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The MARYLAND Nurse

News and Journal

Volume 19 • Issue 4August, September, October 2018

Circulation 89,000 to all Registered Nurses, Licensed Practical Nurses and Student Nurses in Maryland

The Official Publication of the Maryland

Nurses Association

A State Nurses Association,

Representing Maryland’s

Professional Nurses

Since 1904.

Inside this Issue...

The Retirement of

an Icon

Page 17

University of Maryland SON . . . . . . . . . . . . . . . . . . 3-5

Johns Hopkins SON News . . . . . . . . . . . . . . . . . . 6-7

Baltimore City Community College SON . . . . . . . . . . . 7

ANA Membership Assembly . . . . . . . . . . . . . . . . . 8-9

MNA 115th Annual Convention . . . . . . . . . . . . . . 10-11

2018 MNA Annual Awards . . . . . . . . . . . . . . . . . . . 11

District News . . . . . . . . . . . . . . . . . . . . . . . . . . . 12-13

Challenges of Long Term Care . . . . . . . . . . . . . . . . 14

The Philippine Nurses Association of America Honors Two MD Healthcare Leaders . . . . . . . . . . 15

Nurses Week Update . . . . . . . . . . . . . . . . . . . . . . . 16

The Retirement of an Icon . . . . . . . . . . . . . . . . . . . . 17

2018 Proposed Amendments to the October 2016 MNA Bylaws . . . . . . . . . . . . . . . . . 17

Exploring Breast Cancer Risks & Deterrents toInterventions Among Women of Color . . . . . . .18-19

Message from the Editor . . . . . . . . . . . . . . . . . . . . . 19

Meet the Matchmakers . . . . . . . . . . . . . . . . . . . 20-21

Membership . . . . . . . . . . . . . . . . . . . . . . . . . . .22-23

Greetings and Salutations! It is an honor to be addressing you as MNA’s new Executive Director. I began serving in this position on May 21, 2018 under Ed Suddath’s tutelage to ensure a smooth transition between Executive Directors. I want to personally thank Ed for his dedication and service over the past ten and a half years as MNA’s Executive Director. We will miss his dedication, unparalleled work ethic, and quick-witted sense of humor and wish him all the best as he enjoys his retirement.

As your Executive Director, I bring 22 years of Association management experience, the majority of which has been with leading healthcare associations in the Washington DC area, such as the Association for Professionals in Infection Control and Epidemiology (APIC), the National Medical Association (NMA), and most recently the Association of Community Cancers (ACCC). I also served as the Associate Director of Constituent Relations and the Executive Director of the Individual Membership Division for the American Nurses Association (ANA). Therefore, I am familiar with the issues that nurses face in today’s ever-changing healthcare environment and want to ensure that MNA is meeting your needs as your professional association. I am open to ideas on how we can improve our services and be your one stop shop to fulfill your needs. Please feel free to contact me with your suggestions or to introduce yourself at jarigo@marylandrn.org or by phone at (443) 334-5110, ext. 3.

I had the pleasure of attending ANA’s Membership Assembly June 22-23 at the Washington Hilton in Washington, D.C., alongside our esteemed President, Mary Kay DeMarco, PhD, RN, CNE, Immediate Past

President, Kathy Ogle, PhD, RN, FNP-BC, Treasurer, Barbara Biedrzycki, PhD, RN, MSN, CRNP, AOCNP (R), Past President, Rosemary Mortimer, RN, MS, MSEd, CCBE, and Committee on Bylaws and Policies Chair, Linda Stierle, MSN, RN, NEA-BC. I also attended ANA’s Lobby Day on June 21st where MNA’s large constituency met with legislative office staff from Senator Chris Van Hollen (D), Senator Ben Cardin (D), and Representative John Sarbanes. We asked for their support on H.R. 6 (to provide for opioid use disorder prevention, recovery, and treatment, and for other purposes), Title VIII Nursing Workforce Reauthorization Act (S.1109/ H.R. 959), The Safe Staffing for Nurse and Patient Safety Act (H.R. 5052/S. 2446), Home Health Care Planning Improvement Act (S. 445/ H.R. 1825) and the Gun Violence Research Act (H.R. 1478).

Over the next several months, my goal is to make improvements to MNA’s services and determine how we as an organization can improve upon our processes and operate as a business. One of my first recommendations to the MNA Board of Directors was to conduct our elections electronically. I have used this method with ANA’s individual membership division (IMD) elections. It was not only simple and easy to follow for the membership, but it also increased the voter participation. By selecting this innovative method, it will bring a cost savings to MNA. Elections will take place at the end of August-early September, so be sure to check your inbox in the coming weeks on how to cast your vote.

MNA is busily preparing for its 115th Annual Convention, 2018 Year of Advocacy at the Bedside and Beyond. The convention will take place on Thursday, November 1, 2018 at Martin’s West in Baltimore, MD. We are honored to have Deputy Surgeon General Rear Admiral (RADM) Sylvia Trent Adams, PhD, RN, FAAN, as our keynote speaker. The preliminary convention schedule is included in this edition along with the registration form. Registration is available online at MNA’s website (www.marylandrn.org). I look forward to seeing each and every one of you there!

Jennifer Arigo, Executive Director,

MNA

Executive Director’s Message

SAVE THE DATE

District 2 News

Page 12

Page 2 • The Maryland Nurse News and Journal August, September, October 2018

BOARD OF DIRECTORS

President SecretaryMary Kay DeMarco, Brandy Brown, MA, BSN, PhD, RN, CNE RN-BC

Immediate Past President TreasurerKathy Ogle, PhD, RN, Barbara Biedrzycki, PhD, RN,FNP-BC, CNE SMS, CRNP, AOCNP®

Vice President Treasurer-ElectJosephine Fava Hochuli, Stacy Edwards, MSN, RNMSN, RN

DIRECTORSDistrict 1 Jaime Striplin, BSNDistrict 2 Charlotte Wood, PhD, RN, MSN, MBADistrict 3 Juliana Chang, RNDistrict 4 VacantDistrict 5 Mitchelle Griffiths, RNDistrict 7 Sadie Parker, RN, MA, BSNDistrict 8 Debra Disbrow, MSN, RN, ONCDistrict 9 Melanie Bell, RN, MSN, DPN

DISTRICT PRESIDENTS

District 1 Jeannie Seifarth, PhD, RN, PMHCNS-BCDistrict 2 Nayna Philipsen, JD, PhD, RN, CFE, FACCEDistrict 3 Donna Downing-Corddry, BSN, RN, CAPADistrict 4 VacantDistrict 5 Harolda Hedd-Kanu, RN-BCDistrict 7 Madelyn Danner, MSN, RN, CENDistrict 8 Sandy Vegh, RN, MSN District 9 Adrienne Jones, RN

MEMBERSHIP ASSEMBLY

MNA Officer Kathy Ogle, Representative: PhD, RN, FNP-BC, CNEFirst Alternate: Barbara A. Biedrzycki, PhD, RN, MSN, CRNP, AOCNP®Second Alternate: Linda Cook, PhD, RN, CCRN, CCNS

MNA Member-At-Large Rosemary Mortimer, Representative: RN, MS, MSEd, CCBEFirst Alternate: Linda Stierle, MSN, RNSecond Alternate: Sadie Parker, RN, MA, BSN

THE EDITORIAL BOARD OF THE MARYLAND NURSE

Charlotte Wood, PhD, RN, MSN, MBA, EditorBeverly Lang, MScN, RN, ANP-BC Naomi (Bea) Himmelwright–Lamm, EdD, RNDenise A. Moore, PhD, APRN-BCPatricia Travis, PhD, RN, CCRPLinda Cook, PhD, RN, CCRN, CCNSLinda Stierle, MSN, RNCheryl Harrow, DNP, RN, FNP-BC, IBCLCKathleen Ogle, PhD, RN, FNP-BC, CNENayna Philipsen, JD, PhD, RN, CFE, FACCE

If you are interested in reviewing, reporting, or writing for The Maryland Nurse, contact us.

Contact us at TheMarylandNurse@gmail.com443-334-5110

Chief Staff Officer, Jennifer Arigo MBA, CAE

For advertising rates and information, please contact Arthur L. Davis Publishing Agency, Inc., 517 Washington Street, PO Box 216, Cedar Falls, Iowa 50613, (800) 626-4081, sales@aldpub.com. MNA and the Arthur L. Davis Publishing Agency, Inc. reserve the right to reject any advertisement. Responsibility for errors in advertising is limited to corrections in the next issue or refund of price of advertisement.

Acceptance of advertising does not imply endorsement or approval by the Maryland Nurses Association of products advertised, the advertisers, or the claims made. Rejection of an advertisement does not imply a product offered for advertising is without merit, or that the manufacturer lacks integrity, or that this association disapproves of the product or its use. MNA and the Arthur L. Davis Publishing Agency, Inc. shall not be held liable for any consequences resulting from purchase or use of an advertiser’s product. Articles appearing in this publication express the opinions of the authors; they do not necessarily reflect views of the staff, board, or membership of MNA or those of the national or local associations.

The Maryland Nurse is published quarterly every February, May, August and November for the Maryland Nurses Association, a constituent member of the American Nurses Association, 6 Park Center Court, Suite 212, Owings Mills, MD 21117.

ARTICLES AND SUBMISSIONS FOR PEER REVIEW

The Maryland Nurse welcomes original articles and submissions for publication. All material is reviewed by the editorial board prior to acceptance. Once accepted, manuscripts become the property of The Maryland Nurse. Articles may be used in print or online by the Maryland Nurses Association and will be archived online. It is standard practice for articles to be published in only one publication. If the submission has been previously distributed in any manner to any audience, please include this information with your submission. Once published, articles cannot be reproduced elsewhere without permission from the publisher.

Preparing the Manuscript:1. All submissions should be word-processed using a 12

point font and double spaced.2. A title page should be included and contain a suggested

title and the name or names of the author(s), credentials, professional title, current position, e-mail, mailing address, telephone contact, and FAX number, if applicable. Authors must meet the requirements for authorship. Contributors who do not meet the criteria for authorship may be listed in an acknowledgements section in the article. Written permission from each person acknowledged must be submitted with the article.

3. Subheadings are encouraged throughout the article to enhance readability.

4. Article length should not exceed five (5) 8 ½ X 11 pages (1500-2000 words).

5. All statements based on published findings or data should be referenced appropriately. References should be listed in numerical order in the text and at the end of the article following the American Psychological Association (APA) style. A maximum of 15 references will be printed with the article. All references should be recent–published within the past 5 to 7 years–unless using a seminal text on a given subject.

6. Articles should not mention product and service providers.

Editing:All submissions are edited for clarity, style and conciseness.

Referred articles will be peer reviewed. Comments may be returned to the author if significant clarification, verification or amplification is requested. Original publications may be reprinted in The Maryland Nurse with written permission from the original author and/or publishing company that owns the copyright. The same consideration is requested for authors who may have original articles published first in The Maryland Nurse. Additionally, once the editorial process begins and if a submission is withdrawn, the author may not use The Maryland Nurse editorial board review comments or suggestions to submit the article to another source for publication.

Authors may review the article to be published in its final form. Authors may be requested to sign a release form prior to publication. The Maryland Nurses Association retains copyrights on published articles, subject to copyright laws and the signing of a copyright transfer and warranty agreement, and may transfer that right to a third party.

Subm i s s ion s shou ld b e s e n t e l e c t r on ic a l ly t o TheMarylandNurse@gmail.com.

PUBLICATION

The Maryland Nurse Publication Schedule

Issue Material Due to MNA

November, December 2018, January 2019 September 2018

The Maryland Nurse is the official publication of the Maryland Nurses Association. It is published quarterly. Annual subscription is $20.00.

MISSION STATEMENT

The MNA Mission Statement and Values adopted October 2014

The Maryland Nurses Association, the voice for nursing, advocates for policies supporting the highest quality healthcare, safe environments, and excellence in nursing.

Our core values: Camaraderie, Mentoring, Diversity, Leadership, and Respect

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August, September, October 2018 The Maryland Nurse News and Journal • Page 3

Jana Goodwin, PhD, RN, CNE, assistant professor and director of the University of Maryland School of Nursing’s (UMSON) Bachelor of Science in Nursing program, has been selected to the American Association of Colleges of Nursing’s (AACN) Leadership for Academic Nursing Program (LANP). Goodwin is preparing to attend a five-day workshop in which she will participate in intensive classes and exercises related to effective academic leadership, July 29-Aug. 2 in Chaska, Minnesota.

The AACN-sponsored LANP is an executive leadership fellowship tailored specifically for new and emerging executive administrators who aspire to move into senior administrative or executive positions within the nursing academic unit. The yearlong program is designed to prepare a more diverse, younger pool of leaders to shepherd nursing programs across the globe. This professional development experience encompasses an assessment and evaluation of leadership skills, opportunities for strategic networking and case development, consultation for achieving long-term goals, and identification of key partnerships. Fellows also have mentoring opportunities with an experienced dean.

Goodwin is currently responsible for developing and implementing policies and procedures for the BSN program. She also collaborates with UMSON’s department chairs, faculty, and the Office of Student and Academic Services for curriculum development; faculty mentorship; quality assurance and improvement; program coordination, planning, and evaluation; and student recruitment, retention, and academic progress.

“We congratulate Dr. Goodwin on this honor. She is highly regarded as an emerging leader and has demonstrated significant expertise on issues of diversity, inclusion, and cultural competence with respect to both learning and practice,” said UMSON Dean Jane M. Kirschling, PhD, RN, FAAN. “She is committed to preparing the next generation of nursing professionals to deliver care in a culturally appropriate manner and is a true asset to our program. I look forward to her future contributions as a nurse educator and administrative leader.”

This year, 49 fellows were selected from across 25 states through a competitive application process to participate in the program.

Goodwin Selected to American Association of Colleges of Nursing’s Leadership for Academic Nursing Program

Jana Goodwin, PhD, RN, CNE, Assistant Professor & Director of the University of Maryland School of Nursing’s (UMSON)

Bachelor of Science in Nursing program

Schools of Nursing News

“This is such a great opportunity to be able to participate in a program that focuses on enhancing the leadership skills of nurse educators,” Goodwin said. “The ability to share ideas and to network with other nurse leaders will be an invaluable experience. I believe that the skills and mentorship gained will be essential to my role as the BSN director at the School of Nursing.”

AACN is a unique asset for the nation that serves the public interest by setting standards, providing resources, and developing the leadership capacity of member schools to advance nursing education, research, and practice. By 2020, as a driving force for quality health care, AACN will leverage member schools in meeting the demand for innovation and leadership in nursing education, research, and practice.

Program is tailored to aspiring and new deans.

University of Maryland School of Nursing News

Beginning July 1, 2018 state statute(§21–2A–04.2) requires CDS prescribers and pharmacists in Maryland to request and to assess data from the Maryland Prescription Drug Monitoring Program (PDMP) in certain prescribing and dispensing situations.

For more information visit MarylandPDMP.org.

Use the PDMP, an effective clinical tool, to enhance patient care and reduce prescription misuse and abuse in Maryland.

Page 4 • The Maryland Nurse News and Journal August, September, October 2018

Schools of Nursing NewsUniversity of Maryland

School of Nursing News

University of Maryland School of Nursing

Receives $10M GiftA gift of $10 million from Bill and Joanne Conway, through their

Bedford Falls Foundation, will enable the University of Maryland School of Nursing (UMSON) to provide scholarships to nearly 350 students pursuing undergraduate and graduate degrees and aid in addressing the state’s nursing workforce needs. Maryland is one of four states in the nation anticipated to experience a shortage of 10,000 or more registered nurses by 2025.

This transformational gift, the largest in UMSON’s history, will be disbursed over a five-year period. The Conway’s have pledged more than $15 million to UMSON during the past three years. Their most recent gift is one of the largest outright scholarship gifts to any school of nursing in the country.

The Conway’s’ latest gift will fund 341 scholarships, bringing the total number of students benefiting from Conway Scholarships to more than 470. Two previous gifts, in April 2015 and January 2017, to date have funded 106 scholarships for undergraduate, masters, and doctoral nursing students at UMSON’s locations in Baltimore and at the Universities at Shady Grove.

“Bill and Joanne Conway’s unwavering commitment to support nursing students is transformative for the University of Maryland School of Nursing,” said UMSON Dean Jane M. Kirschling, PhD, RN, FAAN. “The latest gift funds Conway Scholarships for Registered Nurse-to-Bachelor of Science in Nursing (RN-to-BSN) students from the University of Maryland Medical Center Midtown Campus and from the University of Maryland Prince George’s Hospital Center. These students will complete prerequisites for baccalaureate nursing education at their local community college, the costs for which will also be covered, and will then matriculate to UMSON as Conway Scholars upon successful completion of the prerequisites.

The Conway Scholarship covers in-state tuition and fees. Post-baccalaureate recipients must also commit to serving as a clinical preceptor, teaching as a clinical instructor, or securing a full-time faculty position within three years of graduation. Additional information on the Conway Scholarship and its requirements may be found at www.nursing.umaryland.edu/conway.

The Conway’s decided several years ago that their philanthropy should help people who have demonstrated financial need to receive the education necessary to obtain jobs. Bill Conway is co-founder and co-executive chairman of the Carlyle Group, in Washington, D.C. The Conway’s are trustees of the couple’s Bedford Falls Foundation, which has bestowed significant nursing scholarships previously in the Mid-Atlantic region.

Assistant professor to oversee development, implementation, and evaluation of HSLM program.

Dean Jane M. Kirschling, PhD, RN, FAAN, University of Maryland School of Nursing (UMSON), has appointed Assistant Professor Linda Diaconis, PhD, MS ’95, BSN ’92, RN, specialty director of the Health Services Leadership and Management (HSLM) master’s program, effective June 1.

“It is an honor to have been appointed, and as an alumna of the program, I know how important it is to build upon the strong foundation of nursing education in preparing our future health care leaders,” Diaconis said. “I am really looking forward to collaborating with colleagues and our partner institutions to foster a teaching and learning environment that inspires students to excel in scholarship and the practice of nursing.”

Since her arrival in 2013, Diaconis has been engaged in teaching, research initiatives, and service activities in the HSLM Master of Science specialty, ranked No. 4 in the nation by U.S. News & World Report. The HSLM master’s specialty prepares students to lead in today’s complex health care environment or to become a nurse educator. Students choose a Leadership and Management, Business, or Education focus and take advantage of practicum placements with leaders at hospitals and health care systems, universities and community colleges, national and state agencies, and more.

Diaconis earned a PhD in education from the University of Maryland, College Park and Master of Science and Bachelor of Science in Nursing degrees from UMSON.

Diaconis Named Specialty Director of UMSON’S Health Services Leadership and

Management Program

Linda Diaconis, PhD, RN, Specialty Director of the Health Services

Leadership and Management (HSLM)

Master’s Program

August, September, October 2018 The Maryland Nurse News and Journal • Page 5

Schools of Nursing NewsUniversity of Maryland

School of Nursing News

Community college students can take UMSON courses while completing an

associate degree. The University of Maryland School of Nursing

(UMSON) and Baltimore City Community College (BCCC) recently signed an agreement of dual admission. BCCC becomes the ninth community college in Maryland to sign such an agreement with UMSON.

Through the agreement, students can apply and be admitted to UMSON’s Bachelor of Science in Nursing (BSN) program while in BCCC’s Associate Degree in Nursing (ADN) program. Students will receive transfer credits from UMSON for completed coursework at BCCC and will be granted special student status, allowing them to take UMSON courses while still working on their associate degree, thereby saving them time and money in completing their BSN degree.

“This partnership with UMSON creates a smooth transition for BCCC students who are enrolled in our ADN program to obtain their BSN degree,” said Scott Olden, MS, RN, dean, School of Nursing and Health Professions, BCCC.

An effort to increase qualified nursing candidates, the agreement is helping further the mission of the Future of Nursing: Campaign for Action, an initiative of the Robert Wood Johnson Foundation and the AARP to advance comprehensive health care change. The campaign uses as its framework the landmark 2010 Institute of Medicine report, The Future of Nursing: Leading Change, Advancing Health. The partnership program specifically addresses one of the eight goals set forth in the report: to increase the proportion of nurses with a baccalaureate degree to 80 percent by 2020.

“UMSON faculty and staff welcome the opportunity to work with the BCCC community to provide an avenue for its ADN students to earn their BSN degrees,” said Linda Murray, DNP, CPNP-Ped, assistant professor and director, RN-to-BSN Program, UMSON. “We are looking forward to working together to advise the nursing students at BCCC on how to successfully enhance their skills as they progress through the program.”

To matriculate to UMSON’s BSN program, students must graduate with an ADN from BCCC and satisfy UMSON’s progression criteria.

University of Maryland School of Nursing and

Baltimore City Community College Sign Dual-Admission

Partnership Agreement Joseph R. Proulx, EdD,

RN, has been appointed professor emeritus by University of Maryland, Baltimore (UMB) President Jay A. Perman, MD. Proulx served as a faculty member at the University of Maryland School of Nursing (UMSON) for 44 years, 37 at the rank of full professor with tenure. He retired in December 2015.

A professor emeritus is a retired faculty member who has demonstrated an exemplary record of service to the School and to the profession. The faculty member must also express a desire to continue to support the School’s mission.

“After working for the School of Nursing for over 40 years, I never expected such an honor. To say I was shocked is an understatement. I appreciate Dean Kirschling and all others who made this honor possible,” Proulx said. “There is an old saying from an educator: ‘By your students you shall be taught,’ and indeed, I have learned a lot. I will always treasure the fond memories of my classroom interactions with all of the wonderful students who have crossed my path.”

Retired University of Maryland School of Nursing Professor Awarded Professor Emeritus Status

Proulx served at UMSON for more than 40 years.

Joseph R. Proulx, EdD, RN

During his tenure at UMSON, Proulx developed and taught graduate core courses for the Health Services Leadership and Management master’s program. He served on the Committee on Appointments, Promotions, and Tenure; Graduate Admissions Committee; Graduate Curriculum Committee; Master’s Program Committee; Specialty Coordinators Committee; and Faculty Council. He was instrumental in designing and implementing the dual-degree offerings for the MS/MBA and the former PhD/MBA from UMSON and the University of Baltimore’s Merrick School of Business, serving as a co-principal. Proulx was also a member of the UMB planning group for an interdisciplinary course on conflict management offered by UMSON and the schools of Medicine, Law, and Social Work.

“We congratulate Dr. Proulx on this well-deserved honor. Throughout his career at the School of Nursing, he gave generously of his time through teaching, mentoring students, and service to the School and University,” said UMSON Dean Jane M. Kirschling, PhD, RN, FAAN.

Regionally, Proulx has shared his expertise as a consultant to other nursing programs. Since his retirement, Proulx continues to lecture at UMSON, teaching one class per semester as needed.

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Page 6 • The Maryland Nurse News and Journal August, September, October 2018

Schools of Nursing NewsJohns Hopkins School of Nursing News

Johns Hopkins School of Nursing (JHSON) Professor Sarah L. Szanton, PhD, ANP, FAAN, has been named the inaugural Endowed Professor in Health Equity and Social Justice. This is the school’s second endowed professorship to have been established in 2018 and a meaningful reflection of strong capital support for JHSON’s mission and goals.

Through the professorship, a permanent position will be created to solidify the school’s influence and leadership in advocating for universal health access, equity in care locally and globally, and understanding how gender, race, and other social determinants impact health and well-being.

“Dr. Szanton is qualified, committed, and an excellent fit to forge this important and transformational agenda,” says Patricia Davidson, PhD, MEd, RN, FAAN, dean of JHSON. “Her work with low-income, older adults throughout Baltimore has expanded across the nation and world and has reformed how we look at access to health care, especially among the most vulnerable populations. This is an opportunity for her to continue the good work and further advocate for equity and justice in health.”

Established and funded by JHSON alumna and current Nursing Advisory Board member Susan Epstein, class of 1966, the gift also came with the request to have the professorship named in honor of Dean Patricia Davidson for her deep commitment to health equity and social justice. In accordance with university policy, the chair will be named the “Patricia M. Davidson Health Equity and Social Justice Chair” upon completion of Davidson’s tenure as dean.

“This is a well-deserved tribute to Dean Davidson and a true reflection of her work that has prioritized health and well-being for all,” says Epstein. "After a few conversations with Dean Davidson, I recognized our shared interest in the role of nurses as advocates for health equity and social justice. Her commitment to global welfare and equity is evident in everything she does, and this professorship will carry her legacy forward among Hopkins nurses and beyond. I’m also excited to see Dr. Szanton step into this role and bring the school forward in an area that is so critical to nursing and today’s health care environment.”

Recently named director of JHSON’s Center for Innovative Care in Aging, Szanton leads the school’s efforts in advancing and supporting the health and well-being of older adults and their families. Her early career taking care of homebound, low-income elderly patients in Baltimore led her to develop the Community Aging in Place Advancing Better Living for Elders (CAPABLE) program. By combining home visits from a nurse, occupational therapist, and handyman, CAPABLE helps older adults live more safely and comfortably in their homes. It has been shown to decrease disability and depression and improve self-care among participants while offering 10 times its return on investment. CAPABLE has been expanded to 22 cities in 11 states and in Australia.

Szanton also investigates the impact of food and energy access on health outcomes, strategies for preventing falls among older adults, and policy changes for cost-effective, tax-saving programs that improve health. She has been a recipient of the American Academy of Nursing Edgerunner Award, the Baltimore City Health Equity Leadership Award, the Senior Service America Research Award and named a National Influencer in Aging by Next Avenue.

“I am deeply thankful and humbled by the donation of Susan Epstein and the honor I have to be the inaugural chair for the professorship,” says Szanton. “I have received immeasurable support from the university, my colleagues across divisions and schools, and my family and friends to make this opportunity possible. My passion is to drive equity in aging so that all can live to their fullest capacity. I’m excited to expand the possibilities in research and policy through this new professorship.”

Johns Hopkins School of Nursing Professor Named Inaugural Endowed

Chair for Health Equity and Social JusticeThe Johns Hopkins School of Nursing (JHSON) has virtually broken ground

on a $45 million expansion and renovation of its current Anne M. Pinkard building. At a virtual tour movie screening and dinner event, the school showcased the 65,810 total square foot design geared toward strengthened research, graduate level education, and community engagement.

“This is an incredibly exciting time in the history of our school and an even more momentous step into the future of nursing education,” says Patricia Davidson, PhD, MEd, RN, FAAN, dean of JHSON. “We wanted a groundbreaking that was non-traditional to represent the contemporary look and feel of our new space and show how the building will expand our scholarship opportunities, innovation, and intellectual footprint across the world.”

Designed by the architectural firms of William Rawn Associates and Hord Coplan Macht, Inc., the new building will be flexible, dynamic, and future-oriented, while also honoring the school’s long history of preparing nurse leaders. The transformed and reimagined educational area includes large, open spaces, flexible learning classrooms, a more prominent entrance, and expansive glass surfaces.

Other features include:• The Carpenter Conference Center to seat larger, more interdisciplinary

events with colleagues locally and globally.• Open and spacious first floor “Hub” with areas for informal meeting,

studying, teamwork, and an eatery open to the community.• Preserved courtyard and green space in Baltimore that will be highly visible

from the new addition.• Think Tank space for current and emerging centers and institutes to

collaborate with local and international partners and develop research, clinical expertise, and technologies.

• The Martha Hill Interprofessional Research Commons, which will house JHSON’s specialty centers in aging, administration, cardiovascular care, community health, global initiatives, and mental health and give faculty and PhD students a collaborative workspace to focus on research, policy, and advocacy.

The school has received funding support from the E. Rhodes and Leona B.

Carpenter Foundation of Philadelphia and the France-Merrick Foundation of Baltimore, MD., among other foundations and organizations, and is scheduled to officially begin construction in Fall 2018.

“This is an investment in our campus, the economy and health of our city, and importantly in outstanding student experiences for years to come,” says Davidson. “We are building to inspire, innovate, impact, and change the world.”

Watch the virtual tour at https://nursing.jhu.edu/news-events/news/news/the-johns-hopkins-school-of-nursing-hosted-virtual-groundbreaking-event-for-new-building.

The Johns Hopkins School of Nursing Hosted Virtual Groundbreaking Event for

New Building

August, September, October 2018 The Maryland Nurse News and Journal • Page 7

Schools of Nursing NewsJohns Hopkins School of Nursing News

The Johns Hopkins School of Nursing (JHSON) Doctor of Philosophy (PhD) 2018 class is the largest PhD class to ever graduate from the school with a total of 10 students—underscoring the school’s commitment to advancing science and preparing nurse leaders. They walked the stage at JHSON’s graduation ceremony on May 22 at the Hippodrome Theater.

“Graduating this large class is a testament to the dedication of our students, our stellar faculty, and nursing organizations across the world who have provided financial and mentorship support to these aspiring individuals,” says Dean Patricia Davidson, PhD, MEd, RN, FAAN. “This is a proud moment for our school, and we look forward to seeing how these graduates will take the profession into the next steps of research, teaching, and scientific discovery.”

Increasing the number of PhD- and Doctorally prepared nurses has been a long-held JHSON initiative as the need for faculty and research has grown tremendously within the profession. Changing health care systems and a rise in chronic and non-communicable diseases have also made evident the need for nurses who can practice at the top of their license and education, and as full partners with physicians. At JHSON, the PhD program launched in 1993 and graduated its first student in 1999. In 2007, a Doctor of Nursing Practice (DNP) degree was established, and in 2017, JHSON started its DNP/PhD program, the first in the country where students can receive both degrees simultaneously from one school.

Jason Farley, PhD, MPH, ANP-BC, AACRN, FAAN, director of the PhD and DNP/PhD program, adds, “Students emerge with great potential to become scientific, clinical, and academic leaders after completing a PhD program. They learn to rigorously apply themselves, think critically, and understand research in a context that is beneficial to both the nursing profession and the entire health care system. I congratulate this class and look forward to growing our program further in the future.”

The graduation also included a total of 194 students who have completed the Doctor of Nursing Practice (DNP), Master of Science in Nursing (MSN) Entry Into Nursing, MSN Advanced Practice, Master of Science in Nursing (MSN) Public Health Nursing/Master of Public Health, and Post-Degree Certificate programs. Mark Ganz, president and CEO of Cambia Health Solutions, provided the keynote address, and Tamryn Gray delivered student remarks.

The Degree Completion Ceremony can be viewed live at nursing.jhu.edu/graduation.

The Johns Hopkins School of Nursing to Graduate Largest Ever PhD Class at

2018 Ceremony

Dr. Pamela Ambush-Burris and A’lise Williams, both RN’s from the RISE (Retention, Integration, Success, and Employment) office in the School of Nursing and Health Professions were guest presenters at the Twelfth Annual Nurse Educator Conference in Dover, DE. The Poster Presentation provided by the pair offered their audience with information surrounding the implementation, impact, and outcomes of a 4-year nursing student retention program titled “Enhancing Student Success-A Nursing Student Support Program.” The success of the pilot has been significant and findings are being edited for publication submission. Contact author A’lise Williams, MSN, BSN, RN, Nursing Program Transition Coach at aewilliams@bccc.edu, 410-462-8445 (o).

L-R: A’lise Williams, MSN, RN, and Dr. Pamela Ambush-Burris

Baltimore City Community CollegeSchool of Nursing News

Page 8 • The Maryland Nurse News and Journal August, September, October 2018

ANA News

Linda J. Stierle, MSN, RN/MNA, Member-At-Large ANA Representative

Hill Day, which is sponsored by the American Nurses Association (ANA), and officially kicks off the ANA Membership Assembly (MA), was held on Thursday, June 21, 2018. The Maryland Nurses Association (MNA) was represented by President, Dr. Mary Kay DeMarco, Vice President, Ms. Jo Hochuli, DNA 3 President, Ms. Donna Downing-Corddry, Past President and current MNA Member-at-Large Representative to the ANA MA, Ms. Rosemary Mortimer, Past President and current Secretary for the ANA Board of Directors, Dr. Patricia Travis, Legislative Committee Chair, Ms. Donna Zankowski, and the incoming Chief Staff Officer/Executive Director, Ms. Jennifer Arigo. They visited Maryland’s Congressmen and spoke on behalf of H.R. 6, Patients and Communities Act. This bill was being debated in the House on Thursday, and it passed out of the House on Friday, June 22nd. H.R. 6 permanently extends the medication assisted treatment (MAT) program for nurse practitioners and physician assistants. It also expands prescribing authority to clinical nurse specialists, certified registered nurse anesthetists, and certified nurse midwives.

On June 22 & 23, 2018, those in attendance were joined by MNA’s elected voting representatives to the ANA MA. The two MNA Officer

Synopsis of 2018 ANA Membership Assembly

MNA's Leadership Representatives at the Membership Assembly

L-R: J. Arigo, MBA, CAE, CSO; C. Rhodes, RN, Staff Nurse at Large Candidate; B. Biedrzycki, PhD, RN, MSN, CRNP, AOCNP; E. Suddath, former CSO; P. Travis, PhD, RN, CCRP; M. DeMarco, PhD, RN,

CNE; J. Hochuli, MSN, RN; L. Stierle, MSN, RN; Rosemary Mortimer, RN, MS, MSEd, CCBE; and K. Ogle, PhD, RN, FNP-BC, CNE

Representatives in attendance were Immediate Past President, Dr. Kathy Ogle and Treasurer, Dr. Barbara Biedrzycki. The two Members-at-Large were Ms. Rosemary Mortimer and Ms. Linda Stierle. Also, in attendance as official observers for MNA were: President, Dr. DeMarco, Vice President, Ms. Hochuli, former Chief Staff Officer/Executive Director, Mr. Ed Suddath, and the Incoming Chief Staff Officer/Executive Director, Ms. Jennifer Arigo.

There were three one-hour dialogue forums on Friday followed by recommendations on Saturday from the ANA Professional Policy Committee based on the dialogue that occurred on Friday during each of the three forums. These recommendations were voted on by the four MNA voting representatives. The three dialogue forums addressed the following nursing and ANA issues: Dialogue Forum #1: Secondary Exposure Opioid Exposure Considerations in Caring for Patients with Overdose; Dialogue Forum #2: ANA Presidential Endorsement Process; and Dialogue Forum #3: An Ethics Debate: The Right To Die. MNA will be posting the formal recommendations/policy statements on each of the ANA positions on the MNA Members Only website so all MNA members can be more informed about the issues impacting the nursing profession and the populations we serve.

There was also a Policy Café where input was sought from the ANA Membership Assembly participants on six ANA positions statements. All Membership Assembly attendees had an opportunity

to spend ten minutes at each of three of the six policy stations. MNA had a presence at each of the six policy stations which were as follows: RN Utilization of Nursing Assistive Personnel in All Settings; Evolution of Licensure; the Opioid Epidemic: The Evolving Role of Nursing; Sexual Harassment; Promotion and Disease Prevention; and Equipment/Safety Procedures of Blood borne Pathogens.

The four MNA Voting Representatives also had an opportunity to cast the MNA eight weighted votes for candidates for the MNA Board of Directors and the ANA Nominations and Election Committee. There were forty-eight candidates for eight elected positions. It was a historical moment for ANA as the first man was elected as ANA President in its one hundred twenty-two (122) year history, Dr. Ernest Grant, from the North Carolina Nurses Association. Dr. Grant is the current ANA Vice-President; he will assume the role of President on January 01, 2019 and serve until December 31, 2020. MNA Past President, Dr. Patricia Travis was recognized as the outgoing Secretary for the ANA Board of Directors. She was thanked for her long-time service.

Finally, the ANA Membership Assembly passed through acclamation an ANA Board of Directors resolution addressing the current situation on the USA southern border with undocumented immigrants and the separation of children from their parents. It was three very intense and long days, but also very rewarding days, as together we were positively impacting our chosen profession, Nursing, and its future!

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August, September, October 2018 The Maryland Nurse News and Journal • Page 9

Special Guest Speaker Recipient of ANA Staff Nurse Advocacy Award

Special Guest Speaker: Alexandra L. Wubbels, BSN, RN Recipient of ANA Staff Nurse Advocacy Award in recognition for her actions in Utah that put her on the front page of national news with a viral video.

ANA News

On June 23, the American Nurses Association (ANA) Membership Assembly elected Ernest Grant, PhD, RN, FAAN, of the North Carolina Nurses Association as the association’s next president to represent the interests of the nation’s 4 million registered nurses. The term of service for Dr. Grant and other newly elected leaders will begin January 1, 2019.

Dr. Grant, the current ANA vice president, is an internationally recognized burn care and fire safety expert and oversees the nationally acclaimed North Carolina Jaycee Burn Center at the University of North Carolina (UNC) Hospitals in Chapel Hill. He also serves as adjunct faculty for the UNC-Chapel Hill School of Nursing, where he works with undergraduate and graduate nursing students in the classroom and clinical settings.

ANA’s Membership Assembly also elected four other members to serve on the 9-member board of directors. The newly-elected board members are: Secretary Stephanie Pierce, PhD, MN, RN, CNE, of the Louisiana State Nurses Association; Director-at-Large, Tonisha Melvin, DNP, CRRN, NP-C, of the Georgia Nurses Association; Director-at-Large Varsha Singh, MSN, APN, of the New Jersey State Nurses Association; Director-at-Large Staff Nurse Jennifer Gil, RN, BSN, of ANA Massachusetts.

The following ANA board members will continue their term in 2019: Treasurer Jennifer Mensik, PhD, RN, NEA-BC, FAAN, of the Oregon Nurses Association; Director-at-Large MaryLee Pakieser, MSN, RN, BC-FNP, of ANA Michigan; Director-at-Large, Recent Graduate, Amanda Buechel, BSN, RN, of ANA-Illinois.

Elected to serve on the Nominations and Elections Committee are: Bonita Ball, MSN, RN, CCRN-K, NE-BC, of the Delaware Nurses Association; Rebecca Huie, DNP, RN, ACNP, of the Alabama State Nurses Association; Heidi Sanborn, MSN, RN, CNE, of the Arizona Nurses Association.

ANA Assembly

Ernest Grant, PhD, RN, FAAN

(L-R): A. Wubbels, BSN, RN and P. Travis,

PhD, RN, CCRP

Save the Date!NPAM’s Annual Fall Conference

2018 Pharmacology Updates Saturday, October 13, 2018

Howard Community College, Columbia, MD

Register today @ NPAMOnLine.org

Page 10 • The Maryland Nurse News and Journal August, September, October 2018

MARYLAND NURSES ASSOCIATION115TH ANNUAL CONVENTION2018 YEAR OF ADVOCACY AT THE BEDSIDE AND BEYONDNOVEMBER 1, 2018MARTIN’S WEST 6817 DOGWOOD ROAD BALTIMORE, MD 21244

2018 Convention AgendaThursday, November 1, 2018

7:30 – 8:15 AM Registration/Continental Breakfast

8:20 – 9:30 AM Opening Session

Welcome: Mary Kay DeMarco, PhD, R.N., C.N.E.President, Maryland Nurses Association

Keynote: Deputy Surgeon General Rear Admiral (RADM) Sylvia Trent-Adams, PhD, R.N., F.A.A.N.

9:35 – 10:20 AM Break/Visit Exhibitors/Poster Session #1

10:25 – 11:25 AM *Concurrent Sessions 1

Session 1A Session 1B Session 1C Session 1D

Improving Patient Falls by Implementing a Falls Prevention Leadership Team

Carolyn Guinn, MSN, RN, NEA-BC University of Maryland Medical Center

Sorah Levy, BSN, RN University of Maryland Medical Center

Jennifer Motely, BSN, BA, RN, PCCN University of Maryland Medical Center

Diana Johnson, PT, MS University of Maryland Medical Center

Compassion Fatigue Resiliency Training in Emergency Nurses

Judith Boyle, DNP, RN Community College of Baltimore County

The Nursing Pipeline: A Creative Approach to On-Boarding, Training and Retaining New Graduate Nurses

Katherine Mulligan Vann, MS, BSN, RN, OCN, CMSRN Frederick Memorial Hospital/Frederick Regional Health System

Kathyrne Bunn, BSN, RN Frederick Memorial Hospital/Frederick Regional Health System

Improving Health Outcomes for Children with Asthma or Lead Exposure through Environmental Case Management: Implementation of a Childhood Lead Poisoning Prevention and Asthma Program

Teresa Pfaff, MPH, MSN, RN, APHN-BC, CPH Baltimore County Department of Health, Bureau of Clinical Services

Teresa Messler, DNP, MSN, RN, CNE Baltimore County Department of Health, Bureau of Clinical Services

11:30 AM – 12:30 PM *Concurrent Sessions 2

Session 2A Session 2B Session 2C Session 2DNavigating Patient Care Coordination for Infusion Patient

Priya Nair, DNP, RN, CCCTM University of Maryland Medical Center

Kendra Johnson, BSN, RN University of Maryland Medical Center

Renay Tyler, DNP, RN, ACNP University of Maryland Medical Center

Women’s Knowledge of Cardiovascular Risk After Preeclampsia

Adriane Burgess, PhD, RNC-OB, CCE, CNE Towson University

Kristen Feliu SURI Program Nursing Student Towson University

Nursing & Security: A Critical Partnership Toward Eliminating Workplace Violence

April Brooks University of Maryland Capital Region Health

Kim Grady, MSN, RN University of Maryland Capital Region Health

Catalysts for Change: Addressing Barriers to Public Health and School Health Nursing Practice to Advance Health in Maryland

Carolyn Nganga-Good, MS, RN, CPH HRSA, Maryland Action Coalition - RWJF PHNL/HRSA

Pat McLaine, DrPH, MPH, RN University of Maryland, School of Nursing

12:30 – 1:30 PM Lunch and Networking/Visit Exhibitors

1:35 – 2:35 PM *Concurrent Sessions 3

Session 3A Session 3B Session 3C Session 3DA Qualitative Study to Explore and Understand Staff Nurse Decision Making in Activating the Rapid Response Team

Cathaleen Ley, PhD, RN Anne Arundel Medical Center

Holly Greever, MSN, RN University of Maryland Capital Region Health

Mindfulness: Enhancing Readiness for Change Individually and Collectively

Brandy Brown, MSN, MS, BSN, RN-BC Baltimore Washington Medical Center

Preventing Violence in the Workplace – Awareness, Education, and Panel, Discussion

Mary Kay DeMarco, PhD, RN, CNE Maryland Nurses Association Legislative Committee Maryland Nurses Association Subcommittee on Workplace Violence

Robyn Elliot Maryland Nurses Association Legislative Committee Maryland Nurses Association Subcommittee on Workplace Violence

Adverse Childhood Experiences: Impact and Interventions

Martha Gurzick, MSN, RN, CCNS, CEN Frederick Memorial Hospital

2:40 – 3:25 PM Break/ Visit Exhibitors/Poster Session #2

3:30 – 4:30 PM Closing Keynote Speaker, Karen Daley, PhD, RN, FAAN

4:45 – 6:15 PM Annual Business Meeting and Presentation of MNA Awards & NFM Scholarships

Maryland Nurses Association is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

*Presenter times subject to change

August, September, October 2018 The Maryland Nurse News and Journal • Page 11

REGISTRATION FORM

Name (Please Print)

MNA District No

Home Address

City State Zip

Daytime Phone ( )

Email EARLY REGISTRATION—Before October 5, 2018—Includes Meals

Please circle applicable dollar amount

Early Late

MNA Member $185 $205

Full-Time Student $105 $115

Non-Member $285 $305

Name of School of Nursing

Anticipated month and year of graduation

If you are a full-time nursing student, you will be asked to present your current student ID.

Breakout Sessions:

Please indicate which session you will attend by placing an “X” in each time slot.

Thursday A B C DSession 1Session 2Session 3

Annual Business meeting 4:45 – 6:15 pm Will you attend? Yes О No О The Business Meeting is open to Members at no charge.

Cancellations will be accepted until October 25, 2018. A $75.00 administrative fee will be charged. After that date, no refunds will be made.

Dietary Restrictions? Yes О No О If yes, see note below.

Summary of Charges (Please complete) CostEarly Registration Rate

Late Registration Rate

Credit Card Handling Fee ($6.50)

Total Payment

Note: A $6.50 processing fee will be applied for all charges.

Please make checks payable to the Maryland Nurses Association or complete credit card information below and mail with registration to: Maryland Nurses Association, 6 Park Center Court, Suite 212 Owings Mills, MD 21117.

Name on card

Billing address for card

VISA, MC - card number

Exp. Date 3-digit security code

Email address for receipt

Signature

Questions? Phone: 443-334-5110 Fax: 443-334-5109 Email: Jarigo@marylandrn.orgPlease refrain from wearing any fragrances to MNA events.Notify Jennifer Arigo, Executive Director if you have any dietary restrictions or other special needs.

MARYLAND NURSES ASSOCIATION115TH ANNUAL CONVENTION2018 YEAR OF ADVOCACY AT THE BEDSIDE AND BEYOND

2018 MNA Annual Awards ATTENTION MEMBERS!

MNA solicits your input in nominating MNA members for the following eight (8) awards.

The Outstanding Nursing Practice AwardPresented to a MNA member to recognize a nurse

in direct patient care whose care is a source of pride to self, peers, patient/clients and colleagues. This award is given to the nurse you would most want to care for your loved ones.

The Outstanding Nurse Educator AwardPresented to a MNA member who has demonstrated excellence in nursing

education, continuing education or staff development. This award is given to a nurse educator who has provided others with exceptional educational opportunities.

The Outstanding Leadership AwardPresented to a MNA member who has demonstrated exemplary leadership in

the performance of activities on behalf of nursing and the MNA. This award is given to a leader who has furthered MNA’s mission and nursing’s agenda.

The Outstanding Advanced Practice Clinical Nurse AwardPresented to a MNA member who has demonstrated excellence in clinical

practice. The recipient should be an innovator and combine clinical practice with a major leadership function such as research, education, professional services, community services, or scholarly activities.

The Outstanding Dissemination of Health Information AwardPresented in recognition of achievements in the dissemination of health

information to the public. Coverage may include illness prevention or wellness promotion. This award could come from the print, radio, television cinematic or other similar mass medium. The nominees for this award are not required to be an MNA member.

The Outstanding Pathfinder AwardPresented to a MNA member who has demonstrated excellence and creative

leadership that fosters the development of the nursing profession. The recipient has pioneered in innovation in nursing or developed creative approaches to further nursing’s agenda.

The Outstanding Mentoring AwardPresented to a MNA member who shows individuals how to put into

practice the professional concepts of nursing by example and through wise counsel and advice. This award is given to a mentor who best demonstrates outstanding efforts and interest in the professional development and advancement of less experienced nurses.

Stierle Exemplary Service AwardPresented to a MNA member who has provided exemplary service to the

association and/or the nursing profession through significant contributions to a MNA Committee/Board, a MNA District Committee/Board, and/or through efforts that enhance the Maryland Nurses Association and/or the nursing profession as a whole.

The awardees will be recognized at the 2018 Annual Convention on Thursday, November 1, 2018.

Nominating Instructions:1. MNA Districts or members of the Association recommend nominees.2. A Nominating Form must be completed for each nominee.3. Nominations must address the specific criteria noted for each award on the

Nominating Form. 4. A photo of the nominee should be submitted with the Nominating Form.

Selection: Each award is competitive and will be selected by the Awards Committee.

Presentations: Awards will be presented at the Annual MNA Convention.

Nominating Forms are available on the MNA web site at www.marylandrn.org or by contacting the MNA office at 443-334-5110 or sprentice@marylandrn.org.

The MNA office must receive all Nominating materials no later than Friday, October 12, 2018 for consideration.

Page 12 • The Maryland Nurse News and Journal August, September, October 2018

BGRV is an Equal Opportunity Employer.

Brooke Grove Rehabilitation and Nursing Center has opened up a brand new 70-bed post-acute center in Montgomery County, MD. We are seeking Registered Nurses with Post-acute experience to join our team of dedicated staff.

Brooke Grove Retirement Village, a not for profit organization known for providing exceptional care since 1950, is located on a beautiful 220-acre campus. Successful candidates must pass reference and background checks and be licensed in the state of Maryland.

For more information on the available employment opportunities, please call our HR department at 301-924-2811, option 3 or visit our website, www.bgf.org. To apply, visit our HR office located on our Sandy Spring campus or email a resume to BGRV-HR@bgf.org. You can also fax a resume to 301-924-1200.

Brooke Grove Retirement Village | 18100 Slade School Road

Sandy Spring, MD 20860 | 301-924-2811, opt.3

Deadline is September 1, 2018

MNA District 2 is seeking applications for its 2018 Nursing Scholarship. The scholarships will be awarded to those demonstrating scholarship, commitment and potential for leadership in the practice of nursing. The Award is based on contributions from MNA members, including fees paid for the previous Fall District 2 meeting at Martin’s West. Applicants may be pre-licensure baccalaureate or master’s degree nursing students, attending a nursing school in District 2 (the Baltimore area) who are the first generation in their family to graduate from college. The award this year is $1,100.00.

Applicants must meet the following criteria of eligibility:• Currently accepted or enrolled in one of the Maryland nursing programs

indicated above• Be a resident of Maryland • Scheduled to receive the pursued degree in nursing within the 2018-2019

academic year • GPA of 3.0 out of 4.0 or higher, documented by a current transcript• Demonstrated involvement in community service• Provide at least two letters of reference which indicate scholarship,

commitment, service and potential for leadership in the practice of nursing. One of the letters must be from a faculty member.

• Applicants must be the first generation in their family to receive a baccalaureate or higher degree; neither parent can be a college graduate.

The applicant is expected to attend the annual Meeting of District 2 at Martin’s West on Thursday, September 24, receive the scholarship. Request an application form from mnadistrict2@gmail.com.

District NewsDistrict 2 News

District 2 Seeks Applicants for First Generation Nursing Student Scholarship

District 2’s Spring Practice and Policy Seminar

Addressing the Opioid Crisis: (L) Meredity Zoltick, BSN, RN, ACRN, of Project Connection and the Johns Hopkins Hospital, and Tammy M. Slater,

DNP, MS, ACNP-BC, of the Johns Hopkins School of Nursing, shared an update on the Opioid Crisis and standards of care for nursing at

District 2's Spring Practice and Policy Seminar to an engaged audience on April 11 at the Arbutus Library.

August, September, October 2018 The Maryland Nurse News and Journal • Page 13

District 2 NewsM NA D i s t r i c t 2

announces their 2018 fall meeting and Scholarship fund-raising Practice and Policy Seminar, on Thursday, September 20, 2018. A panel of d ist inguished exper t guests will be there sharing information about legislative issues impacting nurses and healthcare.

Up-to-date evidence and information on legislation and its’ impact on the role of nurses and healthcare will be discussed and information on how to influence this legislation is critical to all nurses. The Seminar is at Martin’s West, 6817 Dogwood Rd., Baltimore, located between I-695 exits for Security Blvd. and Liberty Rd. It will begin at 6:30 with a buffet meal and networking, followed by the Panelist and Keynote speakers’ presentation.

A small contribution is requested from nurses and nursing students who attend this event. All funds collected are paid to the District 2 Scholarship fund for a first-generation nursing student in a pre-licensure baccalaureate or graduate Maryland nursing school program.

For more information and registration, on this and future Seminars and meetings, go to www.mnadistrict2.org, or Facebook at Maryland Nurses Association, District 2. District 2 can also be contacted by mail at 6400 Baltimore-National Pike #523, Baltimore 21228. Registration is limited and cannot be accepted at the door, but additional donations can be sent to the District 2 scholarship fund at the above address.

Nayna Philipsen, JD, PhD, RN, CFE, FACCE President, District 2

District NewsDistrict 9 News

District 7 NewsDistrict 7 members presented information on the

importance of a healthy diet while helping attendee’s plant fruit and vegetable seeds at Aberdeen’s Earth Day celebration.

On May 7, 2018 Maryland Nurses Association (MNA) District (DNA) 9 held their annual awards dinner prepared by renowned Executive Chef Kendall Selby. A scholarly presentation titled "Mission Possible: Making the Healthcare Workplace Safe Again" was given by keynote speaker, Dr. Lori Yerrell-Garrett, DNP, RN, CNS-PMH, BC, Deputy Chief Nurse Executive, Saint Elizabeth's Hospital in Washington, D.C. The event was held at Middleton Hall in Waldorf, Maryland. Among the attendees where notable dignitaries who issued citations and proclamations to DNA 9 in recognition of Nurses week 2018.

Community leaders included nursing advocate and prominent community leader, Delegate Edith Patterson (Charles County) Maryland House of Delegates; prestigious healthcare advocate, Dr. Howard Haft, Deputy Secretary for Public Health, Maryland Department of Health and Mental Hygiene; eminent leader, Delegate Michael A. Jackson (Calvert and Prince Georges County), Maryland House of Delegates; and influential representative, Delegate Deborah C. Rey of St. Mary’s County, Maryland House of Delegates. MNA DNA 9 recognized nurses working or residing in Southern Maryland by issuing awards and scholarships that included an Advanced Nursing scholarship presented to Linette Robinson, RN of Genesis Healthcare currently enrolled at the University of Maryland, College Park in the Bachelor of Science in Nursing (BSN) program. The Caring award, presented to Penelope Michaels, a school nurse at Great Mills High School in Great Mills, Maryland, whose heroic efforts temporarily sustained the life of Jaelynn Willey following gun violence at the school.

The night was full of surprises as Jocelyn Carter, a nursing student at the College of Southern Maryland received an on the spot Delegate Edith Patterson

At the center of the photo behind the table is Sadie Parker, immediate past president DNA7

From (L) to (R): S. Allen, MSN, RN BOD, DNA 9; M. Bell, DNP, RN BOD, DNA 9; L. Robinson, RN recipient of the Advanced Nursing Scholarship;

J. Carter, SN, student recipient of Delegate Edith Patterson scholarship; L. Yerrell-Garrett, DNP, RN, CNS-PMH,BC, Deputy Chief Nurse

Executive St. Elizabeth’s Hospital; Delegate Edith Patterson, representative for Charles County

scholarship to continue her studies in pursuit of an Associate of Applied Science in Nursing (AASN) degree. Senator Thomas V. Mike Miller, Maryland Senate President gifted DNA 9 with a silent auction item valued at $300, as well as a host of prizes for all in attendance. MNA DNA 9, also paid homage to outgoing Chief Staff Officer, Ed Suddath in appreciation for his professionalism and leadership during his tenure with the MNA, he will be missed. MNA DNA 9 would like to extend our gratitude and appreciation to all of the local businesses who sponsored and contributed to the event, as well as the new members who joined, particularly newly appointed Board Member at Large, Donna Noccolino, BSN, RN, CCM.

Emergency & Trauma RNsBe a part of our Magnet ®- Recognized Team!

Leadership positions are also available.Bayhealth is the largest healthcare provider in central and southern Delaware. We are comprised of two acute care centers Kent and Milford Campus, the freestanding Emergency Department in Smyrna as well as numerous satellite facilities and employed physician practices encompassing a variety of specialties. We are a Magnet Designated Hospital, which recognizes healthcare organizations for quality in patient care, nursing excellence and innovations in professional nursing practice. Magnet is the leading source of successful nursing practices and strategies worldwide.

As a reputable community based health system, we are focused on the diverse needs of our patients delivering evidence-based award winning care. Bayhealth is a technologically advanced not-for-profit healthcare system with more than 3,700 employees and a medical staff of more than 400 physicians and is an affiliate of Penn Medicine for Heart and Vascular, Cancer and Orthopedics. Our committed staff of employees, physicians and volunteers work together to deliver our mission of improving the health status of all members of the Bayhealth community while demonstrating our values of compassion, accountability, respect, integrity and teamwork.

The Kent Emergency Department (located in Dover, DE) is a Level III Trauma Center, certified Primary stroke center with 39 bed ED with over 50,000 in annual ED visits. Our professional nurses provide high quality, safe care and are committed to professional growth! Teamwork is emphasized and the nursing culture is empowered through shared governance. Professional nursing practices requiring specialized critical thinking and skill are performed in accordance with hospital policy, procedures and nursing philosophy.

At Bayhealth, Nursing excellence is our standard.Please apply online: www.bayhealth.org/careers

EOE

Page 14 • The Maryland Nurse News and Journal August, September, October 2018

Mary Kathryn Bogdan, RN, BSN, ALNC

The goal of the health care system in the United States over the life span of the population is to provide services that ease the transition from youth to middle age to, finally, the golden years in a manner that this populace is able to maintain viable members of the community as long as possible. The concept of aging in place is one where citizens are able to maintain an accustomed lifestyle throughout the entirety of the remainder of their lives. The Program for All-Inclusive Care for the Elderly (PACE) and the concept of a naturally occurring retirement community (NORC) are two models that strive to bring the vision of aging in place to fruition (Sultz & Young, 2018).

Reality presents factors that render the delivery of health care to the aging members of the population far from seamless. The provision of health care presents many challenges that identify health care delivery and render it as both inaccessible and unaffordable. The first of these barriers is the geographical location of the residential facilities. Research says that urban sites and high-rise apartments are advantageous because services are centrally located within a small area. In contrast, rural settings, located over a large and spread out area, receive fewer services due to decreased visibility. Also, the population may lack common identity due to having a less homogeneous quality. Desirable services may include, but are not exclusive to, a talk line, transportation, case management, social activities, language services, and health and information fairs. Community cohesiveness is vitalized by activities that interest a homogeneous population such as educational lectures, workshops, social events, physical activities, and crafts (Enguidanos, Pynoos, Denton, Alexman, & Diepenbrock, 2010).

Another geographical barrier by location affects accessibility to ancillary facilities. The frail elderly frequently require the care of a multi-disciplinary team to include the physician, social worker, physical and speech therapists, occupational therapist, nursing care, activity therapists, and transportation staff. PACE is financially supported by payment incentives that coordinate primary, home, and community care with costly acute, institutional care. Care requirements are typically heavy. Medicare and Medicaid services cap services with stringent regulations on utilization review across hospitalization, long term care, and specialty services. Because of the expense, some PACE programs use family members as care\givers for enrollees.

Although PACE is recognized as a Medicare benefit (from the Balanced Budget Act of 1997), the costly application of funds that PACE requires to Medicare

and Medicaid by integrating the full range of medical and chronic care services slows the growth of the PACE program considerably. Additional barriers include client unwillingness to give up their primary care physician, out-of-pocket costs for non-Medicaid enrollment, and a lack of understanding about services and eligibility among family members (Lynch, Hernandez, & Estes, 2008).

Naturally Occurring Retirement Community Supportive Service Programs (NORC programs) operationalize a community that consists of members who thrive while aging in place by the enhancement of community strength when residents are connected with common beliefs, circumstances, priorities, relationships, and concerns. Unified communities thrive economically through the assistance of volunteers, charitable beneficiaries, and community-based partnerships, such as Jewish Family Services. Three foci that potentially enhance NORC and PACE economic empowerment are connections with civic activities, activities that build social relationships, and the provision of services that enhance resource accessibility, such as handicapped ramps, accessible bathrooms, and low countertops The inclusion of stakeholders who invest their talents toward the promotion of aging in place in community are important as well; stakeholders may include consumers who are challenged with their own aging adaptation challenges, policymakers that promote health and well-being of frail elderly adults in a cost-effective manner, and community-based funders who are committed to supporting the development of improving living circumstances, challenges, that the older persons face (Greenfield, Scharlach, Lehning, & Davitt, 2012).

Optimistically, wrap-around services, those services that are provided as needed and removed as health is restored, help independent people to access care when needed similarly to those who require services of a nursing home or assisted living on a full time basis. Monitoring as needed services and providing services in conjunction with independent living will contain costs considerably. Nursing leaders, researchers, and clinicians must continue to provide and promote health care needs to residents with sensitivity of their needs for independence and self-sufficiency as well to enhance perceptive analyses of all situations and familial involvement (Kantz, Phillips, Aud, Popejoy, Marek, Hicks,… & Miller, 2011)

Health care delivery models have traditionally utilized the health care workers, nurses, for example, to provide effective and efficient nursing care to patients. Nurses sharing information on geriatric nursing clinical practices for frail elders in community settings is essential in the development and attainment having satisfactory seamless transitional care for patients as they age in place (Madden, Waldo, & Cleeter, 2014). Nurses have traditionally and historically spoken with one strong voice and legislators hear that voice. Nurses must continue to advocate for the marginalized members of their communities.

ReferencesEnguidanos, S., Pynoos, J., Denton, A., Alexman, S., &

Diepenbrock, L. (2010). Comparison of barriers and facilitators in developing NORC programs: a tale of two communities. Journal of Housing for the Elderly, 24, 291-303. http://doi:10.1080/02763893.2010.522445

Greenfield, E.A., Scharlach, A., Lehning, A.J., & Davitt, J.K. (2012). A conceptual framework for examining the promise of the NORC programs and village models to promote aging in place. Journal of Aging Studies, 26, 273-284. http://doi:10.1016/j.jaging.2012.01.003

Rantz, M.J., Phillips, L., Aud, M., Popejoy, L., Marek, K.D., Hicks, L.L., …Miller, S.J. (2011). Evaluation of aging in place model with home care services and registered nurse care coordination in senior housing. Nursing Outlook, 59, 37-46. http:/:doi:10.1016/j.outlook.2010.08.004

Lynch, M., Hernandez, M., Estes, C. (2008). PACE: has it changed the chronic care paradigm? Social Work in Public Health, 23,(4), 3-24. http://doi:10.1080/19371910802162033

Madden, K.A., Waldo, M., & Cleeter, D. (2014). The specialized role of the RN in the program of all-inclusive care for the elderly (PACE) interdisciplinary care team. Geriatric Nursing, 35, 199-204. doi:10.1016/j.gerinurse.2014.01.002

Sultz, H.A., & Young, K.M. (2018). Health Care USA. Burlington, MA: Jones & Bartlett Learning.

Challenges of Long Term Care

August, September, October 2018 The Maryland Nurse News and Journal • Page 15

The Maryland Academy of Advanced Practice Cliniciansin conjunction with the

Chesapeake Bay Affiliate of the National Association of Clinical Nurse Specialists

present

Pharmacology Update Fall 2018Saturday, September 29, 2018 7:30a - 4:30p

Anne Arundel Medical Center2000 Medical Parkway | Annapolis, Maryland 21401

MAAPC & CBANACNS Members $55MAAPC Student Members $15Non-Members $135Students $40

This education activity will be submitted to AANP & ACCME for pharmacology

CE/CME contact hours

More information and registration at www.maapconline.orgor https://cbanacns.enpnetwork.com

Emmelene Fernandez MSN, CPAN, CAPAPresident Philippine Nurses Association Maryland Chapter 2017-2018

The Philippine Nurses Association of Maryland, an affiliate of the Philippine Nurses Association of America sponsored the national association’s eastern regional conference in Baltimore, Maryland in November, 2017. The theme of the convention was ‘Creating A Destiny of Greatness, The Immigrant Narrative.’ The convention culminated in a formal gala event where two of Maryland’s healthcare leaders were honored for their unwavering support of internationally educated nurses, specifically Filipino nurses.

Dr. Lisa Rowen, Chief Nursing Executive of the University of Maryland Medical System and Dr. John Cameron, an Alfred Blalock Distinguished Service Professor at Johns Hopkins Hospital were unanimously selected by the Executive Board of PNAMC to each receive the Presidential Advocacy Award for their untiring encouragement and assistance to Filipino Nurses in Maryland. The award was given on November 11, 2017 during the gala event of the 19th PNAA Eastern Regional Conference hosted by the Maryland Chapter.

Nurses educated in the Philippines are trained using the American nursing curriculum. Most nurses graduate from colleges and universities with a Bachelor’s degree in Nursing. The business and education language in the Philippines is English. All these factors make the Philippine trained nurse an easier fit for the American healthcare system. However, these nurses have much to learn and adapt to in terms of the use of advanced technology, differences in the health care delivery system, expectations of nursing professional practice and adjustment to American culture; all these pose significant challenges to the newly hired Filipino nurse.

Over the many years that Dr. Rowen has been involved in international recruitment, she has demonstrated her commitment and support to the Filipino nurse through orientation, professional development, retention, promotion and inclusion in all her nursing initiatives. She has acknowledged their unique contributions in a profession and a health care delivery system that has a high regard for diversity.

Dr. John Cameron holds a highly esteemed position at Johns Hopkins Medicine, yet he has consistently treated Filipino nurses working at Johns Hopkins hospital as colleagues and some have become his friends. Dr. Cameron has shown that he recognizes and values their commitment to high standards of care and provision of compassionate care to patients and families. Filipino nurses at Johns Hopkins hospital are always delighted to be working with Dr. John Cameron.

The Philippine Nurses Association of America Honors Two Maryland Healthcare Leaders

Dr. Lisa Rowen (Center) receives award from PNAMC Dr. John Cameron, surgeon at JHH

Dr. Lisa Rowen and Dr. John Cameron are great mentors who have influenced and reinforced the work ethic and performance of Filipino nurses within their healthcare systems. PNAMC was honored to have the opportunity to express gratitude and respect for these two healthcare leaders.

Page 16 • The Maryland Nurse News and Journal August, September, October 2018

During Nurses Week we received a proclamation from the Governor with his best for a “Happy Nurses Week”

Later, on Monday, May 7th there was a “Wreath Laying Ceremony” as a Tribute to all fallen nurses.

Members of the Maryland Nurses Association in Attendance at the Tribute and Wreath Laying Ceremony

Nurses week updateWreath Laying Ceremony

Proclamation from the Governor

Hospice of the Chesapeake is a leader in advanced illness care. We adopt a holistic approach to hospice, providing physical, psycho-social and spiritual support services to individuals living

with and affected by advanced illness. Using a team-oriented approach involving our physicians, nurses, social workers, home health aides, chaplains and counselors, allows us to ensure quality and

compassionate care. These services are provided wherever the patient calls home.

Please visit www.hospicechesapeake.org to view a complete list of nursing opportunities or to submit an application. For questions, email

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is performed in a team environment. Employees in this classification do not supervise. Full-time, Part-time, Contractual and PRN positions available.

State of Maryland benefits include: Competitive salary, generous retirement plan, great health benefits with multiple options, Personal leave, annual days, sick days, and holidays.

Please visit the Maryland job apps site, https://jobapscloud.com/md/ or feel free to contact the Potomac Center Human Resources Department at 240.313.3564.

August, September, October 2018 The Maryland Nurse News and Journal • Page 17

Linda J. Stierle, Chair, MNA COB&P

At the November 01, 2018 MNA Annual Membership Meeting, MNA members in attendance will have an opportunity to adopt the 2018 proposed amendments to the current MNA Bylaws (October 2016). There are eleven Articles in the MNA Bylaws. There are fifteen (15) substantive proposed amendments, as well as a number of non-substantive editorial amendments that clarify language, in four of the eleven Bylaws Articles. Some of the substantive proposed amendments are necessary to maintain harmony between the MNA Bylaws and the ANA Bylaws, and others reflect MNA structure and operations.

There is ANA Bylaws language that addresses that Constituent/State Nurses Associations (C/SNAs) have a responsibility to amend the state bylaws within two years of when ANA amends its bylaws. ANA most recently amended its bylaws in June 2017 which necessitates MNA amending its bylaws in 2018. The 2018 proposed amendments will address the MNA Bylaws ARTICLE III, MNA Membership Meeting; ARTICLE IV, MNA Board of Directors; ARTICLE V, MNA Committees; and ARTICLE VI, MNA Nominations and Elections.

As MNA members, we have two fundamental membership rights. One is to elect our MNA leaders at both the state and district levels. And we also have a right to adopt our governing documents which are the

2018 Proposed Amendments to the October 2016 MNA Bylaws

MNA and District Bylaws. At the annual membership meeting on November 01, 2018 being held at the Martins West facility, you will have the opportunity to exercise this fundamental membership right.

The proposed amendments to the current MNA Bylaws will be made available to the MNA membership no later than 60 days before the annual membership meeting in accordance with the MNA Bylaws. As MNA has done since 2013, the 2018 proposed amendments to the MNA Bylaws will be available on the MNA Members Only website. There will be further information provided to all MNA members by a combination of emails and letters before September 01, 2018. Once you have received the MNA Bylaws information, please do not hesitate to contact the MNA Staff if you have questions or concerns.

Ed Suddath

Our chosen careers take us on many journeys. My first chosen career was teaching. But then, I was introduced to association management and fell in love with my new career. It has been a journey that has lasted over 35 years. I could think of no better way to have spent the last ten and a half years of my life than to serve the Maryland Nurses Association as its Executive Director. I will always cherish the friendships that I have established with so many of you.

When the Gallup Poll reports that nursing is the number one trusted profession in the United States that is an understatement in my mind as I believe that nursing is the number one loved profession in our country! I would like to extend a heartfelt thank you to everyone who has walked with me on this journey. I will truly miss all of you.

Just waiting for the time we will meet again, you will always be in my thoughts!

The Retirement of an Icon

My Final Words

Ed Suddath, Retiring Chief Staff Officer Maryland Nurses

Association

2018October 20, 2018

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Page 18 • The Maryland Nurse News and Journal August, September, October 2018

The Center for Disease Control and Prevention (CDC, 2017) and the American Cancer Society (ASC, 2017) define cancer as cells that grow out of control. When this process starts in tissue of the breast, it is diagnosed as breast cancer. Excluding cancers of the skin, breast cancer is the most universally diagnosed cancer in women. It is the second leading cause of cancer death in women (ASC, 2017). Within the United States (US) breast cancer deaths generally have declined, however a redistribution of diagnosed cases identifies risk for breast cancer increasing for African American, Hispanic, Asian, and Pacific Islander women (CDC, 2017).

Breast Cancer is a diagnosis that has relevance for all races; however it is a particularly significant issue for African American and Hispanic women. Breast cancer is the leading cause of cancer deaths in Hispanic women and the second leading cause of cancer deaths in African American women (CDC, 2017). African American and women of Hispanic or Latino (Spanish-speaking) origin make up greater than 40 million of our country’s entire population, and have been identified as a target population with pronounced breast cancer disparities (United States Census Bureau, 2010; Phillips & Cohen, 2011).

In 2013, the American Cancer Society estimated that there would be 232,340 new cases of invasive breast cancer diagnosed among women, as well as an estimated 64,640 additional cases of in situ breast cancer. More than 1,500 Americans are expected to die of cancer each day. Cancer is the second most common cause of death in the US, exceeded only by heart disease, which accounts for nearly 1 out of every 4 deaths (ACS, 2017). There were approximately 226,870 new cases of invasive breast cancer diagnosed among women in the US during 2012. About 2,190 new cases were expected in men.

African American women have a higher incidence rate before age 40 and are more likely to die from breast cancer at every age (ASC, 2017). The mortality rate for African American women is 32 out of 100,000, the highest rate among all ethnic groups reported in the US (ASC, 2017; CDC, 2017). Although the overall survival can be as high as 97% (Kelley, 2011), breast cancer survival rates are only about 77% for African American women.

Interventions and DeterrentsThere are a host of reasons why both African

American and Hispanic women are at greater risk for this disease than the general population. Some of the behavioral risk factors are primary and include a sedentary life style, diets high in fat, and a lack of dietary fiber (Kelley, 2011). General risk factors include increasing age, personal history, and family history (ASC, 2017). Given the current outcomes, it is vitally important that community engagement be addressed to mitigate the deterrents to breast cancer screening, and to promote early detection initiatives needed for the prevention of advanced breast cancer.

One of the primary deterrents to breast cancer screening for African American women reportedly is the fear of cancer (Kelley, 2011). Another barrier is cost. According to the US Census Bureau (2010), almost 51 million Americans were uninsured in 2009; almost one-third of Hispanics (32%) had no health insurance coverage.

The lack of health insurance and other financial barriers prevent many African American and Hispanic women from receiving optimal health care. Uninsured patients and those from ethnic minorities are substantially more likely to be diagnosed with advanced breast cancer. The National Institutes of Health (NIH) estimates that the over-all costs of cancer in 2007 were $226.8 billion: $103.8 billion for direct medical costs (total of all health expenditures) and $123.0 billion for indirect mortality costs.

Other barriers are elements of human communities that most effectively can be impacted at the community level. These include the cultural beliefs, lack of knowledge and limited access to information, socioeconomic factors, access to screening and treatment, and a lack of early detection practices (McCaskill, 2006). Prevention of advanced breast cancer and the reduction of breast cancer mortality begin with early detection.

Early Detection TechniquesRoutine screenings are fundamental to early detection and prevention of

breast cancer. Included in routine screenings is diagnostic testing such as mammography, ultrasound, and breast magnetic resonance imaging (MRI), (Ravert & Huffaker, 2010). Early detection and prevention involve genetic counseling, clinical breast examinations (CBE), and self-breast examinations (SBE). When individuals actively participate in early detection techniques and routine screenings, evidence based practices (EBP) have shown that breast cancer mortality and morbidity rates decrease (McCaskill, 2006).

Community Strategies to Address Breast Cancer DisparitiesStrategies to address breast cancer disparities among African American

and Hispanic women involve identifying and engaging trusted community leaders, and creating community-based breast health education programs and services. Peer-centered breast health education programs can be established through churches and community associations. The programs must be culturally and linguistically sensitive to maximize their effectiveness. They should include encouraging CBE, SBE training, educational hand-outs, peer testimony, promotion of regular exercise and the eating of healthy nutritious

Exploring Breast Cancer Risks and Deterrents to Interventions Among Women of Color

Charlotte M. Wood, PhD, MSN, MBA, RN

Nayna Philipsen, JD, Ph.D., RN, CFE,

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Bilingual candidates encouraged to apply.

We are an equal opportunity employer.

August, September, October 2018 The Maryland Nurse News and Journal • Page 19

Dear Colleagues, Did you know that “The Maryland Nurse” (TMN) is the only peer reviewed

publication for nurses in the state of Maryland? The Maryland Nurse is published quarterly disseminates news, health information, scholarly articles, and activities of interest to nurses in the state of Maryland. It is with great pleasure that I write this editorial note to let you know the importance of this publication.

This publication could not have the readership success that we have experienced without your articles, events, accomplishments and most importantly, TMN editorial board. A special “Thank You” to the editorial board for all their dedicated work on TMN. Please continue to send us your scholarly articles, professional events, and accomplishments for publication. Your ongoing support is greatly appreciated!

Charlotte M. Wood

meals (Kelley, 2011). The goal of the breast health education programs is to help the participants become more self-aware and empowered. This strategy promotes a healthier lifestyle, engagement in early detection practices, and the encouragement to follow-up abnormal findings. Providing education and promoting these self-care measures within communities is essential. Nurses also have a duty to advocate for increased access to care for our underserved and vulnerable patient communities. We must do this at both the level of the local community, and at the state and federal level. It might mean sharing our data and our stories with local caregivers and planners, or showing up to testify at a legislative hearing, or joining the American Nurses Association and other non-profits, uniting our voices with theirs. All of these nursing measures are essential to decreasing the breast cancer mortality rates for African American and Hispanic women.

ConclusionThe American Cancer Society (2017) reports that

Hispanic and African American women present disproportionately high rates of breast cancer deaths than other US ethnic groups. To reverse this trend, it is imperative that the focus on engaging and educating these women about breast cancer become a high priority for nurses and other providers who are responsible for women’s health care. All women must be educated about their breast cancer risk factors, address their barriers to breast cancer screening, and embrace the strategies necessary to prevent, detect, and treat breast cancer. However, targeting groups with the greatest disparities is essential to the health and well-being of our state and country, and is the key to improving our national outcomes. It is critical that more research, education and community training be conducted to provide the necessary support and resources needed to reduce the mortality and prevalence of breast cancer among all women, but especially those who will experience the greatest impact.

To contact the lead author send information to: cwood@coppin.edu or charlottewood58@coppin.edu

ReferencesAmerican Cancer Society. (ASC, 2012). Cancer facts and

figures. Atlanta, GA: Author.American Cancer Society (ACS, 2017). Breast Cancer

Statistics. Retrieved from https://www.cdc.gov/cancer/breast/index.htm

American Cancer Society (ACS, 2014). Cancer facts and figures. https://www.cancer.org/content/dam/cancer-org/research/cancer-facts-and-statistics/breast-cancer-facts-and-figures/breast-cancer-facts-and-figures-2013-2014.pdf

Baskin, M. L., Gary, L. C., Hardy, C. M., Yu-Mei, S., Scarinci, I., Fouad, M. N., & Partridge, E. E. (2011). Predictors of retention of African American women in a walking program. American Journal Of Health Behavior, 35(1), 40-50.

Centers for Disease Control and Prevention (2017). Breast Cancer Statistics. Retrieved from https://www.cancer.org/cancer/breastcancer.html 3.

Centers for Disease Control and Prevention (2017). Breast Cancer Fact Sheet. Retrieved from https://www.cdc.gov/cancer/breast/pdf/ breastcancerfactsheet.pdf 4.

Kelley, M. (2011). Recruitment of African American women for research on breast cancer early detection: using culturally appropriate interventions. Southern Online Journal Of Nursing Research, 11(1),

McCaskill, J. (2006). African-American women, self-breast examination and Health Belief Model: implications for practice. JOCEPS: The Journal Of Chi Eta Phi Sorority, 52(1), 33-37.

Medscape (2016). Breast Cancer Screening. Retrieved from http://emedicine.medscape.com/article/1945498-overview

Phillips, J., & Cohen, M. Z. (2011). The meaning of breast cancer risk for African American women. Journal Of Nursing Scholarship, 43(3), 239-247. doi:10.1111/j.1547-5069.2011.01399.x

Ravert, P., & Huffaker, C. (2010). Breast cancer screening in women: An integrative literature review. Journal Of The American Academy Of Nurse Practitioners, 22(12), 668-673. doi:10.1111/j.1745-7599.2010.00564.x

United States Census. (USC, 2010). Population by sex and age. Retrieved on May 11, 2012 from http://2010.census.gov/2010census/

Charlotte M. Wood, PhD, MSN, MBA, RN

Editor

Message from the editor

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Page 20 • The Maryland Nurse News and Journal August, September, October 2018

and need-based screening for transplant candidacy. Another nurse spoke about issues related to the topic of living donation and inclusion criteria that must be met to qualify for the national organ transplant wait list. Two nurses discussed the issues related to the risks and benefits of heart and single and double lung donations. The social worker from the transplant team discussed the social support needed by an individual who is considering the possibility of undergoing an organ transplantation. The pharmacist addressed medical and pharmacological support. She explained the need for lifelong immunosuppressant therapy in order to increase the longevity of a healthy transplanted organ. Another experienced transplant nurse discussed the formal discharge process and patient education component post liver transplantation. She reviewed and explained the different laboratory values that needed to be monitored and described the vascular complications such as hepatic artery thrombosis (HAT) that might occur during the first month following a liver transplant. Immunosuppressive agents potentially predispose the organ transplant recipient to have impaired host defenses so it is important for the nurse to monitor for major determinants of immune competence such as anatomic barriers, co-infections, malnutrition, use of invasive devices which can lead to colonization and infection.

What is Transplantation and Who Can Participate?

Transplantation is the operative procedure in which the patient’s own or non-functioning organ/tissue is replaced with healthy functioning organ or tissue from a deceased donor. The decision to undergo this procedure is often complex. The process includes frequent testing and visits to the transplant center. Transplantation is open to individuals that meet the criteria outlined by the Organ Procurement and Transplant Network (OPTN).

What are the Steps in the Process for Organ Transplantation?

A. Screening for Appropriate Candidates for Transplantation

The transplant team described how the transplant process works in clinical practice beginning with

Margaret McCormick MS, RN, CNE andLarry Zhang, Nursing Student

BackgroundSince 1968, when the first transplant was

performed on a patient in Maryland, Johns Hopkins Medicine has been at the forefront in organ transplant innovation. The Johns Hopkins Comprehensive Transplant Center was created in 1996 and currently includes a team of surgeons, medical doctors, nurses, nurse practitioners, social workers, nutritionist, pharmacist, therapist and psychologist. Each member of the transplant team is dedicated to supporting patients who are considering undergoing the organ transplantation procedure. The leadership team provides critical support during each step in the transplant process; from the initial inquiry of qualifying as an appropriate candidate for transplantation to the post-operative care as a transplant recipient. The care and successful management of these patients includes an extensive follow-up and careful discharge planning by the entire transplant team.

Educational ExperienceOn March 30th, Professor Margaret McCormick

RN, MS, CNE along with Mrs. Pat Doyle RN, organized a panel discussion and visit with the members of the transplant team from Johns Hopkins Medicine for both sections of Towson University’s Nursing 360 Adult Health (Medical/Surgical I) classes. The nursing students were required to formulate two questions about nursing care prior to coming to transplant lecture and panel discussion. They later received several questions on their faculty made examination about medical/surgical care and monitoring of an organ transplant recipient. Both sections of the Adult Health I nursing class were introduced to the members of the leadership team of transplant nurses, transplant team coordinator, pharmacist and social worker. These health care professionals described how they work tirelessly behind the scenes in an effort to successfully coordinate transplants for donor-recipient pairs and respond to the complex needs of patients in the weeks, months, days and even hours prior to the scheduled transplant procedure in the operating room.

Course Goals and ObjectivesOne of the goals for the Towson University’s

nursing program and specifically its Adult Health course includes that students should be able to demonstrate knowledge and skills necessary to execute effective patient-centered nursing care. We provided our students with an opportunity to hear from practicing members of a professional leadership healthcare team. The panel discussion was aimed at increasing student’s knowledge about transplant nursing while allowing them to actively participate in the discussion and ask relevant questions. At the same time, students were able to use what they learned from the panel to incorporate social and cultural knowledge and sensitivity to the care of diverse populations when discussing sample cases. The panel approach allowed students to better understand how nursing leadership and collaborative skills are essential to the delivery of safe and high quality patient care.

Meet the Transplant Team MembersThe Johns Hopkins leadership transplant team

consists of a multi-disciplinary team of healthcare providers and the Lead Transplant Coordinator. The transplant coordinator currently supervises a multidisciplinary team who work together to provide comprehensive and compassionate care for transplant patients. She is a member of the Certified Transplant Center Board of Executives. This board is dedicating to providing the highest level of Medical/Surgical Expertise in heart, lung, liver and kidney transplantation.

The transplant team came to Towson University on March 30, 2018 to educate junior level nursing students on how a multi-disciplinary approach can be used to provide compassionate, comprehensive care for transplant donors and recipients. The transplant coordinator stated that the team was essential to the safe and effective care of patients undergoing transplantation for organs such as heart, lung, kidney and liver.

The transplant leadership team included nurses, pharmacists, social workers and therapists. One of the transplant nurses spoke about how difficult it was for someone on kidney dialysis who was living with a failing organ. She discussed the importance of ethical

“Meet the Matchmakers: Using an Inter professional Panel Approach to Educate Nursing Students about the Care and Management of

Patients Undergoing Organ Transplantation”

August, September, October 2018 The Maryland Nurse News and Journal • Page 21

Meet the Matchmakers continued on page 22

the screening process. This phase includes specific selection criteria for appropriate candidates such as medical history, laboratory testing, psychological and financial work-ups. Once this is completed, the patient is placed on a national organ transplant wait list. This wait period differs for each person on the list depending on their blood type, severity and more. For example, if a recipient of an organ has blood type “A,” it would take on average, two to three years. However, if the recipient instead had blood type “O,” it would take on average five to six years in order to find a suitable organ for transplantation.

B. Pre-TransplantationEach presenter discussed a specific aspect of

the transplant process from both the point of view of the patient as well as their respective department (e.g. nurse, social worker, transplant coordinator, and pharmacist). A summary of the main points addressed during the panel discussion is described below. Patients are evaluated by the entire team to ensure all aspects (general health, vitals, support systems, addictions, mental status) of the patient are completed.

Due to the intense nature of this screening process, social workers are made available to potential live donors and recipients so that they can help alleviate any concerns and to provide answers to questions. Social workers educate potential candidates on the risks and benefits of the treatment process as well as the maintenance post-surgery including the required daily intake of immunosuppressant medication used to prevent transplant failure. It is imperative that patients fully understand all aspects of the surgery including post-operative care so that they can make an informed decision that will best serve their needs.

C. Organ Transplantation SurgeryThe team described the clinical course including

in-patient hospital stay, intensive care monitoring. Medication used to prevent acute rejection included different phases including induction and maintenance of two to three immunosuppressive agents. The induction phase is given to the patient to suppress the immune system. This is done so that the transplant match can be made using T cell or non-T cell depleting medications. The next phase of pharmacological intervention is the maintenance therapy phase which used to improve transplant

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longevity and tolerability of the new organ. Drug cocktails vary and are tailored to the patient, organ and the specific center in which the transplantation is performed. Nurses are involved in monitoring for infection, treatment of rejection, and possibility of drug toxicities.

D. Post Transplantation and Life Long Anti-Rejection Medications

The importance of medication is reiterated by pharmacists as it is their duty to choose medications that will suppress the patient’s immune response to

Page 22 • The Maryland Nurse News and Journal August, September, October 2018

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decrease the chances of rejection in order to keep the organs working as long as possible, while ensuring the best quality of life for the patient. There has been an increasing trend for recipients to stop taking the immunosuppressant medications once they “recover”/start to feel better. This is understandable as many of these patients must take a combination of medications every day that may have some toxic side effects. This increases the potential for organ rejection, which if becomes chronic, can damage the new organ. Even missing a day or two of the medication can start to cause harm as the patients are no longer taking medication to reduce the amount of “T” cells in the body which are mainly responsible for organ rejection. Individuals are most vulnerable within the first few months of surgery. If signs of organ rejection occurs, it is easier to treat and prevent the loss of organ function as opposed to when chronic rejection has set in. Thus, it is essential to provide proper education for the patient to promote drug compliance. It is the responsibility of the transplant coordinator to build a rapport with the transplant patient and ensure all divisions are working together to create a safe and effective patient-centered care environment.

ConclusionThe aim of this presentation was to provide an

insider look into how a multidisciplinary approach was used for organ transplants. However, the use of collaboration and cooperative care can and should be applied in any patient-centered care situation. It requires the interaction and coordination of multiple disciplines and communication with the patient to gain the most knowledge to provide the best treatment, aftercare, and patient adherence. The panel presentation demonstrated the contributions and dynamics of different divisions within the multi-disciplinary team and how they all worked together to improve the quality of life for individuals receiving organ transplantation in the state of Maryland. Author may be contacted at cell (443) 803-1354; mamccormick@towson.edu

ReferencesCollins, B. H. (2015). Renal Transplantation Medication.

Retrieved from Medscape on 4/13/2018 at https://emedicine.medscape.com/article/430128-medication

Jani, A. (2017). Infections after Solid Organ Transplantation. Retrieved from Medscape on 4/13/2018 at https://emedicine.medscape.com/article/430550-overview

United Network for Organ Sharing (2018). How Organs are matched. Retrieved from https://unos.org/transplantation/matching-organs.

U.S. Department of Health and Human Services (2018). Organ Procurement and Transplantation Network. Retrieved on 4/13/2018 from https://optn.transplant.hrsa.gov/

Meet the Matchmakers continued from page 21

August, September, October 2018 The Maryland Nurse News and Journal • Page 23

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