Director: Deborah Klein

Clinical Nurse Specialist, Coronary ICU, Heart Failure ICU and Cardiac Short Stay/PACU/CARU

Cleveland Clinic
Cleveland, Ohio

Experience and Activities

Chapter Membership

  • Lake Erie Chapter, 1983–present
    • Board of directors, 1989–present
    • President, 1988–1989
    • President-elect, 1987–1988
    • Treasurer, 1985–1987

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.

  • Ambassador, 2012–present
  • Continuing Education Review Panel, 2005–present
  • Representing AACN as a member of the Cardiovascular Nursing Scope and Standards Work Group, American Nurses Association, 2013–2014
  • Clinical Nurse Specialist Scope and Standards Task Force, 2013
  • E-Learning Review Panel, Promoting Excellence in Palliative and End-of-Life Care, 2013
  • Circle of Excellence Award, 2011
  • Contributing editor, “Cardiovascular Medicine,” Critical Care Nurse, 2009–2013
  • Advanced Practice Qualitative Continuing Education Review Panel, 2009–2010 

Key Professional Activities Outside AACN in the Past 3 Years

Includes involvement with other professional organizations, teaching and/or speaking.

  • Sole ML, Klein DG, Moseley M, eds. Introduction to Critical Care Nursing. St. Louis, MO: Elsevier; 2013, 2009, 2005.
    • The 2009 edition received an AJN Book of the Year award.
  • Planning Committee, Cardiovascular Nursing Clinical Symposium, American Heart Association
    • Chair, 2013
    • Member, 2012, 2011, 2010
  • “Therapeutic Hypothermia Post Cardiac Arrest: What Is the Latest Evidence?”
    • Cleveland Clinic Dimensions in Cardiac Care, 2012, 2011
    • Scientific Sessions, American Heart Association, November 2011
  • Director, Cleveland Clinic
    • End of Life Nursing Education Consortium (ELNEC) critical care course, 2014, 2013, 2012
    • Dimensions in Cardiac Care conference, 2012, 2011, 2009
  • Trainer, ELNEC critical care, 2011

Issues Statement

The recent Institute of Medicine of the National Academies (IOM) report, “The Future of Nursing: Leading Change, Advancing Health,” includes four key messages:

  1. Nurses should practice to the full extent of their education and training.
  2. Nurses should achieve higher levels of education and training through an improved education system.
  3. Nurses should be full partners with physicians and other health professionals in redesigning healthcare in the United States.
  4. Effective workforce planning and policymaking require better data collection and information infrastructure. 

There are many opportunities for AACN to continue to champion this transformation in nursing. One barrier to nurses practicing to the full extent of their education and training is the variability among states in the legislation defining the scope of nursing practice, especially for advanced practice RNs.

This discrepancy creates more challenges where nurses are already in short supply. The support and leadership of AACN in these efforts to conform to the National Council of State Boards of Nursing Model Nursing Practice Act is important and relevant.

Achievement of higher levels of education, including increasing the number of nurses with a Bachelor of Science in nursing (80 percent by 2020) and doctorates (double the number by 2020), will require fundamental changes, including new competency-based curricula, more funding for programs and stronger employer incentives to develop and support educational progress.

AACN should be a bold voice and step forward to lead acute and critical care nursing by creating strategic partnerships with schools of nursing, supporting residency programs that encourage RN mentor and mentee relationships, providing more scholarships and engaging local AACN chapters in this process.

Collaborative efforts with physicians and other health professional will allow best practices to be shared, improve health outcomes and implement effective practice environments.

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