2019 TNA & TSNA JOINT CONFERENCE · Welcome to the 2019 Tennessee Nurses Association (TNA) & Tennessee Student Nurses Association Joint Conference. This year is the first year of

NURSES

THE REAL

SUPER HEROES

2019 TNA & TSNA JOINT CONFERENCEOCTOBER 18-20, 2019

Memphis Hilton 939 Ridge Lake Blvd.Memphis, TN 38120

TENNESSEE STUDENT NURSES ASSOCIATION

https://nursing.vanderbilt.edu/admissions/index.php?utm_source=tnnnualconvention&utm_medium=yearbook&utm_campaign=fall2019

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2019 TNA-TSNA JOINT CONFERENCE | NURSES: THE REAL SUPER HEROES

NURSES: THE REAL SUPER HEROESOctober 18-20. 2019

Memphis - Hilton — Memphis, TN

Table of Contents

Welcome from the TNA President . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 3

Welcome from the TNA Executive Director . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 5

Welcome from the Tennessee Student Nurses Association . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 9

TNA Conference Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 11

TSNA Conference Schedule . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .17

Hilton-Memphis Floor Plan Meeting Rooms . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .21

General Announcements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 23

Meet Our Keynote and Plenary Speakers . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 24

Meet the Presenters . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 26

Tennessee Nurses Political Action Committee (TNPAC) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 29

2019 Membership Assembly Rules and Information . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 33

111th Membership Assembly Agenda . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 34

Disclosures to Participants, Continuing Nursing Education Instructions . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 35

Introduction to Robert’s Rules of Order . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 36

TNA Proposed Bylaws . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 40

2018-2020 Legislative and Health Policy Statements . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 50

Nightingale Tribute & Memoriam . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 55

TNA District Map . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 57

TNA Board of Directors & Staff . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 58

2019 Slate of Candidates . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 59

Poster Abstracts . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 68

TNA Financials . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 88

TNA Leadership Opportunities . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 92

Area of Interest Form . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 93

TNA Past Presidents . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 94

Tennessee Nurses Foundation (TNF) Scholarships . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 95

TNF Board of Trust Roster . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 96

TNA Member Benefits . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 97

TNA 2020 Events . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . 101

Published by:

Arthur L. Davis Publishing Agency, Inc.

www.tnaonline.org

Printed and Published for the Tennessee Nurses Association by:

Arthur L. Davis Publishing Agency

517 Washington, P.O. Box 216, Cedar Falls, IA 50613 • (319) 277-2414

http://cbu.edu/nursing

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Welcome from the TNA PresidentHaley Vance, DNP, APRN, CPNP-AC

On Behalf of the Tennessee Nurses Association Board of Directors & Staff, I want to welcome you to the 2019 Tennessee Nurses Association (TNA) & Tennessee Student Nurses Association (TSNA) Joint Conference.

This year’s conference theme is “Nurses: The Real Super Heroes.” As a profession, we have an incredible opportunity to advocate for, influence, and empower both our nurse colleagues and the patients we provide care for. We want to celebrate this and encourage nurses across the state to speak loudly with one unified voice. We are excited to be in Memphis this year! Many long hours have gone into planning conference to provide you with intentional and thoughtful time for open dialogue regarding healthcare issues in Tennessee, excellent continuing education, poster

sessions, and networking opportunities.

We are thrilled to have several distinguished guests joining us this year. Rose Sherman, EdD, RN, NAE-BC, FAAN is the editor of Nurse Leader journal. She will join us on Friday evening to share insight on building leadership and trust throughout your nursing career. We will have a dynamic session Saturday on pain management and opioids led by Theresa Mallick-Searle, MS, ANP-BC. Our keynote speaker on Saturday is Ernest J. Grant, PhD, RN, FAAN, our newly elected 36th president of the American Nurses Association. Dr. Grant will share with us from a national perspective and inspire us to pursue avenues of leadership within the nursing profession. Our closing speaker on Sunday is Lynn Pierce, BSN, RN, CPHRM who serves as a risk consultant for CNA. Her expertise on healthcare risk management will provide practical information for preventing malpractice in our day-to-day practices.

Forming relationships with key stakeholders and legislators is crucial to the success of TNA’s legislative agenda. We look forward to hearing from local legislators regarding healthcare related issues and priorities for the upcoming session. As an organization, we will also dive deep into our bylaws and seek to engage in thoughtful discussion regarding the future direction of the association.

Thank you for making this weekend a priority. I look forward to meeting and interacting with you. Welcome to conference!

Sincerely,

Haley Vance

http://www.tnwesleyan.edu

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Welcome from the Executive DirectorTina Gerardi, MS, RN, CAE

Welcome to the 2019 Tennessee Nurses Association (TNA) & Tennessee Student Nurses Association Joint Conference. This year is the first year of our endeavor to move the annual conference to different regions of the state. We are so happy to be in West Tennessee and look forward to alternating our future conference sites. I am confident that we will learn together, exchange ideas, chart the course for nursing for the upcoming year, share our wisdom with our colleagues and with the profession’s future, our students. I think we will also have some fun along the way!

This year’s theme, Nurses: The Real Super Heroes, recognizes the extraordinary work registered nurses do every day whether at the bedside, in the classroom, in the board room, or in the Capitol. Each day as we promote public trust for the nursing profession,

we consistently provide quality patient care, quality nursing practice, quality nursing education, quality nursing research, quality nursing leadership, and quality health for all Tennesseans. Our opening plenary speaker Rose Sherman will share key attributes needed to be an effective leader and the role of trust and psychological safety in leadership today. Ernest Grant, ANA President and our keynote speaker, will articulate his vision for his presidency as well as ANA’s current priorities and initiatives. Our closing plenary speaker, Lynn Pierce will highlight ways to avoid malpractice while assuring safe nursing practice in our daily work. In addition to our concurrent sessions, we will be introducing the use of general sessions this year - one on the topic of opioids and one on the topic of when medical errors become criminal charges.

We have a very busy 2 1/2 days together! The Membership Assembly will convene to do the work of the Association – reviewing bylaws proposals and setting direction and priorities for the upcoming year. TNA will elect new members of the board of directors, support the work of the Tennessee Nurses Foundation and the Tennessee Nurses Political Action Committee, and confer awards on outstanding nurses from across the state.

I look forward to meeting you and working together to make TNA the unifying voice for nursing in Tennessee.

2019 Conference Planning CommitteeThis year’s conference has been diligently planned under the direction of Nancy Stevens

(TNA Board Director of Education) and our 2019 Conference Planning Committee.

Please thank the following individuals for their yearlong effort in planning our annual conference:

Sheila Bouie

Diane Cunningham

Kathryn Denton

Hugh Friar

Tina Gerardi

Sharon Hinton

Teresa Johnson

Tina McElravey

Jordan Miller

Kathleen Murphy

Laura Reed

Alyssa Soto

Nancy Stevens

http://www.southwest.tn.edu/nursing

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http://aarp.org/tn

http://facebok.com/aarptennessee

http://aarp.org/tn

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Welcome from the TSNA PresidentAlyssa Soto, RN, BSN

Welcome to the 2019 TNA and TSNA Joint Conference. I want to personally thank each and every one of you for attending this conference and being passionate about the advancement in nursing. As nursing students, we have a unique opportunity to speak change and foster growth in the educational field prior to embarking on our journey as a registered nurse. TSNA provides us with this platform to gather our voices together, pass legislation, change school policy, or even state requirements, and connect with other students across the state.

TSNA provides a platform for connecting students to make a change. As a member of TSNA you are able to meet students from across the state and sometimes, across the nation. In being here today, you have chosen to grow and make a difference in the

nursing field. I want to thank you for making this choice.

Over the next two days, you will have the opportunity to hear from experts throughout the nursing field, ask questions to those who may already be working in the field you desire, meet other students embarking on the same journey, take part in an NCLEX review, and talk with vendors from across the state. Stop by the TSNA registration table for more information and to see what event is next on the agenda!

https://home.tusculum.edu/nursing

http://nursing.memphis.edu

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Tennessee Nurses Association Conference Schedule*

*Schedule subject to change without notice

Friday, October 18 Activity/Event Location Contact Hours

8:00 a.m. – 5:00 p.m. TNA Registration Open TN Grand Ballroom Foyer

10:00 a.m. – 6:00 p.m. TNF & TN Nurse PAC Silent Auction Open

Southeast Ballroom A

10:00 a.m. – 11:00 a.m. Membership AssemblyCandidates Forum

TN Grand Ballroom A

11:15 a.m. – 12:15 p.m. Concurrent Session A “A Haven and a Nest” Caregivers’ Early Experience at the Nurse-Led Dementia Medical Home - Mariya Kovaleva, Vanderbilt University

TN Grand Ballroom A 1.0 Contact Hour

Concurrent Session BDoes Premature Birth Contribute to the Increase in Chronic Kidney Disease? - Bobby Bellflower, UTHSC

TN Grand Ballroom D 1.0 Contact Hour

Concurrent Session CThe Macroeconomic Benefits of TN APRNs Having Full Practice Authority - Tracy Stansberry, Cyril Chang, David Mirvis, Carole Myers

TN Grand Ballroom E 1.0 Contact Hour

12:15 p.m. – 12:45 p.m. Lunch TN Grand Ballroom A

12:15 p.m. – 12:45 p.m. TN Nurse PAC Membership Meeting TN Grand Ballroom E

1:00 p.m. – 2:00 p.m. Opening Session Building Leadership and Trust Throughout Your Career Rose O. Sherman, EdD, RN, NEA-BC, FAAN Editor of the Nurse Leader journal; Graduate Coordinator for the Nursing Administration Master’s ProgramFlorida Atlantic University


2:15 p.m. – 5:30 p.m. Issues Forum Bylaws ForumBreakLegislative Forum – Nurse Practice Act

TN Grand Ballroom A 3.0 Contact Hours

6:00 p.m. – 9:00 p.m. Welcome Reception with Music & Exhibits

TN Grand Ballroom BC

Students are welcome to attend any activity

Green indicates business meeting

Blue font indicates TNA CE activity

http://www.pcat.org/signup

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Saturday, October 19 Activity/Event Location Contact Hours

7:30 a.m. – 4:30 p.m. Registration Open TN Grand Ballroom Foyer

7:00 a.m. – 8:00 a.m. Poster Set-Up TN Grand Ballroom D

7:30 a.m. – 8:30 a.m. Sunrise Snack Foyer

7:30 a.m. – 4:30 p.m. TNF and TN Nurse PAC Silent Auction Open


8:30 a.m. - 10:15 a.m. Membership Assembly TN Grand Ballroom A

10:15 a.m. – 10:30 a.m. Break Foyer

10:30 a.m. – 11:30 a.m. Concurrent Session D Poster PresentationsPresenters will be available to answer questions or discuss poster content


Concurrent Session ESuicide Risk and Prevention Among Nurses - Leslie Hopkins, Vanderbilt University


Concurrent Session F A Dualistic Potential for Danger— When Nurse and Person with Substance Use Disorder Vulnerability Collide - Kendrea Todt, ETSU

TN Grand Ballroom E 1.0 Contact Hour

11:30 a.m. – 11:45 a.m. Transition to Lunch TN Grand Ballroom BC

11:45 a.m. – 2:00 p.m. Exhibits & Schools of Nursing Luncheon

2:15 p.m. – 4:15 p.m. General Session Pain Management and Opioids: Balancing the Risks and Benefits Tracey Mallick-Searle, MS, ANP-BC

TN Grand Ballroom A 2.0 Contact Hours

4:15 p.m. – 4:30 p.m. Break

Visit Posters for Self Study CE TN Grand Ballroom D

4:30 p.m. Silent Auction Closes Southeast Ballroom A

4:30 p.m. – 5:15 p.m. Membership Assembly TN Nurse PAC Live Auction

TN Grand Ballroom A

5:30 p.m. – 6:30 p.m. Keynote Session Ernest Grant, PhD, RN, FAAN President, American Nurses Association


6:45 p.m. – 7:15 p.m. TNA Achievement Awards TN Grand Ballroom A

7:15 p.m. – 8:45 p.m. TNA Awards Reception TN Grand Ballroom BC

7:15 p.m. – 7:30 p.m. TNF & TN Nurse PAC Silent Auction Payment & Pick up


8:30 p.m. – 9:15 p.m. TN Nurse PAC Fundraiser (Ticketed Event)

TBD




http://tiny.utk.edu/tnayearbook2019

http://nursing.utk.edu

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Sunday, October 20 Activity/Event Location Contact Hours

7:30 a.m. – 8:45 a.m. Visit Posters for Self-Study CE TN Grand Ballroom D


7:30 a.m. – 9:00 a.m. TNA Registration Open TN Grand Ballroom Foyer

7:30 a.m. – 9:00 a.m. Voting for TNA Elections Southeast Ballroom A

9:00 a.m. – 10:00 a.m. General Session When Medical Errors becomeCriminal Charges - Presenting attorneys to be announced



Breakdown and Remove Posters TN Grand Ballroom D

10:15 a.m. – 11:15 a.m. Closing Plenary Session Stay a Real Superhero: Don’t Become a Malpractice Case Study Lynn Pierce, BSN, RN, CPHRM Nurses Service Organization


11:30 a.m. – 12:30 p.m. Membership Assembly/Adjournment TN Grand Ballroom A

The Tennessee Nurses Association is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.




http://westberginstitute.org

• Do you have a passion to make a difference in a population you care deeply about?

• Are you curious about how to create a Culture of Health where you live, learn, work, play or worship?

• Have you thought about serving on a board or other body but don’t know where to start?

• Do you want to develop your leadership and advocacy skills for board or other work?

Nurses Building a Culture of Health Across Tennessee

For more information, check out the Future of Nursing Campaign for Action website:

campaignforaction.org/about/

Come learn, work and lead with us as we build a Culture of Health!

The Tennessee Action Coalition works with other state action coalitions across the country to carry out

recommendations from the IOM Future of Nursing report.

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Tennessee Student Nurses Association Conference Schedule*

*Schedule subject to change without notice

Friday, October 18 Activity/Event Location Contact Hours

10:00 a.m. – 6:00 p.m. TNF & TN Nurse PAC Silent Auction


11:00 a.m. – 12:00 p.m. TSNA Board of Directors Meeting Southeast Ballroom BC

12:00 p.m. – 5:00 p.m. TSNA Registration Open Southeast Ballroom Foyer

1:00 p.m. – 2:00 p.m. TNA Opening Session Building Leadership and Trust Throughout Your Career - Rose O. Sherman, EdD, RN, NEA-BC, FAANEditor of the Nurse Leader journal; Graduate Coordinator for the Nursing Administration Master’s Program Florida Atlantic University


4:30 p.m. – 5:00 p.m. TSNA Open Session Southeast Ballroom BC

5:00 p.m. – 6:00 p.m. TSNA House of Delegates I Mandatory for Delegates, Open Session

Southeast Ballroom BC

6:00 p.m. – 9:00 p.m. Welcome Reception with Music & Exhibits


Saturday, October 19 Activity/Event Location Contact Hours

7:00 a.m. – 8:00 a.m. Poster Set-Up TN Grand Ballroom D


7:30 a.m. – 10:00 a.m. TSNA Registration Open Southeast Ballroom Foyer

7:30 a.m. – 4:30 p.m. TNF & TN Nurse PAC Silent Auction


8:00 a.m. – 9:00 a.m. TSNA House of Delegates II Mandatory for Delegates, Open Session


9:00 a.m. – 9:30 a.m. TSNA Candidate Presentations Southeast Ballroom BC

9:45 a.m. – 10:30 a.m. TSNA Picmonic Southeast Ballroom BC

10:30 a.m. – 11:30 a.m. Poster PresentationsPresenters will be available to answer questions or discuss poster content


10:30 a.m. – 11:30 a.m. TSNA Breakout Groups Southeast Ballroom BC

Blue font indicates TNA and TSNA activity/event.

http://www.tnquitline.org

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11:30 a.m. – 11:45 a.m. TSNA Election Overview Mandatory for Delegates & Candidates


11:45 a.m. – 2:00 p.m. Exhibits & Schools of Nursing Luncheon


2:00 p.m. – 3:00 p.m. TSNA NCLEX Review Southeast Ballroom BC

3:15 p.m. – 4:15 p.m. TSNA Nursing Specialty Panel Southeast Ballroom BC

4:15 p.m. – 5:15 p.m. TSNA Closing Session Mandatory for Delegates & Candidates


4:30p.m. Silent Auction Closes Southeast Ballroom A

5:30 p.m. – 6:30 p.m. Keynote Session Ernest Grant, PhD, RN, FAAN President, American Nurses Association


6:45 p.m. – 8:15 p.m. TSNA Board of Director Meeting2019-2020 New Board Members Required to Attend


7:15 p.m. – 7:30 p.m. TNF & TN Nurse PAC Silent Auction Payment & Pick Up


Sunday, October 20 Activity/Event Location Contact Hours


9:00 a.m. – 10:00 a.m. General Session When Medical Errors become Criminal Charges - Presenting attorneys to be announced



Breakdown and Remove Posters TN Grand Ballroom D

10:15 a.m. – 11:15 a.m. Closing Plenary Session Stay a Real Superhero: Don’t Become a Malpractice Case Study Lynn Pierce, BSN, RN, CPHRMNurses Service Organization


Blue font indicates TNA and TSNA activity/event.

http://uab.edu/nursing

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Hilton-Memphis Meeting Rooms

http://bchs.edu/mycalling

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General AnnouncementsWelcome to the 2019 TNA & TSNA Joint Conference. Please follow the conference schedule, and download the conference app, so you don’t miss any of our planned activities, events, educational sessions, or Membership Assembly meetings. Please greet and make welcome the new members and first-time attendees to our conference. New members have lavender ribbons, and First Timers have turquoise ribbons.

Donations for the Tennessee Nurses Foundation Silent Auction can be accepted up until 11 a.m. on Saturday. Donations can be dropped off in the Southeast Ballroom A room.

There is no assigned seating for any general sessions, plenary speakers, or the keynote held in Tennessee Grand Ballroom A, but please sit near the front of the room to make our speakers feel welcome. However, during the Membership Assembly business sessions it is important that you sit in the designated area for TNA members and non-members. This is necessary for voting on any issues brought forward during the business meeting.

Not a TNA member? Join TNA now and receive $29 off your Full membership annual dues. Don’t miss out on this opportunity to become part of the Voice for all nurses in Tennessee.

To receive the 1.0 contact hour for attending the poster presentations, you must visit ten posters. Poster presenters will be present during Concurrent Session D on Saturday morning to answer questions or discuss poster content. You will be able to do poster self-study during other times throughout Saturday and Sunday morning.

Registration Hours

Friday: 8:00 a.m. – 5:00 p.m.

Saturday: 7:30 a.m. – 4:30 p.m.

Sunday: 7:30 a.m. – 9:00 a.m.

VOTE on Sunday

Vote Sunday morning between 7:30 – 9:00 a.m. in Southeast Ballroom A . Election results will be announced during the closing Membership Assembly session beginning at 11:30 a.m.

A Community Built on Care

Seeking Experienced & New Grad RNs to join our team!

Advance Your Nursing Career with a Master of Public Health or Graduate Certificate100% Online or On Campus

MPH Concentrations:• Biostatistics• Community Health• Epidemiology• Health Services

Administration

Contact: Jennifer Hunt, MPH Coordinator and Academic AdvisorEmail: [email protected]://www.etsu.edu/cph/academics/graduate.php

Graduate Certificates:• Biostatistics• Epidemiology• Gerontology• Global Health• Health Care Management• Public Health

HILTON MEMPHIS WELCOMES

Tennessee nurses AssociATion!

We Appreciate Your Business!

http://jobs.tenethealth.com/saint-francis

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Meet the Keynote and Plenary Speakers

Opening Plenary Speaker

Friday, 1:00 p.m. – 2:00 p.m

Rose O. Sherman, EdD, RN, NEA-BC, FAAN

Rose O. Sherman is a Professor Emeritus in the Christine E. Lynn College of Nursing, Florida Atlantic University in Boca Raton, Florida and currently serves as an adjunct professor in the Marian K. Shaughnessy Leadership Academy at Case Western Reserve University. She is nationally known for her work in the development of current and future leaders and teaches the ANA new nurse manager program. Rose is an alumnus of the Robert Wood Johnson Executive Nurse Fellowship Program and is a Fellow in the American Academy of Nursing. She is author of a popular leadership blog www.emergingrnleader.com designed for emerging nurse leaders, and is Editor in Chief of AONE’s journal Nurse Leader. She received the 2018 AONE Nurse Researcher of

the Year Award. Her first book, The Nurse Leader Coach: Become the Boss No One Wants to Leave was published in February 2019.

General Session

Saturday, 2:15 p.m. – 4:15 p.m.

Pain Management and Opioids: Balancing the Risks and Benefits

Tracey Mallick-Searle, MS, ANP-BC

Sponsored by the Nurse Practitioner Healthcare Foundation, this dynamic session addresses the nature and pathophysiology of pain, assessing patients in pain, risks and benefits of immediate release and extended release opioids, patient and family counseling on safe use and disposal, complications associated with misuse and diversion, as well as recognizing opioid use disorder (addiction).

This program meets most states’ requirements for opioid education and is fully compliant with the Opioid Analgesic Risk Evaluation and Mitigation Strategy (REMS) education requirement issued by the FDA in September, 2018. The FDA has added RNs

as a target group for this important education in an effort to expand and improve knowledge about the significant healthcare challenge of opioid use and misuse. This program is designed for all RNs and APRNs to help address the Opioid Crisis, we are excited to be able to provide cutting-edge information on such an important issue.

The Nurse Practitioner Healthcare Foundation is a non-profit organization with the mission of improving health status and quality of care through NP innovations in clinical care, research, education, health policy, and philanthropy.

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Keynote Speaker

Saturday, 5:30 p.m. – 6:30 p.m.

Ernest J. Grant, PhD, RN, FAAN

Dr. Ernest J. Grant is the 36th president of the American Nurses Association (ANA), the nation’s largest nurses organization representing the interests of the nation’s 4 million registered nurses. Ernest will speak on nursing leadership. A distinguished leader, Dr. Grant has more than 30 years of nursing experience and is an internationally recognized burn-care and fire-safety expert. He previously served as the burn outreach coordinator for the North Carolina Jaycee Burn Center at University of North Carolina (UNC) Hospitals in Chapel Hill. Grant also serves as adjunct faculty for the UNC-Chapel Hill School of Nursing, where he works with undergraduate and graduate nursing

students in the classroom and clinical settings. Grant is frequently sought out for his expertise as a clinician and educator.

Grant holds a BSN degree from North Carolina Central University and MSN and PhD degrees from the University of North Carolina at Greensboro. He was inducted as a fellow into the American Academy of Nursing in 2014. He is the first man to be elected to the office of president of the American Nurses Association.

General Session

Sunday, 9:00 a.m. – 10:00 a.m.

When Medical Errors Become Criminal Charges

Closing Plenary Speaker

Sunday, 10:15 a.m. – 11:15 a.m.

Lynn Pierce, BSN, RN, CPHRM

Lynn Pierce is a risk control consultant for CNA. Prior to joining CNA, she worked in such clinical settings as emergency, surgical and critical care, and cardiac and orthopedic rehabilitation services. Lynn will present “Stay a Real Super Hero: Don’t Become a Malpractice Case Study.”

She has served as a director of risk management in acute care hospitals and integrated health care systems and has held leadership positions in risk management, quality, HIPAA privacy, environmental and patient safety, case management, corporate compliance, Workers’ Compensation and infection prevention. She earned her BSN

from the University of West Georgia in Carrollton, Georgia and is currently pursuing a MSN-FNP with an expected graduation of Spring 2020.

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2019 PresentersFriday

A Haven and a Nest” Caregivers’ Early Experience at the Nurse-Led Dementia Medical Home

Presenter: Mariya Kovaleva, RN, PhD, AGPCNP-BC

Post-Doctoral Scholar, ResearchVanderbilt University School of Nursing

Does Premature Birth Contribute to the Increase in Chronic Kidney Disease?

Presenter: Bobby Bellflower, DNSc, APRN, NNP-BC, FAANP

Associate Professor and Director, Doctor of Nursing Practice ProgramThe University of Tennessee Health Science CenterCollege of Nursing

The Macroeconomic Benefits of Tennessee APRNs Having Full Practice Authority (FPA)

Presenter: Tracey Stansberry, MSN, APN, AOCN

Advanced Practice NurseTennessee Plateau Oncology

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The Macroeconomic Benefits of Tennessee APRNs Having Full Practice Authority (FPA) - Continued

Co-Presenter: Cyril Chang, Ph.D

Professor of Economics, Emeritus and Former DirectorMethodist Le Bonheur Center for Healthcare Economics,University of Memphis

Co-Presenter: David Mirvis, MD

Physician and Professor EmeritusUniversity of Tennessee Health Science Center

Co-Presenter: Carole Myers, PhD, RN, FAAN

ProfessorUniversity of Tennessee - KnoxvilleCollege of Nursing

Saturday

Suicide Risk and Prevention Among Nurses

Presenter: Leslie Welch Hopkins, DNP, APRN, BC, FNP-BC, ANP-C

AGPCNP Academic Director/Assistant ProfessorVanderbilt University School of Nursing

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Saturday - Continued

A Dualistic Potential for Danger — When Nurse and Person with SubstanceUse Disorder Vulnerability Collide

Presenter: Kendrea Todt, PhD(c ), MSN, RN

Instructor - Undergraduate ProgramsEast Tennessee State University

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Will you

take the pledge?

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[email protected]

http://murraystate.edu/nursing

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Membership Assembly (MA) General Rules of Order

1. All TNA members may speak. Before addressing the MA, it is necessary to secure the floor by going to a nearby microphone. After recognition by the President, the member shall state his or her name and district before speaking.

2. Any TNA member may make motions.

3. All motions shall be presented to the President in writing on the forms provided.

4. Only emergency motions or courtesy resolutions may be presented outside of the reference process.

5. TNA members shall be limited to three minutes when speaking.

6. No member who has already had the floor in debate on the immediate pending question shall be entitled to the floor a second time until others who wish to be heard on the question have had an opportunity to speak.

7. The voting body shall consist of the Board of Directors, and TNA members in attendance.

8. Only the resolves of resolutions/proposals shall be acted upon by the MA.

9. The President may suspend the Rules in order to allow a nonmember to speak.

10. All cell phones, pagers and other devices shall be silenced throughout meetings during MA.

Guidelines for Discussion on Resolutions/Proposals

1. To facilitate discussion, comments will be limited to three minutes, and no member may speak more than once to a question if someone who has not spoken wishes to do so.

2. Individuals who suggest substantial changes in the wording of any proposal are asked to submit those changes in writing before the hearing is adjourned.

3. Sponsors or the Reference Committee may perfect the resolution/proposal for presentation to the MA after completion of the hearings.

4. The sponsor may withdraw a resolution/proposal at any point in the review process.

5. Only the resolves of resolutions/proposals shall be acted upon by the MA.

Continuing Nursing Education (CNE) Credit

RN participants attending CE sessions will be awarded contact hours. The procedure is as follows:

1. Complete the CNE Evaluation and leave it in the tray at the registration desk before you leave.

2. Complete an Attendance Verification of CNE Activity listing the sessions you attend. Participants must attend an entire CNE session to receive credit.

3. Detach the yellow copy of the Attendance Verification form and leave it in the tray at the registration desk.

4. Retain the white copy for your professional portfolio.

Conference Badges

All meetings of the conference are open to registered participants. Badges must be worn to gain admission to all sessions and activities. Exclusive of invited guests, attendance at any meeting other than the Awards Reception, Welcome Reception or School of Nurses Luncheon requires the payment of at least one day’s registration.

2019 Membership Assembly Rules & Information

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111th Membership Assembly AgendaOctober 18-20, 2019 | Memphis Hilton | 939 Ridge Lake Blvd | Memphis, TN 38120

Friday, October 18, 10:00 a.m. – 11:00 p.m.

Call to Order and Pledge of Allegiance – Haley Vance, TNA President

Greetings – Haley Vance

Greetings – Alyssa Soto, TSNA President

Recognition of members or those with family members in the Armed Forces – Haley Vance

Introduction of Reference Committee – Alvin Jeffery, Chair

Adoption of the Membership Assembly Agenda – Haley Vance

Adoption of Rules of Order – Donna Copenhaver, TNA Secretary

Treasurer’s Report – Heather Jackson, TNA Treasurer

Nightingale Tribute/Moment of Silence – Julie Hamm, TNA Vice President

Slate of Candidates/Nominations – Diane Butler, Nominating Committee Chair

Candidate Statements

Announcements – Tina Gerardi, TNA Executive Director

Recess – Haley Vance

Saturday, October 19, 8:30 a.m. – 10:15 a.m.

Call to Order – Haley Vance

Introduction of Parliamentarian – Haley Vance

Updates on 2018 Resolutions – Haley Vance

Introduction of 2019 Resolutions – Alvin Jeffery

Introduction of Staff – Tina Gerardi

Executive Director Remarks – Tina Gerardi

Introduction of Bylaws Proposals – Trish Baise

Announcements – Tina Gerardi


Saturday, October 19, 4:30 p.m. – 5:15 p.m.


Bylaws Proposals Continued – Trish Baise


TN Nurse PAC Live Auction

Sunday, October 20, 11:30 a.m. – 12:30 p.m.


Unfinished Business – Haley Vance

President’s Address – Haley Vance

Report of Tellers – Diane Butler

Introduction of New Board President and Members – Haley Vance

Board of Directors Oath of Office – Tina Gerardi

Announcements, PAC and TNF Contributions – Tina Gerardi

Remarks/Adjournment – Carla Kirkland

SEE YOU IN FRANKLIN, OCTOBER 30 – NOVEMBER 1, 2020 | COOL SPRINGS MARRIOTT

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Disclosures to Participants

Outcome

Participants will gain knowledge and new tools to integrate into their practice.

Contact Hour Credit

Participants at the 2019 TNA & TSNA Joint Conference can earn a maximum of 10-11 contact hours for attending.

Official Accreditation Statement

The Tennessee Nurses Association is approved as a provider of nursing continuing professional development by the South Carolina Nurses Association, an accredited approver by the American Nurses Credentialing Center’s Commission on Accreditation.

Requirements for Successful Completion for Continuing Education Credit

To receive contact hour credit for each session attended, attendees must

• Visit at least ten posters

• Be seated in the session room no later than five minutes after it has started.

• Remain in the session until the scheduled ending time.

• Complete and submit the Evaluation Form(s) and the Verification of Attendance/Certificate Form listing each session attended. Turn in the yellow copy before you leave the conference.

Conflicts of Interest

The ANCC has established guidelines whereby all speakers must disclose any affiliations which may cause a conflict of interest.

A Conflict of Interest occurs when an individual has an opportunity to affect educational content about health-care products or services of a commercial interest with which she/he has a financial relationship.

No conflicts of interest were disclosed.

Commercial Support

Sponsors have made contributions to Tennessee Nurses Association in support of the 2019 TNA & TSNA Joint Conference. See handout included in the conference packet for a final list.

Non-Endorsement of Products

The Tennessee Nurses Association’s approved provider status refers only to continuing nursing education activities and does not imply that there is real or implied endorsement of any product, service, or company referred to in this activity nor of any company subsidizing costs related to the activity.

Off-label Product Use

This CNE activity does not include any unannounced information about off-label use of a product for a purpose other than that for which it was approved by the Food and Drug Administration (FDA).

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Introduction to Robert’s Rules of Order

What Is Parliamentary Procedure?

It is a set of rules for conduct at meetings that allows everyone to be heard and to make decisions without confusion.

Why is Parliamentary Procedure Important?

Because it’s a time tested method of conducting business at meetings and public gatherings. It can be adapted to fit the needs of any organization. Today, Robert’s Rules of Order newly revised is the basic handbook of operation for most clubs, organizations and other groups. So it’s important that everyone know these basic rules!

Organizations using parliamentary procedure usually follow a fixed order of business. Below is a typical example:

1. Call to order.

2. Roll call of members present.

3. Reading of minutes of last meeting.

4. Officers reports.

5. Committee reports.

6. Special orders – Important business previously designated for consideration at this meeting.

7. Unfinished business.

8. New business.

9. Announcements.

10. Adjournment.

The method used by members to express themselves is in the form of moving motions. A motion is a proposal that the entire membership take action or a stand on an issue. Individual members can:

1. Call to order.

2. Second motions.

3. Debate motions.

4. Vote on motions.

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There are four Basic Types of Motions:

1. Main Motions: The purpose of a main motion is to introduce items to the membership for their consideration. They cannot be made when any other motion is on the floor, and yield to privileged, subsidiary, and incidental motions.

2. Subsidiary Motions: Their purpose is to change or affect how a main motion is handled, and is voted on before a main motion.

3. Privileged Motions: Their purpose is to bring up items that are urgent about special or important matters unrelated to pending business.

4. Incidental Motions: Their purpose is to provide a means of questioning procedure concerning other motions and must be considered before the other motion.

How are Motions Presented?

1. Obtaining the floor

a. Wait until the last speaker has finished.

b. Rise and wait in line at microphone.

c. Wait until the Chairman recognizes you.

2. Make Your Motion

a. Speak in a clear and concise manner.

b. Always state a motion affirmatively. Say, “I move that we ...” rather than, “I move that we do not ...”.

c. Avoid personalities and stay on your subject.

3. Wait for Someone to Second Your Motion

4. Another member will second your motion or the Chairman will call for a second.

5. If there is no second, your motion is lost.

6. The Chairman States Your Motion

a. The Chairman will say, “it has been moved and seconded that we ...” Thus placing your motion before the membership for consideration and action.

b. The membership then either debates your motion, or may move directly to a vote.

c. Once your motion is presented to the membership by the chairman it becomes “assembly property”, and cannot be changed by you without the consent of the members.

7. Expanding on Your Motion

a. The time for you to speak in favor of your motion is at this point in time, rather than at the time you present it.

b. The mover is always allowed to speak first.

c. All comments and debate must be directed to the chairman.

d. Keep to the time limit for speaking that has been established.

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e. The mover may speak again only after other speakers are finished, unless called upon by the Chairman.

8. Putting the Question to the Membership

a. The Chairman asks, “Are you ready to vote on the question?”

b. If there is no more discussion, a vote is taken.

c. On a motion to move the previous question may be adapted.

Voting on a Motion:

The method of vote on any motion depends on the situation and the by-laws of policy of your organization. There are five methods used to vote by most organizations, they are:

1. By Voice – The Chairman asks those in favor to say, “aye”, those opposed to say “no”. Any member may move for an exact count.

2. By Roll Call – Each member answers “yes” or “no” as his name is called. This method is used when a record of each person’s vote is required.

3. By General Consent – When a motion is not likely to be opposed, the Chairman says, “if there is no objection ...” The membership shows agreement by their silence, however if one member says, “I object,” the item must be put to a vote.

4. By Division – This is a slight verification of a voice vote. It does not require a count unless the chairman so desires. Members raise their hands or stand.

5. By Ballot – Members write their vote on a slip of paper; this method is used when secrecy is desired.

There are two other motions that are commonly used that relate to voting.

1. Motion to Table – This motion is often used in the attempt to “kill” a motion. The option is always present, however, to “take from the table”, for reconsideration by the membership.

2. Motion to Postpone Indefinitely – This is often used as a means of parliamentary strategy and allows opponents of motion to test their strength without an actual vote being taken. Also, debate is once again open on the main motion.

Parliamentary Procedure is the best way to get things done at your meetings. But, it will only work if you use it properly.

1. Allow motions that are in order.

2. Have members obtain the floor properly.

3. Speak clearly and concisely.

4. Obey the rules of debate.

Most importantly, BE COURTEOUS.

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Amendment Number & Section

CURRENT BYLAW LANGUAGE PROPOSED BYLAW CHANGE RATIONALE

Amendment #1Article I. Name, Purposes and MissionSection 2. Mission and Purposes

The mission of the TNA shall be to promote and protect the registered nurse and to advance the practice of nursing to in order to assure a healthier Tennessee.

The mission of the TNA shall be to empower the registered nurse; advocate for the practice of nursing and champion quality healthcare for all Tennesseans. Promote and protect the registered nurse and to advance the practice of nursing in order to assure a healthier Tennessee.

Reflects change made to the TNA mission statement

Amendment #2Article I. Name, Purposes, and MissionSection 3. Functions

Ensure adherence to the “Code of Ethics for Nurses” established by ANA.

Promote Ensure adherence to the “Code of Ethics for Nurses” established by ANA.

The TNA does not have a mechanism in place to monitor and police compliance with the “Code of Ethics for Nurses” established by the ANA.

Amendment #3Article II. MembershipSection 3. Qualifications

d)Premier and Standard membership pricing option will be available in Tennessee for as long as ANA sanctions value pricing membership and TNA has a written agreement with ANA to participate in this membership option. e)State only membership will be available in Tennessee for as long as ANA sanctions leveled membership and TNA has a written agreement with ANA to participate in this membership option.

Reflects change passed at ANA membership assembly adopting value pricing. Allows for potential future change within membership options.

Amendment #4Article IV. TNA Membership AssemblySection 2. Composition and AppointmentSection 6. Quorum and Voting

The TNA Membership Assembly shall be composed of TNA Members registered present.

A quorum for the transaction of business by the TNA Membership Assembly shall consist of fifty (50) percent of the total TNA members registered and present at the Membership Assembly, plus five members of the Board of Directors, one of whom shall be the president or vice-president.

The TNA Membership Assembly shall be composed of TNA Members registered and present.

A quorum for the transaction of business by the TNA Membership Assembly shall consist of fifty (50) percent of the total TNA members registered and present at the Membership Assembly, plus five members of the Board of Directors, one of whom shall be the president or vice-president.

Presence not registration establishes both the composition of the membership assembly and the basis for a quorum.

TNA Proposed Bylaws

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Amendment #5Article V. Nominations and ElectionsSection 1. Nominations

The TNA President will serve as a representative to the ANA Membership Assembly and the ballot will reflect it. Additional representative(s) and alternate(s) will be elected from the TNA/ANA membership at large.

The TNA President will serve as a representative to the ANA Membership Assembly by virtue of elections as the President. and the ballot will reflect it. Additional representative(s) and alternate(s) will be elected from the TNA/ANA membership at large.

Clearer wording. ANA membership assembly representative is an expectation of the role of President.

Amendment #6Article V. Nominations and ElectionsSection 1. Nominations

No member shall serve in more than one elected office at the same time. A member serving in an elected office which is not expiring may be nominated for election to the office of president-elect but shall automatically vacate the first held office upon assuming the duties of president-elect.

No member shall serve in more than one elected office at the same time. Election as a representative to the ANA membership assembly is exempt from this restriction. A member serving in an elected office which is not expiring may be nominated for election to the office of president-elect but shall automatically vacate the first held office upon assuming the duties of president-elect.

Clarifies that ANA membership assembly representation is not considered a second elected office.

Amendment #7Article V. Nominations and ElectionsSection 2. Elections

ANA representatives and alternates shall serve two-year terms or until their successors are elected.

ANA representatives and alternates shall serve two-year terms or until their successors are elected or appointed.

Allows for scenario when appointment is indicated rather than election.

Amendment #8Article VI. Board of Directors Section 2. Composition

The Board of Directors shall consist of the elected officers of the Association, the Immediate Past President, and five Directors, one each for Operations, Practice, Government Affairs, Membership and Education, plus the Chair of the Presidents’ Council and the Tennessee Nurses Foundation (TNF) President.

The Board of Directors shall consist of the elected officers of the Association, the Immediate Past President, and five Directors, one each for Operations, Practice, Government Affairs, Membership and Education.plus the Chair of the Presidents’ Council and the Tennessee Nurses Foundation (TNF) President.

All chapter presidents are invited to board meetings. The presidents’ council is no longer active. The TNF president is ex-officio with full voice with no vote.

Amendment #9Article VI. Board of Directors Section 5. Responsibilities

confer district association status on groups meeting qualifications established in these Bylaws

confer district association status on groups meeting qualifications established in these Bylaws and remove association status as deemed appropriate for failure to meet district qualifying requirements

Clarifies the role of the board in holding districts accountable for meeting requirements.

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Amendment #10Article VI. Board of DirectorsSection 7. Vacancies

a) In the event of a vacancy1) in the office of President, the vice-president shall become president for the remainder of the term but shall not fill the ANA Member Assembly Representative position;2) in the office of President-Elect, the office shall remain vacant until the next election of the President unless the Board of Directors, at its discretion, orders a special election by the membership;3) in an elective office, the Board of Directors shall fill the vacancy by appointment for the unexpired portion of the term;4) in the office of the Immediate Past President, the office shall remain vacant.5) The TNA officer who fills the vacancy in the office of the President will not serve as the TNA representative to the ANA membership assembly.

a) In the event of a vacancy1) in the office of President, the vice-president shall become president for the remainder of the term but shall not fill the ANA Member Assembly Representative position unless a full ANA/TNA/DNA member;2) in the office of President-Elect, the office shall remain vacant until the next election of the President unless the Board of Directors, at its discretion, orders a special election by the membership;3) in an elective office, the Board of Directors shall fill the vacancy by appointment for the unexpired portion of the term;4) in the office of the Immediate Past President, the office shall remain vacant.5) The TNA officer who fills the vacancy in the office of the President will not serve as the TNA representative to the ANA membership assembly

The appointed President can assume the ANA member assembly representative position provided they meet the same requirement as an elected President.

Amendment #11Article VI. Board of Directors Section 8. Duties

a) The President shall1) serve as the official representative of this association and as its spokesperson on matters of association policy and positions;2) serve as the chair of the TNA Membership Assembly, the Board of Directors, the Executive Committee of the Board, and as an ex-officio member of all standing committees except the Nominating Committee;3) appoint committees of the Board as designated by the Board and fulfill other duties as may be required;4) serve as the TNA representative to the ANA Membership Assembly and the ANA Leadership Council;5) upon completing a term in the office of president, shall serve as the Immediate Past President on the Board of Directors with full voice and vote until replaced by his/her successor.

a) The President shall1) serve as the official representative of this association and as its spokesperson on matters of association policy and positions;2) serve as the chair of the TNA Membership Assembly, the Board of Directors, the Executive Committee of the Board, and as an ex-officio member of all standing committees except the Nominating Committee;3) appoint committees of the Board as designated by the Board and fulfill other duties as may be required;4) serve as the TNA representative to the ANA Membership Assembly and the ANA Leadership Council;5) upon completing a term in the office of president, shall serve as the Immediate Past President on the Board of Directors with full voice and vote until replaced by his/her successor.6) Facilitate the evaluation of the executive director.

The President has responsibility to facilitate the evaluate of the Executive Director.

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Amendment #12Article VI. Board of DirectorsSection 8. Duties

e) The Treasurer shall1) monitor the fiscal affairs of the association, provide for the expenditure of funds, and report to the Board of Directors and the TNA Membership Assembly; and2) serve as chair of the Committee on Operations.

e) The Treasurer shall1) monitor the fiscal affairs of the association, provide for the expenditure of funds, and report to the Board of Directors and the TNA Membership Assembly; and2) serve as chair of the Finance Committee on Operations.

The title of “operations committee” is not reflective of the scope of the committee which is focused primarily on finance.

Amendment #13Article VI. Board of DirectorsSection 8. Duties

f) The Immediate Past President shall1) facilitate the annual evaluation of the Executive Director;2) serve on the Finance Committee3) serve on projects or other committees at the request of the President or Board of Directors;

f) The Immediate Past President shall1) facilitate the annual evaluation of the Executive Director;2) serve on the Finance Committee3) serve on projects or other committees at the request of the President or Board of Directors;

The facilitation of the annual evaluation of the Executive Director is the responsibility of the President.Reorder remaining

Amendment #14Article VI. Board of DirectorsSection 11. Meetings

a) Meetings of the Board of Directors shall be held at least twice annually at a time and place determined by the Board of Directors. Meetings can be conducted electronically. Special meetings may be called by the President and shall be called upon written request of at least five (5) district associations or five (5) members of the Board of Directors.

a) Meetings of the Board of Directors shall be held at least twice annually at a time and place determined by the Board of Directors. Meetings can be conducted electronically. Meeting electronically will constitute full attendance to include quorum requirements and voting. Special meetings may be called by the President and shall be called upon written request of at least five (5) district associations or five (5) members of the Board of Directors.

Specifically articulates that electronic attendance meets requirements.

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Amendment #15Article VII. DirectorsSection 3. Responsibilities

Director of OperationsHas general oversight for 1)Review of TNA Policies and Procedures2) developing new policies and procedures, as needed3) participating in long range planning4)the work of the Bylaws Committee, serving as the Chair5) the work of the Operations Committee6) the work of the Nominating Committee7)the work of the Reference Committee

Director of OperationsHas general oversight for 1)Review of TNA Policies and Procedures2) developing new policies and procedures, as needed3) participating in long range planning4)the work of the Bylaws Committee, serving as the Chair5) the work of the Operations Committee6) the work of the Nominating Committee7)the work of the Reference CommitteeParticipates in1) review of TNA policies and procedures2) development of new policies and procedures, as needed

Nominating committee moved to Executive Director. Operations Committee changed to Finance Committee and moved to Treasurer. Policies and procedures are part of the finance committee responsibilities.


Director of Government AffairsHas general oversight for1) development of a legislative platform and health policy agenda in collaboration with other directors2) monitoring legislation and making recommendations to the Tennessee Nurses Association3) identifying legislative priorities for introducing legislation4) the work of the TNPAC committee

Director of Government AffairsHas general oversight for1) development of a legislative platform and health policy agenda in collaboration with other directors the GOVA committee, serving as the chair;2) monitoring legislation and making recommendations to the Tennessee Nurses Association development of a legislative platform, health policy agenda, and legislative priorities in collaboration with the GOVA committee, the Board of Directors and TNA staff; 3) identifying legislative priorities for introducing legislation4) the work of the TNPAC committee

More clearly defines the collaboration of the director with the GOVA committee, BOD and staff in defining political direction and action.

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Director of EducationHas general oversight for1) promoting and supporting professional development and education through statewide planning and implementation;2) participates in the planning of provider CE events 3) the provider unit for Continuing Nursing Education 4) the work of the CE review committee

The Committee on education review shall1) implement the policies and procedures of the continuing education approval process; 2) review the continuing education approval process and recommend needed changes to the Board of Directors; 3) serve as the approver unit for continuing education; and4) evaluate and advise the Board of Directors on other issues as deemed appropriate.

Director of EducationHas general oversight for1) promoting and supporting professional development and education through statewide planning and implementation;2) participates in the planning collaborates with staff to ensure compliance with standards of provider CE events 3) the provider unit for Continuing Nursing Education 4) the work of the CE review committee

The Committee on education review shall The work of the CE Review Committee:1) implementing the policies and procedures of the continuing education approval process; 2) reviewing the continuing education approval process and recommend needed changes to the Board of Directors; 3) serving as the approver unit for continuing education; and4) evaluating and advising the Board of Directors on other issues as deemed appropriate.

Clean up of language and reflects collaboration with TNA staff on event planning

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G) Nominating Committee a) The Nominating Committee shall be composed of five (5) elected full (ANA/TNA/DNA) members b) Membership will represent diversity of scope of practice and geographic location.c) Members of the Nominating Committee shall serve one (1) two-year term. Two members shall be elected in even years and three members in odd years.d) If a member of the Nominating Committee is unable to serve, the position shall be declared vacant and the person next in line according to the number of votes received shall serve the remainder of the term.e) The Committee shall1) request the names of candidates for elective offices;2) prepare a slate of nominees and publish such slate at least sixty (60) days prior to the annual meeting;3) implement the policies and procedures for nominations and elections as established by the Board of Directors; and4) assume other responsibilities for nominations as provided for in these Bylaws

G) Nominating Committee a) The Nominating Committee shall be composed of five (5) elected full (ANA/TNA/DNA) members and report to the TNA Executive Directorb) Membership will represent diversity of scope of practice and geographic location.c) Members of the Nominating Committee shall serve one (1) two-year term. Two members shall be elected in even years and three members in odd years.d) If a member of the Nominating Committee is unable to serve, the position shall be declared vacant and the person next in line according to the number of votes received shall serve the remainder of the term.e) The Committee shall1) request the names of candidates for elective offices;2) prepare a slate of nominees and publish such slate at least sixty (60) days prior to the annual meeting;3) implement the policies and procedures for nominations and elections as established by the Board of Directors; and4) assume other responsibilities for nominations as provided for in these Bylaws.

Reporting to the Executive Director limits concern regarding the Board of Directors influencing the slate of nominees

Amendment #19Article VIII. Presidents’ Council

Eliminate the entire Article

Presidents’ Council has not been in practice is not needed. All district Presidents are invited to BOD meetings and have full voice with no vote.

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Amendment #20Article X. District AssociationSection 3. Responsibilities

a) The Bylaws of each district shall1) provide that members meet the qualifications as specified by these Bylaws;2) provide for the obligation of members to pay dues in accordance with adopted policies;3) provide for the district president to serve as a member of the TNA’s presidents’ council. And, if the president is unable to attend the meeting, the President Elect or Vice President shall attend the President’s council meetings as an alternate with full voice and vote of the district president. 4) protect members’ rights to participate in TNA and the district association; and5) specify the rights and obligations of members.b)Each district association shall1) provide for Full members (TNA/ANA/DNA) to nominate candidates for representatives to the ANA Membership Assembly in accordance with these Bylaws and adopted policy;2) provide for members to nominate candidates for TNA offices and committees in accordance with theseBylaws and adopted policies;3) submit district Bylaws and proposed amendments for review to TNA when requested.4) provide such information to TNA as required by adopted policies and procedures; and5) submit an annual report to the Tennessee Nurses Association office by March 1; and6) comply with the requirements of these Bylaws.

a) The Bylaws of each district shall1) provide that members meet the qualifications as specified by these Bylaws;2) provide for the obligation of members to pay dues in accordance with adopted policies;3) provide for the district president to serve as a member of the TNA’s presidents’ council. And, if the president is unable to attend the meeting, the President Elect or Vice President shall attend the President’s council meetings as an alternate with full voice and vote of the district president. 4) protect members’ rights to participate in TNA and the district association; and5) specify the rights and obligations of members.b)Each district association shall1) provide for Full members (TNA/ANA/DNA) to nominate candidates for representatives to the ANA Membership Assembly in accordance with these Bylaws and adopted policy;2) provide for members to nominate candidates for TNA offices and committees in accordance with theseBylaws and adopted policies;3) submit district Bylaws and proposed amendments for review to TNA when requested.4) provide such information to TNA as required by adopted policies and procedures; and5) submit an annual report to the Tennessee Nurses Association office by March 1; and6) comply with the requirements of these Bylaws.

Presidents’ Council has not been in practice is not needed. All district Presidents are invited to BOD meetings and have full voice with no vote.

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Amendment #21Article XII. AmendmentsSection 1. Amendments with notice

a) The Bylaws Committee shall receive proposed amendments at least six (6) months prior to the annual meeting.b) Amendments proposed by the Bylaws Committee shall be in the possession of the Secretary of this association at least two (2) months before the date of the annual meeting, or special meeting of the association, and shall be appended to the call for the meeting.c) These Bylaws may be amended with prior notice at any annual meeting or special meeting of the TNA Membership Assembly by a two-thirds (2/3) vote of the members present and entitled to vote.

a) The Bylaws Committee shall receive proposed amendments at least six (6) four (4) months prior to the annual meeting.b) Amendments proposed by the Bylaws Committee shall be in the possession of the Secretary of this association at least two (2) months before the date of the annual meeting, or special meeting of the association, and shall be appended to the call for the meeting.c) These Bylaws may be amended with prior notice at any annual meeting or special meeting of the TNA Membership Assembly by a two-thirds (2/3) vote of the members present and entitled to vote.

6 months is a long lead time to propose amendments. Four months allows sufficient time for review.

http://uu.edu/nursing

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2018-2020 Legislative and Health Policy Statements

Introduction: The Tennessee Nurses Association (TNA) is the professional association representing over 110,000 Tennessee registered nurses. This position paper outlines the basic philosophy of the TNA’s Membership Assembly relative to health care policy which may be addressed by the Tennessee General Assembly and the U.S. Congress.

Mission: To improve health and health care for all Tennesseans and residents of the state, advance nurse leaders and the practice of nursing as essential to improvement efforts and transformational change, and serve as the voice for professional nurses.

The American Nurses Association’s Code of Ethics outlines foundational provisions that frame TNA’s initiatives and actions.

Vision: TNA supports a transformed health care delivery system that ensures that all Tennesseans and residents of the state are able to access equitable and affordable essential services when and where they need them. The transformed system envisioned by TNA is patient-centered, promotes inter-professional collaboration and care coordination to improve patient outcomes and experiences, primary care and prevention are priorities, value is emphasized, and there is expanded use of information technology to promote efficiency and effectiveness.

Goals: TNA is supportive of initiatives that improve health and health care and advance the following goals:

Optimal health system performance, including:

Improved patient care experiences;

Improved population health; and

Reduced per capita cost for health care.

Access to high-quality, affordable and acceptable care for all Tennesseans and residents of the state, including:

Provision of a standardized package of essential health care services provided and financed by public and private plans with protection against catastrophic costs and impoverishment;

Expanded primary care capacity by allowing RNs to practice to the full extent of their license to provide chronic care management, care coordination, and preventive care in primary care settings;

Enhanced access to efficient, cost –effective, high-quality, equitable, and comprehensive healthcare services by allowing APRNs to practice to the full extent to which their education and training prepare them;

Allow APRNs with appropriate training to prescribe buprenorphine to increase access to medication-assisted treatment (MAT) to combat the state’s opioid crisis; and

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Full practice authority and enhanced participation in the delivery of care and policymaking for all professional nurses, including:

Support for the Tennessee Board of Nursing as the sole regulatory authority over nursing education and practice;

Adoption of the Consensus Model for APRN Regulation: Licensure, Accreditation, Certification, and Education (2008);

Elimination of financial, regulatory, organizational, and institutional barriers to the practice of professional nursing;

Participation of registered nurses on all local, state, and national health care advisory, policymaking, and governing boards, committees, and task forces; and

Inclusion of APRNs as licensed independent providers (LIPs) in hospital licensure rules, health plans, and health care facilities.

Assuring an adequate, competent and diverse nursing workforce to meet current and projected health care demands, including:

Improved data collection and information infrastructure to inform policymaking, planning, and evaluation;

Promotion of higher levels of education and training through seamless academic progression, inter-professional education of health professionals, and lifelong learning;

Funding for nursing students and faculty, including loan forgiveness programs; and

Support for nurse safety in the patient care environment, staffing effectiveness plans, whistleblower protection, and bans on mandatory overtime.

Restricting the use of the title “nurse” to only those individuals who have fulfilled the requirements for licensure as outlined in the state’s nurse practice act. Nurse practice acts describe entry level qualifications such as education, practice standards and code of conduct for continued privilege to practice nursing.

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Thank you to our Sponsors who make our 2019 Conference a huge success!

(At Press Time)

Gold Level Sponsorship

Silver Level Sponsorship

Bronze Level Sponsorship

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Exhibitors

AccuVein

AbilisHealth

Arkansas State University

Aureus Medical Group

Baptist Memorial College of Health Science

Comfort Care Hospice

Footbar Walker GANM, LLC

Freeman Financial Group

Genentech

The Gideons International

Hurst Review Services

Janssen Pharmaceuticals

Jefferson Regional Medical Center

King University

Memphis and Shelby County Pediatric Group

National Healthcare Corporation

North Mississippi Medical Center

SIPS Consults

Sprint

University of Tennessee Health Science Center, College of Nursing

University of Tennessee at Knoxville, College of Nursing

Vanderbilt University College of Nursing

Walden University

Westberg Institute for Faith Community Nursing

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Schools of Nursing Luncheon Sponsors

Belmont University

Chamberlain University

Christian Brothers University

Cumberland University

East Tennessee State University

Harding University

Lipscomb University

Mississippi University for Women

Tennessee Wesleyan College

William Carey University

Superheroes of TNA

Tina Gerardi

Carla Kirkland

AbilisHealth

Chamberlain University

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TNA Board of Directors and Staff

TNA Staff

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Tennessee Nurses Association2019 Slate of Candidates and Statements

SECRETARY – VOTE FOR ONE (1)

Jennifer (Jeny) Conrad-Rendon, NP-CDistrict 1Family Nurse PractitionerHealthy LifeArlington

I would be honored to serve as your TNA Secretary. I feel that it is my responsibility to give back to our amazing profession and help it to become the strongest and best it can be. I have experience in the role of a secretary as I have volunteered as the secretary for a local booster club.

My calling to be a nurse came from my inspirational cousin who is a nurse. It began with becoming a CNA where I worked in home health. From there my AA degree, BSN degree, and MSN degree were completed. My almost 20 years of being a registered nurse consists of just about every aspect of nursing: Labor & Delivery, Oncology, Primary Care, Cardiology, Behavioral Health, and Pediatrics. I was an RN for ten years before I became an Advanced Practice Registered Nurse in 2009. As a Family Nurse Practitioner, I became an entrepreneur and owned a primary care clinic for approximately 5.5 years and grew it to approximately 1800 patients. I have also helped grow a new concept in a business that provides preventive physicals. We took these preventive physicals to patients at their workplace via Mobile clinics/vans staffed with an FNP and EMT. We grew it in a 2-year timespan from no van runs to thirty a month.

Full Practice Authority is critical as APRNs should be able to practice to the full extent of our education. I have been very active in this important fight and have started a petition, contacted and met with legislators, started several social media pages to educate others on FPA and help increase the participation among nurses in this important fight. I have testified to the TN Senate on Insure TN because access to healthcare should be one of our basic rights and no one should be without healthcare.

I strongly believe that a true leader helps to build others up into the best person they can be. When people feel appreciated and respected, they tend to be happy and that reflects on to their care towards their patients. I am the type who is eager to learn new things and quick to jump in to help wherever it is needed. I am beyond ready for this next level of advancement in my passion for the nursing profession. Teamwork is crucial for success to advance our profession and I look forward to being part of the TNA team.

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Susan Smith, MSN, RNDistrict 3Senior Director, Case Management Clinical InformaticsLifePoint HealthColumbia

I am a clinical informatics leader with a strong healthcare background and deep clinical knowledge, who expertly leads in the analysis, planning, implementation and management of clinical information systems as related to clinical informatics, insuring alignment and implementation of technology to support operations. Possessing a reputation for collaborating with, and representing, the collective interests of the executive team, medical staff, nursing and other clinicians, IT department and other users of the system. I have a diverse background in healthcare including emergency department nursing, clinical revenue integrity and compliance. I work directly with clinical end users to facilitate the integration of data, information, and knowledge to support patients and caregivers in their decision-making in all roles and settings to provide quality and safe patient care.

I am a member of HIMSS, American Nurse Informatics Association, the American Nurses Association and the Tennessee Nurses Association. I am passionate about educating clinical staff to grow their knowledge of informatics and information technology to deliver quality care in a safe environment.

DIRECTOR – GOVERNMENT AFFAIRS – VOTE FOR ONE (1)

Marcia Barnes, DNP, APRN, ACNP-BC, CWSDistrict 15Assistant ProfessorCumberland UniversityLebanon

I have been a member of TNA for many years and currently the president of District 15. It is my desire to be active and give back to the nursing profession through TNA. I am a strong advocate for independent practice for advanced practice nurses and feel it is as much my responsibility as any other APN to be involved and advocate for not only APNs but Tennesseans. I believe all nurses should be allowed to practice to their full scope and education. I served as Chair of the Government Affairs Committee this past year and embraced the opportunity to learn about the legislative process. This solidified for me that collaborating with legislators through TNA independent practice will become a reality.

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Susan Cortez, Ph.D., MBA/HCM, BSN, RN, HIMSS HITDistrict 1Fulltime faculty in the Doctorate of Nursing Practice (DNP) ProgramChamberlain UniversityMemphis

I have a variety of staff nursing and executive leadership experience. I graduated from Duquesne University in Pittsburgh, Pennsylvania with a BSN and minor in psychiatric nursing. I worked as a psychiatric staff nurse and simultaneously a staff nurse on a medical and surgical floor. I continued working as a staff nurse and a circulator nurse. After I received a Master’s in Business Administration and Health Care Management, I accepted an executive nurse position with executive operations responsibility for a new ambulatory surgery center currently under construction, while simultaneously the Director of a laparoscopic inpatient-surgery department, and Director of a different 15-suite inpatient operating room department. I next accepted full-time work in the Evidence-Based Medicine and Informatics department at Vanderbilt University Medical Center. I completed my Ph.D. dissertation research on Evidence-Based Nursing Practice and Computerized Clinical Decision Support in 2014. I taught DNP intensive classes at the Vanderbilt School of Nursing, and for six years, I mentored six to eight staff nurses and other professionals in a year-long fellowship program. I also facilitated learning for nurse leaders in the medical center on evidence-based practice, quality metrics, and process control. I have published and have experience in mentoring nurses through study proposals, IRB, analysis, and writing for publication. I was the subject matter expert in creation of the Nursing Informatics Masters Program at the University of Phoenix, Tempe Campus. I am full time faculty in the Doctorate of Nursing Practice Program at Chamberlain University.

DIRECTOR – OPERATIONS– VOTE FOR ONE (1)

J. Ted Nelson, MSN, RN, NEA-BC, CCRN-K, FACHEDistrict 4Associate Chief Nursing OfficerErlanger Health SystemSoddy Daisy

My experience and education have equipped me to contribute to our Nursing Profession across the State of Tennessee as the Director of Operations for the Tennessee Nurses Association. I graduated from Chattanooga State Community College with my Associate of Science in Nursing in 2010, Bachelor of Science in Nursing in 2012, and Master of Science in Nursing (Administration) in 2016 from East Tennessee State University. Currently, I am pursuing a dual degree (Doctor of Nursing Practice and Master’s in Business Administration) at the University of Tennessee at Chattanooga.

I have been Associate Chief Nursing Officer at the Erlanger Health System in Chattanooga, Tennessee for the last 18 months. I have the leadership responsibility for the main campus which including providing oversight of clinical operations with scope including approximately 600 FTEs; facilitating physician relations by enabling open communication and collaboration to improve overall clinical and financial operations; responsible for ensuring adherence to nursing care standards as well as state and federal regulations and promoting evidence-based practice in the clinical setting; contributes to the integration of systems, programs, and support across the system with focus on business evaluation and development, continuous

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quality improvement, patient experience, and employee engagement. Additionally, I continue to serve in several Professional Organizations in the Chattanooga area. I am the Treasurer, Secretary, & Webmaster of the Chattanooga Council of American Organization of Nurse Leaders -Tennessee (AONL-TN), Board Member of the Tennessee Nurses Association 4th District, Webmaster of the Chattanooga Chapter of the American Association of Critical-Care Nurses, Governance Member of Zeta Alpha Chapter of Sigma Theta Tau International and member of the Sigma International Nurse Leader Review Committee.

DIRECTOR – PRACTICE – VOTE FOR ONE (1)

Colleen Moss, MSN, APRN, NNP-BCDistrict 3Neonatal Nurse PractitionerThe Monroe Carell Jr Children’s Hospital at Vanderbilt Franklin

I would like to be considered for a leadership position because I am interested in becoming more involved with TNA. I began my nursing career in Vanderbilt’s NICU in 2001. After two years as a bedside nurse, I joined Children’s Hospital Colorado as an neonatal nurse practitioner (NNP) in 2003. I returned to Vanderbilt to join the NNP team in 2007. I currently am a full time NNP, splitting my time between a Level IV NICU in an academic medical center and a Level II NICU in a community hospital in Columbia, TN.

I am also a full-time student, and I will finish my DNP program at the University of Tennessee at Chattanooga in December 2019. I was awarded Outstanding DNP Student of the Year in April 2019. My interests are in teaching, professional development, and mentoring. As a DNP student, I am learning and focusing on the importance of evidence-based practice for delivery of safe, quality care to ensure the best outcomes for critically ill newborns. Ultimately, I want to utilize both my clinical and evidence-based practice knowledge to mentor new nurses at all levels in a collaborative team environment. Earning my DNP is important for me to grow as a professional and be qualified to obtain a position with increased leadership responsibility and opportunities.

Nursing emphasizes a commitment to continuing education and service. I have an interest in nursing scope of practice and workforce issues. I am devoted to lobbying for full practice authority for APRNs. I have spoken with legislators in the Tennessee General Assembly regarding the need for APRN full practice authority, as Tennessee has one of the most restrictive practice environments in the United States. As an advanced practice nurse, I want to positively impact the profession through service in TNA.

Laura Reed, DNP, APRN, FNP-BCDistrict 1Assistant Professor/FNP Concentration CoordinatorUniversity of Tennessee Health Science Center Memphis

I am currently serving as the Director- Practice for TNA and am seeking a second term. During my tenure on the board, I have seen the need to expand the scope of practice for ALL nurses in Tennessee not just APRNs. I would like to continue to be a part of the work that is currently addressing this issue along with

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workplace violence. All nurses deserve a safe environment to work in. We need to begin to actively address the issue of workplace violence toward nurses by patients, families, and co-workers. I have been an RN in Tennessee for 33 years and have practiced as an FNP for 29 years in a variety of settings most recently in a medically underserved clinic in metropolitan Memphis. My practice interest is providing care to patients with complex medical conditions. I have established the role of nurse practitioner in three primary care clinics in the Memphis area. I am also an Assistant Professor for the UTHSC College of Nursing and am the FNP Concentration Coordinator. I am currently the president of the Greater Memphis Area Advanced Practice Nurses as well as the secretary for the Access to Care Coalition. I am a member of ANA, AANP, and NONPF.

NOMINATING COMMITTEE – VOTE FOR THREE (3)

Mary (Petey) Elliotte, BSEd, DNP, NP-CDistrict 01Clinical Associate ProfessorLoewenberg College of Nursing, University of MemphisMemphis

I have been a member of TNA/ANA for several years but recently (May 2019) became a Tennessee resident moving from north Mississippi. I feel I am now able to be more active in TNA. I have been a Professor at the University of Memphis for 12 years helping students become professional healthcare providers, both Registered Nurses and Advanced Practice Nurses. I have, and continue to serve, on several committees at the College of Nursing which has included the Tenure & Promotions committee, various administrative interview committees, (most recently to fill the position of the Director of Simulation). As a faculty member, we attend interviews for new faculty applicants and are allowed to interview them as well. Past employment experience includes Director of Clinical Education at the Loewenberg College of Nursing at the University of Memphis in which I was responsible for interviewing and selecting adjunct faculty to augment full-time faculty. Administrative employment also includes Hospital Clinical Educator for medical-surgical/critical care units and emergency department. Responsibilities associated with this position included assisting with evaluating registered nurse applicants.

My goal is to become more active in the organization that has so much influence in my profession and utilize my experience to help that organization, as well as the other healthcare providers across the State of Tennessee. Based on my past experiences, I feel I would be a good fit for being a member of the Nominating Committee.

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Hillary Sexton, BSN, RN, CCRNDistrict 15Registered Nurse 4CCVanderbilt University Medical CenterMurfreesboro

I have worked in Tennessee health care for almost nine years, first as a certified nurse assistant for four years, then as a registered nurse for the past five years. During my time as an RN, I have served on the Burn Unit Board for Shared Governance, worked with the quality improvement committee, and volunteered on my unit to be a verified check-off for educational endeavors. This past year I was awarded Preceptor of the Year on the Burn Unit at VUMC. Also, for the past two years, I have been a night shift charge nurse on the burn unit and was a charge nurse at my previous hospital as well.

I have been volunteering since 2009 for a non-profit organization in various roles, facilitating leadership conferences and leading regional volunteers as a Region Facilitator for the past three years. I serve the National Alumni Association of Austin Peay State University as Vice President of Greek Alumni and on the nominating committee for the association. I feel very comfortable as a leader and love to serve. The nominating committee position integrates my current career, my past experiences, and continues to build on my leadership and service to the nursing profession of Tennessee.

Thank you.

Raven Wentworth, DNP, RN, APRN, AGPCNP-BC, FNP-BCDistrict 6Associate Professor of Nursing: Nurse PractitionerFreed-Hardeman University/Walk-In Medical Clinic of LindenJackson

I have had the opportunity to be actively involved with TNA since January of 2017 when the TNA district in which I live (District 6) was revitalized and I was elected as President. Over the past two and a half years, I have been able to learn about the policies that govern and the organization of the association. I have also recently joined the TNF Board and will be serving as secretary. I am interested in serving on the nominating committee so that I may continue to learn and serve my profession. It has been a pleasure to be part of the professional group that is the “voice” for registered nurses in the state of TN.

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ANA MEMBERSHIP ASSEMBLY REPRESENTATIVE – VOTE FOR ONE (3)

Lisa Beasley, DNP, APRN, NP-C, RNDistrict 1Clinical Associate Professor and Director of Clinical EducationUniversity of MemphisMemphis

I have been a member of ANA/TNA since becoming a nurse in 2006. Nursing is a second career for me, and it is a career for which I have a great passion. The profession of nursing provides many opportunities for nurses in a variety of settings. I strongly believe that if a nurse can belong to only one professional nursing organization – that it should be the American Nurses Association and her or his state organization. I am in education and administration at the University of Memphis Loewenberg College of Nursing. I am also an APRN (Family Nurse Practitioner) and practice in hospice and palliative care in the rural counties outside of Memphis. My passion is to serve and to be able to serve nurses and nursing as an Assembly Representative would be one of the highest honors I could receive. Nurses advocate for patients, families and policy that affect changes in lives and in our state and country. I can serve our members proudly by advocating for nurses who do so much for so many. One of the greatest honors of my life is being a nurse and I would be truly humbled to serve the nurses of Tennessee as an Assembly Representative.

Tina Gerardi, MS. RN, CAEDistrict 3Executive DirectorTennessee Nurses AssociationNashville

I am a current member of TNA and as the Executive Director attend the Membership Assembly, but do not have a vote. Being a Membership Assembly representative will afford me the ability to vote on issues while in attendance. As a member of the New York delegation to the then Delegate Assembly, I represented New York in that capacity for 24 years. I understand the governance of ANA and the expectation of the Membership Assembly as outlined in ANA bylaws and policy. I currently serve on two ANA task forces and would like the opportunity to represent TNA on the national level as a membership assembly representative.

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Tina McElravey, MPH, BSN, RN, NHDP-BCDistrict 1Employee Health CoordinatorShelby County Health DepartmentMillington

Results driven public health nurse with extensive nursing and administrative experience providing evidenced based preventive health services to a large diverse metro community. History of successful team leadership, driving performance, program improvement and quality initiatives. Dynamic, goal-oriented problem solver with strong analytical skills. Instrumental in improving Shelby County immunization rates for high risk population from 43% to 86% in three years. Instrumental in facilitating training of 350 participants in National Disaster Life Support courses within 17 months. Strong nursing and public health advocate. Extremely tenacious when advocating for community and fellow nurses. Dedicated desire to advance the welfare and economic status of all nurses and to promote leadership and mentoring opportunities within the state of Tennessee.

Carole Myers, PhD, RN, FAANDistrict 2Associate ProfessorUniversity of TennesseeTownsend

I have a depth of knowledge and experiences related to policymaking at the state and federal level and a robust professional network that I will use to benefit the Tennessee Nurses Association, as I have done for many years. I will use my policy experiences and expertise and lessons learned from service to TNA to advance the organization’s priorities related to health, health care, and our professional practice in the state.

ANA Membership Assembly Representative 2013—2019

ANA Delegate 2008-2009, 2010-2011, 2012-2013

Appointed to serve on ANA Presidential Endorsement Task Force 2018-2019

Chair of Tennessee Nurses Association (TNA) GOVA committee 2010-2016; member 2008-2019

Chair TN-PAC 1985-1988, 2007-2010

Inducted as Fellow American Academy of Nursing 2018

Senior Fellow George Washington University Center for Health Policy and Media Engagement 2017

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Selected AACN Faculty Policy Fellow 2017-2019

Co-Chair Tennessee General Assembly Scope of Practice Task Force 2016-2017

Nursing Lead and Secretary/Treasurer Tennessee Action Coalition 2012-2017

Fellow American Nurses Advocacy Institute (2011-2012)

American Association of Nurse Practitioners (AANP)-Advocate State Award for Excellence (2011)

Coordinator Graduate Certificate in Health Policy program at the University of Tennessee (UT) Associate Professor UT: primary teaching responsibilities and research focus include health policy and services; have joint appointment with Department of Public Health

Christine Reed, BSN, RNDistrict 5Account Executive HillromJohnson City

As past president for TNA District 5 I would like to serve as a positive role model and advocate for the nursing profession and spokesperson for TNA and ANA. It would be an honor and privilege to serve on the ANA Membership Assembly as a representative from TNA.

Monique Rivers, MSN, MSEd, RNDistrict 3Director, Quality StandardsHCA HealthcareNashville

I have been a member of the ANA and the State Nursing Association for nearly twenty years. My commitment to the nursing association began as a nursing student. At the time, my professors stressed the importance of membership in the professional nursing association. The exact quote that I remember is “If you don’t speak for yourself, others will.” I cannot imagine the voice of the nursing profession to be assumed by another professional. My clinical experience has included years in different types of hospitals including a teaching university, non-profit and for profit facilities. I have transitioned from a direct bedside nurse to hospital leader roles and currently, I work at the corporate offices of the largest healthcare system in America. The time has come for me to use my years of clinical and educational experience and make a meaningful impact. I want to represent the voice of nursing as an ANA Membership Assembly Representative.

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Poster Presentation Abstracts

A Handoff Tool to Improve Patient Safety in Dialysis Care

Monique Rivers (Presenter)

Problem Addressed: Effective handoff communication practices during patient care transitions from one nurse to another contribute to patient safety. A standardized handoff method, such as SBAR, provides structure to communicate pertinent patient content for nurses to maintain consistent care during an in-patient hospitalization. A dialysis specific SBAR can improve handoff communications that can impact the care of dialysis patients.

Objectives: To provide a standardized handoff process addressing components related to dialysis care.

Methods/Procedures: Educational presentation of a handoff tool for nurses to use pre and post dialysis treatment.

Findings: NA

Recommendations for Practice/Research: Recommend evaluating the SBAR tool to improve communication to yield nurse satisfaction with the application of King’s Theory of Goal Attainment and provide safe care to a high-risk patient population.

A New Graduate Nurse Residency Program: Factors Impacting Retention

Elisha Jerry (Presenter)

Sara Day (Co-Presenter)

Problem Addressed:

New graduate nurses are the largest pool of registered nurses available for organizations to hire. Many new graduate nurses struggle with the transition from novice to competent nurse, and an estimated 35% to 60% leave within one year of hire (Pine & Tart, 2007; Pittman, Herrera, Bass, & Thompson, 2013). Turnover is financially costly and compromises quality of care. Nurse residency programs, defined as structured post-licensure programs that incorporate didactic education, clinical support and mentorship, have been implemented by health care organizations across the US to bridge the preparation-practice gap and reduce the high cost of turnover (Van Camp & Chappy, 2017).

Objectives:

The purpose of this study was to determine if a new graduate nurse residency program at 6 Mid-South hospitals affected the retention rate of new graduate nurses in relation to other variables, such as age, gender, facility, nursing degree (associate, traditional BSN, accelerated BSN, Master’s), unit (medical/surgical, critical care, emergency department, obstetrics/postpartum, peri-operative, pediatrics, neonatal intensive care) and intern and/or extern program.

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Methods/Procedures:

The study was a longitudinal, quantitative design. All new graduate nurses who entered into the residency program from August 2014 through April 2017 (932 nurses) were included in the study. The retention outcome was defined as continuing employment at year one. Termination at year one was used to measure the retention outcome. The probability of termination at year one was modeled with demographic variables as predictors in logistic regression framework.

Findings:

The probability of employment termination at year one was significantly associated with nursing degree programs, age, facility (p<0.05), and marginally associated with unit worked and completion of an extern and/or intern program (p <0.1), but not with gender. Variables that positively impacted retention included a BSN degree (both traditional and accelerated), younger age (20-24 years), working in critical care, working in a Magnet hospital and having completed an intern and/or extern program.

Recommendations for Practice/Research:

Although research describing residency program retention rates is readily available, this is the first study to evaluate the effects of a residency program’s retention rates in relation to other variables. The results will promote nurse retention by supporting sound decisions related to hiring, educating and supporting new graduate nurses. Increasing new graduate nurse retention will improve the quality of healthcare delivery and address the significant financial impact of nurse turnover.

A Paradigm Shift: An evolution to University Based Registered Nurse

First Assistant Education

Nancy Appling (Presenter)

Diane Pace (Co-Presenter)

Laura Reed (Co-Presenter)

Problem Addressed:

RNs practicing as Registered Nurse First Assistant (RNFA) function in an expanded perioperative role which requires additional specialized education. The Association of periOperative Registered Nurses (AORN)mandated BSN degree as a minimum educational preparation for the RNFA role by 2020.

Currently in the state of Tennessee there are nurses functioning in the role of the RNFA who do not meet the AORN standard for educational requirements.

Objectives:

1. Educate Tennessee nurses on the national educational standards required for practice as an RNFA

2. Discuss Tennessee legislation as it pertains to RNFAs

3. Present current opportunities available to obtain education required to practice as an RNFA in Tennessee

Methods/Procedures:

• Literature Review

• Gap Analysis

Findings:

Gap analysis and Literature review revealed an increased marketability and availability of reimbursement for the RN First Assistant. Their increased knowledge and skill set brings a higher level of competency and quality to the care of the perioperative patient. The Association of peri-Operating Room Nurses (AORN) has

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established national standards for RNFA program curriculum, and these standards apply both to the nurse who is non-APRN (Operating Room certified/CNOR) who may, or may not, be BSN-prepared and the APRN who is prepared at the Masters or Doctoral level. AORN standards as of 2020 will require a minimum of BSN education for the RNFA. To insure consistency and quality in the continuum of RNFA education, there is a need for post BSN university based educational programs to assume a leadership role in education for the RNFA .


The role of the RNFA is increasing in the state of Tennessee. This presentation will educate RNs/APRNs on the state and national standards established for practice as RNFAs in the state of Tennessee. RNFAs need to practice to the full scope of their licensure and education to ensure competent, quality care for the perioperative patient. Educational programs must meet AORN national standards to allow one to be eligible to sit for certification as a certified Registered Nurse First Assistant(CRNFA).These credentials denote education that is evidence based and ensures safe perioperative patient care.

Best Practices for the Transition and Retention of New Nurse Practitioners

Chaundel Presley (Presenter)

Problem Addressed:

Nurse practitioner (NP) graduates are entering the workforce yearly at an ever-growing rate. Over the last decade, the number of new NP licenses issued in the state of Tennessee each year has more than doubled. The assumption is made that most of these first-time licenses are issued to new graduates. Despite this tremendous growth, new graduates often struggle with initial job placements that are not a good match with their background and training, not well supported, and often result in a job change within the first year of practice. Meanwhile, data shows that there is a shortage of primary care providers and the population to primary care physician ratio continues to grow. National projections indicate primary care physician demand will continue to exceed supply. NPs are educated and prepared to help fill this healthcare provider need.

Objectives:

Identify and discuss some best practices for new NP’s, mentors and organizations to improve the transition process and retention of new NPs. Articulate strategies that enhance transition into much needed primary care practice roles.

Methods/Procedures:

An integrative review was conducted of the existing research related to NP transition into practice and job retention, focusing on primary care settings. The Cumulative Index of Nursing and Allied Health Literature (CINAHL) database was searched from 2004 through 2019. A specific focus was placed on the concept of NP transition in relation to primary care and job retention. Search terms included transition, retention, primary care and nurse practitioner. Studies with purposive sampling were included due to the limited research on this topic area and to gain an increased perspective of new graduates. Excluded were literature reviews, studies that focused on hospital or specialty care settings, concept analyses and unpublished manuscripts.

Findings:

Findings to date indicate multiple trends in research regarding the transition process of new NPs into practice that positively affect retention. Some of these include formal orientation programs that have consistently shown a positive relationship to job satisfaction and retention. A formal mentoring relationship has also been a positive factor. Other influences include participation in post-graduate training programs. Also, organizations that support NP autonomy, their professional visibility and foster improved relationships with administration have been shown to improve NP job satisfaction and transition into practice.

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The literature reviewed recommend a variety of future research that could be conducted to strengthen the science on this topic. Research was recommended in relation to the organizational climate and its impact on NP practice, transition studies that include more diverse populations, as well as studies correlating type of NP program and the transition process. Outcome studies of post-graduate transition programs correlating with the quality of care provided were suggested. Policy-related studies on the regulatory environment’s influence on NP job satisfaction as well as future research focusing on new and alternative ways of mentoring were encouraged.

Creating a Pillar of Safety for the Veterans We Serve Utilizing Stress Cards

Teris Webb (Presenter)

Problem Addressed:

Addressing Stress during the clinic office appointment. Research on military suicide is correlated to exposure to stressful life events such as depression, posttraumatic stress disorder(PTSD), substance abuse, poor sleep and financial problems. SHEP /Patient experience questioned asked of the veteran, “In the past six months did you or anyone in this provider office talk about things in your life that worry you or cause you stress?”

Objectives:

Create a pillar of safety for the veteran and the staff in creating a continuous improvement to determine if the stress cards have made a positive impact on patient outcomes and SHEP scores /Patient Experience. Will the presentation of the stress cards allow the veteran to be able to fully express their feelings, insecurities, and emotions with the feeling of fear and discomfort.

Methods/Procedures:

Stress cards will be handed to each patient during any outpatient visit, mental health, emergency room, and primary care visit.

Findings:

In 2016, the veteran suicide rate in Tennessee was 32.8% which is higher in comparison than National suicide rate of 17.5%. National Veteran suicide rate is 30.1%


The goal of VA is to support the recovery process of the veteran and help them to live meaningful lives in the society and therefore the distribution of the cards creates a safe space for the veteran to communicate emotions and gain access to help. The stress cards when distributed will foster patient-centered care and the veteran control of his/her plan of care.

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Creating Nursing Informatics Governance in an Academic Medical Center

Ashley Trambley (Presenter)

Blair Stewart (Co-Presenter)

Problem Addressed:

In an everchanging healthcare environment, it is important that the technology supporting patient care also adapt quickly and efficiently allowing for continued safe and quality patient care. It is crucial for nursing informatics and health information technology professionals to engage with nursing end users to identify technology issues, prioritize those issues, and repair or improve the tools to meet the needs. The challenge then becomes developing a format and structure that supports ongoing and continuous interaction and collaboration between the informatics and health information technology teams and the direct care nurses.

Objectives:

1. Discuss and review the nursing informatics governance structure and model

2. Review evaluation data

3. Discuss keys to success for other areas looking to establish a similar model

Methods/Procedures:

After a large academic medical center made the direct conversion from a legacy system to a new electronic health record in late 2017, the need for a governance structure to support this new integrated system became apparent as the dust settled on the stabilization phase. After six to eight months of system use, users began to reach out in mass with ideas for customization, optimization, and improved functionality. Health information technology, end-user support and informatics teams, and operational leaders began a journey to standup a nursing informatics committee that would provide strategic and operational leadership in the management and advancement of nursing’s use of technology across the enterprise. The committee structure is led by a Steering Committee comprised of operational leaders, informatics leaders, and health information technology analysts that provide oversight for informatics activities, review system enhancement and change requests to evaluate appropriateness and priority, and communicate and collaborate with the institution’s higher-level informatics governance. From the Steering Committee are three subcommittees for different practice areas (Inpatient, Ambulatory, Procedural/Operative) that are overseen and facilitated by operational leaders and the informatics team. Subcommittee membership is comprised of staff nurses, and these groups meet monthly to evaluate and make decisions on the enhancement and change requests specific to those practice areas. In March, an Analytics subcommittee was added with a goal of redesigning reporting dashboards and delivering meaningful and actionable data to nursing leaders.

Findings:

This presentation will focus on the establishment and operation of this governance model, and it will review the evaluation data. This structure has been in place for six months and just completed the six-month evaluation. Feedback from the different teams who participate was collected via survey and has been incredibly valuable and overwhelmingly positive about the structure. There were barriers identified that are being evaluated moving forward, but the overarching goal and objectives for this undertaking have been successful.


Not Reported

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Decreasing Falls in An Inpatient Psychiatric Unit Utilizing Shared Governance

Teris Webb (Presenter)

Madhuri Srinivasan (Co-Presenter)

Problem Addressed:

Patient falls are estimated to cost hospitals $5,317 per patient fall and can cost $19,440 over a one-year period. More than 20% of the falls result in moderate to severe injury. By 2020 , the cost of treating falls is projected to exceed $54 billion. Joint commission (2012) has identified prevention of patient falls as a national patient safety goal. Medicare and Medicaid Services have identified patient falls as one of the ten hospital acquired conditions for which the hospital will not receive reimbursement for treatment.

Objectives:

Nurses are responsible for identifying patients at risk for falls. Since patient falls are direct indicator of care given, it is therefore, nursing sensitive. Nurse-led safety measures is important to move to the culture of Zero Patient Harm by providing patient centered care and improving patient satisfaction scores. Through shared governance nurses can identify autonomous interventions to keep patient safe proactively. One such strategy for the inpatient psychiatric unit at VA Medical Center Memphis is to study the role of purposeful hourly rounding to prevention of falls.

Methods/Procedures:

Using Shared Governance nurses will focus on one strategy of purposeful hourly rounding to reduce the number of falls in the inpatient psychiatric unit at the VA Medical Center Memphis. Through ownership of the workplace, nurses will be able to bring about changes to their practice and work toward goals of preventing falls.

Findings:

Previous research has shown that falls have reduced by 30% and the usage of call light by 36%. In 2014, eight hospitals participated in an 18-month long study that falls had reduced from 4.001 to 2.613 per 1000 patient days because of purposeful hourly rounding. Stanford Healthcare developed Purposeful Rounding Protocol and used it in their study of 14 hospitals and found that 52% of falls were prevented and 12% increase in patient satisfaction scores.


Through Shared Governance, nurses can take the initiative to do purposeful rounding and contribute to the reduction of falls. This will also help nurses to improve patient care outcomes, nurse engagement, and reduce costs. Nurse leaders may support the initiative by educating the staff by addressing the benefits of reducing the number of falls.

Educational Interventions, Student Empathy and Interest

in Working with Older Adults: A Phased Study

Lisa Murphree (Presenter)

Shelley Moore (Co-Presenter)

Problem Addressed:

As the population ages, there is a growing need for nurses who are interested in working with and empathetic to the aging population, in particular with patients with neurocognitive disorders. Nurse educators are challenged with preparing students to care for the aging population. An increased understanding of the effect that educational interventions have on student attitudes could guide educator

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choices toward stimulating interest in working with the elderly, particularly with the vulnerable subset with neurocognitive disorders.

Objectives:

Learners will be able to discuss educational interventions that may increase nursing student empathy toward elderly patients with neurocognitive disorders.

Methods/Procedures:

Pre and post test data were collected using the Kiersma - Chen Empathy survey with undergraduate nursing students enrolled in a gerontology course.

Findings:

Mean empathy post test scores were not significant; however, additional post test questions revealed a positive impact from the gerontology course on student interest in working with the elderly population with dementia.


Further investigation into educational interventions to foster student empathy and interest in working with elderly patients with neurocognitive disorders is needed. The next phase of this study including specific additional interventions and testing would be discussed.

Enhancing Health Related Goal Setting through One-On-One Education in an Inpatient Substance Use Disorder Treatment Facility for Women

Brittany Haskell (Presenter)

Problem Addressed:

Women with substance abuse disproportionately suffer from negative health effects. While there is little research on health education needs for women in recovery, goal setting has been found to be more effective at creating behavior change than health education alone. At The Next Door (TND), an inpatient substance abuse treatment facility for women, residents do not have access to one-on-one health information.

Objectives:

This quality improvement project aims to create and implement a one-on-one health education program with women at TND to improve residents’ confidence in setting health goals related to a health topic of choice.

Methods/Procedures:

Over sixteen weeks, nursing students implemented weekly health education sessions with residents at TND on the following topics: nutrition, women’s health, sleep and stress, and how to talk to your provider. Residents were educated about how to set SMART goals related to health behaviors associated with the topic. Residents completed a self-reported, pre- and post-survey measuring confidence in setting a health-related goal.

Findings:

On average, 22.7% of TND residents attended educational sessions with 87.9% creating SMART goals. One-on-one sessions along with direction in setting SMART goals increased self-reported confidence in goal setting related to these topics by 1.0 points on a 5-point Likert Scale.

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One-on-one health education sessions about health topics of choice along with education about setting SMART goals with residents in an inpatient substance abuse treatment facility resulted in increased self-reported confidence in ability to set a health related goal, which has the potential to positively impact future health.

Enlightening Nurses through Human Sex Trafficking Education

Jessica Phillips (Presenter)

Problem Addressed:

The presentation explores the importance of educating nurses on how to identify, communicate, and safely intervene with Human Sex Trafficking (HST) victims

Objectives:

1. Identify who is at risk of becoming a victim of human sex trafficking.

2. Differentiate barriers that effect effectively communicating with trafficked victims.

3. Define health effects of human sex trafficking.

4. Describe nurses’ roles and responsibilities.

5. Review intervention strategies to help aid in rescue and recovery of HST victims.

6. Recognize why annual education on HST is important

7. Bring enlightenment, confidence, and courage to intervene and advocate for HST victims.

Methods/Procedures:

The purpose of the study was to identify the need for education on HST within an Emergency Department setting. The aim of the study was to compare changes in emergency department nurses’ knowledge of HST before/after participating in a HST education. Specifically, participants’ knowledge of identification of HST victims, communication with victims, and intervention strategies. A 24-question survey was presented to nurses in an emergency department setting at two hospitals in the Nashville area before/after education was provided by an End Slavery TN presenter.

Findings:

Seven nurses participated, three had master level nursing education and four had bachelor level nursing education. The overall pretest average was 58%. The overall posttest overage was 86%. There was an impressive 27% increase after education had been provided. A Wilcoxon Signed Rank test analysis through SPSS elicited a significant change in the identification and communication category of the test and a slight change in the intervention category. Although the sample size was small, the results showed significant improvement in participants’ knowledge and reflected the importance of educating those on the front lines of this community health crisis.


Recommendations for future research could include the development of a valid and reliable survey to assess healthcare providers’ knowledge could prove to be beneficial as would the development of a reliable and valid standardized assessment tool for identifying HST victims. Identifying the most important information to include in developing an educational program could increase the validity and effectiveness of information retained. Studies on the accuracy of nurses’ ability to identify HST victims, their ability to communicate with them, and the success of their interventions would also empower nurses and other healthcare professionals

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to provide optimal care to these victims. This may also assist those who work with HST victims after rescue to provide superlative rehabilitation and restoration to the victims. While the long-term effectiveness of gaining knowledge during the study cannot be determined, the main goal of educating nurses is to bring enlightenment, confidence, and courage to intervene and advocate on the behalf of those enslaved by human sex trafficking and maximize the strengths of those that are on the front lines of healthcare throughout Tennessee.

Evaluation of Safe Medication Administration Knowledge of Senior BSN Nursing Students in Preceptorships

Lisa Murphree (Presenter)

Problem Addressed:

Medication errors continue at unacceptable rates in the US. There is a theory-practice gap reported in the nursing literature that identifies low nurse confidence in pharmacology knowledge. Nurse educators need to prepare nursing students with an adequate knowledge pharmacology base for safe entry level practice.

Objectives:

1. Participants will be able to identify how a clinical workbook can assist senior nursing students to connect pharmacology theory with practice.

2. Participants will be able to identify characteristics of a preceptorship that increases senior BSN nursing student medication administration knowledge and self-confidence.

Methods/Procedures:

This study design was a pretest-posttest quasi-experimental study which investigated the degree to which two teaching strategies: senior-level preceptorships and a safe medication administration clinical workbook, increased student knowledge and self-confidence of safe medication administration. The Safe Medication Administration (SAM) Scale (Ryan, 2007) was used to assess knowledge. Data were collected from 28 nursing students and analysis was carried out using independent-sample t tests and mixed design ANOVAs on pretest and posttest data comparing students in their usual preceptorship (control group) with students using the clinical workbook in their usual preceptorship (experimental group). Self-confidence data were collected using a modified NLN Student Satisfaction and Self-Confidence in Learning Questionnaire, SSSCL-SAM.

A 72 hour critical care preceptorship plus workbook was more effective in increasing student SAM knowledge, learning satisfaction, and self-confidence than a 150 hour capstone preceptorship plus workbook.

Findings:

Use of the workbook increased learning satisfaction and self-confidence, but not SAM knowledge.

A 72 hour critical care preceptorship plus workbook was more effective in increasing student SAM knowledge, learning satisfaction, and self-confidence than a 150 hour capstone preceptorship plus workbook.


Increase faculty-student-preceptor collaboration w/workbook. Study effect of number of preceptors on SAM and Self-Confidence. Additional current, validated SAM Instruments are needed. Highlighted need for evaluating outcomes of preceptorships. Consider preceptorships with fewest possible preceptors.

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Five Loaves and Two Fish

Raven Wentworth (Presenter)

Problem Addressed:

Engaging students in a nutrition course using various teaching methods

Objectives:

1. Describe an assignment that blends components of multiple nursing courses

2. Identify benefits/barriers of the assignment

Methods/Procedures:

This engaging class assignment combined evidence with community needs and spirituality in a nutrition course. Students enrolled in a nutrition course gathered into groups and identified a vulnerable population at risk for malnutrition. The students then completed a review of the literature to identify various factors for malnutrition. Students then planned, purchased, and distributed a nonperishable balanced meal based on nutritional guidelines for the selected group. Students developed an insert with a Bible verse on one side and recommended dietary guidelines for this selected population on the other. Each nonperishable meal and insert was delivered in a reusable container. A written assignment of reflection was required after completing the assignment. A representative from each of the four groups presented a summary at the University Scholars Day on campus.

Findings:

Student feedback was overall positive. Students were surprised by the numerous groups that needed nutritional assistance in the community as well as how many nutritional meals could be purchased with a small amount of resources.


Nursing faculty can use an assignment, such as Five Loaves and Two Fish, to incorporate community awareness and spirituality in a nutrition course that is supported by evidence. Student engagement is enhanced when students are required to identify a population at risk, develop a nonperishable meal in a reusable container and deliver it to the identified group. The inclusion of a written reflection at the end of the assignment allows the student to connect what was learned in theory to what was experienced.

Healthy Nurse, Healthy Nation: ‘Nursing’ the Superhero in You!

Corley Roberts (Presenter)

Problem Addressed:

Nurses make up the largest segment of healthcare workers, yet are less healthy than the average American. Adding to the personal health of nurses is aging. According to research there are currently about one million registered nurses older than 50 years of age. With age comes an increase in chronic diseases that can be prevented or managed with the integration of physical activity. Recent research shows that 48.3% of adults do not meet physical activity recommendations, and 71.2 percent of adults are overweight.

Goal:

It is the goal of the Healthy Nurse, Healthy Nation™ Grand Challenge to transform the health of the nation by improving the health of its nurses by connecting and engaging nurses, employers, and organizations around improving health in five areas: physical activity, nutrition, rest, quality of life, and safety.

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Objectives:

After viewing this poster presentation, the learner will:

1. Acknowledge that ‘nursing’ your personal health will help set an example for the health for your colleagues and patients.

2. Identify your own personal health risks needing improvement.

3. Describe your physical activity improvement plan for health.


1. Participate in physical activity recommendations of 150 minutes of cardiovascular moderate intensity exercise weekly.

2. Participate in a risk and readiness assessment for physical activity.

3. Prepare a plan using SMART goals and track progress.

4. Connect with others for support and partnerships.

5. Maintain recommendations for water intake, dietary habits, sleep, and stress reduction.

6. It’s YOUR Move! Make it.

http://uthsc.edu/nursing

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How a Public Observation Assignment Affects the Beginning BSN Nursing Student

Tammy Howard (Presenter)

Jenny Maffett (Co-Presenter)

Problem Addressed:

Increased use of electronic devices such as smart phones, in our everyday lives has decreased personal awareness of people and things, thereby affecting communication patterns, which is documented in the literature. College freshmen majoring in nursing completed a public observation assignment. Pre and post surveys were collected to assess the effects of the assignment upon student awareness of people and surroundings, including nonverbal communication and general appearance. Therefore, laying foundational skills prior to entering nursing assessment courses.

Objectives:

The objectives of the public observation assignment were to expose students to varied persons in a non-confrontational way, in order to lay foundational assessment skills through observation and general awareness of others.

Methods/Procedures:

Pre and Post survey of Freshmen Nursing majors related to public observation assignment.

Observation Assessment Documentation Forms from each Freshmen Nursing participant.

Findings:

Findings will be presented on poster.


The assignment will continue to be utilized for Freshmen Nursing majors with some minor edits regarding pre and post survey specificity and assignment instructions.

Student participants will be followed as they enter assessment courses.

Impact of Resiliency Education to Reduce Burnout in Newly

Graduated Registered Nurses

Katie Thomas (Presenter)

Problem Addressed:

Newly graduated registered nurses experience burnout at a higher rate than more experienced nurses. Burnout, or the feelings of exhaustion, cynicism, and depersonalization, is now a recognized medical condition. Moral distress caused by discrepancies in expected work environment compared to reality is a primary cause of burnout in this population of new nurses. Additionally, burnout is a primary cause of turnover in healthcare. Resiliency has been shown to protect against the development of burnout. Introducing resiliency education into a nurse residency program can lessen burnout symptoms and improve intent to stay.

Objectives:

The purpose of the poster is to demonstrate the feasibility of introducing resiliency education and tools into the orientation of newly hired registered nurses in the acute care setting.

Methods/Procedures:

A review of the literature was completed, and an implementation plan to introduce resiliency education into a nurse residency program in a hospital setting was developed. Implementation is planned for late fall 2019.

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Findings:

Resiliency can mitigate the stress of the workplace environment to protect against burnout symptoms in new nurses. Education and organizational support can increase individual resiliency. More resilient nurses report higher intent to stay.


Incorporating resiliency education and tools into orientation for new nurses can help to reduce reported burnout symptoms and increase intent to stay. Retention of nursing staff is essential for patient safety and high quality care.

Implementation of a Medical-Legal Partnership for a Low-Income Community at a Nurse-Managed Health Center

Carrie Plummer (Presenter)

Jillian Scott (Co-Presenter)

Problem Addressed:

The Clinic at Mercury Courts (CMC) is a nurse-managed, community health center serving low-income patients experiencing homelessness in Davidson County, Tennessee. In 2017, 68% of CMC patients lived 200% below the poverty threshold and 38% experienced extended periods of homelessness. A review of the evidence-based literature reveals that health-harming legal needs (HHLNs) negatively impact health outcomes. CMC patients report having HHLNs, which currently are beyond the scope of the services provided by the CMC.

Objectives:

1. To determine how best to integrate a medical-legal partnership (MLP) into the existing care delivery infrastructure of the Clinic at Mercury Courts.

2. To identify the most common Health-Harming Legal Needs experienced by CMC patients

3. To identify necessary key stakeholders for successful establishment and integration of an MLP

Methods/Procedures:

Students established relationships with key stakeholders, including: 1) CMC leadership, staff, and patients; 2) Belmont Law faculty, and; 3) Legal Aid. After obtaining IRB approval students conducted a focus group with CMC patients to identify commonly experienced HHLNs. Qualitative data was transcribed, coded, and analyzed for emergent themes.

Findings:

Twelve participants identified tangible (lack of transportation, mobility limitations) and structural (powerlessness, lack of dignity) barriers to accessing care, as well as HHLNs, including: lack of health insurance, disability, and records expungement. Participants highlighted the need for continuity and follow-through to establish a sense of community, compassion, and trustworthiness.


Over the course of 6 months, a team of nursing students identified the steps necessary to integrate a medical-legal partnership into the existing structure of the Clinic at Mercury Courts. In addition, they established relationships with key stakeholders in both the community, the clinic, and consolidated the necessary academic partnership between the nursing and law schools. This provides the next cohort of MLP students access to a network of collaborators ready to engage in the next steps towards implementation of the MLP. Analysis of the focus group data identified patient interest in and need for specific medical-legal services. Given the importance of continuity and follow-through for patients, a continuous and structured leadership team will provide stability as students cycle through each academic year.

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Implementation of a Self-Care Curriculum for Nursing Students in Guyana’s Largest Public Hospital

Shelby Gamble (Presenter)

Elna (Rose) Preston (Co-Presenter)

Akaninyene Ruffin (Co-Presenter)

Peyton Wohlwender (Co-Presenter)

Problem Addressed:

Often in low-resource settings health care professionals lack adequate access to knowledge surrounding coping mechanisms, trauma informed care, and self-care strategies that could help alleviate the high levels of stress that they encounter daily.

Objectives:

This project will promote knowledge, use, and dissemination of information on self-care and coping strategies by the Accident and Emergency (A&E) nursing staff at Georgetown Public Hospital Corporation (GPHC) in Guyana, South America. The goal is to give nursing staff currently enrolled in GPHC’s Bachelor’s Programme in Emergency Nursing the information needed to increase self-care practices in efforts to mitigate burnout rates.

Methods/Procedures:

Vanderbilt University School of Nursing (VUSN) students worked in conjunction with Dr. Jessica Van Meter to create a four hour nursing curriculum on self-care, burnout, trauma-informed care, and coping strategies. This curriculum was taught to A&E nursing staff during the spring of 2019. Knowledge of self-care and burnout were assessed with surveys at baseline and reassessed two weeks and four weeks after presentation of curriculum.

Findings:

Our results indicated a shift in the student’s perception of self-care from “Basic Needs” to more “Holistic” and “Health” focused. This shows that before our intervention, there was a different understanding of the framework of what self-care is. Additionally, our survey indicated that a large barrier for students wishing to perform self-care was a lack of resources. This shows that nurses cannot engage in self-care without having their basic work needs met (appropriate pay, nurse to patient ratio, and schedules). Our results also indicated that further education about self-care could be productive in order to continue the improvement of the participants’ confidence.


Previously Guyanese nursing education has not covered self-care. The positive outcomes of this intervention encourage inclusion of self-care curriculum in standard nursing education. Continued use of this education at GPHC with additional cohorts would increase the number of participants and allow for data analysis assessing statistical significance. It could be efficacious to repeat similar interventions in low-resource and high-resource settings to analyze the difference in results across cultures, geographical areas, or hospital units.

Mac Attack: Nontuberculous Mycobacteria Infections on the Rise

Janet Mulroy (Presenter)

Problem Addressed:

Pulmonary nontuberculous mycobacterial infections affect the most vulnerable members of our population, and this opportunistic infection commands our respect and our attention. The purpose of this session is to emphasize the importance of recognition, diagnosis, and multidisciplinary management of nontuberculous mycobacterial infections, formerly known as Mycobacterium Avium Complex infections.

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Objectives:

1. Describe the incidence, host characteristics, and epidemiology of nontuberculous mycobacterial infections

2. Review the many challenges in the diagnosis of nontuberculous mycobacterial infections

3. Outline the treatment options and long term management of nontuberculous mycobacterial infections

Methods/Procedures:

lecture and discussion

Findings:

Nontuberculous mycobacteria are environmental pathogens which are present in nearly every water source. Patients with weakened immune systems can become infected through everyday activities such as showering or gardening and the incidence of infection is estimated to be between 12,000 and 18,000 people per year. Nontuberculous mycobacteria are found in household and industrial water sources and may be transmitted as a nosocomial infection. The rates of infection are much greater in those over 65 years of age and in those with all forms of immunosuppression. The pulmonary nontuberculous mycobacterial infection creates irreversible structural changes in the lung called bronchiectasis and bronchiectasis leads to fibrosis, impaired oxygenation, and serious disability.


Treatment of nontuberculous mycobacterial infection requires prolonged courses of antibiotics with many unpleasant side effects and significant potential for toxicity. The patients experience frequent exacerbations and require extensive healthcare resources. Through heightened awareness, recognition, accurate diagnosis, and multidisciplinary management of this infection, we will be able to make a difference in survival and improve their quality of life.

Nurse Staffing & Patient Outcomes: A Systematic Review of the Current Evidence

Jacqueline (Jackie) Frain (Presenter)

Elli McDaniel (Co-Presenter)

Renee Burton (Co-Presenter)

Problem Addressed:

Nurses make up the largest population of healthcare workers in the United States and have a strong capacity to affect change where they work and beyond, including healthcare finances. Previous research has correlated large patient loads with negative outcomes, such as increased morbidity and mortality, longer length of stay, a negative work environment, and financial losses.

Objectives:

The purpose of this systematic review was to examine the current and landmark literature related to nurse staffing and patient outcomes to determine the effect of higher and lower nurse-to-patient ratios. Specific research questions were:

1. Do nurse staffing numbers correlate with patient outcomes?

2. If so, (a) which outcomes are most affected by staffing ratios and (b) how are they affected?

3. What financial impact does nurse staffing and adverse patient outcomes have on hospitals?

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Methods/Procedures:

Methodology – Systematic review

Data sources – We searched three electronic databases for scholarly articles from dates January 2001 to December 2018. Databases included PubMed, CINAHL, and Cochrane.

Review methods – Three team members independently searched for and located articles within the three databases. Articles were then screened for validity and context within the predetermined inclusion and exclusion criteria using rapid critical appraisal techniques. Articles that passed independent screening were then critiqued by all team members to ensure appropriateness to the review. The final set of studies were assembled into evaluation and synthesis tables to determine the heterogeneity of findings and to draw conclusions.

Findings:

Results – A total of 629 articles were found using predetermined keywords, of which fifteen satisfied the predetermined inclusion criteria related to nurse staffing and patient outcomes. Five additional articles were found that represented financial data or estimates. Thirteen of the fifteen studies were qualitative or descriptive in nature. Only five studies adequately defined nurse staffing thresholds, and there was little homogeneity among the definitions. The most common nurse staffing variables used were patient/nurse ratio (6/15), hours of nursing care (6/15), and skill mix (6/15). Populations studied were mostly adult (typically ≥18 years old) (9/15), in multiple acute care hospitals (12/15) with multiple unit types (11/15). The most frequently examined patient outcomes were falls (5/15), HAPI (6/15), sepsis & hospital-acquired infections (including CLABSI, CAUTI, and VAP) (6/15), inpatient mortality & failure to rescue (7/15), and length of stay (3/15).

Conclusion – Nurse staffing results from multiple studies demonstrate that higher patient loads are associated with negative patient outcomes, including patient mortality, at statistically significant levels across the studies included in this review. While there were many statistically significant associations, it is challenging to draw conclusions on which variables were most affected due to the heterogeneity of the studies and results and lack of concrete definitions of variables. The studies that cited financial implications show mixed data regarding the potential cost savings of hiring more registered nurses, though they consistently demonstrate a cost benefit, with savings estimates as high as $6.9 billion annually nationwide (Needleman et al., 2011).


Not reported

Nursing Students and Research: Common Grounds

Esther Sellars (Presenter)

Problem Addressed:

students engagement; nursing research; mentoring

Objectives:

Present one approach to engage nursing students in implementation of research and provide an overview of utilization of nursing research to guide practice.

Methods/Procedures:

Not reported

Findings:

As nurses, a lifelong expectation is that to improve and provide the best possible care to patients, one must utilize basic efforts in reviewing and applying evidence to guide decision/practice. Students were challenged to start the research process from the beginning, utilizing the PICO process, and develop an individual research project. A systematic review had to be completed.

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The research process, samples of the project at various points- at the beginning, midway, and the final projects will be presented. The growth of the students will be illustrated along with the appreciation of research to evidence-based nursing practice will also be presented.

Predictors of Uncompleted Emergency Department Care: Patients Who Leave Against Medical Advice

Mary Jones (Presenter)

Problem Addressed:

Uncompleted visits to the emergency department (ED) are a critical safety concern. Types of uncompleted visits include patients who leave without being seen (LWBS) by a medical provider and those who leave against medical advice (AMA). Patients who leave AMA often do so prematurely as evidenced by higher emergent hospitalization rates compared with those who LWBS or those who complete their care (Ding et al., 2007). A study by Jerrad and Chasm (2009) demonstrated that patients who decided to end their stay in the ED AMA and forgo further evaluation have significant illness burden. In addition, a study by Garland et al. (2013) showed that adults who left AMA had higher rates of hospital readmission and death, and elevated rates of readmission and death persisted for 180 days.

Objectives:

Define the characteristics associated with patients who chose to end their care prematurely within the Emergency departments. The results will be used to improve the quality of ED care throughout the hospital system, and will allow identification of the patients who are at risk to leave AMA. More importantly, these results will allow the provision of interventions to decrease rates of patients who leave AMA.

Methods/Procedures:

The purpose of this study was to determine predictors of patients leaving emergency departments (ED) within a system of five Mid- South hospitals and to add to the existing body of literature on this topic. We compared patient characteristics and clinical conditions of ED patients who left AMA to those who completed care. Completed care was defined as admitted to the hospital or discharged home. Patient characteristics included age, gender, race/ethnicity, payor source and clinical condition defined by triage level.

Findings:

This study included a retrospective cohort of all ER patients (1,214,975) registered from July 1, 2014 to June 30, 2018. Out of the 1,214,975 patients, 20,294 patients left AMA (1.67%). Among the 20,294 patients who left AMA, 54.1% were female, while 45.7% patients not leaving AMA were male. Compared to patients less than 25 years of age, age groups 25-34, 35-44, 45-54, and 55-64 were more likely to leave AMA, while patients 65-74 or >=75 years of age were less likely to leave AMA (p <0.0001). Compared to white (1.5%), multiple races (1.19%), and others (0.86%) were all less likely to leave AMA, while black or African American (1.74%) were more likely to leave AMA (p <0.0001). In terms of payor source, compared to patients with private/self-pay (2.43%), patients with accident related compensation (0.57%), government assisted pay (1.71%) and insured (0.93%) were all less likely to leave AMA (p < 0.0001). Compared to patients with triage level 5 (0.88%), patients with triage level 1 to 3 (1.5 ~ 2.11%) were more likely to leave AMA.


Not reported

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Quality Improvement Daily Weights in an Acute Care Settings Utilizing Shared Governance in a VA Setting

Marqueta Abraham (Presenter)

Teris Webb (Co-Presenter)

Problem Addressed:

Noncompliance in obtaining daily weights leads to delays in establishing treatment and discharge plans(Crawford 2018) There are five important areas for patient weights they are: Dialysis , an injection fraction of less 40% . Diagnosis of Heart Failure(HF), Congestive heart Failure(CHF), Fluid Overload, Elevated BNP greater than 100 and Myocardial Infarction(MI)

Objectives:

The shared governance team for the acute care unit was composed of a multidisciplinary team in an acute care setting. The group reviewed the present practice and also chose as the first project to review the policy regarding daily weights and then set timelines to implement the project.

Methods/Procedures:

Using the Model for Improvement, where changes are tested in small cycles that involve planning, doing, studying and acting (PDSA)(Jones 2019). This quality improvement project allowed clinicians to work with a team and identify an issue and implement interventions that could result in true improvements in quality of patient care. (Jones 2019)

Findings:

The results of the project affected the following:

1. Improvement on initiating daily weights order via a nurse driven protocol.

2. Ability to obtain accurate monitoring of a patient’s weight


Process improvement can be applied to any clinical setting for improved care. The project showed improvement is highly beneficial, positive process which enable clinicians to deliver true changes for benefit of themselves, their organization and most of all their patients. In future process improvement projects hopefully momentum can be gained to improve other work related problems.

The Role of Safety Coaches in a Culture of Safety

Amy Perry (Presenter)

Problem Addressed:

Safety Coach programs embed safety specialists from all disciplines to mentor others in safe practices. Coaches reinforce communication and teamwork to promote safety and prevent patient harm. They contribute to a culture of safety at the frontline of care. A robust culture of safety increases work satisfaction and reduces nurses turnover.

Objectives:

The evidence related to safety coach programs establishes the need for coach mentoring, opportunities for coaches to share safety stories, and continuous training. The lack of a formalized safety coach program was identified as a gap in practice. The translational project designs a quality improvement initiative to address this gap by providing mentoring, education, and opportunities to further develop coaching skills.

Methods/Procedures:

This project applies the nursing theory of self-efficacy to assess the components of the Safety Coach role perceived by coaches as areas of weakness. Initial measures of Safety Coach competence and unit culture of

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safety were taken using the Safety Coach Self-Efficacy Tool and the Safety Attitudes Questionnaire. Informed by this assessment, training and mentoring is aimed at increasing Safety Coach self-efficacy to maximize the effectiveness of the overall program. Following six months of interventions, the measures will be retaken to assess the effectiveness of changes made to the Safety Coach program.

Findings:

Interventions and data collection are ongoing during the summer, and will conclude in early fall. Discussion of findings will include the change in pre and post intervention scores on the Safety Coach Self Efficacy Tool and Safety Attitudes Questionnaire. Qualitative measures include a pre and post intervention Focus Group related to the challenges of serving as a Safety Coach. Projected findings include improvement in overall unit culture of safety.


The Safety Coach Self-Efficacy Tool was developed by the DNP student for the purpose of this project. Further studies could include the validation of this tool at additional facilities with existing Safety Coach programs. Additionally, the measurement of the effectiveness of such a program is necessary for evaluation by hospital administrators. Further research regarding tools useful for this purpose are needed.

STIGMA: Stopping Traumatic Incidence through Governed Mental Health Awareness

Brooke Epperson (Presenter)

Problem Addressed:

Millions of people in the United States are living with a serious mental illness or substance abuse disorder with the number of behavioral health patients being treated in the emergency department (ED) growing each year. The behavioral health patient population deserve to be cared for by a trained nursing staff. ED nurses are trained to handle dynamic and rapidly changing patient scenarios. While ED nurses participate in training focused on advanced cardiovascular life support, trauma training, and pediatric resuscitation, one area that has lacked focus is behavioral health. The purpose of this project was to measure the perceived competency and safety attitudes of ED nurses at Tennova Healthcare in Cleveland, TN. This project utilized both qualitative and quantitative research methods. The findings from this translational project may provide data that reveals the need for a continued behavioral health competency program in the ED.

Objectives:

The purpose of this project was to measure the perceived competency and safety attitudes of ED nurses at Tennova Healthcare in Cleveland, TN. The objectives of this DNP translational project included the increased competency and safety attitudes of ED staff nurses. Training sessions using the Substance Abuse and Mental Health Associations Trauma Informed Care and practice guidelines were implemented to increase knowledge and skills for staff nurses providing behavioral health patient care.

Methods/Procedures:

This project utilized the Behavioral Health Care Competency Survey (BHCC) and the Safety Attitudes Questionnaire (SAQ) tools to measure ED nurse perceptions of behavioral healthcare competency pre and post implementation of a behavioral health practice guidelines and competency program. Along with the quantitative data, this project will include qualitative data from ED nurse focus groups.

Findings:

At the time of this abstract submission, project interventions and data collection are ongoing. Analysis of project results and findings will be completed by early Fall in time for presentation in October. Initial impressions of findings are that emergency nurses do not feel competent or adequately prepared to provide appropriate care for

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behavioral health patients. An anticipated finding is the need for additional and regular training to increase staff perceived competence and awareness of available resources.


Not reported

Utilizing Nursing Communication Cluster to Improve Patient Healthcare Experience

Melinda Evans (Presenter)

Tamara McKenzie (Co-Presenter)

Problem Addressed:

Nursing leadership recognized need to improve patient satisfaction scores and how well nursing staff was addressing patient’s immediate needs on Memphis Veterans Affairs Medical Center (VAMC) Acute Care unit. Acute Care (2 South) created a nursing communication cluster that included evidence-based practices to help bridge the gap between caring and communication with the Memphis VAMC patient population. In addition, this communication cluster would also improve communication practices between nursing team members. The initiatives included: implementing bedside shift report (BSR), executing nursing leader daily rounding, nursing staff hourly rounding, maintaining activated call light and providing patient service training to all nursing staff.

Objectives:

Nursing Communication Cluster was specifically created to:

1. Improve staff response time to patient call lights

2. Reduce the number of times patient used call lights through hourly rounding

3. Improve patient satisfaction and communication between staff and patients with Bedside Shift Report.

Methods/Procedures:

The first 90 days of the Communication Initiatives helped introduce the ideas to staff and to get members acclimated to doing Bedside Shift Reports and Hourly Rounding the correct way. The project leader also recognized that changing culture and mindsets takes time. The next phase (90-180) will be used to collect data that will help usher in consistent and long-lasting change. During Phase 2, the unit will focus on data improvement measures that demonstrate improvement in patient satisfaction scores. Additionally, a greater emphasis will be placed on monthly customer service training that focuses on how to properly greet, connect and build rapport with the patient.

Findings:

Pending outcome of Phase 2 of project (90-180 days) which include reduction in call light and amount of time taken to respond, increase of hourly rounding documentation. As well as review of Survey of Healthcare Experiences of Patients (SHEP) Scores 2019, Quarter 3/4.


Recommended to continue with implementation of the Memphis VAMC Communication Cluster over next 90-180 days and prepare for roll-out to other inpatient units hospital-wide. With continued focus on training staff on patient satisfaction tactics. With anticipation of official Survey of Healthcare Experiences of Patients (SHEP) Scores

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Tennessee Nurses AssociationStatements of Financial Position,

December 31, 2018 and 2017

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Tennessee Nurses AssociationStatements of Activities and Changes in Net Assets,

For the Year Ended December 31, 2018

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Tennessee Nurses AssociationStatements of Activities and Changes in Net Assets (Continued),

For the Year Ended December 31, 2017

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Tennessee Nurses AssociationStatements of Cash Flows,

For the Years Ended December 31, 2018 and 2017

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*Mrs. Lena A. Warner...............................................1905-1918

*Nina E. Wootton........................................................1918-1919

*Myrtle Marion Archer.............................................1920-1921

*Mrs. Daisy Gould......................................................1921-1923

*Mrs. Myrtle E. Blair..................................................1924-1925

*Abbie Roberts..........................................................1926-1927

*Mrs. Corrine B. Hunn.............................................1928-1929

*Hazel Lee Goff........................................................1930-1932

*Nancy Rice (Nashville)..........................................1933-1935

*Aurelia B. Potts (Nashville).................................1936-1937

*Mattie E. Malone (Memphis)...............................1938-1939

*Lennis Ault (Knoxville).........................................1940-1942

*Frances H. Cunningham (Memphis)...............1942-1944

*Beatrice M. Clutch (Nashville)...........................1944-1948

*Ruth Neil Murry (Memphis)................................1948-1950

*Elizabeth H. Killeffer (Cookeville)....................1950-1952

*Violet M. Crook (Union City).............................1952-1955

*Catherine M. Sterling (Memphis)......................1956-1959

*Vesta L. Swartz (Johnson City)........................1960-1961

*Mary Frances Smith (Memphis)........................1962-1966

*Dorothy L. Griscom (Memphis)........................1966-1969

*Dorothy Hocker (Nashville).................................1969-1971

*Mary Evelyn Kemp (Nashville)............................1971-1973

*Erline Gore (Nashville)..........................................1973-1975

*Patsy B. McClure (Knoxville)...............................1975-1977

*Emma Lou Harris (Chattanooga).....................1977-1979

*Mary Windham (Clarksville)................................1979-1981

Annie J. Carter (Nashville).....................................1981-1983

Margaret Heins (Knoxville)...................................1983-1985

Virginia(Ginna)Trotter Betts(Nashville)...........1985-1987

Margaret Heins (Knoxville)...................................1987-1989

Frances Edwards (Nashville)...............................1989-1993

Carol Blankenship (Johnson City)....................1993-1995

Sharon Adkins (Nashville).....................................1995-1997

Margaret (Peggy) Strong (Memphis)...............1997-1999

Gary Crotty (Knoxville).........................................1999-2001

Wanda Neal Hooper (Nashville)......................2001-2003

*Maureen Nalle (Knoxville)................................2003-2005

Susan Sanders (Lynchburg).............................2005-2007

Laura Beth Brown (Nashville)..........................2007-2009

Elizabeth (Beth) H. Smith (Piney Flats).........2009-2011

Lena Patterson (Ooltewah)..................................2011-2012

Jill S. Kinch (Nashville) (Interim President)..........2012-2013

Frances (Billie) Sills (Johnson City).................2013-2015

Sandra (Sandy) Murabito (Nashville)..............2015-2017

*deceased

TNA Past Presidents

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Providing A HigherDegree of Care

A leader in nursing education at bachelor, masters and doctoral levels, and nationally recognized for its nurse-managed health centers, rural focus, interdisciplinary programs, and community partnerships.

Take Your Career to A Higher Degree

www.etsu.edu/nursing

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2019-2020 TNF Board of Trust and Staff

Staff

Mission Statement - Promoting Professional Excellence in Nursing

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» Competitive Pay/Excellent Benefits/PTO» 403b Retirement Plan with Match» Ongoing Educational Opportunities» Tuition/Scholarship Programs» Progressive Clinical Programs

Contact:Rosania Burton, [email protected]

You chose to be a nurse because you care...join our family of Caring People. Changing Lives. Every Day.

Be an integral part of a dynamic team at Tennessee’s Largest Rehabilitation Hospital

» Day & Night Shift Positions: Full Time/Float/PRN» 12 Hour Shifts» More Time to Interact with Patients

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2020 TNA

Events

TNA Annual Conference

October 30 - November 1, 2020

Franklin Marriott Cool Springs

Nurses Day on the Hill

February 4, 2020

The traditional Legislative

Summit will be changing this

year to Nurses Day on the Hill.

The focus will be on

engaging TNA members and

RNs from across Tennessee in

advocacy on TNA priority

legislation.

Save the Dates

We’ll see you in 2020!

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DNP

Family Nurse Practitioner1st year 100% online with 6 days maximum on-campus days per year

Nurse Anesthesia 1st year 100% online

Post-Master's DNP Program 100% online

For more information contact: Dr. Katy Garth, 270-809-6669 | [email protected]

Dr. Dina Byers, 270-809-6223 | [email protected]

murraystate.edu/nursingEqual education and employment opportunities M/F/D, AA employer

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http://southern.edu/dnp

http://bamabydistance.ua.edu/nursetn

Documents

2019 TNA & TSNA JOINT CONFERENCE · Welcome to the 2019 Tennessee Nurses Association (TNA) & Tennessee Student Nurses Association Joint Conference. This year is the first year of