CEO's Corner - August 2019 Connections

  • Posted on: 18 August 2019
  • By: AMSN

The Building of a Legislative Program

Terri Hinkley, EdD, MBA, BScN, RN - Chief Executive Officer, AMSN & MSNCB

Robin’s column this month speaks to the critical role nurses play in legislation impacting health care access and cost, the workplace, and workforce issues. For many years AMSN has had a legislative team of volunteers addressing legislative issues of importance to medical-surgical nurses. They’ve written position statements on topics relevant to med-surg nurses, they have signed on to letters from other nursing organizations and they tried to stay abreast of policy and legislative activities. During their annual strategic planning meeting in 2018, the Board of Directors discussed and embraced the critical role AMSN must play in advocating for medical-surgical nursing and their patients. Specific and actionable strategies were developed and we’re working diligently to deliver on these strategies and tactics.

The first step we took was to engage with a legislative expert with relevant health care/nursing knowledge. We were lucky to find Frank Purcell from Cardinal Waypoint to partner with. We sent out a call for volunteers to bolster the number of med-surg nurses that would be responsible for monitoring and addressing issues on behalf of AMSN. We surveyed you, our members, on the legislative issues of importance to you, and we built a legislative priority list based on your feedback. We conducted a two-day training program in DC for newly appointed legislative volunteers.

We have been building a program that allows AMSN to identify and respond to legislation at both the state and federal level. Our team of legislative advisors has grown to 31 individuals, who are monitoring activities in their assigned regions and bringing any relevant legislation back to the legislative team for discussion and action. We have a legislative team of 9 volunteers, chaired by Yalanda Comeaux, who meet regularly with our legislative consultant to address our legislative priorities.

As a result of this new structure and deliberate focus on AMSN’s advocacy strategy, AMSN was invited to speak at the kickoff to the Future of Nursing 2020-2030 initiative, where Linda Yoder, AMSN’s Immediate Past President was able to provide remarks. AMSN has had volunteers and/or staff attend each of the Future of Nursing Town Hall meetings in Chicago, Philadelphia and Seattle and submit or present written statements. We have hosted a webinar on safe staffing, “Safe Staffing: Evidence, Issues, and Action for Med-Surg Nurses”, which is available as a recording in our online library, if you weren’t able to attend live and have another planned for November during Med-Surg Nurses Week. We have launched an online community in our AMSN Hub for members to hear about issues and news related to our advocacy efforts. Lastly, we have continued to notify membership about Title VIII funding and reauthorization legislation and recognition of the WWII-era Cadet Nurse Corps.

I hope this demonstrates our commitment to advocating for you and with you on issues of importance for med-surg nurses but also to educating you, our members, about the role you can play in legislative activities at your local, state and national level. Stay tuned, there are even more great things to come!

Robin's Nest - AMSN President's Message, August 2019

  • Posted on: 13 August 2019
  • By: AMSN

I recently reflected on the amazing journey I’ve experienced throughout my nursing career. One of the many highlights was my experience as a participant in the Nurse in Washington Internship (NIWI) program sponsored by the Nursing Organizations Alliance.

Each year, nurses from many different areas of practice, education levels and from throughout the country converge in Washington, D.C. to learn about advocacy and the legislative process. Initiatives related to nursing and healthcare are a key component of the discussions. The pinnacle of the experience is the opportunity to interact with the legislators from your own state in one-on-one discussions.

I spoke with my legislators about Title VIII funding and the opioid crisis. I have to admit, I was quite nervous at the thought of speaking to these legislators; after all I thought, I’m just one person with no real clout and nothing to offer that the legislators would be interested in. I confess I was also a bit cynical. My news feeds are filled daily with negativity and identity politics that convinced me that they wouldn’t even care about the topics of importance to me. How wrong I was! I shared stories from my own experience regarding how each of these topics impacted my practice and me personally. Both the senator and the representative were very interested in my perspective and we had wonderful conversations. I left those meetings feeling as if I had made a positive impact.

There’s also something special about being in the nation’s capital. It has so much history and so many wonderful sites to visit. One of my favorite places was the Vietnam Women’s Memorial which depicts the dedication, compassion, and fortitude of the women serving in the war, many of whom were nurses. These women had important roles in the conflict and met the challenges they faced head on.

Nurses today also have important roles in the many challenges we encounter including workplace violence, staffing issues, gender inequality, social inequity, and the high cost of medications which places our patients in situations in which they have to choose between feeding themselves or their family and purchasing medications needed to survive. We can choose to share our stories and use our collaborative voices to tackle the many issues we face.

Participation in NIWI was truly a wonderful experience and the knowledge I gained as a result of the internship is empowering. I am prepared to continue to advocate on issues that are important to me as a nurse and a citizen. I know that grass roots efforts can make a big difference and I remain involved, using the tools learned to make my voice heard.

Students and registered nurses are eligible to participate in NIWI. AMSN is proud to sponsor a member’s attendance at NIWI each year. The application for a scholarship will open soon. Please look for an announcement and consider how this experience can impact your own professional journey. It may very well lead you to places and opportunities you have never imagined.

Visit here to find out more about NIWI: https://www.amsn.org/practice-resources/legislative/nurse-washington-int...

AMSN CEO Terri Hinkley Speaks at Future of Nursing Town Hall, Philadelphia

  • Posted on: 25 July 2019
  • By: AMSN

REMARKS OF TERRI HINKLEY, EdD, MBA, BScN, RN
CEO, ACADEMY OF MEDICAL SURGICAL NURSES
AND
MEDICAL-SURGICAL NURSING CERTIFICATION BOARD
ON MEETING OF NATIONAL ACADEMY OF MEDICINE
FUTURE OF NURSING 2020-2030 TOWN HALL
Health Care Workforce, Quality and Patient Safety, Select Populations and Health Equity

JULY 24, 2019, PHILADELPHIA PA

------

I’m Dr. Terri Hinkley, CEO of the Academy of Medical-Surgical Nurses and the Medical-Surgical Nursing Certification Board.

We are proud to support and engage this process. As care delivery changes, so too does our med-surg nursing profession.

At this project’s first hearing in Washington, our immediate past president said to focus on disparities in health care and health, transforming payment to address social determinants, and engaging nurses in information technology innovation. In Chicago, our legislative team chair said to diversify nursing, the industry needed to start in elementary schools and must engage diverse communities.

I’d like to raise an additional priority: the health, wellness, and safety of nurses. To achieve a culture of health in America, we must embed wellness everywhere health care is taught and delivered.

We know why. Burnout and injury drive nurses out. The health of nurses affects patient care, as does the presence, or absence, of mutual professional respect.

But there’s no evidence it builds wellness into our profession or our industry from the beginning.

A better approach is more difficult because it depends on everyone playing a role: Policy, industry, education, and leadership must embed nurse wellness and safety into their standards, into their education and training, and into their systems for certification, evaluation and quality.

Already important exemplars exist, such as AMSN’s PRISM recognition program.

The National Academy of Medicine can significantly advance a culture of health in America if it prioritizes development and implementation of a culture of health for nurses from the beginning.

Thank you.

CEO's Corner July 2019: The Importance of the Social Determinants of Health

  • Posted on: 24 July 2019
  • By: AMSN

The International Council of Nurses (ICN) Congress was an inspirational and educational conference attended by thousands of nurses from around the world. It certainly was enlightening to recognize that nurses around the world face some collective opportunities and challenges. As you read in President Robin Hertel’s ‘Robin’s Nest’, one focus of the conference was the importance of the social determinants of health (SDOH) in managing the health of our patients.

That topic reminded me of the times I spent volunteering as a nurse in a homeless shelter in Alexandria, Virginia. One of the things I learned very quickly was the role social determinants of health play in health and wellness of individuals. We ran a completely volunteer medical clinic once a week in a residential shelter that housed both individuals and families. We saw diabetic patients, patients with hypertension, congestive heart failure, renal disease, liver disease, COPD, and asthma - often made worse due to compliance issues resulting from substance use disorders and/or behavioral health disorders. Some, though, simply didn’t have access to or couldn’t afford medical care, medication, employment, transportation, stable housing, or nutrition.

The patients we saw each week lacked health insurance. We were the only care they received. We counseled them on nutrition, self-care, wound care, alcohol and drug rehabilitation, birth control, and more. We had a small pharmacy that was stocked through financial donations from the shelter and leftover medications from the clinic physicians’ personal practices. I helped patients apply for medication coverage through programs offered to those that couldn’t afford medication by pharmaceutical companies. I gave out medications that were expired, hoping there was enough active pharmaceutical product left in them to be efficacious. I got to truly know them, and their struggles, and I realized what mattered most to their health were basic essentials that many of us take for granted: housing, healthy food, employment, education, and social support.

For many years as an acute care nurse on a medical unit, in the ICU or the ED, I questioned patients and/or family members on the home situation a patient would be returning to. I asked about support systems and help at home. However, often I failed to ask about some of the more basic SDOH, like access to healthy food, proximity to health care, and employment and financial resources. My time in the shelter taught me the importance of those factors. I wish I had worked in the shelter at the beginning of my nursing career, it would have transformed my nursing practice.

AMSN wholeheartedly supports the work of the Future of Nursing 2020-2030 and the importance of the social determinants of health. We will continue to educate our members about SDOH and we will equip you with the knowledge and tools you need to embed their use in your practice, regardless of the practice setting you work in. We know that providing these resources can help you transform your nursing practice and make a difference for your patients – not only for their presenting medical issues, but for their overall health.

AMSN Advocacy Update- July 2019

  • Posted on: 23 July 2019
  • By: AMSN

The AMSN HUB now has a place for med-surg nursing advocates! Established in July, the AMSN “Med-Surg Nurse Advocacy” community includes updates on policy agenda priorities of AMSN – and your engagement and participation! Every AMSN member is enrolled in the Med-Surg Nurse Advocacy HUB community.
To learn more and participate, connect with https://community.amsn.org.

Med-surg nursing priority legislation is on the move in Washington! An AMSN-backed bill reauthorizing Title 8 nurse workforce development programs (HR 728) cleared the House Energy and Commerce Committee July 17 by voice vote. Its next step is a vote on the floor of the U.S. House of Representatives. AMSN makes it easy to contact your member of Congress and say “Vote YES on HR 728!” Click this link to get started: https://docs.google.com/document/d/1exr1Me48UjtfS0qF7u_IfqQZayJ2efXaJVkU...

Besides committee action, nurse workforce legislation is drawing more cosponsorship support on Capitol Hill. HR 728 now has 121 bipartisan cosponsors – nearly a quarter of the 435-member U.S. House of Representatives. Its Senate counterpart, S 1399, has its original bipartisan cosponsors, Sens. Jeff Merkley (D-OR) and Richard Burr (R-NC) and none additional as the committee to which it has been referred has been working on legislation to help control cost growth in health care.

The National Academy of Medicine “Future of Nursing: 2020-2030” project is hosting two more town meetings this summer, one that occurred today in Philadelphia, and then in Seattle August 7. AMSN is planning to be there and to speak out on behalf of med-surg nurses and their patients! Follow developments on AMSN’s Facebook, Instagram and Twitter pages. If you would like to attend yourself in-person or online, click this link for Seattle: www.nationalacademies.org/hmd/Activities/Workforce/futureofnursing2030/2...

Recognition in legislation of the 120,000 women who served in the World War II era Cadet Nurse Corps has been supported by AMSN. On July 12 that support took one step closer to reality: the U.S. House of Representatives passed the 2020 National Defense Authorization Act (HR 2500) with a key Cadet Nurse Corps recognition provision added as an amendment by Rep. Cherie Bustos (D-IL). Read more about it from the Nursing Community Coalition here: https://docs.wixstatic.com/ugd/148923_0a504421c6ee4ee983867c65d9a73630.pdf

Robin's Nest - AMSN President's Message, July 2019

  • Posted on: 23 July 2019
  • By: AMSN

A Reflection of Nursing Around the World
by Robin Hertel, EdS, MSN, RN, CMSRN - President, AMSN

I recently attended the International Council of Nurses Congress Conference, held in Singapore this month. It was a gathering of more than 5,000 nurses from over 120 countries. Discussions and poster presentations over four days involved many of the issues nurses face on a daily basis, including safe staffing, workplace safety, quality, and the healthcare model.

The central theme of the conference centered on moving beyond the focus on disease to one that is more focused on maintaining health. A key role for nurses in primary health care involves assisting patients to remain in the home as long as possible according to Elizabeth Iro, the Chief Nurse of the World Health Organization. This requires medical-surgical nurses to expand their areas of expertise to include disease prevention and the health of the community; of taking stock of where we are individually as nurses both professionally and personally; identifying our knowledge gaps and then taking action to address them.

Investing resources in the power of nursing leadership was another focus. Even though nursing makes up 70% of the healthcare workforce, only 25% of leadership roles in healthcare are held by nurses. Yet nurses are the experts in the care needs of our patients, of the quality and safety gaps that exist in the practice environment and in staffing needs. Nurses have the power to hold the politicians and the health care system accountable for investing in the leadership potential of nurses if we collectively voice our concerns and support this with data and potential solutions. As a part of the health care team, nurses and administrative staff can work collaboratively to address the issues nurses face daily such as safe staffing and protection of the nurses and support staff from acts of violence. Having a seat at the table and actively engaging in discussions and policy development allows nurses the opportunity to change the health of our communities, our nation, and our world. Having a seat at the table is vital if the nursing profession is ever to realize a positive and collaborative health care environment in which we practice to the full extent of our licensure and do so safely.

These are big issues and ones that AMSN is helping the medical-surgical nurse to address. The major focuses of AMSN’s strategic plan include providing tools to nurses to develop and maintain a healthy and safe practice environment, assisting in the professional development of medical-surgical nurses by providing education in the areas where knowledge gaps may exist and promoting the status and profile of nursing through certification as well as legislative advocacy.

Nurses, both individually and collaboratively as a profession, can truly have a positive impact because we are experts at delivering patient-centered care while maintaining quality. We have opportunities to become more involved in the areas of policy development and turning these policies into practice while keeping patient safety at the forefront. Next year has been designated the Year of the Nurse. What will you do to move your practice and the profession forward?

AMSN & MSNCB CEO Terri Hinkley Earns Doctorate, Gains Invaluable Lens to View the Future of Nursing

  • Posted on: 27 June 2019
  • By: AMSN

In May, AMSN and MSNCB CEO Terri Hinkley, EdD, MBA, BScN, RN received her Doctorate in Human and Organizational Learning from George Washington University. The Human & Organizational Learning curriculum focuses on organizational issues such as strategic change, transformational leadership, individual and group learning processes, organizational development, and global and international issues. The degree helped Hinkley to develop a more critical lens with which to see the nursing community and its issues and challenges.

“What interested me about the program at George Washington University was that it was structured with four main pillars: leadership, learning, culture, and change. You can take those constructs and apply them to whatever challenge you are facing in business or professional life,” she says. “For me, as a non-profit executive in the healthcare industry, with a true passion for nursing, I could marry my experience and commitment to the profession with the executive leadership principals, to better explore the future of nursing.”

Hinkley completed the three-year doctoral program with a dissertation that focused on a critical issue that she feels is extremely important to nurses: second victim syndrome. She used a structural equation model to measure causal relationships between psychological capital, social capital, and second victim syndrome. In other words, she was interested in understanding how an individual’s overall life outlook and social support systems combine to impact the severity of second victim syndrome experienced by a registered nurse.

Second victim syndrome occurs when a care provider experiences an unanticipated adverse patient event and becomes victimized in the sense that the provider is traumatized by the event. The provider can feel personally responsible for the patient outcome. Many nurses feel as though they have failed the patient, second guessing their clinical skills and competence. If left unchecked, it can leave the professional depressed, feeling alone and desperate. Sadly, second victim syndrome has led to death by suicide for some nurses.

“I am interested in the impact of negative affective states for nurses: burnout, compassion fatigue, moral distress and second victim syndrome. I am drawn to them, because I really want to change the experience for our nurses moving forward. I don’t want them to have such negative experiences that they drop-out, disconnect from their jobs and their patients, or turn to alcohol and drugs,” says Hinkley. “I welcome anything that brings to light the factors that contribute to these conditions, because it means we can better help to minimize them.”

Hinkley’s research found that no matter how much hope, optimism, self-efficacy or resilience you generally had, how severely – and if – you suffered from second victim syndrome depended on how people treated you, and whether people affirmed your competency as a nurse or blamed and shamed you.

“That treatment from the nurse’s social support system was clearly the important variable in my study. You need support from your unit or team, your institution, and the industry / profession to recover from an episode of second victim syndrome. All three levels of support are important to preventing such negative effects,” she says.

Hinkley says that her doctoral degree will benefit AMSN, MSNCB, and AJJ (AMSN and MSNCB’s association management agency) more broadly, because she can see things even more clearly from the nursing perspective. She can offer more ways to help nurses navigate a rapidly changing work environment, as her doctorate research prepares her to better help the AMSN and MSNCB boards and staff to think differently about what programs and services are offered to nurses by the associations.

“I wanted to focus on the environmental factors and strategic foresight. It allowed me to look at nursing through a lens of culture and change. Skillsets and experiences and backgrounds have changed from what they were for nurses decades ago. So we need to ask: How do we address that and meet new needs of the future workforce?

“We now have a five generational workforce for the first time ever: traditional, baby boomer, Gen X, Millennial, and Gen Z. That landscape alone causes disruption of support and increases misunderstandings – because each generation is so markedly different,” she says. “The Gen Zs are digital natives; they have never grown up without a smartphone. Their expectations and experiences are unique to traditionalists and baby boomers, who sometimes never fully embrace technology. Gen X-ers live-to-work, while Gen Zs want to work-to-live – that’s a very different paradigm. It means we need to think about work differently to meet both organizational and nurse needs.”

To effect change, Hinkley believes that everyone involved in the nursing community can do more to support nurses and give them the tools they need so that they can support each other. With those resources, nurses can thrive.

“I can’t express how eye-opening the doctorate program was for me. I am fulfilled knowing I will be able to apply what I have learned. I am able to look at nursing through a very special lens to study the issues affecting nurses. I know that AMSN and MSNCB will be able to meet the needs of our nurses even better as a result.”

MSNCB President's Message: The Pursuit of Excellence in Nursing

  • Posted on: 24 June 2019
  • By: AMSN

By: Antoinette Falker, DNP, RN, GCNS-BC, CMSRN, CBN

Dictionary.com defines pursuit as: the act of pursuing; an effort to secure or attain a goal; a quest; and any occupation, pastime, or the like in which a person is engaged regularly or customarily. They define excellence as the fact or state of excelling. The pursuit of excellence in nursing is indeed a quest that is accomplished by thoughtfully looking at ones environment and then strategically thinking about how to make a positive difference. If you are in a nursing department with high nursing turnover, making a difference might entail starting a Welcome Committee and developing an orientation tool for new staff.

You may also want to consider starting an Engagement Committee to plan activities to enhance staff satisfaction and staff morale. If you work in a nursing department in which most of your new hires are graduate nurses, you may want to start a preceptor committee to better understand the needs of your preceptors and to develop an orientation tool specifically tailored to the needs of new nurses. If you can never find items in your supply rooms, consider starting a team comprised of nurses who like to organize. Empower them as front-end users to redo the supply area in a more user friendly manner. Now, I am not saying to remodel the supply room, rather I am saying to thoughtfully look at where items are stored in your supply room and then rearrange it to fit the work of your nursing division.

If your nursing division is lucky enough to have an established nursing staff, consider setting a goal to increase the number of medical-surgical nurses who are certified medical-surgical registered nurses (CMSRN®). Recently, I had the opportunity to present a hospital in Illinois with the The AMSN PRISM Award®. While there, I was informed that a staggering 77% of the nurses on the unit receiving the AMSN PRISM Award were certified!

How did that happen?

The nurses and their leadership team decided to pursue excellence in medical-surgical nursing through specialty nursing certification. They found nurses to champion specialty nursing certification. You may want to consider becoming a nursing champion and finding other nursing champions. Consider starting a study group, and raise awareness of the opportunities provided by your facility for specialty nursing certification. Take the time to thoughtfully look at your environment, look at the opportunities for growth, and then begin your pursuit of excellence.

AMSN Testimony for Appropriations

  • Posted on: 20 June 2019
  • By: AMSN

Sen. Roy Blunt
Chairman
Subcommittee on Labor, HHS and Education
Senate Appropriations Committee
U.S. Capitol Room S-128
Washington, DC 20510

Sen. Patty Murray
Ranking Member
Subcommittee on Labor, HHS and Education
Senate Appropriations Committee
U.S. Capitol Room S-128
Washington, DC 20510

Rep. Nita Lowey
Chairwoman
Subcommittee on Labor, HHS and Education
House Appropriations Committee
2358-B Rayburn Building
Washington, DC 20515

Rep. Tom Cole
Ranking Member
Subcommittee on Labor, HHS and Education
House Appropriations Committee
2358-B Rayburn Building
Washington, DC 20515

Dear Chairs and Ranking Members,

On behalf of the 14,000 members of the Academy of Medical-Surgical Nurses (AMSN), as the
organization’s President I write to submit this letter as testimony for the record to the House and Senate
Appropriations Subcommittee on Labor, HHS and Education, regarding FY 2020 appropriations for Title
8 nurse workforce development programs, the National Institute of Nursing Research, and the Agency for
Healthcare Research and Quality, all of which are priorities for members of our organization.

AMSN is the only national specialty nursing organization dedicated to developing medical-surgical
nurses personally and professionally. You know our members well as the type of nurse who would
provide care for a person in the hospital. Our practice is the largest specialty in nursing, consisting of an
estimated 650,000 professionals, and is the foundation of all hospital and community nursing practice.
Our national agenda includes promoting evidence-based safe staffing models, addressing social
determinants of health and the links between hospital care and postoperative health, promoting
professional respect and safety in nursing and health care professions, and advancing nurses into
leadership roles in health, community and public service.

We simply request that Congress, in making appropriations decisions, listen to nurses. Med-surg nurses
work on the front lines of care delivery every day. America’s 4 million nurses represent the largest
workforce in our nation’s health care sector. We know what is best for our patients. We know what makes
for effective, efficient, compassionate care. We live it every day, and we bring this experience to our
agenda for advocacy.

AMSN Requests for FY 2020 Labor, HHS and Education Appropriations

AMSN requests the Congress provide the following appropriations within the Labor, HHS and Education
Appropriations bills for FY 2020:
U.S. Department of Health and Human Services, Health Resources and Services Administration,
Title 8 Nursing Workforce Development … $266,000,000

U.S. Department of Health and Human Services, National Institutes of Health, National Institute
of Nursing Research … $173,000,000

U.S. Department of Health and Human Services, Agency for Healthcare Research and Quality …

$460,000,000.

Title 8 Nursing Workforce Development

AMSN requests Congress provide $266,000,000 in appropriations for nurse workforce development
programs under Title 8 of the Public Health Service Act for FY 2020. We urge Congress once again to
not accept the Administration’s proposal to severely reduce this program, and to support the joint
recommendations of the Nursing Community Coalition, which we share.

Administered by the Health Resources and Services Administration, Title 8 Nursing Workforce
Development programs are instrumental in bolstering and sustaining the nation’s nursing pipeline. Title
8 programs address all aspects of the nursing workforce demand, including education, practice,
recruitment, and retention. Furthermore, these programs increase access to care in communities that need
it most; those in rural and underserved areas. It is also critically important that these nursing workforce
programs continue to have individual line items, which include:
Advanced Nursing Education (Sec. 811), which includes the Advanced Education Nursing
Traineeships and Nurse Anesthetist Traineeships
Nursing Workforce Diversity (Sec. 821)
Nurse Education, Practice, Quality, and Retention (Sec. 831)
NURSE Corps Loan Repayment and Scholarship Programs (Sec. 846)
Nurse Faculty Loan Program (Sec. 846A)
Comprehensive Geriatric Education (Sec. 865)

Our members have ranked nursing workforce development among their highest priorities in policy. In a
survey of AMSN members taken August 2019, they stated that they prioritize:

Health care workforce development
Advocacy for nurses entering the academic workforce and valuing what nurse educators do and
provide
Nurse staffing - including conversations that innovate care delivery
Addressing gaps in education that contribute to provider burnout and lack of quality care.

Title 8 programs effectively address these priorities. They must be sufficiently funded. America’s
population is growing, aging, becoming increasingly diverse, and requiring more health care year by year.
Its investment in the future nursing workforce through Title 8 appropriations delivers important value by
helping to ensure a supply of highly educated and well-prepared caregivers, supporting the development
of nursing faculty and needed educational infrastructure, and expanding incentives for nurses to choose
public health careers.

National Institute of Nursing Research (NINR)

AMSN requests Congress provide $173,000,000 in appropriations for the National Institute of Nursing
Research (NINR) within the National Institutes of Health for FY 2020. We associate ourselves with the
recommendations of the Nursing Community Coalition for NINR funding.

As one of the 27 Institutes and Centers at the National Institutes of Health, NINR’s research projects
funded through this Institute are aimed at reducing burdensome chronic illness, improving end of life
care, and promoting patient-centered care across the life continuum. From disease prevention and global
health, to precision medicine and genomic studies, NINR is at the forefront of nursing science and
research.

Agency for Healthcare Research and Quality (AHRQ)

AMSN requests Congress provide $460,000,000 in appropriations for the Agency for Healthcare
Research and Quality (AHRQ) FY 2020. We ask that Congress one again not adopt the Administration’s
request to transfer AHRQ to the National Institutes of Health, rename it the National Institute for
Research on Safety and Quality, and reduce its funding by $112.5 million. We associate ourselves with
the recommendations of the Friends of AHRQ funding request.

Health services research of the type supported by AHRQ and its budget holds promise for improving
health care, improving health, and promoting the cost-efficiency of our nearly $4 trillion U.S. health care
sector. AHRQ-funded research identifies waste in health care so that stakeholders in the system can learn
and change for the better. AHRQ initiatives have helped to reduce the incidence of hospital-acquired
conditions and are well-situated to help the country and the health care industry respond effectively to the
growing number of patients with multiple chronic conditions.

Thank you for your attention to these requests. We stand ready to provide the Subcommittees any
additional information you may require on these subjects.

Sincerely,

Robin Hertel, EdS, MSN, RN, CMSRN
President

CEO's Corner: Happy Pride Month!

  • Posted on: 20 June 2019
  • By: AMSN
Terri Hinkley, AMSN CEO

Happy Pride Month!

AMSN continues to work tirelessly to bring value to our members and customers. As you’ve likely seen, we’ve rolled out podcasts, videos and new webinars. We’re building new online learning courses in behavioral health for medical-surgical nurses, significantly increased our advocacy and legislative activities and continue to explore ways we can support you as you navigate the increasingly complex and rapidly-changing work environment.

Doing so requires significant strategic thinking and foresight. What will nursing look like in 2 years? In 5 years? What will med-surg nurses need to help them in the workplace? How will the nursing students in school today be prepared for the changing practice environment? There aren’t answers to these questions, at least not yet, but it doesn’t mean they aren’t critical to consider. Now I don’t know anyone with a crystal ball, so we’re left to try and understand today’s work environment and how external factors are likely to affect it. In the world of strategic thinking and foresight, these factors are called ‘signals’. We, at AMSN, are continuously scanning the external environment for such signals to understand how they will impact you and your profession in the future.

To do so takes a lot of expertise and experience. We are not doing this alone. AMSN has an exceptional board made up of committed medical-surgical nurses from a variety of backgrounds and practice settings. We have hundreds of volunteers that have contributed their expertise and experience to the work we are doing. We can’t do it without them. You see, diversity improves the decision-making process. As one of my George Washington University doctoral professors noted in a publication on strategic thinking, “Diversity of age, gender, education, experience, organizational tenure, knowledge, and skills has been found to enhance work group creativity, judgmental quality and overall outcomes” (Goldman, 2012, p. 28).

In fact, many scholars and experts in strategic thinking have identified the team involved in decision-making as one of the strongest indicators of success. It is not enough to have a smart ‘leader’ making the decisions for an organization. Teams, made up of diverse individuals willing to critically debate opportunities before reaching consensus on a decision, increase the success of an organization. Collectively we are better thinkers and make better decisions than we do individually. That’s because we bring a variety of perspectives, lived experiences and expertise together in committees, task forces, teams, and our boards of directors, which enable us to consider many alternatives that might not be apparent to one individual. The greater the heterogeneity of the team, the better.

So, let us remember to value and embrace those that are ‘different’ than we are. Let us welcome them to the table and learn from them. Let us truly strive to ensure that we are representative of all people in the work we do. AMSN is committed to increasing the diversity and inclusion of its staff, board, volunteers and members. We have so much we can learn from all of you. As we celebrate Pride Month, let us celebrate all that diversity and inclusion can do to make us stronger and better…as nurses, as leaders, and as people.

Goldman, E. (2012). Leadership practices that encourage strategic thinking. Journal of Strategy and Management, 5(1), 25-40. doi:10.1108/17554251211200437

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