AACN Membership Campaign Celebrates Banner Year
The 2007-08 Member-Get-A-Member campaign, I Can Make a Difference, has come to a close with 1,405 individuals and chapters recruiting 6,333 new AACN members. The number of participants and the number of new members recruited sets a record for the 12-month campaign. Congratulations to all of you who participated.
The top individual recruiter was Lorraine Fields, RN, CNS, MSN, BSc, CCRN, CNRN, APN, from Uniontown, Ohio. In this campaign, Fields brought 74 new members to AACN and did an outstanding job of encouraging her colleagues to reap the benefits of membership.
The top-recruiting chapter for the campaign was the Houston Gulf Coast Chapter with total of 103 new members successfully added to AACN. Congratulations to the members of this chapter.rThere were also some notable recruiting efforts in August, the final month of the campaign. Susan Rogers, RN, DNS MSN, of Vienna, Va. exploded onto the scene with an impressive 40 new members recruited. This single-month performance vaulted Susan into fifth place overall in the campaign. Also having a productive month in August was Julie Miller, RN, CCRN, of Whitehouse, Texas. Thanks to Miller, 27 nurses joined AACN, and this accomplishment placed her firmly in second place overall in the campaign.
In chapter recruiting for the month, the Carolina Dogwood Chapter led the way with seven new members recruited. The Dallas County, Lake Cumberland Area and Ryukya chapters each had four.
Individuals who recruit at least one new member in a campaign month will be entered into a drawing for a $100 American Express gift check. Adoracion Yap, RN, MS, MSN, CCRN, of Sugarland, Texas won the gift check in August.
In addition, chapters are eligible for monthly drawings for a free NTI registration any month they recruit a new member. The winner for August was the South Central Connecticut Chapter.
The I Can Make a Difference campaign began Sept. 1, 2007 and ended Aug. 31, 2008. To read about the new campaign go to page 11.
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Members on the Move
Marie Lasater, MSN, RN, CCRN, CNRN, Barnes-Jewish Hospital, St. Louis, Mo., published an article in the August 2008 issue of Journal of Neuroscience Nursing titled “Intravascular Temperature Modulation as an Adjunct to Secondary Brain Injury Prevention in a Patient with an Epidural Hematoma.”
Teresa Jahn, RN, MSN, CCRN, accepted a position as clinical nurse educator (CNE) for critical care at Sanford Medical Center, Sioux Falls, S.D.
Joan Vitello, RN, PhD, founding member of AACN’s Greater Boston Chapter, was named chief operating officer for Lawrence Memorial Hospital, Medford, Mass. She will continue to serve as Hallmark Health’s chief nursing officer.
Cynthia Jensen, RN, BSN, CCRN, a neonatal nurse practitioner studying for her master’s degree at the University of California, San Francisco, was one of eight RNs to be awarded scholarships from the March of Dimes for graduate studies in the field of maternal-child nursing.
Tonua Rubell was promoted to director of critical care at Huguley Memorial Medical Center, South Fort Worth, Texas. She is responsible for management, daily operations and staffing for the CCUs. In 2004, the Fort Worth Business Press named her a “Healthcare Hero” for her management of the progressive care unit.
Hill, Harris, Ruppert
Maureen Stewart, RN, ASN, AAS, CCRN, the lead RN in the CCU at Good Samaritan Hospital, Suffern, N.Y., received the “Best Nurse of Distinction in a Hospital Setting” award from the 1199SEIU/League of Voluntary Hospitals & Homes. She has worked in the same unit for 20 years.
Frederick Dunau, RN, BS, CCRN, who works in the Petrie Division of the Cardiac Surgery ICU, Beth Israel Medical Center, New York, N.Y., received the “Nurse of Distinction Nurse Preceptor” award from the 1199SEIU/League of Voluntary Hospitals & Homes. In 2007, his contributions as a preceptor were also recognized with the Beatrice Renfield Circle of Excellence Award.
Jane Whalen, RN, MSN, CCRN, CCNS, received the Good Samaritan Hospital School of Nursing (Cincinnati, Ohio) Alumni Association’s Distinguished Alumni Award for “professional qualities and degree of dedication to the field of nursing.”
Joyce Hill, RN, MSN, CCRN, president of AACN’s Diamond State Chapter, was nominated for the “Delaware Excellence in Nursing Practice” award in the categories of Nurse Leader and Acute Care. She also sang during the presentation event and assembled a photo show of the nominees and other nurses.
Craig Harris, RN, MPH, manager of the CVRU/CVICU at Mission Hospital, Asheville, N.C, was recognized as one of the “Great 100 Nurses in North Carolina” for 2008.
Susan Ruppert, RN, PhD, ANP-BC, NP-C, FCCM, FAANP, former AACN board member and faculty at the University of Texas Health Science Center at Houston School of Nursing, was inducted as a fellow in the American Academy of Nurse Practitioners.
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A Vision of Health: Carnie Wilson Shares Her Story of Hope and Change
By Ali Strain
Carnie Wilson, renowned singer, former member of the singing group Wilson Phillips, and daughter of Beach Boys founder Brian Wilson, has a varied career as a singer, songwriter, actress and TV talk show host. At NTI 2008 in Chicago, she was the guest speaker at the Chapter Presidents’ Luncheon, where she shared her experience with gastric bypass surgery and remembered the nurses who made a lasting impression.
AS: You have written two books, “Gut Feelings” and “I’m Still Hungry.” You give lectures and speeches about your weight loss and your surgery and run the liteandhope.com Web site, which helps 600,000 people each month get information about obesity, morbid obesity, weight loss and bariatric surgeons. Why have you decided to share your story with so many people?
CW: I love sharing my story. I love speaking and lecturing because I think it inspires people to make changes in their lives. I know many people have decided to undergo gastric bypass surgery because they have heard my story.
AS: You have been overweight throughout your life. What sparked your decision to have gastric bypass surgery and strive for a healthy life?
CW: A fear of dying. I had chronic headaches, high cholesterol and high blood pressure. I was prediabetic. To add to that, I had circulation problems, acne, an enlarged liver and slipped discs. The most severe side effect was sleep apnea. I was waking up 10 times a night because I was choking, but I did not know why. I also had Bell’s palsy and thought it was a result of a stroke.
AS: Did your symptoms ever affect your ability to perform?
CW: Yes, I was performing at a Beach Boys friends and family show. Even though I was overweight, I was still confident on stage. I was a singer, not just a fat girl. So I went out there and sang my heart out, but at the end of the show I had extreme pain in my right arm. A voice in my head said, “Sit down, have a glass of water. You are going to have a heart attack.” That was right around my 31st birthday. Four months later I had gastric bypass surgery.
AS: How did you prepare for the surgery?
CW: I think when you go into this surgery you are desperate. It is a medical intervention. You have to prepare yourself for the emotional challenges and be ready to change your relationship with food.
AS: What do you mean by your relationship with food?
CW: Your interaction with food will be different. You know, food screams at me. It knocks down my door 24 hours a day, even in my dreams. I dream about Twinkies. I am not even kidding. You not only have to change the way you eat, but also the way you think.
AS: Once you lost the weight, how did you cope with your emotions without food?
CW: During the first two years after surgery, I did not even think about it. Later, I turned to alcohol as my vice instead of food. I stopped drinking 13 days before I got pregnant, and I have not had a drop of alcohol since. I realized that I was resorting to eating or drinking instead of dealing with my emotions.
AS: Is it true that when you were a child you dreamt of becoming of nurse?
CW: Yes, I love nurses. I think I have always been a caregiver at heart with an instinctive urge to help others, a quality I think I share with nurses. I like reaching out to people who struggle with obesity or other health issues. When I had gastric bypass surgery, my nurses and the hospital staff were so great. I was such a baby. I mean, even walking was painful, but they took great care of me and supported me throughout my entire journey.
(Editor’s note: Read the entire interview with Carnie Wilson in the October 2008 issue of Critical Care Nurse.)
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Clarian Health Adopts AACN Standards for Healthy Work Environment
Clarian Health, Indianapolis, Ind. has rolled out the AACN Standards for Establishing and Sustaining a Healthy Work Environment (HWE) at its three downtown hospitals – Methodist Hospital, Indiana University Hospital and Riley Children’s Hospital. Clarian is adopting one standard at a time, starting with Skilled Communication. Kay Clevenger, RN, MSN, is the nurse retention coordinator at Indiana University Hospital, chair of Clarian’s HWE Steering Committee and also an AACN member. She said they started with Skilled Communication because, “if we can improve communication and collaboration, we can definitely improve patient safety.”
The HWE Steering Committee elected to use a pilot unit approach to develop strategies. In January 2008, two pilot units for each hospital were announced (one ICU/PCU and one non-ICU/PCU at each hospital, with a steering committee member linked to each unit). A pre-survey was developed in February 2008 to help the pilot units determine areas for improvement. In June 2008, the pilot units met with nursing leaders to share their strategies, tools and resources to strengthen communication. Tactics included using visual cues, such as bracelets, as a reminder not to complain or gossip. Special bulletin boards were set up to compliment and recognize co-workers.
Communication presentations were developed by steering committee members and shared with colleagues, with follow-up coaching offered. The remaining units have completed the pre-survey for Skilled Communication
and are adapting several of the most successful ideas to improve the staffs’ communication skills.
AACN’s Healthy Work Environment Standards improve patient care and safety, as well as the nurses’ satisfaction with their jobs, and Clarian is among the first healthcare systems to implement them. Later this fall, the pilot units will begin implementation of the next standard: True Collaboration. “While the pilots continue with the adoption of the second standard, everyone else gets to benefit from what the pilots learned about Skilled Communication and put those lessons to good use across the Clarian system,” Clevenger said.
Clarian will hold its second annual HWE conference, “People Working With People: Creating a Healthy Work Environment,” October 24 at Methodist Hospital, with Dave Hanson, RN, MSN, CCRN, CNS, immediate past AACN president, as keynote speaker.
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Scene and Heard
Our Voice at the Table
Linda Bell, RN, MSN, AACN clinical practice specialist, represented AACN at a two-day Interagency Council on Nursing Statistics (ICONS) meeting in Washington, D.C. ICONS is an invited group that meets twice a year to discuss research initiatives among the organizations represented and any significant outcomes or data trends. Included in this group are representatives from the four advanced practice areas (NACNS, NONPF, ACNM, AANP) as well as the American Association of Colleges of Nursing, NCSBN, ANA, NCGFNS and several government agencies. AACN demonstrated its leadership and advocacy for clinical nurse specialists by supporting their inclusion as APRNs by the Standard Occupational Classifications Committee (SOC). This recognition would be significant for AACN members for purposes of reimbursement, workforce analysis, research monies and legislative recognition.
Additionally, AACN has been able to collaborate with other organizations in evaluating not only how they query their members and monitor the workforce, but also the possibility of collaborating with them on future research concerning the nursing workforce.
Kathleen McCauley, RN, PhD, BC, FAAN, FAHA, former AACN president, represented AACN at the IV Safety Summit held at U.S. Pharmacopeia headquarters in Rockville, Md. This national summit focused on identifying the greatest risks associated with the intravenous administration of medications and best practice solutions to counter those risks. Healthcare practitioners, thought leaders and medication-safety experts from across the country considered actions that will bring about lasting improvements in the use of IV medications. The summit was convened by the American Society of Health-System Pharmacists Research and Education Foundation; Institute for Safe Medication Practices; U.S. Pharmacopeia; Infusion Nurses Society; National Patient Safety Foundation; and The Joint Commission.
Our Experts Share Their Knowledge
Caryl Goodyear-Bruch, RN, PhD, CCRN, AACN president, gave the keynote speech, “With Confidence, Live Your Power of One,” at the Wealth of Knowledge conference near Ft. Lauderdale, Fla. This biannual two-day conference is sponsored by the AACN Gold Coast Chapters of Florida to provide educational seminars for attendees. She stressed implementing interventions to create a positive work environment as the most important strategy to reduce nurse turnover, and the need for nurses to speak up and act to create a positive workplace. According to Goodyear-Bruch, “Confident nurses are positive, assertive, have a ‘can do’ attitude and take the initiative to implement strategies in creating a workplace where we all want to work. To obtain confidence, we all must learn the tools of skilled communication, imagine our success, set goals and tackle those more uncomfortable situations.”
Connie Barden, RN, MSN, CCRN, CCNS, former AACN president, presented “Patient Safety 101” at the above conference. Barden spoke with participants about elements of the science of safety, error prevention techniques and other methods to reduce actual harm to patients. The concept of building systems where the expected outcome is the only possible outcome was explained. The well-known standard of oxygen connectors and how they only plug into O2 outlets – they will not fit in air, suction or other wall connections – was used as an example of designing the safe outcome by default.
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AACN-JCR End-of-Life Care Webinar on Tap Oct. 21
“End-of-Life Care,” the final session in a series of webinars developed by AACN and Joint Commission Resources (JCR) will be held Oct. 21. CE credit is available.
J. Randall Curtis, MD, MPH, FCCP, director of the Division of Pulmonary & Critical Care at the University of Washington Harborview Medical Center, will represent AACN, and Beth Glassford, RN, MS, MHA, CHE, a consultant and past member of the AACN Certification Corporation Board of Directors, will represent JCR.
Register now at www.jcrinc.com. Cost is $249 per session. Organizations can sign up for one telephone connection with multiple attendees participating in one conference room. The audio CD, complete with PowerPoint handout, is also available for purchase.
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CCNS Review Course, 3rd Ed.
This course, presented by clinical nurse specialists, articulates the Synergy Model’s eight nurse dimensions: clinical judgment, advocacy/moral agency, caring practices, facilitation of learning, collaboration, systems thinking, response to diversity and clinical inquiry. Case scenarios of actual nurse/patient interactions are presented, allowing for discussion of each dimension in detail. The discussion includes how the clinical nurse specialist can actualize that dimension in everyday practice. Examples, based on the examination blueprint and the case scenarios, are related to achieving patient-family/nurse/system outcomes. Sample test questions that relate to the particular dimension are included. In addition, the course provides real-life examples for putting the Synergy Model into practice for clinical nurse specialists. Single-user version only. Includes 8.0 contact hours of CE credit.
DVD (#301957) - Member: $109, Nonmember: $129
Audio CD (#301956) - Member: $79, Nonmember: $99
CSC Review Course, 2nd Ed.
This certification review course (based on the test plan) equips you with in-depth knowledge centered around the care and treatment of patients undergoing surgery for coronary artery revascularization, cardiac valve repair/replacement and thoracic aorta repair. Concepts of hemodynamic monitoring, IABP, essential pacemaker and radiology skills, and medications used in cardiac surgery recovery are discussed. Preoperative and intra-operative phases of cardiac surgery, in addition to an intense overview of the postoperative phase of cardiac surgery including potential complications and interventions, are reviewed. Research and evidence-based practice are stressed throughout the course, and test-taking skills complete this comprehensive certification review course. This course was adapted from the NTI 2008 preconference.
DVD (#300911) - Member: $155, Nonmember: $185
Audio CD (#300912) - Member: $99, Nonmember: $119
CD-ROM (#300910) - Member: $145, Nonmember: $165
Arterial Blood Gases Made Easy (#128910)
Arterial blood gas analysis plays an indispensable role in the assessment and management of patients with a huge range of acute medical and surgical problems. Its importance as a key tool in the workup of acutely unwell patients rivals that of the ECG and the chest x-ray. This book covers all aspects of arterial blood gas in a simple, userfriendly manner. The first part explains the technique, the values obtained and common patterns of abnormalities, while the second part comprises a series of worked examples and case scenarios to allow the reader to put this system into practice.
Member: $28.50, Nonmember: $29.95
Monthly Super Savers
These Super Saver prices are valid through Nov. 30, 2008. All orders must be received or postmarked by Nov. 30 to be eligible for the Super Saver price.
Acute and Critical Care Clinical Nurse Specialists: Synergy for Best Practices (#128103)
This book presents the knowledge and tools the CNS needs to provide the best standards of practice and performance. It focuses on the role of the CNS in acute and critical care, emphasizing the relationship between critical care nursing, the patient and the environment of care. Divided into three main sections, the framework of the book is based on the Scope and Standards of Practice for the Clinical Nurse Specialist in Acute and Critical Care and AACN’s Synergy Model. This book delivers up-to-date information for today’s healthcare along with practical tools for the CNS in acute and critical care settings.
Regular Price: Member $64.50, Nonmember $67.95
Super Saver Price: Member $55.01,
Priorities in Critical Care Nursing, 5th Ed. (#128752)
In this essentials version of the best-selling critical care nursing textbook (Thelan’s Critical Care Nursing: Diagnosis and Management, 5th Edition), Priorities in Critical Care Nursing, 5th Edition concisely addresses all of the core critical care nursing topics and helps you identify priorities to effectively manage patient care. Priorities in Critical Care Nursing also covers ethical and legal issues, patient and family education, psychosocial alterations, sleep alterations, nutritional alterations, gerontologic considerations and end-of-life care.
Regular Price: Member $71.25, Nonmember $74.95
Super Saver Price: Member $61.55,
AACN Advanced Critical Care Nursing (#128250)
From AACN experts comes a resource dedicated to helping you oversee or care for critical care patients in any practice setting. This comprehensive critical care nursing textbook addresses serious and potentially life-threatening patient conditions with a foundation rooted in the critical thinking process: the comprehension, analysis, synthesis and application of knowledge.
Regular Price: Member $94.05, Nonmember $99.95
Super Saver Price: Member $84.45,
NEW From AACN’s PDA Center
Clinical content from the American Journal of Critical Care (AJCC) now available in PDA format
As an AACN PDA Medicopeia subscriber, you will now receive two clinical features from AJCC FREE. Bimonthly, you will automatically receive the following two clinical articles when you hotsync your PDA device. Read them at your leisure and save or delete as you wish. Medicopeia also offers a vast variety of nursing software, as described.
AJCC Clinical Pearls
AJCC is a reliable source for evidence-based research on the latest scientific advances in high-acuity and critical care, but sometimes the practical bedside applications of its published studies are not immediately evident to readers. To help solve this problem, the Clinical Pearls page summarizes some of the most practical clinical content from each issue in digest form. In just a few quick sentences and bullet points, entries on the Clinical Pearls page offer a “Reader’s Digest” version of the bedside implications of select research articles, encouraging readers to take a closer look and to dive into studies they might otherwise have missed. Readers are encouraged to share the page with other interested clinicians.
AJCC Patient Care Page
Although AJCC maintains editorial independence from AACN, topics in the journal often dovetail with association projects and publications (such as AACN Standards for Establishing and Sustaining Healthy Work Environments) that aim to better working conditions and generally improve patient outcomes. As such, the AJCC Patient Care p age represents another means by which readers can learn about best practices in critical and high-acuity care.
Select articles in each issue of the journal are accompanied by this special page, which carries AACN’s endorsement and summarizes clinical information for use by nurse managers and others who provide patient care throughout the hospital. Similar to the JAMA Patient Page, the AJCC Patient Care page offers easy-to-use, easy-to-understand information about diseases and conditions, interventions, techniques, protocols and standards of care that readers are likely to encounter in high-acuity and critical care environments. Building on the article’s content, the AJCC Patient Care page offers basic health information and the latest standards of care based on available scientific evidence.
AACN’s Medicopeia Suite for PDA
In addition to the new features listed above, you will receive the following software with a Medicopeia subscription:
• Conference or Educational Trends
• Epocrates RxPro
• ER ICU Toolbox
• Pocket ICU Management Clinical Reference
• Cardiac Medications E-reference
• Critical Care Assessment E-reference
• Hemodynamic Management E-reference
• Adobe Acrobat Reader for Palm OS
• AACN Critical Care Newsline weekly e-newsletter
To subscribe, please visit the AACN PDA Center at www.aacn.org/pdaspecials.
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New Member-Get-A-Member Campaign Launches
A new 12-month Member-Get-A-Member campaign has begun! The campaign runs Sept. 1, 2008 to Aug. 31, 2009, and will once again offer opportunities for both individuals and chapters to be eligible for great prizes as they recruit new AACN members.
INDIVIDUAL PRIZES: CAMPAIGN END
Top Individual Recruiter:
The overall top recruiter by campaign end will be awarded a $1,500 American Express gift check.
20+ Prize Level:
Members who recruit more than 20 new members by campaign end will be entered into a random drawing for a $1,000 American Express gift check.
10-19 Prize Level:
Members who recruit 10-19 new members by campaign end will be entered into a random drawing for a $750 American Express gift check.
1-9 Prize Level:
Members who recruit 1-9 new members by campaign end will be entered into a random drawing for a $500 American Express gift check.
INDIVIDUAL PRIZES: MONTHLY
Individuals who recruit at least one new member in a campaign month will be entered into a drawing for a $100 American Express gift check. Drawings will be held each month of the campaign and members are only eligible in the month in which new members are recruited.
CHAPTER PRIZES: CAMPAIGN END
Top Chapter Recruiter:
The overall top recruiting chapter by campaign end will be awarded a $1,500 honorarium check toward the chapter treasury.
20+ Prize Level:
Chapters who recruit more than 20 new members by campaign end will be entered into a random drawing for a $1,000 honorarium check toward the chapter treasury.
10-19 Prize Level:
Chapters who recruit 10-19 new members by campaign end will be entered into a random drawing for a $750 honorarium check toward the chapter treasury.
1-9 Prize Level:
Chapters who recruit 1-9 new members by campaign end will be entered into a random drawing for a $500 honorarium check toward the chapter treasury.
CHAPTER PRIZES: MONTHLY
Chapters who recruit at least one new member in a campaign month will be entered into a drawing for a free NTI registration. Drawings will be held each month of the campaign and chapters are only eligible in the month in which new members are recruited.
Yes, you CAN make a difference! Sign up your colleagues during the 2008-09 MGAM campaign. Every new member you recruit increases your chances of reaping the rewards while building a community of caring professionals. You can recruit as an individual or collectively as a chapter. And don’t forget the Bulk Membership program—five or more applications at the same time saves each applicant $9 per year on their membership fee! Look for a new MGAM brochure coming soon.
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Reclaiming Our Core Values
By Summer La Salle, RN, BSN, CCRN-CMC, AACN Board Community Liaison
Horizontal violence is a very real fact in our units, our facilities and even our nursing schools. Some of the nursing students I have taught at our local university have told me of other professors who actively encouraged them not to become nurses because of this culture. Gallup polls have shown for many years that the public sees nurses as the top profession for honesty and ethical behavior. Do you sense a disconnect between how the public perceives our actions toward them, and how we perceive our actions toward each other?
“Reclaiming Our Priorities,” the presidential theme of Dave Hanson, RN, MSN, CCRN, CNS, for this past year, helped remind me that the answer is simple. “To deliver care centered on our core values, we must reclaim that which gives us the tools to be what we most desire … nurses that are powerful, knowledgeable and compassionate. When we battle each other, we become that which we detest most … a barrier to providing safe and effective care. The call to act cannot be denied.”
This spring, I had the perfect opportunity to answer the call to act.
As the Board Community Liaison, I was given the honor and pleasure of meeting members of AACN that I consider to be rock stars. They helped develop the AACN Standards for Healthy Work Environments and AACN Practice Alerts, and have worldwide influence on nursing education and practice standards, to name just a few.
Initially, while I knew I was being invited for my input as a bedside staff nurse, I felt the true influence of my voice was in question. How could I contribute to this group? How was I going to bring something to the table that would make my role one that had purpose, meaning and substance?
On the first day, I do not believe there was one person in the room who did not come over and introduce himself or herself and shake my hand. By the second day, my anxiety began to fade as the board members included me in lunch, dinner and other activities. My board buddy, Paula “Mama” Lusardi, RN, PhD, CCRN, CCNS, stayed by my side in meetings and ensured that I understood what they were talking about when acronyms began to fly.
By the end of the meeting, I had gained new friends and a greater understanding of what the AACN Board does. I had spoken up when I had something to share. Most importantly, I came away with a greater understanding of what truly makes AACN special.
The beauty of this group is that they truly model a Healthy Work Environment. They listen when others speak. They consider each point of view and they value each person for his or her perspective. The leadership is authentic and is sitting next to you at the table. I watched ceremonies that called out each person and gave them something back for their time and efforts, a meaningful recognition of their contribution. In short, the board members exemplified what I feel the entire nursing profession should be. That is an extraordinary accomplishment, and while this was surprising to me, it should not have been, considering the quality of work the board delivers to its members and the nursing profession as a whole.
The AACN Board is charged with governance. Governing is not the worker bee in the trenches; there is overall insight and guidance, which is a new vision for me. While aware of the real-life impacts of their ideas, the board members brainstorm with an eye to the greater picture. Imagine being in a group where you envision the best-case scenario, and then have the clout and resources to make it happen. The board keeps an “ear to the ground” by listening to staff in their units and facilities, and nurses in their communities, as well as inviting nurses such as me to their meetings. This board process is truly a model of a Healthy Work Environment and helps us in “Reclaiming Our Priorities.”
I am very grateful for this opportunity and look forward to more volunteer opportunities in the future. I encourage each nurse to do the same. You can make an impact, and you do have a voice. Your voice is loud. Use it.
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