current resident or

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Princeton, MN55371

Special Points of Interest:

• President’sReport page 3• Update:TheFutureof

NursingCampaigninCalifornia

page 6• KeynoteAddress:Patients

andFamiliesas Co-CreatorsofSafety page 8• SpecialMeeting–Bylaws

andPolicyChanges page 9• NursesandtheirDutyto

theLGBTQCommunity page 10• ANAPACandAdvocacy

Events page 11• InfluencingHealthPolicy

byGettingRNsonBoardsandCommissions

page 12• ANA\C2016General

Assembly page 14

ANA\C is AN AffiliAte of the AmeriCAN Nurses’ AssoCiAtioN

Volume 21 • Issue 4October, November, December 2016

State of Our Association Report continued on page 14

President’s Perspective continued on page 2

MeMbership application on page 15

Gain a member!

newsletteralong nurseColleague

toa

Pass this

Robin Schaeffer, MSN, RN, CAE

ANA\C Executive Director

I am honored to be writingmyfirstState of our Association Reportas theexecutivedirectorofANA\C.

This past year, I haveworked with an amazinggroup of dedicated volunteerswho compose your Board ofDirectors.Wehavebeenworkingdiligently to expand thememberexperienceandimproveANA\C’scurrent infrastructure to ensurethat our organization is relevant and progressive. Majoroperationalefficiencieswehavebeenfocusingoninclude:

state of our association report

Robin Schaeffer Executive Director

Office and Meeting SpaceOur new office space is located just across the street

from the State Capitol in Sacramento. We invite allnurses visiting their legislators, or just passing thoroughSacramento,tostopinandvisit.Withabeautifulreceptionarea, twoprivateoffices,aboardroomandsmallkitchen,ournewheadquarters is an ideal site for stakeholder andpartnermeetings.

Communication PathwaysOurnewwebsite, launched in January,was an instant

success.Websitetraffichasincreasedinthemonthssinceour launch asmoremembers visit the site for importantnewsandinformation.Throughwebsiteanalytics,wecanassure that our website is a useful resource. If you havenotyetsetupyourmemberprofile,besuretovisitwww.anacalifornia.org and click on Member Login. You can

President’s Perspective

ANA/C Annual Board and Committee Reports

Corinne MacEgan, MSN/Ed, RN, CHPN

WelcometoanothereditionofTheNursingVoice! It’s been anexcitingfewmonthssincethelastedition came out. Our membershave been sharing their voicesthrough calls, emails, and socialmedia, and we are so happy tohear whatever you have to say.It’s been interesting to read thediffering viewpoints, needs,values,andconcernsthatyouallhave, and I am pleased to sharewith you that your Board andstaff have been acting on yourbehalf.

We are making progress inour new Western MultistateDivision membership,collaborating with other states to better Californiaboth financially and professionally. One example,as I mentioned last issue, was the development andincorporationofacontacthourprogram.Whilethiswon’t

be completed overnight, we are working to ensure anaccurateandstrongprogramwithintheMSDsoyouhavelesstoworryabout.Nursingistoughenough!

We are also working closely with other nursingorganizations inCalifornia to address licensing concernsforboth renewalsandNewGraduates.Werefuse tohaveourheadsinthesandonthis,oranyissue,andhavestrongvoices both on the ground and through letter-writingmeasuresandsocialmediausage.

Speaking of the written word, I recently had aninterview published in The Working Nurse whichcontained an edited statement that I was called uponto clarify by a concerned ANA\C member. The articlestated that I wished to “mend the rift” between ANA\Cand CNA. What I want our membership to realize isthat this 20-year riftwill probably never bemended, butyour organization is working dutifully to communicateprofessionallyandmindfullywithCNAinordertofurthernursing and safe patient care. Our two organizationsfocus on two separate ventures with different ideas andformalities,andmystatementmeant to reflect thehope Ihave thatdisagreementsandhistoricalemotionalbaggage

Corinne MacEgan,BSN, RN, CHPN

Page 2 • ANA\C The Nursing Voice October, November, December 2016

Published by:Arthur L. Davis

Publishing Agency, Inc.

www.anacalifornia.org

AmericanNursesAssociation\CaliforniaisanAffiliateoftheAmericanNursesAssociation

The Nursing VoiceistheofficialpublicationoftheAmericanNurses’Association\California

ANA\CislocatedinTheSenatorOfficeBuilding1121L.Street,Suite406Sacramento,CA95814

Office916-447-0225–Fax916-442-4394AssociationE-mailanac@anacalifornia.org

TheNursingVoiceEditorE-mailthenursingvoice@anacalifornia.org

ANA\C 2015 BOARD OF DIRECTORS

OfficersCorinneMacEgan,BSN,RN,CHPN-President

AnneHughes,APRN,PhD,FAAN-VicePresidentMelanieKrupa-Kelly,RN,MSN,CNOR-Treasurer

MatthewGrayson,BSN,RN-Secretary

Directors MaryEllenDellefield,PhD,RN-NursingPracticeDirectorMaryAnnMcCarthy,EdD,MSN/CNS/NE,STAH,PHN

-NursingEducationDirectorPhillipBautista,BSN,RN,PHN-MembershipDirector

ElizabethO.Dietz,EdD,RN,CS-NP-LegislativeDirector

ADMINISTRATIONExecutiveDirector:RobinSchaeffer,MSN,RN,CAEGovernmentAffairsDirector,SeniorPolicyAnalyst,OfficeManager:MarkétaHoušková,RN,MAIA,BA

Lobbyist:RoxanneGould

The official publication of the ANA\C shall be The Nursing Voice.

TheNursingVoiceispublishedquarterlystartinginJanuary;copy must be received by the first (1st) of November,February, May, and August to be included in the nextpublication. The publication is complimentary to ANA\Cmembers, schools of nursing and their nursing students,affiliates of the association and their memberships. If youwould like to submit a letter, article, or manuscript, forpublication please read ‘Article Submission forTheNursingVoice’inthisissueforsubmissiondetails.

Reprints and Submissions: ANA\C allows reprinting ofnewslettermaterial.PermissionrequestsshouldbedirectedtotheANA\CofficeinSacramento.(916)447-0225.

Advertising:AdvertisingRatesContact–ArthurL.DavisPublishing Agency, Inc. 517 Washington St., PO Box 216,CedarFalls,IA50613,800-626-4081,sales@aldpub.com.

ANA\C and the Arthur L. Davis Publishing Agency, Inc. reserves the right to reject any advertisement. Responsibility for errors in advertising is limited to corrections in the next issue or refund of price of advertisement. Acceptance of advertising does not imply endorsement or approval by ANA\C of products advertised, the advertisers, or the claims made. Rejection of an advertisement does not imply a product offered for advertising is without merit, or that the manufacturer lacks integrity, or that this association disapproves of the product or its use. ANA\C and the Arthur L. Davis Publishing Agency, Inc. shall not be held liable for any consequences resulting from purchase or use of an advertiser’s product.

Copyright©bytheAmericanNursesAssociation\California.

help us stay in touch: Do you have a new address or

e-mail address?

You can help American Nurses Association\California‘stayintouch’byupdatingyourcontactinformation.CallANA\Cat916-447-0225,e-mailusatanac@anacalifornia.orgorreturnthisformto:

The‘Nursing Voice’c/oANA\C1121LStreet,Suite406Sacramento,CA95814

ANA\CMemberIdentificationNo.(ifapplicable)_______________________________________________

Name:_________________________________________

NewAddress:___________________________________

_______________________________________________

_______________________________________________

OldAddress:____________________________________

_______________________________________________

_______________________________________________

NewE-mailAddress:_____________________________

*** This is not to update your license information with the Board of Registered Nursing.Go to www.rn.ca.gov

ANA\C Wants To See You….IN THE NEWS

Haveyouoroneofyourcolleaguesbeenrecognizedforanaccomplishment,electedtooffice,wonanaward,receivedagrantorscholarship,launchedanewventure?Tellusaboutit!Sendname,address,phonenumber,

headshot(jpeg)andnewsto–

E-mail to: TheNursingVoice@anacalifornia.org

Mail to: ANA\California‘INTHENEWS’

1121LStreet,Suite406Sacramento,CA95814

Fax to:916.442.4394

Article Submittal to ‘The Nursing Voice’ANA\California accepts and encourages

manuscripts and editorials be submitted forpublication in the association’s quarterly newsletter,The Nursing Voice. We will determine whichletters and articles are printed by the availabilityof publication space and appropriateness of thematerial. When there is space available, ANA\Cmembers will be given first consideration forpublication.Wewelcomesignedlettersof300wordsorless,typedanddoublespacedandarticlesof1,500words or less, typed and double spaced. ANA\Cwill accept larger narrative if space permits. Formore information please email TheNursingVoice@anacalifornia.orgorcall916.447.0225.

ANA\California’s official publication, ‘TheNursing Voice’editorialguidelinesandduedatesforarticlesubmittalisasfollows.

1. Letters, Articles and Manuscripts should beword processed and double-spaced on one sideof8½x11inchwhitepaper.Manuscriptsshouldbe emailed to Editor at TheNursingVoice@anacalifornia.orga. Letters, Articles and Manuscripts should

include a cover page with the author’sname, credentials, present position, addressand telephone number. In case of multipleauthors, list the names in order in whichtheyshouldappear.

b. The Nursing Voice reserves one-timepublication rights. Letters, Articles andManuscripts for reprintwill be accepted ifaccompaniedwithwrittenpermission.

c. The Nursing VoicereservestherighttoeditLetters, Articles and Manuscripts to meetstyleandspacelimitations.

d. Letters, Articles and Manuscripts may bereviewedbytheEditorialStaff.

e. Letters,ArticlesandManuscriptssubmittedbymembers’ ofANA\Cwill be given firstconsideration when there is an availabilityofspaceinthenewsletter.

f. Letters,ArticlesandManuscriptssubmittedtoANA\Cwillbepublishedasspaceallowsunlesscontentisofatimelynature.

g. Letters,ArticlesandManuscriptsprintedinTheNursing Voicedonotnecessarilyreflectthe views of ANA\C, its membership, theboardofdirectorsoritsstaff.

2. Photographs should be in jpeg format andemailed with the name of the Letter, Articlesor Manuscript referenced in the subject line.Email to TheNursingVoice@anacalifornia.orgPhotographsshouldbeofclearquality.Writethename(s) of thepersonsdisplayed in thephoto intheorderinwhichtheyappearinthebodyoftheemail.

3. E-mail all narrative to TheNursingVoice@anacalifornia.org

may be set aside sometime in the future in order toprogressnursinginCaliforniaonastrongerlevel.

With all of this said, Iwelcomeyou to a very specialedition of The Nursing Voice. Inside you will find anumber of reports from your elected Board memberselucidating on their actions over the past year. I wouldalso like to introduce you to our newest Boardmember,Dr.MaryAnnMcCarthy,whohasagreedtostepintothevacantEducationDirector spot. Ihopeyouwillwelcomeher with open arms. She’s truly fantastic and quiteexperiencedinherrealm.

President’s Perspective continued from page 1

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October, November, December 2016 ANA\C The Nursing Voice • Page 3

By Corinne MacEgan, MSN/Ed, RN, CHPN ANA\C President

This reportwillbequitebrief.Asmanyofyouknow,I was down and out for more than sevenmonths due tocardiac issues. I’m happy to report that I was officially“fixed” in July and have resumed my full duties asPresident.I’dliketothankmyBoardandstaff,especiallyVice President Anne Hughes and Executive DirectorRobinSchaeffer,forfulfillingtheneedsofANA\CwhenIwasunavailable.Thefollowingisasummaryofmymajorareas of participation in state andnationalworkover thepast18months:

• GuestspeakeratmultipleeventsfortheCaliforniaNursingStudents’Association.

• AttendedANAPresident’s ImmersionConferenceinSilverSpring,MD.

• ANAMembershipAssembly2015inWashington,D.C.

• ANA\C General/Virtual Assembly in December2015.

• Advocacy for ANA\C through statewide nursingpublications.

ANA/C Annual Board and Committee Reports

• FormedtheNewGraduateAdvisoryGroup.• ParticipantinAPRNCommitteeteleconferences.• Participant in teleconference meetings of the

Quad-Council (ANA\C, California Association ofColleges of Nursing, California Organization ofAssociateDegreeNursingProgramDirectors,andAssociationofCaliforniaNurseLeaders).

• ParticipantinBRNCommitteemeetings.• RNDayattheCapitol(asVicePresident)2015.• Limited participation in HealthImpact thought

leadermeetingstocreateawhitepaperonnursingeducationredesign.

• Monthly teleconferences with Board of Directorsandstaff.

• Participated via telephone in Board retreats andmeetingsduetoinabilitytotravel.

president’s report

Corinne MacEgan after long-awaited surgery.

By Anne Hughes, PhD, FNP-BC, ACHPN, ACRN, FAAN

Serving as ANA\C’sVice President has been avery rewarding experience.I would like to share theaccomplishments andmilestonesof this past year and thankour member volunteers fortheir dedication and support inachievingthesegoals.

• Elected and servedas Board Secretaryfrom March 2015 untilJanuary2016

• As Secretary, attendedand recorded all 20meetings of the Boardof Directors, including 9 open sessions and 11executivesessions

• AsSecretary,authoredaregularcolumnandboardmeetinghighlightsforThe Nursing Voice.

• InJanuary2016,selectedbyBoardtofill6-monthvacant office of Vice President. This occurredafterVicePresidentCorinneMacEgan succeeded

Vice president’s report

The following Board and Committee Reports capture much of work done this past year. This work will also be highlighted during the business meeting at General Assembly, October 14-15. We thank all our ANA\C members for your support and volunteerism.

Anne Hughes, PhD, FNP, ACHPN,

ACRN, FAAN

Vice President’s Report continued on page 4

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Page 4 • ANA\C The Nursing Voice October, November, December 2016

Mary Ann McCarthy, EdD, MSN/CNS/NE, STAH, PHN

As the newly appointedEducationDirectorofANA\C,Iam fortunate to have a networkof colleagues in educationthroughout the state that allowsme to identify needs andinterest in nursing educationin California. My doctoratein educational leadershipprepared me not only to leadin education but gave me theknowledge and frameworkneeded to review policy andcurriculum. I am in touchwith nursing issues throughANA,CACN,ACNLandNLNand understand the role andimportance of legislative workin nursing education. I am the director of the traditionalbaccalaureateprogramatMountSaintMary’sUniversityLos Angeles and also the BRN director for the pre-licensure baccalaureate programs. Working with theBRN gives me experience with not only prelicensurerequirementsbutalsoinsightintowhathelpsstudentsandprograms be successful. I am alsoKaplanNCLEX prepnursingfacultyandhavetaughtthroughoutCaliforniaforthepast8years.

As a CSNA faculty advisor, I have a workingknowledge and history of educational concerns andpriorities as well as experience in identifying howstudents have successfully transitioned from studentlearner to professional nurse. I am familiar with theaspectsofCNSAandtheirrelationshipswithprofessionalorganizations; CNSA has and will continue to play asignificantroleinthefutureofthenursingprofession.

Dianne Moore as ANA\C President after DrMoore’suntimelydeath

• AsVicePresident,createdandservedaschairofthe2016 General Assembly Planning Task Force withseasonedANA\Cleadersandemergingnurseleaders.

• General Assembly Planning Task Force selectedthis year’s theme (ANA\C Making Waves: Empowering California Nurses), identifiededucationalcontentandprogramformatsbasedonmembers’needsassessment.

• Collaborated with 2016 Resolutions Task Forcelead, Zach Huddleston, to review previouslyadopted resolutions for relevance and develop aprocessformemberstopresenttopicsofconcerntotheBoardandmembershipforpolicyconsideration.

• AppointedANA\Cmember CathyMelter to 2016ResolutionsTaskForce.

• Recruited Tamara AL-Yassin to serve on AwardsTaskForce.

• Proposed creation of the Emerging Nurse Leaderaward to be presented in 2017 and consideredrevisionofcriteriaforcurrentawards.

• Proposed that Representative Lois Capps (D-24thdistrict) receive a special award at 2016 GeneralAssembly

• Served as member of ANA\C Executive LegalMattersNegotiatingTaskForce

• Served as acting ANA\C President in Januaryand February while President MacEgan was onmedicalleave.

• Co-facilitated February Board Retreat with thenInterim Executive Director Robin Schaeffer, toexamine ANA\C’s mission statement and identifystrategicprioritiesbasedonmemberandBoardinput.

• Coordinated recruitment of candidates to beconsidered for the vacant Education DirectorpositionontheBoardofDirectors

• Represented ANA\C at Western State Presidentand Executive Director (WEX) meetings inFebruaryandJune2016

• Represented ANA\C at Western MultistateDivision(MSD)meetinginJune2016

• ServedasleadforANA\Cdelegationto2016ANAMembershipAssembly

ANA/C Annual Board and Committee Reportstreasurer’s report

By Melanie Krupa-Kelly, MSN, RN, CNOR ANA\C Treasurer

This past year, ANA\C’sBoard of Directors has workeddiligently to strengthen theoperational and financialsustainabilityofourorganization.This includes creating newfinancial policies andprocedurestoreplaceoutdatedones.

Revenue: A surplus isprojected for the 2016-2017operating budget. Prior to2016, ANA\C’s income hasbeen generated primarily frommembership dues. According toRobin Schaeffer, ANA\C’s newexecutivedirector,itisalsoimportanttoourorganization’sfinancial growth to identify non-dues revenue streams.ANA\C Weekly, our electronic newsletterwas launched inJanuary2016.Memberfeedbackregardingthisnewproduct

Melanie Krupa-Kelly

hasbeenverypositive.RevenuefromANA\C Weeklycomesfrom advertising – in sixmonthswe have already earned$20,000innon-duesrevenue!

Expenses:Ourexpendituressupportthestrategicgoalsof our organization. Funds are allocated for advocacy,member engagement, and operational infrastructure.Some examples of advocacy expenses are ANA\C’scontracted lobbyist, our staff senior policy analyst, and arobust legislative tracking system. Member engagementexpendituresincludeanewwebsite,contractedwebmaster,meetingplanningservices,andasurveytoolsubscription.Majoroperationalexpensesareofficerental,phone,copymachineandcomputers.

Investments: We have a strong investment portfolioandour reserve ratio (percent of operating fundsANA\Cshouldmaintaintocoverunforeseenincreasesinoperatingexpensesordecreasesinoperatingrevenue)iswellbeyondtherecommended25-50percent,infact,ourreserveratioiscloseto100percent!

I will be presenting a comprehensive Treasurer’s Report at theANA\CGeneralAssembly inOctober. Formemberswhoareunabletoattend,myreportwillalsobepostedintheMembers-Only sectionofourwebsite.

By Phillip Bautista, BSN, RN, PHN Membership Director

In March of 2015, I beganmy second term as MembershipDirector. I’mhappytoreport thatover the past 15months, ANA\Chas increased membership bynearly 1,000 members. Wehave also seen a shift in ourdemographics with an increasein staff nurse membership. Thisrepresentsavoiceandpresenceinour hospitals that has increased,but still has plenty of room forgrowth. The voice of nursesis being heard in all areas ofCalifornia, thanks to previousefforts to identify where are members are throughoutthe state. Efforts by our previous board to encourage acontinuity of involvement from student nurses as theytransition into their roles as staff nurses has resulted in asignificantincreaseinnewgraduateRNmemberships.

One of the most important components of the pastyear forANA\C’smembershipwas a survey that exploredthe landscape of the organization and the needs of our

ANA\C Membership Report

Phillip Bautista, BSN, RN, PHN

members.Through significant restructuring,wewereableto utilize our new website design to effectively engagemembers and increase our dissemination of information.One of the most significant responses we received inour membership survey was a call to increase memberengagement.ANA\Chasheardyourrequestforengagementloud and clear. In addition to our strategic planning, wehave alsoworked hard to increase our presence on socialmedia via Facebook and Twitter.Wewant to continue toengagemembers and address their needs, so please reachouttouswithyourfeedbackandideasbycontactingyourANA\Coffice(anac@anacalifornia.org).

My term as Membership Director will end in March2017whennewlyelectedboardmemberstakeoffice.TheANA\C Ballot Committee is searching for candidatesfor this position. I have beenworking to ensure that theMembershipDirector position iswell poised for the nextdirectortoexceedcurrentgoals.Throughourpartnershipswith other nursing associations, we are preparing toexpandourservicestoincreaserecruitment,retentionandmembershipsatisfaction.

If you are interested in the Membership Directorpositionorhavequestionsorsuggestionsaboutmembershiprecruitment,ANA\C presence at events, or how your unitmay be benefiting fromANA\C, please feel free to reachouttomeatmembership@anacalifornia.org.ThankyouforyourmembershipandinvolvementinANA\C

Mary Ann McCarthy, EdD, MSN/CNS/NE,

STAH, PHN

Vice President’s Report continued from page 3

education Director report

Faculty EmploymentOpportunities

• OpenrankTenureTrackinPopulationHealthorMedicalSurgicalNursing

• AssistantProfessorTenureTrackinPopulationHealthorMedicalSurgicalNursing

• OpenRankTenureTrackorAssistantProfessorinAdult/GeriatricAcuteCareNursePractitioner/APN

Required Documentation:1. Letterofinterest2. Curriculumvitae3. Threecurrentlettersofrecommendation4. Originaltranscriptfrominstituteawardinghighestdegree5. CompletedCalStateLAEmploymentApplicationwithoriginal

signature

Forcompletejobdescriptionsvisit:http://www.calstatela.edu/academic/position

Addressletterofapplication,requireddocumentationand/orrequestsforinformationto:

Dr.GailWashington,Director,SchoolofNursingCaliforniaStateUniversity,LosAngeles

5151StateUniversityDrive,LosAngeles,CA90032-8164(323)343-4700

For email correspondence:csugiura@calstatela.edu

October, November, December 2016 ANA\C The Nursing Voice • Page 5

By Kathy Falco, MSN, RNChair, Bylaws Committee

As a new committee, ourmembers worked diligently tobuildourcommunicationprocessand to share projects effectively.Committee members are to becommended for creating anethical, fair, respectful andtransparent environment to bringforth the best work possible.To strengthen communicationbetween the Bylaws Committeeand ANA\C Board of Directors,acommitteememberwaspresentatboth2016BODretreatsandontwoBODtelephonemeetings.

2016 Accomplishments Inthefirsthalfof2016,theBylawsCommitteeworked

withatighttimeframeontwooverlappingprojects:The2016ProposedAmendmentstotheANA\CBylaws

documentisfinalizedandhasbeenmadeavailabletoourmembership for review and comment. These proposedamendments will be discussed and voted on at the 2016General Assembly (GA) in October in Redondo Beach.The final document also includes proposals prepared forlast year’s GA but were not presented. Additionally, thecommittee provided rationales explaining to the author(s)who submitted a proposal(s) explaining why his or herproposaldidnotgoforward.

In April, the Bylaws Committee was notified of theANACommittee onBylaws (COB)Call for aReviewofConstituent State Nursing Association Bylaws. In ordertomeetANACOB’sreviewrequestbytheJunedeadline,ANA\Cmembershipwasnotifiedofanearliercutoffdatetosubmitbylawproposals.

Three separate documents were submitted for review:the current ANA\C Bylaws (as amended at the 2014General Assembly), the 2016 Proposed Amendments tothe ANA\C Bylaws (draft) document and a completedANABylawsConformityGrid.TheGridwasanintensivecomparison of ANA and ANA\C bylaws to ensureharmonybetweenbothdocuments.

TheANACOBhas sincecompleted thebylaw reviewprocess and I’m pleased to report that our bylaws arein good shape. ANA COB recommendations have beenapplied to the Proposed Amendments document and ispostedontheANA\Cwebsite.

2015 AccomplishmentsIn 2015, the Bylaws Committee prepared Proposed

Amendments to the Bylaws document for the 2015GeneralAssembly.AdocumentinresponsetoANA’sCallforCommentsonProposedAmendmentstoANABylawswas prepared for the BOD and Membership Assemblyrepresentatives.

Involving ANA\C Members in the Bylaws ProcessTo ensure that membership has a voice in the bylaw

process, the committee will continue to place a Call forBylawProposalsstatementwithasubmissiondeadlineinthemostcurrentformatusedbyANA\Ctocontactmembership.

Kathy Falco, MSN, RN

bylaws committee report

ANA/C Annual Board and Committee Reports

By Mary Ellen Dellefield, PhD, RN Nursing Practice Director

ANA\C has experiencedphenomenal growth and changesinceour2015GeneralAssemblyin December. Many of thesechanges are obvious when youexploreournewwebsiteandreadourpublicationsandemailblasts.

In the coming year,we will provide memberswith more resources thatlink research findings withproposed legislative activitiesbeing monitored by ANA\C.While other national nursingorganizations provide resourceson clinical practice specialties, such as oncology orpediatrics, ANA\C is uniquely positioned to providemembers with information linking California legislativeactivities to relevant research evidence in nursing orhealthcare. This will enable members to expand theirevidence-based nursing practice to include Californialegislativeproposalsaffectingnursingpracticeandhealthcareinourstate.

I look forward to working with members to createstrategies to meet your needs and better link nursingpractice,evidence,andlegislativeproposalsinCalifornia.

nursing practice report

By Liz Dietz, EdD, RN, CS-NP Legislative Director

2016 has been an extremelybusy and productive year forANA\C’s legislative/regulatorydepartment. Our organizationis blessed to have two excellentstaff members and vitalresources:ourlobbyist,RoxanneGould, andGovernment AffairsDirectorMarketa Houskova. Asyour elected legislative director,IdependgreatlyonRoxanneandMarketa.

We are winding downthe second year of a two-year legislative cycle and arefollowing 47 bills. This numbermayseemsmallwhenyouthinkoftheapproximately3000billsbeforetheCaliforniaLegislature,butIcanassureyou,following47bills is no easy task.Our team is at the statecapitol regularly, often multiple times per day to attendhearingsandmeetings. InournewANA\Cheadquarters intheSenatorBuilding,wehaveatelevisionservicethatallowsus to access live streaming of many committee hearings,making the task of staying informed more manageable.Additionally,thisserviceprovidesuswithdailyinformationonstatelegislativeandregulatoryissues.Besidesreviewingthis information, we maintain a list serve for ANA\C’s

legislative reportLegislative Committee so that committee membersremainup-to-dateandcanprovide inputon legislativeandregulatoryissuestoourstaffandBoardofDirectors.

We continue to follow and participate in Board ofRegistered Nursing (BRN) hearings and committeemeetings.SinceBRNmeetingsalternatebetweenNorthernand Southern California locations, Marketa and I havevisited several California cities. One of the importantinitiatives we participated in was the revision of nursepractitionerregulations,whicharenearingfinalization.

This year, I continued to represent ANA\C on theAPRN (Advanced Practice Registered Nurse) Coalitionthat was created by ANA\C, HealthImpact, and theCalifornia Action Coalition. We continue to participatein monthly conference calls and periodic face-to-facemeetings. Since there were two APRN bills this year,onefornursepractionersandonefornursemidwives,weattended meetings and legislative hearings concerningboth these bills. I also represent ANA\C on the18-memberBoardofDirectorsforCaliforniansAlliedforPatientProtection(CAPP).Roxanne,MarketaandIattendBoardandPACmeetingsforthisgroup.

On the national level, we collaborate with ANA’sGovernment Affairs Department and participated inANA’s annualLobbyDay inWashingtonDC.WhileweareinDCfortheANAMembershipAssemblyandLobbyDay, wemet with ANA’s Governmental Affairs staff togain a national perspective as well as discussing issuesaffectingCaliforniaRNs.

Asweplanforthenextlegislativecycle,weareintheprocess of creating anANA\C Public Policy Committeeto provide input and guidance to the ANA\C Boardof Directors concerning present and future topics ofimportanceinnursingandhealthcare.

ThankyoutoourANA\Cmembershipforyourenergy,supportandencouragementtohelpusrepresentthevoiceofnursing!Opportunities toget involvedwithourpublicpolicyworkcanbefoundatwww.anacalifornia.org.

Mary Ellen Dellefield, Ph.D, RN

Liz Dietz, EdD, RN, CS-NP

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Page 6 • ANA\C The Nursing Voice October, November, December 2016

ANA/C Annual Board and Committee Reports

By Monica Weisbrich, BSN, RN and Gayle Sarlette, BSN, RN

Members of ANA\C and the healthimpact Advisory Council

OnOctober 5, 2010,The Institute ofMedicine (IOM)published the landmark report, The Future of Nursing: Leading Change, Advancing Health. In partnershipwith the Robert Wood Johnson Foundation and AARPFoundation, the Future of Nursing Campaign for Actionwasformed.Theinitial8RecommendationsforNursingwere:

1. Removescope-of-practicebarriers.2. Expandopportunitiesfornursestoleadanddiffuse

collaborativeimprovementefforts.3. Implementnurseresidencyprograms.4. Increasetheproportionofnurseswithbaccalaureate

degreesto80percentby2020.5. Double the number of nurseswith a doctorate by

2020.6. Ensurethatnursesengageinlife-longlearning.7. Prepare and enable nurses to lead change to

advancehealth.8. Buildan infrastructureforcollectionandanalyses

ofinter-professionalhealthcareworkforcedata.

2016marks the five-year anniversary of the Future ofNursing Campaign and the California Action Coalition.During this time, the original 8 Recommendations forNursing have undergone multiple changes, evolving intothefourpillarconceptof:Education,Leadership,Practiceand Data. Today, the work being accomplished fallsnaturallyunderthesefourpillars.

The leaders of the California Action Coalition, inlooking for ways to advance their work, identified the

Update: the Future of nursing campaign in californianeedtoreframe,rebootandrefocus.TheCaliforniaActionCoalition and HealthImpact partnered to increase theirsustainability and facilitate both organizations’ commongoal of positively influencing healthcare delivery inCalifornia.Aconsiderableeffortbyvolunteersinourstatehasresultedinacommendablebodyofworkrelativetothe8RecommendationsforNursing.Updatesonthreeofthe8RecommendationsforNursingwillbedescribed.

Recommendation 3 – The goal of implementingnurse residency programs has seen much activity. Asmallgroupofvolunteersconducteda thoroughliteraturereview,consultedwithsubjectmatterexpertsandreviewednationally-recognized standards and guidelines fromseveral sources. The result was an extensive documentthat provides nurse leaders across practice settings withresourcesfordesignorvalidationofnurseresidencyand/or transition to practice programs. Data collected lastyear, from across California, indicated awide variety ofresidency,transitionto/inpracticeprograms:12activepre-employment nurse residency programs, 28 commerciallyoutsourced, externally developed new graduate nurseresidencies and 16 internally developed new graduatenurse residency programs. Additional work is nowoccurring to develop programs for nurse preparation inspecialtyroles–perioperative,emergency,andperinatal.

Recommendation 4 – We have experienced progressin California in increasing the number of nurses withBaccalaureatedegrees.AccordingtodataprovidedbythenationalAcademicProgression inNursing(APIN)office,California had 40.4 percent of RNs with BSN or higherin2008. In2012 thatnumberhad risen to50percent (anincrease of 9.5 percent). Two years later it had risen to61.5 percent, an 11.5 percent increase. Of the 71 ADNprograms in California, 61 of them have a relationshipwithaBSNprogram.

InarecentstudyconductedbyUniversityofCalifornia,San Francisco, chief nursing officers were asked howthey perceived the current RN labor market. Overall,they reported the demand for RNs in general and BSNpreparedRNsspecificallyisrising.Nationally,nursesarereturningtoschoolinrecordnumberstoobtaintheirBSNs– more than 110,000 RNs returned to school this year.Theresearchshowsthathospitalswithhigherproportionsof nurses with BSNs have better patient outcomes. Thisincludesresearchconductedpriortothepublicationofthe2010IOMreport,aswellasadditionalresearchsincethenconfirmingtheearlierwork.

InCalifornia, there are several examplesofAcademicProgression inNursing (APIN) achievement. InSouthernCalifornia, for example, there are many expandedacademic/servicepartnerships.CaliforniaStateUniversity,Los Angeles and California State University, Fullerton,aswellassomeprivatecollegeshavepartneredwiththeirservice colleagues to provide opportunities for severalcohortsofRNstoobtaintheirBSNdegrees.

Recommendation 7 – The California ActionCoalition partnered with the Association of CaliforniaNurse Leaders (ACNL) to develop and support futurenursing leaders through theACNL/LifeMoxieMentoringProgram. By connecting experienced nurse leadersin service or academia with emerging nurse leaders,the ACNL/LifeMoxie Mentoring Program providesopportunities for mentees to develop leadership skills,and for mentors to advance the nursing profession. Thisstructuredsix-monthprogram,utilizingavirtualplatformcontaining multiple resources for mentors and mentees,launcheditssixthcohortinMay2016.Moreinformationisavailableatwww.acnlmentoring.org.

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October, November, December 2016 ANA\C The Nursing Voice • Page 7

ANA/C Annual Board and Committee Reports

(Figure 1)

The Future of Nursing Campaign Introduces The Culture of Health

Decemberof2015 saw theFutureofNursingnationalcampaignunveil a newdirection,The Culture of Health,withfourkeymessages:

• Everyonedeservestolivethehealthiestlifepossible.• Nursesareessentialtocreatingacultureofhealth.• Nursesaretransforminghealthandhealthcare.• Nursescannotdothisalone.

There are 51 Action Coalitions nationwide in theprocess of incorporating The Culture of Health into theworkbeingdoneon the8Recommendations forNursingalong with the four pillars – Education, Leadership,Practice and Data. Leaders of the California ActionCoalition have developed a graphic representation of theinteractionoftheseconcepts(See Figure 1).

ThesepastfiveyearsofCaliforniaActionCoalitionworkhaveprovideduswithmany lessons, including theneed toexpand the amount of grantwriting and coalition buildingto include social andnon-medicaldeterminatesofhealth–education,housing,foodandtransportation.Wemustengagecommunities in discussing what health really is, whereitcomes fromand thathealthandhealthcareareasharedvalue.What is it that makes YOUR community healthy?

TheCaliforniaActionCoalitionandHealthImpactwillbeaddressingtheactionstepsthatsupportthefourkeymessagesofThe Culture of Health movement inthenearfuture.

It will be our pleasure to keep the membership ofANA\Cupdatedonthisimportantwork.

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Page 8 • ANA\C The Nursing Voice October, November, December 2016

By Anne Hughes, PhD, FNP-BC, ACHPN, FAAN ANA\C Vice President

In a poignant and powerfulkeynote address, Dr. KnitashaWashington,ahealthcareexperton patient safety, health equityand patient/family engagement,described the story of herfather’s death as a result of apreventable error. She sharedthe pain her family endured notonlyathissuddenloss,butinthedelay in findingout the truthofwhatwentwrong.

Dr. Washington challengedallnursestoenlisttheirpatientsand families as partners inpatient safety and achievingbetter health outcomes. Patient and family engagementrequires nurses to examine their unconscious beliefsand attitudes (i.e. implicit bias) about their patients andfamilies thatmay interferewith development of effectivepatient/family/nurse partnerships. Dr. Washingtonemphasized that patient engagement should not onlyoccur at the bedside, in the home or in the clinic, but atthe population level across the continuum of care. Thisincludescoalitionscommitted to improvingpatientsafetyor those dedicated to improving the care of specificillnesses, such as cancer, Alzheimer’s dementia, spinal

Keynote address: patients and Families as co-creators of safety

cordinjuryetc.Nursesmustpartnerwithpatientadvocacygroups to improve the experience of patients and theirfamiliesinthehealthcaresystem.

ANAisafoundingmemberoftheNursingAllianceforQuality Care (NAQC), whose white paper on improvingsafetynoted the importanceofpatientengagement.SomeoftheguidingprinciplesofpatientengagementaccordingtoNAQCincluderecognizing:

1. Patients are the best and ultimate source ofinformationabouttheirhealthstatusandretaintherighttomaketheirowndecisionsaboutcare.

2. Inthisrelationship,therearesharedresponsibilitiesandaccountabilitiesamongthepatient,familyandcliniciansthatmake(therelationship)effective.

3. Cliniciansmustrecognizethattheextenttowhichpatients and family members are able to engageor choose to engage may vary greatly based onindividual circumstances, cultural beliefs, andotherfactors.

4. Advocacyforpatientswhoareunabletoparticipatefullyisafundamentalnursingrole.Patientadvocacyisthedemonstrationofhowallofthecomponentsoftherelationshipfittogether.

5. Acknowledgement and appreciation of culturally,racially or ethnically diverse backgrounds is anessentialpartoftheengagementprocess.

Formore information, go to the NursingAlliance forQualityCarewebsiteatwww.naqc.org.

ana’s strategic plan for 2017-2020

By Marketa Houskova, BA, MAIA, RN ANA\C Government Affairs Director

At the recent ANAMembership Assembly, June23-24, in Washington D.C., Dr.Marla Weston, ANA’s CEO,unveiled the organization’s newstrategicplanfor2017-2020.Theroom was filled with registerednurses from all 50 states, aswell and Guam and PuertoRico. It was empowering toseeRNs fromawidevarietyofroles and specialties, includingAPRNs of all differentiation –nurse practitioners, certifiednurse midwives, clinicalnurse specialists and certifiedregisterednurse anesthetists – networking anddiscussingnursing priorities and healthcare issues with nursingeducators, directors, administrators, care coordinators,researchers, staff nurses and new grads alike. Thevast diversity of nursing professionals present at theMembershipAssemblyisastrongindicatorofANA’sall-encompassingmissiontorepresentallregisterednursesinourvastnation.

Whenyouconsiderthatnursingisthelargesthealthcareprofession in theUS,with aworkforce ofmore than 3.2million (approximately 420,000 in California alone), yourecognizethemassivetaskthatANAundertookinordertoupdateitsStrategicPlan.Theirgoalistocontinuetoserveits members by providing interesting content, interactiveservicesandinnovativeproducts.

The new ANA Strategic Plan 2017-2020 platformincludes three main goals: increasing profession-wideRN engagement, employing nurse-focused innovationand improving the nurse-to-consumer relationship. Thesegoals will be accomplished via policy/practice, advocacy,products and professional development. These goals arefurther supported by specific objectives that includetargetedsegmentationtodeliverthemostrelevantcontent,programsandservicestomembers,inadditiontoupdatedpolicies,practiceinnovationandrelevantadvocacydirectlyreachingtheRNpopulation.Howwillthisbeachieved?Bycreating new approaches tomaximize direct relationshipswith all registered nurses, fostering and disseminatingnurse-focused innovation that will significantly impactpatient and nurse outcomes, and generating revenue inprogramareasthataredesignatedas“priority.”

Another major objective is big data – the use and theapplication of data through targeted analytics across thecare continuum that encourages, entices and welcomesnurse-led innovation. “Transforming healthcare requirescollecting,sharing,andapplyingmeaningfulandactionabledatatodeliverqualityhealthcaretomorepeopleatalowercost.”(ANAStrategicPlan2017-2020,pg2).

Nurses hold a special place in the U.S. healthcaresystem.Oureducation,experienceandsheerproximity todaily health care issues positions us as industry leaders.That position of responsibility cuts not only across thehealthcare spectrum but also across the care continuumwhereRNsarepresentateverylevel.Throughtheadoptionofnewpoliciesandmethodologies,wewillmaximizethestrength and potential of nursing.Moreover,with pointedadvocacy effort, education and targeted communications,we will engage and encourage our membership to bringtransformativevalueintheformofquality,costandsafetytotoday’sdynamichealthcaredeliverysystem.

Kanitasha V. Washington, DHA,

FACHE

Marketa Houskova, BA, MAIA, RN

2016 ANA Membership Assembly

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October, November, December 2016 ANA\C The Nursing Voice • Page 9

2016 ANA Membership Assembly

By Elissa Brown, MSN, RN Member, ANA Committee on Bylaws

ANA’s2016MembershipAssembly(MA)wasbusyandexciting.Oneoftheresponsibilitiesofthemembershipistoconsider theorganization’sbylaws.Thisyearwasunusualinthatbylawswouldnotordinarilyhavebeendiscussedin2016.However,an importantbylawsandpolicy issuewasbroughtforwardthatwarrantedavoteofthemembership.

Justtoreview,theANACommitteeonBylaws(COB)ischargedwithreceivingandpreparingproposedamendments;regularly reviewing the bylaws ofANA and its constituentnursing associations for conformity; and identifyingconcerns, changes needed, and making recommendations.At theMembershipAssembly, usually in every other year,memberrepresentativeshavetheopportunitytodiscussandvoteonamendmentstotheANABylaws.

special Meeting – bylaws and policy changes

Because of current issues, a Special Meeting at theANA 2016MembershipAssemblywas held on SaturdayJune25,2016.Atthatmeeting,representativesconsideredproposed bylaws and policy amendments submittedby the ANA Board of Directors, having approved therecommendations of the Value Pricing Task Force(VPTF). The Value Pricing Pilot Program (VPPP) pilotisfocusedonretainingandincreasingmembership in thestatesinvolved,andtoevaluatetheresults.

TheproposedamendmentwastoallowtheANABoardof Directors to extend the existing pilot for three moreyears,untiltheMAin2019,and,upontheirapplicationtotheBoard,addmorestateassociationsorIMDtothepilot.The rationale includedmore time togatherdata, identifythe impact, and bring information back for consideringprogram changes, applying value pricing, and perhapschangingtheANADuesPolicy.

Policy-wise, this special meeting included a proposedamendment to the ANA Dues Policy that would deferapplication of the dues escalator for the years of 2014,2015, and 2016 (The intention is to prevent furtherescalationofANAduesuntilafterafinaldecisionontheVPPPismadeatthe2019ANAMA.)

ABylawsHearingwasheld to enableopendiscussionby the Membership Assembly of these issues. In thehearing, some concerns about adding too many statesand extending the time were voiced, along with supportof the proposed amendment. The Reference Committeeaddressedthepolicyproposal.

Following the hearing, the COB met for hours tofurtherdiscussthehearingcomments.TheCOBalsometwith designated staff, including legal counsel who haveconsistently helped, and with other staff and leadership,and theReferenceCommittee.Then theCOB,with staffassistance, crafted theReport of theANACOB to comebefore the MA at the Special Meeting. FAQs were alsodistributed to all at theMA toprovidemore informationabout thepilots, impactonmembershipgrowth, financialimpactsofar,andmore.

Thefinalvote:theMembershipAssemblyvotedtopassthe amendment. As a result, the Board may extend thenumberparticipatinginthepilotandthenumberofyearstocontinuetheVPPP.

Having been a long-timeANAmember, a key benefitof participation and attending events is the networking,meetingnewpeopleandseeingoldfriends.Beingabletosit togetherwithANA\Ccolleaguesat thisMAenhancedtheexperience.And,havingthehonorofservingonboththe national and state bylaws committees enabled me toacquireandshareadditionalknowledge.

To ANA\C members: please consider getting moreinvolved inANA\CandANA. Ithasbeenaprivilege forme to serve on both the national ANA Committee onBylawsandourANA\CaliforniaBylawsCommittee.

Page 10 • ANA\C The Nursing Voice October, November, December 2016

By Annie Tat, MS, BSN, RN, PHN

As registered nurses, our Code of Ethics calls on usto promote health as a universal human right; commit toadvancing health, welfare, and safety for all; and reducehealth disparities through educating the public andcollaboratingtoaddressbarrierstohealth.Wehaveadutytoourpatients/clients toprovideunbiased,compassionatecare despite our personal beliefs on how an individualshould live, because ultimately, as human beings, theyhavetherightofself-determination.

There has been progress in addressing issues ourLGBTQ (lesbian, gay, bisexual, transgender, queer)brothersandsistershavefacedsuchas the legalizationofsame-sexmarriageandensuringthatallsame-sexcouplescan access benefits under theFamily andMedicalLeaveAct (FMLA). However, challenges within the LGBTQcommunity still exist. LGBTQ youth are two to threetimesmore likely to commit suicide and aremore likelytobehomelessthantheirheterosexualpeers,andLGBTQeldersfacespecificbarrierstohealthcareduetoisolation,diminishedfamilysupport,andlimitedresources.

Therefore, at the 2016 ANA Membership Assembly,ourstateassociationscame together foradialogueforumon nursing advocacy for sexual minority and genderdiverse populations. We discussed the overall healthcare

nurses and their Duty to the lgbtQ community

disparities and identified what strategies nursing andorganizations can undertake to support the LGBTQcommunityandprovide thehighest standardof care inasafe, non-judgmental environment. We examined issuesof practice, policy, and advocacy to be addressed atinstitutional,state,andnationallevels.

ANA\C’s recommendations for nurses included:asking what is your relationship to (name of client/ patient) to avoid assuming heterosexual relationships;educating yourself in recognizing heteronormativity andrecognizing your own implicit and explicit biases abouttheLGBTQcommunity;implementingnursingeducation,hospital modules, and continuing education on culturalstrategies tosupport theLGBTQpopulation;and lookingat patient satisfaction scores of the LGBTQ community.Furthermore, it was recommended that ANA shoulddevelopaneducationprogramonLGBTQneeds, aswellas educational materials to help nurses create positiveencounters for theLGBTQcommunityandhow tomendrelationshipswhentheymakemistakes.

Well thought-out recommendations were presented byeachstatewiththeoverallgoaltoensureacceptanceoftheLGBTQcommunitybythenursingprofessionandoverallsociety to provide safe, quality healthcare. We must domore than say we accept the LGBTQ community – wemust takeaction to reduce thedisparities the communityfacesandprovidethequalitycaretheydeserve.

Annie Tat (right) conferring with colleague Tamara Al-Yassin during LGBTQ presentation

2016 ANA Membership Assembly

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October, November, December 2016 ANA\C The Nursing Voice • Page 11

By Liz Dietz, EdD, RN, CS-NP Secretary of the ANA PAC Board of Trustees

ANA\C Board of Directors

TheANAPoliticalActionCommitteewasveryactiveat the 2016ANAMembershipAssembly and throughoutthe year. We continue to collect donation and providefunds to federal Congressional candidates. We backcandidateswhosupportournursingandhealthcareissues– regardless of political party affiliation – Republican,DemocratandevenIndependent.

During the Membership Assembly, there was a fullday of lobbying on the Capitol Hill. An informationsession was provided for all attendees after breakfastwas served. Members of the legislative staff from threedelegationsgavehelpfulpresentations.LobbyingDaytipsandresourceswereprovidedforparticipants. Informationand fact sheets were provided on HR 2083 and S 1132,twoRegisteredNurseSafeStaffingActs.HR1342andS578, the Home Health Care Planning Improvement Act,was discussedwith attendees. Finally,TitleVIIINursingWorkforce Reauthorization Act, HR 2713, was reviewedandtalkingpointsprovided.

Since everyone had pre-registered for the event, theANALobbyDaystaffwasabletoscheduleappointments

ana pac and advocacy events

with elected officials based on attendees’ districts andstates. Chartered bus transportation was provided forall attendees. There was a waiting area in the U.S.Capitol Visitor Center cafeteria for attendees to confirmappointments with ANA staff and organize their day’sevents.ThankyoutotheANAGovernmentalAffairsstafffortheirhardworkinorganizingtheevent.AhighpointofthedaywasanimpressivegrouppicturetakeninfrontoftheU.S.CapitolBuilding.

ANALobbyDay2016wasonlyoneactivitysponsoredbyANA’s PAC during theMembershipAssembly. TherewasaVIPreceptionforcontributorsof$250ormorethatincluded refreshments and a premier wine tasting event.At the completion of the VIP event, ticket holders whodonated $75 were treated to a lovely thank you eveningthat was full of festivities, refreshments, fellowship,networking and great music. Saturday morning was theVIP Political Briefing Breakfast. Nathan Gonzales ofthe Rothenberg and Gonzales Political Report providedinsightsintothe2016presidentialelectionandanalysisofimportantcongressional races.Thepresentationwasbothinformativeandfun.

Membershaveasked:how does the ANA PAC Board of Trustees makes their recommendations to the ANA Board of Directors?Wehavemonthlyconferencecallstodiscuss

ANA\C Advocacy Team ready to storm Capitol Hill. Left to right: Robin Schaeffer, Kelly Hunt, Tamara Al-Yassin, Winter Hannon, Annie Tat, Nurse Colleague, Nurse Colleague, Liz Dietz,

Marketa Houskova, Elissa Brown, Anne Hughes

Annie Tat, Tamara Al-Yassin and Marketa Houskova enjoying the ANA-PAC Reception

issues and business that comes before the Trustees. TheANAPACBoardofTrusteeshasa rubricscoringsystembased upon the candidates: accessibility to ANA staff,relationshipwiththeC/SNA,iftheyareanurseorafriendof nursing, legislative leader, and what committees theysit on or chair. Points can also be added for their partyleadership, difficulty of race, or for something they havedonefornursing,healthcareand/orforANA.Candidatesare endorsed with financial support based upon thisscoring systemby theBoardofTrustees.Candidates canalsobeendorsedinnameonly,withoutfinancialsupport.

In 2015-2016, the PAC also reviewed our bylaws,discussed Congressional candidate endorsements, andaffirmationofintenttosolicitonlyfromANAmembers.ThechairpersonofthePACprovidesregularreportstotheANABoardofDirectorsandcollaborateswithstaffasneeded.

AnyANAmemberwithlegislativeexperienceorinterestcanapplyforthePACBoardofTrusteesutilizingtheANAappointmentsprocess.TheANABoardofDirectorsmakesthefinalrecommendationsformembersoftheANAPAC.

InDecember2016,Iwillhavecompletedmyfirsttermon theANAPACBoard ofTrustees and have applied tocontinueforanotherterm.Ifyouareinterestedinserving,pleasecontactmeandIwouldbedelightedtoprovideyouwithmoredetailedinformation.

2016 ANA Membership Assembly

Page 12 • ANA\C The Nursing Voice October, November, December 2016

2016 ANA Membership Assembly

By Kelly Hunt, BSN, RN

IhavespentmostofmylifeinOrlando.Wordscannotexplain the rollercoasterofemotions Ihaveexperiencedafter themass shooting atPulseNightClub. I couldnotbe more proud of the American Nurses Association forissuingthefollowingpressreleaseonJune15,2016:

American Nurses Association Urges Nurses to Help Stop Gun Violence

WASHINGTON, DC – In the wake of the Orlando,FL, massacre, the American Nurses Association (ANA)issuedadeclarationtodaycallingforsensibleguncontrolmeasures, including one that lifts a ban on the Centersfor Disease Control and Prevention from studying gunviolence. ANA held its annual Membership Assemblythis week in Washington, DC. ANA is the premiere

ana gun Violence Declaration

By Anne Hughes, PhD, FNP-BC, ACHPN, FAAN Vice President, ANA/C

One of the breakout sessions at ANA’s 2016MembershipAssemblyfocusedonthecampaignlaunchedby ANA, the American Academy of Nursing, and acoalition of other nursing organizations, to prepare andsupportnurses’appointmentstostateandnationalboardsand commissions. The Institute of Medicine’s (sincerenamed the National Academy of Medicine) Future of Nursing Report: Leading Change, Advancing Health (2011) underscored the critical role nurses must play intransforminghealthcarebyshapingpolicy.Settingpolicyoccurs on boards and commissions, as well as throughlegislativeandadvocacywork.

The goal of the Nurses on Boards Coalition (NOBC)is to ensure that 10,000 nurses are appointed to policy-settingboardsby2020.LaurieBenson,recentlyappointedexecutivedirectorNOBC,wasapresenterattheworkshop.

Influencing Health Policy by getting rns on boards and commissions

Laurie Benson, Executive Director, Nurses on Boards Coalition (National)

Ms.Benson encouraged seasoned leaders to submit theirprofessional interests applicable to board service to theNOBC database. She advised emerging nurse leaders topreparethemselvesforboardreadinessbybecomingactiveintheirprofessionalorganizations,servingoncommittees,andvolunteeringforprojectsthatdevelopleadershipskillsandofferopportunitiesforprofessionaldevelopment.

The NOBC has a database for nurses ready andwillingtoserveonboardsthatworktoimprovethehealthof our communities and nation. Go to the Nurses onBoards Coalition website (www.nursesonboards.org) orcontact laurie.benson@ana.org to learnmore about boardappointment as well as strategies to build your skills inpreparation for board service. The importance of gettingnurses on boards will be the focus of President PamCipriano’s keynote address,From Bedside to Boardroomat ANA\C’s 20th Anniversary Celebration and GeneralAssembly,October14-15,inRedondoBeach.

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professional association representing the interests of thenation’s3.6millionregisterednurses(RNs).

“Now is the time to enact meaningful gun controllegislationatthestateandfederalleveltoprotectsociety,”saidANAPresidentPamelaF.Cipriano,PhD,RN,NEA-BC, FAAN. “We all must join with other members ofour community and at every level of civil society indialogue and action to address the underlying issues thatresult inhateandmotivateunspeakableactsofviolence.”The declaration follows ANA’s Lobby Day on June 23,whenalmost300nurses fromacross the countrywent toCapitolHilltosharetheirperspectivesandconcernsaboutkey nursing and health care issues, including safe nursestaffing,accesstohomehealthcare,andgunviolence.

Thedeclarationreads(inpart):• WHEREAS,inrecentyears,ourcountryhasendured

unspeakableactsofviolencewiththecommonthreadin each of these mass-casualty tragedies being easyaccesstoguns.

• WHEREAS, the easy access to guns and inadequateaccess to mental health services contributes to anunsafeenvironment.

• WHEREAS, at an alarming rate, registered nursesand other health professionals, in emergency

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departments,hospitalsandclinicsacrossthecountry,arecalledupontocareforvictimsofmassshootings,homicides,suicides,andaccidentalshootings.

• WHEREAS, ANA commends the nurses and entirehealthcareteamatOrlandoRegionalMedicalCenterand the other receiving facilities for their dedicationandprofessionalismduringthistragicevent.

• WHEREAS,ofgraveconcerntoANAareallhumanrightsviolations, includinghatecrimes.TheCodeofEthics for Nurses with Interpretive Statements callsonnursestorespectallcultures,valuesystems,sexualorientation or gender expression and act to changethose aspects of social structures that detract fromhealthandwell-being.

• WHEREAS, since 1994, ANA has considered gunviolence to be a public health issue with subsequentpolicy action calling on the need for limits on theavailabilityofhandguns,abanonassaultweapons,andawaitingperiodandbackgroundcheckofpurchasers.

Source:http://nursingworld.org/FunctionalMenuCategories/MediaResources/PressReleases/2016-News-Releases/ANAUrgesNursestoStopGunViolence-PressRelease.html

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October, November, December 2016 ANA\C The Nursing Voice • Page 13

2016 ANA Membership Assembly

Anne Hughes addresses participants of Membership Assembly about California’s ideas for participation as a beta site for the Healthy Nurse,

Healthy Nation initiative. Access our website for more information. www.anacalifornia.org

By Kelly Hunt, BSN, RN

I first attendedANA’sMembershipAssembly in 2014when I was president of theNational Student Nurses Association. Although somewhat overwhelming, it was afantasticexperience. Iwas inaweof thecaliberofnursessurroundingme. I triedveryhardtokeepupandsoakinalltherichdiscussions.

Thisyear,IonceagainattendedANA’sMembershipAssembly–thistimeasanewRN.Witheightmonthsofcardiacbedsidenursingundermybelt, I felt like I’dseena thingortwo. I had already lostmy first patient and experiencedmy first injury atwork, a needlestick. Additionally, I participated in multiple codes, successfully helped an open heartpatient convert to normal sinus rhythm, and have hadmany other exciting and rewardingexperiences.

Attending theMembershipAssembly as a new nursewas incredible! I was able tocontribute to theongoingdiscussionsaboutsafestaffing,medicationerrors, leadership,and the importanceofmentorship.Moreconversations followedaroundnursebullying,autonomyforAPRNs,andtheneedtobebrave.

Many tenured nurses happily gave advice as they listened to my struggles andsuccessesasanewgraduate.Theyweresupportiveandencouraging.The timingcouldnothavebeenmoreperfectbecauseIhadbeenfeelingslightlydiscouraged.Itwaseasierputting thepieces together this time. I spoke from theheart, basedonmyexperiencesandthoseofothernewgraduates.

The Lobby Day was also fantastic! We were well received in Washington as weadvocated for safe staffing, home healthcare, Title VIII, and full scope of practiceforAPRNs. Itwasn’tmyfirst timeonCapitolHill so Iwasable tohelpanothernursenavigatetheprocess.

Overall,myexperiencewaspriceless.IleftANA’sMembershipAssemblyfeelingre-energizedwellequipped.I’mgratefultoallthenursesthattooktimeouttoofferadviceandencouragement,includingDr.PamCipriano,ANA’spresident.Wemustallcontinuetoempoweroneanother,beinvolved,andadvocateforournobleprofession.

new graduate nurse perspective

Kelly Hunt at Opening Session: Membership Assembly

COME HOME TO HUMBOLDTTen years ago, we employed a total of six nurses. Today, we employ more than 50 RNs as valued and essential members of our integrated team-based primary health care. Join a comprehensive health care system in one of our twelve clinics on California’s north coast and live, work, learn and play in a supportive and spectacular environment. Competitive compensation and benefits; loan repayment available. Email us at humanresources@opendoorhealth.com or review our career opportunities at:

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Page 14 • ANA\C The Nursing Voice October, November, December 2016State of Our Association Report continued from page 1

then use the links on the login page to secure your usernameandpassword.

Our social media presence is also growing. Haveyou been following us on Facebook (American NursesAssociation California) and Twitter (@ANACalifornia)?We reach hundreds of nurses each week and raiseawarenessabouttrendingissuesinnursingandhealthcare–sodon’tmissout!

Our quarterly printed publication, Nursing Voice, ismailed to everyANA\Cmember.TheNursing Voice is agreatvehicleformemberstopublisharticlesontopicstheyare passionate about. To learn more, access submissionguidelinesatwww.anacalifornia.org.Wearereadytotakethis publication to a higher professional level and havehired Brenda Brozek (also a dedicated ANA\C memberandourwebmaster)tobeourneweditor!

Our newest communications acquisition is ANA\C Weekly.Yourweeklyelectronicnewslettercoverslocalandnational news of importance to nurses. If you knowof alocal continuing education offering, professionalmeetingorotheritemofinterestforCalifornianurses,letusknowby e-mailing anac@anacalifornia.org. The benefit ofANA\C Weeklyisthetimelinessofthenews.

If you have any suggestions about how to improve onour communication pathways, feel free to e-mail me ated@anacalifornia.org.

Events and Member EngagementRN Day at the Capitolattractsmoreandmoreattendees

each year.LastApril,RN Daywas sowell attended thatwe have officially outgrown our current meeting space.Whatagreatproblemtohave!Wewillbeannouncingour

April 2017 date soon andmay even plan a second eventduringthenextyear.

ANA\C’sGeneral Assembly has awhole new look! Incelebrationofour20-yearanniversary,wehavere-inventedthis event to create an exceptional attendee experience.ANA\C members have been offered a very affordablerate for this1.5-dayevent that includesakeynoteaddressandreceptionwithANAPresidentPamCipriano.Seethegraphicbelowformoredetails.

Continuing Education In addition to BRN continuing education (CE) credits

thatyouearnwhileattendingANA\Cevents,youwillnowbeabletoalsoearnCEcreditsthroughtheAmericanNursesCredentialingCenter(ANCC).ThesecreditsarevaluabletoanynursewhoholdsacertificationthroughANCC.

New Venture into Multistate Division (MSD) PilotOneofthemostexcitingandtransformationaldecisions

recentlymadebyyourBoardofDirectorswastojointheWestern Multistate Pilot Project, an ANA initiative forassociation sustainability.The focus of the pilot programis to implement a streamlined business operationsmodelwherestatessharefeesandservices,suchasmerging thecontinuingeducationunitofmany states intoonecentralareatoreduceaccreditationandoperationalfees.

The MSD model allows states to keep their ownidentities, boards of directors, local initiatives, etc. ThethreeMSD pilots are:NortheastMSD (Maine,Vermont,New Hampshire, Rhode Island, Connecticut and NewYork),MidwestMSD (Iowa,Kansas,Missouri,Nebraskaand North Dakota), Western MSD (Arizona, California,Colorado,IdahoandUtah.)EachMSDgrouphasanMSDLeader,aseasonedexecutivedirectorwhohasmanagedastatenurses’associationforaminimumoffiveyears.Iam

theMSDLeaderfortheWesternMSD.ANA has invested in theMSD pilots both financially

and operationally. They work closely with the MSDLeaders to support our work. Support services throughvarious ANA departments are available and utilized byeach MSD group. Since the ultimate goal of the MSDgroupsistobeself-sufficient,ANAworkswiththeMSDsto develop a plan for sustainability, incorporate lessonslearned along the way and, ultimately, determine thefuture.

At the local level, the MSD structure allows statenurses associations and their boards to focus on growingand retainingmembership and enhancing state advocacyinitiatives. ANA\C has already benefitted from thismodelbecausewearenowable toofferANCCapprovedcontact hours for continuing education activities offeredinCalifornia. Formore information on how to apply forANCC approved contact hours for your next educationalactivity, visit www.ANACalifornia.org and click on the“resources”tab.

In closing, I look forward tomy continuedworkwiththe ANA\C Board, staff and members to fulfill ourmissionandstrategicplan.IwouldliketothankMarketaHouskova, ANA\C senior policy analyst and officemanager, for her patience and leadership. As ANA\C’sonly full-time paid staff member, she has and continuesto do an amazing job with the “boots on the ground”advocacy.During this past year, she tirelesslyworked togetournewANA\Cofficeupandrunning.Iamhappytoannouncethatwehavehiredasecondfull-timeemployeewho will focus on the day-to-day office responsibilities.ThiswillprovideMarketawithmore time toadvocate inthehealthpolicyarenaandengagewithourmembers,twoareasinwhichsheconsistentlyexcels.

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• Meetallofthequalificationsasset forthbytheBoardofNursingin thestateofemployment

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October, November, December 2016 ANA\C The Nursing Voice • Page 15

By Beth Haney, DNP, FNP-C, FAANP

“The Fellows of the American Association of NursePractitioners (FAANP) impact national and global healthby engaging recognized nurse practitioner (NP) leaderswho make outstanding contributions to clinical practice,research, education, or policy to enhance the AANPmission.FrominvitationalThinkTankstotheMentorshipProgram, FAANP is dedicated to advancing the NPprofession.”–excerptedfromtheFAANPwebsite.

As a newly inducted fellow in the AmericanAssociationofNursePractitioners,Iamhonoredtoreceiverecognitionfromthisesteemedgroupofcolleaguesformyworkinpolicyandeducation.Iwillcontinuetocontributeto themission and initiatives of theAANP and FAANPby utilizing my experiences in academia and leadership.FAANP key priorities include developing future NPleadersandfurtheringtheNPprofessionwhileenhancingAANP’s mission. My experience as an active volunteer,and ultimately leading the California Association forNurse Practitioners as President, has provided mewith many opportunities to move the NP professionforward both legislatively and in stature. In addition,myappointmentasassistantclinicalprofessorattheUniversityofCalifornia, Irvine in2010,enablesme topromoteNPsfirstasstudentsandthenasleadersinhealthcare.

My work in the community is highlighted by myelection to the Board of Directors of the YMCA –OrangeCountyRegion,andIamgratefultobepartofanorganization that makes the health of children, families,andcommunitiesapriority.AsanFAANP,Iwillcontinueto promote the NP and patient care agenda by stayinginvolvedwithmyprofessionalorganizationsandensuringthatNPsarerepresented,notonlyinNPorganizations,butalsoincommunityandpublicorganizations.

My belief is that patient centered health care canonly be achieved by NPs through appropriate education,professional organization involvement, high practicestandards, and by playing an active role in setting healthpolicy.NP involvement inhealthpolicy is crucial for theadvancement of patient centered health care. Throughhealthpolicyinfluenceandeducation,NPscreatepracticestandards ensuring patient safety and excellent healthoutcomes. AANP Fellowship embodies the spirit ofadvancedpracticeandensuresNPprogressbymovingtheNPagendaforwardandmentoringourfutureleaders.

Fellowship in the american association of nurse practitioners:

advancing nurse practitioners’ practice, authority and excellent

patient care

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Page 16 • ANA\C The Nursing Voice October, November, December 2016