detail oriented, and strive to empower others to grow in their profession/nursing careers. If elected, I would collaborate with other committee members to solicit nominees for the ONA officers and delegates ballot. I will work with the Nominating Committee in a unified approach to present a complete ballot to the ONA Board of Directors and ONA membership.

CAROL SAMS – Greater Cleveland Nurses Association, Executive Director. Education: MSN-Adult Nurse Practitioner, The University of Akron; BSN-Nursing, College of Mount St. Joseph. District: GCNA. Related Activities: Heritage Committee (2018-2019); GCNA Delegate – many ONA conventions; APN SIG (2002); GCNA Executive Director (2018-Present), President (2009-2011) and Secretary (1990s); GCNA BOD Staff Nurse (1990s). Other: As GCNA Executive Director, oversee all BOD activities, quarterly district meetings, business operations and correspondence. Collaborate with ONA on Membership Pilot Project, Nurses Night at the CAVS and 2020 Nurse Wellness Conference. Network in the community and with local units, students and School of Nursing faculty.

POSITION STATEMENT: As a 40-year ONA member and retired NP, I am interested in health care reform, especially for vulnerable populations. As American Academy of Nurse Practitioners Ohio state representative (2008-2010), I participated in many regional and national health initiatives. With my eclectic background, I would represent Ohio nurses well at the ANA Convention. I will remain current on issues at the local, state and national levels, and routinely communicate with legislators. I will support NDASH and ONA Health Policy positions. With a strong collegial network, I will seek the expertise of others to strengthen our work and readily mentor others.

ILDIKO YURYEV – Cleveland Clinic, RN. Education: MSN-Family Nurse Practitioner (in process), Ursuline College; BSN-Nursing, Cleveland State University; ADN-Nursing, Cuyahoga Community College. District: GCNA; Related Activities: ANA Membership Assembly (2017-2019); OHSNA State President (2015-2016); GCNA Director, Administration (2017-2019).

POSITION STATEMENT: I am the co-author and presenter of the reference proposal “Secondary Opioid Exposure Considerations When Caring for Patients with Overdose,” adopted by the ANA House of Delegates 2018. I have experience in advocating for policy change at the national and state level. If elected, I would author, present and advocate for policy change.


LOCAL UNIT MEMBER, E&GW COMMISSION (ELECT 1 SEAT - 4 YRS; ELECT 1 SEAT - 2 YRS)

ANA MEMBERSHIP ASSEMBLY DELEGATE (ELECT 12)PAULA ANDERSON – Retired; Interim Director, MODNA. Education: Diploma-Nursing, Decatur Memorial School of Nursing. District: MODNA. Related Activities: ONA Board of Directors Member, (2007 – Present) and President (2009-2013); E&GW Commission Chair and Member (2013-2017); ANA Voting Delegate (2017-2019); AFT PPC Healthcare and RN Commission; Nursing Congress on Practice and Welfare (2012-2013); Legislative Ambassador. Other: Cornelius Congress Inductee (2011); Volunteer, AHA Million Hearts; Expert in Nursing Care Award (2005); Executive Director Award of Excellence (OSUMC); Clinical Excellence Award (1992); Volunteer, First Book; Volunteer, statewide health fairs.

POSITION STATEMENT: I believe, with my history of involvement at the local, district, state and national levels, that I bring to the table a good set of communication and decision making skills. I am able to think outside the box to reach solutions that benefit all. If elected, I will work hard to ensure that decisions are made in the best interest of the membership and the nursing profession. I will be transparent and will seek input from our members on matters that affect the future of nursing.

DEBORAH ARMS – See “President”

LORI BETH YEAGER BORTMAS – Retired. Education: BSN-Nursing, Pennsylvania State University; Diploma-Nursing, Jameson Memorial Hospital School of Nursing. District: District Three. Related Activities: ANA Professional Policy Committee (2015-2018); ANA Delegate - Nursing Practice (2010, 2001, 1998,1996); ONA Delegate (Multiple times since 1992); ONA Reference Committee (2013, 2009); AFT Delegate (2014-2018); District Three – Director (2016-present); District Three – Secretary (1994-1996); YGDNA – Treasurer (2018-2019); YGDNA – Director (2016-2018).

POSITION STATEMENT: I have been active at the local, state and national levels, and with each new position, I gain knowledge. I am conscientious and detail-oriented. I listen objectively and research thoroughly when collaborating to solve problems. My experiences over the past 30 years, as a union member, staff nurse and ONA member, have molded me into a well-rounded individual. These skills have helped me become an active advocate for nurses. And even though I have now retired, I want to continue to be involved and would appreciate your vote. Thank you!

BARBARA BRUNT – Education Consultant, Brunt Consulting Services. Education: MN-Nursing, University of Dundee; MA-Community Health Education, Kent State University; AAS-Nursing, Lima Technical College, BA-English, Education, Bluffton College. District: Stark Carroll. Related Activities: ANCC Appraiser (2010-Present); Chair, CE Council (2017-Present) Engagement Caucus Member (2016-Present); ONA Board of Directors First Vice President (2015-2017);

District Vice President (2017-Present); District Chair, Program Committee (2017-Present); District Board Member (2013-2017).

POSITION STATEMENT: If elected, I will continue to give my time and talents to the work of the association. I believe that supporting legislative policy, improving economic and general welfare, and advocating for quality health care will help ONA achieve its vision of being the recognized leader and advocate for professional nursing in Ohio.

JAMIE BURCHETT – Bethany Nursing Home, Staff Nurse. Education: BSN-Nursing, Kent State University; AS-Science, Kent State University. District: Summit & Portage. Related Activities: Nominating Committee Member (2017-Present); Membership Engagement Caucus Chair (2019-Present); Membership Engagement Taskforce Chair (2016-2019); Publications Committee Member (2019-Present).

POSITION STATEMENT: I am an active member in ONA and keep up on nursing issues. I am dedicated to our profession. I am organized, detail oriented and reliable. If elected, I will make an informed decision based on current data, our members' needs and that of the professional nurse.

BRIAN BURGER – University of Cincinnati Medical Center, Emergency Department Nurse. Education: MSN/Adult-Gero Acute Care NP, University of Cincinnati. District: SONA. Related Activities: ONA Board President (2017-2019); Second Vice President (2015-2017); Board of Directors Member (2013-2015); E&GW Commission (2013-2015); Chair, Committee on Qualifications (2015-2017); Board Liaison, Health Policy Council (2016-2017); CEO Search Committee Co-Chair (Present) and Member (2016); District Vice President (2011-2013) and Secretary (2013-2016). Other: Recipient of ONA Labor Institute’s Rising Star Award for exceptional promise of leadership and contributions to RNA and ONA (2012).

POSITION STATEMENT: I feel like my communication techniques are able to cross generational lines and unite the nurse leaders of yesterday, today, and tomorrow. If elected, I would also like to increase the exposure on the importance of members to be advocates for our patients and fellow nurses. My futuristic, bold thinking is what is needed to help our governance and dues structure and provide a structure that would lead to an increase of growth of both members and those services provided to all members.

KRIS COPE – Columbus VA, Nurse Educator. Education: DNP-Population Health, Quinnipiac University; MSN-Administration, Norwich University; BSN-Nursing, Ohio University; ADN-Nursing, Mercer Community College. District: MODNA. Related Activities: Cultural Diversity Caucus (2017-Present); Legislative Committee Member (2016-Present); Finance Committee Member (2016-Present); Health Policy Council Member (2015-2018).

POSITION STATEMENT: As a nurse educator, I believe it is important to show other nurses the value in professional nursing organizations and advocating for the nursing profession. It is also important to share and learn from other nursing professionals at all levels. If elected, I will continue to participate in activities at the district and state level so that I am able to share a voice of nursing statewide.


JOYLYNN DANIELS – Retired (2019). Education: Master-Public Administration, University of Cincinnati; Bachelor-Elective Studies, Business, Thomas More College; Bachelor-Nursing, University of Cincinnati; Diploma-Nursing, Deaconess Hospital School of Nursing. SONA district member. ONA Representative – Legislative Ambassador, ANA Delegate (2017-2019), Crisis Standards of Care (2012-2014), OAC Steering Committee (2014-2018), served on ONA BOD, Bylaws Committee Chair, Membership Committee, Finance Committee and E&GW Commission; SONA Representative - President (2014-2018), Human Rights Committee Chair (2012-2017), Board Member, Treasurer and Vice President, ONA Delegate.

POSITION STATEMENT: I have been an active member and representative of the association for many years in multiple areas and positions. I am knowledgeable and supportive of all ONA programs and committees. I have a wide range of experience in representing ONA. If elected, I will be open to new ideas that represent what is in the best interest of the ONA as a delegate to the ANA Membership Assembly.

JESSIE FRYMYER – The Ohio State University Wexner Medical Center, Staff Nurse. Education: BSN-Nursing, The Ohio State University. District: MODNA. Related Activities: ONA Board of Directors (2013-Present); E&GW Commission Member (2012) and Chair (Present); ONA CEO Search Committee Co-Chair (Present); AFT Delegate (2016); ANA Delegate (2011, 2013); OSUNO Board of Directors (2006 – Present); OSUNO President (2015-2018); OSUNO Secretary (2010-2014).

POSITION STATEMENT: I am a respected communicator with the ability to hold debate and find solutions. I am a strong advocate for our profession.

LAURIE HORNBERGER – See “Board of Directors, Unstructured”

RICK LUCAS – See “Treasurer”

JOYCE POWELL - See “Secretary”

TRACY RILEY – Mount Carmel College of Nursing, Professor. Education: PhD-Nursing, University of Pittsburgh School of Nursing, MSN-Nursing, Case Western Reserve University Frances Payne Bolton School of Nursing, BSN-Nursing, Walsh College, ADN-Nursing, Kent State University, Tuscarawas Campus. District: Stark Carroll. Related Activities: ONA Legislative Liaison; Delegate to ONA Convention (2017-2019); SCDNA Board Member (2017-Present); District Technology Committee Chair (2018-Present).

POSITION STATEMENT: I strongly affirm professional nursing and recognize levels of practice within and across our discipline. Nurses in direct and indirect capacities are essential to the structures, processes and outcomes of effective healthcare. Individual and collective abilities of nurses enable us to contribute fully toward improving the delivery of healthcare. My skills in finding, interpreting, and communicating evidence to support practice will enable me to tackle issues collaboratively and respectfully. Each nurse deserves support and protection in every care venue. I promise to be fully prepared for convention and to represent all members of ONA to the best of my ability.

CAROL SAMS – See “Nominating Committee”

JACINTA TUCKER – See “Second Vice President”

BARBARA WELCH – See “First Vice President”

ILDIKO YURYEV – See “Nominating Committee”

AFT DELEGATE, 2 YEARS (ELECT 20)JESSIE FRYMYER – See “ANA Delegate”

RICK LUCAS – See “Treasurer”

JEANETTE PORTER – See “Board of Directors, Unstructured”

HOLLY ROWE – See “ÁFL-CIO”

JACINTA TUCKER – See “First Vice President”

CHERYL WIGNER – See “AFL-CIO”

Convention CE Webinar Bundle

Advocating for Our Profession

Benefits of Being an ONA Member

Stepping Into Leadership: A Webinar for Emerging Nurse

Leaders

Another Great Offering: To Be Announced

All Included in Cornelius Leadership Conference

Registration

www.onaconvention.com


The nominations and elections will be conducted in accordance with the Ohio Nurses Association’s Bylaws; and the Labor-Management Reporting and Disclosure Act of 1959, as amended. The Labor-Management Reporting and Disclosure Act (LMRDA) states that a labor organization may not use funds received from dues, assessments, or similar levies to promote the candidacy of a particular individual in a union election. The LMRDA also states that employers may not contribute funds, directly or indirectly, in support of the candidacy of any individual for a labor organization office under any conditions. These prohibitions include any costs incurred by a labor organization or an employer and anything of value, including goods and services, contributed by a labor organization or an employer. Federal law also provides that candidates must be treated equally regarding the opportunity to campaign and that all members may support the candidates of their choice without being subject to penalty, discipline, or reprisal of any kind. The following are examples of application of the foregoing rules.

DISTRICTS/LOCAL UNITS (DNA/LU)Although a DNA/LU may endorse a candidate, it shall not publicize the endorsement in the DNA/LU newspaper or by other means. A DNA/LU shall not use DNA/LU dues money for a function to promote the candidacy of a particular candidate. A DNA/LU may sponsor a function at which all candidates for a particular office are invited and no candidate is shown preference over another by the DNA/LU. Individual DNA/LU members may make voluntary contributions of money, goods, or services to a candidate.

Additional Approved Practices1. Candidates shall not use District or Structural/Local Unit or

employer stationery to promote their candidacy. Candidates shall not use the ONA corporate logo on campaign materials.

2. The amount that a candidate may expend in their campaign is not limited by ONA.

3. Candidates or persons promoting the interests of candidates cannot distribute literature in any manner which blocks access to meeting rooms, or to place campaign materials on counters or writing tables in the registration area.

4. Campaigning is prohibited in the House of Delegates, in or near the polls, and in the immediate registration area.

5. Upon written request, ONA will provide the names and address labels of the ONA delegates and alternates to the candidate at a cost of $40. The list should be used solely for the promotion of the candidacy of the individual who requests the list and is not to be reproduced. The official number of delegates which includes the Board of Directors will be available on ONA’s Convention Community in ONA Connect connect.ohnurses.org prior to February of the convention year. ONA will mail one set of mailing

labels of the delegates and alternates to the candidate upon receipt of payment. Please make checks payable to Ohio Nurses Association. ONA cannot guarantee that the listing is complete or that addresses are correct. While ONA will do all it can to ensure completeness and accuracy, ONA cannot update lists after they have been sold and mailed to candidates. ONA does not discriminate against any candidate.

6. ONA will honor any reasonable request by a candidate to distribute campaign literature to members at the candidate’s expense. Requests will be honored in the order received. Campaign literature must be provided to the Nominating Committee in sealed, stamped envelopes which are ready for mailing. Each candidate should check with postal officials to determine the proper postage.

7. All candidates will have the opportunity to have their brief biography and 100 word position statement printed in the Ohio Nurses Review. If the position statement goes over 100 words, only the first 100 words will be published. All Board of Directors and E&GW Commission nominees may also have their pictures printed in the Ohio Nurses Review.

8. ONA policies governing campaigns will be published in advance of the convention in the Ohio Nurses Review, and posted on ONA’s Convention Community in ONA Connect connect.ohnurses.org.

9. ONA staff members are not to package or distribute campaign literature for any candidate.

10. Distribution and display of campaign materials is prohibited in the exhibit area and Avenue of Issues.

Convention Campaigning Information 1. A Hall of Candidates will be held Saturday, October 12,

2019. Check the schedule for exact time and place. Each candidate for Officer, Director, E&GW Commission, or Nominating Committee will be provided with a table.

2. A Candidates Forum will be held Saturday, October 12, 2019. Check the schedule for exact time and place.

3. Candidates can pick up election results on the last day of convention before the start of the House of Delegates outside the ONA office. The Ohio Nurses Association is responsible for maintaining all nomination and election records for at least one year after the election, as required by federal law.

QUESTIONS OR PROBLEMSCandidates and members with questions about the nomination or election procedures should contact the CEO of the Ohio Nurses Association at 614-969-3800. Any violation of these rules should be reported promptly so that corrective action can be taken, if necessary.

Ratified by the Board of Directors 1/30/2014; Updated by ONA 2015 & 2017 & 2019

2019 APPROVED CAMPAIGN PRACTICES


2019-2020 ONA BIENNIUM LEADERSHIP MEETING SCHEDULEE&GW COMM

FINANCE COMM.

ONA BOARD LEADERSHIP ASSEMBLY

ONF BOARD HEALTH POLICY COUNCIL

COUNCIL ON PRACTICE

CEC NURSING SUMMIT

OTHER EVENTS

MTG MTG MTG CC MTG CC MTG CC MTG CC MTG CC MTG MTG

10 AM 3 PM 10 AM 8:15 PM 10 AM 8 PM 2 PM 8 PM 10AM 12PM 10 AM 7 PM 10 AM 12PM

2019AUGUST 8/15 8/22

SEPTEMBER 9/19 9/19 9/20 9/12 9/24 9/13 9/6 Labor Inst 9/9-10 (tentative)

OCTOBER 2019 CONVENTION - OCTOBER 11-13 10/25

NOVEMBER 11/22

DECEMBER 12/12-13 Mtg/Orient’n

12/12-13 Mtg/Orient’n

12/12

2020JANUARY 1/16 1/24 1/17 1/24

FEBRUARY 2/12 2/7

MARCH 3/19 3/19 3/20 3/13 3/27 NDASH - 3/11

APRIL 4/16 4/9 4/14 NCA - TBD

MAY 5/8

JUNE 6/11 6/11 6/12* 6/12* 6/23 6/5 6/5 Retired Nurse Forum, 6/2-3

JULY 7/10 7/28

AUGUST 8/27

SEPTEMBER 9/17 9/17 9/18 9/10 9/22 9/18 9/11 Labor Inst- TBD

OCTOBER 10/2 10/20

NOVEMBER 11/13 11/20

DECEMBER 12/17 12/17 12/18 12/10

2021JANUARY 1/21 1/26 1/15 1/22

FEBRUARY 2/10 2/5

MARCH 3/18 3/18 3/19 3/12 3/26 NDASH - TBD

APRIL 4/15 4/8 4/20 NCA - TBD

MAY 5/14

JUNE 6/10 6/10 6/11* 6/11* 6/22 6/4 6/4

JULY 7/9 7/27

AUGUST 8/19 8/26

SEPTEMBER 9/16 9/16 9/17 9/8 9/21 9/17 9/10 Labor Inst- TBD

OCTOBER 2021 CONVENTION - TBD 10/19

NOVEMBER 11/12 11/19

DECEMBER 12/16-17 Mtg/Orient'n

12/16-17 Mtg/Orient’n

12/16

* District Leaders are invited to attend the June meeting of the board


TimePoll will be open for the 2019 elections on Saturday, October 12, 2019 from 11am to 6pm.All members must present a valid government-issued photo ID to vote. No exceptions.

Voting Eligibilitya) All delegates are eligible to

vote for Officers, Structured and Unstructured Directors and Nominating Committee.

b) Only delegates who are represented by ONA for collective bargaining purposes shall be eligible to vote for members of the Economic and General Welfare Commission who serve only on the Commission and not on the Board of Directors.

c) All ONA members who are represented by ONA in a national organization may vote for delegates to the applicable national organization in accordance with applicable national bylaws or constitutions.

INSTRUCTIONS FOR VOTING IN THE 2019 ELECTIONSd) Eligibility for voting shall be

determined as follows:1. An individual shall present

valid delegate credentials and a government-issued photo ID to the teller in order to obtain a ballot to vote for officers, directors, members of the Nominating Committee and members of the Economic and General Welfare Commission.

2. ONA members who are non-delegates may obtain a ballot to vote for national organization delegates after the teller verifies that the individual is an eligible member.

Voting ProcedureVoting is done electronically. The following procedure will govern the voting. Please review carefully prior to voting.1) Go to the voting registration table and

register to vote. Bring a government-

issued photo ID which the teller will use to look up your membership record and delegate status. Your ONA membership must be in good standing as of August 31, 2019.

2) After registering, you will be given a Member Voting Card and directed to an Electronic Voting System to mark your ballot(s). Your Member Voting Card will have your voter code on it. Your voter code unlocks your eligible ballots based on your membership type and delegate status.

3) Before exiting the voting room, print your name and sign your Member Voting Card in the presence of the teller. DO NOT sign your Member Voting Card until you exit the voting room.

The tellers are members who have volunteered their time and effort to assist the Association with the election process. The Board of Directors and staff greatly appreciate their commitment and support.

Nursing is a calling, a way of life. Nursing is a service profession that cannot be live in isolation. Nurses rely on each other for the synergistic effort of teamwork in our efforts of care giving. Is it appropriate that we honor our colleagues, not only during their career but also at the end of life’s journey.

The Nightingale Tribute is a tribute to any registered nurse or licensed practical nurse for their years of service, to be given during the nurse’s funeral by a nurse colleague or friend.

The Nightingale Tribute was designed and developed by the Kansas State Nurses Association in 2003 to be used to honor deceased nurses. Any part or all of the Nightingale Tribute may be used, and modifications to the reading and script are encouraged.

The Nightingale Tribute Reading Nursing is a calling, a lifestyle, a way of living. Nurses here today wish to honor those nurses who no longer are with us and their life as a nurses.

They are not remembered by their years as a nurse, but by the difference they made during those years by stepping intro people’s lives….by special moments.

The Nightingale Tribute She Was There

© 2004 by Duane Jaeger, RN, MSN. “She Was There” is copyrighted by Duane Jaeger, RN, MSN as published there. Individuals using this poem as part of a memorial are permitted to change the pronoun to make the gender appropriate.

When a calming, quiet presence all that was needed.

She was there.

In the excitement and miracle of birth or in the mystery and

loss of life. She was there.

When a silent glance could uplift a patient, family

member, or friend. She was there.

At those times when the unexplainable needs to be explained. She was there.

When the situation demanded a swift foot and sharp mind.

She was there.

We honor you this day and give you a white rose to symbolize our honor and appreciation for being our colleague.

When a gentle touch, a firm push, or an encouraging work

was needed. She was there.

In choosing the best one from a family’s “Thank You” box of

chocolates. She was there.

To witness humanity-its beauty, in good times and

bad, without judgment. She was there.

And now, that it is time to be the Greater One’s side.

She is there.


The purposes of the Ohio Nurses Association (ONA) are to (1) work for the improvement of health care standards and the availability of health care services for all people; (2) foster high standards of nursing; and (3) stimulate and promote the professional development of registered nurses and advance their economic and general welfare. These purposes are advanced in part through ONA’s Health Policy program, with that program’s activities guided by the Health Policy Platform. These purposes shall be unrestricted by considerations of nationality, race, religion, creed, lifestyle, color, gender, disability, sexual orientation, health status, age and all protected classes.

• ONA will advocate for improvement of health standards and the availability of health care services for all people that includes:

- Basic human rights to equity under the law, as these rights are affected within the health care delivery system

- State policies and programs that meet fundamental needs of individuals, families, and groups, particularly with respect to health care

- Occupational, environmental and public health standards that eliminate/minimize hazards and protect the health and safety of all populations

- Access to quality health care services- A stable source of funding to meet health care needs,

including recognition and remuneration for services provided by registered nurses

- Quality nursing care for all populations from health promotion to end of life

OHIO NURSES ASSOCIATION HEALTH POLICY PLATFORM• ONA will advocate for high standards of nursing that

include:- Quality nursing education, evidence based practice,

innovation, and nursing research- Delivery of nursing care by duly qualified providers as a

means to protect the consumer as well as the integrity of the nursing profession

- A Nurse Practice Act that accurately reflects nursing practice

- Nurses practicing to the full extent of their education, competency and credentials

- Expansion of nursing roles in health care reform initiatives

- Protection of the RN scope of practice in order to ensure quality patient care

• ONA will advocate for professional development of nurses and advancement of their economic and general welfare that includes:

- Promotion of life-long learning for all nurses through formal advanced education, continuing education and other learning opportunities

- Inclusion of nurses on boards, organizations, associations and commissions that affect policy

- Protection of the economic and general welfare of nurses through safe staffing initiatives; safe patient handling; environmental safety; and fair wages

- Legislation that requires financial transparency of healthcare providers in an effort to place patient care ahead of financial profit

The ONA Health Policy Council will use this platform, along with actions of the House of Delegates, to develop recommendations regarding ONA’s legislative priorities for each biennium. Other health policy initiatives may be considered as needed.

Approved by the ONA House of Delegates 2017; Revised by the Health Policy Council 2019

The ONA’s PCE is continuing the silent auction tradition at Convention!

Districts and locals are encouraged to bring items and baskets to Convention for members to bid on. All proceeds benefit ONA’s Political Contributing Entity and thus the political action of Ohio’s nurses. Attendees are also encouraged to bring items for the auction! This is a great opportunity to promote your business, such as Mary Kay, ItWorks, Advocare, LipSense, etc.

Please bring your item(s) to Convention and drop them off at the Gibson Foyer. Lisa Walker may answer any questions prior to the event at [email protected]

PCE SILENT AUCTION


Large Local - Rising Star New leader who shows exceptional promise of leadership and contribution to the local/ONABaylee Stiers, Ohio State University Nurses Organization (OSUNO), Ohio State University Hospitals

Large Local - Outstanding Local Unit Leader Leader whose significant contributions to local has led to significant improvement in work environment and patient care environmentDiamantina Arrona, Registered Nurses Association, University of Cincinnati Medical Center

Small Local - Rising Star New leader who shows exceptional promise of leadership and contribution to the local/ONAMadelen Bergman, Defiance Regional Medical Center Unit of ONA, Defiance Regional Hospital

Small Local- Outstanding Grievance Representative Nurse whose advocacy through the grievance process truly stands out Debra Good, Defiance Regional Medical Center Unit of ONA, Defiance Regional Hospital

CONGRATULATIONS TO THE 2019 AWARD WINNERS!

CONGRATULATIONS TO THE ECONOMIC & GENERAL WELFARE AWARD WINNERS!Small Local - Outstanding Local Unit Leader Leader whose significant contributions to local has led to significant improvement in work environment and patient care environmentHaley Poggiali, Oberlin Registered Nurses Association, Mercy Allen Hospital

Large Local - Outstanding Grievance Representative Nurse whose advocacy through the grievance process truly stands outRachel Zielinski, Professional Practice Unit (PPU), St. Vincent Charity Medical Center

Large Local - Adversity Local Unit that has accomplished something remarkable against great odds Registered Nurses Association, University of Cincinnati Medical Center

Small Local - Adversity Local Unit that has accomplished something remarkable against great odds VNA of Cleveland Local Unit of ONA

Dorothy Cornelius Leadership AwardCarol Smith

Elizabeth K Porter AwardLaurie Hornberger

Ethelrine Shaw-Nickerson AwardCarol Smith

Excellence in Nursing EducationTracy Riley

Excellence in Nursing – Staff NurseKathleen Koviak

Excellence in Nursing ResearchMary Dolansky

Excellence in Nurs'g Practice - Political ActionJean Mulichak


What is the Cornelius Congress?The Cornelius Leadership Congress recognizes ONA members and staff who display the leadership characteristics of ONA member and former Executive Director Dorothy Cornelius. Congress members and colleagues are inducted each biennium.

The Congress hosts a continuing education event that features a Cornelius Keynote Address on Leadership in the Nursing Profession, a Porter Lecture on Workplace Advocacy, and a Martyn Paper on Communications. The Porter Lecture named for Elizabeth K. Porter, one of the founders of the economic and general welfare program in the United States. The Martyn paper is named for Elaine H. Martyn, former Executive Director of ONA and editor of the Ohio Nurses Review.

About Dorothy CorneliusDorothy Cornelius believed that one nurse could make a difference, and she proved it.

She was Executive Director of the Ohio Nurses Association from 1957 to 1983; president of the International Council of Nurses, Geneva, Switzerland, from 1973 to 1977; president of American Nurses Association, headquartered at the time in New York City, from 1968 to 1970; and president of the American Journal of Nursing Company, the largest publisher of nursing periodicals in the world, from 1967 to 1968. She was the only person who served in all of those positions.

She served the United States government on many committees and commissions, at the request of the President, starting with Dwight D. Eisenhower. Her presidential commendations crossed political lines and included Lyndon Johnson and Richard Nixon. In all of these efforts, her leadership, knowledge, and concern for her fellow citizens were recognized by everyone.

Dorothy Cornelius’s commitment to nursing and those who receive nursing care was unparalleled. She graduated from Conemaugh Valley Memorial Hospital School of Nursing, Johnstown, Pennsylvania, in 1939 and earned her BS in nursing education at the University of Pittsburgh School of Nursing. During World War II she was in the US Navy Nurse Corps. Miss Cornelius was a public health nurse and the chief nurse of the American Red Cross Blood Program.

She received honorary Recognition from ONA in 1969, the Honorary Membership Award from ANA in 1972, and Honorary Recognition from ANA in 1978. She was named a fellow in the American Academy of Nursing in 1977. The ONA Headquarters building was named and dedicated the Dorothy A. Cornelius Building in 1977; and she was named executive director emeritus of ONA upon her retirement in 1983. She died in 1992.

DOROTHY CORNELIUS LEADERSHIP CONGRESSCongratulations 2019 Cornelius Leadership Congress Inductees!The Cornelius Leadership Congress of the Ohio Nurses Association is named for Dorothy A. Cornelius, RN, former Executive Director of ONA. Its purpose is to recognize members of ONA who demonstrate the leadership characteristics of Dorothy Cornelius in their work and with the Ohio Nurses Association.

The Cornelius Congress inductees must meet the following criteria:

The contributions and participation of the nominee described in the nomination must have been within the professional organization. The leadership skills demonstrated by the nominee must have been made within ONA at either the District, Local Unit, and/or State level.

1. Recipient must be a member of ONA or ONA staff at the time of the nomination and at the time of the induction into the Congress. The recipient has maintained membership and/or employment in the organization for five years or longer.

Nominator must supply one concise and specific narrative example of the nominee's leadership for each of the following:

2. Exhibits outstanding oral, listening and written communication skills within a professional organization.

3. Demonstrates the ability to motivate others by developing mentoring and collegial relationships within a professional organization.

4. Analyzes problems and develops strategies for solution by thinking logically and creatively within a professional organization.

5. Demonstrates caring attributes within a professional organization.

Members of the Cornelius Leadership Congress will be honored and will welcome 2019 inductees on October 10, 2019, at the Cornelius Congress Dinner and Induction Ceremony.


As nurses, ONA members and delegates, we need each other to create Nursing’s future.

Our issues are big and require the best thinking of each and every one of us.

Therefore, we shall demonstrate through our behaviors and preparation our commitment to the spirit and purposes of ONA’s convention, making it an event of joy and friendship.

ONA CULTURAL COVENANT We recognize that we are more alike than we are different, but we know that differences often lead us to the better decisions.

We believe that passion is positive and confrontation is counterproductive.

We affirm the value of each person.

We shall create an atmosphere of acceptance, demonstrating care for each other, as we do our patient’s.

We shall listen to each other so each voice will feel heard.

We shall respect each other’s opinions.

We shall be positive and open to new possibilities.

We shall build on our past by focusing upon our future.

“Through consideration, collaboration, and compromise we can achieve our common goals.”

“If not us, who? If not now, when?’

I am a Nurse; Together we are ONA


ONA Live Events Fall 2019Provider UpdateSeptember 19, 2019Location: The Quest, Columbus

14th Annual Nursing Professional Development ConferenceSeptember 20, 2019Location: The Quest, Columbus

ONA Live Events 2020

Nurses Day at the StatehouseMarch, 11 2020Location: Columbus, OH

3rd Annual Nurse Wellness ConferenceSpring 2020Location: TBD

Retired Nurses ConferenceJune 2 and 3, 2020Location: The Quest, Columbus, OH

Labor Institute Fall 2020Location: TBD

15th Annual Nursing Professional Development ConferenceDate TBDLocation: TBD

2020 Provider UpdatesDate TBDLocation: TBD

To Register, go to www.ohnurses.org/ click on events.The Ohio Nurses Association is an accredited provider of continuing nursing education by the American Nurses Credentialing Centers Commission on Accreditation (OBN-001-91)


MOTIONS In order when another has the floor

Requires a second

Amendable Debatable Vote required

Main Motion NO YES YES YES Majority

Amendment NO YES YES YES Majority

Amendment to the Amendment

NO YES YES YES Majority

Refer to Committee NO YES YES YES Majority

Limit Debate NO YES YES NO Two-Thirds

Close Debate (previous question)

NO YES YES NO Two-Thirds

Divide the Question NO YES YES NO Majority

Division of the Assembly

YES NO NO NO Demand of a Single Member

Reconsider NO YES YES YES Majority

Parliamentary Inquiry YES NO NO NO Chair Decides

Request for Information

YES NO NO NO Chair Decides

Appeal Decision to chair

YES (at the time of the ruling)

YES NO YES Majority

Point of Order YES NO NO NO Chair Decides

TABLE 1: RULES GOVERNING MOTIONS

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