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
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!
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_IfqQZayJ2efXaJVkUYiddIdk/edit 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-union-democratic-response
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
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-continuing-education.html
The National Academy of Medicine (NAM www.nam.edu) recently formed an action collaborative on clinician well-being. This is very aligned with the AMSN strategic plan and our healthy practice environment initiative. "We are proud to have submitted our commitment statement and application to become a network organization of the NAM efforts. We are committed to the cause and will do our part to drive this forward," says Terri Hinkley, CEO of AMSN. "We will be working to include the information from the action collaborative on clinical well-being in the Healthy Practice Environment section of our new website to be launched this spring. We are hoping that this information is also shared across our social media and other channels as well, by our members and leadership. It is a crucial topic that we are passionate about and will do what we can to support and educate those who will benefit from clinician well-being practices." Clinician well-being is essential for safe, high-quality patient care. However, clinicians of all kinds, across all specialties and care settings, are experiencing alarming rates of burnout. Among the most telling of statistics, more than 50 percent of U.S. physicians report significant symptoms. Burnout is a syndrome characterized by a high degree of emotional exhaustion and depersonalization (i.e., cynicism), and a low sense of personal accomplishment at work. Clinician burnout can have serious, wide-ranging consequences, from reduced job performance and high turnover rates to—in the most extreme cases—medical error and clinician suicide. On the other hand, clinician well-being supports improved patient-clinician relationships, a high-functioning care team, and an engaged and effective workforce. In other words, when we invest in clinician well-being, everyone wins. Supporting clinician well-being requires sustained attention and action at organizational, state, and national levels, as well as investment in research and information-sharing to advance evidence-based solutions. Read more on clinician burnout here: https://nam.edu/implementing-optimal-team-based-care-to-reduce-clinician-burnout/ Read AMSN's commitment letter on clinician well-being and healthy practice, here: http://amsnblog.org/node/13
Terri Hinkely, MBA, BSN, RN, CCRC, AMSN CEO As individuals in the nursing community, we are fundamentally wired to always be listening, always be considering the needs of those around us. We assess, we plan, we implement, and we evaluate. The nursing process is the cornerstone of nursing practice. At AMSN, we work hard – month in and month out – to embody the same process when we interact with our members. The things that matter to each and every one of you, also matter to us. We are excited to say that we have listened to you and how you would like AMSN to continually communicate, engage and interact with you. We are thrilled to announce an official re-branding of AMSN – with new colors, new logo, brand-new website, blog and more - due to launch in May of this year! Of course, you already have seen that we have recently launched our podcast, “Med-Surg Moments: The AMSN Podcast” that is hosted by nurses, for nurses. You can subscribe to our podcast through iTunes, Spotify, Google Play Music, and Stitcher. You can also visit our podcast site at www.medsurgmoments.org. You can look forward to a streamlined, user-friendly website for AMSN, where you can find everything from convention information, continuing education, social interaction, and more – quickly and seamlessly. You’ll see a modern look and feel and will have more opportunities to get the most out of your AMSN membership. As ever, we are always listening to you, and what you want out of your AMSN experience. If you have any thoughts to share on things you’d like to see in the coming year, please let us know. We will continually strive to make AMSN your source for professional development, certification, scholarships, and advocacy. You can depend on us, just as your patients and colleagues depend on you.
Taking it Personally: Cultivating Passion Through Professional Fulfillment Robin Hertel, EdS, MSN, RN, CMSRN President, AMSN When we take time to care for ourselves, everyone wins: Our patients, our fellow nurses, and our families. More often than not, we spend much of our waking hours giving to others, leaving very few moments to devote to what drives our passions. I believe it is truly vital for nurses to cultivate professional fulfillment through self-care and self-improvement. When we do this, we can shine brighter, feel stronger, and show our best selves to the world around us. After I had worked on a medical-surgical unit for about 10 years, I began to realize that the passion and excitement I had for my work when I first started was diminished. It seemed like there were more and more demands and less organizational support, more attention being paid to quality metrics than the personal aspects of patient care – all of which left me exhausted and disheartened at the end of the day. Yes, I was suffering from what author Richard Chang referred to as a “passion deficit” in his book entitled “The Passion Plan at Work.” So, I decided that it was vital that I renew my passion and if I was to remain a nurse. I took a strong interest survey online to help me identify interests that I may have failed to nourish during my nursing career. Then I made a list of activities and aspects of my job as a nurse at the bedside that I enjoyed. I integrated some of these interests into my work setting by starting a newsletter for nursing staff on my unit, taking a renewed interest in mentoring students and new nurses, and becoming more involved in AMSN. A key factor to increasing job satisfaction, in my experience, was taking action. Knowing that I was taking steps to achieve a certain goal (increasing my happiness and sense of satisfaction at work) made me feel better and like I was moving forward rather than standing still and letting the passion deficit continue to grow. One way I sought professional fulfillment was through certification. Research has demonstrated that nursing certification promotes feelings of professional accomplishment and growth, validates knowledge in a specialized area and enhances professional credibility and autonomy. I’m currently in the process of recertifying for the third time. I am so proud every time I sign my name professionally and add CMSRN at the end of my title. This is both a personal and professional validation of my continued competencies in the field of medical-surgical nursing. It’s a gift I give to myself as well as a demonstration of my professional credibility. If you are intrigued and would like to learn more about becoming certified as a medical-surgical nurse (CMSRN), please visit the AMSN website here: www.amsn.org. There, you can obtain information on the certification process as well as find resources to help you prepare for the certification exam. You can also view videos on the website where certified medical-surgical nurses describe the professional goals they have been able to achieve as a result of their certification. If you need financial assistance getting your certification, you can also visit www.msncb.org for more information. AMSN and MSNCB will always be in your corner, helping you realize your personal and professional goals. Have a wonderful month, and whatever you do, don’t forget to take some time for you.