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Transcript of Nursing matters March 2016
www.nursingmattersonline.com
March 2016 • Volume 27, Number 3
NursingmattersINSIDE:
What if ...
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Edith Lockwood
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Nurse’s role
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Kenneth BriertonUW-Milwaukee College of Nursing
The University of Wisconsin-Milwau-
kee’s College of Nursing is located in the
economic and cultural capital of Wiscon-
sin, opening doors to 21st century career
connections and world-class learning
opportunities for the most diverse popu-
lation of students in Wisconsin.
The leadership, passion and vision of
UW-Milwaukee faculty and staff pro-
pel students to excellence in research,
achievement and community engagement.
An innovative, academic nursing com-
munity, the UW-Milwaukee College of
Nursing faculty, staff, students and alumni
are renowned leaders in creating bold and
effective solutions for advancing local,
national and global health.
With an undergraduate enrollment of
1,300 and graduate enrollment of more
than 300 students, opportunities to
engage are endless. The college offers a
wide array of programs leading to Bache-
lor of Science, Master of Nursing, Master
of Science, Doctor of Nursing Practice and
PhD degrees.
Innovative opportunities for a Reg-
istered Nurse to complete a bachelor’s
degree include the following programs:
• BSN@Home – online,
• BSN@Work – in partnership with
area health systems and
• BSN FLEX Option – online, compe-
tency-based.
The Master of Nursing – Direct Entry
is designed for students with a degree in
a field other than nursing and is ideal for
those interested in becoming a Clinical
Nurse Leader. The Master of Nursing
program offers students a nurse gener-
alist master’s program that successfully
builds on an existing Bachelor of Science
in Nursing degree. Finally, the Master
of Sustainable Peacebuilding program
prepares nurses and non-nurses with
the transdisciplinary skills and concepts
required to manage and solve today’s
complex global problems.
The college has a Doctor of Nursing
Practice program with a wide array of
specialty options, including Family Nurse
Practitioner, Clinical Nurse Specialist
options in Gerontology, Pediatrics and
Maternal Child, as well as Nursing Sys-
tems Leadership and Community-Pub-
lic Health.
UW-Milwaukee supported an early
PhD program in nursing and in 2003
launched the first fully online PhD in
Nursing program in the nation. With both
campus-based and online options, the
college has a large doctoral cohort of stu-
dents from around the world – increasing
the college’s impact internationally.
U.S. News & World Report consistently
ranks the College of Nursing among the
top 10 percent of nursing schools with
graduate programs in the nation. More
than 33 percent of the college’s faculty
and scientists are Fellows in the Ameri-
can Academy of Nursing, an indication
that students have an opportunity to
learn from the best nurse scientists
and educators.
As the largest College of Nursing in the
state, UW-Milwaukee partners with more
than 160 clinical agencies. Those part-
nerships prepare graduates for the depth
and breadth of skills needed to excel in the
complex health care environment as prac-
titioners, educators and researchers.
As a campus center of excellence,
the UW-Milwaukee College of Nursing
Institute for Urban Health Partnerships
is one of a select few programs nationally
that matches faculty expertise with the
community to develop more effective
health-care solutions in real time. The
institute provides organizational support
for the college’s two community nurs-
ing centers – House of Peace and Silver
Spring Community Nursing Centers, and
the Center for Global Health Equity. The
academic units coordinate UW-Milwau-
kee faculty, staff and students to partner
with other health professionals and social
service providers in at-risk neighborhoods
UW-Milwaukee celebrates 50 years
TROYE FOX/UW-MILWAUKEE
UW-Milwaukee College of Nursing prides itself on its diverse student population. Whether a Wisconsin resident, from out of state or international, the College of Nursing welcomes those who love nursing.
Undergraduate students receive clinical experience in partnership with more than 160 agencies. This student works diligently in 2000.
continued on page 4
March • 2016 NursingmattersPage 2
Nursingmatters is published monthly by
Capital Newspapers. Editorial and business
offices are located at
1901 Fish Hatchery Road, Madison, WI 53713
FAX 608-250-4155
Send change of address information to:
Nursingmatters
1901 Fish Hatchery Rd.
Madison, WI 53713
Editor .......................................... Kaye Lillesand, MSN
608-222-4774 • [email protected]
Managing Editor .................................. Julie Belschner
608-250-4320 • [email protected]
Advertising Representative.................... Teague Racine
608-252-6038 • [email protected]
Recruitment Sales Manager ......................Sheryl Barry
608-252-6379 • [email protected]
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608-252-6267 • [email protected]
Publications Division Manager ................. Matt Meyers
608-252-6235 • [email protected]
Nursingmatters is dedicated to supporting and
fostering the growth of professional nursing. Your
comments are encouraged and appreciated. Email
editorial submissions to [email protected].
Call 608-252-6264 for advertising rates.
Every precaution is taken to ensure accuracy, but
the publisher cannot accept responsibility for the
correctness or accuracy of information herein or for
any opinion expressed. The publisher will return mate-
rial submitted when requested; however, we cannot
guarantee the safety of artwork, photographs or manu-
scripts while in transit or while in our possession.
EDITORIAL BOARD
Vivien DeBack, RN, Ph.D., Emeritus
Nurse Consultant
Empowering Change, Greenfield, WI
Bonnie Allbaugh, RN, MSN
Madison, WI
Cathy Andrews, Ph.D., RN
Associate Professor (Retired)
Edgewood College, Madison, WI
Kristin Baird, RN, BSN, MSH
President
Baird Consulting, Inc., Fort Atkinson, WI
Joyce Berning, BSN
Mineral Point, WI
Mary Greeneway, BSN, RN-BC
Clinical Education Coordinator
Aurora Medical Center, Manitowoc County
Mary LaBelle, RN
Staff Nurse
Froedtert Memorial Lutheran Hospital
Milwaukee, WI
Cynthia Wheeler
Retired NURSINGmatters Advertising Executive,
Madison, WI
Deanna Blanchard, MSN
Nursing Education Specialist at UW Health
Oregon, WI
Claire Meisenheimer, RN, Ph.D.
Professor, UW-Oshkosh College of Nursing
Oshkosh, WI
Steve Ohly, ANP
Community Health Program Manager
St. Lukes Madison Street Outreach Clinic
Milwaukee, WI
Joyce Smith, RN, CFNP
Family Nurse Practitioner
Marshfield Clinic, Riverview Center
Eau Claire, WI
Karen Witt, RN, MSN
Associate Professor
UW-Eau Claire School of Nursing, Eau Claire, WI
© 2015 Capital Newspapers
Jay HeckCommon Cause in Wisconsin
After what occurred this past fall in
Wisconsin, it might be tempting to just
give up and tell ourselves that we can-
not fight this rigged political system.
After all – despite
thousands of calls,
letters and emails
from citizens across
the state opposing
the destruction of
the (Government
Accountability
Board) and the GOP
campaign finance
“deform” legislation,
and virtually no citi-
zen support for either and with opposition
from (many) Wisconsin newspapers –
Republican legislators still trashed key
parts of our state’s democracy in a way
that will make all our voices seem even
less relevant and listened to by a Legis-
lature and governor who care only about
consolidating one-party political control
over our state.
We might want to just give up and whine
a lot during 2016 – a critical election year
in Wisconsin and in the nation if there ever
was one. But is that a realistic option? Of
course it’s not. It’s not what we do!
Instead, we must organize and vote in
numbers during 2016 that we have never
achieved before. That is our only option!
But voting in Wisconsin is no longer
as easy as it once was. The 2016 elections
will be the first – other than a single pri-
mary election in 2011 – in which a voter
photo ID will be required in order to cast a
ballot. If you have a valid Wisconsin driv-
er’s license, this might seem like no big
deal. But for those who don’t, this is a very
big deal. If we hope to amplify our voices
so they will have the greatest impact, we
must help ensure that every eligible voter
in the state has the required form of ID
they will need in order to vote.
Sounds like a pretty tall order. It is, but
it is eminently doable. And we must do it!
If we all do these three things – and we
do them beginning now and between the
April 5 spring general election for state
Supreme Court justice and the Presidential
Primary – we have a real shot at achieving
the level of eligibility for Wisconsinites to
be able to vote that we will need to prevail
over the corrupt status quo.
A: Check to see that you are registered
to vote at your current address. If you are
not, please don’t put it off; register now.
B: Look over the Voter ID fact sheet to
ensure you have a photo ID that can be
used as a voter ID. If you do not – again,
don’t put it off. Follow the steps (shown,
to) get an ID. Now.
C: Ask between 15 and 20 people you
know – family, friends, neighbors, any-
one! – if they have an acceptable form
of ID for voting, and if they don’t, help
them get one. If they don’t have a ride to
the (Department of Motor Vehicles to get
an ID), offer to take them! Make it your
mission to be responsible for 15 to 20 other
citizens to have what they need to cast a
ballot April 5, and make sure they are able
to do so and do it!
BONUS Step: Share our general voter
ID fact sheet, our sheet for senior citizens
and for college students (– share on)
Facebook, Twitter (and) online forums –
anywhere and any way you think helpful.
You can also direct people to www.com-
moncausewisconsin.org where these three
fact sheets can be found and accessed on
the upper-right corner of our home page.
The best revenge for what Walker and
his hyper-partisan allies did to democracy
in Wisconsin during 2015 – and earlier – is
the application of more democracy! Spe-
cifically – exercising your right to vote and
ensuring that you and everyone you know
is “properly equipped” to cast a ballot
at the polls. The time for complaining is
over. The time to take pro-active, positive
steps to reclaim Wisconsin for the citizens
of the state is now! Do it.
Common Cause in Wisconsin is a
non-partisan, non-profit citizen’s lobby
that focuses on campaign finance, election,
andlobby reform, open meetings law and
other issues concerning the promotion and
maintenance of “clean,” open, responsive
and accountable government.
Voting well is the best revenge
Jay Heck
The American Nurses Association is a
proud member of the Nurses on Boards
Coalition with the goal of putting 10,000
nurses on boards by 2020. The (coalition)
represents national nursing and other
organizations working to build health-
ier communities across the nation by
increasing nurse presence on corporate,
health-related and other boards, panels
and commissions. The (coalition) seeks
to raise awareness that all boards would
benefit from the unique perspective of
nurses to achieve the goals of improved
health, and efficient and effective health
care systems at the local, state and
national levels.
The (Nurses on Boards Coalition
recently held) a special week-long “Leap
into Leadership” campaign (that encour-
aged) nurses nationwide to visit the (coa-
lition’s) website to click the “Be Counted”
tab. We also want to know if you wish to
serve on a board. We know there is a cadre
of nurses who are ready, willing and able
to make a difference by serving on boards
of community, health and other organi-
zations.
Help Us Spread the Word! Visit the
Nurses on Boards Coalition website.
(http://nursesonboardscoalition.org)
Tell your colleagues about the campaign.
Share the “Leap into Leadership” mes-
sages on social-media sites. Also view
and share the article in “The American
Nurse,” (entitled) “Nurses on Boards
Coalition reports on progress.” It will take
all of us to reach this ambitious goal, so
please support the (coalition)!
Marla J Weston, PhD, RN, FAAN
CEO, American Nurses Association
Co-chair, Nurses on Boards Coalition
Debbie Dawson Hatmaker, PhD,
RN, FAAN
Executive Director
American Nurses Association
Join the Nurses on Boards Coalition
LETTER TO THE EDITOR
GUEST EDITORIAL
March • 2016www.nursingmattersonline.com Page 3
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Brenda Zarth
Pain is an extremely individual and
complex subject. But basically pain makes
a person stop. Physical pain stops a person
in his or her tracks, causing a sudden and
complete halt. Emotional pain can immo-
bilize a person. Men-
tal anguish can cause
the sufferer to seek
a dark, quiet space
away from every-
thing and everyone,
stopping input.
Could pain possibly
have a purpose, at
least sometimes?
Physical trauma
takes time to heal; the
body needs to stop
and rest. Swelling needs time to dissipate,
bones need time to mend and tissues to
regrow. Pain medication should help calm
the mind so the body can rest and heal.
Physical Therapy is used to rebuild muscle
mass and to strengthen joints. It should
be done a little more each episode, always
pushing to the point of pain. Pain signals
when the body has had enough for the
day; it’s then time to rest again.
Emotional pain immobilizes by using
anguish; everything feels upside down.
There is a loss of what’s normal; a person’s
comfort zone is damaged. Life is a blank
slate. The patient needs to recreate the
normal, find firm footing, establish new
roots and rebuild a foundation. The pain
may actually give a person support to stop
him or her from blindly running in circles;
it shields the mind from further danger.
It causes a person to move slowly, to take
time with decision-making, to think lon-
ger before acting. It can give a person time
to become reestablished.
Mental pain drives a person to with-
draw, to prevent too much input. The
patient needs a dark room, a quiet place,
where the brain can rest. A person needs
silence so she or he can sort it all out, put
it back in perspective and make sense of it.
The person pulls back, allows the pieces to
drop back into place and quiets the pain.
As a nurse, my job is to listen. What
kind of pain does the patient have? Is it
stabbing, grabbing, cramping, aching, pins
and needles, sharp or dull? Is it constant or
intermittent? Is there anything that brings
it on or helps relieve it? When did it start?
The stories unwind – aching pain from
a heavy-machinery accident and a broken
back three years ago. My patient wants a
pain pill so he can keep working. The pain
pill allows him to keep lifting, working
hard, stretching and straining against his
weakened and broken back.
Why does he still have pain after his
bones and tissues should have healed?
Did he give himself time off to heal at the
original onset? What kind of rehab did
he have after the initial accident? Did
he go to Physical Therapy to rebuild and
strengthen? Did he have a re-injury?
What is Pain?
Physical pain stops a person in his or her tracks, causing a sudden and complete halt.
Brenda Zarth
WHAT IF ...
continued on page 4
March • 2016 NursingmattersPage 4
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today through one of our innovative programs:
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Learn more! marianuniversity.edu/nurse
Inspired to care
UW-Milwaukeecontinued from page 1
as near as Milwaukee and as far away
as East Africa. Through these academic
community partnerships, the UW-Mil-
waukee College of Nursing provides pri-
mary health care, improves environmental
health, and coordinates health education,
care coordination and prevention services.
Research is vital to the college’s
mission as a premier, urban, academic,
collegial nursing community engaged in
transforming health-care delivery and
health-care policy. The college’s research
portfolio is supported by the Harriet H.
Werley Center for Nursing Research and
Evaluation – one of the first in the nation,
opening in 1983.
In 2015 the college kicked off its 50th
Anniversary Celebration, which culmi-
nates in April 2016. The college is part-
nering April 14 with community centers,
agencies and organizations to “Celebrate
Community Impact.” The college will
on April 15 recognize “50 Distinguished
Alumni” who have contributed to the
field of nursing in extraordinary ways.
Alumni, partners and friends will join
together April 16 for the “BIG Celebration,”
highlighting the contributions and accom-
plishments of the college’s 50 years.
During the 2016 Midwest Nursing
Research Society’s annual research con-
ference, the college will kick off March
16 the inaugural Suzanne Feetham Dis-
tinguished Lecture Series, featuring Dr.
Kathleen Knafl, PhD, FAAN.
Visit www.uwm.edu/nursing/50th or
contact Wendy Welsh at [email protected]
or 414-229-3590 for more information.
TROYE FOX/UW-MILWAUKEE
Undergraduate nursing education maximizes hands-on learning, technological innovation and training, and a comprehensive survey of nursing theory and practice.
UW-Milwaukee College of Nursing has had a full bachelor’s of science nursing program at UW-Parkside for more than 30 years.
UW-MILWAUKEE NURSING HISTORY CENTER
Milwaukee Hospital nursing students in 1914 wear the school’s peaked caps.
Paincontinued from page 3
Was there underlying collateral
damage that occurred with his original
accident that was never addressed? I
wonder about the circumstances of the
accident; how was he hurt? Who else
was involved? Is there any emotional or
mental trauma involved that is asking
for intervention? Should we still be giv-
ing him pain medicine for an accident
that happened three years ago?
After six months to a year shouldn’t
he be back to baseline? Has he devel-
oped a dependence or addiction to
the pain medicine? The pain medicine
allows him to ignore the stop sign that
his body or mind is putting up. Maybe
he has a weak back and is no longer able
to continue his current job. Maybe he
needs to move to a supervisor position
or something that is less strenuous.
He needs to understand that pain
medicine is not just blocking his pain;
it is slowing his bodily systems, weak-
ening his organs and making him age
prematurely. The pain pill isn’t a free
pass. It has a cumulative cost that may
demand payment in the future. I heard
an analogy from a pain-clinic nurse
who said pain pills do not treat pain by
eliminating it. They figuratively shove
it into a closet and store it. Therefore,
stopping pain pills can cause the pain to
increase because the patient is releasing
the memory of the accumulated pain.
Pain is complex. It often involves a
comprehensive approach, taking into
consideration the likes and dislikes of
individuals. It requires consideration
of spiritual and religious values. A
treatment plan often needs to bow to
financial ability and time constraints.
Treatment requires looking at the
whole picture. The nurse must do a
comprehensive assessment, assessing the
true roots of the problems and working
out a treatment plan that is acceptable to
the patient. Part of the key is being clear
with patients in the beginning regarding
the side effects of narcotics, cautioning
from the beginning regarding long-term
complications. Encourage patients to use
narcotics short-term for support, but do
not refill prescriptions. I remember when
prednisone was popular for arthritis, and
how challenging it was to take people off
it. Now it’s a fading memory.
A comprehensive case-management
nurse needs to evaluate pain and address
the true cause of remaining symptoms
so they can be treated appropriately. We
move so fast in America that we create too
much of our own stress. We all want to
be a super hero, responding to unrealistic
demands. If we allow ourselves to be more
in tune with our body, we ensure a more
full and productive life. Taking the time to
heal might seem like a luxury but is nec-
essary and will pay back in the future.
Ignoring pain by persistently throw-
ing a pain pill at it can cause long-term
collateral damage. We need to use the
right treatment for the problem. Tai Chi,
yoga, Craniosacral Therapy, reflexology,
acupuncture, Mind Body work or med-
itation might help to internally recon-
nect, and to help define what is interfer-
ing with the completion of the healing
process. It could be a lack of resources or
support. It could be a lack of nutrition.
Email [email protected] or
visit brendashealthplan.blogspot.com
March • 2016www.nursingmattersonline.com Page 5
Oak Park offer competitive pay & bene-ts
with opportunities to grow.
Successful candidates will have proven
dependability, leadership and experience in
a long term care setting is preferred.
If you enjoy working in a fast paced, rewarding,
stable environment with a family like team,
We Want You!
Are you interested in working at a place
where you can be part of a team that
provides quality care to their residents?
Oak Park Place is now hiring:RNs/LPNs to work the PM shift in our
skilled nursing
Part Time Clinical Supervisor to work
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Please apply in person at
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Senior Living Facility
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Assisted
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Facility
718 Jupiter Drive,Madison, WI 53718
The nursing career of Edith Lock-
wood spanned 40 years. Affectionately
known as the Florence Nightingale of
Edgerton, Wisconsin, she was the first
registered nurse in the city and started the
first hospital.
Lockwood was born June 10, 1880, in
Brooklyn, Wisconsin, in Green County, to
Delane and Hannah Slauson Lockwood.
The oldest of three children, her siblings
were a sister, Leila, and a brother, Frank,
who died at about age 14. She grew up
in Brooklyn and graduated from Evans-
ville High school in 1900. That year she
obtained a teacher’s certificate and taught
in rural schools in Green County before
enrolling in the Trinity Hospital Training
School for Nurses in Milwaukee. She
received her diploma in 1903, and became
a Wisconsin registered nurse in 1914,
shortly after nurses were first registered in
the state.
She came to Edgerton in 1904 and
worked as a private-duty nurse. At that
time most babies were born at home, and
most patients were new mothers and their
babies. In addition to caring for them, her
duties usually included preparing meals
for the family, as well as household chores.
The experience led her to believe that the
community needed a maternity hospital.
In 1918, she opened her home as a hospital
and named it the Lockwood Hospital, the
first one in Edgerton.
Eventually the hospital expanded to 12
beds, and patients with a variety of condi-
tions were cared for; tonsillectomies were
often done at the hospital. Lockwood had
one assistant, Clara Christianson, with
help from one other person. But operating
the hospital meant she was responsible
not only for patient care, but also cooking,
cleaning, and laundry, as well as being
“on-call” day and night.
In the five years of its existence, the
Lockwood Hospital provided care to
nearly 2,000 patients and 233 babies.
Lockwood was proud of her babies; family
albums include photos of her with each of
the babies born there.
The hospital closed in 1923, when Edg-
erton Memorial Hospital opened – it was
built as a World War I memorial after an
extensive fundraising drive.
After closing her hospital, Lockwood
took an auto trip of more than 3,000 miles
to San Diego. Driving her Willys-Knight
sedan, she was accompanied by her
mother, aunt, sister Leila and Leila’s
husband, Bob. The arduous trip is hard to
imagine; most roads were gravel or dirt
that turned to mud in the rain. A stretch of
pavement 40 miles long was an event that
she noted in the journal she kept of the
trip. Flat tires were a frequent occurrence
and needed to be patched before proceed-
ing. Progress was slow; her record shows
that 163 miles was their best day. The
travelers took a tent and camped along the
way. But whatever the hardships, Lock-
wood always maintained a love of travel.
When she went to California she
intended to stay, but she returned to
Edgerton two years later. From then until
she retired she worked as a private-duty
nurse. Before intensive-care units were
developed, private-duty nurses often took
care of the sickest patients in the hospital,
though they also cared for patients in
their homes.
Lockwood’s family was always import-
ant to her; she gave care through their
elder years to her parents and an aunt, and
to her sister during her own career and
into retirement. Through financial and
other support she saw to the 1930s college
educations of younger, capable cousins.
A recycler before the term was used, as
a private-duty nurse in well-to-do homes,
she would ask for used but serviceable
Edith Lockwood
Edith Lockwood — 1880-1971
Reprint in a series written by Signe Cooper and
introduced by Laurie Glass in Nursingmatters
continued on page 6
CALENDAR
April 9: Advances in Melanoma
The 48th-annual Southeastern Wisconsin Cancer Conference, Milwaukee
www.wicancerconference.org
March • 2016 NursingmattersPage 6
Faith Community Nursing Dayof Enrichment
“Preparing for the End of Life:Role of the FaithCommunity Nurse”
➤ Moving towards the end of life➤ Advance care planning➤ Healing Service➤ Networking & Exhibits
When: Friday, April 29, 2016Where: Mayo Clinic Health System
Dale Conference RoomLa Crosse, WI
Cost: $55.00 per participantRegister by April 15, 2016
For more information or to register forthis event call (608)796-3670 or email
Sponsored by: Viterbo UniversityFaith Community Nursing Resource Center
Wisconsin’s Department of Health Services (DHS),Sand Ridge Secure Treatment Center (SRSTC) inMauston, is seeking candidates for the positionof Nurse Clinician 2. There are currently severalvacancies available.
This is an opportunity for nurses to work ina challenging and unique setting. SRSTC is anationally recognized facility for the treatment ofsex offenders committed under Wisconsin’s Statute980. As a registered nurse, you will be utilizingthe nursing process in the provision of routine andcomplex patient cares in both a clinic and skilledcare unit setting. New nurses are provided one-to-one orientation designed by a Nurse Clinician 4 thatmeets individual learning needs. An opportunity towork side-by-side with experienced nurses is alsoprovided. Nurses at SRSTC are respected and valuedfor their knowledge, skill and contribution to themission of SRSTC.
To be considered for this position, you will need tocreate an account and apply online. For instructionsplease visit the State of Wisconsin website athttp://wisc.jobs and refer to Job AnnouncementCode 1600590. The deadline for submittingapplications is June 30, 2016. Materials will beevaluated and quali<ed candidates will be invited toparticipate in the next step of the selection process.
EOE
Notice of Vacancy for
NURSE CLINICIAN 2
Sand Ridge Secure Treatment Center
Mauston, Wisconsin (Juneau County)
Lockwoodcontinued from page 5
goods for distribution to needy families
of her acquaintance. Her home was the
collection point in Edgerton for Goodwill
Industries.
In 1955, the city of Edgerton declared
“Auntie Lockwood Day” on her 75th
birthday, in recognition of her outstanding
contributions to the community’s health
and welfare. More than 400 persons,
including many of her “babies” gave a
testimonial dinner in her honor. Among
the many tributes, it was said that she was
“endowed with knowledge, wisdom and a
devout love of human beings.”
Lockwood was a capable, determined,
independent and adventurous woman.
She was also a loving and caring person,
with a contagious sense of humor. Truly a
pioneer in the profession, she was proud
to be a nurse.
After she retired, she continued to live
in her house. She always maintained an
interest in the Edgerton Hospital, includ-
ing later developments, and was named an
honorary charter member of its auxiliary.
She was active in the Methodist Church
and in the Senior Citizens.
In her later years, Lockwood suffered
from arthritis and was forced to use a
walker. The last two years of her life, she
lived in a nursing home in Madison, where
she died Jan. 7, 1971. She is buried in Hope
Cemetery in Brooklyn.
The author thanks Professor Linda Bau-
mann, University of Wisconsin-Madison
School of Nursing for suggesting Edith
Lockwood for a biography, and Lucille and
Roger Boeker for information about her.
Mary Wurzbach
In this, the 50th-anniversary year of
the University of Wisconsin-Oshkosh
College of Nursing, I would partly like
to pay tribute to their legacy and partly
want to extend to nurses across the state
my memories of my mentors’ enduring
philosophy of nursing’s role in the health
care system. I would
like, in this article,
to pass on some of
the insights I gained
when I was a mem-
ber of the first class
in the Bachelor’s
of Science Nursing
Program at UW-Os-
hkosh. I am proud to
have graduated from
there twice – in both
the Bachelor’s of Sci-
ence Nursing and Master of Science Nurs-
ing programs’ first classes, as a pioneer
in developing the role of the Baccalaure-
ate-Prepared Nurse, and a few years later,
that of the Family Nurse Practitioner.
The Bachelor’s of Science Nursing
program at UW-Oshkosh opened in 1966.
There were many students across the state
– some say 500 – waiting to be accepted
into the program. Thirty of us were cho-
sen. Over the years I have built upon the
strong foundation the college provided,
not only in nursing but in life skills. From
my public-health nursing instructor –
also my clinical area as a faculty member
at UW-Oshkosh for 31 years – I learned
that kindness matters and that living a life
that is other than the traditional does not
make one a “bad” person.
For example, early in my academic
nursing career I went on a home visit
with Mary Jane Mayer who, after she left
UW-Oshkosh, became director of the Mil-
waukee County Public Health Department.
We entered a cluttered home and she
expressed the sentiment that clutter is not
unethical. It may be different, but not nec-
essarily “bad.” As we came out, we found
that our car would not start so we were
forced to put out our thumbs – no cell
phones at that time – hoping that some-
one would stop to help. Since we were far
out in the country she suggested it was
an experiment in humanitarianism. She
convinced me of the kindness of strangers
when someone did stop to help us. This
same occurrence happened to two of my
future public-health students, who slid off
an icy road one winter in another county.
Two or three cars stopped within minutes
to assist them. Because of these incidents,
I drove the back roads of Wisconsin, going
to site after site in public health for more
than 31 years, and never – even without a
cell phone – felt any danger.
My psychiatric nursing instructor,
Pat Conley, taught us to analyze the con-
versations of the mentally ill. She also
taught us to be “participant observers” – I
have practiced participant observation
for 45 years, developing my own tech-
niques based on those two simple words
expressed in a class more than 45 years
ago. My leadership instructor, Mary
Barker, taught me to enter situations in
the hospital prepared to address anything
that might create an emergency – with
an effective and immediate response.
She taught me how to always assess an
environment’s infrastructure and available
resources as one entered any new position.
Betty Larson, my medical-surgical
instructor, taught me that “speaking up” –
as many of my own research participants
have also done in their practice – with con-
viction, may change injustice. She and I had
an abiding interest in nursing ethics and
later we both taught one of the first nurs-
ing-ethics courses in the country. I devel-
oped it early in my career as an instructor
at UW-Oshkosh. Dorothy Lane, also my
medical-surgical instructor, taught me
that faculty should “pitch in” and provide
support when students are overwhelmed
by the care situation in which they find
themselves. She also taught me that some-
times one can be humorous about oneself
in awkward situations. Katie Littlejohn was
my third medical-surgical instructor and an
expert in cardiac care. She taught me that
nurses could be capable beyond the expec-
tations of others.
My pediatric instructor, Barb Black,
taught me to use scarce resources wisely.
There were few pediatric sites and we
needed to conserve and preserve the good
will of those that we did have. As did her
sister-in-law and my psychiatric instruc-
tor Pat Conley, Black demonstrated the
importance of quiet, calm and kindness.
Conley also taught me the responsibility
of being a good and informed citizen.
My obstetrics instructor, Dorothy Rock,
taught me the virtue of patience.
Through the years I have developed
skills based on all these wise teachings.
Participant observation became sec-
ond nature. Not judging patients based
on appearance or alternative life style
or manner is essential and frequently
The nurse’s role:
take a nostalgic look back
Mary Ellen Wurzbach
More than anything we were taught that the nurse’s role is that of a team member – the
person in the health care team that is the “change agent.”
Today I believe not only that nurses, as they said way back in the 1960s, are change agents,
but that they may actually have an ethical responsibility
to assume this role.
continued on page 8
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Rolecontinued from page 6
changes the health care outcome. The
importance of kindness, patience and a
belief in others’ humanity still resonates
and endures.
More than anything we were taught
that the nurse’s role is that of a team
member – the person in the health care
team that is the “change agent.” Today I
believe not only that nurses, as they said
way back in the 1960s, are change agents,
but that they may actually have an ethical
responsibility to assume this role.
When I first entered nursing there was
the concept of team nursing and the major
argument was about the nurse’s role. Was
the nurse strictly a record keeper? Was he or
she a manager or the facilitator of the team?
Should nurses spend their time charting
and, in an administrative capacity or as an
actual caregiver, talking with patients and
taking part in the interaction and interven-
tion of the team? Was there a “captain’ of
the team? Today we know that the nurse’s
role is legally a combination of interdepen-
dent, independent and certain dependent
functions, but that they are practicing
under their own licenses and thus even
their seemingly dependent functions may
require independent judgment.
In the master’s program at UW-Osh-
kosh, Dr. Nancy Elsberry continued the
emphasis on the nurse’s role, teaching
both that one develops one’s own role as
a Nurse Practitioner and the importance
of creativity in doing so. Dr. Hildegarde
Siegel, the dean, taught me to be a
researcher and evaluator of the written or
observational record and encouraged me
to work towards the PhD in Nursing. She
also taught me that one could become an
expert on any subject if one worked long
and hard enough at it.
Two faculty remain who have also had
an important impact on the role of the
nurse among many students: Dr. Patricia
Crisham and Dr. Mariah Snyder, both
of the University of Minnesota School
of Nursing, where I received my PhD in
Nursing. Crisham taught that the most
critical role of the nurse in nursing ethics
was to ask the essential and import-
ant questions. Snyder cherished and
role-modeled the very nature of making
a substantive contribution to knowledge
development in nursing.
I hope that some of my reflections on
the development of my nursing career
and health care philosophy have, in some
small way, highlighted the fact that in
every relationship of teacher and student
there are examples of wisdom, some-
times explicitly stated and at other times
implicitly modeled. This wisdom supports
the next generation of nurses in becoming
the “change agents” the previous genera-
tion wished them to be.
Susan Moretz, RN, recently
accepted the role of director
of day surgery, and cancer
and infusion services at
Aspirus Medford Hospital &
Clinics. In this role, Moretz is
responsible for the direction
of patient care in day surgery,
and cancer and infusion-ser-
vices settings. She works to
ensure patient needs are met,
coordinates staff development
and education, monitors changes in
regulation and more.
Moretz started in 1999 at Aspirus
Medford Hospital & Clinics as a certi-
fied nursing assistant. Shortly after, she
earned her nursing degree from North-
central Technical College. During her 16
years in health care, Moretz
has gained experience in a
variety of settings, including
hospital, ambulatory – day
surgery – and infusion ser-
vices. She has also served as
chair of the Nurse Practice
Council and received the
Nightingale Award for Nurs-
ing Practice.
“I love my job and the peo-
ple that I work with,” Moretz
said. “I plan on retiring from Aspirus
Medford. Nothing makes me happier
than caring for the people from my
hometown and surrounding areas.”
Originally from Medford, Moretz
said she enjoys the outdoors and
spending time with her family.
Director named at Aspirus Medford
Susan Moretz