In this Issue: UW-Madison nursing dean to step down, What is Spiritual Health?, Janet Paige honored, Variance warning. Nursingmatters is dedicated to supporting and fostering the growth of professional nursing.
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www.nursingmattersonline.com October 2015 • Volume 26, Number 8 Nursing matters INSIDE: What is Spiritual Health? 2 Janet Paige honored 4 Variance warning 7 PRST STD US POSTAGE PAID MADISON WI PERMIT NO. 1723 ELECTRONIC SERVICE REQUESTED BARRY ADAMS [email protected]608-252-6148 The longest-serving dean on the UW-Madison campus announced Sept. 11 that she will leave the position late next year after 15 years of service. Katharyn May, dean of the School of Nursing, said she will remain with the school as a member of the faculty. In a statement she said she planned to remain active with the university and was looking to her experience for new challenges. “I have been incredibly fortunate to work with so many colleagues who share a single purpose — to help people improve their health and build better futures for themselves and for their families and communities,” May said. “I look forward to continuing that work in a differ- ent role.” Under May’s leadership, the School of Nursing consistently ranked among the nation’s top nursing programs for research and academics. May spearheaded a 10-year, $25 million campaign to build Signe Skott Cooper Hall. The facility, which opened last year, includes state- of-the-art classroom and research space and allows for expansion of the school’s faculty and enrollment in response to growing demand for nursing over the next 20 years. Other initiatives during her tenure included a partnership with Gundersen Health System to expand the BS Nursing program to La Crosse, while also increas- ing enrollment on the Madison campus, and federally funded projects designed to encourage nurses to earn graduate degrees to prepare for teaching careers and another focused on increasing nursing faculty expertise in teaching technologies. She also helped establish a new Doctor of Nursing Practice program to prepare advanced practice nurses for clinical leadership and educational roles and instituted a new approach to graduate education designed to accelerate student progression to the Ph.D. level in order to prepare more nurses for faculty roles ear- lier in their careers. Before coming to Madison, May served as dean of the School of Nursing at the University of British Columbia for six years. She began her academic career in 1978 at the University of California-San Francisco, where she served as program director and acting department chair. She later held positions as department chair, associate dean for research, and director of graduate programs in the School of Nursing at Vanderbilt University. “We are indebted to Katharyn for her many years of dedicated leadership,” Provost Sarah Mangelsdorf said in a state- ment. “She has helped build and sustain a terrific nursing program. We look forward to her continued presence as a member of the faculty in the School of Nursing.” UW-Madison nursing dean to step down Katharyn May, dean of the School of Nursing at UW-Madison, has announced she will leave the position in late 2016.
The longest-serving dean on the UW-Madison campus announced Sept. 11 that she will leave the position late next year after 15 years of service.
Katharyn May, dean of the School of Nursing, said she will remain with the school as a member of the faculty. In a statement she said she planned to remain active with the university and was looking to her experience for new challenges.
“I have been incredibly fortunate to work with so many colleagues who share a single purpose — to help people improve their health and build better futures for themselves and for their families and communities,” May said. “I look forward to continuing that work in a differ-ent role.”
Under May’s leadership, the School of Nursing consistently ranked among the nation’s top nursing programs for research and academics. May spearheaded a 10-year, $25 million campaign to build Signe Skott Cooper Hall. The facility, which opened last year, includes state-of-the-art classroom and research space and allows for expansion of the school’s faculty and enrollment in response to growing demand for nursing over the next 20 years.
Other initiatives during her tenure included a partnership with Gundersen Health System to expand the BS Nursing program to La Crosse, while also increas-ing enrollment on the Madison campus, and federally funded projects designed to encourage nurses to earn graduate degrees to prepare for teaching careers and another focused on increasing nursing faculty expertise in teaching technologies.
She also helped establish a new Doctor of Nursing Practice program to prepare advanced practice nurses for clinical
leadership and educational roles and instituted a new approach to graduate education designed to accelerate student progression to the Ph.D. level in order to prepare more nurses for faculty roles ear-lier in their careers.
Before coming to Madison, May served as dean of the School of Nursing at the University of British Columbia for six years. She began her academic career in 1978 at the University of California-San Francisco, where she served as program
director and acting department chair. She later held positions as department chair, associate dean for research, and director of graduate programs in the School of Nursing at Vanderbilt University.
“We are indebted to Katharyn for her many years of dedicated leadership,” Provost Sarah Mangelsdorf said in a state-ment. “She has helped build and sustain a terrific nursing program. We look forward to her continued presence as a member of the faculty in the School of Nursing.”
UW-Madison nursing dean to step down
Katharyn May, dean of the School
of Nursing at UW-Madison, has
announced she will leave the position in
late 2016.
October • 2015 NursingmattersPage 2
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EDITORIAL BOARDVivien DeBack, RN, Ph.D., EmeritusNurse ConsultantEmpowering Change, Greenfield, WIBonnie Allbaugh, RN, MSNMadison, WICathy Andrews, Ph.D., RNAssociate Professor (Retired)Edgewood College, Madison, WIKristin Baird, RN, BSN, MSHPresidentBaird Consulting, Inc., Fort Atkinson, WIJoyce Berning, BSNMineral Point, WIMary Greeneway, BSN, RN-BCClinical Education CoordinatorAurora Medical Center, Manitowoc CountyMary LaBelle, RNStaff NurseFroedtert Memorial Lutheran HospitalMilwaukee, WICynthia WheelerRetired NURSINGmatters Advertising Executive, Madison, WI Deanna Blanchard, MSNNursing Education Specialist at UW HealthOregon, WIClaire Meisenheimer, RN, Ph.D.Professor, UW-Oshkosh College of NursingOshkosh, WISteve Ohly, ANPCommunity Health Program ManagerSt. Lukes Madison Street Outreach ClinicMilwaukee, WIJoyce Smith, RN, CFNPFamily Nurse PractitionerMarshfield Clinic, Riverview CenterEau Claire, WIKaren Witt, RN, MSNAssociate ProfessorUW-Eau Claire School of Nursing, Eau Claire, WI
This year, 2015, has been designated “The Year of Ethics” by the American Nurses Association. As a young nurse I went to an Unemployment Compensation hear-ing for a nurse who had been terminated because a patient had
died during her night shift. She had not called the physician about the change in the patient’s condition because he had said he did not want to be disturbed.
The judge asked if nursing had a code of ethics that applied to her practice. I was appalled when she said that she did not know. How could a nurse go through nursing school and practice for years
without knowing about the Code of Ethics for Nursing? Contrast that scenario with the more recent scenario of the Navy nurse who followed his ethical obligations by refusing to force-feed prison detainees at Guantanamo Bay. That took a lot of courage. He faced possible dismissal for his actions. Ultimately, the Navy decided not to pursue disciplinary actions and allowed him to return to duty. The ANA Code of Ethics exists to give nurses guidelines and courage when making tough ethi-cal decisions.
In 2015 ANA updated the Code of Ethics for Nurses with Interpretative Statements. Every nurse needs to integrate this knowl-edge into their daily practices. Tough deci-sions are always easier when you know you are doing the right thing for your patients and your practice.
ANA has a trilogy of wonderful doc-uments that help guide our practice. The first is the Social Policy Statement, which
defines nursing and the social context in which we serve society. If you want to feel really great about your work, read this doc-ument. The second is the Code of Ethics with Interpretive Statements. It is your bible for decision making. And finally, the Standards of Nursing Care, which define a point of practice below which we cannot fall. These are the overall general standards and specific standards for each discipline in nursing.
These three are a must-read for every nurse. You can find them by going to www.nursingworld.org or www.nursingworld.org/ethics/. Please share with us some of the ethical decisions you have made in your practice that guided you to a decision. Email [email protected] to send them to us.
The year of ethics
Kaye Lillesand
WHAT IF ...
Brenda ZarthRN, BSN
Spiritual health is about coping and inner strength. Ath-letes have a pep talk prior to a game. We had pep rallies in high school; the whole assembly would show support and give our team energy for the game. Statistics show a correlation between
how well children does in school and how much family support they receive.
I was told as I married to not forget my girlfriends; when life is tough they will be there for you. Life doesn’t come with a guidebook; babies aren’t born with an instruction manual. Life is designed to be a team sport. We turn to our mothers, grand-mothers, girlfriends, sisters, brothers, fathers and friends. No two lives are the same, but challenges are similar and sometimes having
someone tell you, “You are strong; you can do this,” is just what you need to take you to the next level and around that next corner. Each challenge won brings new strength and understanding.
I admire multigenerational households where the grandparents can provide mental support and say, “I’ve been there, done that; you have the strength and ability to get through this.” Children provide physical work and receive the satisfaction that they are valuable, important and needed. Hav-ing a co-worker say “nice job,” a pat on the back or a hug can be priceless.
Spiritual health is having someone to talk to for strength or guidance when faced with an overwhelming situation – external support from nature or creation. Where do you go to find strength?
Dr. Masaru Emoto in his book “The Hidden Messages in Water” demonstrates how water molecules respond brilliantly to positive messages. The human body is composed mostly of water; we should also demonstrate a positive physical response to supportive messages.
What if we don’t have any family, we don’t fit the part, we aren’t pretty, or we aren’t good at sports? We don’t have friends, we lost the game or we lost our job. We were born with a skin condition. We would rather be forgotten by society and ourselves. What happens when high school is over, we move away, and we try to juggle work, marriage, children, home responsi-bilities and life? We don’t have time to take care of ourselves and the pressure is on. Where do we derive spiritual support?
My co-worker, a medical provider, doesn’t like prescribing narcotics for chronic pain. She’s made the observation that many of her chronic-pain patients are lacking external support. They have multiple diagnoses, always come alone and have many psychosocial complaints. They are consumed by their internal pain and obsessed with the workings of their body. They don’t know how to live outside of themselves. How many times is a pill used to treat a symptom of a bigger problem?
What is Spiritual Health?
Brenda Zarth
See What If, Page 3
October • 2015www.nursingmattersonline.com Page 3
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What is really the best treatment? I wonder how much of our healthcare problem is related to treating symptoms and not finding more appropriate solutions. Are we over-relying on medication to treat societal problems?
John Kretzmann and John McKnight, North-western University, wrote a fantastic workbook, “Building Communities from the Inside Out.”
They say, “Communities cannot be rebuilt by focusing on their needs, problems and defi-ciencies. Rather, community building starts with locating the assets, skills and capacities of res-idents, citizens, citizens’ associations and local institutions.”
Their workbook is packed with ideas for making connections within a community. They have a Capacity Inventory for helping individ-uals identify skills and talents. If you can walk, talk, hear or see, there is something you can do to support your community and give yourself feelings of self-worth and belonging. Everyone is valuable; sometimes we need to get outside of ourselves to realize that. If you want to build a playground, you find a group of passionate workers, citizens of the community, who will be invested in the project. Not only will they give the project their best effort to complete, but they will take care of it for years to come.
Rob Bell, a motivational speaker, says the
best job for a shy introvert, or someone lacking in feelings of self-worth, is to be a greeter or a bagger in a grocery store. You must smile and say “Welcome.” People will inadvertently smile and say “Thank You” back. You have people smiling and saying “Thank you” all day long! He also gave me a business card that says, “I’m Alive, I’m Awake, and I Feel Great!” He said to read the card when you wake in the morning and you won’t go back to sleep.
Hospice does a Spiritual Assessment. They want to provide comprehensive care to meet all needs. They ask questions on spiritual aware-ness: feelings of abandonment, anger, faith, fear/anxiety, forgiveness issues, gratitude, grief, guilt/shame, hope, inner peace, joy, love, preparedness for death, questioning and trust. They want to know where the patient derives support. They understand relationships are huge and life is a team sport. They encourage healing relationships.
I visualize in our future nurse case-managers evaluating all the needs of our clients – assessing their physical, mental and spiritual needs and providing direction on how to best meet those needs. It might include conventional medicine and pharmaceuticals, but it might also include a deeper investigation into the underlying causes of the body’s dysfunction. It might include skilled practitioners who know how to listen to the body to help it heal itself. Life is a team sport; health involves the whole community.
Email [email protected] or visit bren-dashealthplan.blogspot.com to comment.
SILVER SPRING, MD – The American Nurses Association has named Frieda Hopkins Outlaw, PhD, RN, FAAN, as the executive program consultant for the Substance Abuse and Mental Health Services Administration Minority Fellowship Program.
Outlaw will provide academic and scientific oversight to the Minority Fellowship Program. The program supports ethnic minority nurses in obtaining advanced degrees in mental health fields so they can work to reduce disparities and improve health outcomes in diverse communities.
Outlaw is an expert on mental health and substance abuse, with an emphasis on children and families. She has served as assistant commissioner of mental health and substance abuse for the state of Tennessee with a focus on children and youth and their families. Additionally, she was director of the Meharry Youth Health and Wellness Center, which provides primary, behavioral and wellness services for adolescents with a focus on LGBTQI youth. Outlaw has a long-standing relationship with the Minority Fellowship Program, including participation as a fellow from 1981 to 1983 and subsequently serving on the program’s National Advisory Committee.
Outlaw received a bachelor’s degree from Berea College, a master’s degree from Boston College, a doctoral degree from the Catholic University of America and postdoctoral training at the University of Pennsylvania. In 2007, she was inducted as a fellow in the American Academy of Nursing. Visit www.emfp.org for more information.
Consultant appointed to Minority Fellowship Program
Frieda Hopkins Outlaw
October • 2015 NursingmattersPage 4
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The Wisconsin Chap-ter of the Transcultural Nursing Society, founded November 2011, recently celebrated its second annual conference. The mission of the chapter is to enhance the quality of culturally congruent, com-petent and equitable care that results in improved health and well-being for the people of Wisconsin and beyond. The chapter offers a new and exciting networking opportu-nity for nurses and healthcare providers. The goal of the Wisconsin chapter is to be a resource for those who want to expand professional practice, enhance knowledge of transcultural nursing, and increase involve-ment in community activities that promote culturally congruent care. We strive to learn together while building professional relationships, partnerships and networking opportunities.
If we think of the changing face of the nation, cultural congru-ence is an important com-ponent for any practitioner to keep at the forefront. The U.S. Census Bureau has predicted that by 2043 the current white majority will become the minority in the United States. With
the rapidly changing demographics it is vital we continue to develop our knowledge and skill set in order to work as partners to better meet the individualized needs of our patients and families. Individualized care, in a culturally congruent manner, can improve patient outcomes and decrease health disparities. Cultural congruence is an ongoing journey that is ever-changing. It is through education, self-awareness and reflection on our practice that we continue to grow as practitioners and leaders.
One of the chapter’s goals is to provide
educational opportunities and to promote professional certification in transcultural nursing. The chapter’s second-annual con-ference will be held Nov. 16 at the Sheraton in Madison, with the theme “Enhancing Cultural Competence in Wisconsin’s Healthcare.” With a variety of expert speak-ers and topics, it will be an exciting day of discussion about diversity and inclusivity – including data about Wisconsin’s nursing
workforce, implicit bias, pharmacogenetics and diversity, barriers to care for immi-grants, and diverse healthcare challenges. Visit www.tcns.org/TCNSWisconsinChpt-Info.html or the Wisconsin Transcultural Nursing Society’s Facebook page or email [email protected] for more informa-tion. Visit www.surveymonkey.com/s/TGMP8QG to take a needs-assessment survey regarding caregiver needs.
Society celebrates second conference
Jane B. Paige, Ph.D., RN, CNE, associate professor in the Milwaukee School of Engineer-ing School of Nursing and pro-gram director of the Accelerated Second Degree BSN program, recently was presented the Karl O. Werwath Engineering Research Award. She was nom-inated for the award because of her development of patient simulation methods, and development of standards for best-practice simulation and learning.
Nursing is not often associated with engineering research, but Paige’s
development of simulation devices has complimented the education of nursing students by making the experience more realistic. An example of the realistic simulation she devel-oped is a pressurized wireless bladder that simulates various urinary samples in lab. Another example is of a hemo – blood – and pnuemo – air – thorax
system simulation that manages patient chest-drainage conditions in a manikin. With the assistance of a Research Expe-rience for Undergraduates student, Paige worked to develop a realistic chest overlay
using rapid prototyping.Karl O. Werwath was an innovator in
engineering education and the application of technology, and believed that teaching effectiveness was enhanced through applied research and consulting. He felt that Mil-waukee School of Engineering should make an effort to contribute to the advancement of technical knowledge, for the benefit of business and industry for the good of the community and the nation. The award was initiated to recognize the vision of Karl O. Werwath and the contribution of Milwaukee School of Engineering faculty and staff who have fostered the advancement of applied scientific knowledge. Paige was nominated
for this award by faculty and staff members, alumni, Regents and Corporation members. The award recipients are chosen based on criteria including their contribution to engi-neering, scientific research, consulting, the engineering profession and scholarship, and by promoting research, patentable concepts and publications.
Paige has played an integral role in developing the university’s inter-pro-fessional education partnership with the Medical College of Wisconsin. The goal is to have student nurses and student doc-tors work side by side to understand and develop communication skills and attitudes that are necessary to have an effective healthcare team. In the first inter-profes-sional education program in spring 2014, Milwaukee School of Engineering and Medical College of Wisconsin students were presented with a live standardized patient. Students reported the experience taught them how to successfully work together and how to effectively commu-nicate their thoughts. The program will continue this year; 207 first-year medical students will collaborate with 14 Milwau-kee School of Engineering fourth-year nursing students in two inter-professional education sessions.
Paige holds a Bachelor of Science in Nurs-ing from UW-Eau Claire, a Master of Science in Nursing from Concordia University and a Ph.D. in Nursing from UW-Milwaukee.
Professor honored for research
Jane Paige
October • 2015www.nursingmattersonline.com Page 5
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Marjorie Capell Paquin 1905-1966
Reprint in a series written by Signe Cooper and introduced by Laurie Glass in Nursingmatters
Marjorie Capell Paquin had a long association with the Madison campus of the University of Wisconsin. She directed nursing service at the University of Wis-consin hospitals from 1955 until her death in 1966. A native of Park Falls, Paquin was born Nov. 20, 1905. She was the oldest daughter of Eugene M. and Jennie Rob-inson Paquin. She had younger siblings, Jen, Dixie and John: and an older brother, George, who died in infancy.
After attending local schools in Park Falls, Paquin enrolled in the University of Wisconsin-Madison. She received her certificate of graduate nurse in 1931 and was awarded her BS in 1936. In the early years of the university’s nursing program, students were permitted to complete the nursing requirements and take the State Board examination before completing the requirements for a degree.
In 1931, Paquin was appointed to a staff nurse position in the Wisconsin General Hospital – forerunner of today’s University
of Wisconsin Hospitals and Clinics. She served as an assistant head nurse, then as head nurse in eye, ear, nose and throat. She was promoted to supervisor and instructor in 1934, and was assigned to the nursing service office. In 1950, she was appointed to be the Assistant Superintendent of Nurses. In 1955, she received an MA from Columbia University, New York City, and she was also named Superintendent of Nurses – as the Director of Nursing Service was then titled – and Associate Professor in the University School of Nursing.
An active member of several nursing organizations, Paquin was president of the Madison District Nursing Association. She was also on the board of directors of the Wisconsin Nurses Association and on national committees of the American Nurses Association and the National League for Nursing. She served as presi-dent of the Madison Altrusa Club and was a member of Grace Episcopal Church.
Paquin believed that nursing service
in a teaching hospital should support the educational programs of the parent institution , and she was dedicated to the conviction that nursing service and nursing education must work together to prepare well-qualified nurses. Her main goal was the improvement of care in the hospital.
Paquin died of cancer Oct. 30, 1966, and is buried in the family plot in McFowell Cemetery in South Haven, Michigan. At the time of her death, the Memorial Res-olutions of the University faculty noted, “Few people are able to live their lives as effectively and graciously as Marge Paquin. Her zest for living and her interest in peo-ple was unlimited. She will be remembered as one who brought a boundless energy and irrepressible pleasure to both her profes-sional and social activities.”
An annual Marjorie Paquin Memorial Lecture is presented by the nursing staff of University Hospital and Clinics, and a commemorative plaque hangs on the wall of the lobby of the Clinical Sciences Center. Marjorie Capell Paquin
Becky Hovarter
Stevens Point, WI – The Wisconsin Public Health Association, Public Health Nursing Section, held its annual statewide conference Aug 4-5, 2015, at the Holiday Inn and Convention Center in Stevens Point. The theme for this year’s conference was “Leadership and Systems Thinking: The Intersection of Public Health Nursing and the Community.”
The half-day preconference Aug. 4, “The Collaborative PHN Leader: Effec-tively Marketing Your Role to Others” was led by Christine Andres, DNP, PHN, RN, CLC, from Kanabec/Pine Commu-nity Health Services in Minnesota. She provided a skills-building session to more than 90 participants. A poster-presenta-tion session in the evening allowed poster
Conference brings public health nurses together
Public health nurses from across Wisconsin mingle and enjoy some humor during a group activity as part of Dr. Pamela Levin’s keynote presentation.
See Conference, Page 6
October • 2015 NursingmattersPage 6
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Sharon Reyzer and Dr. Sara Baars discuss a project St. Croix County Public Health recently completed.
Conferencecontinued from page 5presenters to interact with participants to discuss their scholarly and prac-tice projects.
More than 125 participants attended the main conference Aug. 5 and were rewarded with a day of learning, network and fun. The conference was opened by Becky Hovarter, 2015 PHN conference chair. A message from Wisconsin State Health Officer Karen McKeown was followed by the keynote presentation by Pamela Levin, PhD, APHN-BC, RN of Rush University in Chicago, who challenged the audience to embrace the value of public health nursing and take action to increase the visibility of the specialty. Nine breakout sessions throughout the day provided public health nurses with information and skills to increase interactions with the
communities they work in. The awards presentation at lunch, always a high-light of the day, recognized outstanding achievement by public health nurses at the local, state and academic levels. The con-ference concluded with an expert panel of nurses who have advanced their education through a variety of journeys, discussing how advanced education can increase the visibility of public health nurses at all levels of practice. The panel included Deborah Pasha James, PhD, RN, Wiscon-sin Division of Public Health; Cyndi Zach, MPH, RN, Ashland County Health and Human Services; Patti Wohlfeil, BSN, RN, MPA, Waushara County Health Depart-ment; along with Andres and Levin.
The conference is not possible without the support of exhibitors and sponsors; the Wisconsin Public Health Association, Public Health Nursing Sec-tion gives thanks!
Lois Olsen, age 90, pioneer nurse-midwife in Wisconsin, went to eternal life Thursday, Sept. 17, 2015. She was born March 30, 1925, in Arcadia, Wisconsin, to Clifford and Ethel (Hess) Olsen. Lois is sur-vived by many loving relatives and friends.
Her father was an Evangelical United Brethren and United Methodist pastor for 45 years and Lois was instilled from early on with a deep sense of faith. She had planned to be a missionary from age 13 on and wanted to go to China as a public health nurse. She graduated as a nurse in 1949 from UW-Madison and enrolled at Yale University to learn Chinese. In January 1950 the Communists invaded China and closed the borders to missionaries. The mission board then sent her to London to study midwifery, in the same time period and city that “Call the Midwives” was set. She was then sent to rural Tiama, Sierra Leone, Africa, where she was in charge of a dispensary and 12-bed maternity unit for the next 12 years. Lois not only provided maternity care but provided care for dis-eases and illnesses to the people of Tiama. Lois went to Sierra Leone with no language experience in a country of 18 dialects!
A bad case of malaria prompted Lois’ return to the United States. She worked as an RN for the Milwaukee Health Depart-ment for two years and a consultant for the Wisconsin Division of Health for four years. Lois obtained her U.S. Certification for nurse midwifery from the University of Mississippi in 1971. She worked as a Certified Nurse Midwife at Mount Sinai Hospital in 1972 and Family Hospital from 1973-75. Lois was the first Certified Nurse Midwife to practice in the state of Wiscon-sin. She fostered a working relationship with doctors and nurses on the important role of Certified Nurse Midwifes in com-plementing the role of doctors.
Lois earned a Master’s in Nursing Education in 1969 from Marquette University and was an associate professor at UW-M School of Nursing from 1976-82. In 1980 Lois returned to her beloved Africa, spending five months at a school of nursing in Ganta, Kenya, where she con-
ducted continuing educational seminars in Cameroon, Liberia, Kenya and Zambia. She taught at a school of nursing at Meth-odist Hospital in Maua, Kenya, for a year in 1985-86 and again from 1990-92. In the summers from 1987-90 she led groups of graduate nursing students from UW-Mad-ison to Kenya on a course in cross-cul-tural nursing.
Lois published several books on her experiences in Africa as well as many arti-cles on midwifery. She was the recipient of many awards for her distinguished career. In her retirement, Lois was an active mem-ber of Kenwood United Methodist Church and the state and national Methodist Church, often documenting the histories of churches and their pastors.
Over the course of her career, Lois assisted more than 980 women to deliver their babies and so has many “children” as well as “grandchildren.” With contentment in her heart, Lois spent a lifetime putting the needs and comforts of others above her own. When reflecting on her career, Lois said simply, “I loved it all.”
Lois had been a long time resident at St. John’s on the Lake where she greatly appreciated the help of all the staff. In lieu of flowers, Lois requested donations to Kenwood United Methodist Women, Church Women United, Northcott Neigh-borhood House Fresh Start Program or St. John’s on the Lake.
Funeral services were held Sept. 23, 2015, at Kenwood United Methodist Church. Suminski Funeral Home served the family.
Lois C. Olsen, 90
PHOTO COURTESY OF FAMILY FRIENDLois C. Olsen was a midwife who spent years in Africa and delivered more than 900 babies during her career.
OBITUARY
October • 2015www.nursingmattersonline.com Page 7
Assistant Professor of Nursing
The Henry Predolin School of Nursing at Edgewood College announces the opening fortwo full-time tenure track faculty positions beginning with the academic year 2014-2015.Responsibilities include teaching at the undergraduate and graduate (MSN and DNP) levels.Graduate concentrations include Nursing Administration and Leadership.
Qualifications:• Earned PhD in Nursing (preferred), or doctorate in related field with a Master’s degreein Nursing; DNP may be considered
• Eligible for RN licensure in the State of Wisconsin• Evidence of teaching, scholarly and community services potential• Knowledge and skills in contemporary practice issues related to the AACN Essentials• Demonstrated commitment to promoting diversity, inclusion, and multiculturalcompetence
To Apply: Send a letter of application, resume, and references to:Edgewood CollegeHuman Resources – APN11000 Edgewood College DriveMadison, WI 53711www.edgewood.eduE-mail: [email protected] Equal Opportunity Employer
TheHenry Predolin School of Nursing at Edgewood College announces the opening fortwo full-time tenure track faculty positions beginning with the academic year 2015-2016.Responsibilities include teaching at the undergraduate and graduate (MSN and DNP) levels.Graduate concentrations include Nursing Administration and Leadership.
The Wisconsin Nursing Association says an update in administrative rules impacts psych-mental health Advanced Practice Nurse Prescribers providing services in cer-tified community-support programs and outpatient mental health clinics.
In order to continue practicing in cer-tified programs, Advanced Practice Nurse Prescribers will need to have their organi-zations submit a variance to the Wisconsin Department of Health Services.
Frequently asked questionsWho needs to submit a variance?Any Advanced Practice Nurse Prescriber
providing services in certified communi-ty-support programs and/or outpatient mental health clinics may need to have the facility submit a variance depending on the following.
• If an Advanced Practice Nurse Pre-scriber practicing in a facility certified under Department of Health Services chapter 35.03(16), then the nurse is rec-ognized and the facility does not need to request a variance.
• If the facility is certified under chapter Department of Health Services chapter 63, then the variance would be needed for an Advanced Practice Nurse Prescriber to provide services. The administrator will know which DHS chapter the facility is certified under.
How did this technical glitch happen?
All of Wisconsin Departments – Department of Health Services, Depart-ment of Safety and Professional Services or Board of Nursing – are required to review all administrative rules that apply to their area of oversight. In complying with this directive, Department of Health Services staff began the rule-review process. They
identified the rule relating to chapter DHS 35, which replaced chapter DHS 61.91. This rule recognizes prescribers, including the Advanced Practice Nurse Prescriber, under Wisconsin Administrative Code § DHS 35.03 (16). However another Wisconsin Administrative Code, chapter DHS 63, does not list Advanced Practice Nurse Pre-scribers as program personnel. Wisconsin Administrative Code chapter DHS 63 was promulgated before 1996, the year the Wis-consin Board of Nursing adopted Chapter N8 of the Wisconsin Administrative Code, relating to certification of Advanced Practice Nurse Prescribers. The Division of Health Services needs fix the glitch by amending rule DHS 63. While this is going through the rule-revision process, there is a need to assure that Advanced Practice Nurse Prescribers can continue to provide services. In order to accomplish this, a variance needs to be issued for certain Advanced Practice Nurse Prescribers.
Can I continue to practice?Yes. Don’t panic. We have been assured
by the Department of Health Services
that Advanced Practice Nurse Prescribers can continue to practice while waiting for their variances to be approved. However, if a nurse’s organization does not receive a timely response to the request for a vari-ance, contact Wisconsin Nursing Associ-ation Communications and Membership Director Joe Vande Slunt at [email protected] regarding the situation.
How do I submit a variance?The nurse’s organization or employer
will need to submit a variance; visit www.wisconsinnurses.org/variance for instruc-tions. However, instead of mailing the variance, email Section Chief Mark Hale at [email protected] with the variance.
What is Wisconsin Nursing Associ-ation doing to address this situation?
Wisconsin Nursing Association Execu-tive Director Gina Dennik-Champion and legal counsel are working with the Depart-ment of Health Services to address this issue. Ultimately, we would like to see the rule changed so a variance is not required, but rule changes can take time.
Psych-mental health nurses may need variance
See Specialists, Page 8
In the alphabet soup of healthcare abbre-viations and credentials, it can be tough for the average person to appreciate the knowl-edge, skills and responsibilities behind a specific nursing degree or qualification. One such role is that of clinical nurse specialists. They are a crucial, though often unfamiliar, part of our healthcare system.
Clinical nurse specialists have, at a min-imum, master’s-degree-level training as advance practice registered nurses. Their function is to improve outcomes in patient care. Other advanced practice nurse roles that people may be familiar with are nurse midwives, nurse anesthetists and nurse practitioners.
The advanced knowledge and skills that clinical nurse specialists have qualify them to do work as clinical practitioners, patient educators, researchers, informaticists and consultants. They are a hub of information that links practitioners and patients to all the system resources available to them.
“They have a huge range of critical responsibilities,” said Laura Burke, PhD, RN-BC, FAAN, director of clinical prac-tice. “As a hub of clinical and system information, the (clinical nurse specialist) is accountable for collaborating with
members of the healthcare team to design, implement and measure safe, cost-effec-tive, evidence-based care strategies.”
A key focus of clinical nurse specialists is their work to influence patient care, develop nurse expertise and improve sys-tems. These three areas are together known as the three spheres of influence, with the patient at the center of focus.
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The University of Wisconsin Hos-pitals and Clinics held two American Nurses Credentialing Center Work-shops in early August, designed to help organizations on Magnet journeys.
“It was an honor to be an (Amer-ican Nurses Credentialing Center) Workshop site and invite nurses from around the country to attend,” said Sarah Brzozowski, nursing program specialist and Magnet Program direc-tor for UW Health. “It’s inspiring and educational to host nursing colleagues from other healthcare facilities and hear about the great work they’re doing. At the end of the day, everyone learns something valuable and usable.”
“This was a great opportunity to work
with nurses on a mile-high view that addresses all the components of Mag-net,” said Karen Gale Speroni, workshop presenter and consultant with the Cre-dentialing Knowledge Center. “Today we
are creating a culture of inquiry. The goal was to provide RNs with current information and resources to assist in decision making that helps create an organization that is supportive of research.”
In addition to the workshops, tours of American Family Children’s Hospital and the new UW-Madison School of Nursing were offered.
“Outstanding!” said Stephanie Zablocki of Virginia. “Great opportu-nity to network and learn. It was a little
overwhelming, but in a good way. I really enjoyed the tour of the nursing school. Beautiful building, wonderful hospital.”
Visit nursecredentialing.org for more information.
UW hosts Magnet Workshop
Specialistscontinued from page 7
Clinical nurse specialists’ advanced knowledge is essential because they work to elevate the practice of nursing and the professional development of nurses.
“Their work improves clinical processes to achieve greater safety and quality of care by bringing the best evidence-based prac-tices to the bedside,” Burke said.
There are more than 72,000 clinical nurse specialists in the United States who work to improve healthcare delivery for patients and health systems. Septem-ber’s National Clinical Nurse Specialist Recognition Week kicked off celebrating nursing theorist Dr. Hildegard Peplau’s birthday, Sept. 1, 1909. Peplau empha-sized the nurse–client relationship is critical to improving outcomes. Her work is foundational for the CNS practice. One of the goals of the recognition week was to help professionals in the field spread the word about the key role that clinical nurse specialists play in healthcare.
“Their work improves clinical processes to achieve greater safety and quality of care by
bringing the best evidence-based practices to the bedside.”
Laura Burke, PhD, RN-BC, FAAN, director of clinical practice
