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Page 2New Jersey Nurse & Institute for Nursing NewsletterP r esident’s R em a r ksComplacency and the Cycle of Arroganceby Mary Ann T. Donohue, RNPresident, New Jersey State Nurses AssociationHow many of us have beenstricken with the amount ofstress and demands uponour time? According to theNational Sleep Foundation(NSF) 2011 Survey, 43% ofAmericans between the agesof 13 and 64 now say theyrarely or never get a goodnight’s sleep on weeknights(Williams, 2011). Moreover, thestudy notes that the “goldenDr. Mary Ann T.hour” immediately preceding aDonohuenight’s sleep is invaded by theuse of technology. Almost everyone surveyed, 95%,reportedly used television, computer, cellphone orvideo games in that single hour; with roughly six in tenpeople using their laptops or computers at least a fewnights a week within the one hour before bedtime. AsI settle into my own nighttime routine, I can’t help butnotice that many of my Facebook friends (who I happento know must get up to go to work within a few hours),nevertheless post messages or game activity, well intothe wee hours of the night. According to the NSF vicechairman Russell Rosenberg, Ph.D., this unprecedentedintrusion into our sleep habits has now risen to the levelof abuse. Such dependence, or even addiction, mightilycontributes to our collective sleepiness: We subsequentlyreceive far less sleep than our bodies require at night,leaving millions of Americans functioning poorly thenext day. We are therefore left more tired and lessprepared to face the challenges of our stressful lives.The safety risks and health problems aside, we mayeven protest that we don’t have the time or the energyfor involvement outside the tightly circumscribed circlesof family, friends and the workplace. Of course, wecan’t do anything else, we are simply much too tired.Yet, we seem to repeat the cycle every night.Before we cry out, “No more,” let’s think andperhaps evaluate for a moment about the type of stresswe often blame for driving us to technology in the firstplace. What is that? Demands of the workplace; family,especially caring for different generations under oneroof; young children’s homework that morphs into bigprojects, or older adult children that need a similaramount of parental guidance and support; or perhapsthat special significant someone in our lives—they allneed time, care, feeding and attention as well. All in all,one might argue, in that our efforts to relax late at nightwith an electronic device at hand may be an attemptto achieve some semblance of work/life balance. True;yet there is no positive outcome to our growing use ofcasual technology; we simply isolate ourselves and growattachments to devices, not people, to the point thatit may become a habit that is becoming more difficultto break. With the advent of the newest iPad or thelatest version of an electronic game, we invest moreof ourselves and of our time than we ever really reap.There is a cycle of complacency that easily spreads tothe point of dependence, or even addiction behaviors inindividuals; and from what we see in our everyday lives,it will certainly continue unless it is interrupted.As human beings, we aren’t well known forembracing change. If asked, most of us prefer slow,predictable change with big warning signs so we haveplenty of time to adjust, we say, though it could alsomean we need that time more to settle into “complain,whine and moan” modes, before we inevitablysurrender to the change. Usually, change is forcedupon us and we literally have no choice. Unfortunately,complacency has certainly depleted the ranks of manyorganizations, notably nursing organizations, such asNJSNA. For example, I recently asked our NJSNAstaff for a breakdown of Magnet organizations and thecorresponding membership in NJSNA. The resultsstartled me as I did not see a significant relationshipbetween Magnet recognition status and NJSNA/ANAmembership, as I had expected.What is the arrogance cycle? The business bestseller by Michael K. Farr (2011) attempts to describethe events that led to the burst of the stock marketbubble, in laymen’s terms, that certainly seems tocapture our understanding of American society, evenextending to nursing organizations. For example, Farrfocused on individual factors in our personalities—suchas consumerism, a sense of entitlement, and othercharacteristics—that combined to create the perfecteconomic storm, emptied out bank accounts, depletedinvestments and ruined countless lives. As Farr said,in a recent quote, “In many respects, we’ve lost ourway, presuming superiority without feeling we have toprove it” (Farr, as cited in Hruby, 2011). Our ancestorswere lean frontier people, survivors and achievers ofthe highest order, because they worked unimaginablyhard in unimaginable circumstances. Much as in theperiod preceding our country’s last economic crashof 1929, depression, hunger and learning how to dowithout are neither within our current experience,nor even our common understanding. We think weare doing without if we can’t purchase the latestelectronic item, or designer apparel or handbag,because we don’t like feeling deprived in any way ofanything. Arrogance, according to Farr, builds in slowand insidious ways, with confusion between what Ineed and what I deserve swirling around until only Ideserve that becomes the new order of thinking, untilit simply becomes the way we think. We fail to heedthe warning signs, believing and justifying our frenziedwork habits, to instead fuel the belief that we surelydeserve to spend our time and our money in anyway we choose. Our so-called “inner circle” becomessmaller, and our personal and professional lives nearlybecome extinguished, until they completely vanish. Asa result, we effectively squeeze personal relationshipsand organizational or political involvement out of ourlives entirely. Our mantra becomes, “I’m not political,”or “Let someone else who is good at it, do it” replacingas it were, John F. Kennedy’s famous quote, “Ask notwhat your country will do for you, ask what you cando for your country.”We have seemingly forgotten that, in order tobecome prosperous, productive and strong as nurses,we must continue to build a vigorous and strong nursingorganization. The founders of NJSNA, who in 1903struggled to put nursing on the map before womenhad the right to vote in this country, sacrificed endlesslyand invested mightily in order to produce achievementsthat prove their investment even today: Where wouldwe be without the Nurse Practice Act, prescriptiveauthority for APNs, our advocacy for nursing researchand evidence based care, lobbying activities to engagepolicy makers that benefit patients and their familiesand, most important, all nurses, not limited specificspecialties, but all nurses? Please take a moment to goto our www.njsna.org website, and if you are readingthis and you are not a member, pay the dues. Circle thenext meeting of your region on your calendar and planto attend, speak up and volunteer to help change thecourse of history for nursing in New Jersey!References:Williams, J. C. (2011, March 7). Annual sleep in Americapoll exploring connections with communicationstechnology use and sleep. Retrieved from communicationstechnology-useFarr, M. K. (2011). The arrogance cycle: Think you can’tlose, think again. Guilford, CT: Lyons Press.Farr, M. K. (Producer). (2011). The arrogance quiz. ch?v op8QPZh0 VUHruby, P. (2011, November 16). Red, white and goo: HasAmerica gone soft? The Washington Times. njsna.orgPublished by:Arthur L. DavisPublishing Agency, Inc.April 2012New Jersey Nurse & Institute for Nursing NewsletterOfficial Publication of theNew Jersey State Nurses Association1479 Pennington RoadTrenton, New Jersey 08618Phone: 609-883-5335 or 888-UR-NJSNAFax: 609-883-5343Email: njsna@njsna.orgWebpage: www.njsna.orgPublished quarterly every January, April, July and October for theNew Jersey State Nurses Association, a constituent member of theAmerican Nurses Association.NJSNA Mission StatementAdvance the practice of professional nursing by fostering qualityoutcomes in education, practice and researchInstitute for Nursing (IFN) Board of TrusteesJudith Schmidt, President; jschmidt159@comcast.netEileen Fay, Treasurer; efay@vnacj.orgNorma Rodgers, MAL, normarn1@aol.comPatricia A. Barnett, MAL; pat@njsna.orgDeborah Walker-McCall, Community Member;dwalker@rutgers.eduCharles Yahn, Community MemberRobert Hess, Community Member; rhess@gannetthg.comDavid Knowlton, Community Member; dknowlton@njhcqi.orgExecutive CommitteeMary Ann T. Donohue, President; dr.donohuern@gmail.comJudith Schmidt, President Elect; jschmidt159@comcast.netRev. Benjamin M. Evans, Vice President; FrBenFSP@aol.comEileen Fay, Treasurer; efay@vnacj.orgJune Brandes Chu, Secretary; jmbc16@verizon.netBoard of DirectorsBarbara Chamberlain, Immediate Past President;Chmbrlnchm@comcast.netSally Leeds, Director; nurspract@comcast.netTara Heagele, Director; theagele@rwjuhh.eduRosemarie Rosales, Director; rnrrosales@aol.comMary A. Carroll, Director; mary@carroll.comBrenda Marshall, Director; marshallb3@wpunj.eduMary B. Wachter, Director; mary.wachter@yahoo.comGrace Reilly, Director Staff Nurse; grace-apn@comcast.netEileen Davis, Director Staff Nurse; pokyeidavis@verizon.netJo Anne M. Penn, Director Staff Nurse; joannepenn@aol.comSusan Weaver, Chair Congress on Policy/Practice;sweaver@saintclares.orgRegion PresidentsJackie Galante, Region 1; Jax963@gmail.comLinda Wolfson, Region 2; LinWolfs2@aol.comNorma Rodgers, Region 3; normarn1@aol.comSandy Quinn, Region 4; squinn@chsnj.orgKate Gillespie, Region 5; jcgksg@aol.comEileen Toughill, Region 6; etoughil@comcast.netNJSNA/IFN StaffPatricia A. Barnett, CEO; pat@njsna.orgSandy Kerr, Executive Assistant; sandy@njsna.orgDebbra Elko, CFO; Debbra@njsna.orgAnnemarie Edinger, Administrative Assistant;Annemarie@njsna.orgJamie Smith, Dir. Education & Practice/Interim RAMP Director,jamie@njsna.orgLydia Rojek, Acct. Clerk, Lydia@njsna.orgDebra Harwell, Associate Director; Deb@njsna.orgTyea Santiago, Administrative Assistant; education@njsna.orgJennifer Martin-Steen, Director IT/Marketing/Membership;Jennifer@njsna.orgNancy Haddock, Case Manager RAMP; Nancy@njsna.orgArlene Davis, Case Manager RAMP; Arlene@njsna.orgWendy Summers, Case Manager RAMP; wendy@njsna.orgNew Jersey Nurse StaffPatricia A. Barnett, Editor; Pat@njsna.orgSandy Kerr, Managing Editor; Sandy@njsna.orgBarbara Wright, Executive EditorNew Jersey Nurse Copy Submission Guidelines:All NJSNA members are encouraged to submit material for publicationthat is of interest to nurses. The New Jersey Nurse also welcomesunsolicited manuscripts. Article submission is preferred in MS Wordformat and can be up to 1000 words. When sending pictures, pleaseremember to label pictures clearly since the editors have no way ofknowing who persons in the photos might be.Copy Submissions: Preferred submission is by email to the ManagingEditor. Only use MS Word for test submission. Please do not embedphotos in Word files, send photos as jpg files.Submit Materials to: New Jersey Nurse, Attention to Sandy Kerr,Managing Editor at sandy@njsna.orgAdvertising: for advertising rates and information please contactArthur L. Davis Publishing Agency, Inc., 517 Washington Street, P.O.Box 216, Cedar Falls, Iowa 50613 (800-626-4081), sales@aldpub.com. NJSNA and the Arthur L. Davis Publishing Agency, Inc. reservethe right to reject any advertisement. Responsibility for errors inadvertising is limited to corrections in the next issue or refund of price ofadvertisement.Acceptance of advertising does not imply endorsement or approval bythe New Jersey 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 that themanufacturer lacks integrity, or that this association disapproves of theproduct or its use. NJSNA and the Arthur L. Davis Publishing Agency,Inc. shall not be held liable for any consequences resulting from purchaseor use of an advertiser’s product. Articles appearing in this publicationexpress the opinions of the authors; they do not necessarily reflect viewsof the staff, board, or membership of NJSNA or those of the national orlocal associations.

April 2012New Jersey Nurse & Institute for Nursing NewsletterPage 3CEO M essageWhat does it meanto be a ProfessionalNurse?some people I respect. The information and commentsare below.Patricia Barnett, JD, RN, CEOSUMMER CAMP NURSE (RN, LPN)8 WEEK RESIDENT CAMPJUNE 22 - AUGUST 18(SINGLE OR MULTIPLE WEEKS)JOHNSONBURG PRESBYTERIAN CENTER908-852-2349www.campjburg.orgColumbia University: “ believe that in adynamic society, education for membership ina profession includes development not only ofexpertise in a field, but also of social awareness. Theprofessional nurse thinks critically, exercisestechnical competence, and makes sociallysignificant contributions to society throughtheory-based practice.”The Foundation and Center for CriticalThinking “Critical thinking is the disciplined,intellectual process of applying skillful reasoning asa guide to belief or action (Paul, Ennis & Norris). Innursing, critical thinking for clinical decision-making isthe ability to think in a systematic and logicalmanner with openness to question and reflecton the reasoning process used to ensure safenursing practice and quality care (Heaslip).”Chantal Cara, Ph.D., RN an AssociateProfessor at the Université de Montréal,Faculty of Nursing. A Pragmatic View ofJean Watson’s Caring Theory. “Caring endorsesour professional identity within a context wherehumanistic values are constantly questioned andchallenged (Duquette & Cara, 2000). Upholding thesecaring values in our daily practice helps transcend thenurse from a state where nursing is perceived as “justa job,” to that of a gratifying profession. UpholdingWatson’s caring theory not only allows the nurse topractice the art of caring, to provide compassion toease patients’ and families’ suffering, and to promotetheir healing and dignity, but it can also contribute toexpand the nurse’s own actualization. In fact, Watsonis one of the few nursing theorists who consider notonly the cared-for but also the caregiver Watsondefines nursing ‘as a human science of personsand human health—illness experiences that aremediated by professional, personal, scientific,esthetic, and ethical human care transactions.’In addition, she also views nursing as both ascience and an art.”Karen Daley, PhD, MPH, RN, FAAN,American Nurses Association, President. Aprofessional nurse is an individual with knowledgeand skills, qualified by education and licensure andwhose practice exemplifies values of competence,respect, accountability, interdisciplinary collaboration,Navy Nursing.There are opportunities for nurses to gain extraordinaryexperience serving part-time in America’s Navy Reserve. Andall while maintaining a civilian career. You can work in any of19 specialization areas or roles – from Critical Care to NurseAnesthetist. Enjoy excellent benefits – including a potentialsign-on bonus of up to 30,000 (based on specialty). And earna world of respect as you do a world of good.WANT TO LEARN MORE? CONTACT YOUR NAVY RESERVEMEDICAL RECRUITER TODAY.(800) 327-0939 JOBS.LEADS119@navy.milLucille Joel, EdD, RN, FAAN, NJSNA andANA, past President. Nursing is the oldest of arts,and the youngest of sciences. The art of nursing is thedesign of evidence-based care in the performance ofactivities that promote and maintain health, resolveillness, or provide a peaceful end-of-life. The core ofnursing is client advocacy within the nurse-patientrelationship, doing what the client would prefer forthemselves, if they had the necessary resources to doso.Joyce Johnson, PhD, RN, FAAN, NEABC. The professional nurse believes in the intrinsicworth of the human person and the capacity to heal;engages in evidenced-based practice to prevent illness,promote optimum health and quality of life, and relievesuffering. The professional nurse respectfully regardsand dignifies palliative care and end-of-life, and thrivesin an environment that fosters scientific inquiry, criticalthinking, problem solving and professional respect.Mary Ann T. Donohue, PhD, RN, APN,NEA-BC, NJSNA President. The professionalnurse has the unique privilege of involvement/engagement with another human being who is in needof his/her care, from before birth to the dying process.The professional nurse is creative in the applicationof science and technology and embraces up-to-theminute knowledge in order to attend to, and advocatefor, the patient and family. Nursing care extends to theentire global community and also to each other. Oncea nurse is “made,” one’s nursing identity cannot beseparated from the person: You are a nurse forever.Tara Heagele, BSN, RN, PCCN, NJSNABoard of Directors Member. As a professionalnurse, I hold myself accountable for the outcomesof those within my care. Every day my goal is tomake sure my communities, patients and coworkersfeel nurtured, respected, valued, and worthy of mytime and encouragement. I utilize the AmericanNurses Association Code of Ethics, Scope andStandards of Practice, and Social PolicyStatement to guide my interactions with patients,families, nursing students and colleagues. I believe inproviding and teaching the most current, evidencebased care and thus, being a life-long learner andconsumer of nursing research, I take pride in being aleader and role model, and I demonstrate the role ofnurse with honesty and integrity.Now it is your turn, how do you define aprofessional nurse? Please go on the NJSNA Facebookpage and tell me what your definition is and see whatothers say. You can get there by going to http://njsna.org/ and click on Facebook at the bottom of the page.We will take some of the best responses and list themin future editions of New Jersey Nurse.Online CEmodulesavailable!Truly an Honor. 2011. Paid for by the U.S. Navy. All rights reserved.I had two conversationsrecently that left me withthe question whether nursesagree on what it means tobe a professional nurse. Oneperson is very much like me:a “seasoned” nurse who isa diploma school graduate,who has worked in the clinicalsetting, for her professionalassociation and is very activein collective bargaining. ThePatricia Barnettsecond is a BSN graduate whohas gone on for a master’s degree and has extensiveclinical experience. Oh yes, she is also in her twenties!We were sharing incidents that made us wonder if wein nursing really agree on what a professional nurse isand what his/her obligations are to the profession andpatients.I remember some of my class mates said they were“refrigerator nurses”—meaning that nursing was agood job that allowed them to make major purchases,hence the name “refrigerator,” contribute to theirfamily’s well-being, but it wasn’t their life’s work.Others felt nursing was a calling or mission—andtheir role is a champion for patients. Still others seeit as a stepping stone to an ultimate goal, perhaps inthe corporate world or in a foundation. While all arenurses, their views of nursing vary and perhaps this ispart of our struggle today. What makes a professionalnurse?I do not pretend to have THE answer, but beloware some concepts that were drummed into me asa student and they have shaped me throughout mycareer in nursing and in other areas: I was expected to be a patient advocate.That meant understanding the patient’s medical,economic, family and psychological needs andchallenges. It meant that I had to represent theinterests of the patient, at times in conflict withtheir physicians’ orders. I might have to arguewith my institution for better staffing to ensurethat my patients received the care they needed. I am responsible for my clinicalknowledge throughout my career. I need to be an example for andsupporter of my fellow nurses. Thismeans sometimes questioning their actions. Italso means accepting criticism and using it toimprove patient care. I represent the profession to the publicwherever I go. This now includes Facebook! I am responsible for the future of myprofession, therefore I need to beinvolved in my professional association. Nurses represent all parts of society;union members, educators, tpractice,andmanymore roles. All carry both the gift and theresponsibility of representing the profession.I wondered what others have said about beinga professional nurse; I looked at the web and askedand a commitment to lifelong learning and excellence.Individual practice attends to the range of humanexperiences and responses to health and illness,application of scientific knowledge, critical thinkingand problem-solving, advancement of nursingknowledge, and advocacy to influence health carepolicy.We salute our nurse partners fortheir commitment to saving andenhancing lives through organ andtissue donation.Learn more by visitingwww.njsharingnetwork.org.

Page 4New Jersey Nurse & Institute for Nursing NewsletterApril 2012THE 13 0 -y E A R L E ADER iN NURSiNg EDUCATiONnuRSing iS Changing.lead The WaY.The Top-Ranked dRexel online Rn-To-BSnEveryday, nurses just like you are choosing Drexel University Online to further their education,specialize their skills, and advance their careers and salaries. Here’s what Drexel Online offers: A full selection of accredited RN to BSN, MSN, certificate and NP programs U.S.News & World Report ranks Drexel University among “America’s Best Colleges 2012”NELIDREXNEOLV E RSITNIYU 80% of Drexel’s full-time faculty members hold a PhD A highly-interactive online format with 24/7 online access and support2012ChooSe dRexel online foR YouR SuCCeSSVisit: dRexel-nuRSing.Comdrexel online. a Better u. info@drexel.com 877.215.0009

April 2012New Jersey Nurse & Institute for Nursing NewsletterPage 5COPP Committee L-R: Susan Weaver, Chair; Jamie Smith, FlorenceJennes, Eleanor Dietrich, Vidette Todora-Franceschi, Mary Ellen Jacobs,past chair, Grace Reilly and Karla Tramutola.Congress on Policy andPractice (COPP)by Susan H. Weaver MSN, RN,NEA-BC, CRNI, ChairNJSNA Congress on Policy and PracticeSo what are the plans for COPP—The Congress on Policy and Practice in2012? COPP is focusing on practice issues in NJ, using the expertise of the COPPmembership to develop, review and revise NJSNA Position Statements. A practiceissue that COPP is researching concerns the use of shackles and restraints withpregnant women who are incarcerated. Is it cruel and inhumane or is it appropriatethat shackles be used for prisoners who are in labor?One of the NJSNA position statements currently under review was developed in1991 and is entitled, Re-Education of Professional Nurses for Reassignment. Thisposition statement can be found on the NJSNA website and explains that it is theresponsibility of the nurse to maintain competence. Additionally if reassignmentis necessary the employer should provide appropriate re-education. The ANAhas a 2008 position statement entitled, Professional Role Competence, whichexplains “Assurance of competence is the shared responsibility of the profession,individual nurses, regulatory bodies, employers, and other key stake holders.”COPP is discussing archiving the NJSNA Re-Education of Professional Nurses forReassignment Position Statement because the ANA position statement reaffirmsthe message of maintaining competence. What do you think?The Congress on Policy and Practice wants to hear from NJSNA members.Please send any practice concerns to COPP: Jamie@njsna.org.References:In our next newsletter . . .Mary Ann Christopher, MSN, RN, FAANreceives 2012 ANA HonoraryHuman Rights Awardyou’re a nurse, you’re busy, yet you needthat degree!American Nurses Association, Professional Role Competence, 2008. xFerszt, G. (2010). Giving birth in shackles. American Journal of Nursing, 110(2), 11JOIN US!SATURDAYOPEN HOUSEApril 21, 20129 a.m.Kirby Hall262 South Main StreetLodi, NJ 07644ADVANCE YOUR CAREER!CALL FOR DETAILS ABOUT FELICIANNURSING PROGRAMS OFFERED AT:RN TO BSN – 17-MONTH FAST TRACK Meet one full day a week –same day for duration of program Earn three graduate-level credits atundergraduate tuition rate Offered on campus and at area hospitalsand community colleges listed at rightModular r.n. to b.S. Program OnlIneFully accredited . 15 months, no clinical, no tests.Need a scholarship? Ask us!StartS every March, July, and OctOber585.594.6073 ED BACHELOR’S TO BSN For those who already hold anon-nursing bachelor’s degreeMSN WITH TRACKS IN: Adult & Family Nurse Practitioner – ONLINE Nurse Education Nurse Executive – NEWEAST ORANGE GENERAL HOSPITALKIMBALL MEDICAL CENTERMERCER COUNTY COMMUNITY COLLEGEMIDDLESEX COUNTY COLLEGEMONMOUTH MEDICAL CENTERSAINT BARNABAS MEDICAL CENTERSUSSEX COUNTY COMMUNITY COLLEGEWARREN COUNTY COMMUNITY lician.eduDOCTOR OF NURSING PRACTICE – ONLINEMASTER OF ARTS IN EDUCATION IN: School Nursing and Health Education School Nursing Health EducationSTUDENTS FIRSTLodi & Rutherford, NJ

Page 6New Jersey Nurse & Institute for Nursing NewsletterAuthor in the News NJSNA memberSusan SalmondHolly, C., Salmond, S. & Saimbert, M.K. (2012)Comprehensive systematic review for advancednursi

have many roles - from staff nurse to educator to nurse practitioner and nurse researcher - and serve all of them with passion for the profession and with a strong commitment to patient safety. National Nurses Week History National Nurses Week begins each year on May 6th and ends on May 12th, Florence Nightingale's birthday.