nursing matters august 2015

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www.nursingmattersonline.com August 2015 Volume 26, Number 6 Nursing matters INSIDE: What if… it’s attitude? 2 Aging together 5 Celebrations 8 PRST STD US POSTAGE PAID MADISON WI PERMIT NO. 1723 ELECTRONIC SERVICE REQUESTED Leilani Mazzone Historian, Wisconsin Organization of Nurse Executives Mary Cieslak-Duchek has been named Nursing Leader for the Year 2015 for the Wisconsin Organization of Nurse Execu- tives. Cieslak-Duchek has 40 years of nursing and nursing leadership, and has been an active member of the organization for many years, including the chair and co-chair of the Legislative Committee. This team, led by her efforts, was instrumental in writ- ing license-plate legislation and securing legislative sponsorship so the plate is being considered in the Wisconsin Legislature. If passed, the legislation will benefit the “Wisconsin Nurses Education Fund” for professional development, education and scholarships for Wisconsin nurses. In addition to her activity on the Legislation Committee, Cieslak-Duchek has been on several special committees; she has been a Wisconsin Organization of Nurse Executives Board member since 2009. She was one of the key leaders supporting the organization’s nursing academy and on the Wisconsin Center for Nursing-Robert Wood Johnson Grant Leadership Development Subgroup from 2012 to present. Cieslak-Duchek is a diploma graduate of the Deaconess Hospital for Nursing. As a lifelong learner, she received her BSN from Alverno College and her Master’s degree at the Medical College of Wis- consin. She is also a Johnson & Johnson fellow. She is currently the director of Nursing Integration at Aurora Health Care. In this role, Cieslak-Duchek is described by one of her nominators as an “amazing resource within Aurora Health Care.” She leads multiple projects and programs for Aurora hospitals and clinics. Her accomplishments are many. Some of the significant events highlighted are: ensuring consistent electronic docu- mentation throughout Aurora; building, developing and implementing a staffing acuity mode; implementing bar-coding and bedside-medication verification. Cieslak-Duchek also led the implementa- tion of cost containment that has insured patient-quality safety and financial improvement throughout Aurora. Cieslak-Duchek is a true change agent, “a leader willing and capable of tackling change head-on.” She is a master at pull- ing the latest models of improvement and collaborating outside of nursing. Cieslak-Duchek chosen Leader of the Year Mary Cieslak, left, receives the Nursing Leader of the Year award from Joan Ellis Beglinger, Principal/Consultant at Designing For Tomorrow. See Cieslak-Duchek, Page 4

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INSIDE: Cieslak-Duchek chosen Leader of the Year, What if… it’s attitude?, Aging together Nursingmatters is dedicated to supporting and fostering the growth of professional nursing.

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Page 1: Nursing Matters August 2015

www.nursingmattersonline.com

August 2015 • Volume 26, Number 6

NursingmattersINSIDE:

What if… it’s attitude?

2Aging together

5Celebrations

8

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Leilani MazzoneHistorian, Wisconsin Organization of Nurse Executives

Mary Cieslak-Duchek has been named Nursing Leader for the Year 2015 for the Wisconsin Organization of Nurse Execu-tives.

Cieslak-Duchek has 40 years of nursing and nursing leadership, and has been an active member of the organization for many years, including the chair and co-chair of the Legislative Committee. This team, led by her efforts, was instrumental in writ-ing license-plate legislation and securing legislative sponsorship so the plate is being considered in the Wisconsin Legislature. If passed, the legislation will benefit the “Wisconsin Nurses Education Fund” for professional development, education and scholarships for Wisconsin nurses.

In addition to her activity on the Legislation Committee, Cieslak-Duchek has been on several special committees; she has been a Wisconsin Organization of Nurse Executives Board member since 2009. She was one of the key leaders supporting the organization’s nursing academy and on the Wisconsin Center for Nursing-Robert Wood Johnson Grant Leadership Development Subgroup from 2012 to present.

Cieslak-Duchek is a diploma graduate of the Deaconess Hospital for Nursing. As a lifelong learner, she received her BSN from Alverno College and her Master’s degree at the Medical College of Wis-consin. She is also a Johnson & Johnson fellow. She is currently the director of Nursing Integration at Aurora Health Care. In this role, Cieslak-Duchek is described by one of her nominators as an “amazing resource within Aurora Health Care.” She leads multiple projects and programs for Aurora hospitals and clinics. Her accomplishments are many. Some of the significant events highlighted are: ensuring consistent electronic docu-mentation throughout Aurora; building, developing and implementing a staffing acuity mode; implementing bar-coding

and bedside-medication verification. Cieslak-Duchek also led the implementa-tion of cost containment that has insured patient-quality safety and financial improvement throughout Aurora.

Cieslak-Duchek is a true change agent,

“a leader willing and capable of tackling change head-on.” She is a master at pull-ing the latest models of improvement and collaborating outside of nursing.

Cieslak-Duchek chosen Leader of the Year

Mary Cieslak, left, receives the Nursing Leader of the Year award from Joan Ellis Beglinger, Principal/Consultant at Designing For Tomorrow.

See Cieslak-Duchek, Page 4

Page 2: Nursing Matters August 2015

August • 2015 NursingmattersPage 2

Nursingmatters is published monthly by Capital Newspapers. Editorial and business

offices are located at1901 Fish Hatchery Road, Madison, WI 53713

FAX 608-250-4155Send change of address information to:

Nursingmatters 1901 Fish Hatchery Rd.

Madison, WI 53713

Editor .......................................... Kaye Lillesand, MSN608-222-4774 • [email protected]

Managing Editor .................................. Julie Belschner 608-250-4320 • [email protected]

Advertising Representative...................Andrew Butzine 608-252-6263 • [email protected]

Recruitment Sales Manager ......................Sheryl Barry608-252-6379 • [email protected]

Art Director ..........................................Wendy McClure608-252-6267 • [email protected]

Publications Division Manager ................. Matt Meyers608-252-6235 • [email protected]

Nursingmatters is dedicated to supporting and fostering the growth of professional nursing. Your comments are encouraged and appreciated. Email editorial submissions to [email protected]. Call 608-252-6264 for advertising rates.

Every precaution is taken to ensure accuracy, but the publisher cannot accept responsibility for the correctness or accuracy of information herein or for any opinion expressed. The publisher will return mate-rial submitted when requested; however, we cannot guarantee the safety of artwork, photographs or manu-scripts while in transit or while in our possession.

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

© 2015 Capital Newspapers

Kaye LillesandNursing Matters Editor

You have heard me say before, “What happens in the Legislature impacts what happens in our practice.” With what is happening at the state and national levels today, it’s more important than ever for nurses to become

involved and take action.At the national level there is pending

legislation regarding patient safety, reim-bursement for healthcare professionals, funding for nursing and health research and voter rights, just to name a few.

At the state level, look at how the new budget will impact our wonderful nursing schools in the University of Wisconsin

system. Or how gerrymandering and voter-suppression tactics will impact the election results and thus the practice of nursing. Again, just to name a few.

BUT, the recent pushback to the “transparency clause” in the state budget is an excellent example of how taking action works. In a democracy voices do count. Unless we accept the responsibili-ties of living in a democracy, we could lose it. Think about it. What do gerrymander-ing and voter suppression do to the demo-cratic process of electing representatives? It does not matter whether you are a Republican or a Democrat. Either party could be guilty of tampering with elec-tions. Unless we collectively take action, forcefully and soon, we will no longer have

democratic elections in this state.As you can see from the small number

of serious issues I mentioned – there are many more – there is much work to be done. It is incumbent on each of us to LEARN THE FACTS AND TAKE ACTION.

Let me close with three perti-nent quotes.

“Think like a man of action and act like a man of thought.” – Henri Bergson

“Unless a capacity for thinking be accompanied by a capacity for action, a superior mind exists in torture.”

– Bennedette Croce“Action may not always bring happi-

ness, but there is no happiness without action.” – Disraeli

Time to take action

Kaye Lillesand

Brenda ZarthRN, BSN

When I go to work I leave my personal belongings and my personal life in my car. When I get on the phone with my patient, it’s all about them. Why are they calling? What’s really the problem?

I’m listening to the tone of their voice, background noises, and what’s beyond their words. My attitude is, I want to help. I know if my intentions are good, my words and actions will follow. More than 90 percent of my patients are stressed. I try to hear what they are saying, knowing if they are angry or upset their words are often not the whole story. Why are they frustrated and hurting? Often they are losing their ability to cope. They need help and they’re scared. They are losing control.

I want to dig to the root of their prob-lems. I need them to trust me and talk to me. Often they don’t know what they need; I try to help them decide what they are trying to say. “When did you first notice this problem? How did it start?” Often a problem doesn’t have a clear starting point. I look for a gradual progression to the problem: stress that won’t let up, or repetitive work or activity.

Emotional and mental stress can often lead to physical breakdown. My best friend swears she developed breast cancer due to working in child welfare, needing to take children from their parents. The emotional pain traumatized her “mother-hood.” I would swear I developed appen-dicitis due to being scheduled to work Christmas Eve and Christmas Day at both my jobs while raising a young family. I was stressed to my core. As healthcare pro-viders we try to help our patients identify what’s really wrong. It’s our responsibility to encourage them to want to heal. It’s my goal to give them hope, to see a little light at the end of the tunnel.

“Look what you’ve already accom-plished; here are the next steps.”

“Can you see the light at the end of the tunnel? You can get through this.”

Sometimes it’s all about Attitude. I want them to be well. Sometimes they just need to believe someone cares. They need the tools, strength and motivation to become better, and they need to take responsibility to do their part in healing. It’s my responsibility to teach and offer resources. It’s their choice whether they accept my help and what actions they will take.

Group Health Cooperative has Primary

Care Behavioral Health in their clinics. When I first heard about this I thought, “How am I going to work with Mental Health?” I can appreciate Behavioral Health workers, in the clinic with primary care, could be handy in cases of depression or anxiety, or with patients whose health is complicated by other mental-health diagnoses. But at first, I wasn’t sure how to utilize them. Then during the first year of having them available I’ve come to realize that every diagnosis carries a behavioral component. Now it seems like an incredibly bright and insightful idea, progressive and important, and a step in the right direction. Anytime a patient is not improving, needs more time to talk, or needs help coping, we send in Behav-ioral Health workers. Our behaviors and choices affect the food we eat, our stress, our compliance and the risks we take. Our attitude and behavior is a reflection of our sense of personal responsibility. Often whether we are sick or well can be a mat-ter of value and self -respect. Sometimes patients need help to find a reason to care. What’s their motivation?

I took care of a young mother in the hospital who had lung cancer. She was smoking two packs of cigarettes a day. She loved her children, her husband and cigarettes – in that order. She was a strong and independent woman. She came in for surgery, stayed a few days and went home.

Is it all about attitude?

Brenda Zarth

WHAT IF ...

See What If, Page 4

Page 3: Nursing Matters August 2015

August • 2015www.nursingmattersonline.com Page 3

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Helen Lathrop Bunge: 1906-1970

Reprint in a series written by Signe Cooper and introduced by Laurie Glass in Nursingmatters

Helen Bunge was recognized nation-ally and internationally for her signif-icant efforts in promoting research in nursing. She was a prime mover in the establishment of the periodical “Nurs-ing Research.”

Born in La Crosse, Bunge attended Connecticut College for Women, and then transferred to the University of Wisconsin-Madison. She completed her B.A. in Sociology in 1928. She then enrolled in the university’s School of Nursing and, after completing the program, was appointed as a head nurse at Wisconsin General Hospital in Madison. She then served as an instructor and assistant to the director of the School of Nursing. During this time she attended the Teacher’s College at Columbia University; she was awarded her M.S. in 1936. In 1940, she left Madison to attend graduate school full-time at Teacher’s College.

Bunge joined the faculty at the Frances Payne Bolton School of Nursing at (Case) Western Reserve University in Cleveland in 1942, and was appointed its dean four years later. During this time, she completed work for her doctorate from Teacher’s College.

In 1953, she left Cleveland to become executive officer of the new Institute of Research and Service in Nursing Education at Teacher’s College. During her six years there, the institute administered 13 projects relat-ing to nursing, education and service, including a statewide study of nursing in Wisconsin.

Bunge returned to her Alma Mater in 1959. Under her leadership the School of Nursing at UW-Madison expanded and strengthened its curriculum, doubled its enrollment and developed its first grad-uate program. She also played a major

role in the establishment of the School of Nursing at UW-Mil-waukee.

Appointed the first editor of Nursing Research in 1952, Bunge served for 10 years. Following this, she was on the editorial board for a number of years. She believed nurses must be involved in the production and dissemi-nation of knowledge, and in the

systemic study of clinical nursing.Bunge was the recipient of many

awards and honors, beginning in 1928 when she was elected to the Phi Beta Kappa Honor Society. She received the Teacher’s College Nursing Education Alumni Association’s Achievement Award in 1967. Two years later, she received the M. Adelaide Nutting Award of the National League of Nursing for outstand-ing achievement in nursing. That year she was also presented the Distinguished

Service Award for the University of Wis-consin Alumni Association. One of the individual houses in Elizabeth Waters Dormitory on the Madison campus was named in her honor. She was elected to the Nursing Hall of Fame in 1984.

She served as a consultant to many groups, including the American Red Cross Nursing Service, the U.S. Public Health Service, the Veterans Administration, and the 5th U.S. Army. One of her last profes-sional activities was speaking in 1969 on a panel regarding nursing research, at the 14th Quadrennial Council of Nurses in Montreal, Canada.

Bunge had an unfailing sense of humor. She developed warm personal relationships with many people, and was an accomplished pianist. She loved to travel, especially to out-of-the-way places.

Helen Bunge died April 12, 1970, in Madison, Wisconsin.

Helen Bunge

Page 4: Nursing Matters August 2015

August • 2015 NursingmattersPage 4

Cieslak-Duchekcontinued from page 1

When leading medication bar-coding across 14 hospitals, she:

• Implemented Lean and Lean Task Force, with representatives from all involved disciplines

• Partnered with a pharmacy leader as a co-chair.

• Sought out a medication and safety consultant.

• Secured funding for the project both internally and externally.

Results ensured the safest environment possible with current technology, with a compliance rate of 94 percent to 99 per-cent across Aurora.

Cieslak-Duchek said during her 40 years of nursing she has been mentored by several fearless nursing leaders. What

continues to drive her, she said, is the inspiration she’s gained from these lead-ers to help her continuously elevate the practice of nursing.

Cieslak-Duchek is a wonderful exam-ple of the value that nursing leadership holds and the outcomes that nursing leadership can bring. Congratulations go to her on winning this deserving award and thanks go to her for her many years of nursing leadership.

What if ...continued from page 2

We of course told her to quit smoking, but she refused. She loved smoking; it was part of who she was. About six months later she was back; the cancer was back and she had pneumonia. She was still a really tough woman; I admired her strength, independence and determination.

She said, “This cancer will not kill me; I will beat it. I will not leave my children without a mother.”

She was very ill; we were giving her chemo and antibiotics. She was given so much fluid she developed general-ized edema; her arms, hands and fin-gers looked like huge sausages. Her lab values were deteriorating. She was told she had a 50/50 chance of living and the doctor wanted to stop the chemo.

She said, “No, I can take it.”She continued to decline. I called

the doctor at about 2 a.m. and said I was worried about her. She was retaining so much fluid, and I couldn’t watch her all the time because I had a full load of patients on my medical unit. He transferred her to the ICU. When she left my unit, I was sure she wasn’t going to make it. I was sure I would never see her again. I couldn’t imagine how anyone who was so fluid-overloaded, and had so much against her, could survive. She con-tinued to decline and was given less than a 20 percent chance of survival. She was intubated and continued to decline. The doctors pressured her husband to make her a “No Code.”

He eventually, reluctantly, agreed. But somehow in the middle of the night she woke up enough to extubate herself – and she lived. She walked out of the hospital a few days later. She stopped smoking. She came back to visit a few months later and brought us baby Jade plants. I was pleased but embarrassed to see her. I had given up on her before she was ready to give up on herself.

She taught me to never give up on my patients until they are ready to quit trying. It’s my job to keep working, searching and trying until my patients say they are ready to quit. When I was working in Palliative Care at the hos-pital one of my patients was a Catholic priest. He had been non-responsive for a couple of weeks. There was a nun who frequently visited and cared for him. I was wondering how much lon-ger he could hold on.

She said, “I bet he makes it to Palm Sunday; it was his favorite Mass.”

He died at 11 a.m. on Palm Sunday.She said, “Just in time to celebrate

Mass with Jesus.”Email [email protected] or

visit brendashealthplan.blogspot.com with comments.

Cieslak-Duchek is a wonderful example of the

value that nursing leadership holds

and the outcomes that nursing

leadership can bring.

Page 5: Nursing Matters August 2015

August • 2015www.nursingmattersonline.com Page 5

NEW Informatics Certi�cate Program

The post-baccalaureate Healthcare Informatics CerticateProgram at UW Oshkosh will provide nursing and non-nursingstudents with foundational knowledge to assume roles related torecords and information systems in a variety of healthcare settingsin which electronic records are used.

For more information or how to apply for Fall 2015 classes contactthe College of Nursing Graduate O�ce at 920-424-2106 oremail [email protected]

Colleen M. FoleyMS, RN, CMSRN, ACNS-BC, APNP

In the early 1940s William Wild, or as I liked to call him, Wild Bill, was a dashing 17-year-old young man. Unfortunately, Bill found himself in a predicament. A buddy with a poor reputation was dating a nice girl, Genevieve, or Gen.

Bill did not feel it was right to let this nice girl be tangled up in a messy affair, so Bill sweet-talked Gen into dating him instead. Four years later, after endless pursuing, he proposed to Gen on the shores of Lake Monona in Madison, Wisconsin; they were married at the ripe ages of 17 and 21.

Both native Wisconsinites, Bill and Gen raised their children, a son and a daughter, in Belleville, Wisconsin. From there, two grandchildren and three great-grandchildren sprouted. Bill worked hard as a mechanic for John Deere for 30 years. Gen worked at the local bank and later as a grocery clerk. Gen was also the family chef; she has baked well over 1,000 cookies, every one delicious. After the children left and the house quieted, Bill and Gen traveled together to different parts of North America – including Las Vegas, Wash-ington State and Canada.

As a young man, Bill unfortunately experienced the aftermath of the polio virus, affecting a leg. In the early years of his life, Bill never needed a walking aid, but later he needed the aid of a cane. After Bill retired, he noticed his health begin to decline. Both Bill and Gen developed chronic illnesses. Bill had chronic obstruc-tive pulmonary disease and asthma. Gen was diagnosed with diabetes, requiring insulin to help maintain her blood sugars.

A few years ago as a bedside nurse, I met Bill when he was 82 years old, during one of his many COPD exacerbations. During that visit, Bill regaled me with one of the funniest stories I have ever heard. While at home setting up insulin for both his diabetic dog and Gen, Bill accidentally mixed up the insulin pens – which led to Gen mistakenly injecting herself with the dog’s insulin.

Bill said, “I would only be worried if I looked out the window to find her with the lawn leash running back and forth in the yard, barking.”

This should have alerted me in that perhaps things weren’t operating at 100 percent at home, but I ignored my con-cerns. After all, everyone makes mistakes, right? Bill came to the hospital a few more times for COPD exacerbation. It was always bittersweet. I loved being his

nurse, but was sad his illness prompted our reunion.

Fast forward a few years. I saw Bill and Gen again, but in a different light. In an unfortunate series of events they were admitted to the hospital simultaneously. Gen was admitted with hip pain, with concern of a fracture, and Bill was admit-ted with what was initially thought to be pneumonia. My role in the meantime had changed from bedside nursing to an advanced-practice role, specializing in geriatrics. I participated in an interdisci-plinary service called the Acute Care for Elder team. Now I was involved in both of their care. It was there when I really learned the value of older adults depend-ing on one another.

Gen and Bill split their responsibilities, caring for themselves and their home 50/50 to support one another. Gen sepa-rated the laundry; Bill put the laundry in the washer and the dryer. Gen took out the laundry to fold and put away. Bill drove to the store, while Gen did all the grocery shopping and cooking. They managed their finances together to ensure accu-racy. Each set up their own medication, especially after the insulin incident. Each responsibility was easily identified as to who did what. However, despite their sup-portive relationship with one another, it turns out Bill and Gen had never discussed their end-of-life goals with each other.

Aging couple: The co-dependent older adult

Bill and Gen hold hands at the University of Wisconsin Hospitals and Clinics.

Colleen Foley

See Aging, Page 6

Page 6: Nursing Matters August 2015

August • 2015 NursingmattersPage 6

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I performed memory tests on both Bill and Gen. They obtained the exact same score! Gen’s memory was shown to be slightly worse than Bill’s, but both experi-enced deficits. I found this wonderful and fascinating at the same time. Of course, they each had different areas of thinking incorrectly; however, it just goes to show how they helped one another out. It was a delicate balancing act.

During this hospitalization, Bill was diagnosed with congestive heart failure and another COPD exacerbation. His ejection fraction was only 15 percent. He had earlier been diagnosed with colon cancer, cured thankfully, but ending in a permanent ostomy he despised. Gen on the other hand was found not to have a hip fracture, and would likely recover with physical therapy.

During their hospitalization, Gen left her hospital room to visit with Bill. The first thing they did was hold hands. I sat with them and asked them to tell me in their own words what was going on with one another’s health, in order to elicit what each understood. Bill was so thank-ful that Gen was recovering well from her hip pain. Gen let out a few tears know-ing that Bill’s lungs and heart weren’t

Agingcontinued from page 5

ABOVE: Bill and Gen at the University of Wisconsin Hospital and Clinics pose with Colleen Foley, Advanced Practice Nurse for the Acute Care for Elders team. RIGHT: Bill and Gen’s granddaughter, Evette Grgurich, created this drawing of her grandparents at a young age.See Aging, Page 7

Page 7: Nursing Matters August 2015

August • 2015www.nursingmattersonline.com Page 7

Assistant Professor of Nursing

�e 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.

Quali�cations:• Earned PhD in Nursing (preferred), or doctorate in related �eld 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

Aug 27-28: Reducing alcohol-exposed pregnancies using an evidence-based brief-counseling program

Continuing Studies, University of Wisconsin-Madison

Call 608-262-2451 or visit continuingstudies.wisc.edu/behavioralhealth for more information.

Sept 1-2: Personality disordersContinuing Studies, UW-Madison

Call 608-262-2451 or visit continuingstudies.wisc.edu/behavioralhealth for more information.

Sept 3: Empathy connection therapy: a successful way to treat the addictive personality

Continuing Studies, UW-MadisonCall 608-262-2451 or visit

continuingstudies.wisc.edu/behavioralhealth for more information.

CALENDAR

functioning well and he might be nearing the end of his life. Meeting together to discuss this was a crucial part of their plan of care. Bill and Gen have never talked about the end of life and here they were… Late 80s and nearing the end of their lives.

I asked Bill how their marriage changed as they aged, and he replied, “It hasn’t affected my life too badly; it’s just one of those things that come along.”

This shows how as they aged the com-pensation for one another was natural, not given a second thought, and they probably didn’t even realize they were doing it.

I asked Bill what he was most afraid of and he said, “Being alone.” I asked Gen what she was most afraid of: “same thing.”

Bill and Gen have been married 66 years. They were both discharged to the same facility for rehab in hopes of return-ing home and living out the rest of their days as a happy couple under their own roof. Bill decided not be readmitted to the hospital and considered hospice involve-ment, knowing that all the hospital has to offer is pokes, medicines with no cure, and most importantly, time away from Gen.

Bill did pass away with hospice care. He was at home with his loved ones by his side, including Gen.

The take-home points…..• What we see at the hospital or an

appointment is merely a snapshot. I was lucky enough to see both patients simulta-neously, which certainly doesn’t happen a majority of the time. As providers, we need to keep in mind that not only our patient is aging, but so is a patient’s spouse.

• Just because couples have aged and been married for many years, that does not mean they have discussed their end-of-life goals with one another. End-of-life goals should be a part of everyone’s prac-tice in geriatrics.

• Older adults are often not afraid of dying. Perhaps providers are more fearful of our patients dying. Bill and Gen were more afraid of being alone, without one another, than death.

• Comprehensive geriatric assessments

are crucial to the holistic care of the older adult. Without our involvement, Bill and Gen may have gone into different facili-ties, apart from one another. They didn’t realize that deciding not to be re-hospital-ized was even an option.

Before I was married, I asked Bill, “What’s your secret to your marriage?”

He replied, “Happy wife. Happy life!”Can’t say that’s bad advice.

Colleen Foley is an Advanced Practice Nurse at University of Wisconsin Hospital and Clinics. She works with the Acute Care for Elders team, an interdisciplinary consult service that specializes in care for older adults.

Death isn’t frightening — only separation.

Agingcontinued from page 6

Page 8: Nursing Matters August 2015

August • 2015 NursingmattersPage 8

Amy Wergin R.N., a 1985 BSN gradu-ate of the University of Wisconsin-Green Bay, recently received the UW-Green Bay Distinguished Nursing Alumni Award. The award recognizes excellence, service, scholarly achievement, professionalism and leadership in the profession of nurs-ing. Wergin currently serves as the health officer with Manitowoc County Health Department and is chair of the Wiscon-sin Public Health Association – Public Health Nursing Section.

Wergin has served as a Public Health Nursing Manager for 28 years in Manito-woc County. She has been instrumental in establishing a community clinic and dental clinic for low-income and unin-sured clients; a program to decrease binge drinking among youth; tobacco-control efforts; and programs to decrease obesity through nutrition education and com-munity fitness activities. Wergin also has been active with initiatives for environ-mental health and for women, infants and children.

On the statewide level with the Wis-consin Public Health Association, she has lead teams developing health-data collection and reporting systems, includ-ing those for maternal-child health and for disease surveillance widely used by healthcare providers. Wergin is well-known for her skills in data management

and use of technology. She also has served as a past officer in the Wisconsin Nurses Association at the district level, and the Wisconsin Conference of Local Public Health Officials.

Surrounded by colleagues and family, Wergin was presented July 7 with the Distinguished Nursing Alumni

Award at a recognition gathering at the Manitowoc Health Department. The award was presented by UW-Green Bay Nursing representatives Lecturer Rebecca Hovarter, Associate Professor Dr. Christine Vandenhouten and Manager of Student Outreach and Alumni Relations Jan Malchow.

Wergin receives recognition

UW-Green Bay Associate Professor Christine Vandenhouten, left, and UW-Green Bay Lecturer Rebecca Hovarter, right, present Manitowoc Health Officer Amy Wergin, center, with the 2015 Distinguished Nursing Alumni Award.

JANESVILLE, Wis. – Mercy Health System has appointed Debra Potempa as vice-president for patient care and nursing services at Mercy Hospital and Trauma Center. Potempa is responsible for leadership and direction in nursing and patient-care functions in inpatient units, emergency services, surgical ser-vices and obstetrics, as well as intensivist and hospitalist programs. She will con-tinue to serve as chief nursing officer for Mercy Hospital and Trauma Center, and

will lead several clinical-based programs such as palliative care and Honoring Choices, and clinical excellence certifi-cations.

Potempa earned her bachelor’s degree in nursing from DePaul University in Chicago, and her master’s degree in nursing leadership from St. Xavier Uni-versity in Chicago. She is board-certified as a nurse executive-advanced.

Visit MercyHealthSystem.org for more information.

Mercy appoints new o�cer

Deb Potempa

MILWAUKEE – Dr. Marilyn Frenn, pro-fessor in the College of Nursing, and Mary Jo Wiemiller, clinical assistant professor and chair of physician assistant studies in the College of Health Sciences, have been named the recipients of the 2015 Way Klingler Teaching Enhancement Award.

Frenn and Wiemiller collaborated on an award-winning project titled, “Develop-ing and Implementing Interprofessional Education in the Health Sciences through a Collaborative Learning Approach.” The project’s goal is to teach students in health-related fields how to work together.

“The expectation in the clinical world is to function as part of a team,” said Wiemiller, who is still a certified physician assistant. “The only way that can be successful is if the players on the team understand each other’s roles and can communicate effectively in the best interest of the patient.”

The pair began the groundwork for this project after being appointed co-chairs of a task force charged to iden-tify goals and develop strategies toward implementing the collaborative model. Their approach was to create a central resource hub to organize inter-profes-sional educational activities and to act as a resource for faculty, giving them tools to engage in these activities themselves.

Frenn and Wiemiller plan to use the $20,000 monetary part of the award to develop learning modules in Desire-2Learn, Marquette’s e-Learning appli-cation. The modules will be available for faculty and students to access and use for their own collaboration modules.

The Way Klinger Teaching Enhance-ment Award is intended to foster the development of effective and sustainable changes and innovations in teaching approaches within specific courses. The annual award is given to a team of two or more faculty to develop, implement and evaluate a specific teaching project.

Way Klingler Teaching

Enhancement Award named

Page 9: Nursing Matters August 2015

August • 2015www.nursingmattersonline.com Page 9

The UW Oshkosh College of Nursing is hiring for four, full-time, tenure track ortenure eligible positions. Candidates should be innovative, team-oriented andhave a passion for nursing education.

Tenure-track appointments in the following specialties:

*Adult Health*Nursing Informatics*Primary Care with an Emphasis in Family Nurse PracticePersons with earned rank and tenure at a comparable university may be considered forsenior rank and tenure upon appointment. Candidates with special interest and skills inteaching with technology are especially desired.

For more information about the College of Nursing, visit our website at uwosh.edu/con

Successful candidates will be doctorally prepared in nursing (such as Ph.D. in Nursing,DNSc, or DNP with FNP certi�cation). Salary is commensurate with experience.

For complete position descriptions and how to apply, please visit uwosh.edu/hr

Send letter of interest, curriculum vitae and three letters of reference, contactinformation for �ve references and o�cial transcripts to:

Leslie Neal-Boylan, PhD, CRRN, APNP, FAANDean, College of Nursing

University ofWisconsin Oshkosh800 Algoma BlvdOshkosh,WI 54901

[email protected]

UW Oshkosh is an EOE of women, minorities, individuals with disabilities and protected veteranshttp://www.uwosh.edu/hr/employment

MILWAUKEE – Amanda King is among 46 nurses around the country this year to receive a prestigious Future of Nursing Scholars program award to support her Ph.D. study. The Future of Nursing Schol-ars program is a multi-funder leadership program spearheaded by the Robert Wood Johnson Foundation that is increasing the number of nurses holding Ph.Ds. in Wisconsin and around the country. More Ph.D.-prepared nurses are needed to increase the number of nurse leaders, con-duct nurse-led science and discovery, and educate the next generation of nurses, the Institute of Medicine has said.

“It is a tremendous honor to receive this scholarship, which will help support my studies in pediatric critical care,” King said. “With this mentorship and financial sup-port, I plan to get my Ph.D. in three years so I can pursue a teaching/research academic appointment within a nursing school upon program completion.”

King’s scholarship is funded by the Robert Wood Johnson Foundation and was awarded by Marquette University. She intends to focus her Ph.D. research on pediatric critical care so she can evaluate how communication and relationships

between providers and families can affect the care a child receives. Prior to beginning the program, she was an acute-care pediat-ric nurse-practitioner in the intensive-care unit and previously a staff nurse on a sur-gical/trauma unit, both positions at Chil-dren’s Hospital of Wisconsin in Milwaukee.

The Future of Nursing Scholars program provides grants to schools of nursing so they can provide scholarships to Ph.D. can-didates who will commit to completing the program in three years. King will receive an award of $75,000, as well as mentoring and leadership development over the course of the Ph.D. program.

“The College of Nursing is delighted to receive the prestigious Robert Wood John-son Future of Nursing Scholars Award,” said Margaret Bull, Ph.D., MAPS, RN, professor and director of the Ph.D. Program in the College of Nursing at Marquette. “It is a pleasure to welcome Amanda to the Marquette campus and the Ph.D. program in nursing. The College of Nursing will supplement the generous (Robert Wood Johnson Foundation) award with a contri-bution of $50,000 toward her education.”

Robert Wood Johnson Foundation award winners named

Honor A Nurse — Clyatt chosenSILVER SPRING, MD – The Ameri-

can Nurses Foundation has named Ann Marie Clyatt, BSN, RN, as the Nurse of the Quarter for its Honor A Nurse program. Sponsored by Lippincott Solutions and Wolters Kluwer, the foundation’s Honor A Nurse program acknowledges nurses who have made a difference in the lives of others while raising money for the foundation, the philanthropic arm of the American Nurses Association.

“Excellence in nursing is driven by per-sonal commitment to the highest quality of care,” said Kate Judge, executive director of the American Nurses Foundation. “That commitment is the cornerstone of our Honor A Nurse Program and is a central value that Wolters Kluwer’s Lippincott Solutions and the American Nurses

Foundation share.”This quarter, the founda-

tion sifted through hundreds of nurse applicants who were nominated by colleagues, patients and others for doing their jobs exceptionally well. The founda-tion chose Clyatt for her lifetime of service.

A resident of Miami, Florida, Clyatt has touched countless lives during her career as a public-health nurse. She pro-vided assessments, screenings and health education to the Miccosukee Indians at the tribal headquarters on the Tamiami Trail. She has delivered skilled nursing care during home visits and through her work at clinics and schools. Additionally, through her advocacy work with the Florida Nurses Association, she has helped improve wages

and working conditions for public-health nurses.

Clyatt also volunteered her time and energy to care for Edna Hicks, a founding trustee of Nurses Charitable Trust.

While Hicks underwent treatment for lym-phoma, Clyatt provided care, one nurse to another. Clyatt continued to care for Hicks after her recovery, which allowed her to stay in her home until her death some years later.

Previously, Clyatt was honored as a Woman of Distinction in Miami, and her story is the basis of Christin Ardalon’s book, “Warm Hearts and Caring Hands.”

The Honor A Nurse Program, created by the foundation and supported by the Lip-pincott Solutions team at Wolters Kluwer,

recognizes nurses for their extraordinary contributions to healthcare. The program enables colleagues, friends, family and lead-ers to honor and tell the stories of nurses who have made a positive difference in nursing locally or globally. The funds raised by the Honor A Nurse program are used to support nursing research, scholarships and programs to improve nurses’ lives and the nursing profession.

Lead sponsor Wolters Kluwer, developer of the Lippincott Solutions clinical-deci-sion support and professional-development software suite, is using its resources and the power of its Lippincott brand to raise awareness for the Honor A Nurse program.

Visit www.anfonline.org/honoranurse for more information.

See Foundation, Page 10

Page 10: Nursing Matters August 2015

August • 2015 NursingmattersPage 10

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Less than 1 percent of the nation’s more than 3 million nurses have a Ph.D. in nursing or a related field. In addition, the average age at which nurses earn a Ph.D. in the United States is 46 – 13 years older than Ph.D. earners in other fields. This program will provide an incentive for nurses to start Ph.D. programs earlier, so they can have long leadership careers after earning their Ph.Ds. The Future of Nursing Scholars pro-gram launched last year with an inaugural cohort of 16 scholars. This new cohort brings the number of nurses it is support-ing to 62.

In addition to Robert Wood Johnson Foundation, Johnson & Johnson Inc., Independence Blue Cross Foundation, Cedars-Sinai Medical Center, North Shore Long Island Jewish Health System and the Rhode Island Foundation are supporting the Future of Nursing Scholars grants to schools of nursing this year.

For more than 40 years the Robert Wood Johnson Foundation has worked to improve healthcare. Its mission is to build a national Culture of Health that will enable all to live longer, healthier lives now and for generations to come. Visit www.rwjf.org for more information. Follow the founda-tion on Twitter at www.rwjf.org/twitter or on Facebook at www.rwjf.org/facebook for more information.

PHILADELPHIA – Schools of nursing across the country have has chosen 46 nurses as Future of Nursing Scholars. Each Future of Nursing Scholar will receive financial support, mentoring and lead-ership development over the three years of her or his PhD program. The Future of Nursing Scholars program launched last year with an inaugural cohort of 16 schol-ars. This new cohort brings the number of nurses the program is supporting to 62.

The Robert Wood Johnson Founda-tion established the program to meet a recommendation from the Institute of Medicine’s landmark future of nursing report – a recommendation to double the number of nurses in the United States with doctoral degrees. The program’s goal is to support more nurse leaders, promote nurse-led science and discovery, and put more educators in place to prepare the next generation of nurses.

The Future of Nursing Scholars pro-gram is a multi-funder initiative. In addition to the foundation, Johnson & Johnson Inc., Independence Blue Cross Foundation, Cedars-Sinai Medical Center, North Shore Long Island Jewish Health System and the Rhode Island Foundation are supporting Future of Nursing Scholars grants to schools of nursing this year. Each scholar receives a $75,000 grant from a funder, and an additional $50,000 from the school of nursing she or he attends.

“This initiative is unique in many ways,” said Susan Hassmiller, PhD, RN, FAAN, co-director of the program and the foundation’s senior adviser for nursing. “We work with other funders to maximize the number of PhD nurses we support and we require the schools to provide three-year PhD programs. It’s a rigorous pro-gram, but one that prepares these nurses to take on leadership roles in healthcare,

academia and research.”The scholars are currently in the initial

stages of selecting topics for their doc-toral research. Those topics range from how the communication and interactions between providers and families in an intensive care unit can affect the care children receive, to the changing health behaviors of people with mental illness, to health disparities experienced by the transgender population.

“We are very excited about beginning our second year of this program and working with the new cohort of schol-ars,” said Julie Fairman, PhD, RN, FAAN, and Future of Nursing Scholars program co-director. “We will build on lessons learned from our first very successful year as we help prepare a generation of nurse leaders who will become essential partners in providing care and promoting health in this country.”

Fairman is the Nightingale Professor of Nursing, chair of the Department of Biobehavioral Health Sciences, and director of the Barbara Bates Center for the Study of the History of Nursing at the University of Pennsylvania School of Nursing.

The program will released its next call for proposals July 15. Visit futureofnurs-ingscholars.org for more information.

The nurses selected as the next Future of Nursing Scholars are:

Supported by the Robert Wood Johnson Foundation:

Columbia University: Irene Bick, MBA, BA, BS, RN

Duke University: Kris Elmore, BSN, RN, and Ethan Cicero, BSN, RN

Emory University: Mary “Ginny” Carter, BSN, RN, and Udia-Oghenetega Otuguor, RN, BSc, MBA

Nurses chosen as next “Future of Nursing Scholars”

Alexis Chettiar Brittney Sullivan Daniel Hopgood Desiree Bertrand Elizabeth Novack Faith Atte Laren Riesche Latia Hickerson

Millicent De Jesus Nhu Tran Pamela McCue Rose Mary Xavier Sainfer Aliyu Sarah Allgood Sarah Brown Blake Stephen Perez

See Scholars, Page 12

INAUGURAL COHORT OF FUTURE OF NURSING SCHOLARS

Page 11: Nursing Matters August 2015

August • 2015 NursingmattersPage 12

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Johns Hopkins University: Tamryn Fowler Gray, RN, MSN, CNL, BMTCN, and Rebecca Safley, BSN, RN, MSN, CNM, WHNP-BC

Marquette University: Amanda King, MSN, RN, PNP-AC

Medical University of South Carolina: Stephanie Cook Armstrong, MSN, RN

University of Alabama: Jacqueline Bui, RN, BSN, and Anna Hoenig, RN, MSN, CCRN

University of Cincinnati: Sarah Burke, MSN, RN, CCRN, and Benjamin Fishback, RN, BSN

University of Kentucky: Hartley Feld, RN, MSN, PHCNS, BC, and Jacob Hig-gins, BSN, RN

University of Illinois: Alison Hernan-dez, RN, MS, and Keesha Roach, RN, MSN

University of Miami: Tanya Wal-lace-Farquharson, MSN, RN, and Esther Mathurin, RN, BSN

University of Michigan: Genevieve Johnson, MSN, RN, PMHNP-BC, and Lisa Upshur, RN, MSN, ACNP-BC, CCRN

University of Minnesota: Helen Fu, MSN, FNP, RN, and Grace Gao, RN-BC, PHN, DNP

University of Missouri: Tammie M. Conley, MSN, RN, CMSRN, and Sabrina

B. Sanchez Orique, MSN, RN, CNS, OCNUniversity of Pennsylvania: Ashley Rit-

ter, MSN, CRNPUniversity of Pittsburgh: Sarah Belcher,

BSN, RN, OCN, and Sarah Frazier Gallups, RN, BSN, MPH

University of Texas, Austin: Pamela Recto, MSN, RN, and Whitney Thurman, RN, MSN

University of Texas Health Science Center: Nipa P. Kamdar, RN, FNP-BC, and Heather Vincent, MSN, RN, CPHRM

Yale University: Bridget Hutchens, BSN, MSN, CNM, and Halley Ruppel, MS, RN, CCRN

Supported by Johnson & John-son Inc.:

University of Maryland: Alisha Hack-ney, RN, BSN, and Stacey Iobst, BSN, BA, RNC-OB, C-EFM

University of Washington: Laeticia Egesi, RN, MSN, and KaraLynn LaValley, MN, RN

Supported by Independence Blue Cross Foundation:

University of Pennsylvania: Christine Bader, MS, BSN, RN-BC

Villanova University: Brittany Stark, MSN, RN, and Michelle McKay, RN, MSN, CCRN

Supported by Cedars-Sinai Medi-cal Center:

Medical University of South Car-olina: Marion Eleanor McRae, MScN, ACNP-BC, RN-BC, CCRN-CSC-CMC

Supported by North Shore Long Island Jewish Health System:

Columbia University: Natalie Voigt, MSN, RN

Supported by Rhode Island Foun-dation:

University of Rhode Island: Angelita Hensman, MS, BSN, RNC-NIC

Scholarscontinued from page 10

ED KASHIThe Future of Nursing Scholars program is creating a diverse cadre of PhD-prepared nurses who are committed to a long-term leadership career, advancing science and discovery through research, strengthening nursing education and furthering transformational change in nursing and healthcare.