CEO's Corner - April Connections

  • Posted on: 9 April 2019
  • By: AMSN

By Terri Hinkely, MBA, BSN, RN, CCRC, AMSN CEO

Continuing education is a passion of mine. No, really. I work for a professional nursing society where we promote professional development and encourage continuing education. We know that in today’s volatile, uncertain, complex and ambiguous (VUCA) health care environment, continuing education and professional development are critical to navigating our workplaces. That’s why the board of directors and the AMSN staff are focused on providing you with the education and tools you need to be successful at work.

To demonstrate our commitment to your continuing education, AMSN is currently developing new educational content in behavioral health, a new and improved certification review course, and making some improvements to our clinical development leadership program. We have a fabulous program for our 2019 Annual Convention, and we are confident you’ll learn lots if you join us in Chicago. We’re also expanding the ways you can consume that education, with face-to face offerings, e-Learning courses, podcasts, blogs and peer-reviewed articles in our journal, the MedSurg Nursing Journal, because we know that you’re busy and sometimes finding time for continuing education and professional development is difficult. Stay tuned because there are more exciting things to come. We want AMSN to be your trusted source for information and education on topics that matter to you.

I am also passionate about my own continuing education. I graduated in 1986 with a diploma in nursing from a community college in Toronto, Canada. I then went on to complete a critical care certificate. Once I had completed my certificate and was working in an ICU, I went back to school to earn my BScN. I graduated with my BScN in 2000 and went back to school in 2002 for an MBA. I did my MBA online, well before most universities were offering online programs, because the flexibility and autonomy were important for me. Lastly, I’m graduating next month from the George Washington University with my EdD. Is that it for me? Likely not. Clearly, I love learning. I’m sure something else will fascinate me and I’ll head back to school again.

Next month I’ll be a guest on the AMSN Podcast: MedSurg Moments, where I will talk about my dissertation research on second victim syndrome. My study explored the combined impact psychological capital (often described as who you are or your overall developmental state) and social capital (or the network of relationships you have) on the severity of second victim syndrome experienced in registered nurses. Did you know that second victim syndrome doesn’t just result following an error? It can happen for a number of reasons, and we’ll explore some of those during the podcast. Given the focus on clinician well-being that surrounds the healthcare environment, this topic is critical. I hope you’ll tune in

AMSN Statement at The Future of Nursing Committee Public Meeting 2020-2030

  • Posted on: 21 March 2019
  • By: AMSN

PREPARED STATEMENT OF DR. LINDA YODER, PhD, MBA, RN, AOCN, FAAN
ACADEMY OF MEDICAL-SURGICAL NURSES IMMEDIATE PAST PRESIDENT
BEFORE THE
NATIONAL ACADEMIES OF SCIENCE, ENGINEERING AND MEDICINE
FUTURE OF NURSING 2020-2030 INAUGURAL PUBLIC PANEL
WASHINGTON, DC
====

Co-chair Doctors Wakefield and Williams, members of the panel, colleagues:

I am Dr. Linda Yoder, immediate past president of the Academy of Medical-Surgical Nurses. Thank you for the opportunity to present on behalf of our AMSN President Robin Hertel and our members.

Medical-surgical nurses are the ones who provide care for you and your loved ones in the hospital. Our practice is the largest specialty in nursing, consisting of an estimated 650-thousand professionals.

Medical-surgical nursing is the foundation of all hospital and community nursing practice.

A system provides the outcomes it was designed for - and we have a flawed system! In the United States, we have miraculous innovations and outstanding care for some. Yet, a woman is three times as likely to suffer maternal complications or death if she’s black. Our health sector costs two to three times that found in other industrialized nations, but we’re not living twice as long or as well.

90 percent of a person’s health is the result of social determinants and heredity. Yet, as a nation, we annually spend nearly 4 trillion dollars on health care interventions that impact only 10 percent of our health.

Through focused attention and action addressing social determinants of health and the factors driving health disparities, this Committee can draw a path to a healthier American future, one where all our people live fuller, stronger lives, and where nurses are prepared to serve, innovate and lead the way.

We know the barriers to this future.

We may have the most dynamic and productive economy the world has known. But failures of imagination and policy keep this economically strong nation unhealthy.

Our systems for financing health care pay for sickness not health, for procedures not outcomes. In doing so they warp the delivery of care against the people paying the highest social prices for it.

Among the people paying a high price: people of color. Women. People who are economically poor. And people with multiple health conditions incurring unimaginable costs for uncoordinated care.

Rural America is paying a high price and their hospitals are closing.

I served in the Army 28 years and can state with authority my fellow Veterans pay a high price. Most Veterans do not receive their care in VA hospitals and civilian professionals do not always appreciate Veterans’ unique health care needs.

In America, we also pay a high price in health for failures in technological innovation and integration.

Often nurses and other professionals do not get the patient data they need to make the right decisions every time. And rarely is the patient’s health information smoothly communicated to their next step in care.

A new proposed regulation on health IT interoperability shows promise, though it’s 20-19 and it should have been done already.

In America, discontent drives creativity. That gives me hope.

For example, Del Valle, Texas, is a food and health care desert where there is no hospital. Nurses from the University of Texas at Austin, working with the local fire department, have made the Del Valle firehouse the people’s health clinic. Health care is being brought to people where they are and we witness their health improving.

In low-resource countries, nurses have developed systems supporting new mothers. Teams of nurses educate lay health workers to come alongside new mothers for practical training and to teach them how to care for their babies when they go home.

With such models, they’re improving lives and communities from birth onward.
In these new models and more, medical-surgical nurses work from the front lines to serve populations lacking health and health care. They collaborate with patients one-on-one to find solutions that work.

So our counsel to this panel is to plant practical guidance that everyone in the health sector can act upon, from patients to professionals, to facilities, systems, plans, industry, and governments.

To the extent that health financing and policy are barriers to health and health care delivery, recommend transforming the health care payment system so that nurses are not only a cost but a source of revenue and a resource for solving community health needs. Paying for outcomes and value and ending laws that keep nurses from practicing to the extent they are educated, can improve care and address challenges in nurse staffing.

To the extent information technology has underperformed in health, drive industry to spur innovation alongside the nurses delivering the care.

Because health care resources are focused on the sickness challenge and not on building a culture of health, we must make clear a path for nurses to drive elimination of health disparities and improve social determinants of health through changes in reimbursement policies.

Thank you.

AMSN Call to Action: Support Safe Staffing and Reauthorize Title 8

  • Posted on: 20 March 2019
  • By: AMSN

AMSN Asks Members to Contact Congress: Support Safe Staffing and Reauthorize Title 8

The time is now to build support for improving patient access to quality care by strengthening nursing education!

Will you take a few moments today and write or call your U.S. Representative and say “support safe patient care, cosponsor HR 728 to reauthorize Title 8”?

Learn: Title 8 is the federal government’s nurse workforce development program, critical to strengthening the nursing profession to provide care for America’s growing and aging population. Below is a link to some additional official detailed information about Title 8.

Title 8: https://www.hrsa.gov/sites/default/files/hrsa/advisory-committees/nursin...

Learn: Below are links to an introductory statement and text of HR 728. AMSN supports this important legislation - now you can take action to express your support too!
Introductory Statement: https://joyce.house.gov/uploads/%20Joyce%20Re-Introduces%20Legislation%2...

HR 728 Text: https://www.congress.gov/bill/116th-congress/house-bill/728

Our four-step action plan is here

(1) Act: Here is a link to look up your U.S. Representative.

https://www.house.gov/htbin/findrep

Once you find your representative’s name, click the name, connect to the legislator’s website, and use its “Contact” utility to send your message.

(2) Act: Will you contact your U.S. Representative today?

It’s easy and always best to use your own words. To make it more convenient for you, here is some draft text to consider copying and pasting if your Representative is not one of the more than 40 who have cosponsored HR 728:

SUBJ: Support safe patient care, cosponsor HR 728 to reauthorize Title 8

As your constituent and a member of the Academy of Medical-Surgical Nursing (AMSN), I am writing to ask you to cosponsor HR 728, legislation to reauthorize Title 8 nurse workforce development programs.

The 12,000-plus member AMSN is the only national organization fully representing medical-surgical nurses, who provide the kind of care you or a loved one would receive in the hospital. Because ensuring excellent nurse staffing is vital to safe patient care, I join my national organization in supporting reauthorizing nurse workforce development programs of Title 8 of the Public Health Service Act. Congress funded Title 8 at $249 million for 2019 with bipartisan support. But the program’s legislative authorization has expired, and its continuation is vital to health care in our community and around the country. Without reauthorization, its future funding is at risk - and they are needed resources to strengthen and expand nursing education for our aging population.

I hope you will cosponsor HR 728 reauthorizing Title 8 and I look forward to your response.

If you U.S. Representative is one of the more than 40 who have cosponsored HR 728, write and say thank you!

Here’s a draft text to say thanks:

SUBJ: Thank you for cosponsoring HR 728

As your constituent and a member of the Academy of Medical-Surgical Nursing (AMSN), I am writing to thank you for cosponsoring HR 728, legislation to reauthorize Title 8 nurse workforce development programs.

The 12,000-plus member AMSN is the only national organization fully representing medical-surgical nurses, who provide the kind of care you or a loved one would receive in the hospital. Because ensuring excellent nurse staffing is vital to safe patient care, I join my national organization in supporting reauthorizing nurse workforce development programs of Title 8 of the Public Health Service Act. Congress funded Title 8 at $249 million for 2019 with bipartisan support.

As you know, the program’s legislative authorization has expired, and its continuation is vital to health care in our community and around the country. Without reauthorization, its future funding is at risk - and they are needed resources to strengthen and expand nursing education for our aging population.

Because the availability of nurses is so critical to health care delivery in our community, I thank you for supporting nurse workforce development by cosponsoring HR 728 reauthorizing Title 8. I look forward to your response.

(3) Feedback: When you get a response, use this AMSN link and form below to let us know.

https://docs.google.com/forms/d/e/1FAIpQLSfB8J847otNsxkFXLXgRkQDz7tNcmiD...

(4) Act: Here is some draft social media text you can use to urge support for Title 8!

Facebook: Join me and @MedSurgNurses in asking your U.S. Representative to support safe staffing for health care and cosponsor #HR728 #Title8. https://docs.google.com/document/d/1exr1Me48UjtfS0qF7u_IfqQZayJ2efXaJVkU...

Determine if your representative has already COSPONSORED Title 8 using the link below.

https://www.congress.gov/bill/116th-congress/house-bill/728/cosponsors

Then find your U.S. REP’S OFFICIAL FACEBOOK ADDRESS AND POST IF POSSIBLE: Thanks Rep. [LASTNAME] for supporting safe staffing for health care and cosponsoring #HR728 #Title8! @MedSurgNurses

Twitter: Join me and @MedSurgNurses in asking your U.S. Rep to support safe staffing for #health care and cosponsor #HR728 #Title8. https://docs.google.com/document/d/1exr1Me48UjtfS0qF7u_IfqQZayJ2efXaJVkU...

IF ALREADY COSPONSORED: LOOK UP YOUR U.S. REP’S OFFICIAL TWITTER ADDRESS AND TWEET: Thanks @RepsTwitterAddr for supporting safe staffing for #health care by cosponsoring #HR728 #Title8!

Thank you for your assistance and taking AMSN's Call to Action.

The AMSN Legislative Team

AMSN 2019 Legislative Agenda

  • Posted on: 20 March 2019
  • By: AMSN

AMSN 2019 Legislative Agenda

The following AMSN Legislative Agenda was adopted by the Board of Directors in February 2019.

The CEO has been directed to mobilize appropriate resources at the federal and state levels to carry it out consistent with the AMSN strategic plan and strategic objectives:

● Safe staffing. Advance evidence-based initiatives promoting safe staffing to improve patient health care quality and access, and to reduce health care costs;
● Social determinants of health. Leverage medical-surgical nurses’ roles in patient discharge and transfer processes to advance evidence-based initiatives addressing social determinants of health (SDOH) to improve health and reduce health care costs.
● Nurse workforce development. Promote patient access to high quality health care by supporting reauthorization, improvement and full funding of federal nurse workforce development programs;
● Medical-surgical nurses in leadership. Seek opportunities to successfully place medical-surgical nurses in health care stakeholder advisory bodies and leadership positions at the state and federal levels and within the health care sector.
● Safe workplaces and professional respect. Identify and promote evidence-based strategies that improve workplace safety for medical-surgical nurses and advance their professional recognition.
● Opioid crisis. Promote implementation and funding of the SUPPORT for Patients and Communities Act (P.L. 115-271) and related initiatives at the federal and state levels.

AMSN Commitment to Clinician Well-Being and Healthy Practice Environment

  • Posted on: 5 March 2019
  • By: AMSN

The Academy of Medical-Surgical Nurses (AMSN) is strategically committed to healthy practice environments for medical-surgical nurses. AMSN’s first strategic goal is to support medical-surgical nurses in navigating the changing environment and enhancing their physical, psychological and emotional well-being. AMSN is focused on education, research, strategic partnerships and advocacy to achieve this important goal.

Nursing is hard work, and as a result, nurses suffer from significant stress and stress-related illnesses and are at greater risk of professional burnout (Bao & Taliaferro, 2015; Boamah & Laschinger, 2014; Brunetto, Rodwell, Shacklock, Farr-Wharton, & Demir, 2016; Manzano-Garcia & Ayala, 2017; Rahimnia, Karimi Mazidi, & Mohammadzadeh, 2013; Schaufeli, Leiter, & Maslach, 2009). In fact, the nursing profession is one of the professions with the highest level of burnout (Manomenidis et al., 2017; Manzano-Garcia & Ayala, 2017).

Burnout affects nurses’ physical health, memory, absenteeism and job satisfaction (Laschinger & Grau, 2012; Manomenidis et al., 2017; Sweet & Swayze, 2017) and costs institutions a significant amount of money in sick time and employee turnover, not to mention the financial and reputational costs associated with patient harm or medical errors (Laschinger & Grau, 2012). Furthermore, nurse burnout impacts their ability to provide safe patient care with optimal patient outcomes (Bao & Taliaferro, 2015; Laschinger & Grau, 2012; Manomenidis et al., 2017; Manzano-Garcia & Ayala, 2017; Sweet & Swayze, 2017). Therefore, the risks to the personal physical and mental health of the nursing workforce, patient well-being and institutional well-being because of burnout are significant.

AMSN Position Statement on Healthy Practice Environments

AMSN has drafted a position statement related to Healthy Practice Environments (HPEs). This position statement defines AMSN’s philosophy and stand on the obligations employers and nurses share in the well-being of medical-surgical nurses and can be found here.

Education:

AMSN provides education about well-being, self-care, resilience and the negative effects of burnout, lateral violence, nurse bullying, etc. at its annual convention. AMSN continues to build education and professional resources for medical-surgical nurses to increase knowledge and the necessary skills and tools to combat these negative effects.

AMSN is launching a bi-monthly podcast series, of which one regular topic will be self-care for the medical-surgical nurse. Through interviews with industry leaders and experts, AMSN will provide subscribers/listeners with practical tools and skills to combat negative states such as burnout, moral injury, second victim syndrome, etc.

Research:

AMSN is conducting a research study about medical-surgical nurses’ perceptions of their work environment, using the Practice Environment Scale. AMSN will disseminate the results and develop programs to address issues identified in the research results.

Advocacy:

AMSN actively advocates on behalf of the over 600,000 medical-surgical nurses in the United States about issues such as staffing, nurse education, workforce issues, and practice issues. We strongly support safe and effective staffing assignments that provide optimal patient care while also minimizing the negative effects of ineffective staffing, such as unfinished nursing care, burnout, stress and turnover intentions. AMSNs position statement on staffing can be found here.

AMSN is committed to the well-being of the medical-surgical nurse and is happy to support the National Academy of Medicine Action Collaborative on Clinician Well-Being and Resilience. We have a strategic and long-term commitment to promoting healthy practice environments for medical-surgical nurses and would be pleased to share the action collaborative’s work with our community of medical surgical nurses.

The Academy of Medical-Surgical Nurses (AMSN; amsn.org) is a vibrant community of medical-surgical nurses that represents the largest group of nurses practicing in the acute care environment today. AMSN promotes excellence in medical-surgical nursing by providing education, professional resources, and networking opportunities to its over 12,000 members. AMSN partners with other health care organizations and industries to improve the country’s patient care.

Medical-surgical nurses apply high-level skills, as well as compassion and commitment, to care for patients in a broad range of settings, from hospitals to communities to battlefields. They care for patients who are being treated for cancer, heart disease, diabetes, and many other acute and chronic illnesses. Medical-surgical nurses are also influential advocates, leaders, educators, and researchers. Through multi-media platforms, AMSN helps give nurses a voice in making a positive impact on the health care industry. The organization also gives nurses the tools they need to apply evidence-based practice to achieve better patient outcomes.

Of the estimated 3.0 million practicing registered nurses in America, approximately 600,000 are medical-surgical specialists, making it the single largest nursing specialty in the country.

References:

Bao, S., & Taliaferro, D. (2015). Compassion fatigue and psychological capital in nurses working in acute care settings. International Journal for Human Caring, 19(2), 35-40.
Boamah, S., & Laschinger, H. (2014). Engaging new nurses: The role of psychological capital and workplace empowerment. Journal of Research in Nursing, 20(4), 265-277. doi:10.1177/1744987114527302
Brunetto, Y., Rodwell, J., Shacklock, K., Farr-Wharton, R., & Demir, D. (2016). The impact of individual and organizational resources on nurse outcomes and intent to quit. Journal of Advanced Nursing, 72(12), 3093-3103. doi:10.1111/jan.13081
Laschinger, H. K., & Grau, A. L. (2012). The influence of personal dispositional factors and organizational resources on workplace violence, burnout, and health outcomes in new graduate nurses: A cross-sectional study. International Journal of Nursing Studies, 49(3), 282-291. doi:10.1016/j.ijnurstu.2011.09.004
Manomenidis, G., Kafkia, T., Minasidou, E., Tasoulis, C., Koutra, S., Kospantsidou, A., & Dimitriadou, A. (2017). Is self-esteem actually the protective factor of nursing burnout? International Journal of Caring Sciences, 10(3), 1348-1359.
Manzano-Garcia, G., & Ayala, J. C. (2017). Insufficiently studied factors related to burnout in nursing: Results from an e-Delphi study. PLoS One, 12(4), e0175352. doi:10.1371/journal.pone.0175352
Rahimnia, F., Karimi Mazidi, A., & Mohammadzadeh, Z. (2013). Emotional mediators of psychological capital on well-being: The role of stress, anxiety, and depression. Management Science Letters, 3(3), 913-926. doi:10.5267/j.msl.2013.01.029
Schaufeli, W. B., Leiter, M. P., & Maslach, C. (2009). Burnout: 35 years of research and practice. Career Development International, 14(3), 204-220. doi:10.1108/13620430910966406
Sweet, J., & Swayze, S. (2017). The multi-generational nursing workforce: Analysis of psychological capital by generation and shift. Journal of Organizational Psychology, 17(4), 19-28.

Certified Nurses Day - March 19

  • Posted on: 4 March 2019
  • By: AMSN

Certified Nurses Day - March 19

Certified Nurses Day™ honors nurses worldwide who contribute to better patient outcomes through national board certification in their specialty.

Certification affirms advanced knowledge, skill, and practice to meet the challenges of modern nursing. AMSN will feature med-surg nurses in March through our celebration of Certified Nurses Day. We encourage you to tell us, "Who Are You?" you can send 150 words or less, a photo of you and your colleagues, a special moment on your unit, or simply a short 10 second video that you think explains what the med-surg community means to you. Just click on the link to email your content.

We will share it on our Facebook page as a way to honor your commitment to med-surg!

Send Your "Who Are You?" Materials to lara.lipski@amsn.org

AMSN Launches The Med-Surg Moments Podcast!

  • Posted on: 4 March 2019
  • By: AMSN

Join Us in Our Pod Every Month

The Medsurg Moments:The AMSN Podcast is an engaging look at the lives of - and surrounding- medical-surgical nurses. We’ll have guests on from every corner of the industry, bringing you stories that are relatable and compelling on myriad topics.

Our goal is to bring you interesting perspectives and insight that will serve you at any step of your nursing career.

Listen to, subscribe and download your Med-Surg Moment podcasts at iTunes, Spotify, Google Play Music, and Stitcher. Visit our Med-Surg Moments Podcast site here: www.medsurgmoments.org!

AMSN Legislative Brief March 2019

  • Posted on: 4 March 2019
  • By: AMSN

Keeping You Connected to Legislation Affecting Nursing

Advocacy is an important part of the strategic plan for AMSN. Every month in this newsletter, and ongoing behind the scenes, we take on the issues you care about most. Whether the topic concerns healthy practice environments, safe staffing ratios, patient rights, or medication administering, we will make sure you are in the know. You will also have the opportunity to engage your elected officials as they vote on bills that will have an impact on you, your patients, and everything in between.

We have included just some of the recent legislative news items for our med-surg nursing community for March. We encourage you to read and get involved where you can to effect change.

State of The Union
Several health care issues important to medical-surgical nurses appeared in the President’s State of the Union address on Feb. 4. The President pledged to “reduce the price of health care and prescription drugs.” He took credit for having “eliminated the very unpopular Obamacare individual mandate penalty” and for enacting “right to try” legislation and “unprecedented legislation to confront the opioid crisis.” As for prescription drugs, he said, “I am asking Congress to pass legislation that finally takes on the problem of global freeloading and delivers fairness and price transparency for American patients, finally. We should also require drug companies, insurance companies, and hospitals to disclose real prices to foster competition and bring costs way down.” He also said his 2020 budget would propose $500 million over 10 years to reduce and cure childhood cancer. See and read the text here: https://www.whitehouse.gov/sotu/

HR 728 for Safe Staffing
Members are responding to the AMSN advocacy campaign supporting safe staffing for patients by encouraging U.S. Representatives to cosponsor HR 728, legislation reauthorizing Title 8 nurse workforce development programs. https://www.congress.gov/bill/116th-congress/house-bill/728 More than 100 members have responded to AMSN appeals on the Hub and Facebook to contact their legislators in Washington. With the involvement of AMSN and many nursing organizations, 55lawmakers from both parties have cosponsored this important legislation. But the job is not finished –they need to hear from youtoday! To take actioneasily and conveniently, click this link with resources from AMSN. https://docs.google.com/document/d/1exr1Me48UjtfS0qF7u_IfqQZayJ2efXaJVkU...

Dems Response to the State of the Union
Health care also figured prominently in the Democratic response to the State of the Union, which was presented by Stacey Abrams, former Georgia House minority leader and a 2018 candidate for Georgia governor. “Rather than suing todismantle the Affordable Care Act, as Republican Attorneys General have, our leaders must protect the progress we’ve made and commit to expanding health care and lowering costs for everyone.... In this great nation, Americans are skipping blood pressure pills, forced to choose between buying medicine or paying rent. Maternal mortality rates show that mothers, especially black mothers, risk death to give birth. And in 14 states, including my home state where a majority want it, our leaders refuse to expand Medicaid, which could save rural hospitals, economies, and lives.”See and read the text here. https://www.c-span.org/video/?457451-1/stacey-abrams-delivers-state-unio...

2019 Annual Convention - Lock in at Last Year's Early Bird Rate!

  • Posted on: 4 March 2019
  • By: AMSN

The 2019 AMSN Annual Convention in Chicago will be the can't-miss event of the fall. And, this year we are offering a payment plan for a limited time only to assist AMSN members with convention registration fees! You can receive discounted pricing on your convention registration fee, and break your fees up into 3 small payments instead of 1 bulk payment.

To qualify for this payment plan, you must be a current AMSN member and your membership must be valid through September 30, 2019. Don't miss out on this offer to get your discount for the convention!

www.amsn.org/professional-development/convention/2019pp

NY Times Weighs in on the Value of Stackable Credentials

  • Posted on: 4 March 2019
  • By: AMSN

As you know, AMSN, through our MSNCB offers certifications of CMSRN® and CCCTM® - credentialing that puts you in the driver’s seat of your career trajectory (info here: www.msncb.org). Stackable credentials are becoming the way of the future in the nursing industry, and more facilities are getting on board.

The potential for advancement and placement is blocks being assembled, NY Times recently wrote, are a “series of traditional degree-based and/or nontraditional credentials — certificates, certifications, licenses, badges, apprenticeships and more — that recognize achievements and provide an accurate assessment of knowledge, skills and abilities.” The more credentials that are accumulated and stacked, the more marketable the candidate presumably becomes.
Read the full article here: https://www.nytimes.com/2019/02/22/education/learning/stackable-degree-c...

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