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Page 2 Vermont Nurse ConnectionVoices ofVermont Nursespremiered at VSNA Convention 2000 andis available from the VSNA Office at:Vermont State Nurses’ Association100 Dorset Street, #13South Burlington, Vermont 05403Price: 20 each book(plus 3.95 for postage and handling)Make check or money order payable to:VERMONT STATE NURSES FOUNDATIONName:Address:City:State: Zip:If you wish to submit a “Letter to the Editor,” pleaseaddress it to:Vermont State Nurses’ AssociationAttn: Vermont Nurse Connection100 Dorset Street, #13South Burlington, VT 05403Please remember to include contact information, asletter authors may need to be contacted by the editorsof the VNC for clarification. NOTE: Letters to theEditor reflect the opinions of the letter authors andshould not be assumed to reflect the opinions of theVermont State Nurses’ Association.Jean Graham, EditorJanuary, February, March 2011The VSNA wants you to take advantageof some of the networking and informationalresources available on the Internet.Current information about activities of theVSNA can be found by visiting the VSNAWebsite at: http://my.memberclicks.com/vsnaor http://www.vsna-inc.orgRequests for additions or changes to theVSNA website should be communicatedbefore the 1st of each month to the site’swebmaster at vtnurse@sover.net.Also, as a VSNA member you are welcometo join the VSNA listserv. To become alistserv participant, send an e-mail messageto the VSNA office at vtnurse@sover.net. Inyour message, please indicate that you wish tobe part of the listserv and include your name,e-mail address, and your VSNA membernumber.Hope to see you on the web!Deadlines for the VermontNurse ConnectionAre you interested in contributing an article to anupcoming issue of the Vermont Nurse Connection? If so,here is a list of submission deadlines for the next 2 issues:Vol. 14 #2—January 24, 2011Vol. 14 #3—April 25, 2011Articles may be sent to the editors of the Vermont NurseConnection at:Vermont State Nurses’ AssociationAttention: VNC100 Dorset Street, Suite 13South Burlington, VT 05403-6241Articles may also be submitted electronically tovtnurse@sover.net .Vermont Nurse ConnectionOfficial publication of the Vermont State Nurses’ Association,a constituent member of the American Nurses Association.Published quarterly every January, April, July and October. Librarysubscription price is 18 per year. ISSN# 1529-4609.Editorial OfficesVermont State Nurses’ Association, 100 Dorset Street, #13,South Burlington, VT 05403, PH: (802) 651-8886, FAX (802) 6518998, E-mail: vtnurse@sover.netEditors: Jean E. Graham and Eileen GirlingAdvertisingFor 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, sales@aldpub.com. VSNAand the Arthur L. Davis Publishing Agency, Inc. reserve the rightto reject any advertisement. Responsibility for errors in advertisingis limited to corrections in the next issue or refund of price ofadvertisement.Acceptance of advertising does not imply endorsement or approvalby the Vermont State Nurses’ Association of products advertised, theadvertisers, or the claims made. Rejection of an advertisement doesnot imply a product offered for advertising is without merit, or thatthe manufacturer lacks integrity, or that this association disapprovesof the product or its use. VSNA and the Arthur L. Davis PublishingAgency, Inc. shall not be held liable for any consequences resultingfrom purchase or use of an advertiser’s product. Articles appearingin this publication express the opinions of the authors; they do notnecessarily reflect views of the staff, board, or membership of VSNAor those of the national or local associations.ContentVermont State Nurses’ Association welcomes unsolicitedmanuscripts and suggestions for articles. Manuscripts can be up to: 750 words for a press release 1500 words for a feature articleManuscripts should be typed double-spaced and spell-checkedwith only one space after a period and can be submitted:1) As paper hard copy2)As a Word Perfect or MS Word document file saved to a 31/2” disk or to CD-Rom or zip disk3)Or e-mailed as a Word Perfect or MS Word document file tovtnurse@sover.net.No faxes will be accepted. Authors’ names should be placed aftertitle with credentials and affiliation. Please send a photograph ofyourself if you are submitting a feature article.All articles submitted to and/or published in Vermont NurseConnection become the sole property of VSNA and may not bereprinted without permission.All accepted manuscripts may undergo editorial revision to conformto the standards of the newsletter or to improve clarity.The Vermont Nurse Connection is not a peer review publication.Articles appearing in this publication express the opinions of theauthors; they do not necessarily reflect views of the staff, board, ormembership of VSNA or those of the national or local association.Copyright Policy Criteria for ArticlesThe policy of the VSNA Editorial Board is to retain copyrightprivileges and control of articles published in the Vermont NurseConnection unless the articles have been previously published or theauthor retains copyright.VSNA Officers and Board of DirectorsPresident . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ruth Elsa BaldwinPast President. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . June BenoitPresident Elect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Vice President. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Carol HodgesSecretary. . . . . . . . . . . . . . . . . . . . . . . . . . . . Mary Anne DouglasTreasurer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Jen BotelhoDistrict 1 Director . . . . . . . . . . . . . . . . . . . . . . . . Marcia BosekDistrict 2 Director . . . . . . . . Mollie Chamberlain & Katie ClarkDistrict 3 Director . . . . . . . . . . . . . . . . . . . . . . Virginia UmlandVSN Foundation . . . . . . . . . . . . . . . . . . . . . . . . . Lorraine WelchVSNA Executive Director . . . . . . . . . . . . . . . . . . . . . June BenoitDistrict PresidentsDistrict 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Jill FedericoDistrict 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Catherine Ann GuyDistrict 3 . . . . . . . . . . . . . . . . . . . . . . Virginia Umland (Director)StaffBookkeeper. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Martha StewartLobbyist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Christie SteierCommittee ChairpersonsConvention. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lorraine WelchEducation. . . . . . . . . . . . . . . . . . . Deborah Hayward-SanguinettiGovernment Affairs. . . . . . . . . . . . . . . . . . . . . . . . Christie SteierMembership. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ann LarameeNominating. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vacantNursing Practice. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vacantProgram Planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .Psychiatric Special Interest Group. . . . . . . . . Maureen McGuireCongressional Coordinator . . . . . . . . . . . . . . . . . Christie SteierSenate Coordinator for Leahy . . . . . . . . . . . . . . . Christie SteierSenate Coordinator for Sanders. . . . . . . . . . . . . . Christie SteierANA House of Delegates . . . . . . . . . . . . . . . . . . . . . June Benoit,Carol Hodges, Lorraine Welch, Ellen CeppetelliAlternate Delegates . . . . . . . . . . . . . . . . . . . . . . . Richard FrankVNC Editorial Jean Graham and Eileen Girling

January, February, March 2011Vermont Nurse Connection Page 3Movie Review: Outside the Popcorn BoxWelcome to this new feature of the Vermont NurseConnection in which movies are reviewed and consideredwith enhancement of nursing and professional practicein mind AND with a little bit of thinking “outside thepopcorn box.”About the Columnist: Sandra McBournie is ProgramCoordinator of a nursing continuing education department,nursing professor and movie lover. I began using moviesto create discussion points with students anddecided to start doing reviews for the NHNurses Association (a constituent member ofthe American Nurses Association).Food, Inc. explores the root of the evil wecall nourishment in this country. Everything tobe believed about the quintessential Americanfarmer, the effort of the Food and DrugAdministration to protect us from harm, andeating chicken being better for you than eatingbeef will be challenged while watching Food,Inc. What can now be understood is that cornrules, food is poison, farmers are forced to becruel to animals and the earth to survive, andthe government agencies in place to protect you from harmare in cahoots with profit driven food corporations. Thestories covered in this documentary may force viewers tobecome the most disillusioned genetically modified foodeating consumers in history.Take for instance the story about the chicken farmerCarole Morrison, who is expected to grow a chicken fromegg to filet in six weeks. This requires an atmosphere forthe chickens that, well, isn’t very chicken like. No light,no room to move, and the inability to walk because theyare so overgrown with steroids and an unnatural diet thattheir bodies are too heavy for their legs to carry them.When Carole who makes a measly 18,000/year raisingand selling these chickens puts her foot down about thischicken abuse and fights the giant corporation that buysher chicken meat about not allowing light into her chickenhouse, they cancel her contract.Then there is the tragic story about an E.Coli breakoutthat caused the death of Barbara Kowalcyk’s young sonand her subsequent plight to put a stop to any such futuretragedies. The story behind the story; well it turns outthat the cows aren’t supposed to eat corn, which allowsunnatural bacteria to grow in their manure,which cows stand in up to their knee caps,unable to move, in an overcrowded corral.Nor is the rain water that runs through thefeces filled cow farm supposed to be able tospill down into the spinach field next door. Ifyou are wondering why we feed cows corn ifit isn’t part of their native diet, the answer issimple: cheap corn equals cheap feed, equalscheap meat, equals more meat sold, equals bigprofits for the meat company. Where is theFood and Drug Administration while all thisfilth is running through farms you ask? Notdoing inspections apparently, for accordingto Food, Inc., they performed approximately40,000 less inspections in 2006 than they did in 1972.All these stories force the viewer to wonder about theAmerican food consumer’s lack of a relationship withtheir food; especially if that food once had eyes. JoelSalatin, a good old fashioned “natural” farmer in the filmsaid “industrial food is not honest food” and he believesyou can “meet the need without compromising integrity.”In other words the consumer should demand that we letcows act like cows, and chickens act like chickens andlet food corporations either cowboy up or squander. Weshould buy more and locally grown, fresh, organic foods.Which begs another question the movie explores; “what ifyou can’t afford it?” Everyone knows the cheaper the foodis the worse it is for you (think fast food), and this filmKappa TauCordially invites you toOur annualWEDNESDAY FEBRUARY 9, 20115:00-7:30PMWINDJAMMER RESTAURANTCome for an informal evening of conversation withnursing colleagues. Everyone is welcome!Dinner Menu:Caesar SaladBaked Potato or Rice PilafSeasonal VegetableChoice of: Prime Rib, Broiled Salmon, Boston Scrod,Chicken Teriyaki, Vegetarian Option, or Chicken andShrimp Combo.Cheesecake with StrawberriesCoffee or TeaCash BarCheck out our website for updateshttp://www.uvm.edu/ kappatau/Registration opens January 1, 2011clearly points to big food business, with bigger profits,and gigantic heavy hands as the reason. Large foodcorporations respond by saying they are doing us a hugefavor with the level of efficiency they provide and thatAmerica would have a food shortage if it wasn’t for theiriron fisted national network. Food, Inc. sheds a beaminglight on what now appears to be an obvious fact: efficiencyequals bad food.Is this corporation-farmer-consumer paradigm soundingfamiliar to caregivers reading this? Big business with bigprofits (pharmaceutical companies, insurance companies)forcing the middle man (nurse and other healthcareproviders) to manipulate the product (caregiving) at risk tothe consumer (patient). I highly recommend Food, Inc., ifnot for your own health and well-being, for the health andwell-being of your patients.Kappa Tau Chapter ofSigma Theta TauResearch NightWHEN: January 20, 2011 at 6pmWHERE: 107 Rowell, University of VermontRobert Nash, Ed.D andAlexis Ressler, M.S., M.Ed., APRN presentScholarly Personal Narrative: An alternativeresearch methodology for nursing

Page 4 Vermont Nurse ConnectionJanuary, February, March 2011The Future of Nursing: Leading Change, Advancing HealthSubmitted by: June M. Benoit MSN FNP,Executive Director-VSNA, Inc.The Institute of Medicine (IOM) is an independent,nonprofit interdisciplinary advisory body to the nationon issues impacting health. Established in 1970 underthe charter of the National Academy of Sciences, theIOM provides independent, objective, evidence-basedadvice to policy makers, health professionals, the privatesector, and the public. The process of health care reformin the United States is unfolding; with the adoption ofthe Affordable Care Act millions of Americans will nowhave access to health insurance. This provides a uniqueopportunity to restructure our current health care systeminto one emphasizing patient centered care, commitmentto quality, and collaboration—core components of nursingpractice. In examining our current health care deliverysystem and health care reform efforts, The IOM partneredwith the Robert Wood Johnson Foundation (RWJF) tocreate the RWJF Initiative on the Future of Nursing at theIOM in 2008. The RWJF has long-standing commitmentto ensuring our nursing workforce has the necessarycapacity, skills, and competence, to meet the present andfuture health care needs of the public. This Committeewas charged with performing an in-depth analysis of ournursing profession and to make recommendations forstrengthening nursing to become full partners and leaderswithin health care reform and health care delivery systems.This past October the Committee released their reportwith the following four key messages: Nurses should practice to the full extent of theireducation and training. Nurses should achieve higher levels of educationand training through an improved education systemthat promotes seamless academic progression. Nurses should be full partners, with physiciansand other health care professionals, in redesigninghealth care in the United States. Effective workforce planning and policy makingrequire better data collection and informationinfrastructure.The VSNA, along with other Constituent MemberAssociations (CMAs), and the American NursesAssociation supports this report. “We at ANA supportthe recommendations of the IOM report and are eagerto partner with others in developing effective strategiesto implement these ideas, which are reflective of ANA’slong standing work on behalf of the nursing profession,”ANA President Karen Daley PhD, MPH, RN, FAAN,commented. “This report bolsters the case that ANA haslong championed—that the full contributions of nurses andnursing are essential to the delivery of high quality, patientfocused care. The IOM recommendations, along with theadoption of the Affordable Care Act (ACA), serve to createa unique opportunity to restructure our current healthcare system into one which emphasizes collaboration anda commitment to quality. We look forward to workingalongside other key stakeholders to implement the changesneeded to ensure we’re building a health care system thatprovides access to high quality care.”The Report identified a number of barriers that preventnurses from being able to respond effectively to rapidlychanging health care settings and an evolving health caresystem. These barriers need to be overcome to ensure thatnurses are well-positioned to lead change and advancehealth reform. The RWJF’s Initiative on the Future ofNursing organized a national conference November 30ththrough December 1st to discuss ways to implement thereport’s recommendations. Five CMAs are currentlyinvolved in formal pilot projects with the RWJF to developspecific strategies addressing the IOM Recommendations.While not involved with a formal pilot project, the VSNAwill engage other key nursing and health care stakeholdersin Vermont to specifically address implementing theserecommendations within our state.For more information on the Future of Nursing Report,go to www.nursingworld.org or to read the full report:http://www.nap.edu/catalog.php?record id 12956. You canalso go to the RWJF Initiative on the Future of Nursingwebsite—TheFutureofNursing.org.North Country Career Center Salutes Miranda Ryan“She has a very professional, calm and consistentThe North Country Career Center is proud to announcethat Miranda Ryan, a recent graduate of the Health Careers demeanor and this worked extremely well for her duringProgram, was awarded the Gold Medal in Nurse Assisting this competition.”“I never thought that I would go this farat the National SkillsUSA* competition held inand I owe a lot to my great teachers, CelineKansas City, Missouri.Champine and Carol Trembley. They pushedRyan was accompanied to Kansas City byme to compete and I realized that if I put myHealth Careers instructor, Celine Champine,mind to it, I could do it,” said Ryan. “I hopewho is elated with Miranda’s success. “I havethis inspires other kids to try their best.”seen such growth in Miranda over this pastRyan is a 2010 graduate of the Healthyear. She is very patient-oriented and that mindCareers Program at North Country Careerset obviously came through in the competition,”Center. While in the program, Ryan earnedcommented Champine, adding, “I am so verycredentials in CPR, AED (Automated Externalproud of her and I am confident that she willDefibrillator), First Aid and LNA (Licensedreach her career goals in the nursing field.”Nursing Assistant) licensure. She also receivedTo place first at Nationals, Ryan competedthree college credits from the Communityagainst twenty-five other state gold medalistsCollege of Vermont in Medical Terminology.who, like herself, had earned the right toShe plans to attend Southern Vermont Collegerepresent their home state by placing first inin Bennington in the fall and pursue a nursingtheir state. During the National Competition,degree. She is currently working at Bel-AireRyan had to demonstrate a variety of patientCenter in Newport and Wayne’s Snack Bar incare skills, submit a resume, participate inNewport Center.a job interview, and take a written test onContact Information: Celine Champine,Nurse Assisting theory. Judging also includedMiranda RyanHealth Careers Instructor, celinechampine@professional appearance and attitude, attributesncuhs.orgwhich Instructor Trembley commented on very positively.

January, February, March 2011Vermont Nurse Connection Page 5Personal & Financial Healthparticipation in clubs and activities, handling competition& leadership).(2.) Once you have identified the various issues in whichyou need to develop more self-control, then you need toidentify which emotions tend to lead you to be more outof control. Use the list of emotions and feelings clusters toidentify for each issue out of control, which emotions orfeelings tend to exacerbate the loss of control.Emotions that lead to being out of controlEmotionFeeling clusterBoredomlistless, unoccupied, restless,uneasy, a need for novelty, change,or excitementwords, you will fatigue the self-control muscle by overusing it. His recommendation is to exert, and then rest, andthen exert, and then rest—in this way you may be able tobecome more self-disciplined by “growing” your strength.“From a practical point of view, you can view the modelof self-control as a limited resource,” Duckworth said, “Ifyou’re a nurse in a stressful environment, doing things(both emotionally and physically) that you don’t wantto, well, after a long 10-hour shift, like any muscle thatgets worn-out, you’re more likely to break a self-controlmechanism—yell at your spouse, break your diet, and soon. Think about it: Most people don’t break their diet andraid the refrigerator at 10 a.m. in the morning. This usuallyhappens at the end of the day when their ‘willpowermuscle’ is much weaker.”A great way to refill your “willpower reservoir” whenthe tank is running on empty is to catch a nap, listen toa joke, get a hug, watch a funny movie, etc. But thereare times when relaxation, sleep, a change in schedulingor a “time out” is not possible. In these times, it may beviable to—rather than change your behavior—change yourenvironment. “As a nurse, you can make an excuse to getout of a difficult conversation, decreasing your self-controldemands. You can then postpone the meeting to a timewhen your self-control reserves are higher If you’re atthe ‘end of your rope,’ then don’t schedule an emotionallydifficult session or workout,” Duckworth noted.Angerrage, hate, cheated, infuriated,spiteful, mean, mad, or enviousGuiltashamed, miserable, remorse,blamed, distraught, or painDepressionleft out, ugly, empty, powerless,victimized, suffering, useless,low, sad, helpless, discouraged, ortroubledAnxietyoverstressed, out of control,nervous, overwhelmed, uneasy,tense, pressured, panicked,troubled, confused, or shockedLonelinessunwanted, unappreciated, leftout, ignored, unloved, alone, hurt,neglected, ugly, or rejectedFearafraid, tense, anxious, nervous,weak, worried, skeptical,frightened, threatened, panickedExcitabilityeager, driven, energetic, capable,turned on, enthusiastic, motivated,or cleverImplementation IntentionsIt is possible to double or even triple your chance ofachieving a specific goal if you pre-think (think ahead)and indicate how you are going to execute the goal.Peter Gollwitzer, Ph.D, does this by having people usespecific how, where, when, what objectives, such as: “Ifhappens, then I will do .”Now name five things that you need to do: “When it isI will do .”Gollwitzer has people delegate the initiation of goaldirected behavior to environmental stimuli by formingso-called implementation intentions. Again, he uses the:“If situation x is encountered, I will perform behavior y”theory. He has observed that forming implementationintentions helps in detecting, attending to, and recalling thecritical situation. Moreover, in the presence of the criticalsituation the initiation of the specified goal-directedbehavior is immediate, efficient, and does not need aconscious intent.Forming implementation intentions can be used as aneffective self-regulatory tool when it comes to resistingtemptations, avoiding to stereotype members of an outgroup, blocking unwanted goal pursuits and more. Plus,action control via implementation intentions seems to savea person’s self-regulatory resources.Comfortproud, refreshed, appreciated,satisfied, accomplished, useful,respected, content, confident, full,calm, or relaxedHappinessgood, nice, glad, loved, pleased,wanted, wonderful, delighted, orbeautifulPump Up Your Self-Discipline Muscleby Flexing Your Will (and Won’t) Powerby Susanne Gaddis, Ph.D.Like an athlete in training for a major competition,it took several long years of study, self-discipline andfinancial sacrifice to train to be a RN. In order to studyand pass your nursing exams, you made many disciplineddecisions to dedicate your time, money and effort in orderto achieve this goal. And now that you’ve achieved youradmirable objective, do you find that you’re still showingthat same steely resolve and fierce willpower in your job?Pumping up your “willpower muscle” in your dayto-day career can mean a variety of things: Keepingtimeliness a priority; making follow-through a must (nota maybe); giving co-workers extra help and effort in aneeded area, as well as many other will-powered efforts.And sometimes willpower even means flexing your “won’tpower” brawn—using self-restraint, like saying “nothanks” to idle gossip and water cooler-rumors.“Willpower can be defined as initiating activity, or theability

Nurse Connection Are you interested in contributing an article to an upcoming issue of the Vermont Nurse Connection? If so, here is a list of submission deadlines for the next 2 issues:. 14 #2—January 24, 2011 Vol . 14 #3—April 25, 2011 Articles may be sent to the editors of the Vermont Nurse Connection at: Vermont State Nurses' Association