MNORN Newsletter January 2017

Happy New Year to all MNORN members!

I look forward to serving as your MNORN President for the next two years, and I hope that many of you will participate as much as you can to advance the organization’s mission and goals.

I would like to thank Jennifer Tucker, our outgoing president, for her leadership since the creation of MNORN, and I would also like to thank Kathi Koehn, our Executive Director, for her ongoing leadership and organizational development.

ANA has declared 2017 as the “Year of the Healthy Nurse”, so I think this is a good time for us to focus on our own health in order to make sure that we are able to support the health-related activities of people we serve and of organizations in which we participate.

I’d love to meet you at one of our meetings, or you can respond to Kathi’s requests for active participation in various ways, including survey completion for topics of discussion at ANA’s Membership Assembly, membership on a state- or national-level board/committee to represent professional nurses, or even provide input to legislators to advocate for nursing’s interests.

MNORN is still a young organization, but our membership is steadily increasing and our participation as nurses is highly appreciated. To quote Henry Ford, “Coming together is a beginning, keeping together is progress; working together is success.” I believe MNORN is well on its way to success, and I hope you will work with the MNORN Board to help us get there!

Mary Tanner, PhD, RN

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MNORN Newsletter January 2017

Report of the December 7, 2016 MNORN Member Meeting

Climate Change Impacts on Nursing Practice

Presenter: Rachel Kerr BS, RN, OCN

NOTES FROM RACHEL’S PRESENTATION:

Primary Causes of Climate Change (U.S. Global Change Research Program, 2016)

1. Burning fossil fuels 2. Deforestation 3. Agricultural practices

Health Sector’s Contribution to Climate Change:

• Health care is the #2 commercial energy user in the U.S. (Chung & Meltzer, 2009) • Hospitals are the health sector’s largest green house gas producers (Chung & Meltzer,

2009)

• Hospitals are the most energy-intensive building type in the U.S. (U.S. Energy iInformation Administration, 2112)

• Much of this energy expenditure is wasted or avoidable.

Effects of Climate Change (United States Global Change Research Program, 2016)

• Increasing average temperatures • More frequent and severe extreme weather

• Glaciers and arctic sea ice melting • Sea level rise

• Oceans acidifying

• Mass extinction

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MNORN Newsletter January 2017

99.99% of published scientists agree that climate change is caused by human activity.

Air Quality Impacts (USGCRP, 2016):

• Altered weather patterns leading to increased ground-level ozone and particulate pollution, especially in urban areas

• Poor air quality exacerbates respiratory and cardiovascular conditions

• Increased CO2 impairs human brain function • Increased CO2 causes plants to release more aero-allergens

• Longer allergy seasons with higher pollen counts • Vulnerable populations

Increasing occurrence and severity of extreme events: (USGCRP, 2016) • Floods

• Droughts

• Wildfires • Storms

• Disruption of essential infrastructure that supports health care (as a result of extreme weather events)

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WHAT ABOUT THE CONTROVERSY?

Image credit: http://www.skepticalscience.com/graphics.php?g=79 References: Doran & Zimmerman, 2009; Anderegg et al., 2010; Cook et al., 2013

MNORN Newsletter January 2017

Vector-Borne Disease (USGCRP, 2016) • Changing distributions of vectors (ticks, mosquitoes) and the diseases they carry

• Earlier annual tick and tick-borne disease activity and northward range expansion • Similar changing patterns of mosquito-borne diseases

• Emergence of new vector-borne pathogens

Food and Water-Related Illness (USGCRP, 2016)

• Increased risk of food-borne and water-borne illness • Examples of such pathogens include: giarida, norovirus, rotavirus, e. coli,

salmonella, Vibrio and toxoplasma gondii.

• Increased exposure to chemical contaminants in food and water through the following pathways:

• Climate change causes altered distribution of pests and parasites, causing increased usage of pesticides and veterinary drugs—and subsequent presence of these agents in our food and water.

• Extreme weather like heavier downpours causes more runoff of agricultural and other chemicals into our water supplies.

Nutrition and Food Security (USGCRP, 2016) • Increasing CO2 lowers nutritional value of food crops by decreasing protein and

essential mineral content

• Increasing temperatures, drought, and extreme weather lead to more crop failures, increasing food insecurity

• Extreme weather limits access to safe food and water by damaging infrastructure and slowing food shipments

Mental Health and Well-being (USGCRP, 2016) • Disasters: more frequent/intensified depression, PTSD, and anxiety

• The threat of climate change itself can cause adverse mental health impacts • Extreme heat increases the risk and severity of mental illness, particularly in the elderly

and those taking psychiatric medications

• Vulnerable groups include nurses!

Vulnerable Populations (USGCRP, 2016) Social determinants of health amplify the health impacts of climate change. Vulnerable groups include:

• People living in poverty • People experiencing homelessness

• Communities of color • Indigenous communities

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MNORN Newsletter January 2017

• Children • Pregnant and postpartum women

• Older adults • Vulnerable occupational groups (first responders: NURSES)

• Persons with disabilities

• Persons with preexisting or chronic health conditions • Immigrants

• People who are not fluent in the dominant language

The Good News: We know how to fix climate change!

What Can Nurses Do?

• TALK ABOUT CLIMATE CHANGE!!! • Join or create organizational “green teams”

• Advocate for energy efficiency = health promotion • Lead your organization towards embracing clean energy

• Educate fellow health professionals

• Educate patients • Get involved in policy initiatives

• Take on leadership roles • What are your ideas?

Nurses Know the Way:

• Empathy • Systems thinking

• Advocacy

• Communication • Leadership

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GET CONNECTED GET INVOLVED

MNORN Newsletter January 2017

References Allen, J. G., MacNaughton, P. , Satish, U., Santanam, S., Vallarino, J., Spengler, J. D. (2016). Associations of cognitive function scores with carbon dioxide, ventilation, and volatile organic compound exposures in office workers: A controlled exposure study of green and conventional office environments. Environmental Health

Perspectives, 124(6). doi: 10.1289/ehp.1510037

Anderegg, W. R., Prall, J. W., Harold, J., & Schneider, S. H. (2010). Expert credibility in climate change. Proceedings of the National Academy of Sciences, 107(27), 12107-12109. doi: 10.1073/pnas/1003187107

Chung, J. W. & Meltzer, D. O. (2009). Estimate of the carbon footprint of the U. S. healthcare sector. Journal of the American Medical Association, 302(18), 1967-1972. doi: 10.1001/jama.2009.1610

Cook, J., Nuccitelli, D., Green, S.A., Richardson, M., Winkler, B., Painting, R., . . . Skuce, A. (2013). Quantifying the consensus on anthropogenic global warming in the scientific literature. Environmental Research Letters, 8(2), 1-7.

doi: 10.1088/1748-9326/8/2/024024

Davenport, C. & Robertson, C. (2016). Resettling the first American ‘climate refugees.’ The New York Times. Retrieved from http://www.nytimes.com/2016/05/03/us/resettling-the-first-american-climate-refugees.html?_r=0

Divakaran, B., Lembeck, S., Kerr, R., Calmus, H., & Potter, T. (2016). Nurses see “the big picture”: Addressing climate change as a social determinant of global health. Creative Nursing, 22(4), 243-248. doi: 10.1891/1078-4535.22.4.243

Doran, P. T., & Zimmerman, M. K. (2009). Examining the scientific consensus on climate change. Eos, Transactions

American Geophysical Union, 90(3), 22-23. doi: 10.1029/2009EO030002 National Aeronautics and Space Administration [NASA]. 2016. Global climate change: Vital signs of the planet. Retrieved from http://climate.nasa.gov/

Powell, J. L. (2016). Climate scientists virtually unanimous: Anthropogenic global warming is true. Bulletin of

Science, Technology, and Society, 35(5-6), 121-124. doi: 10.1177/0270467616634958 United States Energy Information Administration. (2012). Large hospitals tend to be energy-intensive. Retrieved from https://www.eia.gov/todayinenergy/detail.php?id=7670

United States Global Change Research Program. (2016). Climate and health assessment. Retrieved from https://

health2016.globalchange.gov/

United States Global Change Research Program. (2016). Climate change: What’s happening and why. Retrieved from http://www.globalchange.gov/climate-change/whats-happening-why World Meteorological Organization. (2016). Provisional WMO statement on the status of the global climate in

2016. Retrieved from http://public.wmo.int/en/media/press-release/provisional-wmo-statement-status-of-global-climate-2016

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MNORN Newsletter January 2017

Here is the summary of the small group discussion that followed the presentation. Health Impacts of Climate Change:

• Heat exhaustion

• Respiratory illnesses - air pollution • New vectors

• Lack of access to safe water

• Solastalgia - psychological response to loss of place (the distress caused by environmental change) https://www.researchgate.net/publication/

5820433_Solastalgia_The_Distress_Caused_by_Environmental_Change • Effects on animals - health, malformation - leading to effects on food supply

• Population relocation issues • Nutritional deficits

• Increased cancer(s) • Premature births

• Increased respiratory illness (chronic and acute)

• Increased rare diseases (“brain eaters”) • Food source production issues (e.g.honey bees)

• Forced migration • Increased infant mortality

• Water pollution

• Climate Change amplifies disproportionately social determines of health on vulnerable populations

• Legacy on grandchildren and future generations • Costal change impact

• Black mold

• Population displacement caused by environmental disasters, drought, sea level rise, acidification

Climate Change Impacts on Nursing Practice:

• Heat Waves - especially for vulnerable; respiratory conditions; increased asthma • Increased antibiotic resistance

• Run-off from yards, farms, water quality • Increased allergies related to increased heat

• Impacts vulnerable populations disproportionately

• Education re: new conditions - Zika, Lyme, Giardia, drug resistance • Hospital trash in oceans

• Drug disposal

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MNORN Newsletter January 2017

• Expanded role - role modes with decision-making on new products, procurement, use, disposal

• Need for political action • Need for innovation

• Overwhelming scope of issue may make it difficult - despair

• Need to be prepared • Work directly with individuals and communities

• Need for research on replacement of products • Opportunity to shift care model from illness to new community model

• Educate children

• Promote lifestyle changes based on scientific evidence, not industry evidence sources • Increased patient acuity

• Impact on medication metabolism • Vulnerable population teaching

• Increased use of pesticides and herbicides

How Nurses Can Mitigate Climate Change: • Encourage voting

• Limit individual transportation

• Use more green transportation • Install alternative energy options at home

• Getting organizations to buy-in • LEED-certified building

• Nurses’ role in education of the public, patients, families, co-workers

• Policy makers - get on boards, committees • Proper drug disposal and other waste

• Recycling • Influence organizations to use clean energy source

• Stay healthy - reduce health resources

• Decrease food waste: • Compost, food scraps, farmers

• Buy less, decrease waste and cost • Source locally, seasonal foods

• Reusable water bottles, cups

• Conserve resources • Researching ways to change what we use, how we practice

• Coping skills for those in despair • Awareness of resources in organizations: promote green committees

• Help people fall in love with the environment - value of outdoors, activity, nature, etc.

• Build new vision of what healthy community, building looks like

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MNORN Newsletter January 2017

• Question rules/policies - base actions on science, not myth/tradition

At the end of the meeting, each small group reported on what their group found to be the “headline” of their discussion.

• Making Climate Change discussion socially acceptable and providing the tools to educate through personal experience

• Caring for our planet is caring for our patients and visa versa

• Ethical Responsibility; social justice; promote global health inclusive of natural world - see Code Provision 9.4

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Congratulations to MNORN Member Marie Manthey and Susan Wessel for their AJN Book of the Year in the Nursing Management

and Leadership Category!

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What Else Can Nurses Do?

Join the Circle of Hope: Climate Change Initiative, led by Rachel Kerr. You can sign up at kerrx171@umn.edu

MNORN Newsletter January 2017

ALe%erfromANAPresidentPamCipriano,incaseyoumisseditovertheholidays….

As we look toward 2017, and the dramatic shift it may bring to our daily lives as nurses and to our country's health care system, we want you to

know this:

In this time of great change, you can count on us to be clear-eyed about our promise to you. ANA's number one priority is to our members and the patients they serve.

As the nation's most honest and ethical profession we have a responsibility to speak up – to say, loud and clear, what we believe and live every time we come to work: our patients' health comes first.

Add your name to the Nurses' Promise. We'll personally deliver the message to Congress before their first big vote on health care in January.

With a new Administration and Congress poised to take office, there are a few things you should know, as an ANA supporter, about our approach to fighting for nurses on Capitol Hill. • ANA stands ready to defend and promote its principles for our nation's health care

system – principles that put patients and nurses first and political calculations last. • • We believe everyone in this country has a right to great health care. Their age, illness

or means shouldn't matter. And they need enough skilled nurses to serve them. This is a responsibility we can and should share across our society.

• • You – yes, YOU, Katheren! – enrich and uplift people's lives every day as a nurse. It's

our job to help you be more effective in everything you do – from safe staffing principles, to top-notch training resources, to raising your voice in Washington. We owe nothing less to our patients and our profession.

So that's our promise to you. Now, will you help make sure our patients know we believe in them, and we'll always put them first? We'll deliver your message to Congress in January to make sure they hear our voice in the coming debates about health care.

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MNORN Newsletter January 2017

Two positions are currently posted for the Minnesota Board of Nursing: 1. Registered Nurse2. Registered Nurse (Baccalaureate Nursing Education Experience)

Position Description

A registered nurse (RN)  must be a resident of Minnesota, have graduated from an approved school of nursing, be licensed and currently registered as an RN in Minnesota, have had at least five years

experience in nursing practice or nursing administration immediately preceding appointment, and be actively engaged in the practice of nursing at the time of appointment.

Five of the eight registered nurses have additional specific requirements: 1.      One registered nurse must have had at least two years executive or teaching experience in a

board approved baccalaureate degree nursing education program during the five years immediately preceding appointment. 2.      One registered nurse must have had at least two years executive or teaching experience in a a

board approved associate degree nursing  education program during the five years immediately preceding appointment.

3.     One registered nurse must have had at least two years executive or teaching experience in a  board approved practical nursing  education program during the five years immediately preceding appointment.

4.     One registered nurse must be practicing nursing in a nursing home at the time of appointment. 5.      One registered nurse must be licensed and currently registered as an advanced practice

registered nurse (APRN) and  have national certification as a registered nurse anesthetist (CRNA), nurse midwife (CNM), nurse practitioner (CNP), or clinical nurse specialist (CNS).

If you think you might be interested or have questions about the position(s), you can contact Shirley Brekken, the executive director of the BON for more information. Email: Shirley.Brekken@state.mn.us Phone: 612-317-3012

Link to apply: https://commissionsandappointments.sos.state.mn.us/Position/Details/1035

If you do apply, please notify Kathi Koehn at MNORN (kkoehn@mac.com) so that we can write a letter of support for your appointment.

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MNORN Newsletter January 2017

The ANA Governmental Affairs Department has started a new blog to allow our

members can more easily track what is happening legislatively and weigh in on the conversations. We can also learn tips for how to engage members of Congress more effectively. If you want to subscribe to the blog, go to: http://anacapitolbeat.org

RECENT POSTS INCLUDE: • Tips and tricks for visiting your Senator’s office • Welcome to the 115th Congress! • The 114th Congress by the Numbers • What’s your take on the future of health care coverage? • Final VA APRN Rule Released

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