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Nursing Community Coalition Letter Supporting Directive 1899 and Full Practice Authority for CRNAs at the VA

Forty-seven members of the Nursing Community Coalition sent a letter to the Administration  supporting the Department of Veterans Affairs’ (VA) Directive 1899 to remove barriers to practice and allow for Certified Registered Nurse Anesthetists (CRNAs) to practice to the full extent of their education and abilities.

Read the full letter here. (PDF download from www.thenursingcommunity.org website)

47 Nursing Organizations Seek to Remove Practice Barriers in the VA

For immediate release: May 19, 2020
For more information, contact: AANA Public Relations

Park Ridge (AANA)
—In a letter today to U.S. Vice President Mike Pence and leaders of the U.S. Department of Veteran Affairs and Veterans Health Administration, the American Association of Nurse Anesthetists (AANA) partnered with 47 national nursing organizations to request support for the Veterans Affairs’ (VA) Directive 1899 to permanently remove barriers and allow Certified Registered Nurse Anesthetists (CRNAs) to practice to the full extent of their education and training. 

According to the Nursing Community Coalition signatories, “allowing CRNAs to practice independently … illustrates CRNAs’ extensive education and training, as well as their expertise in providing high-quality care for their patients and our nation’s veterans.”


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Board Member Spotlight: Cathleen Wheatley

Cathleen Wheatley, DNP, RN, CENP
President, Wake Forest Baptist Medical Center

What advice would you give your younger self?
Stop worrying. It serves no purpose.

Where is your favorite vacation spot?
The Caribbean - any island, any time.



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COVID-19 & Nurse Scientists on the Front Line: Holli DeVon

Holli DeVon PhD, RN, FAAN, FAHA
University of California, Los Angeles

Please describe your work with the COVID-19 pandemic.
I co-authored a manuscript that went to press on April 29, 2020 on "Current perspectives on Coronavirus 2019 (COVID-19) and cardiovascular disease: A white paper by the JAHA editors." This paper may be informative for nurse researchers studying cardiovascular diseases at the basic, clinical, or epidemiological level.

Please give us information about your background and history as a nurse scientist.
I am the Associate Dean for Research at the UCLA School of Nursing. My research focuses on the symptoms of acute coronary syndrome. I have received more than $7 million in grant funding and received a Fulbright Scholar Award to Rwanda in 2018. I have been honored with several research and writing awards and has published more than 100 journal articles and am a founding editorial board member for the Journal of the American Heart Association.


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NINR: SGI 20th Anniversary Symposium

On June 22 from 12:00-3:30 p.m. ET, NINR’s Division of Intramural Research (DIR) will hold a virtual symposium to mark a milestone anniversary — celebrating 20 years of its Summer Genetics Institute (SGI). Please join us to examine how omics methodologies are improving symptom measurement and characterization. We will explore how this research is guiding approaches to biobehavioral interventional methods. This event is free of charge, but registration is required.

Objectives:

  • Address how omics methodology has advanced symptom science research.
  • Define approaches to developing biobehavioral interventions that modify symptoms.
  • Feature interdisciplinary and innovative research that has impacted nursing research and practice.

*Continuing Education Units (CEUs) will be available for this symposium.

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COVID-19 & Nurse Scientists on the Front Line: Ann Cary

Ann H Cary PhD MPH RN FANP FAAN 
Florida Gulf Coast University,Marieb College of Health and Human Services

Please describe your work with the COVID-19 pandemic.
I initiated the idea of assembling a University panel of health care faculty to address the public weekly in print, digital and broadcast media on separating facts from fears and working with our University communications department. Since doctorally-prepared faculty are part of this panel for weekly broadcasts on prime time news, it amplifies the role of nurses in health communication and health care.

Please give us information about your background and history as a nurse scientist.
My specialty is public health and credentialing research.
What else would you like the public to know about your role or the role of nurse scientists in the fight against COVID-19?
Doctorally-prepared nurses are essential to protecting and educating the public and are essential experts who protect the health of the public through communication and reinforcing behavioral change. 

If you would also like to share your story, you can do so by filling out this form

NINR Summer Genetics Institute Event Updates

2020 Summer Genetics Institute

To limit spread of the COVID-19 virus, NIH has urged staff to postpone, cancel, or convert upcoming meetings to virtual events. Based on this guidancethe 2020 Summer Genetics Institute (SGI) has been cancelled. 

20th Anniversary Symposium

To limit spread of the COVID-19 virus, the SGI 20th Anniversary Symposium scheduled for June 22 has been converted to a virtual-only event. More information will be shared as it becomes available. 
 

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Appreciating Nurses’ Vital Role in Health Care and Research

May 2020

Every May, we celebrate National Nurses Week to express our gratitude for the incredible work nurses, including nurse scientists, do every day as the largest component of the health care workforce. However, this year is a little different for us all. During the height of the COVID-19 pandemic, National Nurses Week brings to light just how vital nurses are to keeping us healthy and safe. In fact, the American Nurses Association has designated the entire month of May as National Nurses Month  to recognize nurses’ extraordinary efforts this year, the Year of the Nurse and the Midwife .

Right now, nurses around the country and globe, including nurses from NINR and other NIH institutes, are working tirelessly to help those who need it most. While many are providing direct patient care, others are providing guidance on testing, infection control, and isolation and quarantine procedures; capturing the experiences of clinicians, patients, families, and communities to inform future policy; developing technology to track the spread of the virus and measure its impact on daily life; surveying individuals to learn more about their health behaviors and coping mechanisms during this pandemic; or leading various evidence-based practice, research, and quality improvements for nurses on the frontlines. These are just a few of the countless ways nurses are at the core of changing the course of this infectious disease.  

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NINR: Join Us for the 101st Meeting of the National Advisory Council for Nursing Research

Join NINR for the next open session of the National Advisory Council for Nursing Research (NACNR), which will be held on May 19, 2020 from 10:00 a.m. to 1:30 p.m. ET via videocast. The public is welcome to view the open session virtually, and registration is not required. This meeting will also be archived at https://videocast.nih.gov.

The session will include presentations on: 

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COVID-19 & Nurse Scientists on the Front Line: Jeannie Bernie

Jeannie Burnie
Bethesda North Hospital

As the emergency department (ED) clinical nurse specialist, I was asked to guide COVID19 pandemic preparation for a large hospital system in Southwest Ohio with six EDs (critical access, free-standing, urban and suburban) to identify processes involving screening, triage and testing patients. Executive ED leaders worked with the organizations attorney to revise the medical screening exam (MSE) policy. There was concern, with the expected surge, that physicians or advanced practice providers would not be available to provide the MSE. An interdisciplinary team developed standard operating procedures to guide ED nurses in providing the MSE for patients meeting specific, pre-established criteria. Nurses required straight forward tools to document screening, testing if indicated and consistent discharge instructions.

The team determined the need for an alternate care area (ACA) in the ED. Using guidance from the Center for Disease Control, patients presenting with fever, shortness of breath, new onset cough, malaise but stable vital signs would be evaluated in the ACA.  A screening process using pulse oximetry to determine saturations above 92% and heart rate below 110 meeting COVID-19 symptoms would be evaluated by a nurse to determine if testing was indicated.


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National Advisory Council for Nursing Research - May 2020 Videocast

Join NINR for the next open session of the National Advisory Council for Nursing Research

May 19, 2020 | 10:00 a.m. to 1:30 p.m. ET
Virtual-only meeting via VIDEOCAST

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COVID-19 & Nurse Scientists on the Front Line: Julie McCulloh Nair and Dr. Susan Birkhoff

Julie McCulloh Nair PhD, RN, APHN-BC and Dr. Susan Birkhoff PhD, RN
West Chester University of Pennsylvania

Please describe your work with the COVID-19 pandemic.
The co-investigators seek to gain understanding of nurses’ lived experiences during the COVID-19 pandemic by documenting their stories during this period of time via written and digital narratives. Through these COVID-19 stories, nurses will share their voices and images to document their challenges, relationships, practice changes and personal feelings during this historic period in time. A brief and optional demographic survey section will be included to assist study investigators with the characterization of the study participants (i.e. years of experience, age, nursing role, etc.). Collecting these stories and demographic data allows investigators to document the nursing experience in an effort to inform future generations of nurses.

Please give us information about your background and history as a nurse scientist.
Julie: Thus far, my program of research incorporates a variety of nursing focused investigations that include substance use, negative behaviors in the workplace, the DAISY nurse, mentorship and complementary health approaches in oncology and obstetrics. I have experience with qualitative, mixed methods and community based participatory research and plan to continue building my program of research in the community setting focusing on health equity and vulnerable populations.


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COVID-19 & Nurse Scientists on the Front Line: Tener Goodwin Veenema

Tener Goodwin Veenema, PhD, MPH, MS, RN, FAAN
Johns Hopkins School of Nursing

Please describe your work with the COVID-19 pandemic. 
I am the Co-chair of the COVID-19 Health Care Worker Protection Research Group at Johns Hopkins Medical Center.

Please give us information about your background and history as a nurse scientist.
I am a Professor of Nursing at the Johns Hopkins School of Nursing and in the Department of International Health at the Johns Hopkins Bloomberg School of Public Health. As an internationally recognized expert in disaster nursing and public health emergency preparedness, I have served as senior scientist to the DHHS Office of Human Services Emergency Preparedness and Response (OHSEPR), Department of Homeland Security, Veterans Affairs Emergency Management Evaluation Center (VEMEC), and the Federal Emergency Management Agency (FEMA). I have sustained career funding over 2.2 million dollars, a member of the Forum on Medical and Public Health Preparedness at the National Academy of Medicine, and an elected Fellow in the American Academy of Nursing, the National Academies of Practice, and the Royal College of Surgeons, Faculty of Nursing & Midwifery, Dublin, Ireland. My research is directed towards informing policy related to public health emergency preparedness and response for catastrophic events such as pandemics and radiation/nuclear disasters.


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NINR: Call for Researchers to Submit Supplement Funding Applications for COVID-19 Efforts

NINR is participating in a recently issued Notice of Special Interest (NOSI) that highlights the urgent need for social, behavioral, economic, health communication, and epidemiologic research relevant to the 2019 Novel Coronavirus (SARS-CoV-2) and COVID-19.

This NOSI encourages urgent competitive revisions and administrative supplements to existing longitudinal studies that address key social and behavioral questions related to the COVID-19 pandemic, including adherence to and transmission mitigation from various containment and mitigation efforts; social, behavioral, and economic impacts from these containment and mitigation efforts; and downstream health impacts resulting from these social, behavioral, and economic impacts, including differences in risk and resiliency based on gender, race and ethnicity, socioeconomic status, and other social determinants of health.

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COVID-19 & Nurse Scientists on the Front Line: Jane Muir

Jane Muir
University of Virginia Health

Please describe your work with the COVID-19 pandemic.
I am an emergency department nurse.

Please give us information about your background and history as a nurse scientist.
As a current second year PhD nursing student at the University of Virginia, I study nurse burnout in the emergency department setting. My research interests relate to developing economic models assessing nurse burnout costs, understanding nursing shortages, and optimizing health care work environments to support nurse resiliency.


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COVID-19 & Nurse Scientists on the Front Line: Shanina C Knighton

Shanina C Knighton PhD RN
Case Western Reserve University, Frances Payne Bolton School of Nursing

Please describe your work with the COVID-19 pandemic.
During COVID-19 I have am using science to advocate for, develop, and implement infection prevention policies, standards and guidelines to entities including public officials on state and federal levels, local leaders, small businesses, essential businesses, grocery stores and the local community. I have used platforms such as webinars, in-person trainings, science to inform legislation, but to also fundraise and mobilizing churches and others to get practical education resources out to lower-income communities. From a scientific innovative standpoint, I am partaking in innovation efforts such as hackathons and group meets utilizing machine learning/artificial intelligence to develop digital solutions to improve hand hygiene among consumers and tracking of COVID-19. 

Please give us information about your background and history as a nurse scientist.
I am a nurse scientist dedicated to strategically amplifying my ability to streamline research processes between engineering and nursing swiftly from the bench to the bedside by pairing my experience in clinical nursing research with the application-based training methodology of biomedical engineering. My research experience began as a nurse in clinical practice where my observations of deficient patient hand hygiene practices became the focus of my dissertation research in a baccalaureate-to-PhD program. Informed by Florence Nightingale & Virginia Henderson’s understanding of infection prevention and the importance of patients being clean along with the environment, my nursing science skillfully identified gaps in knowledge surrounding patient and self-management of hand hygiene. From the time of my pre-doctoral training, time as a VA Quality Scholar, T32-postdoc and now as a KL2 Scholar, I am emerging as a leader in the design, development, & evaluation of technology-based interventions including wearable sensors, machine learning and simple technology to support patient self-management in different settings. 
What else would you like the public to know about your role or the role of nurse scientists in the fight against COVID-19?
Nurse scientists bring an important aspect to research, policy in that while interventions and solutions are being created, our training allows us to see tangible solutions that are often overlooked or undervalued. I can speak to this. While leaders around the world are encouraging the public to clean their hands to prevent germ transmission, my science provides evidence that patients and long-term care residents have germs on their hands, but lack adequate hand hygiene products and are rarely told to practice. 
Shanina C Knighton PhD RN

COVID-19 & Nurse Scientists on the Front Line: Ellen Smithline

Ellen Smithline
University of Massachusetts Amherst College of Nursing

Please describe your work with the COVID-19 pandemic. 
My current role is to develop effective PPE compliant face shields - process to produce large quantities with small footprint for storage.

Please give us information about your background and history as a nurse scientist. 
I am currently a PhD(c) and nurse innovator for 35 years of which 26 years as Emergency Nurse. I am involved in multiple collaborative research and innovative teams.


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COVID-19 & Nurse Scientists on the Front Line: Ann Deerhake

Ann Deerhake, DNP, RN, CNL, CCRN 
The Ohio State University

Please describe your work with the COVID-19 pandemic. 
As a Doctor of Nursing Practice, my goal is to apply nurse scientist-generated research to current practice. This research shows that communication is key during times of crisis and change. My role as an online educator and nurse scientist during the COVID-19 pandemic is to facilitate healthy communication among everyone I interact with, including my students, colleagues, family and friends. I have worked in close online contact with faculty to continue our supportive online learning environment for students, as well as create new opportunities for exchange of information and stress relief. Many of our students are currently working within difficult healthcare conditions at present, so reassuring them both academically and professionally translates into supporting American healthcare as a whole.

My coursework as an online instructor changed little with the transition to all online learning at my university, which has allowed me to work with other faculty to make changes to existing courses. Additionally, by creating simple online mini-courses, I have worked to educate my grandchildren, their friends and other members of my family regarding ways to communicate face-to-face via the internet and how to use these fun learning environments as stress-reducers and relationship builders in this time of social distancing. One of my most enjoyable activities has been creating and sending a daily ""Cabin Song and Dance Fever"" video to my community choir friends, encouraging them to be well, exercise their bodies and communicate positively with one another. COVID-19 has certainly taught us much about the importance of being communication innovators!


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COVID-19 & Nurse Scientists on the Front Line: Jill Byrne

Jill Byrne MSN, RN, CNOR, PhD student
CWRU FPB School of Nursing

Please describe your work with the COVID-19 pandemic.
The focus of my dissertation research is occupational heat stress. I am a frontline trauma OR nurse at the Cleveland Clinic in Cleveland, Ohio. I am terrified by what I am witnessing - with the mandate to cancel all elective surgical cases, one would assume the case load in the operating room would drastically drop, instead the stress and anxiety the general public are experiencing is impacting overall health, igniting a need for emergency surgery. This is a key area for further global-health research. We don't know the COVID-19 status of these patients who need emergent surgery and the entire healthcare staff have to wear full-PPE in these situations, reducing the availability of the limited supplies we are currently challenged with.

Please give us information about your background and history as a nurse scientist. 
I have provided a video link that quickly describes my work as a nurse scientist in my plight to bring awareness to occupational heat stress while wearing PPE.  https://www.youtube.com/watch?v=K_sMHeJm6y8


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COVID-19 & Nurse Scientists on the Front Line: Scott Emory Moore

Scott Emory Moore 
Frances Payne Bolton School of Nursing, Case Western Reserve University

Please describe your work with the COVID-19 pandemic. 
My colleague (Kelly Wierenga of IU) and I developed a survey to examine the influence of perceptions and responses to the COVID-19 pandemic on health promoting behaviors and symptoms. Due to the high importance of safety during the pandemic we developed the survey entirely online so potential participants do not have to meet in person. Using both social media and professional network-based recruitment we are hoping to reach 5000 participants in the cross-sectional phase of our study. Further, we will be following a subset of the participants who are willing over the course of the coming weeks and months to determine the longer term influences the pandemic is having on adults. We are particularly interested in those who might be considered at risk for COVID-19 or vulnerable to social disenfranchisement and disparate health outcomes. These are two groups where we believe individuals' perspectives related to social distancing practices and their responses to the pandemic may negatively impact behavioral health outcomes. The purpose of this initial study is to identify areas where we may leverage valuable intervention resources to improve health outcomes.

Please give us information about your background and history as a nurse scientist. 
I am an assistant professor at the Frances Payne Bolton School of Nursing of Case Western Reserve University in Cleveland, Ohio. Originally from South Carolina, I earned my BSN from the University of South Carolina Upstate, and my Master of Science in Nursing and PhD at Clemson University. I completed a postdoctoral fellowship at the Frances Payne Bolton School of Nursing in Multiple Chronic Conditions. My program of research focuses on increasing understanding of biological, psychological, and social influences on health outcomes among sexual and gender minorities. Additionally, my research incorporates the study of sex and gender identity, sex as a biological variable, and sex-based differences in health. My clinical nursing expertise includes emergency and trauma nursing at a level 1 trauma center, acute and chronic stroke care, complex chronic diseases, and care of LGBTQ+ and other vulnerable populations.


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