Indiana Nursing Quarterly Aug. 2012

NursingAUGUST 2012

QUA R T E R LY

I N D I A N A

CNOs,thebackbone

ofthenursing

fieldCAREERS&TRAINING:Indiana’sMidwivescertification

YOURWORLD:

Harpisthelpsinhealing

• Health, Dental, Vision, andLife Insurance

• Employee AssistanceProgram

• 401(k)

• Tuition Assistance

• Paid Time Off

• Six Paid Holidays

• Short-term Disability

For more information regarding our current opportunities, please visit our website at:www.AmericanSrCommunities.com Or send your resume to: American Senior Communities,6900 South Gray Rd., Indianapolis, IN 46237; Call: 317.787.6454 x313;Email: [email protected] EOE

Nurses - All ShiftsNurse ManagersWe offer competitive compensation and affordable benefits,including:

w w w . A m e r i c a n S r C o m m u n i t i e s . c o m

LEADING FROMTHE FRONT.

American Senior Communities, thelargest senior healthcare and housingprovider in Indiana, has built a solidreputation of staying at the forefront oftheir industry. ASC’s leadership has longbeen aware of the simple fact that toprovide the best care, you need the bestcaregivers.

We’re growing.With locations across thestate and more coming, we’re looking forfrontrunners with the decision-making,focus, and drive to join our team oftalented and skilled professionals. Ifyou’re looking to lead the way in seniorcare, it’s all happening right here.

OPPORTUNITIES EXISTTHROUGHOUT INDIANA.

Inside

I N D I A N A

QUA R T E R LY

4-8 OnthePulse

9 Clips&Tips CNOexcitedbymerger

CoverStory10-17 WhoareCNOs?

Careers&Training18-19 Midwifery

YourWorld 21 Harpisthelpshealwithmusic 22 Q&AwithKarenBowers

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Indiana Nursing Quarterly • indystar.com/nursing • Summer 2012 3

Cover:LeeAnnBlue,CNO,executivevicepresidentPatientCareServicesWishardHealthServices

Coverphoto:MarcLebryk

AdvertisingOutsidesalesand CarrieBernhardteventssupervisor (317)444-7288 [email protected]

Insidesalesand MorrisBradleyeventsexecutive (317)444-7437 [email protected]

Healthcarespecialist SarahHarmon(317)[email protected]

Educationspecialist MandiKeeney(317)444-7267

[email protected]

Online nowNominatesomeoneforSalutetoNurses.Findanewjobinnursing.Subscribeforfreeemailalerts.Doitallatindystar.com/nursing.

RHI provides personalized, compassionatecare that enables individuals to regainhope and independence after life-changing injury or illnessCome talk with us about a specialty certification as CCRN.

We offer competitive wages and excellent benefits.Please visit our website at www.rhin.com to see our current joblisting and complete an online application.

REHABILITATION HOSPITAL OF INDIANA4141 Shore Drive | Indianapolis, IN 46254

Rehabilitation Hospital of Indiana

opened in 1992 and we are proud of our manyyears of outstanding service. RHI is one of thelargest freestanding inpatient physical rehabilitationhospitals in the Midwest. We offer comprehensiveinpatient and outpatient care to those with spinalcord injuries, brain injuries, orthopedic interventionand strokes.

With our program model, we focus on our centersof excellence and can offer you opportunitiesto work with other clinical experts and newlyemerging information, technology and treatments.We invite you to join our team of healthcareprofessionals as we assist our patients in achievingtheir highest potential.

REGISTERED NURSEOPPORTUNITIES

Content

Editor MattKeating (317)444-7138 [email protected]

Contributingwriters ShariHeld,ShaunaNosler, AshleyPetry,JulieYoung

Graphicdesigner JoeSoria

Photos MarcLebryk

Indiana Nursing QuarterlyisaproductofStarMedia,307N.PennsylvaniaSt.,Indianapolis,Ind.It’sdistributedelectronicallytonursesthroughoutcentralIndiana.

[email protected].

Besureyou’reintheknow.SignuptoreceiveemailalertswhentheeachquarterlyissueofINQgoesonline:indystar.com/nursing.

Get your INQ updates!

FollowIndianaNursingQuarterlyonTwitter@IndianaNursing

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4 Indiana Nursing Quarterly • indystar.com/nursing • Summer 2012

[email protected] news to

On the Pulse Promotions, workshops, awards

■ Noteworthy IndyhospitalstoparticipateinAACNnurseleadershipprogram

TheAmericanAssociationofCritical-CareNurseshasselectedsixareahospitalsasinauguralparticipantsinitshospital-basednurseleadershipandinnovationtrainingprogram.

ThehospitalsarethefirstinthenationalrolloutofAACN’sClinicalSceneInvestigatorAcademy.Theprogramisdesignedtoempowerbedsidenursesasclinicianleadersandchangeagentswhoseinitiativesmeasurablyimprovepatientoutcomeswithbottom-lineimpacttothehospitals.

ParticipatingIndianapolishospitalsare:FranciscanSt.FrancisHealth;IndianaUniversityHealthMethodistHospital;IndianaUniversityHealthUniversityHospital;RileyHospitalforChildrenatIndianaUniversityHealth;St.VincentHospital;andWishardHealthService.

TharpnamedpresidentandCEOofCommunityHospitalAnderson

Afteranationwidesearch,BethTharp,RN,BSN,MBA,hasbeennamedthenewpresidentandCEOofCommunityHospital

Anderson.Shecurrentlyservesasthehospital’svicepresidentofpatientcareservicesandchiefnursingofficer.Tharpassumeshernewrolelaterthisyear.

Thehospital’scurrentCEO,Dr.BillVanNess,announcedhisimpendingretirementlastOctober.HewasnamedCEOofthehospitalin1997.

Tharphasoverseenthedevelopmentofanumberofpatient-focusedclinicalprogramsthathavedrawnnationalattention.In2009,shereceivedCommunity’sLeadershipinExcellenceAward.

TheIndianapolisStar’sSalutetoNursesnamedTharpthe2012NurseoftheYearandAdvancementinNursingwinner.SalutetoNurseshonorsthosewhoconsidernursingtheircallingaswellastheirprofession.

NamechangeEffectiveJan.1,2013,St.John’sHealthSystemwillbecomeSt.VincentAndersonRegionalHospital.Thechangereflectsthehospital’sexpandedregionalrolewithinSt.VincentHealth.

PatientsfarbeyondMadisonCountycometoSt.John’sforcancertreatment,mentalhealthcare,theCenterforMidlifeWomen,andrehabilitationservices—specificallytheregionalbalancecenterandacuteinpatientrehabilitationservices.

SaintJohn’swillcelebrateits10thanniversaryasaministryofSt.VincentHealthonJan.13,2013.St.ItisthesecondlargestministryintheSt.VincentHealthsystem.

■ Recognition ExtraordinaryHealerAwardforOncologyNursing

SheilaDropcho,RN,BSN,arenalresearchnursecoordinatorattheIndiana

UniversityMelvinandBrenSimonCancerCenter,receivedthe2012ExtraordinaryHealerAwardforOncologyNursing.

Dropchowasselectedfromthreefinalistsfor

thenationalaward,whichwaspresentedattheOncologyNursingSociety’s37thAnnualCongressinNewOrleansMay3.

FellowinAmericanAcademyofNursing

MarilynCox,MSN,RN,NEA-BC,RileyHospitalforChildrenatIndianaUniversityHealth,wasselectedasafellowintheAmericanAcademyofNursing.Coxisoneof175nursingleadersfromacrossthecountrywhowillbeinductedinthe

classof2012attheacademy’sannualmeetinginWashington,DC,inOctober.

CoxhasbeenRiley’sseniorvicepresidentandchiefnursingofficersince1990.Academyselectionisoneofnursing’smostprestigioushonors.

Tharp

Dropcho

Cox

Online/Indiana/Kentucky/Ohio

INDWES.EDU866-498-4968

NURSINGDEGREESTHATMAKEASTATEMENTIWU Online

• Post-licensure (RNBSN)• MSN in Administration and Education• Certificate in Parish Nursing

Education Centers in Indiana, Kentucky, and Ohio*• Post-licensure (RNBSN)• MSN in Primary Care Nursing

(Family Nurse Practitioner)

IWU campus in Marion, Indiana• BSN Degree – traditional 4-year program• BSN Degree – Transition to Nursing

* Not all programs available at all locations

Adegree from IndianaWesleyanUniversitymakes a statement.

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On the PulsePromotions, workshops, awards

USIprofessorearnsprestigiousHispanicawardinnursing

Dr.MariaShirey,associateprofessorofnursingintheCollegeofNursingand

HealthProfessionsattheUniversityofSouthernIndiana,isthe2012recipientoftheIldauraMurillo-RohdeAwardforEducationExcellence,presentedbytheNationalAssociationofHispanic

Nurses(NAHN).TheawardhonorsNAHNmemberswhohavedistinguishedthemselvesinanyscholarshipareaand/ornursingeducation.Qualificationsfortheawardincludeoutstandingcontributionsinnursingeducation,research,andpractice,recognizedcommitmenttoexcellenceinnursing,ordistinguishedclinicalexpertise.

ShireyreceivedtheawardatareceptionandgalaonFriday,July20,2012,duringtheNAHNAnnualConferenceinSanJuan,PuertoRico.

Shirey,anurseexecutivewithmorethan30yearsofexperienceinthehealthcarefield,teachesinthegraduateprogramfocusingonleadershipandmanagementinboththeMasterofScience(MSN)andDoctorofNursingPractice(DNP)programs.Herresearchfocusesonnursemanagerworkcomplexitytoprovideabetterunderstandingofthenursemanagerroleanditsuniquecontributionstohealthcaresystems.Herworkontherelationshipbetweenleadershipandthepracticeenvironmentofnursesisconsideredaseminalcontributiontothenursingliterature.

Herexperienceincludesrolesasstaffnurse,clinicalnursespecialist,academicfaculty,nursemanager,nursingdirector,hospitalvice-president,andentrepreneur.SheisactiveinmultipleprofessionalorganizationssuchastheAmericanOrganizationofNurseExecutives,IndianaOrganizationofNurseExecutives,SigmaThetaTauInternational,theAmericanAssociationofCritical-CareNurses(AACN),theAmericanCollegeofHealthcareExecutives,andTheMidwestNursingResearchSociety(MNRS).

St.VincentHealthnurseshonoredFiveSt.VincentHealthnurseswere

honoredatthe20thannualCelebrationofNursingBanquet.TheProfessionalNurseRecognitionAwardacknowledgesnurseswhocontinuallyworktowardahigherstandardofpractice.Recipientsmustdemonstrateaccomplishmentandcommitmentintheirworkandoutsideofworkbycontributingtimeandenergytocommunity,health,educationandvolunteerinitiatives.Therecipientsare:

KathleenHubner,CNS;MSN,RN,ACNS-BC,CNRN

SusanStorey,CNS;MSN,RN,AOCNSSt.VincentIndianapolisHospital

ChrisDonaghey,BSN,RN,SPN,HN-BCPeytonManningChildren’sHospitalatSt.Vincent

JenniferSpivey,MSN,RN,CNOR,CICSt.VincentHeartCenterofIndiana

SusanClark,BSN,RN,RNCSt.VincentWomen’sHospital

Shirey

St.VincentHealth’s2012ProfessionalNurseRecognitionAwardrecipientsare(lefttoright):ChrisDonaghey,KathleenHubner;SusanStorey,JenniferSpiveyandSusanClark.

Subm

itted

Pho

to

UniversityofSaintFrancisCrownPointEducateswithFutureofNursingOnJune12,theUniversity

ofSaintFrancisCrownPointofferedtheeducationallecture,TheFutureofNursing.Thefreeprogram,heldatCrownPointHighSchool,focusedonthechallengesnurseswillfaceincomingdecadesandwasattendedbyacrowdofnurses,nursingstudents,medicaladministrators,USFalumniandthepublic.

Thelectureincludeda

presentationbyUSFBSN/GraduateNursingProgramDirectorMindyYoder,DNP,FNP-BC,RN,whoofferedhighlightsfromreportsby

theInstituteofMedicine(IOM)andtheRobert

WoodJohnsonFoundation.YoderalsomoderatedapaneldiscussioninwhichchiefnursingofficersandotherhealthcareprofessionalsfromIndiana,discussedtheIOMstudy’sfindingandtheimpactonlocaland

statewidehealthcare.InadditiontoYoder’s

presentationandthepaneldiscussion;ademonstrationofMETIman’sfunctionswasprovided.METImanisapatientsimulatorthatmimicshumanphysicalresponsesandisusedinmedicaltraining.

TheeventwassponsoredbytheUniversityofSaintFrancisCrownPoint,CommunityHospital,FranciscanAllianceandMethodistHospital.

—SubmittedUniversityofSaintFrancis


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Taking care of people and making a difference. These are our dailygoals at CarDon & Associates, where we believe in the dignity andpotential of every resident. Join us today and begin a career inwhich you can achieve personal success and make an importantcontribution to the care and well-being of our residents.The CarDon senior living communities and Health & Living Centersprovide a full range of lifestyle and care options from independentliving, assisted living and full-service continuing care retirementcommunities to rehabilitation, long-term care and memory supportservices

CarDon locations can be found throughout Central and SouthernIndiana. We offer a variety of excellent Company benefits and ourassociates matter because they are the Difference Makers!

Apply online at

www.cardon.usLocations and contact information may also be found on our website.

Difference Makers

jobs.stvincent.org

We’re looking for nurseswhoexceedexpectations.

. HEALER.NURSE.

jobs.stvincent.org.

At St.Vincent, we bring cutting-edge technology to faith-basedcare. Andwe know that a dedicated nurse bringsmuchmoreto the job than education and experience.We’re looking for thebest and brightest nurses to join our growing family.

Did you know that St.Vincent:

IS-5973056

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■ According to the Trust for America’s Health, Indiana is facing a shortage of nurses — 37 percent will retire by 2015 and 59 percent by 2020.

Aware of this impending deficit, American Senior Communities (ASC) created the Opportunity to Nursing Excellence program in 1998.

The program — O2NE — helps employees return to school to earn an LPN degree. Participants are allowed to decrease their work load to 30 hours yet retain their full-time salary.

“They even help with childcare and transportation costs,” said Crystal Barnes, a recent grad who works at Brownsburg Meadows. “Plus, you get a great coach that helps you stay right on track.”

In addition, the program does not require graduates to continue their employment with ASC after graduation.

They are free to use their degree with any employer they wish.

“The core idea behind the O2NE program is to continually breathe new life into the health care industry and to benefit all Hoosiers, not just those in our care,” said Dan Benson, ASC’s chief operating officer. “We hope to be sending more graduates into the field — and our state — for many years to come.”

O2NE participants are nominated for the program by their supervisors, then must pass an assessment test before being accepted. Barnes said only candidates who are identified as having a high likelihood of success are chosen.

“[The program] gives employees who might not have had the opportunity to go back to school the ability to do so,” Barnes said. “It produces dedicated and caring nurses which, in turn, improves the residents’ quality of life.” ●

On the Pulse By Shauna Nosler

RecentO2NEIndianapolis-areaare:(front,lefttoright)CrystalBarnes,BrownsburgMeadows,andTabithaZieleniuk,Rosegate.Secondrow(lefttoright):LatarshaBullock,AmericanVillage;AshleyBinion,ZionsvilleMeadows;MelindaNegley,WashingtonHealthcareCenter;andJenaHall,BeechGroveMeadows.

Investing in the nursing work force

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F l i g h t n u r s e s

Guest columnist Deborah Lake, RN, RAC-CT Supervising Consultant, BKDOn the Pulse

■ Nursing facilities care for many individuals who are frail and suffer from chronic illnesses and cognitive and functional impairment.

Two-thirds of these residents are enrolled in Medicaid and most are dually enrolled in both Medicaid and Medicare.

Due to their vulnerability and complex health needs, these residents

are often subject to avoidable or unplanned hospitalizations that are the result of multiple system failures. These hospitalizations are not only costly but

also disruptive and place residents at risk for complications such as polypharmacy, falls, pressure ulcers, incontinence, catheter use, weight loss, hospital-acquired infections, physical restraints and increased morbidity and mortality.

Studies show that 45 percent of hospital admissions among Medicare skilled nursing facilities or Medicaid nursing facilities could have been avoided. In 2005 alone, that would have been approximately 314,000 potentially avoidable hospitalizations at a cost of $2.6 billion in Medicare expenditures. Studies also show that 30 to 67 percent of hospitalizations among nursing facility

residents could be prevented with the use of well-targeted interventions.

Broad interest in improving these statistics is present. Several “Care Models” have already been shown to decrease hospitalizations and health care costs by providing nursing staffs with effective interventions and tools to improve health outcomes and provide residents with a better care experience. Some of these include but have not been limited to:

■Useofnursepractitionerstoprovideagreaterandmoreimmediateresponsetoresidenthealthneeds

■IncreasedstaffingforRNpositions

■Developmentofclinicalprotocolstoimprovecommunicationwithphysicians

■Useofclinicalpathwaytoolstoassistinidentifyingchangesinresidents’conditionsanddecisionmakinginphysiciannotifications

■Increasedutilizationofhospicecareandend-of-lifeplanning

■Implementationofqualityimprovementprocessestoevaluateeffectivenessofimplementedapproaches

Future possible incentives to reduce hospitalizations in nursing facilities include the establishment of a quality

indicator that would appear on the Nursing Home Compare

website for public viewing. It would be

included in both the nursing

home five-star

rating

system and pay-for-performance measures, and even refinement of the reimbursement systems in both hospital and nursing facility settings.

In response, the Centers for Medicare and Medicaid Services earlier this year announced an initiative to reduce avoidable hospitalizations among nursing facility residents. This initiative was created by the Affordable Care Act and will be run collaboratively by the CMS Medicare-Medicaid Coordination Office and the Center for Medicare and Medicaid Innovation Center. They will partner with independent, non-nursing organizations (referred to as enhanced care and coordination providers) to reduce avoidable hospitalizations through demonstration and implementation of evidence-based interventions. The primary objectives of this initiative will be to:

■Reducethefrequencyofavoidablehospitalstays

■Improvehealthoutcomeofresidents

■Improvethetransitionprocessbetweennursingfacilitiesandhospitals

■Reducehealthcarespendingwithoutrestrictingcareorproviderchoice

These providers will partner with nursing facilities and states to test proposed interventions and improvement strategies to meet these objectives. Applications for this venture were accepted through June 14, 2012 and partnerships will be awarded by Aug. 24, 2012. Performance of initiatives will continue through August 2016. ●

Focus on re-hospitalizations in nursing facilities offers new challenges

SHUTTERSTOCK

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F l i g h t n u r s e s

Clips & TipsBy Julie Young

■ You’d expect a merger to present plenty of challenges but, as far as the nursing community is concerned, the recent pairing of Community Health Network and Kokomo’s Howard Regional Health System was a smooth transition.

“We’re excited at the opportunity to learn from each other and work together in a meaningful way,” said Cindy Adams PhD, ANP-BC, RN, chief nursing officer for Community Health Network.

Navigating a changing field | The Kokomo facility’s board voted in

January to join with Indianapolis-based Community Health Network. Now known as Community Howard Regional Health System, it retains a local board but benefits from growth and network support of its clinical services, enhanced access to primary and specialty care, and pipelines for physician and employee recruitment.

The affiliation is similar to partnerships CHN developed with Community Hospital of Anderson and Westview Hospital of Indianapolis.

“Our health care organizations have a shared vision of putting patients first and a deep commitment to the communities we serve,” said Brian Mills, president

and CEO of Community Health Network.

Whether it’s the 2010 federal health care reform law, facilitating more positive outcomes for less money, predictions that half the current nursing work force will retire by 2020, or prospective nursing candidates being turned away, having more minds to address the issues will be just one benefit of the merger.

“There are all of these external forces coming to challenge the way we’ve done things,” she said. “It’s wonderful to have more people coming to the table with a variety of experiences and perspectives to define that new model of nursing care in the future.” ●

CNO is excited by network merger


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Cover Story

Anyone who’s ever been under the care of a good nurse — or for that matter, a bad one — likely would agree that the attention of a good nurse is as important as the diagnosis of a good doctor.

By Shauna Nosler

Fortunately, in central Indiana, proper patient care is a top priority for hospitals’ chief nursing officers. In this article, five local CNOs give their input on today’s nursing industry. While some of their thoughts vary, you can rest assured that with more than 150 years of experience between them, should you face hospitalization under their watch, your welfare is in good hands.

Continued on Page 14

MARCLEBRYKCUSTOMPUBLICATIONS

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Cover Story

Anyone who’s ever been under the care of a good nurse — or for that matter, a bad one — likely would agree that the attention of a good nurse is as important as the diagnosis of a good doctor.

Q&A with five

local chief

nursing officers

Fortunately, in central Indiana, proper patient care is a top priority for hospitals’ chief nursing officers. In this article, five local CNOs give their input on today’s nursing industry. While some of their thoughts vary, you can rest assured that with more than 150 years of experience between them, should you face hospitalization under their watch, your welfare is in good hands.


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White, tan and brown fruits and vegetables contain

varying amounts of phytochemicals of interest to scientists.

theof health

Brought to you by:

For more information visit fruitsandveggiesmorematters.org marsh.net

Your Guide to the Many Benefits of Fruits & Vegetables...

Fill half your plate with fruits & vegetables. Getting a colorful variety of fruits and vegetables is

important! Why? Because colorful fruits and vegetables provide the wide range of vitamins, minerals, fiber and

phytochemicals your body uses to stay healthy and energetic, help maintain a healthy weight, protect against

the effects of aging and reduce the risk of cancer and heart disease.**Diets rich in fruits and vegetables may reduce the risk of some types of cancer and other chronic diseases.

Green fruits and vegetables contain varying amounts of

phytochemicals such as lutein and indoles, which interest

researchers because of their potential antioxidant,

health-promoting benefits.

Specific phytochemicals in the red group that are being

studied for their health-promoting properties include

lycopene and anthocyanins.

[ carbohydrates, proteins & fats ] Compounds found

in foods that the body uses to generate energy or build cells.

[ phytochemicals ] Natural plant compounds that may

provide a variety of health benefits. Many of the bright

colors in fruits and vegetables come from phytochemicals.

[ antioxidants ] Plant substances that protect

the body by neutralizing free radicals, or unstable oxygen

molecules, which can damage cells and lead to poor health.

[ vitamins & minerals ] Natural substances contained

in a wide variety of foods, long recognized as essential to

maintaining healthy body systems. Scientists have defined

specific daily amounts that are necessary for good health.

Blue/purple fruits and vegetables contain

varying amounts of health-promoting

phytochemicals such as anthocyanins and

phenolics, currently being studied for their

potential antioxidant and anti-aging benefits.

Yellow/orange fruits and vegetables contain varying

amounts of antioxidants such as Vitamin C as well

as carotenoids and bioflavonoids, two classes of

phytochemicals that scientists are studying for their

health-promoting potential.

NURSE13

White, tan and brown fruits and vegetables contain

varying amounts of phytochemicals of interest to scientists.

theof health

Brought to you by:

For more information visit fruitsandveggiesmorematters.org marsh.net

Your Guide to the Many Benefits of Fruits & Vegetables...

Fill half your plate with fruits & vegetables. Getting a colorful variety of fruits and vegetables is

important! Why? Because colorful fruits and vegetables provide the wide range of vitamins, minerals, fiber and

phytochemicals your body uses to stay healthy and energetic, help maintain a healthy weight, protect against

the effects of aging and reduce the risk of cancer and heart disease.**Diets rich in fruits and vegetables may reduce the risk of some types of cancer and other chronic diseases.

Green fruits and vegetables contain varying amounts of

phytochemicals such as lutein and indoles, which interest

researchers because of their potential antioxidant,

health-promoting benefits.

Specific phytochemicals in the red group that are being

studied for their health-promoting properties include

lycopene and anthocyanins.

[ carbohydrates, proteins & fats ] Compounds found

in foods that the body uses to generate energy or build cells.

[ phytochemicals ] Natural plant compounds that may

provide a variety of health benefits. Many of the bright

colors in fruits and vegetables come from phytochemicals.

[ antioxidants ] Plant substances that protect

the body by neutralizing free radicals, or unstable oxygen

molecules, which can damage cells and lead to poor health.

[ vitamins & minerals ] Natural substances contained

in a wide variety of foods, long recognized as essential to

maintaining healthy body systems. Scientists have defined

specific daily amounts that are necessary for good health.

Blue/purple fruits and vegetables contain

varying amounts of health-promoting

phytochemicals such as anthocyanins and

phenolics, currently being studied for their

potential antioxidant and anti-aging benefits.

Yellow/orange fruits and vegetables contain varying

amounts of antioxidants such as Vitamin C as well

as carotenoids and bioflavonoids, two classes of

phytochemicals that scientists are studying for their

health-promoting potential.

NURSE14


ACNOholdsavitalpositioninahospital’sday-to-dayoperationsaswellashelpingtofacilitateitslong-termsuccess.Oftenoverseeingastaffofhundreds,andthewellbeingofthousandsofpatientsthroughouttheyear,potentialCNOcandidatesmusthavethefollowingprerequisites:

■Bealicensedregisterednurse■HaveearnedatleastaBSN,although

mosthospitalsrequireamaster’sdegreeinoneofthefollowing(orsimilar):

■Nursing■Publichealth■Businessadministration■Healthadministration■Fiveto10yearsofpracticalwork

experienceinaleadershiproleinahospitalsetting.Themorediversethebetter—ER,ICUandsurgicalareconsideredaplus.

Could you be a future CNO?

How did you come into the position you’re in now?

“I started my nursing career in Oklahoma City at the Children’s Hospital of Oklahoma. Eventually, I decided to leave in pursuit of a nursing administration position at a not-for-profit hospital, which is more consistent with my values.”

How has nursing changed since you first entered the profession?

“The biggest changes have been in the skill sets that an effective nursing executive has to possess. To stay abreast of the health care system’s complexities, nursing executives have been required to develop excellent skills in finance, business development and organizational dynamics, change management and information technology.”

What was the first thing you did as a nurse?

“I started in the pediatric intensive care unit as a new nurse, so I’m certain my first things were giving meds and taking vital signs. However, the most important thing to me was connecting with the children, and I loved working with the families.”

How did your family influence your decision to become a nurse?

“As my family’s middle child I was always a caregiver — nursing was my calling. My mother lost her battle with ovarian cancer at 45 and my father had serious cancer surgery 13 years ago. My experiences have helped shape my desire to provide the best care for patients and their family.”

What makes a great nurse?“Being a great nurse is two-fold. You

must have not only great clinical skills, but also great interpersonal skills.”

What changes have you seen over the years?

“Technology has changed over the years, but patients and their families still want the same things: Listen to me, keep me safe, communicate with me and help me feel better when I leave than I did when I came in.”

What’s your biggest concern for nurses today?

“I’m concerned about the lack of interest in being a nurse leader. While it is tough, it is an amazing opportunity to create good change and make a difference for the people you serve. I want someone to want my job — I hope we’re preparing our nurses to lead other nurses with passion and enthusiasm.”

DarcyBurthayCNO/COOSt.VincentIndianapolisHospital

Education:BSN,MSNBallStateUniversity

Yearsinnursing:28

MarilynCoxCNOandseniorvicepresidentRileyHospitalforChildrenatIUHealthNorthHospital

Education:BSN,MSN,UniversityofOklahoma

Yearsinnursing:37

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Could you be a future CNO?■AnunderstandingofTheJoint

Commissionaswellasstateandfederalregulations.

Onewoman’sjourneytobecomingachiefnursingofficer

CindyAdams,CNOofCommunityHealthNetworkforthepastyearandahalf,didn’talwaysdesireapositioninseniormanagement—shespentthefirst10yearsofhercareerincriticalcare.Eventually,shetookapositioncoordinatingcardiovascularresearchand

wentbacktoschooltobecomeanursepractitioner.

“Ispentthenext15yearsinchronicdiseasemanagement,designingandimplementingmulti-disciplinaryprogramsforheart-failuremanagementwhilepracticingasanursepractitioner,andpursuingmyPhD,”Adamssaid.“Myintentwastocontinuethiswork,buildasmallprogramofresearch,andpublishmyfindingsontheinnovativemodelsforchroniccare.”

AfterearningherPhDin2007,

CommunityHealthNetworkleadersapproachedheraboutconsideringasenior-levelleadershipposition.SheacceptedaninterimpositionatTheIndianaHeartHospitalaschiefnurseexecutive,thenwasofferedtheCNOpositionwhenthen-CNOJanBingleretired.

“Janhasbeenawonderfulmentortome,”Adamssaid.“SheledmetoconsidernewandchallengingthingsthatIlikelywouldn’thaveentertainedotherwise.”

Adamshopesshecandothesameforothernursesinthefuture.●

Have you always wanted to be a nurse?

“Yes, my mother was a nurse.”

How has the field of nursing changed since then?

“There is so much more technology, including the electronic medical records, that we have to learn.”

What are your top concerns for nurses today?

“Having enough qualified faculty members to teach the nursing students. Another is the ongoing shortage of experienced nurses to work in health systems. And being able to create sustainable health care models that focus on prevention and management of a patient across a continuum of care.”

SusanMcRobertsCNO,vicepresidentFranciscanSt.FrancisHealth

Education:BSN,IndianaUniversity;MSN,IndianaUniversityYearsinnursing:30


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Have you always wanted to be a nurse?

“No, I didn’t think I’d have the stomach for it. My mother was a nurse and I always marveled at how strong she is and how she could do things I thought I could never do. I really do believe it was a calling because I can’t explain why I ended up in nursing school. Nursing has provided the perfect path for me. Surely there couldn’t be a more exciting time to be a nurse.”

What was the first thing you did as a nurse?

“One of my earliest memories is the first injection I gave —

standing there for what seemed to be 10 minutes with the syringe positioned, just trying to muster the courage to get on with it. Finally I did and there were no casualties.”

Have you ever been to a hospital in a foreign country?

“I went on a medical mission to Jamaica. We traveled from town to town setting up clinics for the day to provide health care to the people who have no other access. This was a life-altering experience. I saw the end stages of conditions that would never reach the end stage in the U.S.”


CindyAdamsNetworkCNOCommunityHealthNetwork

Education:BSN,BallStateUniversity;MSN,IndianaUniversity;PhD,IndianaUniversity

Yearsinnursing:29

CommunityHealthNetworkCNOCindyAdamstalkswithstaffnurses.

FollowIndianaNursingQuarterlyonTwitter@IndianaNursing

NURSE17


How has the field of nursing changed since you first entered the profession?

“We have a lot more to document, and nursing is much more specialized than it used to be. And, we used to wear all white; now wear scrubs.”

Why did you choose to continue your career at Wishard?

“The caring and devotion of the staff like CEO Dr. Lisa Harris and Dr. Gregory Gramelspacher. And the wonderful burn unit and the Wishard Palliative Care Program.”

Have you ever been to a hospital in a foreign country?

“I have been on several medical mission trips to India. The nurses over there are extremely knowledgeable. They understand nursing but have limited resources. As a patient, you must pay as you go. Nurses are responsible not only for the care, but also explaining the cost. The nurses then work with the patient on what they can afford.”●


LeeAnnBlueCNO,executivevicepresidentPatientCareServicesWishardHealthServices

Education:BSN,McKendreeCollege;MSN,SouthernIllinoisUniversity

Yearsinnursing:30

M18


Careers & Training Shari Held

■ Barbara Winningham, DNP, CNM, WHNP, an adjunct professor in the University of Indianapolis’ Family Nurse Practitioner program, saw a need for a certified nurse-midwifery program and decided to do something about it.

Supported by the School of Nursing, she put together a proposal to fund a nurse midwifery program. The request

netted the school a $297,000 Health Resources and Services Administration grant — the biggest in its history.

Winningham, who serves as coordinator for the school’s Nurse-Midwifery and Women’s Health Nurse Practitioner tracks, worked on curriculum development and pre-accreditation from the American College of Nurse-Midwives. In 2003, the program opened its doors.

During the 55-credit master’s

State’s only certified nurse-midwifery program fills a need

BarbWinningham(left),DNP,CNM,WHNP,Coordinator,Nurse-MidwiferyTrackandWomen’sHealthNursePractitionerTrackAssistantProfessor,SchoolofNursing-GraduateProgram,UniversityofIndianapolisandUniversityofIndianapolisSchoolofNursingDeanAnneThomas

SUBMITTEDPHOTO

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Community Health Network is Central Indiana’s trusted leader, providing convenient access toexceptional healthcare services. Our network is complex, with 200+ sites of care and affiliates; but ourapproach is simple. We deliver excellence, while putting those we serve – our patients and employees – first.

Due to our continued growth, Community Health Network has immediate opportunities availablefor experienced Registered Nurses. Full-time, part-time, weekend option and PRN positions areavailable. Below are just a few of the opportunities:

Emergency Department Patient Care Coordinator - Community EastHome Care - all areasICU - Community North and SouthMedsurg - Community NorthNICU - Community NorthOperating Rooms Nursing - all locationsOutpatient Oncology - Community East, North, and SouthPCU - The Indiana Heart HospitalPsychiatric Nursing - Community NorthRehab Patient Care Coordinator - Community EastResource Team - all locations

Our competitive benefits package includes wellness benefits, fitness centers, local merchantdiscounts, and a matching 401K.

To view all of our opportunities for experienced RNs and to apply online, visit our website atemployment.eCommunity.com. EOE.

Careers & Training

degree program, students put in more than 1,035 clinical hours and participates in approximately 40 births.

“If someone is considering an advanced practice, midwifery is a wonderful career to go into,” Winningham said. “Midwives are essentially women’s health practitioners with the added features of labor and birth and caring for newborns for the first month of their lives.”

Before coming to the University of Indianapolis, Winningham was a service director for HealthNet, a nonprofit organization that provides health care services to underserved populations. While there, she saw firsthand the need for midwifery services, especially in Indiana’s southern rural areas.

Accreditation | The first class graduated in 2006, and the program gained its accreditation, making it the only midwifery program in Indiana accredited by the ACNM. This year, the program was reaccredited for 10 more years, the longest accreditation period awarded by the ACNM. Another feather in the program’s cap is that ACNM didn’t recommend suggested improvements.

“We were very excited about that,” Winningham said.

So far, 15 students have earned their degrees, and all have passed their national certification exams. Three more students are slated to graduate in December.

Some have been able to undertake the program thanks to the Miriam Willey Midwifery Scholarship. Miriam Willey is a nurse who started a free

clinic in her hometown of Shelbyville. She has a particular passion for maternal/child health. When she learned that UIndy was starting a nurse-midwifery program, she wanted to assist students financially. More than half the program’s graduates have benefited from The Miriam Willey Midwifery Scholarship fund.

“This program will improve access to care for those in need — underserved mothers, babies, families and communities — while allowing these certified nurse-midwives to practice at the fullest extent of their educational preparation,” said ISNA President Jennifer Embree, DNP, RN, NE-BC, CCNS. “These individuals will also influence health policies to assure excellent quality, yet cost-effective care for families and communities they serve.” ●


NURSE20

Your World


By Matt Keating, Custom Publications

■ An outreach program at the Riley Hospital for Children Christian Sarkine Autism Treatment Center has been designated as one of six resource centers of the Indiana Resource Network established by the Indiana Department of Education (IDOE).

Dr. Naomi Swiezy, Ph.D., the clinical director of the Christian Sarkine Autism Treatment Center and program director of HANDS in Autism, said HANDS in Autism is the only program focusing on autism named to the

Indiana Resource Network (IRN).

An acronym for Helping Answer Needs by Developing Specialists in Autism, HANDS in Autism was created in 2005 to develop statewide

partnerships to expand outreach, education and training to entire communities with a particular focus on shared information and collaboration between school personnel, medical professionals (including nurses), families and other caregivers.

“HANDS in Autism’s ultimate goal is to improve the bridging and coordination of systems in providing education and services available to individuals with autism and their families,” Swiezy said.

Swiezy, who also is an Alan H. Cohen Family Scholar of Psychiatry and an associate professor of clinical psychology in clinical psychiatry at the Indiana University School of Medicine, said, “With the Indiana Resource Network approach, students, families and schools will receive more consistent and coordinated information and training opportunities and have access to university specialists with the latest resources available.”

The IDOE will refer schools to one or more of the IRN centers to improve the

quality of special education services. IRN centers will also provide more universal assistance in many forms, including professional development, capacity building and policy examination.

“There are more nurses and medical professionals getting involved which is great,” Swiezy said.

What is Autism? | The staff of Hands in Autism also recently announced the completion of the film, What is Autism? The 23-minute video features stories of several individuals that reflect successes due to the support of their families and providers using evidence-based strategies.

“We hope people find the video positive and inspiring,” Swiezy said. “We hope it is something you will want to share with your family, friends or colleagues. We hope to distribute the film as an educational piece to assist families, school personnel medical providers and other community members to have a greater understanding of autism special disorder.”

Swiezy added that she hopes it will also help parents concentrate on their child’s strengths and what can be achieved.

Sarah Shaffstall, MPH, program research specialist, Hands in Autism Program, said the program’s Local Community Cadres have also had a multi-tiered impact.

Local Community Cadres Global (LCCS) are a community network of families and professionals invested in serving individuals affected by autism spectrum disorders. LCC members share a common mission to facilitate, bridge, and collaborate across systems to enable greater community systems of support as well as increased capacity to support success in the home, school, and community settings.

“We look at what the needs of a community are,” Shaffstall said. “The training differs per community depending on what they need. We have received a lot of positive

feedback. Nurses and a lot of different organizations refer parents to Hands on Autism.org.”

Currently, six cadre chapters are operating throughout Indiana and have begun the process of addressing their various cadre community needs and building the foundation for future activities and growth.

Cadre needs vary based on each individual community and are identified by community cadre members. However, core elements central to all cadres are:

■CollaborationandNetworkingTheoverarchingelementandproductnecessaryforallcadres.Thisinvolvesthefacilitation,bridgingandcollaborationacrossmedical,schoolandfamily/communitysystemstoenablesharingofconsistentandcomprehensibleinformationandresourcesacrossdiversesystems.

■ InformationsharingThereciprocaldialogbetweencadres,HANDSandcommunities.Thispiecefacilitatessharedknowledgeandresponsibilityinanefforttoaddresstheneedsofindividualsandfamilies.

■ DisseminationWrittenproductsanddevelopedtoolsensuresthecadrecommunityisawareofavailabletrainingsandresourcesthatcanbeutilizedtoenhancetheirunderstandingandworkwithindividualswithautismspectrumdisorders.

■ TrainingProvidedtolocalstakeholderswithinthecommunitytoadvancethelocalandstatewidecapacitytosustainandprovideconsistencyinknowledgeandimplementationofscientificallybasedmethodswithindividualsandfamiliesaffectedbyautismspectrumdisorders.

�For�more�information,�see�www.handsinautism.org

Riley Hospital Autism program to provide helpful hand

Swiezy

NURSE21


Your WorldBy Julie Young

■ Music soothes the savage beast — and the human soul. For more than 13 years, Tami Briggs has used her harp to bring peace and healing to patients’ bedsides.

“When you allow the vibrations of the strings to connect with your core, you can change your environment of pain and suffering and embrace the healing process,” she said. “I have seen some miraculous results.”

Based in Minnesota, Briggs is a nationally sought-after health educator, speaker and consultant, and founder of Musical Reflections. For three days in June, she demonstrated her art to patients and clinical staff at Franciscan St. Francis Health. She shared personal experiences of how harp music creates a calming environment, gives patients and their families something other than suffering to focus on, and provides positive sensory stimulation.

“The harp really has a heavenly quality to it,” Briggs said. “It’s ancient, it’s biblical and it is beautiful. It may not be the be-all and end-all of medical practices, but it’s a nonpharmaceutical approach. It doesn’t hurt and it just might help.”

Encore | Nurses received education credits for attending the seminar, and several got to see Briggs in action as she toured units and played for patients.

Kim Bell, BSN, RN-BC, CHTP, clinical manager of the outpatient pain management center, said participants were open to the concept of harp therapy, and are eager to integrate it into their practices.

Several patients reported that their pain was alleviated while Briggs played. While Bell doesn’t think the music cured anyone, she does feel it enabled patients to shift focus and allow their bodies to relax.

“It was awesome to see how people responded,” Bell said. “There was an obvious difference in a patients’ state of mind after she played. The pulse slows and there is an increase in blood flow and oxygen production. When they are in that natural relaxation state, the body can do the work it was meant to do.”

Seminar participants were so impressed by Briggs’ work

that they’re looking for a local musician to do the same thing. They also are exploring ways to integrate harp therapy into their facilities and on the units to benefit patients,

caregivers and even hospital staff. “I’m a holistic nurse, so I

think it’s important that we take the time to treat the whole

patient,” Bell said. “I think we have to offer them something for

their body, mind and spirit while they’re here.” ●

Good vibrationsHarp music used to assist in the healing process


Several patients reported that their pain was alleviated while Briggs played. While Bell doesn’t think the music cured anyone, she does feel it enabled patients to shift focus and allow their bodies to relax.

THINKSTOCK

SUBM

ITTE

DPH

OTO

TamiBriggsofMinnesota,usesherharptoplaytopatientsinanefforttoaidinthehealingprocess.ShehasperformedatFranciscanSt.FrancisHealth.

NURSE22


AnexpandedversionofthisQ&Aisonlineatindystar.com/INQ.

About mePosition: Director,Clinical

Informatics,WishardHealth

Education: MSNinNursingAdministration,IndianaUniversity

Experience: 11yearsasasurgicaltechnologist;18yearsasanRN

with Karen Bowers

Your World By Shari Held

What credentials do you feel qualified you for a leadership role in this project?

“During the course of my instruction, I was aware that informatics and technology were becoming an important component in the future of nursing. Therefore, whenever possible, I selected

classes that emphasized nursing informatics.

“Five years ago, I was serving as the administrative director of Medical/Surgical Services at Wishard Hospital and was asked by our CNO,

Lee Ann Blue, if I would ‘pioneer’ the development of a clinical informatics department, which I did. The transition to this responsibility included planning, designing, testing, training staff and implementing the nursing and clinical disciplines’ software documentation application, while finding and hiring the right people at the right time.”

What is nursing’s role in the IT innovation?

“Recently, two of the nursing units piloted individual digital phones that allow them to contact or be contacted directly by physicians, laboratory, pharmacy, radiology and others, without moving to a central location. The digital phone system is currently being utilized in both our telemetry units with much success.

“As we move into the new facility, the plan is to also ‘connect’ that communication ability through the phones to include nurse call, nurse/patient assignment and [much more].

“Nurses have had a great deal of input, based on their experience, in determining exactly what other functions and alarms the phones will provide for caregivers. Phones are just one of many technical devices clinical informatics and bedside nurses will be involved in piloting as we prepare for the new facility.”

What are the challenges involved in introducing new technology?

“Whenever change is in the mix

there are challenges all around, as our nature is to remain ‘safe’ in what we know and what keeps us in our comfort zone. All these innovations provide efficiencies we as caregivers have not had in the past.

“To ensure the outcome is what we intend, a workflow gap analysis of how the work is currently done is compared to how the work will be done utilizing the new technology. The gaps or problems are identified and mediated in the context of the plan. The pilot work should give us ‘real’ data so we can solve any unforeseen issues.”

How will the new technology change the way nurses do their jobs?

“From our personal, daily experiences, we know that advances in technology actually mold and shape our lives. For nursing and other clinical disciplines, this type of technology has changed how we plan, implement and document the care we provide at the patient’s bedside and throughout the hospital.” ●

Eskenazi Health — the new Wishard — is slated to open in 2014, but the facility’s technological innovations are already being tested and refined. Karen Bowers, MSN, director, clinical informatics at Wishard Health Services, explained how the process works and how nurses are helping.

Bowers

Mar

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bryk

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M23


WE’RE GRINNINGFROM EAR TO EAR.

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Hancock is excited to be named Indiana’s Best Places to Work for four years in a row.And it shows. We couldn’t be prouder of our team and the care they provide. This will

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www.johnsonmemorial.orgA hospital you can believe in.

At Johnson Memorial Hospital, when we hire you, we give you the support, technol-ogy, and training you need, and then we let you get to work. You won’t run into thekind of red tape you’re used to. We believe in our people and want them to grow.Enjoy the feeling of empowerment that comes with a career at Johnson Memorial.

CaseManagementRequires Associate’s Degree; RN license; one year experience; familiarity with man-aged care, Medicare, and Medicaid guidelines, along with precertification, concur-rent and retrospective review. One year in Case Review in a hospital acute caresetting; clinical pathway experience; case manager certification; experience withHFAP accreditation; and NCQA certification preferred. Full and part-time positionsavailable. Hours vary depending position.

Located just minutes south of Indianapolis, in Franklin, IN Johnson MemorialHospital offers a competitive compensationand benefits package.

M24

Joinour mission.Work alongside the greatest

healer of all time

At St. Francis Health,

we believe

delivering healthcare

is more than a job.

It’s a calling.

If you have an angel’s

touch and a servant’s

heart, we invite you

to join our mission.

The people, the faith-based ministry, professionalism andcompassionate care are what make St. Francis Health a great placeto have a rewarding career in health care.

We are currently seeking candidates for the following positions:

Unit Manager – ICUThe qualified candidate must possess a BSN from an accredited schoolof nursing and valid IN licensure. Five years of previous critical care,leadership and management experience required. Master’s degreepreferred.

Unit Manager – PediatricsA qualified candidate must possess a BSN from an accredited school ofnursing and valid IN licensure. Previous management experience requiredwith minimum 5 years pediatrics clinical experience.

Unit Manager – Ortho/NeuroThe qualified candidate must possess a BSN from an accredited schoolof nursing and valid IN licensure. A minimum of 3-5 years managementexperience required; Master’s degree preferred. Previous experienceproject management, budgets and productivity are ideal. This is a salariedposition with 24/7 responsibility and accountability. Prior experience withOrthopedic and Neurology patients strongly desired.

Due to our Spring move from Beech Grove to Indianapolis, we haveexperienced growth in many of our departments and are seekingStaff RNs for the following areas:

Adult Inpatient Rehab UnitAmbulatory Surgery DepartmentGeriatricsIntensive Care UnitMedical UnitOperating RoomResource Center

We also have opportunities available for Clinical Nurse Specialistsand Nurse Practitioners.

Please visit our website at

www.stfrancishospitals.org/careersfor a list of additional opportunities and to apply.

St. Francis Health is part of Franciscan Alliance.Equal Opportunity Employer

Indiana Nursing Quarterly Aug. 2012

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Transcript of Indiana Nursing Quarterly Aug. 2012