Experience and Activities
- Greater Kansas City Chapter, 1987–present
AACN Commitment and Involvement in the Past 3 Years
Includes how the candidate integrated AACN's mission and work into her current role and practice. Local and national volunteer activities are listed, if applicable.
- EBPRWG Chair, 2011–2012 and 2012–2013; EBPRWG member, 2010–2011
- Secretary, Greater Kansas City Chapter, 2010–2011
- AACN/CCRN Ambassador, 2008–2012
- Nominating Committee, 2008–2009
- NTI speaker, “Evidence-Based Practice, Clinical Nursing Research Program, Post Procedure Bleeding, Implementation of Hyperglycemia Protocol,” 2011
- Local AACN symposium planning committee, 2008–2010
Key Professional Activities Outside AACN in the Past 3 Years
Includes involvement with other professional organizations, teaching and/or speaking.
- ACCF Writing Committee for CV Lab Structured Reporting Guideline, 2012
- Speaker on Clinical Nursing Research — Magnet Conference, 2012
- Speaker on Avoiding Post-Procedure Vascular Complications at 2011 ACC/I2 Summit
- Contributing author: The impact of bivalirudin and vascular closure device use on percutaneous coronary intervention-related bleeding; Eurointervention. 2010;6(2):206-213. J.B. Lindsey first author
- Co-leader of the State of Missouri Time Critical Diagnosis STEMI Quality reporting regulations, 2011
I believe that one of the most important issues affecting critical care nursing today is the loss of critical thinking in the midst of regulatory oversight. I view the regulatory standards (e.g., fall risk assessment, medication reconciliation, CLABSI bundles) as I believe they are intended: to provide better patient care and patient safety.
Unfortunately, institutions’ implementation of these regulatory standards has created tasks that limit the expertise of the critical care nurse to meet the individual needs of the patient. A checklist in the absence of system and process evaluation becomes a mindless task.
Insufficient background explanation of the rationale for a checklist has limited critical thinking and increased nonvalue-added work for the nurse rather than value-added interventions. The method institutions are using to review their staff focuses on the completion of the task and little on the outcome of the patient.
Punitive methods are used to enforce task completion. An example of this is a disciplinary warning when Foley removal was not documented rather than what is the occurrence of CAUTI in a patient population.
I believe that AACN is leading the way with the Healthy Work Environment initiative and the ENMO educational program for managers.
I would like to see empowerment of nursing staff to solve the issues identified by regulatory agencies. I would like to see specific guidelines on implementation of best practices other than documentation and measurement of outcomes related to these regulatory standards.
I think AACN with its wealth of knowledge and experience is a leader for this much-needed change in critical care nursing.