Political Advocacy

The Official Publication of

VOLUME 64 • NUMBER 1

JANUARY 2019

Quarterly publication direct mailed to more than 25,000 Registered Nurses in New Mexico. Provided to New Mexico’s Nursing Community by the New Mexico Nurses Association A Constituent of the American Nurses Association • (505) 471-3324 • http://www.nmna.org/

Advocating for Nursing Practice Since 1921

Inside

Engaging in Legislative Advocacy: CAPITOL CHALLENGE 2019 NURSES DAY AT THE CAPITOL will be Friday, February 15th. 2019 will be a sixty day legislative session and NMNA anticipates a very active legislative agenda that will address a myriad of health care and nursing issues. Clear your calendar now and join colleagues from across New Mexico in Santa Fe. We need your expertise to educate legislators and we need your voice to advocate for specific bills that are supported by the nursing community!!!

Capitol Challenge 2019

Page 3

Register now by filling out the registration form on page 3. Come enjoy Santa Fe for Valentine’s Day and then learn about nursing and health care issues on the 15th!!! A block of rooms have been set aside for NMNA at Hotel Santa Fe; to get the reduced rate, simply identify as being with NMNA: Contact Hotel Santa Fe directly to reserve your room: Telephone: 877-259-3409 Fax: 505-955-7835 E-mail: [email protected]

Dorothy Crawford Memorial

Page 7

STUDENT AND FACULTY DAY AT THE CAPITOL will be Thursday, February 14th The registration form for pre-licensure RN and LPN students can be obtained by contacting the NMNA office at (505) 471-3324 given space limitations.

Political Advocacy

Violence, Incivility, & Bullying

current resident or

This year NMNA saw members engaging in political advocacy across New Mexico. NMNA members who are registered as Democrats and those who are registered as Republicans participated early on at the ward level and several NMNA members participated Page 8 in the respective conventions as delegates. Nurses participated during the primary in fundraisers and at rallies. In the general, registered Independents and those with party affiliations put in hours Presort Standard and hours registering voters, working on US Postage get out the vote activities at events across PAID Permit #14 the state, phone banking and canvassing Princeton, MN for state candidates and those running in 55371 US Congressional races. This year nurses appeared in campaign ads as well. The ANA PAC successfully endorsed several candidates here in NM…one for the Senate and two for Congress. Candidates came to realize that NM nurses are not only informed but Political Advocacy continued on page 3

Page 2 • The New Mexico Nurse

January, February, March 2019

ARE YOU LICENSED TO PRACTICE IN NEW MEXICO? The New Mexico Nurses Association invites you to join us today... And help determine the impact of health care reform on nursing practice... Just because you are receiving this newsletter, it does not mean you are a member of NMNA. See page 11 for ANA/New Mexico Membership Application and join today!

Visit www.JoinANA.org for complete information.

The New Mexico Nurse is published quarterly every January, April, July and October by the Arthur L. Davis Publishing Agency, Inc. for the New Mexico Nurses Association, a constituent member of the American Nurses Association. For advertising rates and information, please contact Arthur L. Davis Publishing Agency, Inc., 517 Washington Street, PO Box 216, Cedar Falls, Iowa 50613, (800) 626-4081, [email protected]. NMNA and the Arthur L. Davis Publishing Agency, Inc. reserve the right to reject any advertisement. Responsibility for errors in advertising is limited to corrections in the next issue or refund of price of advertisement. Acceptance of advertising does not imply endorsement or approval by the New Mexico Nurses Association of products advertised, the advertisers, or the claims made. Rejection of an advertisement does not imply a product offered for advertising is without merit, or that the manufacturer lacks integrity, or that this association disapproves of the product or its use. NMNA and the Arthur L. Davis Publishing Agency, Inc. shall not be held liable for any consequences resulting from purchase or use of an advertiser’s product. Articles appearing in this publication express the opinions of the authors; they do not necessarily reflect views of the staff, board, or membership of NMNA or those of the national or local associations. New Mexico Nurse is a juried nursing publication for nurses licensed in New Mexico. The Editorial Board reviews articles submitted for publication and articles for consideration should be submitted to [email protected].

NMNA Board, Committee Chairs and Staff

New Mexico Nurses Foundation The mission statement for the New Mexico Nurses Foundation reads: NMNF is committed to lifelong learning for every nurse through scholarships, provision of Professional Development activities, support of nursing research and special projects and assistance to nurses impacted by disaster. In keeping with this NMNF statement, an opportunity for attendees at the Annual NMNA Meeting September 28 was provided for attendees to participate in the North Carolina Nurses Association and the North Carolina Foundation for Nurses “Nurse Recovery Fund” to aid those nurses impacted by Hurricane Florence. Participants donated on the spot

Vice President: Suzanne Canfield, MBA, BSN, RN [email protected] 505-690-6975 Treasurer: Barbara Salas CNP

In Keeping with our Mission Dorothy Crawford, President NMNF

President: Gloria Doherty, PhDc, MSN, Adult Health Nurse Specialist, ACNP-BC

and NMNF shared additional funding. The Foundation extends a thank you to our NMNA members who continue to give in many ways. As we move into 2019 we are pleased that all of the NMNF Board members will continue. The Foundation will continue to increase our internal controls by reviewing goals, polices, and guidelines to move forward for more active fundraising. NMNF will also work toward publishing the 100 year history of the New Mexico Nurses Association in 2020. If you are interested in participating in or donating to the NMNF please contact the NMNA office at (505) 471-3324.

Secretary: Jason Bloomer, BSN [email protected]

Directors: Camille Adair, RN [email protected] 505-470-3838 Keith Carlson, RN, BSN, NC-BC [email protected] Rachel Frija DNPc, SN, RN-BC Wendy Hewlett BSN, MSN, MHA, RN Monica Leyba MSN, BSN Michael Shannon, MSN, BSN [email protected] Lisa Marie Turk MSN, RN [email protected]

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•

•

Committees: Government Relations Committee Co-Chairs Lisa Leiding RN, MSN, Razvan Preda DNP and Christine De Lucas , DNP, MPH, RN NM Nurse: Editor Stephen Bobrowich, RN Editorial Board, peer reviewers: Stephanie Garcia, Mary Kay Pera, Lukas Snart NMNA Website: www.nmna.org Office Mailing Address: P.O. Box 418, Santa Fe, NM 87504 Office Phone: 505-471-3324 Executive Director: Deborah Walker, MSN, RN 3101 Old Pecos Trail #509 Santa Fe, NM 87505 Office: 505-471-3324 Cell: 505-660-3890 Continuing Education Coordinator: Linda Smith, MSN, RN [email protected] Office Phone: 505-471-3324

www.nmna.org

Published by:

Arthur L. Davis Publishing Agency, Inc.

January, February, March 2019

The New Mexico Nurse • Page 3

Political Advocacy continued from page 1 they are great communicators, have expertise in many areas of health policy and………..they follow through; and……… THEY VOTE!!!!!!!!!!!!!!!! Thanks to you all for representing the profession as advocates for the full range of health care issues.

CAPITOL CHALLENGE 2019 Caring for the Profession & Caring for the Health of New Mexico Friday, February 15, 2019 | 8:00am-3:30pm Registration Form Name Email Phone (

)

Address City Zip code I’m a NMNA member or member of affiliate nursing association – $ 85.00 I’m a not yet a member – $110.00 Fees inclusive of continental breakfast, lunch, and 6.0 continuing nursing education contact hours*. Participants are encouraged to dress for the weather, wear business attire. Due to the interactive nature of the day, activities will take place both at Hotel Santa Fe and the NM State Capitol Parking is free at the Capitol North Parking Facility at 485 Galisteo Street. Contact Hotel Santa Fe directly to reserve your room and celebrate Valentine’s Day in Santa Fe!!! Telephone: 877-259-3409 Fax: 505-955-7835 E-mail: [email protected] Mail registration form and check made payable to NMNA By January 18, 2019 to NMNA P.O. Box 418, Santa Fe, NM 87504 Contact the NMNA office to pay by credit card due to a 5% processing fee No refunds can be made but the registration may be transferred Contact Deborah Walker RN, MSN with any questions at: [email protected]. or by calling (505) 471-3324 * This continuing nursing education activity was approved by Montana Nurses Association, an accredited approver with distinction by the American Nurses Credentialing Center’s Commission on Accreditation.

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Page 4 • The New Mexico Nurse

January, February, March 2019

What Does “Future Time Perspective” Mean for New Mexico Nurses? Susan Bassett, RN, PhD, NE-BC, Col, Ret USAF, Kathleen Cooper, RN, MSN, CNE, Judith Piepkorn, RN, MSN and Cynthia Nuttall, MSN, MPA, PhD, NE-BC, RN This study and subsequent findings are submitted to inform nurses in NM of results of a study in which many participated and as a follow up to an earlier article. The authors proposed to study how a future time perspective (FTP) may affect the motivation of New Mexico nurses to follow through with further educational goals. Background: Time perspective theories are based on Lewin’s (1985) Time-filled Life Space Theory that the past and future time influence present behavior. When time is seen as extended, then functional, staged goals toward long-term career achievements are more likely to be considered (Kuppelwieser & Sarstedt, 2014). Recent researchers suggest that optimal motivation occurs when the attainment of present tasks are valued because they lead towards attainment of a person’s personal view for the future (Tabachnick, Miller, & Relyea, 2008). Ideally, a person responds to daily life choices with a balanced time orientation, basing behaviors on a balance of past experiences, present desires, and potential future consequences. Future-oriented persons, in general, are better able to resist temptations in the immediate setting that may distract them from long term goals (Harber, Zimbardo, & Boyd, 2003; Walker & Tracey, 2012).

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Methodology: This quantitative survey included 149 participants; all were New Mexico nurses with a current BSN. Table 1. demonstrates the relationships between demographic variables and overall FTP scores reported from Carstensen’s (1996) FTP Scale. Although Carstensen did not provide a method for evaluating expansive versus limited FTP, this study utilized 10 questions of a 7- point Likert scale (3 reverse coded). Thus, scores from 19-39 were deemed to reveal a limited FTP, 40-49 were undecided, and scores above 49 to a maximum of 70 points were seen to reflect a perspective of expansive time for career opportunities. Results: Based on this interpretation, the FTP study revealed: a. A relatively positive (average FTP score = 50.54) perspective for future opportunities in life among participating New Mexico nurses. b. As expected, the higher ratings of positive/expansive FTP can be seen among younger nurses with median FTP scores of M (Mean) =55.14 and M=54.35 respectively. In addition, (71%) of 20-29 y/o nurses, and (61%) of 30-39 y/o nurses report plans to return for their MSN within the next 5-10 years. c. Comparatively, nurses age 50-59 and over 60 yielded FTP scores of M=46.02 and M=42.67 respectively. In addition, only (23%) nurses age 50-59 and (6%) of nurses age 60-60 report definite future educational plans. d. Nurses with the least experience (0-4.9 years) reported the highest FTP (focus on opportunities) (M=56.46). e. It seems encouraging that Hispanic nurses reported the highest FTP scores (M=52.51), however Native American nurses reported the lowest FTP score of all (M=36.83). Sixty-five percent of Hispanic nurses, 53% of White, nonHispanic nurses, and 50% of Native American nurses all indicated they plan to return to school at some time for further education. It is further very encouraging that 36% of all participants plan to return to school within the next five years. f. Statistically significant correlations (p < .01, two-tailed) were identified between:

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January, February, March 2019 1) Age and FTP total scores were inversely related (r = -.342); 2) Likelihood to return to school and FTP scores (r = .441); 3) Likelihood to return to school and years of experience were inversely related (r = -.237); and 4) Likelihood to return to school and years of BSN experience were inversely related (r = -.488).

The New Mexico Nurse • Page 5 Practice and Research New Mexico VA Healthcare System. For questions and comments please contact : Col (Ret) Susan E. Bassett, PhD, RN, Instructor: Tel: 575562-2279 E-mail: [email protected] Table 1. Demographics Compared to Future Time Perspective (FTP) Total Scores

Findings: This study supported the findings of (Zimbardo & Boyd, 1999) that current decision-making comes from expectations of future rewards or consequences, weighed against realistic assessments of obstacles and subsequent consequences. Indeed, the balance to switch flexibly among time perspectives depending on the task features, the situation, and personal resources, can optimize life choices to more fully realize life/career potentials.

FTP Mean FTP Median FTP Mode Range (Avg Score) (Middle Score) (Most freq.) Gender: Females (N=116) [78%]

50.20

52

49

19-70

Males (N=33) [22%]

50.63

49

49

31-70

20-29 (N=14) [9%]

55.14

54

49

45-68

30-39 (N=46) [31%]

54.35

57

60

32-70

40-49 (N=28) [19%]

53.71

54

70

25-70

Implications: There are several reasons why understanding FTP is important to the nursing profession. FTP has been found to have a direct occupational influence on career variables (Zacher & Frese 2009). Workers scoring higher on FTP were linked to seeing the importance of future goals and working harder to develop skills needed to reach their goals, thus positively affecting turnover intention due to career commitment (Park, 2015). These career findings were underscored by findings in this study. Also, time perspective can also be used to guide marketing appeals to targeted consumers such as “life is short, so act now…” versus “take the time to achieve success….” Sarver, Cichra, and Kline’s survey (2015) found that 76% of US nurses were not enrolled in an educational program; of those who were enrolled, 87% chose online programs. This appears to indicate that there is a continuing demand for on-line education opportunities for nurses returning to education programs. Better understanding of how nurses view their future educational opportunities and their options for obtaining this education is critical to improving overall health care delivery in New Mexico.

50-59 (N=43) [29%]

46.02

49

49

15-67

60-69 (N=18) [12%]

42.67

46

46

19-68

African American (N=7) [5%]

52.14

57

54

32-70

Asian (N=6) [4%]

49.17

49

49

38-58

White, Non-Hispanic (N=75) [50%]

50.29

49

49

19-70

Hispanic (N=49) [33%]

52.51

55

70

26-70

Native American (N=6) [4%]

36.83

35

N/A

15-62

Other (N=6) [4%]

49.50

49

N/A

37-60

0-4.9 (N=77) [52%]

54.42

49

49

24-70

5-9.9 (N=24) [16%]

45.83

45

46

20-70

References: Carstensen, L. L. (1996). Future Time Perspective Scale. Harber, K. D., Zimbardo, P. G., & Boyd, J. N. (2003). Participant self-selection biases as a function of individual differences in time perspective. Basic and Applied Social Psychology, 25(3), 255-264. Kuppelweiser, V, G. K., & Sarstedt, M. (2014). Applying the future time perspective scale to advertising research. International Journal of Advertising, 33(1), 113-136. doi:10.2501/IJA-33-1-113-136. Park, I-J., & Jung, H. (2015). Relationships among future time perspective, career and organizational commitment, occupational self-efficacy, and turnover intention. Social Behavior and Personality, 43(9), 1547-1562. doi:10.2224.sbp.2015.43.9.1547 Sarver, W., Cichra, N., & Kline, M. (2015). Perceived benefits, motivators, and barriers to advancing nurse education: Removing barriers to improve success. Nursing Education Perspectives (National League for Nursing), 36(3), 153-156. doi:5480/14-1407 Tabachnick, S. E., Miller, R. B., & Relyea, G. E. (2008). The relationships among students’ future-oriented goals and subgoals, perceived task instrumentality, and task-oriented self-regulation strategies in an academic environment. Journal of Educational Psychology, 100(3), 629-642. doi: 10.1037/0022-0663.100.3.629 Walker, T. L., & Tracey, T. J. G. (2012). The role of future time perspective in career decision-making. Journal of Vocational Behavior, 81, 150-158. doi:10.1016/j. jvb.2012.06.002 Zacher, H., & Frese, M. (2009). Remaining time and opportunities at work: Relationships between age, work characteristics, and occupational future time perspective. Psychology and Aging, 24(2), 487-493. Zimbardo, P. G., & Boyd, J. M. (1999). Putting time in perspective: A valid, reliable individual-differences metric. Journal of Personality and Social Psychology, 77(6), 1271-1288.

10-14.9 (N=14) [9%]

44.57

48

N/A

25-61

15-19.9 (N=10) [7%]

50.50

52

49

19-67

20-24.9 (N=8) [5%]

42.00

45

N/A

15-58

25-29.9 (N=2) [1%]

34.50

N/A

N/A

26-43

30+ (N=14) [9%]

49.93

51

52

30-68

0-4.9 (=39) [26]

56.46

56

49

35-70

5-9.9 (N=41) [28%]

51.12

52

59

31-70

10-14.9 (N=14) [9%]

49.00

49

47

25-70

15-19.9 (N=11) [7%]

48.55

49

38

30-64

20-24.9 (N=14) [9%]

45.00

46

46

15-65

25-29.9 (N=10) [7%]

49.30

52

N/A

26-67

30+ Years (N=20) [13%]

44.10

46

49

19-68

Within next 5 years (N=54) [36%]

55.65

55

70

24-70

Within next 10 years (N=10) [7%]

52.60

52

65

36-67

47.41

54

46

36-67

This research was funded by an Eastern New Mexico University internal faculty grant and was approved by both ENMU and Veteran Affairs Institutional Review Boards. Dr. S. Bassett, K. Cooper, J. Piepkorn, are all nursing instructors , Instructors in the Nursing Program, College of Liberal Arts and Sciences at Eastern New Mexico University and Dr. C. Nuttall, is the Chief Nurse, Academic Affairs, Professional

Yes, time not decided (N=22) [15%] Perhaps, someday (N=23) [15%]

53.22

49

49

31-60

Unlikely (N=20) [13%]

46.70

49

49

15-68

Almost no chance (N=20) [13%]

39.55

40

43

19-67

Limitations: Use of the FTP Scale resulted in a solid basis for understanding time perspective related to educational/career aspirations. However, study recruitment efforts were not initially successful. A secondary study site arrangement through the Albuquerque VA improved recruitment, but limited the scope of participants which may not be truly representative of all New Mexico nurses.

Age:

Ethnicity:

Years of Experience as a BSN:

Years of Experience:

Likelihood of returning for MSN:

Page 6 • The New Mexico Nurse

January, February, March 2019

Liability Issues Corner Extension of Liability Karen L. Brooks, Esq., EdD, MSN RN How liability can be extended beyond those immediately involved in a healthcare issue or claim may not be not a commonplace concern for those in nursing practice. However, extension of liability to seemingly remote parties is an important consideration for an attorney when drafting a civil claim or lawsuit involving health care professionals. This column on liability issues will address how liability might extend beyond the immediate and more obvious named parties in a lawsuit. Also, this discussion will offer some proactive strategies for those in nursing managerial and leadership roles, who by virtue of their oversight authority could quickly become named parties on a claim. While a nurse in a managerial or leadership role may not be on the front lines of health care delivery in terms of providing direct care to a patient, this type of role is not immune from becoming involved in a negligence claim involving patient care. As an example, a patient sustains a fall on a patient care area and is able to prove, under a theory of negligence, that nursing actions and/or inactions contributed to the fall and associated injuries. In addition, the plaintiff/patient may be able to recover damages not only from the immediate party, in this example the staff nurse, but also from the nursing manager as well as the chief nursing officer.

The nursing manager and the chief nursing officer in the health care organization are responsible for the nursing behavior and nursing conduct of the staff that they oversee and supervise. This means that the nurse manager is responsible for the actions of her/his nursing staff, and for assuring that all interventions and protocols related to fall assessment and fall prevention are in place, are evaluated at determined intervals, and issues are timely addressed and remediated. Similarly, the chief nursing officer is accountable for nursing staff actions. This also means that the chief nursing officer is to be apprised via the established hierarchy within the healthcare facility, usually from those in managerial roles and performance improvement roles, about breakdowns in protocols or assessments that might lead to adverse patient events. Further, the chief nursing officer determines any followup actions, education or remediations that are required. Beyond holding titles of authority in the organization, it is vital that the nurse manager and chief nursing officer demonstrably show how they are meeting their obligations for nursing oversight and accountability in the healthcare organization. If, as an example, meetings are regularly being held with staff and managers to address fall prevention, assessment and interventions, there should also be records of these meetings along with follow-up evaluation of actions taken. This type of detailed documentation suggests that those with authority are, in fact, engaging with staff to prevent adverse patient events, such as falls. Without documentation of supervisory involvement and engagement, one could argue that the manager and chief nursing officer are derelict in oversight duty and thereby could have contributed to the patient’s fall. This could lead to extension of liability to those persons who have less immediate contact with the patient but undeniable supervisory and leadership authority. Dr. Karen L. Brooks, is the Graduate Nursing Faculty Lead (Remote: Santa Fe, New Mexico) for the College of Online and Continuing Education Southern New Hampshire University and provides this column as a way to support NMNA and the nursing community in New Mexico.

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January, February, March 2019

The New Mexico Nurse • Page 7

Dorothy M. Crawford In Memoria

July 28, 1935 – November 27, 2018

Dorothy Crawford President of NM Nurses Foundation, past NMNA lobbyist with current NMNA lobbyist Linda Siegle Nursing in New Mexico benefitted early on from strong nurse leaders whose education, vision and political acumen served to advance the profession and our practices. Such nurses served the profession at the cusp of the evolution of nursing into a recognized profession with its own theoretical base, skills, body of knowledge. At the end of November we unexpectedly lost one of these greats: Dorothy M Crawford. Dorothy received her R.N. in nursing from Union Hospital in Terre Haute, Indiana. She moved to Colorado and attained a B.S. in Nursing from the University of Colorado in 1959. She relocated to Los Alamos in 1960. During her 36 years as a nurse, Dorothy worked in several clinical capacities, but she was especially fond of her role in obstetrics, caring for many, many Los Alamos mothers and newborn “babes.” It is of note that she also advocated for the nursing profession as a legislative consultant and lobbyist for the New Mexico Nurses Association. As one of two volunteer nurse lobbyists for NMNA, she drove regularly to Santa Fe to represent NMNA during the 30 and 60 day sessions come rain, snow, or shine. Dorothy and Carla Muth, the other volunteer lobbyist and colleague and close friend, built what we know as advocacy for nurses in New Mexico. They established the bar to which nurse advocates strive to achieve in Santa Fe at the Roundhouse. Dorothy’s pride in and passion for the profession ensured a strong nurse practice act in NM. She and Carla were instrumental for example in having Governor Carruthers issue an Executive Order to move the Board of Nursing from the NM Licensing and Regulation Department to what we know now. She was the consummate nurse lobbyist who knew her way into House and Senate offices and knew staff as well as legislators; she graciously mentored many of today’s nurse advocates and taught us all that you can get more with sugar than a pickle!!!! (Or in Dorothy’s case, delivery of home baked goods put NMNA on the map and allowed for conversations with legislators directly off the floor… which few can readily accomplish today). Dorothy always had an upbeat manner when it was time to “go to the mat” and her demeanor never changed even during the harshest of negotiations. In recent years she made regular visits to the Capitol on behalf of NMNA with the ED and our current lobbyist to ensure that NMNA was on task to protect nursing’s gains and not cede ground. Most recently, Dorothy chose to continue to give back to nursing in the State. She willingly became the President of the New Mexico Nurses Foundation and

First Lobbyists for the New Mexico Nurses Association: Volunteers Carla Muth and Dorothy Crawford

was working to expand the goal of providing nursing education scholarships and define the mission of what the Foundation could become. Dorothy received much recognition for her lifelong efforts in support of nursing, including the March of Dimes Legends of Nursing award in 2003. Her passing is a loss to the State and to many at NMNA on a very personal level. NMNA President Gloria Doherty and Secretary Jason Bloomer offered the Nightingale tribute during the celebration of Dorothy’s life at The United Church of Los Alamos on Saturday,

December 22 at 1:30 p.m. Dorothy was a great supporter of this joint effort between NMNA and the Foundation. Please be aware that in lieu of flowers, the family suggested donations to the New Mexico Nurses Foundation, PO Box 418 Santa Fe, NM 87504. It is the intent of the Foundation BOD to establish an award in the work of advocacy in Dorothy’s name. Please take a moment to reflect on the life’s work of this individual nurse….on whose shoulders we stand.

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Page 8 • The New Mexico Nurse

January, February, March 2019

Violence, Incivility & Bullying American Nurses Association, www.nursingworld.org While nursing is a profession dedicated to helping others, the highly charged nature of many of the environments in which nurses work can lead to situations where emotions boil over. Incivility, bullying, and violence in the workplace are serious issues in nursing, with incivility and bullying widespread in all settings. Incivility is “one or more rude, discourteous, or disrespectful actions that may or may not have a negative intent behind them.” ANA defines bullying as “repeated, unwanted, harmful actions intended to humiliate, offend, and cause distress in the recipient.” Such acts of aggression – be they verbal or physical – are entirely unacceptable, whether delivered by patients or colleagues. These incidents not only have a serious effect on the wellbeing of the nurse in question but also their ability to care for their patients. ANA seeks to protect nurses from all types of workplace conflict through various methods including

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January, February, March 2019

The New Mexico Nurse • Page 9

Violence, Incivility & Bullying advocacy, policy, and resources. We want nurses, employers, and the public to jointly create and nurture a healthy, safe, and respectful work environment in which positive health outcomes are the highest priority. Types of violence According to The National Institute of Occupational Safety and Health (NIOSH), there are four types of violence that nurses might face in their work environment: 1. Criminal Intent. The perpetrator has no relationship with the victim, and the violence is carried out in conjunction with a crime. 2. Customer/client. The most common health care environment-based assault, the perpetrator is a member of the public with whom the nurse is interacting during the course of their regular duties. 3. Worker-on-worker. Commonly perceived as bullying, in these instances the perpetrator and victim work together – though not necessarily in the same role or at the same level. Violence, Incivility, & Bullying continued on page 10

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Page 10 • The New Mexico Nurse

January, February, March 2019

Violence, Incivility & Bullying Violence, Incivility, & Bullying continued from page 9 4. Personal relationship. In these incidents, the victim has been targeted as a result of an existing exterior relationship with the perpetrator, with the violence taking place in the workplace. It is important to remember that none of the scenarios above are restricted to physical violence – verbal and psychological abuse can be just as damaging to both the nurse and their ability to care for patients. All such abuse comes within the scope of ANA’s anti-workplace violence agenda.

How ANA is taking action on workplace violence Currently, there is no specific federal statute that requires workplace violence protections, but several states have enacted legislation or regulations aimed at protecting health care workers from its effects. We support these moves by individual states, and are actively advocating further, more stringent regulation. In 2015, we convened a Professional Issues Panel on Incivility, Bullying, and Workplace Violence to develop a new ANA position statement. You can read the full position statement here, and below are some key points: • The nursing profession will not tolerate violence of any kind from any source;

• Nurses and employers must collaborate to create a culture of respect; • The adoption of evidence-based strategies that prevent and mitigate incivility, bullying, and workplace violence; and promote health, safety, and wellness and optimal outcomes in health care; • The strategies employed are listed and categorized by primary, secondary, and tertiary prevention; • The statement is relevant for all health care professionals and stakeholders, not exclusively to nurses. How you can make a difference Tackling workplace violence will take a united effort. To that end, we have collated a series of promotional and educational resources that can help you and your colleagues reduce incidents in your workplace, and help create safe health care environments by advocating for change.

February 2019 is Children’s Oral Health Month Goal: increase the awareness of the importance of good oral health and preventing tooth decay and other related disease.

TOOTH DECAY IS THE MOST COMMON CHRONIC DISEASE OF CHILDREN AND IT IS PREVENTABLE! How to prevent tooth decay among children: • See a dentist twice a year. • Eat healthy food. • Drink plenty of fluoridated water. • Brush and floss twice a day. • Apply dental sealants or fluoride varnish.

Nurses can promote good oral health during patient visits, can promote and apply fluoride varnish and refer patients to dental providers. Become an oral health advocate! Contact: Rudy Blea, NM Office of Oral Health [email protected]

January, February, March 2019

The New Mexico Nurse • Page 11

Scholarship Opportunity for Native Nursing Students

ANA/New Mexico Membership Application For other information, please contact ANA's Membership Billing Department at (800) 923-7709 or email us at [email protected].

Essential Information: First Name/MI/Last Name

Date of Birth

Mailing Address Line 1

Credentials

Mailing Address Line 2

Home Phone

City/State/Zip

Email Address

How did you hear about ANA?

Colleague

Mail

Magazine

Online

Gender: Male/Female

Mobile Phone

Other: __________________________

Professional Information: Employer

Current Employment Status: (e.g. full-time, part-time, per diem, retired)

Type of Work Setting: (e.g. hospital, clinic, school)

Current Position Title: (e.g. staff nurse, manager, educator, APRN)

Practice Area: (e.g. pediatrics, education, administration)

RN License #

Ways to Pay:

Membership Dues:

Yearly $238.00

Joint Membership

Monthly Payment Checking Account Attach check for first month’s payment. Please make checks payable to ANA. Credit Card Annual Payment Check Credit Card

State

If paying by credit card, would you Yes like us to auto bill you annually?

Reduced 50% reduction in membership fees $113.00

Monthly $20.34 $9.92

Not employed Full Time Student New licensee within 6 months of first licensure 62 y/o and not earning more than social security allows

Special—75% reduction in membership fees $56.50 > 62 y/o and not employed or Totally disabled Dues ..........................................................................................$

$5.21

ANA-PAC Contribution (optional) ..................................$

Authorization Signatures:

American Nurses Foundation Contribution ...............$ (optional)

Monthly Electronic Deduction | Payment Authorization Signature* Automatic Annual Credit Card | Payment Authorization Signature* *By signing the Monthly Electronic Payment Deduction Authorization, or the Automatic Annual Credit Card Payment Authorization, you are authorizing ANA to change the amount by giving the above signed thirty (30) days advance written notice. Above signed may cancel this authorization upon receipt by ANA of written notification of termination twenty (20) days prior to deduction date designated above. Membership will continue unless this notification is received. ANA will charge a $5 fee for any returned drafts. ANA & State and ANA-Only members must have been a member for six consecutive months or pay the full annual dues to be eligible for the ANCC certification discounts.

Go to www.JoinANA.org to become a member and use the code: NMX14

The New Mexico Native American Indian Nurses Association (NMNAINA)* has been awarded a grant from the New Mexico Board of Nursing’s Nurse Excellence funds for scholarships and to provide a mentorship workshop. The NMNAINA is now pleased to announce the availability of nine scholarships in the amount of $2000.00. The scholarships can provide additional funding to meet financial need and/or funds, for unforeseen or extraneous costs for furthering a students’ education. The applicant must be a member of a federally/ state recognized tribe, be a New Mexico resident, living in state of New Mexico, and currently enrolled in and attending a New Mexico accredited nursing program. Such native students enrolled in LPN, ADN, BSN, MSN and Doctorial programs are eligible to apply. Students must submit an application form, a letter of recommendation from a current faculty member, and proof of tribal membership. Students interested in applying for the scholarship should call Erma Marbut, President NMNAINA at 505-836-9504 or email [email protected] to obtain application material and instructions. All materials must be postmarked no later than February 1, 2019. *The NM Native American Indian Nurses Association affiliates with the New Mexico Nurses Association. Any nurse wishing to join the NMNAINA should contact the President at the above phone number or email address.

Total Dues and Contributions..........................................$ *Nurses must already hold an RN license before becoming members of ANA

Credit Card Information:

Visa

Credit Card Number

Mastercard

Expiration Date (MM/YY)

Authorization Signature

I finally found a nursing career that is great for me and my family!

Printed Name Please Note — American Nurses Association (ANA) membership dues are not deductible as charitable contributions for tax purposes, but may be deductible as a business expense. However, the percentage of dues used for lobbying by the ANA is not deductible as a business expense and changes each year. Please check with ANA for the correct amount.

Web

Mail

Fax

Join instantly online Visit us at www.JoinANA.org

ANA Customer & Member Billing P.O. Box 504345 St. Louis, MO 63150-4345

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