AACN News—April 2007—Association News

AACN News Logo

Back to AACN News Home

Vol. 24, No. 4, APRIL 2007


Helicopters Highlight Transport Nursing Area at NTI


Nurses attending the 2007 National Teaching Institute & Critical Care Exposition in Atlanta May 19 through 24 will experience something never before seen at an NTI—helicopters! That’s right; helicopters will be on display in an exciting new addition to the exhibit hall in the Transport Nursing area.

Alongside displays of ambulances and other ground medical transport equipment, an EC130 or an AS350B2 helicopter provided by LifeNet Georgia from Emory Healthcare System in Atlanta will be located on the trade show floor. In addition, a Bell 407 Medical Evacuation helicopter (pictured) will be on display, provided by Regional One Air Medical Service from Spartanburg Regional Healthcare System in South Carolina, in cooperation with the South Carolina Area Association of Air Medical Services (SCAAAMS). Nurses who prepare patients for transport or receive incoming patients will find these displays informative and valuable.

In addition to the actual aircraft and ambulances used to transport critically ill patients, there will be a transport nursing stage where exhibit CE sessions will be offered during exhibit hall hours May 22 through 24. Experts from the Air & Surface Transport Nurses Association (ASTNA) will present the sessions. Attendees can learn techniques and procedures to safely transport patients by air (by helicopter and fixed wing) and by ambulance.

It’s not too late to make plans to attend NTI 2007, where attendees will bask in the charm and Southern hospitality that is unique to Atlanta. With fine dining, museums, theater, attractions and world-class shopping, Atlanta has something for everyone.

NTI is the world’s largest educational conference and exposition for acute and critical care nurses. At NTI, you’ll find comprehensive, all-encompassing resources to maximize your contribution to patient care. Take advantage of this great opportunity to network with your peers while earning CE credits from a diverse selection of educational presentations.

For more information about NTI, including session listings, visit the NTI Web site at www.aacn.org/nti. See you in Atlanta!

AACN Invites Nominations for Leadership Posts


As a member of AACN, one of the responsibilities and privileges you have is selecting the next leaders of the organization. You do this when you vote in the AACN election, and also when you nominate colleagues for leadership positions. Currently, AACN is accepting nominations for governance leadership positions on the AACN Board of Directors, Certification Corporation Board of Directors and the AACN Nominating Committee. The competencies for these positions have been defined in the AACN Framework for Governance Leadership Positions (see articles on page 5). We ask that you carefully consider the defined competencies and submit nominations for colleagues who demonstrate the competencies and who you believe would provide strong leadership in moving AACN toward achieving its mission and vision. You may also nominate yourself.

Following are details regarding the positions for which nominations are being sought. Terms for all positions will begin July 1, 2008. Reimbursement for travel, as well as other expenses, is provided for all of these national volunteer positions.
Nominations close May 31, 2007.

AACN Board of Directors
(4 positions open, 3-year terms)
Accountabilities:
• Define and support the vision, mission and values of the association
• Ensure effective organizational planning
• Effectively manage the association’s resources
• Determine, monitor, evaluate and strengthen the association’s programs and services
• Uphold legal requirements and ethical integrity
• Assess board performance and ensure board succession
• Ensure effective communication between AACN and AACN Certification Corporation and other subsidiaries of the association

Qualifications:
• Active membership in AACN
• Active commitment to and understanding of AACN and its mission, vision and values
• Demonstration of the essential governance leadership competencies as defined in the AACN Framework for Governance Leadership Positions.

AACN Certification Corporation
Board of Directors
(2 positions open, 3-year terms)
Accountabilities:
• Define and support the vision, mission and values of the corporation
• Ensure effective organizational planning
• Effectively manage the corporation’s resources
• Determine, monitor, evaluate and strengthen the corporation’s programs and services
• Uphold legal requirements and ethical integrity
• Assess board performance and ensure board succession
• Ensure effective communication between AACN and the corporation
Qualifications:
• Active commitment to and understanding of the mission, vision and values of the corporation
• AACN membership is not required
• Certification (CCRN, CCNS, PCCN or ACNPC) is required for some positions. Specifically this year, for terms beginning July 1, 2008, we will be seeking a qualified PCCN to fill one of the two vacancies
• Experience in the role of employer (manager, director, chief nursing officer) of certified nurses is required for some positions
• Demonstration of the essential governance leadership competencies as defined in the AACN Framework for Governance Leadership Positions

AACN Nominating Committee
(3 positions open, 1-year terms)
Accountabilities:
• Ensure the election process is in accordance with established procedures, policies and bylaws
• Conduct comprehensive interviews of nominees
• Review, synthesize and analyze nominee applications, references and interview transcripts
• Through group process, select candidates
• Communicate the committee’s decisions and feedback to the nominees

Qualifications:
• Active membership in AACN
• Active commitment to and understanding of AACN and its mission, vision and values
• Demonstration of the essential governance leadership competencies as defined in the AACN
Framework for Governance Leadership Positions.

Recovery Continues Along the Gulf Coast


Although more than a year has passed since Hurricane Katrina swept through the Gulf Coast area, residents continue the struggle to rebuild their homes—and their lives. Among them are many of our acute and critical care colleagues, some of whom recently took time from their busy schedules to share their stories with AACN President Mary Fran Tracy, RN, PhD, CCRN, CCNS, FAAN, and President-elect Dave Hanson, RN, MSN, CCRN, CNS.

Tracy and Hanson arranged to visit the area as part of an ongoing effort to support acute and critical care nurses who suffered both materially and emotionally as a result of the devastating 2005 hurricanes. While there, they visited units at hospitals in Gulfport and Biloxi, Miss., and in Mobile, Ala. They also had the opportunity to meet with members of the Mobile Area Chapter, who were gathered for a full-day conference at Providence Hospital.

“The stories we heard were compelling,” said Tracy of the nurses they met at Memorial Hospital in Gulfport, where an album of photographs compiled by staff dramatically showed the shocking changes in areas pre- and post-Katrina.

From one nurse who spent hours in her attic with her family awaiting help to another nurse who lost all her belongings, Tracy and Hanson were touched by the personal stories they heard.

“It was disappointing to see how much still needs to be done and what a long process it will be,” said Tracy. “Nurses told us that some things had just recently been rebuilt from Hurricane Camille nearly 40 years ago.”

Memorial Hospital in Gulfport experienced intermittent power outages of between 30 and 60 minutes during Hurricane Katrina, they were told. The hospital’s exterior is still undergoing repairs, they noted.

At Biloxi Regional Medical Center, located closer to the Gulf, Tracy and Hanson heard harrowing accounts of nurses moving patients to lower floors of the hospital because of breaking windows from the strength of the hurricane winds, only to have to move them back to higher floors when flood waters began lapping at the hospital’s loading dock.

“The Biloxi Regional Medical Center Emergency Department, which routinely saw 81 patients per day, was seeing between 700 and 800 patients, with a makeshift tent set up outside to handle

the dramatic increase in patient volume,” Hanson said they were told. “With outside temperatures on the rise and the hospital air-conditioning system not working, the humidity was so high the floors became dangerously slippery. Hospital staff were forced to to hold onto bedrails to get around in patient rooms.”

In the aftermath of Hurricane Katrina, the level of patient care continued despite the fact that up to 80% of the staff either lost or sustained damage to their homes, Tracy and Hanson reported.

One of the nurses, whose home is only now being repaired while his wife and children are living in Mobile, hitchhiked to work and back during the aftermath of the storm. “Despite the apparent devastation in these communities, we got the distinct sense that all the survivors were committed to carrying on, that they have made the conscious decision to be there, present and engaged, because they want to be,” Hanson added.

Although Hurricane Katrina did not make a direct hit on the city of Mobile, Tracy and Hanson still encountered nurses with amazing personal stories to relate. In fact, colleagues in the Mobile Bay area are paying the national AACN membership dues of yet another nurse who lost her home as a result of the storm.

In addition to Providence, Tracy and Hanson visited USA Medical Center and Springhill Memorial Hospital.

The nursing leaders of Cardiac Services at Memorial Hospital in Gulfport were on hand to meet with AACN leadership.

Tracy and Hanson were greeted by nurse leaders at Biloxi Regional Medical Center.

In Mobile, members of the chapter conference planning committee welcomed Tracy and Hanson.

February a Solid Month in Member-Get-A-Member Campaign


Susan Rogers, RN, DNS, MSN, of Vienna, Va. continued to hold onto her overall lead of 64 new members recruited in the current campaign. Still in second place with 60 new members recruited was Ann Brorsen, RN, MSN, CCRN, CEN, of Sun City, Calif. Diana Lane, RN, MSN, of Hermitage, Tenn. with 49 was third.

Outstanding individual performances in the month of February included: Crystal Logsdon, RN, MSN, CCRN, TNCC, of Savannah, Ga., and Melanie Williamson, RN, CCRN, of Lewisville, N.C. recruited 12 new members; Katherine Mackey, RN, BSN, from Willow Grove, Pa. and Debra Jo Young, APRN, MSN, CCRN-CSC, from Massillon, Ohio each recruited 10 new members.

The Greater Richmond Area Chapter added six new members to retain the overall chapter lead with 84, while the Southeastern Pennsylvania Chapter added five new members to maintain second place overall with 70. The Houston Gulf Coast Chapter also added four new members to remain in third place overall with 67. Both the Greater Phoenix Area and the Northwest Chicago Area chapters had a double-digit month, adding 10 new members each.

These are among the 1,155 individuals and chapters that have recruited 4,874 new members since the campaign began May 1. The campaign ends Aug. 31, 2007. The recruitment period was extended for this year’s campaign to move the program to a 12-month cycle in the future.

Participation in the Member-Get-A-Member drive offers the opportunity for recruiters to receive valuable rewards, including a $1,000 American Express gift check that will be awarded to the top individual recruiter. The top recruiter is also eligible for three Grand Prize drawings for $500 gift certificates. Every recruiter who enrolls five new members during the program will be entered into the drawing.

In addition, as individuals recruit new members, they are entered into a drawing for a $100 American Express gift check each month they recruit. Jennifer Krause, RN, BS, BSN, CCRN, of Paw Paw, Mich. won the gift certificate in February.

After recruiting their first five new members, participants will receive a $25 gift certificate toward AACN products and services, and $50 after recruiting a total of 10 new members. The chapter recruiting the most new members during the campaign will receive a $1,000 honorarium check. The winning chapter is also eligible for Grand Prize drawings for three $500 honorarium checks for their chapter treasuries. In addition, chapters are eligible for monthly drawings for a free NTI registration any month they recruit a new member. The winner for February was the Wasatch Chapter.

The entire list of recruiters and their totals is online at www.aacn.org > Membership.

For the Record


Circle of Excellence award winner Jennifer Michele Maddox is employed at the University of Virginia Medical Center in Amherst. Her employer was incorrectly listed in the February issue of AACN News.

The Excellence in Chapter Collaboration Award was received by the Puget Sound Mt. Rainier Chapter, Seattle, Wash. The chapter was omitted from the recipient list that appeared in the February issue of AACN News.

Apply for the Circle of Excellence Awards


Spotlight the art and science of acute and critical care nursing by nominating yourself or a colleague for an AACN Circle of Excellence Award. The nominations deadline is July 15, 2007.

For more information, check the Circle of Excellence Awards Guide (www.aacn.org>Awards, Grants & Scholarships).

Scene and Heard


Our Voice in the Media

The Wall Street Journal (Dec. 13, 2006) – “Why Quota for Nurses Isn’t Cure-All.” Mary Pat Aust, AACN clinical practice specialist, was quoted as saying, “Mandated staffing ratios are a quick fix to a very complex issue … Preset ratios can’t address the specific needs of a specific group of patients at a specific time.”

Men in Nursing (December 2006) – “Sky’s the Limit: Certification: Get It Now” addressed the benefits and history of certification and included a quote from Lt. Col. John Nergas, an Army nurse. He said, “The AACN Certification Corporation’s clinical nurse specialist certification exam has a significant impact on my overall readiness and preparation. I was more focused and confident in my ability to treat patients.” The article concluded that “his sentiments describe the true benefit of certification.”

Arizona Business News (Dec. 8, 2006) – “Project at ASU’s College of Nursing and Healthcare Innovation Targets Better Patient Care.” “In addition to creating a new ‘Center for Professional and Clinical Excellence’ based on the AACN Synergy Model, nurses’ practices and patient outcomes will be enhanced through a variety of activities.”

Star-Ledger (Dec. 21, 2006) – “Morristown Memorial ICU Wins Top Award” announced that this hospital’s ICU received AACN’s Beacon Award for “its work in treating patients and their families.” The article also listed the criteria for earning a Beacon Award.

Hospitals & Health Networks (December 2006) – “Staffing Watch” included a paragraph about Critical Care Nurses’ Work Environment: A Baseline Status Report, a national survey of critical care nurses conducted by the Bernard Hodes Group, Nursing Spectrum and AACN.

Advance for Nurses (Dec. 18, 2006) – “AACN Announces Local Beacon Awards” noted that the adult ICU at Baystate Medical Center in Springfield, Mass. and the B10I/CCU at Hartford Hospital in Hartford, Conn. were recipients of this award and that they “demonstrate the very best in nursing practice.”

CHOC Foundation for Children (October 2006) – “Making a Mark” included a section on retention and noted that “in a recent national survey conducted by AACN, nurses ranked ‘a healthy work environment’ and ‘enduring optimal workforce development and staffing’ as the two most important workplace issues.”

Kansas City Nursing News (Dec. 5, 2006) – “30 Years as CCRN: Research ICU Nurse Is One of 42 CCRNs in the U.S. to Maintain Credential Since It Was Established.” “For her entire 33-year career, Peggy Sandels, RN, BSN, CCRN, has worked in ICU at Research Medical Center” (Kansas City, Mo.), and she has consistently maintained her CCRN certification since 1976.

St. Anthony’s e-Newsroom (Dec. 1, 2006) – “St. Anthony’s ICU Receives Beacon Award” included a quote from Barbara Meacomes, RN, MSN, ICU nurse manager. “What makes the Beacon Award so special is that it was a team member-driven initiative … This award demonstrates the team’s dedication to our service excellence standards and our values of Trust, Dignity, Respect, Responsibility and Excellence.” Patricia Sizemore, vice president of patient services, said “St. Anthony’s is honored to have received this prestigious award.”

Medical Ethics Advisor (Dec. 1, 2006) – “Nurse Presence Growing on Hospital Ethics Committees.” The article noted that a manual developed by the American Society for Bioethics and Humanities (ASBH), ‘Core Competencies for Health Care Ethics Consultation,’ in use by hospital ethics committees nationwide, was created by a task force that included members of AACN.”

Dermatology Nursing (Dec. 1, 2006) – “Authentic Leadership.” The concept of authentic leadership was addressed in detail, and included several references to AACN’s Standards for Establishing and Sustaining Healthy Work Environments. “AACN recommends that organizations provide education for leaders to grow and mature in ways that will help them to be authentic leaders. Also, leaders should be appropriately positioned to accomplish this work. The perception of lack of authenticity can be precipitated by an organization that does not facilitate and support the movement toward healthy workplaces.”

Florida Center for Nursing (September 2006) – “The Value of a Healthy Work Environment” is an in-depth look at five programs that address the work environment. The Fourteen Forces of Magnetism, the Nine Principles and Elements of a Healthful Practice/Work Environment, and the Twelve Nurse-Friendly Hospital Criteria, as well as AACN’s Six Essential Standards were explained and compared. The report concluded that “with an honest, open approach, determine the organization’s strengths, weaknesses and opportunities. If resources are limited (human and/or financial) it may be necessary to address the opportunities using a phased approach.”

Our Voice at the Table

Karen Harvey, RN, MSN, AACN certification specialist, attended the NDNQI Data Use Conference in Las Vegas, Nev. This was ANA's first National Database of Nursing Quality Indicators (NDNQI) conference, and the latest research from NDNQI was presented to the more than 900 participants. Other issues included the differences between Magnet and non-Magnet hospitals, characteristics of the nursing workforce and patient outcomes, and RN satisfaction and retention.

Hammer

Beth Hammer, RN, MSN, APRN-BC, AACN board member, was a guest lecturer at Concordia University Wisconsin, on the topic of “Assessment of the Cardiovascular and Lymphatic Systems.” Her presentation included references to educational tools available through AACN. The audience consisted of graduate students in the adult, geriatric and education tracks.

Holtschneider

Mary Holtschneider, RN, BSN, MPA, immediate past AACN board member, spoke about the “AACN Healthy Work Environment Initiative & the Beacon Award” at the Lessons in Leadership Series: The Healthy Workplace Imperative conference at the School of Nursing, University of North Carolina at Chapel Hill. She co-presented with AACN members Rebecca Johnson and Cory Miller, who also discussed AACN’s Beacon Award.

Shirey

Maria Shirey, RN, MS, MBA, CNAA, BC, FACHE, AACN Certification Corporation board member, presented “Creating a Magnet Workplace Culture: Evidence-based Nursing Leadership Practice” to the MSN students in nursing administration at Indiana University School of Nursing in Indianapolis. Her presentation emphasized the leader’s role in advocating for the value of certification as a key component of the professional practice model required to meet the Magnet standards.

Heath

Janie Heath, PhD, APRN-BC, ANP, ACNP, past AACN board member, represented AACN at the American Association of Colleges of Nursing’s National Stakeholders’ Meeting to revise the Essentials of Baccalaureate Education for Professional Nursing Practice. The purpose of this meeting was to define the competencies that are necessary for baccalaureate education for professional nursing practice in the 21st century.

Martin


Teal


Greenlaw

Holtschneider, Jan Teal, RN-BC, MSN, CCRN, chapter adviser for Region 5 (N.C./S.C.), Beth Martin, RN, MSN, CCNS, CNRN, former AACN Certification Corporation board member, and Debby Greenlaw, RN, MS, CCRN, NP-C, AACN Certification Corporation board member, presented an AACN national update at the 4th annual Down by the Boardwalk conference, presented by the Coastal Chapter and held in Myrtle Beach, S.C. They discussed healthy work environments, certification news, the Beacon Award, NTI and practice alerts.

Holtschneider represented AACN at a board meeting of the Commission on Accreditation of Medical Transport Services. The board reviewed policy changes and also finalized “Accreditation Standards – 7th Edition 2006,” which is available for download on the CAMTS Web site; www.camts.org.

Holtschneider spoke on “Creating Healthy Work Environments: Applying the AACN Standards to Everyday Practice” at the 16th Annual Cardiac Teaching Day, sponsored by The Rochester Heart Institute, Rochester, N.Y.

Where Are You on Your Leadership Journey?


Briggs

By Linda A. Prinkey-Briggs, MSN, APRN, BC-ACNP & ANP, CCRN
AACN Nominating Committee

Being on the Nominating Committee this past year has been an honor and a great learning experience. I have always been impressed with the leadership and organizational planning of AACN, but being involved in the process for selecting our new leaders has given me an even deeper appreciation of the conscious effort that AACN makes to choose the very best individuals to guide our future success.

Are you interested in leading AACN to new heights? Where are you on your personal leadership journey? As with any journey, it always helps to consult someone who has been there before. No doubt you have had many guides on your journey thus far. As a member of the Nominating Committee, I hope to give you a few “travel tips” to help make you a more confident and successful traveler.

First, where have you been before? Have you held leadership roles in your community, at work or with AACN that are similar to the destination or role that interests you? Previous leadership experience always helps, but it doesn’t have to be exclusively with AACN. Perhaps you were the chairperson for a committee at work. As you fill out the Nominee Questionnaire, be sure to explain how your previous experience prepares you for your desired role.

Second, have a road map and a guide. The primary road map for this journey is the “Framework for Governance Leadership Positions.” Refer to it frequently and give examples of how you demonstrate the competencies as you complete your questionnaire. Also, identify a mentor or “guide” who can review your responses and offer suggestions. Be prepared to make adjustments. Also, give yourself time to make necessary changes. The most successful applications are those with clear, concise answers.

Finally, after your application has been submitted, sit back and enjoy the ride. Just completing the questionnaire is a growth experience. Remember, there are often many twists and turns in the road. Sometimes even an unexpected detour can be a highlight of the trip. The Nominating Committee wishes you a successful journey.

AACN’s Governance Leadership Framework


By Janice M. Wojcik, RN, MS, CCRN, APRN, BC
Beth Hammer, RN, MSN, APRN, BC
AACN Directors

Based on feedback from members and nominees over the past several years, the AACN Board of Directors has thoughtfully examined the Framework for Governance Leadership positions in an effort to better articulate the competencies necessary for leadership positions in AACN. These positions include: the AACN Board of Directors, the Nominating Committee and the Certification Corporation Board of Directors. AACN members can nominate themselves or their colleagues for these positions.

The previous framework focused on ambassador and intellectual skills. The broad scope of these categories, however, often created a challenge for individuals wishing to engage in self-assessment to determine if they were ready to move forward on the AACN leadership journey.

The framework was revised in April 2006. Six essential leadership competencies were identified, representing the critical skills that an individual must possess to be ready to serve in a governance leadership position. They are:

• Self-Leadership
• Global Thinking
• Visioning
• Consensus Building
• Delivering Effective Messages
• Knowing and Committing to AACN
(See accompanying list, AACN Essential Competencies for Governance Leadership, for more detailed information on these terms.)
The critical competencies directly align with the fiduciary responsibilities of directors on the board and are fundamental to a board member's ability to successfully fill the role. Nominating Committee members need to possess and be able to identify these competencies in others because these leadership characteristics are the foundation on which candidates are assessed during the nomination process.
Individuals follow different paths on their leadership journey. There is no one “correct” or “prescribed” path to be selected for the ballot and to be elected for a leadership position. In our experience, there are diverse experiences that lend themselves to the development of these competencies.

Examples include:
• Chapter leadership/active chapter involvement
• Involvement in professional volunteer activities
• Leadership skills in other settings, such as the work environment, church groups or community organizations
• Participation in association work groups or teams
How do you know if you or your colleague is ready for a governance leadership position? Demonstration of the six competencies and consideration of the following key points will help each of you evaluate your readiness:
• Show commitment to and knowledge of AACN’s mission and values through your work or volunteer activities.
• Possess excellent verbal and written communication skills.
• Have the will to dedicate your time and abilities to a leadership position that supports the governance work of the association.

The continued success of AACN is dependent upon highly qualified and committed governance leaders. Along with members, the CEO, national staff and constituents, these leaders assure progress toward achieving the mission of the organization.
The framework for governance leadership positions is online at: http://www.aacn.org/AACN/nominati.nsf/vwdoc/VII.

AACN Essential Competencies for Governance Leadership


Self-Leadership
The ability to assess, manage and develop oneself in order to preserve and optimize relationships and add value to the outcomes of one’s organization.

Global Thinking
The ability to think beyond one’s current role and practice and apply new perspectives that will improve and optimize one’s role and practice.

Visioning
The ability to create a clear view of the preferred future resulting from global analysis in order to lead other people and the organization to this preferred future.

Consensus Building
The ability to achieve practical consensus within groups to promote strong teamwork and garner commitment and participation of others to achieve solutions and effect positive change.

Delivering Effective Messages
The ability to deliver effective messages in order to motivate others to thought and action.

Knowing and Committing to AACN
The ability to demonstrate knowledge and commitment to the mission, values and work of AACN in order to optimize outcomes for nurses and patients and their families.

Voting Under Way Online; Ends April 15


Voting for positions on the AACN Board of Directors and AACN Nominating Committee is now under way online (www.aacn.org).

The process is simple. All you need to log in is your eight-digit member number and your last name. Online ballots must be completed by 11:59 p.m. (CDT) April 15.

No Web access? No problem. Simply contact AACN at (800) 394-5995, ext. 331, or e-mail volunteers@aacn.org to obtain a paper ballot.

Candidate information is available online and can also be accessed directly from the ballot.

Visionary Leaders Will Receive Recognition at NTI


Each year, the highest of AACN’s Circle of Excellence awards honor individuals who have made a difference in acute and critical care nursing. Among these are the Marguerite Rodgers Kinney Award for a Distinguished Career and the GE Healthcare-AACN Pioneering Spirit Award, presented to individuals considered to be Visionary Leaders. Recipients of both awards are selected by a unanimous vote of the AACN Board of Directors.

This year’s recipient of the Marguerite Rodgers Kinney Award for a Distinguished Career is Christopher Bryan-Brown, BM, BCh, MA (Oxon), DA, FRCA. GE Healthcare-AACN Pioneering Spirit Award recipients are Joanne M. Disch, RN, PhD, FAAN, Nancy Curtis Molter, RN, PhD, Jane Stover Leske, PhD, APRN-BC, and Elizabeth Tornquist, MA.

This award recognizes individuals who are completing or have completed an extraordinary and distinguished professional career. The recipients show consistent and exceptional contributions throughout a career that has enhanced the care of acutely and critically ill patients and their families by furthering the mission and vision of AACN. The award is named in honor of its first recipient, AACN past President Marguerite R. Kinney.

Marguerite Rodgers Kinney Award for a Distinguished Career

Brown

Christopher Bryan-Brown
Christopher Bryan-Brown is proud of his special relationship with nursing. He considers his adoption of the values of nursing as instrumental to his professional success, singling out AACN past leaders as his tutors. “Chris has always put a patient’s individual needs at the top of the care equation,” one of them confirmed. As an author of more than 190 articles and board member or reviewer for 10 journals, his career-long commitment to the dissemination of evidence-based knowledge is thoroughly documented. Christopher Bryan-Brown is best known to acute and critical care nurses as founding co-editor of the American Journal of Critical Care and physician co-editor of Heart & Lung, AACN’s first scientific journal. “The physician co-editor should not be too bound up with the medical establishment to have no sense of humor or ability to critique the status quo,” he observes. More than 65 editorials confirm his sense of humor and unparalleled ability to chide the status quo. Add to this service as president of the Society of Critical Care Medicine, secretary general of the American College of Critical Care, council member of the Panamerican Iberic Federation for 12 years then treasurer and secretary general of the World Federation of Societies of Intensive and Critical Care Medicine, and Bryan-Brown’s career distinguished in every way.

This award recognizes significant contributions that influence acute and critical care nursing. Successful applicants demonstrate a far-reaching contribution that exemplifies a pioneering spirit and influences the direction of acute and critical care nursing. The contribution must be clearly defined and have a regional or national effect. It must be timely and addresss or resolve a significant issue facing acute and critical care nursing, and must be related to the mission, vision and values of AACN.

GE Healthcare-AACN Pioneering Spirit Award

Disch

Joanne M. Disch
Ever the high-spirited AACN leader, since her 1982 AACN presidency Joanne Disch has emerged as a pioneering volunteer leader beyond nursing. Most noteworthy for its national influence is her service to AARP’s national board of directors. She is currently the first nurse to serve as national vice president-board governance/board chair. In this capacity, she chairs the board meetings and the board governance committee also chairing the governance review committee and the CEO evaluation committee. Previously she chaired the AARP board audit and finance committee as well as the national nominating committee and the board nominating committee. Joanne Disch’s appointment to the board of directors of Allina Hospitals and Clinics, a major healthcare system in Minnesota and Western Wisconsin, confirms her credibility and respect at home, much of it earned during her tenure as University of Minnesota Medical Center’s chief nursing officer. Allina has nearly 100 patient care facilities including hospitals, medical and hospital-based clinics, ambulatory care centers and community pharmacies. As vice chair of Allina’s quality committee, she brings nursing leadership and perspective essential for the organization’s success. Joanne Disch embodies the American Academy of Nursing’s new public awareness campaign—Raise the Voice: Nurses Have the Answers—which she has been instrumental in spearheading.

Molter Leske

Nancy Curtis Molter
Jane Stover Leske
In a 1979 article, one of 13 on family needs during critical illness, Nancy Curtis Molter wrote:
“If the patient is a member of a family, then the family and staff should recognize that the health care personnel are helping relatives because it is a crucial part of total patient care. This area in providing total patient care needs to be studied carefully. The relatives of critically ill patients have important needs in this crisis period. By recognizing these needs and evaluating how they are being met, total patient care will involve the family. Such involvement is essential to the care of the critically ill patient.”
Molter’s scholarship and passion for family needs framed what has become a cornerstone of AACN’s professional and public agendas. It also inspired Jane Stover Leske to make family needs the focus of her own scholarly career. Molter humbly describes her own work as fledgling, pointing to Leske as the trailblazer. Together they developed the Critical Care Family Needs Inventory (CCFNI), publishing in 1991 the original psychometric properties of the instrument’s use with English-speaking families. With vision and foresight, they decided the instrument should be accessible to any user at no cost. It continues to be available in textbooks and online. Further validation of the tools and subsequent studies with Chinese, Dutch and French populations confirms the wisdom of their decision. So does the tool’s use by physicians to measure family satisfaction and use of its findings in designing the American College of Chest Physicians’ well-respected Critical Care Family Assistance Program, preparing multidisciplinary team members to meet family needs. “Families are not visitors in the critical care unit” continues to describe the driving tenet of Molter and Leske’s pioneering work.

Tornquist

Elizabeth Tornquist
A shrinking pool of nurse authors demands that AACN showcase their essential role in communicating knowledge. It also demands that we showcase the pioneering contributions of talented individuals who support nurses in bringing their knowledge to print. Elizabeth Tornquist has done just that for more than 30 years as editor in residence for the University of North Carolina at Chapel Hill School of Nursing. In 1985, she helped found the school’s Research Support Center where virtually every faculty and student investigator seeking extramural research funding received help writing coherent and compelling proposals. The results: Nursing research funding at UNC grew from $22,000 in 1985 to $8.6 million this year. Beyond UNC she has plied her skilled craft presenting workshops at more than 40 universities and dozens of clinical facilities.
The preface of her widely read book, From Proposal to Publication: An Informal Guide to Writing about Nursing Research, reveals Tornquist’s guiding philosophy and the plain-spoken secret of her success:
“The book is meant to be used as a guide when you write. If you read it straight through you will find it repetitious, so I suggest that you read it like a cookbook: Look up the recipe you want just before you begin or when you need a reminder about what to do next. I have the style informal since this is a practical handbook, not a treatise on writing. I hope you find it readable and helpful.”

American Academy of Nursing Honors AACN Members


Six AACN members were inducted into the American Academy of Nursing during the academy’s annual meeting and conference last fall in Miami, Fla.
They are Jacqueline Fowler Byers, PhD, RN, CNAA, CPHQ, Sean P. Clarke, PhD, RN, CRNP, Karen A. Daley, MS, MPH, RN, Marilyn Hravnak, PhD, RN, APRN-BC, FCCM, Gloria Jean McNeal, PhD, APRN, BC, and Anne Gassmann Rosenfeld, PhD, RN, CNS.

They were selected for induction into the academy because of their significant contributions to nursing and to healthcare.

Byers

Byers, a professor at the University of Central Florida School of Nursing, has been actively involved in promoting quality patient outcomes, research-based practice and patient safety in acute care.

Clarke

Clarke is assistant professor of nursing at the University of Pennsylvania, where he also serves as associate director of the Center for Health Outcomes and Policy Research. He is best known for his research on patient and nursing safety and workforce stability in hospital nursing.

Daley is a university fellow in the MS/PhD program at Boston College William F. Connell School of Nursing. She was a frontline caregiver at Boston’s Brigham and Women’s Hospital until 1999, when she left clinical practice after becoming infected due to a needlestick injury. Needlestick injuries have since been a cause she has championed.

Hravnak

Hravnak has a primary faculty appointment at the University of Pittsburgh School of Nursing, where she is an associate professor teaching primarily in the ACNP program. She also maintains a clinical practice as an ACNP in the Cardiothoracic ICU at the University of Pittsburgh Medical Center. She is best known for her leadership in ACNP education and role implementation.

McNeal

McNeal is an associate professor and assistant dean at the University of Medicine and Dentistry of New Jersey. Over the course of her professional career, she has acquired nearly $3 million in external funding to establish traineeships, a center for academic support services, critical care curricula and mobile healthcare initiatives.

Rosenfeld is a cardiovascular clinical nurse specialist, who is currently an associate professor at the Oregon Health & Science University School of Nursing. She has dedicated her career to improving women’s cardiovascular health through scholarship, practice and advocacy.

Living Legends
Also during the academy conference, three individuals with close ties to AACN were honored as Living Legends. They are Marlene F. Kramer, PhD, RN, FAAN, Ellen B. Rudy, PhD, RN, FAAN, and Angela Barron McBride, PhD, RN, FAAN.
Kramer was an AACN Pioneering Spirit Award recipient in 2005 and McBride in 2004. Rudy was the 1999 Distinguished Research Lecturer and also received the AACN Marguerite Rodgers Kinney Award for a Distinguished Career in 2006.

AACN Thanks Its Donors for Their Generosity


The AACN Scholarship Endowment was established in 2001 and has become one of the association’s signature initiatives. The goal of the endowment is to reach a maturity level of $2 million and become a self-sustaining funding source. The scholarships will then be funded by the dividends from investments and interest instead of AACN’s operating budget. The generous gifts of AACN members and distinguished colleagues, as well as chapters and corporate supporters, have allowed the scholarship endowment to grow to more than $914,000.
AACN extends its heartfelt gratitude to all of the individuals and organizations that supported the following initiatives by making a donation in 2006. We offer our abundant gratitude for their generosity.

In Support of the Scholarship Endowment

$148,000 and Above
The Estate of Linda J. and Thomas A. Krausz

$10,000-147,999
Barbara Colton Juelson-In memory of Neldon Driggs Colton

$5,000-9,999
Greater Milwaukee Area Chapter-AACN

$1,500-4,999
Barbara Gill MacArthur, Wanda Johanson, Maria Christine Lavandero and Philip J. Parish-In memory of Col. Ramón A. and Josephine B. Lavandero, Nancy Molter In honor of military nurses, Northern New Jersey Chapter-AACN, Ellen Rudy, Teryl Schawk-In memory of Joan M. Butera, Southeastern Pennsylvania Chapter-AACN-Includes gifts-In honor of Mary Fran Tracy and Christopher Bryan-Brown, Mary Fran Tracy, West Michigan Chapter-AACN

$1,000-1,499
Anesthesia On Wheels, Inc., Hudson Highlands Chapter-AACN-In memory of Phyllis C. Erwin, William Knaus, Doron Stadlan

$500-999
AACN Chapter Regions 8, 10 & 13, Fred & Risa Benoit, Nancy Blake, Debbie Brinker, Karen Cuipylo, Caryl Goodyear-Bruch, Mindy Hecker-Includes gifts in honor of Carol Hartigan’s Grandchild, Horizons Region 1 Symposium, Beth Martin, John & Patricia Morton, Jodi Mullen, South Bay Chapter-AACN

$100-499
Diane Adler, Betty Alsup, Mary Jane Ante, Jeffrey Ashley, Atlanta Area Chapter-AACN, Connie Barden, Jane Bareng-Werner, Randy Bauler, Linda Bell, Patricia Blissitt, Elizabeth Bridges, Masako Bridges, Sherry Brown, Jean Buckland, Denise Buonocore, Elizabeth Burlew, Carolyn Caldwell, Central New York Chapter-AACN, Chesapeake Bay Chapter-AACN, Paula Christensen, Cecil Clark, Natalie Correll-Yoder, Susan Dirkes, Mary Donahue, Kathy Dracup, Barbara Emrath, Mary Kay Feeney-Includes gifts in honor of Maude Feeney Bridenhagen, Elaine Fellows, Dorrie Fontaine, Janet Foster, Ernestina Francisco, Marjorie Funk-Includes gifts in memory of Dorothy Sexton, Deborah Gilbert, Beth Glassford, Julia Grambort, Greater Long Beach Orange County Chapter-AACN, Greater Memphis Area Chapter-AACN-In memory of Daniel J. Martin, Greater St. Louis Chapter-AACN-Includes gifts in honor of Janie Heath, Debby Greenlaw, Beth Hammer-Includes gifts in memory of Barb Monroe, Susan Helms, Lori Hendrickx, Betty Holloway, Mary Holtschneider, Louise Honiss, Jennifer Horlacher, Linda Hubbard, Richard Irwin-In honor of Dorrie Fontaine and Kathy McCauley, Mary Jaco, Cynthia Janacek, Teri Kiss, Marilyn Kupcho-In honor of Dawna Hawksworth, Sharon Kusne-In memory of Linda J. and Thomas A. Krausz, Joanne LaQuaglia, Patricia Latona, Ramón Lavandero-Includes gifts in honor of Pat Mallette,
Deborah Lupek-Bobrowicz, Barbara Marshall, Heather McEntarffer-In memory of Linda J. Krausz and Thomas A. Krausz, Kathy McGee, Metropolitan Orlando, Chapter-AACN, Julie Miller, Linda Miller, Margaret Morrow, Mignon Muirhead, Janet Mulroy-In honor of Elaine Fetzer, Cindy Cain & Greater Memphis Area Chapter-AACN, Diana Mustacchio, Nancy Muzzy, Patricia Nadraus, Elizabeth Nolan, Hanny Oey, Susan Ohnmacht, Pacific Crest Regional Chapter-AACN, Kristine Peterson, Kathryn Pettett, Allen Pinney-In memory of Linda J. and Thomas A. Krausz, Pioneer, Valley Chapter-AACN, Rosemary Powell, Judith Ramos-Casellas, Reynaldo Rivera, Riverbend Chapter-AACN, Mileva Saulo Lewis, Rose Shaffer, Maria Shirey, Vicki Sinisi, Siouxland Chapter-AACN, Tonya Skeen, South Central Connecticut Chapter-AACN, Mary Stahl, Susan Stash, Jennifer Stuart, Karen Stutzer-Treimel, Arthur Summers-In memory of Linda J. and Thomas A. Krausz, Linda Tamburri, Tenneessee Valley Chapter-AACN, Denise Thornby, Cynthia Tulka, Mary Urbane, Amerfino Villano, Joan Vitello-Cicciu, Heather Watts, Editha Wickerham, Deborah Williams-In memory of Paul & Dorothy Zorilo, Elizabeth Winslow, Janice Wojcik, Donna Young

$50-99
Sergio Aguirre, Ampai Aimsiri, Nancy Albert, Marian Altman, Shirley Barlow, Sara Bassett-Carroll, Laurie Baumgartner, Suzanne Beach, Carole Benoit, Jayne Blackburn, Aron Bowlin, Daphne Bramble, Michael Brendel, Robert Brizzi, Kathryn Brush, Karen Charters, Mary Cochran, Angela Coldwell, Columbus McKinnon Corporation-In memory of Linda J. and Thomas A. Krausz, June Como, Martha Conti, Bernadita Cornelio, Lori Cox, Michele Crenshaw, Adalia Cruz, Susann Currie-Ranson, Shirelle Dickinson, Nida Dumantay, Mary Ann Dyer, Evelyn Easter, Janice Ernest, Brenda Estes, Marci Farquhar-Snow-In memory of Linda J. and Thomas A. Krausz, Emilia Flores, Lynette Flowers, Laura Frost, Laura Furtado, George Garner, Todd Grivetti, Cathleen Guzzetta, Roberta Hansen, Meredith Hanson, Kamala Hariharan, Cathy Haut, Kim Hawkins, Heart of Illinois Chapter-AACN, Evangelina Hernandez, Mairead Hickey, Kyndra Holm, Debra Hooker, Debbie Jessell, Marjorie Johnson, Patricia Jordan, Elaine Kasper, Kathy White Learning Systems, Margaret Kemp, Jeanette Kenfield, M. Karen Koerber-Timmons, Terese Kornet, Toni Kosty, Musette Kotcher, Monica Kramer, Jennifer Kremer, Raymond Kronenbitter, Patricia Livingston, Mildred Madsen, Mary Beth Makic, Joyce Maly, Kimberly Martin, Louise Mason-In memory of Josephine B. Lavandero, Carol McClellan, Tonia McCoy, Anne Meme, Thomas Miller, Susan Miner, Mobile Bay Area Chapter-AACN, PamelaMontelongo, Kathleen Moon, Ann Moran, Peggy Morehouse, Nancy Munro, Elizabeth Neill, Mary Nieblas, Joan O’Brien, Barbara Parness, Camilla Pearson, Marilyn Petterson, Dorothy Pickett, Judith Pittek, Kevin Reed, Ruth Richards, Kathy Richardson, Brigid Riordan, Louis Rivas, Janice Roper, Mary Ross, Christine Ryan, W. Jay Salls, Mary Sauve, Virginia Schabacker, Anna Shatkin, Sherrill Shepler, Judith Sherman, Debra Siela, Claire Sommargren, Elizabeth Stevens, Mary Stewart, Laurel Szabo, Christine Tea, Carol Thompson, Rebecca Thurn, Sara Toscano, Debbie Travis, Kathleen Vollman, Josephine Wai Ling, Margrit Walther, Barbara Ward, Anne Marie Wenzel-In memory of Linda J. and Thomas A. Krausz, Jane Whalen, Clareen Wiencek, Beth Wos-In memory of Desmond Nesbitt, Mike Wulf, Katherine Wylde, Anita Young, Polly Zahrt

Up to $49
Jenalyn Abarca, Bernhardine Abernathy, Violeta Abou-El Fetouh, Bessy Abraham, Katherine Abriam-Yago, Theresa Acker, Patricia Ackerman, Vemelyn Acosta Macaraeg, Rebecca Adams, Dawn Adams, Helen Adamson, Sandra Adap, Yisau Adebayo, Elizabeth Adomanis, Allison Agarwal, Nancy Agras, Lillian Aguirre, Alma Agulto, Jeanne Ahern, Amanda Ahrens, Rohini Aickara, Shannon Aiello, Christine Albano, Pamela Albers, Kathryn Albert, Maureen Alcantar, Lisa Alderman, Marguerita Alexander, April Alexander, Vivien Aligada, Lourdes Aligaen, Karen Allard, Fawna Allen, Alisa Allen, Sherwin Alop, Daniel Alvarado, Martha Alvarado, Vanessa Alvarado-Greer, Diana Alvarez, Sandra Alviso, Rebecca Aman, Lorenzo Amato, Carol Ames, Vanadhi Ammaiappan, Elmer Amparo, Ginger Andersen, Nikki Andersen, Marilyn Anderson, Danielle Anderson, Jolynne Anderson, Alison Anderson, Menodora Angeles, Ellen Angeles, Erin Angle, Marie Lou Angulo, Cecile Angulo-Lopez, Marybeth Annett, Alicia Antonio, Gloria Aponte-Kreiner, Diane Appelman, Priscilla Appleby, Cindy Aragam, Linda Armstrong, Cristina Artecona, Antonia Ash, Kirstie Ashe, Leslie Asher, Vicki Ashker, Mary Aswegan, Jennifer Atiba-Davies, Ronald Rea Atienza, Melissa Atkinson, Robert Auen, Dorothea Austin, Saralyn Austin, Aurora Aviles-Reyes, George Avitia, Stacy Awad, Margaret Ayeni, Olubunmi Ayeni-Agbelese, Zelda Azor, Linda Baas, Gregory Babcock, Wayne Babcock, Hollis Backman, Laurie Bagrowski, Nikki Bailey, M. Anne Bailey, Melissa Bailey, Susan Baimbridge, Marianne Baird, Lorna Baker, Shelley Baland, Brooke Baldwin-Rodriguez, Katherine Balkema, Kristen Ballantini, Anthony Balogun, Willette Balsamo, Amory Balucating, Suk Banks, Shawn Bannister, Zarina Baqai, Steevio Bardakjian, Rita Barden, Seanette Barker, Norma Barlow, Candida Barlow, Linda Barlow-Palo, Petronella Barnes, Pamela Barton, Kim Basco, Rose Bawing-Nabert, Betty Baynes, Dora Beam, Deidre Bean, Marion Beaufait, Cheryl Beauman, Josette Beaumont, Nancy Beck, Kristen Beck, Susan Becker, Heidi Becker, Jodie Becker, Danielle Beer, Marisa Begley, Ma. Angelina Begonia, Tess Behonek, Nancy Bekken, Donna Belanger, Kathleen Beliveau, Jennifer Bell, Aaron Bellow, Sarah Bellows Mahler, Cindy Beltejar, Danilo Beltran, Melanie Belveal, Walter Benati, Fallon Benavides, Evagrio Bencito, Angela Benefield, Analiza Benjamin, Annette Berry, Erlinda Bigalbal, Betty Bigham, Jane Billian, Karen Birckhead, Jennifer Black, Rosyln Blackman, Gina Blahut, Korynne Blair, Penelope Blake, Katherine Blake, Laura Blanchard, Charlene Blanchard, Julia Bland, Lauretta Bland, Melanie Blasi, Cynthia Boccuto, Marilynn Boedicker-Benson, Cheryl Boger, Mark Bohn, Beverly Bohus, Jennifer Boice-Rainer, Sharon Bolster, Pamela Bolton, Connie Bolton, James Bolton, Marie Bond, Marie Bonneman, Gwendolyn Bonner, Denise Bonura-Henry, Purificacion Bonzon, Kathy Booker, Dana Booth-Bond, Christina Borgony, Cynthia Bortz, Suzette Bosveld, Ann Botik, Nichole Bourgeois, Helen Bouton, Sarah Bowes, John Bowles, Brad Boyer, Darlene Bradley, Kathleen Bradley, Janice Bradley, Elizabeth Brady-Avis, Kathleen Brandon, Magrieta Brandt, Theresa Brasuell, Julie Brauer, Joyce Bray, Joan Breeden, Julia Breeden-Moore, Jason Breedlove, Marguerite Brenner, Ralph Brida, Sarah Brinkley, Christi Brito, Jen Broberg, Carolyn Brock-In memory of Linda J. and Thomas A. Krausz, Joan Broestler, Caralee Bromme, Lynne Brooks, Jasen Brooks, Kay Brotman, Sandra Browder, Dawn Brown, Cindy Brown, Patric Brown, Alice Brown, Carol Brown, Mary Brown, Misty Brown, Rebecca Brown, Marion Brown, Woody Brown, Celeste Brown-Apoh, Cynthia Browne, Margaret Brownfield, Sandra Browning, Bambi Bruce, Gail Bruns, Cindy Bryant, Ninotchka Brydges, Lucinda Brzozowski, Susan Bucino, Jennifer Buck, Tara Buckner, Patricia Buczynski, Jaine Buenafe, NilaMarie Buenaflor, Karen Bufton, Beverly Bull, Agnes Bundac, Belinda Burgel, Maureen Burger, Robin Burke, Cathylynne Burns, Denise Burrall, Anne Burrell, Linda-Marie Burton, Harriet Buss, Marcelino Bustos, Josie Butlig, Barbara Bybee, Debra Byram, Diane Byrum, Jessica Cabana, Juliet Cabanilla, Amparita Cabrera, Kathy Cadden, Arnold Caguiat, Charlotte Cain, Julie Caley, Kelly Callaghan, Bonnie Callahan, Kimberly Callan, Vickie Calomino, Joseph Camacho, Cassidy Camino, Barbara Camp, Joanne Campbell, Anne Cannon, Elva Cantu, Fely Caoili, Anna Capozzoli, Nanette Capupus, Crystal Capuy, Sheila Carbonell, Sandy Cardoza, Alice Carlin, Cynthia Carlin, Pamela Carlson, Betty Anne Carpiso, Joan Carr, Israel Carrasquillo Cruz, Elouise Carriere, Christina Carrigan, Margaret Carsley, Kim Carter, Karen Casady, Eric Cascio, Sandy Casey, Susan Casey, Karen Cassaro, Henry Castanaza, Maricel Castillo, Malourdes Catacutan, Patricia Cathcart, Suzanne Caudle, Lisa Cedeno, Fe Cendana, Dolores Cesiro, Susan Chacko, Falisha Chamblee, Jill Chaperon, Donna Charlebois, Geraldine Charles, Catherine Chawla, Wendie Cherubini, Carrie Chesnik, Redena Cheung-Mah, Carol Chicot, Amanda Childress, Susan Chioffi, Stephane Chirico, Melissa Chism, Min Choi, Deborah Christie, Kerry Chromiak, Jinhwa Chung, Judith Church, Victoria Church, Nancy Cisar-In memory of Linda J. and Thomas A. Krausz, Kerry Clark, Laura Clark, Crystal Clark, Dionne Clark, Marilyn Clark, Mary Clark, Shawna Clark, Debra Clarke, Karen Clayton, Louie Cleofas, Kathy Cleveland, Robyn Clevenger, Lawrence Clifford, Debra Cloninger, Gary Closas, Jane Cobb, Donna Cochran, Evelyn Codd, Karen Coffland, Amor Collera, Angela Collini, Therese Collins, Mary Combs, Marie Comer, Rachelle Compton, David Condado, Raynette Connelly, Barbara Connold, Kathleen Connor, Rose Conrad, Bonita Cooper, Lilliam Correa, Inge Costa, Julie Costin, Karen Cotler, Jefferey Coto, Donna Coughlin-Soria, Maureen Courtade, Nancy Courtney, Sue Cox, Sheryle Cox, Kimberly Cox, Mariette Coyle, Margarita Coyne, Karen Coyne, Barbara Crame, Billie Sue Crenshaw, Marilou Cristobal, Diane Cronin, Elsie Croom Meaux, Lesa Crosby, Nancy Crossley, Patricia Crowe, Elizabeth Crum, Jane Crutchfield, Marijo Cruz, Joseph Jerome Cruz, Rowena Cruz, Susan Cuddy, Nancy Curdy, Beverly Currie, Susan Curry, Bonnie Curry, Michele Curry, Salome Custodio, Jose Cuyos, William Cuza, Bernadette Czekajlo, John Dagostino, Jeannine Dahl, Barbara Daly, E. Faye Daly, Mary Dana, Mariamma Daniel, Maylin Daniels, Jessica Danner, James Davis, Kathleen Davis, Agnes Davis, Tina Davis, Suzanne Davis, Myrtle Davisson, Geoffrey De Castro, Stephanie De La Torre, Rosemarie de la Tour, David Deabreu, Ann Dean, Brenda Deane, Matthew Deangelis, Carmen DeAsis, Kristen Debarry, Magdalena Deblois, Jerome Gabriel Deguzman, Susan Deitrick, Dolorita DeJesus, Theresa Dekreon, Janice Delgiorno, Maria Dellerman, Dawn Dement, Robin Demjanik, Sue Denlinger, Amy Dennis, Marcia Derby, Mary Derrico, Maria DeShields, Shela Desranleau, Karen Deville, Jessica Diaz, Teresa Diaz, Graciela Diaz, Bernice Dickson, Lauren Diderich, Kathy Dietz, Joy Dihayco-Dent, Ruth DiMarzo, Sandra Dimella, Josephine Din, Sally Dionio, Maryann DiRenzo, Roxanne DiSalvo, Danielle Disciullo, Patricia Ditoro, Dorrell Dixon, Ashley Dodd, Elizabeth Dodge, Rebecca Doherty, Paulette Dolan, Karen Dolnick, Laura Doloszycki, Amalia Domingo, Wendy Domreis, Kathryn Donahoo, Sharon Donlon, Janet Donoghue, Carol Donovan, Christine Dorman, Phalisa Dorsey, Linda Douglas, Brenda Downs, Alma Doyle Barton, Thomas Drago, Deena Drake, Ashley Drake, Elizabeth Driscoll, Arnold Drown, Rebecca Dudley, Martha Duero, Cheryl Duncan, Linda Duncan, Nancy Duran, Loraine Durmann, Mary Duryea, Elizabeth Dutra, Donna Dyer, Marita Dykes, Tamara Dykstra, Joanne Eames, Jeanette Earnhardt, Renee Eaton, Paula Ebeert, Oru Eben, Renee Edsall, Estelle Edwards, Linda Edwards, DuAnne Edwards, Viola Edwards, Sabrina Edwards, Virginia Eingle, Mary Ellerbusch, Roslyn Ellington, Salim Eltair, Peggy Emery, Sherry Endicott, Jeannine Engle, Alma Enteria, Joanna Entrekin-Callahan, Flordeliza Epstein, Bindu Eriksson, Rosemary Erlanger, Nancy Erman, Mary Ernst, Bonnie Ertel, Loyda Espinet, Nina Espino, Fe Latorre Espiritu, Natalie Essak, John Estabrook, Alisha Estay, Caroline Estrada-Brown, Kimberly Etzel, Jacqueline Euchaski, Kathleen Eufemio, Sherri Eure, Jacquelyn Evans, Mary Eve, Gladys Eversman, Luann Eyre, Katie Fagnani, Annette Fahy-Burns, Lani Fajardo, Hazel Falk, Maria Falqueza, Marissa Farol, Christopher Farwell, Janet Faulkner, Jacqueline Feeney, Amy Felix, Debbie Ferguson, Elizabeth Ferguson, Aldercy Fernandez, Leslie Ferrand, Cora Ferrer, Elaine Fetzer, Nicole Fetzer, Dadriane Fice, Shirley Field, Carolyn Field, Marie Filipponi, Christopher Finch, Laurie Finger, Doris Finney, Thomas Firneno, Deborah Fischer, Albert Fischer, Patricia Fishbough, Gloria Fishel, Jane Fisk, Phyllis Fiske, Richard Fitzgibbon, Alice Flaherty, Terry Flake, Lauren Flanagan, Monica Flanagan, Karen Flesch, Carla Fliesser, Christine Flint, Stella Flores, Joe Flores, Mary Flossmann, Linda Flynn, Edith Forest, Irene Forrest, Pat Forsyth, Jeri Foster-Horrocks, Rhoda Fountain, Theresa Fowler, Amanda Fox, Karen Fox, Anna Francisco, Eden Francisco, Linda Franco, Tambara Franco-McKinney, Kevin Frank, Rosa Fraser, Lori Frederick, Misty Freeman, Jossette Frey, Elyce Friedlander, Lisa Friedman, Allen Friend, Virginia Friesen, Margaret Frock, Arthur Fucanan, Esther Fuchita, Heather Fuchs, Jovita Fuentes, Dionne Fuentes, Noelani Fukuzawa-Warren, Amanda Fulford, Kathleen Fuller, Esther Fultz, Irene Funkhouser, Susan Furrer, Patricia Gabucci, Jean Gagne-Blomberg, Denise Gaiteri, Christine Galante, Maria Galbo, Mary Anne Galbreath, Rene Gallardo, Gina Gallucci, Meg Gambrell Zomorodi, Pualani Gandall Yamamoto, Lois Ganschow, Roxanne Garbez, Catalina Garchitorena, Stacy Garcia, Kelly Gardner, Ruby Garma, Mary Jane Garvey, Andrea Gaslan, Patricia Gasper, Sherri Gast, Melissa Gaunce, Margaret Geater, Kelly Gebler, Muriel Gennari, Tresa George, Barbara Gerloff, Kerri Getz, Christina Getz, Nola Giacoletto, Linda Gibbons, Amanda Gillespie, Patricia Gillian, Jill Gilliland, Patricia Giordano, Frances Girdler, Dana Giusto, Anne Glass, Barry Glass, Diane Glasser, Carolyn Glassmoyer, Mercedes Glidewell, Maria Godlewski, Joan Godwin, Karen Goessling, Norma Goff, Sandra Gomez, Elsa Gonong, Marites Gonzaga, Cecilia Gonzales, Elizabeth Gonzales, Paula Gonzalez, Shannon Goodrow, Renjini Gopinathamarar, Lita Gorman, Margaret Gorman-Lancaster, Douglas Gorney, Gemmalaine Gorospe, Jennifer Gosztyla, Grace Gotoski, Cathy Goynes Marcos Antonio Grado, Bridget Graham, Petra Grami, Grand Strand Regional Medical Center, Deborah Grande, Tonia Grant, Trinidad Gravador, Anne-Marie Gray, Krista Gray, Patricia Gray, Cynthia Grayson, Greater Miami Area Chapter-AACN, Priscilla Green, Janice Green, John Green, Leslie Green, Lisa Green, Dale Greene, Ola Greene, Una Greene, Paul Greenhalgh, Michael Greenlee, Constance Greenway, Catherine Gregory, Sherri Greif, Stephanie Greve, Charleen Griemsman, Nancy Grieves, Christopher Griffin, Amy Griffin, Deidre Griffith-Ball, Michele Grimaldi, Jennifer Grimmet, Maria Theresa Grino, Linda Groves, Terri Guajardo, Mary Guanci, Donna Guider, Marilyn Guidi, Beverly Guinen, Gloria Guir, Virginia Gullo, Ann Gunderson, Gale Gutierrez, Maria Gutierrez, Janice Haddock, Karen Haghenbeck, Olivia Hagos, Liana Hain, Paula Haines, Diane Hajdaj, Jessica Hall, Karen Hall, Sarah Hall, Deborah Hallowell, Roper Halverson, Jason Hamilton, Mya Hamilton, Rebecca Hamilton, Renee Hamilton, Tiffany Hamilton, Jon Handal, Anne Handley, Marianne Haney, Thomas Haney, Julie Hanselman, Carol Hansen-In memory of Linda J. and Thomas A. Krausz, Julie Hansen, Teresa Hanson, Donna Hare, Linda Hargreaves, Nancy Harkins, Alicia Harner, John Harper, Angelyn Harper, Adalyn Harrah, Gale Harrington, Diane Harris, Sandra Harris, Russchel Hart, Mae Hartsfield, Laura Harvey, Sarah Harville, Ligia Hassija, Patricia Hassing, Brenda Haught, Amanda Haun, Heidi Hauss, Cynthia Hauze, Anne Hawkins, Travis Hawksley, Linda Hayes, Mary Hays, Pam Heasley, Benjamin Heavrin, Jill Hecker Fernandes, Mary Beth Hegedus, Sandra-Lee Heinze, Zoraida Heiwig, Karl Held, Linda Hellstedt, Maureen Hendricks, April Hendrie, Elizabeth Henneman, Evelyn Henry, Andria Henry, Robin Henson, Mary Henson-Luera, Kathleen Herguth, Christopher Hernando,Patricia Herrman, Patricia Heslop, Mark Hetherington, Martha Heubach, Tracy Hildebrandt, Adele Hill, Patricia Hill, Ingrid Hill, Kelly Hill, Melissa Hill, Denise Hinchcliff, Maria Hinojosa Smith, Marcie Hixson, Kari Hmelo, Mary Ellen Hobson, Margaret Hockett, Jo-Ann Hodges, Mary Hoffman, Jan Hoffstatter, Vickie Holbrook, Amanda Holbrook Goad, La Nora Holcombe, Katrina Holland, Nichole Hollenback, Terri Holloway-Petty, Tina Holmes, Suzan Holsomback, Cynthia Honess, Lana Hood, Shelly Hopko, Gloria Hoppler, Dolores Horne, Vickie Horton, Mary Hostetter, Danielle Hotard, Rosemary Houk, Mary Ann House-Fancher, Wendy Hovland, Mary Lee Howard, Naiwei Hsu-Chang, Diane Hubers, Cindy Hudgens, Beverly Hudson, Bonnie Hudson, Kristin Huenink, Rebecca Hufstader, Mona Hugh, Rosanne Hughes, Karen Hull, Denni Hummel, Ethel Hummell, Susannah Humpal, Eileen Humphreys, Michelle Hunt, Stacey Hunt, Sherron Hunte, Pamela Hurley, Mary Hustead, Sandra Hutson, Donna Huttner, Pauline Ignacio, Lina Ildefonzo, Delmar Imperial-Aubin, Susan Inglis, Katherine Ingram, Mary Ingram, Nicola Irons, Cheryl Irvine, Linda Irvine, Sharon Irving, Christine Iwanicki, Lynn Jackman, Tina Jackson, Marili Jackson, Robin Jackson, Beryl Jacques, Phyllis James, Heather Jameson, Elaine Janaskie, William Jankovsky, Karen Janos, Serena Janota, Ariel Jardiel, Gene Jarosz, Gwynneth Jarrell, Marilyn Jay, Lovelyne Jean, Uchenna Jenkins, Kathleen Jensen, Laureen Jensen, Linda Jensen, Eva Jerome, Janet Jessup, Evangeline Jimenez, Mina Johl, Amanda Johnson, John Johnson, Rachael Johnson, Vicki Johnson, Yvonne Johnson, Jamie Johnson, Deborah Johnson-Lanholm, Cynthia Jollie, Catherine Jones, Dawn Jones, Diana Jones, Katerina Jones, Margaret Jones, Audrey Jones, Christa Jones-Hooker, Ann Jorgensen, Marie Joseph, Josephine Joseph, Linda Josephson, Susan Josselyn, Sandra Kadotani, Sarah Kahlich, Merlinda Kalalang, Debra Kalia, Jennifer Kaliff, Sharon Kalisiak, Peggy Kalowes, Donna Kamps, Ronald Kanurick, Izabela Kazana, Cindy Kazzi, Jennifer Kealy, Mary Kearney, Marybeth Keena, Deirdre Keenan, Lauren Keith, Cathy Keller, Theresa Kelley, Joanne Kellie, Dennis Kelly, Joan Kelly, Michael Kemp, Martha Kennedy, Janice Kerr, Debra Kerr, Donna Ketelsen, Jennifer Keuth,Adoracion Keyes, Tammy Killian, Jennie Kim, Rosa Kim, Faye Kimball, Heather Kimberlin, Karen Kimbrough, Cathy King, Kathleen King, Romeo King, Carolyn Kirkendall, Lisa Kisselburgh, Garrett Kitt, Teresa Klapak, Gregory Klaus, Suzanne Kleeman, Ruth Kleinpell, Charles Kline, Steven Kloman, Susan Knisely, Susan Kobetitsch, Cynthia Kociszewski, Stanley Kopchynsky, Michele Kosinski, June Kostick, Janette Kottong, Jake Krafcheck, Debra Kramlich, Trevor Kraus, Nanette Krizenesky, Cathleen Krsek, Anel Kruger, Mary Kruger, Barbara Krumbach, Christine Kunkle, Walaya Kusolvisitkul, Joanne Kuszaj, Imsook Kwak, Jennifer Laager, Patricia Labbe, Aimee Labelle, Alegria Lachica, Desiree Lacy, Melinda-Ann Laflamme, Danni Lafond, Sandra Lageman, Evangeline Laing, Carol Lamb, Margaret Lambert, Donald Lamendola, Scott Lamont, Gwendolyn Lancaster, Sheila Lane, Adele Lang, Teresa Lang, Susan Langford, Rommel Lantajo, Mary Lao, Terry Lark, Summer LaSalle, Mayola Lasater, Lorelei Laurencio, Carmen Lavadia, Anna Lavelle Steirer, Monica Pilar Lawrence, Kimberly Lawrence, Meera Lawrence, Leanna Lawson, Jill Lean, Christy Learn, Gwendolyn Leavens, Ralph Leavitt, Linda Leclair, Janet Ledet, Patricia Lee, Seatbyul Lee, Arlene Lee, Donna J. Lee, Nancy Lefcourt, Cristita Lemoine, Wendy Lendrum, Anthony Leonardi, Janice LePlatte, Rita LeRay, Susan Lesch, Lorraine Levers, Angela Levertavish, Joanne Levesque, Joy Lewis, Kevin Lewis, Marla Lewis, Thomas Lewis, Catherine Liebau, Mary Lightfoot, Myrna Lim, Helen Limcaoco, Matthew Lindemann, Jean Lindenberger, Lisa Lockhart, Josh Lockwood, Vilma Lodevico Crystal Logsdon, Rose Logsdon, Alejandrino Lola, Sally Lombardo, Susan Lompe, Brenda Long, Louis Lopez, Vera Lopez, Elizabeth Loran, Sonia Lorenzo, Tracey Loudon, Dawn Love, Jennie Love, John Lovelace, Olayinka Lowe, Patricia Lowery, Michael Lowman, Shelia Lowry, Connie Lowry, Catherine Lubliner, Jill Lucca, Elizabeth Lucht, Janna Luck, Kelly Ludemann, Jocelyn Lumberio, Kathryn Lunardi, Rich Lyday, Andria Lyn, Jetsy Lynch, Sandra Lynch, Jo Macari, Karin MacDowell, Alice Macek, Teresa Machek, Joan Mack, Veronica Macko, Jennifer Maddox, Arlene Madrid, Elizabeth Madrigal, Cezar Magdalena, Maria Felisa Maglasang, Jennifer Magnuson, Sandra Mahanes, Fred Mahthai, Charlene Mahu, Kimberly Malone, Patricia Malone, Jocelyn Manassah, Jack Mandel, Ma. Ruby Rosa Mangahas, Herminia Mangubat, Michelle Manis, Karen Manson, Corazon Manuel, Loretta Marcantonio, Jamie Marcello, Donna Marko, Linda Markotic, Ana Marques, Sarah Marshall, Nanci Martens, John Martin, Judy Martin, Karen Martin, Ruth Martin, Darlene Martinez, Linda Martinez, Monica Masemer, Kellie Mason, Natalie Mason, Fredda Massari-Novak, Vanessa Massey-Monroe, Kimberley Masterson, Linda Mastrella, Leza Matanich, Toni Matthews, Mary Matyear, Maureen May, Carol Mazerall, Carol Mazloom, Claudia McAllister, Patricia McCommons, Margaret McAtee, Marcy McBride, Mary McCabe, Erin McCaffrey, Mary McCarthy, Cheri McCarthy, Nancy McCarthy, Megan McClellan, Carol McClusky, Kimberley McComb-Meisinger, Letha McCraw, Annemarie McDermott, Angela McDonald, Patricia McDonald, Betsy McDowell, Patricia McElveny, L. Jennifer McFarlane, Sarah McFarlin, Susan McGee-Staehle, Barbara McGovern, Ingrid McIntosh-Williams, Dawn Mckay, Kristen McKelvie, Charles McKenna, Susan McKenna, D. Kevin McKeon, Mary McLeod, Ellen McLimore, Kathleen McMahon, Susannah McMillan, Angelina McMurray, Jayne McNally, Johanna McNally, Laura McNally, Joanne McNulty, Gordon McSherry, Mary Mechling, Naomi Medley, Lucia Meehan, Melissa Meighan, Susan Meintel, Elaine Mello, Mildred Mendoza, Cinderella Menhart, Fritz Menke IV, Carmen Mercado, Virginia Merrill, Susan Meyer-Callahan, Kimberly Meyers, Lynne Michalski, Renee Michaud, Patricia Mickley, Steve Midgett, Susan Mildren, Leanna Miller, Lindsey Miller, Lois Miller, Carrie Miller, Jane Miller, Michael Miller, Richelle Miller, Lori Miller, Connie Miller, Marge Miller, Barbara Miller-Nelson, Anne Mills, Kara Mills, Patricia Minard, Jose Mirabal, Becky Miramontes-Wright, Lupe Mirelez, Jodie Miscavage, Larosa Mitchell, Maria Miyashiro, Heather Mizzell, Richard Moberg, Cindy Mock, Lora Mohney, Chari Moler, Kristen Moleski, Heidi Molina, Dianne Molsberry, Kelly Mommaerts, Samuel Moore, Velma Moore, Mike Moore, Sooyeng Moore, Mary Moorhouse, Siriwan Moors, Judith Mora Conde, Maria Morales, Lauren Morelli, Joyce Morey, Karen Morgan, Diane Morgan, Vanessa Morgan, Ruth Morikone, Kieko Morita, Melissa Morningstar O’connell, Lorena Morota Malonzo, Beth Morpeth, Kathryn Moura, Valeria Mourzaeva, Ann Marie Mulholland, Pamela Mullen, Tola Muller, Karen Mullikin, Mandricia Munoz, Marcia Murach, Shannon Murphy, Christine Murphy, Katie Murphy, Mary Murphy, Elaina Murray, Martha Murray, Sheila Murray, Teri Murtha, Shanna Myres, Nanci Nagel, William Nagy, Mary Naida, Rose Nallon, Teresa Nardi Valentin, Robin Narducci, Alean Nash, Donna Nash, Leah Naval, Lynette Navar, Cheryl Navarro, Merle Nazares, Rebecca Neal, Lorraine Neil, Annette Nelson, Heidi Nelson, Shirley Nelson, Shirley Nesbit, Joan Nesse, Lydia Newman, Rhonda Newsome, Jennifer Newton, Thanh Ngo, Michelle Nguyen, Phuong Kim Nguyen, S. Kay Nichols, Linda Nickerson, Anna Lisa Nido, Ilen Nieva, Melinda Nobles Prisco, Cynthia Noe, Bradley Norden, Rosario Obilisundar, Jennifer Obrien, Carroll O’Brien, Kara O’Brien, Mary O’Brien, Elizabeth Obrosky, Margie Ocariza, Angelica Ocay, Kim O’Connor, Raina O’Connor, Keith Ogden, Leann Ogilvie, Tricia Ojanen, Suzanne O’Keefe, Kathleen Okinaga, Margaret Okorodudu, Deborah Olavarrieta, Indra Oldham, Maria Cecelia Oliver, Ola Olmedo, Linda Olson, Sophia Omara-Alwala, MaryAnne O’Neill, Jose Ortiz, Melodie Osborn, Jill Osborne, Joseph Ossiander, Petronilla Osuagwu, Julie Overbey, Sheila Owens, Phillip Pacholski, Patti Pack, Marie Therese Padriga, Amy Padula, Barbara Page, Angelo Palma, Juanita Palma, Brent Palmer, Gladys Palmieri, Jennifer Palmunen, Maria-Elena Pamoti, Carolyn Pantekoek, Rachel Park, Marita Parker, Devan Parker, Linda Parks, Dewey Parris, William Parrish, Tess Pasco, Christiane Patterson, Judith Patterson, Rubbia Patton, Chad Paulus, Jeffrey Paurus, Jerilyn Pearcy, John Pearson, Ruth Pechin, Florence Peden, John Peeke, Cynthia Peel-Knight, Annelie Pelaez, Teresa Penalosa, Janet Penhale, Karen Pennington, Patricia Penta, Eleanor Perera, Sandra Perez, Madeline Perkel, Wilma Perkes, Richard Perkins, Gwena Perkins, Rachel Perkins-Garner, Melissa Perodeau, Monica Perry, Mary Perry, Michelle Perry, Pam Person, Jane Persoon, Cheryl Peruzzi, Andrea Peterson, Yuki Peterson, Pamela Pfeifer, Susan Pfund, Cynthia Phelps, Lisa Phillips, Leah Phillips-Black, Robyn Picha, Janet Pickard, Janet Pierce, Georgette Pierce, Nancy Pinder, Patricia Pires, Ruth Piscitelli, Mary Pitt, Rosemary Pittman, Jill Ploetz, Elizabeth Pohl, Jean Pommerening, Marilyn Pomposo, Priscilla Pongco, Sandra Poole, Stephanie Pope, Joanne Popielarczyk, Colleen Popplewell, Barbara Porreca, Yolanda Posner, Susan Potter, Joanne Potts, Rebecca Powell, Rita Powell, Tara Powers, Janice Powers, John Pozar, Dotty Pozzi, Dawn Prall, Eileen Prendergast, Gail Priestley, Rosemarie Prince, Maurice Prior III, Lisa Pritchard, Terry Promarug, Ellen Proplesch, TrinaProwell, Jean Pruitt, Virginia Pua, Kathleen Puntillo, Linda Puskarich, Carol Puz, Timothy Quigley, Rebecca Quilapio, Kevin Quinn, Richard Quitevis, Edna Rabino, Melissa Rach, Estelita Rafols, Rosalynn Rafols, Moishe Ragieme, Elizabeth Dorothy Rajasekar, Vivian Ramberg, Anneta Ramcharran, Carminie Ramlal, Glen Ramos, Kari Ranum, Kathi Rasmus, Gail Rasmussen, Erynn Rathburn, Carol Rauen, Elizabeth Ravera, Khushdeep Rayat, Deborah Rayl, Anne Read, Sheila Reagan, Pamela Ream, Theresa Reed, Mary Reed, RaChelle Reiersgord, Alva Reilly, Charlene Reilly, Allison Reinecke, David Reinertson, Janet Renn-Nelson, Tiffany Reusser, Edith Revoir, Catherine Reyes, Guillermo Reyes, Josephine Reyes, Claudia Reynolds, Karen Reynolds, Sarah Reynolds, Marirose Rhee, Patsy Rhodes, Patricia Rice, Harriett Rice, Katherine Rich, Rebecca Richter, Barbara Rico-Eccles, Jessica Riddell, James Ridge, Denise Rivellini, Genevieve Rivera, Eva Rivera, Charlotte Roberts, Esther Roberts, Sedelle Roberts, Jennifer Robinson, Billie Robinson, Bobby Robinson, Meredith Robison, Sandra Rockey, Cindy Rodden, Nicki Roderman, Jenny Rodgers, Kathryn Rodrigue, Teresa Roesch, Jovelyn Rogan, Cynthia Rogers, Alison Rogers, Cathy Rogers, Frank Rogers, Nancy Rola, Maria Theresa Roldan, Teresa Roman, Elsie Romano, Mary-Jo Romero, Chanda Ronk, Rosemarie Rosales, Victoria Rosalin-Mozik, Stephanie Rose, Rosemarie Rose, Krysta Roseberry, Autumn Rosendo, Doris Rosenow, Caren Rossow, Genevia Rosyak, Jessica Roth, Donna Rothman, Diana Rovira, Jeffrey Rowe, Wanda Rowe, Deborah Rowles, Elynor Roxberg, M. Constance Roy, Lois Ruble, Janet Ruch, Sharon Ruhl, Florentino Ruiz, Carolyn Rumell, Patricia Runnion, Anne Ruppert, Mary Rush, Shirley Rush, Christina Russell, Gina Russo, James Rutherford, Jeffrey Ryan, Frances Ryder, Heather Sabatini, Perette Sabatino, Deborah Saber-Moore, Marietta Sabido, Sarah Sachse, Robyn Saenz, Alma Salazar, David Salazar, Lilibeth Salazar, Andrea Salesman, Vicky Salinel, Helene Salvatico, Yvette Samba, Celestine Samuel-Blalock, Pama Sanders, Daysy Sandoval, Laura Saner, Florida Santos, Epifania Santos, Jessie Sargent, Jenny Sauls, Agnes Saxvanderweyden, Kathleen Sayre, Barbara Sayres, Vilma Scacco, Lisa Scafidi, Mary Elizabeth Schambach, Kathleen Schatz, Jill Scheidler, Vaunne Schell, Nancy Schillizzi, Daniel Schindler, Sarah Schloss, Virginia Schmidt, Cynthia Schmidt-Maynard, Virginia Schmied, Emma Jane Schneck,Monica Schnitz, Mary Scholl, Patricia Schrader, Linda Schrier, Nancy Schroeder, Sue Schuch, Janice Schuette, Jeffrey Schultz, Diana Schuman, Adrian Schwab-In memory of Linda J. and Thomas A. Krausz, Elizabeth Schwarm, Valentina Sciulli, Kristin Sciutto, Christine Scott, Shana Scott-Davis, Scottsdale Healthcare-Osborn, Joni Screen, Robyn Seaburg, Macie Seale, Pamela Sealover, Almie Sedillo, Nancy Seidel, Linda Seifert, Deann Sellers, Jennifer Sellers, Margaret Semken, Wendy Seneff, Rebecca Senger, Julia Senn-Reeves, Sally Sera, Romelyn Serapio, Karen Settle, Robyn Severe, Alyssa Seymour, Sherri Seymour, Carol Shaffer, Scott Shaffer, Patrick Shane, Yulia Sharov, Brenda Shelton, Rachel Sheppard, Barbara Shirley, Elberta Shkrelja, Robert Short, Pamela Shumate, Susan Sidell, Judy Siebanoller, Virginia Signorelli, Kimberly Simmons, Elizabeth Simons, Deborah Sims, Indra Sinanan, Elaine Singer, Lynette Singleton, Michael Sizer, Julie Skidmore, Lesandra Skinner, Rebecca Skinner, Sarah Skinner, Chris Sky, Shannon Slabinski, Marlene Slaght-Morrissey, Betty Sleeper, Peter Slivkanch, Heather Smith, Mark Smith, Martha Smith, Sean Smith, Barbara Smith, Norma Smith, Mary Smith, Suzanne Smithwick, Samantha Smock, Courtney Smyth, Sandra Snider,Elizabeth Snody, Colleen Snydeman, Lisa Snyder, Sheila Sobretodo, Mary Lou Sole, Mary Kay Soleau, Consolacion Solema, Estelita Solinap, Sumatie Solomon, Megan Somerville, Matthew Sorak, Genalin Soriano, Sylvia Sorice, Freda Sornsen, Elvira Sorongon, Ruth Soule, David Sowers, Alice Sparks, Sandy Spaziano, Joy Speciale, Pamela Spikes, Michele Spinella, Dawn St. Clair, Michael St. John, Christine St. John Blake, John Stafford, Janet Standen, Gena Stanek, Evelyn Stanley, Sallisteen Starks, Marsha Starks, Cynthia Stavish, Alicia Steed, Cynthia Steinbach, Cherie Stelzer, Karen Stemmons, Carrie Stensrud, Wanda Stephenson, Karen Sterling, Susan Stewart, Carol Stewart, Caroline Stewart, Veronica Stirewalt, Dawn Stockberger, Christine Stokes, Judith Stone, Leigh Stonehouse, Carolyn Stonelake, Rebecca Storbrauck, Helen Strasko, Lora Strausbaugh, Tamara Strazdas, Cindy Stroble, Joanne Strong, Kathleen Strong, Joan Strotman, Pamela Struble, Judith Stryczek, Frances Stueben, Thomas Stumbaugh, Teresita Sugaste, Rose Suiter, Helen Sullinger, Eileen Sullivan, Maria Sumido, Elizabeth Sumner, Siti Suroya, Corena Sutton, Violet Swain, Mildred Swan, Heidi Swank, C. Swansboro, Linda Swartz, Mary Swartz, Nancy Sweet, Loretta Swinney-Scott, Dorcie Swope, Brenda Swope, Anne Szumigala, Ana Tabujara, Gail Tagney, Michael Tanaka, Maria Tangonan, Michael Tanner, Krista Tanner, Bobbie Tarbox, Shauna Tarrac, Raqeeba Taskeen, Ruthie Tate, Sara Tate, Gilda Taylor, Peggy Taylor, Jonathan Taylor, Karen Taylor-Israll, Ellaine Tefft, Elizabeth Tejada, E

In Support of Other Restricted and Unrestricted Gifts


$7,500 and Above
Marsh Affinity Group Services, a service of Seabury & Smith

$1,500-7,499
Greater Washington Area Chapter-AACN-Includes gifts made contributing to the Charlestowne Chapter Katrina Challenge

$1,000-1,499
Greater Milwaukee Area Chapter-AACN,* Northern New Jersey Chapter-AACN,* Northwest Chicago Area Chapter-AACN*
* Includes gifts made contributing to the Charlestowne Chapter Katrina Challenge

$500-999
Bitterroot Chapter-AACN*, Central Indiana Chapter-AACN*, Central Minnesota Area Chapter-AACN*, Charlestowne Chapter-AACN*, Dallas County Chapter-AACN*, Greater Cincinnati Chapter-AACN*, Greater Kansas City Chapter-AACN*, Greater Memphis Area Chapter-AACN*, Greater Phoenix Area Chapter-AACN*, Greater Portland Chapter-AACN*, Greater Raleigh Area Chapter-AACN*, Greater Richmond Area Chapter-AACN*, Greater St. Louis Chapter-AACN*, Greater Toledo Area Chapter-AACN*, Heart of the Piedmont Chapter-AACN*, Jersey Shoreline Chapter-AACN*, Metro East Chapter-AACN*, Metropolitan Orlando Chapter-AACN*, Pee Dee Chapter-AACN*, Peninsula Chapter-AACN*, San Diego Area Chapter-AACN*, San Fernando Valley Chapter-AACN*, Southeast Michigan Chapter-AACN*, Southeast Nebraska Chapter-AACN*, Southeastern Pennsylvania Chapter-AACN*, Susquehanna Valley Chapter-AACN*, Western Connecticut Chapter-AACN*
* Includes gifts made contributing to the Charlestowne Chapter Katrina Challenge

$100-499
Ashton Management Co., Inc.*, William Clarida*, Linda Early*, Gail Entrekin*, Greater East Texas Chapter-AACN-Includes gifts made contributing to the Charlestowne Chapter Katrina Challenge), Greater Long Beach Orange County Chapter-AACN-Includes gifts made contributing to the Charlestowne Chapter Katrina Challenge, Gordon Haight*, Lauren Harshaw*, Inland Empire Chapter-AACN-Includes gifts made contributing to the Charlestowne Chapter Katrina Challenge, Robert Johnson*, Torsten Kuhn*, Kira Kuhn-Elmore*, Northern Connecticut Chapter-AACN-Includes gifts made contributing to the Charlestowne Chapter Katrina Challenge, Janet Rhoades*, Valerie Hardwick-Includes gifts made contributing to the Charlestowne Chapter Katrina Challenge)
* In Memory of Bonnie Elmore

Up to $99
Megan Brunson*, Kimberly Campbell*, Patsy Campbell*, Betty Croker*, Mary Dougherty*, Norvin Elmore*, Gail Harshaw*, Belle Jones*, Dolores Markey*, Charlene McManamy*, Joan Noel*, Toni Pastoric*, Khadijeh Shahid-Salles*, Mary Ellen Williams*
* In Memory of Bonnie Elmore

In Support of the Sharon J. Connor Fund


$1,000 and Above
New York City Chapter-AACN

$100-999
Pacific Crest Regional Chapter-AACN

Tribute Gifts

In Honor of Maude Feeney Bridenhagen
Mary Feeney

In Honor of Elaine Fetzer, Cindy Cain & Greater Memphis Area Chapter-AACN
Janet Mulroy

In Honor of Dorrie Fontaine and Kathy McCauley
Richard Irwin

In Honor of Carol Hartigan’s Grandchild
Mindy Hecker

In Honor of Dawna Hawksworth
Marilyn Kupcho


In Honor of Janie Heath
Greater St. Louis Chapter-AACN

In Honor of Pat Mallette
Ramón Lavandero

In Honor of Dorothy Sexton
Marjorie Funk

In Honor of Mary Fran Tracy and Christopher Bryan-Brown
Southeastern Pennsylvania Chapter-AACN

Memorial Gifts


In Memory of Joan M. Butera
Teryl Schawk

In Memory of Neldon Driggs Colton
Barbara Colton Juelson

In Memory of Bonnie Elmore
Ashton Management Co., Inc., Megan Brunson, Patsy Campbell, Kimberly Campbell, William Clarida, Betty Croker, Mary Dougherty, Linda Early, Norvin Elmore, Gail Entrekin, Gordon Gaight, Gail Harshaw, Lauren Harshaw, Robert Johnson, Belle Jones, Torsten Kuhn, Kira Kuhn-Elmore, Charlene McManamy, Dolores Markey, Joan Noel, Toni Pastoric, Janet Rhoades, Khadijeh Shahid-Salles, Mary Ellen Williams

In Memory of Phyllis C. Erwin
Hudson Highlands Chapter-AACN

In Memory of Linda J. and Thomas A. Krausz
Carolyn Brock, Columbus McKinnon Corporation, Estate of Linda J. and Thomas A. Krausz, Nancy Cisar, Marci Farquhar-Snow, Carol Hansen, Sharon Kusne, Heather McEntarffer, Allen Pinney, Adrian Schwab, Arthur Summers, Anne Marie Wenzel

In Memory of Josephine B. Lavandero
Louise Mason

In Memory of Col. Ramón A. and Josephine B. Lavandero
Maria Christine Lavandero and Philip J. Parish

In Memory of Daniel J. Martin
Greater Memphis Area Chapter-AACN

In Memory of Barb Monroe
Beth Hammer

In Memory of Desmond Nesbitt
Beth Wos

In Memory of Paul & Dorothy Zorilo
Deborah Williams

Evidence-Based Strategies for Tobacco Cessation


Claudia P. Barone, EdD, RN, LNC, CPC
Janie Heath, PhD, APRN, BC-ANP, ACNP

Acute and critical care nurses are well positioned to assist patients with tobacco cessation efforts. Their relationship with their patients and the patients’ families equips them with many opportunities to intervene, identify tobacco use, and deliver interventions to assist with tobacco cessation. As trustworthy professionals, acute and critical care nurses are credible sources of health-related information and assistance. Since a healthcare provider’s advice to stop smoking is a strong motivator for patients to make repeated attempts to quit, the influence that acute and critical care nurses have in motivating patients to quit cannot be overestimated.

It is well known that smoking is the leading preventable cause of morbidity and mortality and causes death, disability, and years lost each year. Tobacco costs the United States approximately $157 billion annually in medical care and losses of an economic nature.3 Acute and critical care nurses are well versed in the health benefits of quitting, which include decreased risk of a heart attack, stroke, lung cancer, chronic lung disease, and other cancers related to smoking and/or second-hand smoke.4 Despite the improvement in health that smoking cessation allows, adults in the United States continue to smoke. The Joint Commission on Accreditation of Healthcare Organizations ( JCAHO) has mandated implementation of hospital core measures. This implementation refers to the extent to which a measure addresses areas where performance improvement is likely to have a significant effect on the health of specified populations. As a result, tobacco cessation counseling is required for all patients admitted to the hospital who have a diagnosis of pneumonia, heart failure, and/or myocardial infarction.

A new Health Plan Employer Data and Information Set (HEDIS) measures medical assistance with smoking cessation. This tool is used to assess the proportion of tobacco users and recent quitters who were advised to quit and given information pertaining to strategies that aid with smoking cessation.6 Thus healthcare plans and healthcare providers are more accountable for delivery of high-quality care as it relates to smoking cessation.

Released by the US Public Health Service in 2000, an evidence-based clinical guideline reviewed existing data to determine the best interventions for smoking cessation. Known as “Treating Tobacco Use and Dependence,” this clinical practice guideline contains the strategies and recommendations designed to assist clinicians with effective smoking cessation techniques.7 Brief counseling, defined as less than 3 minutes, was identified as an effective intervention for smoking cessation. Increased contact time improves the effectiveness of the counseling and the guideline further recommends a brief 5-step intervention known as the “5 A’s.”
• Ask about tobacco use: identify and document tobacco use status for every patient.
• Advise to quit: use a clear, strong, personalized message to urge tobacco users to quit.
• Assess willingness to attempt to quit: is the tobacco user willing to attempt to quit at this time?
• Assist in the quit attempt: use counseling and pharmacotherapy to ensure success with the quit attempt.
• Arrange follow-up: follow up to maximize success with the long-term quit attempt.
Strategies for implementing the 5 A’s in acute and critical care nursing practice are illustrated further in Table 1.
Despite asking a smoker about an interest in quitting and advising the smoker to quit, the acute and/or critical care nurse must assess the person’s motivation and readiness to quit. Success in smoking cessation is a long-term commitment. Nicotine dependence can require several attempts to quit before success is achieved and a long-term change is made. Stages of change that a smoker may pass through in making this change include the following:8
• Precontemplation: no consideration for quitting
• Contemplation: considering but uninterested in taking action
• Preparation: preparations are being made for an attempt to quit
• Action: making an attempt to quit
• Maintenance of tobacco abstinence
Most smokers (80%) fall into 1 of 2 of the change categories: precontemplation or contemplation. The 2 distinct groups of individuals need very different approaches to smoking cessation.

Patients who fall into the precontemplation stage are not convinced that the health hazards associated with smoking apply directly to them. They may not want to make a change in smoking as a health behavior, or they may express doubts about their ability to successfully make a change. The goals for these patients are to instill a sense of doubt about the desire to continue smoking, raise an awareness of the health hazards of smoking and their direct effect on the patient’s health and well-being, and communicate the benefits of quitting. Exploring the positive perceptions the patient has about smoking may help overcome the resistance commonly seen in this stage of the change process.

Patients in the contemplation stage seek out information about the quit attempt but are unwilling to make a commitment to quit or express self-doubt about their ability to successfully quit. Identifying the positive and negative aspects of continuing to smoke and emphasizing the negative consequences of continuing to smoke will help the contemplator resolve ambivalence toward continuing to smoke.

The US Public Health Service’s clinical practice guideline recommends a 5-step approach for both the precontemplators and the contemplators who are unwilling to quit, known as the “5 R’s.” They include the following:
• Relevance: encourage the individual to consider why quitting is important.
• Risk: ask the individual to identify the negative consequences of smoking.
• Rewards: ask the individual to identify positive aspects of quitting.
• Roadblocks: encourage the individual to identify barriers for success and those barriers that may have prevented success with previous quit attempts. Communicate with the individual about treatments that may improve success and reduce barriers.
• Repetition: Motivate the patient toward a successful quit attempt during each interaction. Assess the individual’s interest in setting an intermediate goal, such as a reduction in the number of cigarettes consumed.

All smokers who are trying to quit should be encouraged to augment their cessation efforts with pharmacological cessation aids approved by the Food and Drug Administration. Individuals who have significant pre-existing medical conditions, smoke fewer than 10 cigarettes per day, or are in adolescence, pregnant, or breast-feeding require special consideration before these cessation aids are prescribed.9 First-line agents include nicotine replacement therapy. These agents improve the chances for a successful attempt to quit by reducing the physical withdrawal symptoms associated with nicotine cessation and help patients focus on the behavioral changes necessary for successful cessation. Nicotine replacement therapy must be used with caution in patients with underlying cardiovascular disease, because it can increase myocardial workload. Table 2 depicts commonly prescribed agents for nicotine replacement therapy.

Acute and critical care nurses are able to communicate effectively with their patients. One area that is challenging for patients who are attempting to stop smoking is the withdrawal symptoms that some patients may experience after stopping smoking. These signs and symptoms may be wide and varied and include physiological changes, as the body adapts to the absence of nicotine, or could be the postcessation weight gain that is often experienced, especially by women.

Acute and/or critical care nurses can assist patients with these signs and symptoms. Strategies for reducing these signs and symptoms are listed in Table 3.
In summary, acute and critical care nurses are well positioned to assist patients and their families with tobacco cessation efforts to improve their health and well-being. Brief interventions, less than 5 minutes long, which can take place at the patient’s bedside, are effective in motivating patients to attempt to quit smoking. Family members included in these interventions can assist the patient in the attempt to quit and be instrumental in reducing barriers to success. At the very least, busy acute and critical care nurses can do a 30-second intervention: ASK about tobacco use, ADVISE about the health effects, ASSESS readiness to quit and REFER to 1-800-QUIT-NOW.

Authors
Claudia P. Barone is a clinical associate professor in the College of Nursing and a tobacco cessation provider education coordinator in the College of Public Health at the University of Arkansas for Medical Sciences in Little Rock, Ark. Janie Heath is an assistant professor and director of the tobacco cessation program at Georgetown University School of Nursing and Health Studies in Washington, DC.

References
1. National Cancer Institute. Tobacco and the clinician: interventions for medical and dental practice. Monograph Natl Cancer Inst. 1994;5;1-22. NIH Publication No. 94-3693.
2. Owen N, Davies MJ. Smokers’ preferences for assistance with cessation. Prev Med. 1990;19:424-431.
3. US Department of Health and Human Services. The Health Consequences of Smoking: A Report of the Surgeon General–Executive Summary. Atlanta, Ga: Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2004.
4. US Department of Health and Human Services. The Health Benefits of Smoking Cessation: A Report of the Surgeon General. Atlanta, Ga: Centers for Disease Control, Center for Chronic Disease Prevention and Health Promotion, Office of Smoking and Health; 1990.
5. Performance measurement initiatives: core measure set information (pneumonia, heart failure, acute myocardial infarction). Available at: http://www
.jointcommission.org/PerformanceMeasurement/PerformanceMeasurement. Accessed January 13, 2006.
6. Cressman T. Using category II codes for smoking cessation. Coding Edge. 2005;7(10):11-12, 33.
7. Fiore MC, Bailey WC, Chen SJ, et al. Treating Tobacco Use and Dependence: Clinical Practice Guideline. Rockville, Md: US Department of Health and Human Services, Public Health Service; June 2000:25-35.
8. DiClementee CC, Prochaska JO, Fairhurst SK, et al. The process of smoking cessation: an analysis of precontemplation, contemplation, and preparation stages of change. J Consult Clin Psychol. 1991;59:295- 304.
9. Corelli RL, Hudmon KS. Tobacco use and dependence. In: Koda-Kimble MA, Young Ly, eds. Applied Therapeutics: The Clinical Use of Drugs. 8th ed. Baltimore, Md: Lippincott Williams & Wilkins; 2004:85-1–85-29.
10. Rx for Change: Clinician Assisted Tobacco Cessation. San Francisco, Calif: The Regents of the University of California, University of Southern California, and Western University of Health Sciences, 1999-2003.

Earn CE Credit


Upon completion of this article, the reader will be able to:

1. Discuss strategies for implementing the 5 A’s of smoking cessation counseling.
2. Describe the stages of change a smoker may pass through.
3. Discuss the pharmacologic agents used to augment cessation efforts and control withdrawal symptoms.

Participate in DOL Update to Add Nursing Occupational Titles


You may soon be contacted to participate with the United States Department of Labor/Research Triangle Institute update of information for the occupations of Critical Care Nurse, Acute Care Nurse, Clinical Nurse Specialist or Nurse Practitioner.

Experts in the workforce are being asked to participate in this process, and AACN encourages you, if contacted, to take advantage of this opportunity to have your occupation updated by those who know it best. We believe the update of this information is crucial to the acknowledgement of all of our efforts in placing critical care nurses, acute care nurses, clinical nurse specialists and nurse practitioners in an expert category of healthcare on a national level. Please be assured that the information you provide would be kept strictly confidential.

When compiled, the information will be available on the Occupational Information Network Web site as the national reference for the occupation. This free Web site is accessible at www.onetcenter.org.

Monthly Super Savers


This Month’s Featured AACN Products

To Care Always: Quality Care at the
End-of-Life (#120633)
This full-color DVD and study guide provides caregivers at the acute level an understanding of the many aspects of caring for the dying patient in order to ensure quality care and a peaceful death. Upon completion of this program, participants will be able to demonstrate competencies in the assessment and care of physical, psychosocial, cultural and spiritual needs of patients and families during end-of-life care; develop communication skills, interpersonal skills and attitudes; identify appropriate legal and regulatory issues surrounding palliative care; and discuss ethical and professional principles. The package includes an 18-minute DVD presentation plus study guide and 10 prepaid CE certificates for 1.5 contact hours. Additional CE certificates are available.
Member $295, Nonmember $325. A free preview is available at the AACN Online Bookstore.

CrashCards Pediatric Emergency
Resuscitation Guide (#131102)
Created with speed and accuracy in mind, this is the new pediatric life support guide that combines the information provided in pediatric courses with the usefulness of a pocket-sized tool. Color-coded, easy-to-read tables make CrashCards useful alone or in conjunction with other pediatric tools.
Member $18, Nonmember $20

Pedi-Wheel, 3rd Edition (#131103)
This sturdy, full-color, water-resistant device provides virtually all of the information you will need to successfully perform during a pediatric emergency. This quick reference guide allows you to simply turn to the age of the patient on one side so that you are able to follow the information as it appears in the window; average weight, blood pressure, heart rate, respiratory rate, suggested sizes for ET tubes and laryngoscope blades, as well as the average length of a properly inserted ET tube at the teeth or gum line. Age categories range from preemie to 16 years.
Member $14, Nonmember $16

Browse our selection of new products at www.aacn.org./bookstorespecial
>New Products.

These Super Saver prices are valid through May 31, 2007. All orders must be received or postmarked by May 31 to be eligible for the Super Saver price.

CMC/CSC Combined Certification Review Course on CD-ROM (#300920)
This combined CD-ROM includes both the cardiac surgery and cardiac medicine review courses. Content is based on the CMC and CSC blueprints and includes in-depth coverage of hemodynamics, ACS, cardiomyopathy, heart failure, peripheral vascular disease, pulmonary disorders, and pre-, intra-, and post-operative phases of cardiac surgery. 10.5 contact hours of continuing education credit available for additional fee of $16.
Regular Price
Member $125, Nonmember $145
Super Saver Price
Member $105, Nonmember $130

PCCN Review Course on DVD (#300900)
This comprehensive review program was produced from the 2005 NTI preconference and is based on the PCCN blueprint. Experts present an overview of cardiovascular, endocrine, gastrointestinal, hematology/immunology, multisystem, neurologic, pulmonary and renal topics, as well as sharing some test-taking strategies. The Synergy Model is included in the content. An excellent review course for progressive care nurses preparing for the PCCN exam. Includes 4 DVDs, a substantial study guide and 16 hours of continuing education credit. A free CD-ROM program titled, “Synergizing Your Progressive Care Environment,” is also included.
Regular Price
Member $200, Nonmember $275
Super Saver Price
Member $169, Nonmember $255

Adult CCRN DVD Review Course (#301965)
This digital review program was produced from the 2005 NTI preconference and is based on the Adult CCRN blueprint. Experts present an overview of cardiovascular, endocrine, gastrointestinal, hematology/immunology, multisystem, neurologic, pulmonary and renal topics, as well as share some test-taking strategies. A review of the content of the CCRN exam is provided, and the Synergy Model is included in the content. An excellent review course for critical care nurses preparing for the CCRN exam. Includes three DVDs, comprehensive study guide and 16 hours of continuing education credit.
Regular Price
Member $200, Nonmember $275
Super Saver Price
Member $169, Nonmember $2555

AACN’s Biannual Strategic Customer Research Study


AACN will soon be conducting our regular survey to better understand how satisfied you are with the initiatives we are undertaking and how we can better meet your needs.

When you receive the e-mail invitation to participate, please help us better serve the nursing community by completing this survey. It should take no more than 15 minutes of your time. Thank you in advance for your participation.