Thursday, October 19, 2017

IntNSA and Addictions Nursing:

Answering the Call

IntNSA Annual Educational ConferenceOrlando, Florida, USA

President’sAddress

Stephen Strobbe, PhD, RN, PMHCNS-BC, CARN-AP, FIAAN, FAANClinical Associate Professor

University of Michigan School of Nursingstrobbe@umich.edu

President (2016-2018)

International Nurses Society on Addictions (IntNSA) www.intnsa.org

Fulbright Scholar to Brazil (2017-2018)

Roles, contact information

Welcome to your conference!

“What can we do to getmore involved?”

SignUp Sheets in Registration Area

�Conference Planning: Denver, 2018

�Foundation for Addictions Nursing (FAN)

�ANCB (Addictions Nursing Certification Board), “Come see us in person!”

�Join or create IntNSA U.S. chapter

�Join or create IntNSA International chapter

�Health policy

�Education

�Research

�Webmaster

�Reviewer, Journal of Addictions Nursing (JAN)

Other conference announcements� Remember to vote for IntNSA logo by

5:30 p.m. Friday

� Healthy Nurse / Healthy Nation Challenge—Grand Challenge Breaks� Led by Becky Eisenhut� 3:30—3:45 p.m. Thursday and Friday,

Discovery Room

� FAN Walk� 5:30 a.m., Friday and Saturday, Meet in

hotel lobby

� Support Group Meetings � 9:00—10:00 p.m., Thursday and Friday,

Odyssey A (change from B)

By the numbers…

� More than 200 in attendance

� 34 States

� 10 Countries

� 12 Exhibitors/Sponsors

� 4 Pre-Conference Workshops

� 45 Presentations

� 19 Posters

Special Thanks to Our Gold Sponsor, Executive Home Detox

http://www.executivehomedetox.com

Thank you, IntNSA 2017Conference Committee!

� Suzanne Alunni-Kinkle, Chair� Robert Ranieri, Executive Director� Suzan Blacher� William Carrick

� Becky Eisenhut� Susanne Fogger� Katherine Fornili� Janet Hutchinson� Ann Mitchell

� Jacqueline Ney� Lynn Shell� Virginia “Ginny” Singer

President’s Address:Objectives

Purpose: provide a “big picture”view of the organization

� Report on the state of our society

� Celebrate recent successes and next steps

� Emphasize the importance of interdependence

� Acknowledge challenges� Envision the future� Invite engagement

History, Mission, Vision

� The International Nurses Society on Addictions (IntNSA) is a non-profit, volunteer, professional nursing organization, founded in 1975 as the National Nurses Society on Addictions (NNSA).

� Mission: To advance excellence in nursing care for the prevention and treatment of addictions for diverse populations across all practice settings through advocacy, collaboration, education, research, and policy development.

� Vision: To be a global leader in addictions nursing.

� IntNSA is now poised to become a global leader in addictions nursing by helping to create communities of nurses to address substance use in their local practices, and global regions.

Who are we?

IntNSA publications

Addictions Nursing: Scope

and Standards of Practice

(ANA, IntNSA, 2013)

Core Curriculum of Addictions

Nursing (Third Edition)(IntNSA, 2015)

Journal of Addictions Nursing:

Official Publication of IntNSA(published quarterly), includedwith IntNSA membership

Why go global?

� Problematic substance use—including alcohol, tobacco, and other drug use—is now viewed as a major global health risk.

� Addiction, defined as a chronic, relapsing brain disease—characterized by compulsive drug-seeking and use, despite harmful consequences—can lead to many harmful, and often self-destructive, behaviors (NIDA, 2016). www.tess.com

Consequences to health

According to the World Health Organization (WHO)

�> 1 billion people on this planet smoke tobacco

�3.3 million deaths per year associated with harmful use of alcohol

�5.1% of global burden of disease and injury is attributable to alcohol

�Up to 36 million people misuse opioids worldwide, with overdose deaths reaching epidemic proportions in some regions

�Injecting drug use reported in 148 countries, and 120 countries report HIV infection among this population

Nurses: Part of the solution

� Also according to WHO (2011)� 19.3 million nurses and midwives

currently provide care around the world

� In many countries, nurses and midwives constitute more than 50% of the national health workforce

� This provides a real and important opportunity for nurses, in all areas of practice, to assume more active roles, and to have a positive impact on prevention, intervention, treatment, and recovery from substance use and related disorders, regardless of practice setting and specialty.

� This year’s conference theme: “Mobilizing All Nurses to Address Substance Use: The Hidden Faces of Addiction”

biopsychosocial-spiritual model

© Matteliano, St. Marie, Oliver, & Coggins (2012)

2016 IntNSA ConferenceInternational Luncheon Panel

� Stephen, U.S.� Adam, Australia� Carmel, U.K.� Divane, Brazil � Miriym, Israel� Emma, Canada

If your country isn’t represented yet, then it should be, and you can make it happen!

Financial health

� The will and the way

� We have never been in a stronger financial position

� Primary sources of income� IntNSA membership� Royalties from the Journal

� If we hope to maintain and expand our sphere of influence and impact as an organization, then we will need to grow, with forethought and purpose

� During this past year, we have made some truly bold investments in the future or our organization� Participation in the ICN Congress� Website development

Board of Directors Meeting, March 2017

� Directors� William Carrick

� Carmel Clancy (U.K.)

� Donna Kazemi� Suzanne Kinkle

� Ann Mitchell� Lynn Shell *

� Divane Vargas (Brazil)

� Officers (Executive Board)� Susanne Fogger, Secretary� William Lorman, Treasurer *

� Katherine Fornili, President-Elect

� Stephen Strobbe, President

� Ex-Officio� Rosemary Smentkowski (ANCB) (Carolyn Jewell)� Merry Armstrong (FAN) (Diane Snow)

� Christine Vourakis (JAN)

A word to the wise…

“Don’t be afraid to spend money.Be afraid of wasting money.”

William J. Lorman, IntNSA Treasurer

Strategic priorities

Increase membership(presence, impact,U.S., internationally)

Transform website

Achieve accreditation for CARN, CARN-AP certification examinations

*

IntNSA at International Council of Nurses (ICN) Congress

In May 2016, for the first time ever, IntNSA was a sponsor, exhibitor, and presented an integrated symposium on addictions nursing at the International Council of Nurses (ICN) Congress inBarcelona, Spain

�NOTE: We are members of ICN by virtue of our affiliation with the American Nurses Association (ANA)

�More than 8000 nurses registered for this conference

�IntNSA prominently featured in on-line and printed programs

�As an exhibitor, met hundreds of nurses from around the world

�Integrated symposium attended by 200-300

�Audio translation provided in Spanish, French, and English

IntNSA at ICN Congress,Barcelona, 2017

IntNSA Representatives

Carmel ClancyDana Murphy-ParkerStephen StrobbeChristine Vourakis

Robert Ranieri

Charon Burda* Katherine Fornili *

Foundation

for Addictions Nursing (FAN)

Supports the mission of IntNSA

Conference Scholarships (registration and $500 travel and accommodations)

� Undergraduate and graduate nursing students

� Nurses employed in the field of addictions

� A Research Scholar Award ($3000)

� Just prior to the ICN Congress, FAN added a special conference scholarship

for international applicants: Registration and $500 stipend to off-set costs for

travel and accommodations!

� Received numerous applications, and awarded not one, but two, of these for 2017!

Recipients will be named at the IntNSA Awards Banquet this evening.

Nurse Practitioners/Advanced Practice Nurses Bridging the Gap: Towards

Futuristic Healthcare through collaborative practice and leadership.

www.npapn2018.comabstracts due 29 November, 2017

� Partnering to launch IntNSA European Region on Sunday, 26 August 2018

� Openly acknowledging importance of addictions nursing� Abstract authors encouraged to include the word “addiction” in

keywords

Mapping IntNSA to WHO Regions

On the way: A newand improved website!

� More “user friendly” and intuitive� To work across all modern devices� Increased access to important resources� Enhanced social media platforms� Greater interaction among members, chapters

IntNSA global and chapter websites

Other highlights: Position statement

Substance Use Among Nurses and Nursing Students

�Strobbe, S., & Crowley, M. (2017). Joint position statement: Substance use among nurses and nursing students. Journal of Emergency Nursing, 23(3), 159-263 [May 2017].

�Strobbe, S., & Crowley, M. (2017). Substance use among nurses and nursing students: A joint position statement of the Emergency Nurses Association and the International Nurses Society on Addictions. Journal of Addictions Nursing, 28(2), 104-106 [April/June 2017].

Note: In the JAN Editorial Board Meeting last night, we learned that this is already a top-viewed article for 2017.

Specific statements

1. Health care facilities provide education to nurses and other employees regarding alcohol and other drug use, and establish policies, procedures, and practices to promote safe, supportive, drug-free workplaces.

2. Health care facilities and schools of nursing adopt alternative-to-discipline (ATD) approaches to treating nurses and nursing students with substance use disorders, with stated goals of retention, rehabilitation, and re-entry into safe, professional practice.

3. Drug diversion, in the context of personal use, is viewed primarily as a symptom of a serious and treatable disease, and not exclusively as a crime.

4. Nurses and nursing students are aware of the risks associated with substance use, impaired practice, and drug diversion, and have the responsibility and means to report suspected or actual concerns.

More on Substance Use AmongNurses and Nursing Students

Substance Use Disorders Among Nurses and

Nursing Students

Help for Nurses and Nursing Students with Substance Use

Disorder

ANA recognizes that a nurse’s duty of compassion and caring

extends to themselves and their colleagues as well as to their

patients. Nurses who are challenged with substance use disorder

(SUD) not only pose a potential threat to those for whom they care;

they are not caring for themselves.

According to the HHS, SUD refers to substance use and/or

substance dependence. It is the damaging use of harmful

substances, including alcohol, marijuana, opioids, and other drugs.

ANA and many of our organizational affiliates, including the

International Nurses Society on Addictions, the Emergency Nurses

Association, and the American Association of Nurse Anesthetists, strongly support alternative to

discipline programs offered by nurses associations, state boards of nursing, and others. These

programs offer comprehensive monitoring and support services to reasonably assure the safe

rehabilitation and return of the nurse to her or his professional community. In 2017, ANA and AANA

endorsed IntNSA and ENA’s position statement (link to statement). Please view this statement in its

entirety to gain valuable insight on the description and background on this issue. ANA thanks the

members of ANA’s Substance Use Disorder Workgroup (link to page where members & affiliations

will be listed); which was a collaboration of subject matter experts, constituent/state nurses

associations, organizational affiliates, and other interested parties engaged to assist with updating

ANA SUD policy and resources. Additionally, the following three national nursing organizations

contributed to these webpages with their policy and leadership.

ANA Policy and Resources

ANA's webpage The Opioid Epidemic

ANA’s Position Statement: Non-Punitive Treatment for Pregnant and Breast-feeding Women with

Substance Use Disorders

Need help now?

� Position statement now endorsed by� American Nurses Association (ANA)

� American Association of Nurse Anesthetists (AANA)

� American periOperative Registered Nurses (AORN)

� Disseminated by the National Council of State Boards of Nursing (NCSBN)

� ANA convened Substance Use in Nursing Work Group

� Created landing page on ANA website: “Help for Nurses with Substance Use Disorder,” with links to information and resources

� IntNSA President invited to serve on AANA Peer Assistance Advisory Committee (PAAC)

New Brazil Chapter Meeting,São Paulo, July 2017

Muito obrigado para tudos, Professor Divane Vargas!

IntNSA and Iceland

� IntNSA President Strobbe was an invited speaker at the 40th Anniversary Conference of the Society of Alcoholism and other Addictions (SÁÁ) in Reykjavik, Iceland, October 2-4, 2017. Presented on addictions nursing, and IntNSA.

� Nurses from Iceland have been among the first international members to attend IntNSA annual educational conferences on a regular basis.

� Three nurses from Iceland are attending our conference, and one will be joining the International Luncheon Panel!

IntNSA and the Academy

Development of new chapters: Here and now!

� Actively seeking to create chapters all over the world—including Iceland!

� Goal: To have all chapter members be or become IntNSA members, without which IntNSA does not receive the revenue to serve our current and future members

� Only need four (4) IntNSA members, serving as officers, to start

� Eligible for membership discounts and start-up funds to support initial activities

� Direct support available from IntNSA leaders� Bill Carrick (U.S.), Carmel Clancy and Dana

Murphy-Parker (International) want to talk to you today!

Welcome, New Chapters!

Recognizing our newest IntNSA Chapters!

�Southeastern Pennsylvania

�Nevada

�Tri-State (Ohio, Indiana, Kentucky)

�United Kingdom

On a personal note, IntNSA and me…

Then, and now…

Closing comments

Thank you for attendingyour conference!

Questions, answers,and discussion