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Page 2 The New Mexico Nurse January, February, March 2014

NMNA Board and Staff

President: Leigh DeRoos, BSN, RN

4644 Sandalwood Drive Las Cruces, NM 88011Hm: 575-521-4362 Lderoos49@ yahoo.comCell: 575-496-6924 term exp. 2015

Vice President: Gloria Doherty, MSN, RN, ACNP1905 Rita Court NE Albuquerque, NM 87106Hm: 505-243-2628 [email protected]: 505-350-22 91 term exp. 2014

Secretary-Treasurer: Kerry Bolin, MSN, RN-BC

1027 Caneadea Loop Alamogordo, NM 88310Hm: 575-434-2976 KBolin77@gmail .comCell: 575-430-6366 term exp. 2015

Directors:

Monique Keulen-Nolet, MSN, C-FNP, RN

44 El Cielo Azul Circle Edgewood, NM 87015Hm: 505-281-8493 [email protected] term exp. 2015

Lauri Lineweaver, PhD(c), MSN, RN

8123 Corte De Aguila NW Albuquerque, NM 87120Wk: 505-823-8855 [email protected]: 505-307-0533 term exp. 2014

Romona Scholder, MA, CNS, RN

5641 State Highway 41 Galisteo, NM 87540Hm: 505-466 -0697 [email protected]: 505-982-5044

Andrew Vick, MSN, RN

1366 Grace Street Osogrande, NM 88342Hm: 575-442-8331 [email protected] term exp. 2015

NMNA Website: www.nmna.orgOffice Mailing Address:

P.O. Box 29658, Sa nta Fe, NM 87592-9658Office Phone: 505-471-3324

Office Fax: 1-877-350-7499 toll free

Executive Director: Deborah Walker, MSN, RN3101 Old Pecos Trail #509 Santa Fe, NM 87505Office: 505-471-3324 Cell: 505-660 -3890

Continuing Education Coordinator:Carolyn Roberts, MSN, [email protected] Office Phone: 505-471-3324

The New Mexico Nurse is published quarterlyevery January, April, July and October by the

Arthur L. Davis Publishing Agency, Inc. for theNew Mexico Nurses Association, a constituentmember of the American Nurses Association.

For advertising rates and information, pleasecontact Arthur L. Davis Publishing Agency,Inc., 517 Washington Street, PO Box 216, CedarFalls, Iowa 50613, (800) 626-4081, [email protected]. NMNA and the Arthur L. DavisPublishing Agency, Inc. reserve the right to reject

any advertisement. Responsibility for errors inadvertising is limited to corrections in the nextissue or refund of price of advertisement.

Acceptance of advertising does not implyendorsement or approval by the New Mexico Nurses

Association of products advertised, the advertisers,or the claims made. Rejection of an advertisementdoes not imply a product offered for advertisingis without merit, or that the manufacturer lacksintegrity, or that this association disapproves of theproduct or its use. NMNA and the Arthur L. DavisPublishing Agency, Inc. shall not be held liable forany consequences resulting from purchase or use ofan advertisers product. Articles appearing in thispublication express the opinions of the authors;they do not necessarily reflect views of the staff,board, or membership of NMNA or those of thenational or local associations.

New Mexico Nurse is a juried nursing publication

for nurses licensed in New Mexico. The EditoralBoard reviews articles submitted for publication.Carries Corner, a quarterly update of NMNAactivities and interests in New Mexico arethe responsibility of Carolyn (Carrie) Roberts,Executive Director of NMNA. Articles may besubmitted to [email protected], but must bereceived by November 1, February 1, May 1, and

August 1 to be published by January 1, April 1,July 1, and October 1 respectively.

Published by:Arthur L. Davis

Publishing Agency, Inc.

www.nmna.org

DISTRICT PRESIDENTS

AND CONTACTS

DNA 1, AlbuquerqueJennifer Drexler,[email protected]

DNA 2, Santa FeJenny Landen, 38 MonteAlto Rd, Santa Fe, NM 87508, [email protected], Cell: 505-501-9883,

Wk: 505-428-1837.DNA 4, ClovisLorraine Goodrich, lorraine.

[email protected], 575-359-0679.

DNA 14, Las CrucesRuth Burkhart, RN,MSN, 3769 Damonite Ct., Las Cruces, NM,[email protected], (505) 373-3166.

DNA 15, AlamogordoAndrew Vick,[email protected]

DNA 16, GallupFrankie Spolar, [email protected], Wk: 505-863-7039.

DNA 19, FarmingtonNisa Bruce, [email protected], 505-326-1125.

Institute for Nursing Diversity 505-820-0437

Inactive:

DNA 3, Tucumcari;

DNA 5, Roswell;

DNA 6, Hobbs;

DNA 8, Espaola;

DNA 9, Los Alamos;

DNA 11, Taos;

DNA 12, Silver City;

DNA 13, Las Vegas;

DNA 15, Alamogordo;

DNA 17, Deming

Join theNew Mexico

NursesAssociation

Today

Advocating forNursing Practice

Since 1921.

Visitwww.nmna.org for

complete information

New Mexico Needs Public Health Nurses!No shifts, no weekends, no kidding!

Public Health Nurses

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Comprehensive salary

and benefits.One of the best publicretirement plans in the nation!

For more information go to:

nmhealth.org/go/publichealthnursingOr call: 505-827-2308 or email [email protected]

Your livelihood depends upon your license.

Licensing Trouble? Suspension?

Seeking Reinstatement?

Kallie Dixon will aggressively fight

for your livelihood.

500 Tijeras Ave NW

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Full-time Nursing Faculty

Associate Degree Nursing Program11 month, tenure track, MSN required,

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To Apply:

Go to http://nnmc.edu/job/nursing-facultyEEO/AA Employer

NORTHERNNEW MEXICO COLLEGE


3/12

January, February, March 2014 The New Mexico Nurse Page 3

about caregiving with a wide variety ofpopulations.

Do you tout the unique and valuable rolenursing plays in society? We are the onlyhealthcare profession that maintains aholistic view of patients; we care for the wholeperson.

Do you champion to others the significance ofour education, our assessment skills, and ourevidence-based interventions in saving lives?

Think of the many instances in your careerwhere your knowledge base and assessmentskills gave you the ability to intervene quicklyand appropriately with patients in crisis.

Do you act as mentors and role modelsfor our novice nurses? Mentoring thenext generation of nurses through yourprofessionalism by being an active participantin your professional nursing organization isone of the most important gifts we can giveour novice nurses.

Do you educate your families, your friends,and your community about the importance,the uniqueness, of nursing. Nursing needs tohave a voice in our communities to educate thepublic on our scope of practice with its vastarray of skills and knowledge. The passage ofthe Affordable Care Act (ACA) gives us a great

opportunity to do this. A key component of theACA is focused on education and prevention.Nurses are uniquely qualified to provideeducation to our patients and to educatethem on the prevention of illnesses that oftendiminish the quality of life.

Is our voice being heard? A study about who themedia sought out for expert opinions on healthcareissues showed that, of the 12 healthcare andnon-healthcare occupations that were surveyed,physicians were sought out by the media mostoften. The group the media sought out the leastwere nurses. Individuals in non-healthcareoccupations were sought out for expert opinions onhealth care issues before nurses were (Buresh &Gordon). The American Nurses Association is theonly organization that represents ALL nurses, and

can serve as a powerful voice advocating for theprofession.Nurses are consistently viewed as having very

high or high degrees of honesty and ethical

standards, and have been given this recognitionfor the last 10 years (Blazek, 2012). However, evenwith this accolade, Most people know they cannotget into a hospital without a doctor. What theydont know is that they cannot get out of hospital,at least not alive, without a nurse. (Buresh &Gordon). Nurses need to become a voice for theirprofession and to educate our communities aboutthe value and uniqueness of our profession.

Nurses advocate and promote the health andwellbeing of individuals and society. But whoadvocates and promotes nursing?

Who advocates for you, the nurse? Nursingneeds to develop a vision and strategy for self-advocacy in order to have a voice. We shouldincreasingly foster the belief in our professionabout its capacity to effect change.

I strongly encourage those who are notyet members to join the New Mexico NursesAssociation and ANA to work with other nursesto advocate for and promote nursing, to have astronger voice in the profession, and to participatein activities and committees where your voice canbe heard.

There are two opportunities in the immediatefuture that will provide you with that voice. Thefirst is Capitol Challenge-the annual legislativeworkshop for nurses:

On February 14, 2014, NMNA will sponsorCapitol Challenge in Santa Fe, when nurses

learn about and participate in the legislativeprocess with their elected officials, todiscuss, advocate, and promote nursing, andto have a voice in health care issues thatimpact our profession and our patients.

The second opportunity for interestedNMNA members is the GovernmentRelations Committee. As a member of theNMNA Government Relations committeeyou will participate in developing thelegislative agenda for the New Mexico NursesAssociation AND strive to effect change inthe health care policies for the State.

Please e-mail me about your self-advocacy ideasand ways that nurses can become a powerful voicein New Mexico. Nursing can have tremendouspower to effect change if we choose to exercise that

power, if we choose to have a voice. Remember, ifyou are NOT at the table you have no voice and ifyou have no voice you will NOT be at the table.

ReferencesBlazek, N. (2012). Nurses ranked most trusted

profession in Gallup poll. Clinical Advisor,Dec. 6, 2012.Retrieved from http://www.clinical advisor.com/nurses-ranked-most-trusted-profession-in-gallup-poll/article.

Buresh, B. & Gordon, S. (2006). From Silence toVoice, (2nd ed.). Ithaca, NY: Cornell University Press.

Summers, S., & Summers, H.J. (2009). Saving Lives:Why the Medias Portrayal of Nurses Puts Us All at Risk.New York: Kaplan Publishing.

Presidents Perspective continued from page 1

Im inventing a newmodel of health care.

Follow VA Careers

VAcareers.va.gov/ALDApply Today:

RMCHCS is an EEOC Employer

Rehoboth McKinley Hospital is recruiting

for the following nursing positions:

Emergency Department Home Health & Hospice

Intensive Care Unit

Labor & Delivery

Medical Surgical

Operating Room

Clinic Supervisors

OB/GYN

Pediatric / Internal Medicine

Directors

Womens Health Unit

OR Director

Benefits We Offer:

Sign-on Bonus,

Relocation or Housing

Quality Health Care, Close to Home

Call Tara Reinbolt

Human Resources Specialist

505.863.7193or email at

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Serving Clients WithExceptional Nurses Since 1969

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9530 Viscount Ste 1-i, El Paso, TX 79925

866-301-8367 915-774-0281 915-772-3790 (fax)

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IMMEDIATE OPENINGS!All Departments and all shift s (both per diem and contract)

Director and Family Nursing Instructor

Phone: 505-454-2503Fax: 505-454-2520

E-mail: [email protected] Luna Drive

Las Vegas, NM 87701Website: luna.edu

NURSINGPOSITIONANNOUNCEMENT

ABQ Health Pa rtners is a physician -driven multi-spe cialty group, bringin g

patient-cente red care to New Mexico. We are currently seeking top Care

Management staff for the following positions within our growing Care

Management team: Case Managers (RN/LISW/LMSW)

Disease Manager Nurses (RN)

Utilization Review Nurses (RN or LPN)

Please visit our website at www.abqhp.com for more information,

or call a Recruiter at 505-262-7016!

the Rightcare

at the Righttime, Every Time.


4/12


Student Forum

Who:University of New Mexico-Valencia Student Nurses Association

What:The UNM Valencia Student Nurses Association is actively engagedin community service projects. They are helping to obtain donations of food/

personal items for high school students at Belen High School (BHS).

BHS has a program called Weekenders Backpack Program currently forover 60 students who receive a bag of food/snacks every Friday afternoon toget them through the upcoming weekend. Extra food is sent with studentswho have younger siblings at home. Unfortunately, for many of these studenttheir only meals are the ones served while at school. This program hasturned out to be more successful than ever imagined, with teachers regularlyrequesting to add more students when food is available. However this isnot always possible. Teachers are noticing great student improvement inattendance, grades and attitudes. UNM-Valencia SNA has joined in to helpobtain donations for extra food when there are longer-than-usual breaks fromschool, such as Parent/Teacher conferences, holidays and Spring Break.

Why: There is still not enough food to meet the needs of all the studentswho need the extra help. Please contact Belen High School directly orMarquita Torres, UNM-Valencia SNA President, at [email protected] tofind out how you too can help!

2014 NURSING STUDENTS AT THE ROUNDHOUSE

On Thursday, February 13, NMNA will sponsor our annual Capitolchallenge for pre-licensure nursing students in Santa Fe. This daylong experience is designed to allow students to learn about theNM legislative process and to begin developing leadership skillsthat can be applied in advocacy for the profession and for theirpatients. NMNA recognizes that our nursing students are the futureof nursing in NM and provides this opportunity. Call NMNA at (505)471-3324 for registration information.

ARE YOU A RECENTGRADUATE? Join theNew Mexico NursesAssociation today

for half price

A perfect graduation present fromfriends and family... and NMNAsway of saying: Welcome to the

Profession!!!... andHAPPY NEW YEAR

Visit www.nmna.orgfor complete information

Registered NursesBasic and Advanced Level positions available.

Fort Bayard Medical Center is a 200 Bed long term,intermediate and skilled Nursing facility. We strive

to be a leader in our community and are looking fordedicated nursing professionals to join our team.

We offer:State of the Art Facility$2.00 Shift DifferentialPaid VacationPaid Holidays at double time and one halfState of New Mexico Medical/Dental Benefits and

Retirement Plan

For more information and application instructions,

please contact us at 1.800.541.6966 or 575.537.8668 orby email at [email protected]

We are definitely worth looking into.

FORT BAYARD

MEDICAL CENTER

EOE

Apply online at www.stvin.org455 St. Michael s Drive, Santa Fe, NM 87505 505-913-5730

EOE/AA. Pre-employment drug testing required. Christus St. Vincent is a not-for-profit acute care hospital.

In beautifulSanta Fe,

our healthcareprofessionalswork hard.

They like toplay hard too!

Now Hiring: Experienced ICU NursesDirector, Critical Care

Director, ER


5/12


8:00 - 8:30 a.m. REGISTRATION and Continental Breakfast

8:30 - 9:30 a.m. Advocacy in Action: Getting Nurse Advocates to the Table

9:30 - 10:00 a.m. Networking and Break

10:00 - 11:00 a.m. Just a Budget Year: 2014 Legislative Priorities for Nursing

11:00 - 12:00 It Is Never Off the Record! The Power of the Pen and Beyond

12:00 - 12:45 p.m. Lunch at Hotel Santa Fe

12:45 - 1:00 p.m. Depart for the State Capitol

1:00 - 2:30 p.m. Around the Roundhouse: A Close Look at the New Mexico Legislature

2:30 - 3:00 p.m. Return to Hotel Santa Fe; BREAK

3:00 - 4:00 I Read the IOM Recommendations: Now What?

4:00 - 4:30 Back-brief and next steps; Submit completed evaluations and receive certificate for 6.00 contact hours.

Disclosures: No planner has a conflict of interest with a commercial entity, and thus, no resolution was required. No off-label drug use will be discussed.

Sponsors/ exhibitor fees are in the form of grants to NMNA and do not imply endorsement of products or services by NMNA, ANCC, or LSNA. You must have registered, signed in, complete and submit an Evaluation form in order to receive CNE contact hours. Purpose: Learners will be provided information about the legislative process, bills being monitored relating to health care and nursing, and how to

interact effectively with their legislators to effect changes in the Nursing Practice Act and other bills under consideration.

This activity has been submitted to the Louisiana State Nurses Association for approval to award contact hours. The Louisiana State

Nurses Association is accredited approver of continuing nursing education by the American Nurses Credentialing Centers Commission onAccreditation.

_ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __ __

Capitol Challenge, 2014: Friday, 02/14/2014 8:00-4:30Registration form

Name _____________________________________________________________ Email________________________________________________________________________

Phone ( ________ ) ____________________________________________________

Address __________________________________________________________ City_____________________________________________ Zip code __________________

Im a member of NMNA $90 Im not yet a member $120

Fees inclusive of breakfast, breaks, lunch, and continuing nursing education contact hours.

Space is limited- make your reservations and register for the event before it is closed! Hotel Santa Fe reservations: 1-877-259-3409 must bemade by 01/14/2014 for NMNA special discounted rate.Parking is free at Hotel Santa Fe. Contact Debora Walker RN, MSN with any questions at:[email protected].

Mail registration form and check made payable to NMNA by February 1, 2014 to: NMNA

P.O. Box 29658, Santa Fe, NM 87592-9658

Call (505) 471-3324 for instructions to pay by credit card

CAPITOL CHALLENGE 2014: Advocacy in ActionFRIDAY, FEBRUARY 14, 2014 at Hotel Santa Fe and the Roundhouse

Join us for the Annual NMNA Legislative Workshop for NM Nurses

www.myuniformshop.com

Scan hereto join our

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Access The New Mexico Nurse as well as over 5 years of

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Contact us at (800) 626-4081 for advertising information.

Read The New Mexico Nurse

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6/12


Upcoming Events

6th AnnualSW Nephrology

Nursing SymposiumJanuary 25, 2014

Marriott Pyramid, Albuquerque NMCo-hosted by the New Mexico Nephrology

Nurses AssociationContact Elizabeth Evans or Andrew Vick

for more [email protected]@outlook.com

Rio Rancho RotarySunrise Club

Fifth Annual DeGroot-Akins NursingScholarship Dinner

The Rio Rancho Rotary Sunrise Clubs FifthAnnual DeGroot-Akins Nursing ScholarshipDinner raising funds for Nursing Students fromRio Rancho along with the Health Care HeroesSalute by the Rio Rancho Observer will be heldon Saturday, February 8th at the Hyatt TamayaResort.

Festivities begin at 6:00 PM with a silentauction, cash bar, and socializing with dinnerstarting at 7:00 PM. The Nursing ScholarshipPresentation and the Health Care Heroes Salutewill be at 7:30 PM followed by Keynote Speaker

Marjorie A. Maurer, Vice-President of Operations& Patient Care Services and Chief NurseExecutive of Good Samaritan Hospital, DownersGrove, Illinois. Last year $10,000 in scholarshipswere awarded to local nursing students who werecommitted to remaining in the Rio Rancho area.

Individual tickets are $65 per person. Groupand company sponsorships are available at thebronze, silver, gold, and platinum level. For furtherinformation contact Jim Easley at 505-962-1938,505-306-0223, or [email protected].

Upcoming CE Events

Title Provider Date Location Contact Point of Contact

hrs.

Code Ocean Blue Schaaf 01/04-11/14 At sea 8.0 [email protected] Consulting

6th Annual Renal Medicine 01/25/14 Albuquerque 7.25 [email protected] AssociatesNursingSymposium

Capitol Challenge NM Nurses 02/13/14 Santa Fe 0 [email protected] (Students) Association

Capitol Challenge NM Nurses 02/14/14 Santa Fe 6.0 [email protected] (RNs, LPNs) Association

Already a member of NMNA?

Call today to volunteer forprojects and events!

505-471-3324

Make the Crit ical Difference atSaint Alphonsus Health System

Saint Alphonsus Health System is a four-

hospital regional, faith-based Catholic

ministry serving southwest Idaho and eastern

Oregon. Saint Alphonsus Health System is

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Medical Center, providing the highest quality,most experienced care to critically ill and

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You can make the critical difference in these

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Intensive Care Med-Surg

Coronary Care Rehab

Emergency OB/NICU

Department Main OR

Clinic Support Team Nursing

(Float Pool) Professionals

We offer competitive compensation and acomprehensive benefit plan which includes:

Medical, Dental, Vision Plans; Paid Time Off;Life Insurance; Relocation Assistance;

Cash Balance Pension Plan; 403(b) RetirementPlan; Tuition Reimbursement.

To learn more and to apply, please visit

www.saintalphonsus.org/jobsOr call Roxanne Ohlund 208-367-3032

or Rick Diaz 20 8-367-3118

Saint Alphonsus Health System, 1055 N. Curtis Road,

Human Resources, Boise, ID 83706

Lovelace Women's Hospital is NewMexico's first and only hospital dedicatedto women's health.

Recognized by Modern Healthcaremagazine as #3 in the nation for best placesto work in health care.

Lovelace Womens Hospital is

currently recruiting for the followingRegistered Nurse positions:

Neonatal Intensive Care Unit Post Anesthesia Care Unit Operating Room Labor & Delivery

The Registered Nurse is responsible andaccountable for patient care and staffmanagement assigned to the RN in his/hercharge and may serve in the role of ChargeNurse. Adheres to policies and procedures andregulations to ensure compliance and patientsafety.A minimum of an Associates Degree orDiploma of Nursing is required. A BachelorsDegree in Nursing is preferred with 2 yearsof experience working as an RN in a hospitalenvironment.

For more information and to apply,visit us at www.lovelace.jobs

Join Presbyterian, New Mexicos only private,

not-for-profit healthcare system, and make every one

of your moments matter more.

We are seeking Registered Nurses for these areas:

Operating Room Cardiac & GYN

Home Healthcare Case Manager

Care Coordination Case Manager

Sterile Processing RN Manager

Clinical Education Clinical Nurse Education Specialist

Health Plan Utilization Management Nurse Specialist

Espaola OR Circulator

Ruidoso Med/Surg RN Manager

We offer an excellent compensation and benefits

package. Visitwww.phs.org/careersor contact our

nurse recruiters at (505) 923-8101.

PHS is committed to ensuring a drug-free workplace.EOE.

The next chapter inyour healthcare story.


7/12


by: Patricia Montoya, MPA, BSN, RN, Director,New Mexico Coalition for Healthcare Quality at

HealthInsight New Mexico

Allison Kozeliski, MSN, RN, NE-BC, ClinicalQuality Improvement Manager, New Mexico

Coalition for Healthcare Quality at HealthInsightNew Mexico

The Affordable Care Act (ACA) as we know itis more than just a website or providing healthinsurance coverage. Although it was not ascomprehensive as many would have liked forthe health reform that is needed, it still hasmany critical pieces that we can leverage forimproving health care. One major focus of ACA isto determine how we can change health care anddecrease health care costs at the same time. Thisrequires that we do things differently.

ACA is not the only catalyst driving health carechange. At the same time, we see the Centers forMedicare & Medicaid Services (CMS) penalizinghospitals for unnecessary readmissions amongother changes. We know that the other payers

follow the CMS lead, thus becoming a majordriver for changing how we provide care. Anotherdriving force in todays environment is that thereare efforts to decrease or eliminate the amountof fee for service payments in our delivery systemand redesign the payment structures. Undermany of the scenarios that are being considered,be they bundled or global payments, the incentiveis to effectively manage the care of the patient inorder for the providers to survive or thrive withinthese new payment systems. This requires a focuson patient centeredness and coordination of thepatients care.

In the new Medicaid Centennial Plan, thehealth plans that are contracted are asked tocoordinate the care of the patient in order toachieve better quality outcomes while reducingcosts. Therefore all of the local health plans are

ramping up for this work. Who is better positionedto lead and coordinate this work but RegisteredNurses?

Leading new efforts in healthcare deliveryis nothing new for nurses. Working in diversesettings nurses are the heart of patient-centeredcare. They have the clinical skills to understandthe patients underlying condition; they have thepsycho-social skills to assess the patient, familyand environment; and they have been trained toidentify and coordinate resources for the patientand family. Are we utilizing the skills andknowledge we have to improve care? Are we taking

advantage of what we as nurses bring to increaserecognition by our workplaces and the public ofnurses value as an integral part of the health careteam?

FOCUS ON NURSES LEADERSHIP ROLE

The role of the registered nurse is an essentialelement in the care coordination process,therefore integral to achieving the triple aimof health reform - improved patient experienceof care (quality, access and reliability), improvedpopulation health, and reducing costs of caredelivery (IHI, 2011).

Those of us in practice should realize we are anessential component in the improvement of bothindividual and community health and wellness.The American Nurses Association Standards ofCare explicitly state that patient-centered carecoordination is a core professional standard andcompetency for all nursing practice. Providingevidence to support nursings long standingcompetency in this area will be integral as healthcare reform progresses. It must be recognized that

the activities connected with these competenciesare not tasks but part of the independent scope ofpractice of registered nurses as informed decision-makers whose independent actions are based oneducation, evidence, and experience (IOM, 2011,p. 223).

We have an opportunity to provide our skillsand knowledge in ways that will further ourroles as coordinators of care. This crucial role hasnot been widely recognized outside the nursingarena until now. Nurses are collectively sayingits about timethe rest of the world is catching upwith us in recognizing the patient as central toany system change. However, there are those whocreate policy and direct health care organizationsthat believe concepts like care coordinationare new. We, as nurses, need to illustrate theimportance of nursings role in this era of reform

and how this not so new concept is a core ofprofessional nursing practice. How can we do this?

Recent initiatives from the Robert WoodJohnson Foundations Aligning Forces for Qualitythrough the New Mexico Coalition for HealthcareQuality have centered on providing a platformfor the development of a community-wide carecoordination initiative that will begin in the four-county metro area, and continue to be spreadthroughout the state. Recently, the coalitionand HealthInsight New Mexico sponsored aconference for more than 100 stakeholders from allcommunity sectors. Dr. Eric Coleman, the keynote

presenter, effectively illustrated the current stateof affairs in the national health policy landscape,highlighting challenges for the health careindustry and for the patients and families thatare served. Defining accountability and callingattention to the way we silo healthcare delivery

was a call to action to reinvent, reconceptualize,build, and foster cross-continuum teams (CCT) toaddress care coordination issues at the communitylevel.

The New Mexico Coalition for HealthcareQuality seeks to learn about, discuss andultimately determine how to best address thecommunitys common goals of decreasing avoidablehospital admissions and readmissions, improvingcommunication across all care settings, engagingpatients and families in care coordination,decreasing health care costs, and providingan environment for overall improvement incommunity health. Nurses can be the catalystbetween all stakeholder groups that impact andinfluence the health care system to assist as weanswer these questions: Where are we now?, Whereare we going?, and How will we get there?

We invite you to join us as we begin thisgroundbreaking journey. For more informationabout how you can be part of this initiative contactPat Montoya ([email protected]) orAllison Kozeliski ([email protected]).

References:Institute for Healthcare Improvement (2011). The IHI

triple aim: better care for individuals, better health forpopulations and lower per capita costs. Retrieved fromhttp://www.ihi.org/offerings/Initiatives/TripleAim/Pages/default.aspx

Institute of Medicine (2011). The Future of nursing:Leading change, advancing health. Washington, DC:The National Academies Press. Retrieved from http://www.iom.edu/Reports/2010/The-Future-of-Nursing-Leading-Change-Advancing-Health.aspx

Nurses and Health Care Reform: Are We Leading the Way forPositive Change in Our Communities?

www.fnch.org

First Nations Community HealthSource is a local

non-profit community based healthcare facility

located in SE Albuquerque.

We are currently recruiting for the following position:

Registered Nurse:Responsible for assisting with directpatient care, triage, etc. in a familypractice clinic. NM State License required.

FNCH offers a Full Employee Benefits Package.

Please send your resume and

salary requirements to:

First Nations Community Healthsource

Attention: Human Resources

5608 Zuni Rd SE, Albuquerque, NM 87108

Fax: (505) 265-7045 E-mail: [email protected]

**Pre-Employment Drug Screen, Drivers License/Motor Vehicle Check and

Criminal Background Investigation will be required. EEO employer.

Sign-On Bonus Available

BAYADA NurseSusan Ecker, RN

Join our expert team of nurses who are committed to

keeping people of all ages safe at home. We have openings

for a Clinical Manager, RNs and LPNs to care for clients in

Albuquerque and surrounding areas.BAYADA health care

professionals enjoy:

A variety of scheduling options

Clinical support 24 hours, 7 days

Meaningful one-on-one care

Training and career

pathways

Call 505-884-5041www.bayada.com [email protected]

Compassion. Excellence. Reliability. EOE

At HealthSouth the role of a Registered

Nurse encompasses leadership,

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health care providers, patients and

their families, to achieve desired patient

outcomes throughout the continuum of care.

SEEKING RNs

Current RN licensures appropriate to state regulations

CPR certification (ACLS preferred)

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We offer a comprehensive and competitive benefits package that

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For further information, contact Victoria Otero,

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FAMILYNURSEPRACTITIONER


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Map 1: Preliminary Map of Multiple Health Challenges, By CountyJust as population and racial/ethnic groups are unevenly distributed

across New Mexicos diverse geographies, so are the health needs of the state.The disparate needs of the state are seen in the following county-by-countycomparison across nine key indicators of health status:

Heart deathsper 100,000 pop. Cancer deathsper 100,000 pop. Unintentional injury deathsper 100,000 pop. Premature Deaths(years of potential l ife lost) per 100,000 pop.

Life expectancyfrom age 65 Adult diabetes prevalence %Adults obese % of population over age 65 % of populationuninsured

Counties are colored on the following map according to how many bottomeight rankings they had across all nine indicators.

Map 2: Percentage of adults 65 years and older by county in NewMexico.

Statewide average in 2010 was 13.2%.

Map 3: Ratio of Population to Registered Nurse, By County, 2012.The number shown represents the number of county residents to each

Registered Nurse working in the county. For example, a ratio of 131:1 meansthat there are 131 people for every 1 Registered Nurse working in the county.

Map 4: Ratio of Population To Primary Care Providers (Physiciansand NPs), By County, 2012.

The number shown represents the number of county residents to primarycare providers working in the county. For example, a ratio of 1,423:1 meansthat there are 1,423 people for every 1 Primary Care Physician or NursePractitioner working in the county.

The statewide average ratio is 836:1.The visual display of demographics and health information through GIS

mapping is an exciting and informative method for not only transmittingdata, but as a tool to aid in health policy decisions and can assist nursing infuture projects.

Suzanne Gagnon CFNP, UNM CON, Ph.D. Student, Health PolicyConcentration

As the Affordable Care Act continues to unfold, ongoing assessmentand exploration of health care needs and provider supply in New Mexico iswarranted. Use of geographic information system (GIS) mapping is a newand exciting method for assisting this process. GIS mapping integrateshardware, software and data for capturing, analyzing and displaying allforms of geographically referenced information. With New Mexicos complex

state attributes such as rurality, poverty, high-uninsured population, andgrowing elderly population, new methods for assessing needs affecting healthcare supply and demand are in demand. The focus of this first of threearticles is health care needs and provider supplies in New Mexico. Futurearticles will include foci on nursing demand.

New Mexico has the second highest percent of uninsured in the nation,nearly one in three adults (ages 19-64) is uninsured (NM Center on Lawand Poverty, 2012). Most of the projected 170,000 adults newly eligible forMedicaid in 2014, have not previously had primary care health homes (Stateof New Mexico, Legislative Finance Committee Brief, 2013). According toa national study, newly eligible populations gaining public insurance areassociated with poorer health status (Jerant, Fiscella, & Franks, 2012). Theuninsured of New Mexico are not concentrated in any one area of the state,but in nearly one third of New Mexicos thirty-three counties, greater than50% the adult population will be eligible for Medicaid in January 2014(Stateof New Mexico, Legislative Finance Committee Brief, 2013). Currently 22%of New Mexicos population is over 60, with a prediction to grow to 33% by2030, placing it 4th highest in the nation (Ref.?). Older adults consume a

disproportionately large share of health care services, so demand for healthservices will grow.In the Spring of 2013, the University of New Mexicos Center for Education

Policy Research (CEPR) undertook at project mapping health care needs inNew Mexico. The goal of the CEPR is to expand education policy research tohelp provide solutions to problems in education. Unique to CEPR is the use ofGeographic Information Systems (GIS), which allows a new way to visualize,analyze, interpret, and understand data to reveal trends, relationships, andpatterns. GIS maps depicting health care needs in New Mexico have beencreated at CEPR. The maps provided include not only health care need bycounty but counties with the highest elderly population, as well as ratio ofpopulation to registered nurses, and primary care providers.

GIS Mapping and Exploration of Health Care Needs in New Mexico

*Mapping done by Dana Bell, Peter Winograd and Amy at The UNM Center for Education Policy Research, for a project for NMNEC.Dana Bell, Senior Policy Analyst, Center For Education Policy Research, Suzanne Gagnon, CFNP, UNM CON, Ph.D. student, Health Policy Concentration.


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Results and ImplicationsFamilies and individuals who have graduated

from the program express appreciation for thepositive impact the intervention has had on theirlives. Comments include I am so glad I came toyour program and I plan to continue the changesI have made; Now my family can live healthier;We learned useful tips for kids activities andfood. Although program leaders and staff continueto volunteer their time, they are willing to do sobecause of the positive impact that results fromhelping individuals learn in practical wayshow they can change a few habits and make adifference in what they eat, their activity levels,and how they feel. Although final data outcomesare unavailable at this time, preliminary resultsindicate that some adults have lost weight,and at least one adult reduced their A1c level.Additionally food intake and activity levels havereportedly increased.

The Live Fit Family Challenge Program isbased on the 7-5-2-1-0 message. Incorporatingthese simple messages into your nursing practice

can have a positive impact on the children andfamilies in your care. Here is a brief review of eachhealth principle the message represents:

7 Eat breakfast.7days a week.

Even if thekids arenth u n g r ye n c o u r a g ethem toeat at leasta smallbreakfastthey willdo better atschool withfood in their body.

Involve the kids in trying some new foodsthat are delicious and easy to eat on the go.

5 Fruits and Vegetables Eat 5or more servingof fruits and vegetables a day.

Serve at least 1 or more fruit or veggie atevery meal and snack. Eat all the colors.

Offer over and over. It takes kids severaltastings (10 or more) before they start toenjoy some foods.

2 Hours of Screen Time No more than 2hoursa day in front of the screen TV, video games andnon-school computer time.

Turn the TV off during meals and talk aboutthe day.

Keep the TV in a central location and out of achilds bedroom

1 Hour of Physical Activity At least 1hourof physical activity a day.

Plan one physical activity for the family eachweekend. Let each child take turns choosingthe activity.

All moving counts 10 minutes here, 10minutes there adds up to moving for an hour.

0 Sugary Drinks Drink 0 soda and othersweetened beverages.

Drink water. Add a lemon or lime wedge or abit of juice for extra flavor.

Dont bring soda or sports drinks home. If itsthere the kids will drink it.

When you take time to take care of yourselfyou are in a better position to be present for the

clientele you care for on a daily basis. You and yourfamily will also benefit f rom eating meals together,having fun together as a family and getting backto that social connectedness that is vital to healthyrelationships. If you have clients that expressinterest in improving their health through lifestylehabits, the above suggestions are a great startingpoint if they are inclined to focus on even one itemto get started.

Terri Gibson, MSN, RN-BCPatricia McCarty, BSN, RN, CDE

Jennie McCary, MS, RD, LD

Obesity rates across the global populationhave increased significantly in the last 30 years,with a resulting 170 million obese children. Thisdisease correlates and in some cases is causativeof illness such as metabolic syndrome, heartdisease, diabetes, cancer, kidney disease, andother problems of great concern. In the UnitedStates (U.S.) projected expenses amount to $14billion in direct costs which is a fair portion of theNational Health budget. The Centers for DiseaseControl and Prevention state that the childhoodobesity rate has doubled, and the adolescent ratehas tripled in those same 30 years. This placesover 33% of the U.S. child and youth population inthe overweight or obese category.

In New Mexico, almost 15% of adolescents areoverweight and 13.5 % are obese. The AmericanNurses Association suggests that given themajor threat childhood obesity poses in terms ofhealth and financial concerns, an imperative ofthe nursing profession is to address the epidemicthrough health promotion and disease prevention.The purpose of this piece is to inform New Mexiconurses about a local program that has beenimplemented to address this problem and alsoprovide some tips that can be utilized in practiceor personally.

BackgroundMany authors provide recommendations for

obesity intervention programs (Summerbellet al, 2007; Borra, Kelly, Shirreffs, Neville, &Geiger, 2003; Shinitzky & Kub, 2001). Some ofthose recommendations are summarized here:Parents and children: 1) should work togetherfor overweight prevention; 2) need attainablegoals that are positive and realistic; and 3)

are looking for tools that promote fitness, in asupportive, customized fashion. Finally, it isimportant to empower individuals by involvingthem in the decision-making process and givingthem the knowledge and skills needed to effectpositive change. Based on the available literatureand resources, a community-based childhoodoverweight and obesity intervention program wasdesigned and implemented through the teamworkof two nurses and a dietitian, and the support ofmany other volunteers and local organizations.

The Live Fit Family Challenge Program hasbeen implemented in the Albuquerque area eighttimes since 2009. Over 75 individuals, together asfamily units have participated in this 8-sessionprogram implemented on a weekly basis over a2-month time frame. Program objectives centeraround teaching families the principles outlined

in the 75210 Zip Code to Health model promotedby Envision New Mexico. The target audience hasbeen families with school-aged children and youth.Advertisement was done through the Albuquerquepublic schools (APS), local health care providers,and posted on the Community Health Advancew e bs i te w w w .nmc o mmuni tyhe a l th . o r g .Community Health Advance is a faith-basedorganization whose leadership personnel seek topartner with local organizations as a way to bringquality, evidence-informed health education to theAlbuquerque area population.

Program DescriptionAll of the eight sessions have components that

relate to specific areas of healthy nutrition andactivity habits. Each session has a dedicated 30minutes of physical activity time designed to

engage families in fun ways to be active. Theactivity sessions include parachute play, relaygames, a home-made circuit training session,and introduction to class-style activities suchas Zumba and NIA (Non-impact aerobics). It isimportant to the program authors that theseactivities can be continued by the families withminimal expense. It is also very satisfying to seefamilies laughing and having fun. Often thoseattending comment later that the activity was newand that they expect to engage in the activity inthe future.

Each session a nutritious meal is providedwhich exemplifies the principles of healthy eatingpresented throughout the program. Attendeesoften comment that they had not tasted a foodor recipe before, and plan to add it to theirhome menu. They are often very grateful forthe opportunity to taste and see what healthyfood is like and then realize it is not out of theirprice range or ability to serve the same food item

in their household. Over the years, a varietyof individuals and teams have taken on theresponsibility of shopping and preparing the food,and the program leaders are very grateful forwhat they do.

Most recently, the University of New MexicoNutrition club has volunteered their servicesand served the meals each week. Two sessionsout of the eight, these nutrition students comewith enough support and supplies to engage thechildren and youth in the meal preparation. One ofthe meals the kids helped prepare was a spaghettidish that substitutes spaghetti squash fortraditional noodles. This is a healthy alternativeand involves the fun of scraping out noodles fromthe baked squash with a fork. Program authorswish to involve kids in meal planning and foodprep. This is a way to inspire kids to explore the

fun involved with making healthy food, learn howeasy it is, and that the food also tastes good.Each session there is an educational lesson.

Some of the topics presented are nutrition, foodlabels, screen time, daily breakfast, mindfuleating, and the effect of obesity as it relates tochronic illness. Primary modes of instructioninclude presentations, discussions, interactiveplay, and hands-on poster review activities.Handouts related to the topics are given. Someweeks physical activity tools are also given tofamilies. The handouts are collected in a notebookthat also includes the weekly recipes. Thisnotebook provides a useful resource families canrefer to long after the support of attending theprogram is over.

At the conclusion of each session, the groupis divided into smaller family groups. It is an

opportunity for program leaders to review thatweeks lesson. Specific challenges are given eachweek as a way to encourage families to put intopractice the health principles they are learning. AChallenge Log is provided to record their progress.Families are encouraged to decide weekly goals.On return the following week, coaching is providedto problem solve and celebrate their successes.

Anthropometric measurements are obtainedand a lifestyle questionnaire filled out initiallyand at the end of the program to assessquantitatively and qualitatively the overallimpact of the program on the health and lifestylehabits of those attending. An IRB (InstitutionalReview Board) approved research project was justcompleted utilizing data from participants in thelast four programs implemented and also includedcontrol subjects from two local high-schools. For

the research project, data was again collected ata 24-week time frame post program. Data input isin process and the results are pending. REDCap,a data synthesis program promoted by the UNMHealth Sciences Center is being utilized for thisdata analysis. Program authors expect to publishresults in the future and hope to develop theprogram further so that it would be available toa wider audience. Validation of program impact ispart of this plan.

Live Fit Family ChallengeTackling Obesity One Family at a Time

Live Fit continued on page 10


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According to current statistics, the obesity epidemic continues despitethe various interventions proposed and implemented locally and nationally.While research continues to be done on how best to approach this multi-faceted problem, the Live Fit Family Challenge authors and leadershipteam continue to positively impact our local community, one family ata time. If you or someone you know would like to learn more about thisprogram, please go to the website listed above, or send an email to [email protected]. We hope to offer a program next year, but are stillin the planning stage, with no specific details available as of yet. There isa need for available space and funding in order to implement the programagain.

Acknowledgements:The authors wish to thank those who have supported the program including a

UNM Vision 2020 grant, funding from the UNM Foundation, and those who havedevoted their time to implementing the program. A thank you is also given to Dr.Glew and the Fall Writing Workshop Participants.

References:Borra, S. T, Kelly, L., Shirreffs, M. B., Neville, K., & Geiger, C. J. (2003).

Developing health messages: Qualitative studies with children, parents, and teachershelp identify communications opportunities for healthful l ifestyles and the preventionof obesity [Electronic version]. Journal of the American Diabetic Association 103(16),721-728

Shinitzky, H. E., & Kub, J. (2001). The art of motivating behavior change: The useof motivational interviewing to promote health [Electronic version]. Public HealthNursing 18(3), 178-185.

Summberbell, C. D., Waters, E., Edmunds, L. D., Kelly, S., Brown, T., & Campbell,K. J. (2007). Interventions for preventing obesity in children (Review) [ElectronicVersion]. The Cochrane Collaboration,(4), 1-72.

Live Fit continued from page 9

AuthorsDarlene Hess, PhD, RN, AHN-BC, PMHNP-BC, ACC, HWNC-BC

Brown Mountain Visions

Northern New Mexico CollegeUniversity of Phoenix

Deborah Markee, MSN, RNUniversity of New Mexico Psychiatric Center

Author NoteDarlene R Hess, Brown Mountain Visions, Northern New Mexico College,

University of Phoenix; Deborah Markee, University of New Mexico HospitalsUniversity Psychiatric Center

Both authors are co-leaders and founding and current members ofthe Albuquerque, New Mexico Chapter of the American Holistic NursesAssociation.

Correspondence concerning this article should be addressed to Darlene RHess, 316 Roehl Rd NW, Los Ranchos, NM 87107. Telephone: (505) 228-8553.Email: [email protected].

Many changes are affecting the profession of nursing in 2014. An

increased focus on holistic integrative health care, self-care, and healthcoaching is emerging from many sources, including The Patient Protectionand Affordable Health Care Act (ACA) of 2010 (The Patient Protection andAffordable Care Act [PPACA], 2010).

Patient Protection and Affordable Health Care ActThe Patient Protection and Affordable Health Care Act of 2010 (ACA) is

the most significant change to the United States health care system sincethe enactment of Medicare and Medicaid in the mid-1960s (Public HealthLaw News, 2013). The challenge facing the nation, and the opportunityafforded by the Affordable Care Act (ACA), is to move from a culture ofsickness to a culture of care and then to a culture of health (Institute ofMedicine [IOM], 2013, p. 17). Shifting the focus beyond health care deliveryto the broader range of factors that shape health outcomes, provisions of theACA now more effectively fund prevention and health promotion, expand theconcept of community benefit beyond the individual practitioners office, andemphasize the transformation of the places where people live, work, study,and play (IOM, 2013, pp. 1-3).

Promoting health, preventing disease, and maintaining well-beinghas potential to create lasting changes in behavior and a cultural shiftin our health care system from a disease management model to a focus onwellness and health promotion (Jonas, 2013, para 2). The ACA mandatesthe consideration of innovative and transformative models and approachesthat will impact health of individuals and communities. As the ACA isimplemented over the next several years, providers, healthcare payers, andpolicymakers will accelerate the investigation, development, implementation,and evaluation of holistic integrative models of care. Experts in integrativehealth, worksite health promotion, health coaching, and public healtheducation are already involved in developing processes and policies to ensurethat provisions of the ACA are met.

One of the more propitious aspects of the ACA for holistic nurses (and forpatients) is the patient-centered mandate. Providers of services that receivemonies through the Centers for Medicare and Medicaid Services (CMS) arerequired to implement patient-centered practices. Patient-centered practicesensure that individuals have a meaningful role in directing their care, offerchoices to individuals regarding the services they receive and from whom

they receive them, include cultural considerations, and provide services attimes and locations of convenience to the recipients of care (Love, 2011).

Holistic NursingThe language and strategies emerging from the paradigm shift advanced

by the IOM (IOM, 2013) and Jonas (Jonas, 2013) of the Samueli Instituteare consistent with the principles and practice of holistic nursing. Holisticnursing is based on a philosophy of living and being that is grounded incaring, relationship, and interconnectedness (AHNA, 2013; Klebanoff &Hess, 2013). The definition of holistic nursing practice refers to all nursingpractice that has healing the whole person as its goal (AHNA/ANA, 2013).A holistic nurse takes a mind-body-spirit-emotion-environment approach tothe practice of traditional nursing.

Holistic nurses clearly understand that patients are active partners inthe healing process. Collaboration with patients is a professional standardof practice for holistic nurses (AHNA/ANA, 2013) and for all nurses (ANA,2010). Despite past health care delivery practices that may have effectivelydisempowered patients from assuming an active role in their care, such

practices will no longer be the norm, and is even now rapidly changing.Nurses must increasingly develop the skills and systems to incorporatepatient preferences into care. Standards of practice for holistic nursesspecifically address using a range of approaches and therapies, includingintegrative and non-conventional healthcare services, in collaboration withpatients and their families and caregivers, to generate positive outcomes forpatients (AHNA/ANA, 2013).

Because holistic nurses understand the nurse is also part of the healingprocess, they consciously and skillfully incorporate skills such as intention,therapeutic presence, and active listening to demonstrate caring, respect,

Holistic Nursing and thePatient Protection and

Affordable Health Care Act

Holistic Nursing continued on page 11


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and authenticity. Holistic nurses use conventionalnursing interventions as well as holistic/complementary/alternative/integrative modalitiesto enhance the body-mind-emotion-spirit-environment connectedness to foster healing,health, wholeness, and well-being.

Self-care and nurse coaching are two holisticnursing strategies that distinctively support keyprovisions of the ACA.

Self-careInherent in the focus on health promotion anddisease prevention is the necessity for discoveringand implementing ways to assist individuals, aswell as organizations and communities, to assumeaccountability and make the changes that improvehealth. Nurses are expected to take a primary rolein modeling health and well-being and in assistingothers to do the same.

Holistic nurses possess the knowledge,professional skills, and personal experiences withself-responsibility and self-care that are implicitwithin select provisions of the ACA. Holisticnurses believe that what they do and how theyare personally and professionally makes a positiveimpact upon the health and well-being of thepeople they care for. Self-care is an overarchingphilosophical principle and a core value of holistic

nursing practice. Holistic nurses engage in self-reflection and self-care. They value themselvesand mobilize the resources to care for themselves(AHNA/ANA, 2013). As a way of life personallyand professionally, self-care is incorporated intothe holistic nurses very being (Klebanoff & Hess,2013).

Nurses who care for self are better positioned tocare for others. Through personally experiencingthe rewards and challenges entailed in adoptinghealthy patterns and in striving for improved well-being, nurses have an in-depth understanding ofthe challenges experienced by patients.

Self-care directly relates to health promotion.Self-care is naturally culturally specific andrelevant to the individual. The path to self-care iscomplex and involves innumerable approaches andtools. Health on a physical level cannot be attained

or supported without addressing emotional,spiritual, and environmental factors. Obviously,self-care is closely linked to self-responsibility.

Self-care can be a real challenge for nurses. Yet,it is vital that nurses be able to have the energy,presence, and focus to care for themselves if theyare to effectively care for and support others(McElligott, 2013). Nurses cannot facilitatehealing within others unless they are in theprocess of healing themselves (AHNA, 2013, p.20). While self-care may be underutilized in thenursing workforce, many opportunities now existto reverse this state.

Nurse CoachingNurse coaching is expanding as one method of

enhancing self care. Professional Nurse Coachingis a skilled, purposeful, results-oriented, and

structured relationship-centered interactionwith clients provided by Registered Nurses

for the purpose of promoting achievement ofclient goals (Hess, et al., 2013; Hess & Dossey,2013). The coaching process evokes rather thandirects actions to achieve client-establishedgoals and strategies. Nurse coaching involvesthe implementation of health-promoting andevidence-based strategies with clients that supportbehavioral and lifestyle changes to enhancegrowth, overall health and well-being (Hess, et al.,2013, Hess & Dossey, 2013).

Coaching goes beyond health education. Manyholistic nurses are aware of the limitations of

health education to motivate and sustain lifestylepractices that lead to improved health and well-being and thus have enthusiastically embracedcoaching as a way to promote self-care and tobetter assist clients to achieve goals (Dossey, Luck,Schaub, & Hess, 2013).

SummaryThis is an auspicious time for our nations

health care system that holistic nurses havebeen anticipating and preparing for. The PatientProtection and Affordable Health Care Act of 2010(ACA) is the most significant change to the UnitedStates health care system since the enactment ofMedicare and Medicaid in the mid-1960s. Holisticnurses are inspired and motivated by reformmeasures to continue to deliver holistic care andto model healthful behaviors. Self care and nurse

coaching are two holistic nursing strategies thatdistinctively support key provisions of the ACA.

For additional details or questionsabout the NM Chapter of the AmericanHolistic Nurses Association, [email protected] or visit http://nmholisticnurses.wordpress.com/. Readersmay contact Deb Markee at 505.980.3573 [email protected]. Readers may contactDarlene Hess at 505.228.8553 or [email protected].

ReferencesAmerican Nurses Association (ANA). (2010).Nursing:

Scope and standards of practice, 2nd Edition. SilverSpring, MD: Author.

American Holistic Nurses Association and AmericanNurses Association (AHNA/ANA). (2013). HolisticNursing: Scope and standards of practice, 2nd Edition.Silver Spring, MD: Author.

Hess, D. R. & Dossey, B.M. (2013). The emerging roleof nurse coach.The New Mexico Nurse, 58(2), p. 8)

Hess, D. R., Dossey, B. M., Southard, M. E., Luck, S.,Schaub, B. G., & Bark, L. (2013). The Art and Scienceof Nurse Coaching: A Providers Guide to Coaching Scopeand Competencies. Silver Spring, MD: Nursesbooks.org.

Dossey, B.M., Luck, S., Schaub, B.G., & Hess, D.R.(2013). Nurse coaching. In B.M. Montgomery & L.Keegan, Holistic nursing: A handbook for practice (pp.189-204). Burlington, MA: Jones & Bartlett Learning.

Institute of Medicine (IOM). 2013. Population healthimplications of the Affordable Care Act: Workshopsummary. Washington, DC: The National AcademiesPress.

Jonas, W. B. (2013, January 17). Changing theculture of health care. President Message Archives.Retrieved from http://samueliinstitute.org/about-us/our-

team/message-from-the-president/president-message-archives#1.17.13

Klebanoff, N. A., & Hess, D. (2013, October). Holisticnursing: Focusing on the whole person. AmericanNurse Today, 8(10). Retrieved from http://www.americannursetoday.com

Love, K. (2011). The Affordable Care Act: Positiveimpact for quality improvement. Geriatric Nursing,32(4), 282-284. Doi:10.1016/j.gerinurse.2011.06.004

McElligott, D. (2013). The nurse as an instrument ofhealing. In B.M. Dossey & L. Keegan, Holistic Nursing:A Handbook for Practice (6th ed.), (pp. 827-842).Sudbury, MA: Jones and Bartlett.

Public Health Law News. (2013, September).Interview with James M. Galloway, Director, Office

of Health Systems Collaboration, Office of AssociateDirector for Policy, CDC. Retrieved from http://www.cdc.gov/phlp/news/current.html

The Patient Protection and Affordable Care Act(PPACA) (2010). Retrieved from http://www.gpo.gov/fdsys/pkg/PLAW-111publ148/pdf/ PLAW-111publ148.pdf

Author Biographical InformationDarlene R Hess, PhD, RN, AHN-BC, PMHNP-

BC, ACC, HWNC-BC, is Director of Brown MountainVisions (www.brownmountainvisions.com), anorganization dedicated to serving nurses and othersin their quest for enhanced well-being. BrownMountain Visions offers professional coaching, adultpsychiatric nurse practitioner, and consulting servicesto individuals and organizations. She has developedan innovative holistic nursing education program thatemphasizes self-care, and has co-authored severalpublications on nurse coaching including Facilitatingchange: Motivational Interviewing and Appreciative

Inquiry, Nurse Coaching, Defining Holistic NurseCoaching, White Paper: Holistic Nurse Coaching andThe Art and Science of Nurse Coaching: The ProvidersGuide for Coaching Scope and Competencies. Dr. Hessis credentialed as a certified coach by the InternationalCoach Federation and as a Health and Wellness NurseCoach by the American Holistic Nurses CredentialingCorporation. Dr. Hess is an Assistant Professor andAssociate Director of the RN to BSN Program atNorthern New Mexico College. She is affiliated withthe University of Phoenix where she mentors doctoralstudents. Dr. Hess is board certified as an advancedholistic nurse by the American Holistic NursesCredentialing Corporation. Dr. Hess is co-leader andfounding member of the Albuquerque, NM Chapter ofthe American Holistic Nurses Association.

Deborah Markee, MSN Ed., RN, began hercareer as a registered nurse at Boston City Hospitalin Boston, Massachusetts. She worked on a dedicated

AIDS unit at The New York Hospital until she movedto Albuquerque in 1997. She worked at Lovelacein oncology for ten years before taking her currentposition. For the last seven years she has held a staffnurse position on an adult inpatient psychiatric unitat University of New Mexico Hospitals UniversityPsychiatric Center in Albuquerque. Deborah is co-leader and founding member of the Albuquerque, NMChapter of the American Holistic Nurses Association.She welcomes the opportunity to share her knowledge ofholistic nursing with both at-risk high school studentsand student nurses. She finds observing the growth andsuccess of the Albuquerque chapter and its membersmost gratifying.

Holistic Nursing continued from page 10

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Family Services are:

Psychiatric Nurse Practitioner, Advanced

Practice Nurse, Prescriptive Authority Nurse,

Physicians Assistant, RN, BSN,

LPN, and CNA.

For more information about MHCD and ourcareer opportunities, please visit our website at

www.mhcd.org. To apply, please submit your applicationand resume to

[email protected] or fax to (303) 758-5793.

Bilingual nurses are encouraged to apply.

Documents

Hess and Markee