Pre-Conference Session - Thursday, February 22, 2018
Optimal Staffing: Advocating with a Business Case and Innovation
Seun Ross, DNP, MSN, CRNP-F, NP-C, NEA-BC
Director of Nursing Practice & Work Environment
American Nurses Association (ANA)
Seun Ross is the Director of Nursing Practice & Work Environment at the American Nurses Association. In her most recent clinical role, Dr. Ross was the Vice President of Clinical Operations for AL Health in Washington D.C., where she provided executive leadership in the areas of quality, compliance and patient care for all medical center sites. Prior to this role, she was the Director of Patient Care Services at MedStar Harbor Hospital. There she chaired multiple committees aimed at transforming the care delivery within her service lines. She also developed and wrote the hospitals Nursing Professional Practice Model; and conducted their first Nursing Research project.
Dr. Ross is a published author, most recently in a book titled, ‘The Doctor of Nursing Practice and the Executive Role”. She has lectured on many topics within her research interests, which include evidence based practice, workforce management, RN work environment, competency and developing/mentoring the novice RN. She received The Healthcare Award from the Helene Fuld School of Nursing in 2014, in recognition of her efforts in advancing the profession of nursing. She also has an Endowed scholarship in her name at Coppin State University aimed to assist nursing students with families, in completion of their Bachelor’s degree.
Dr. Ross earned her Bachelor’s degree and Master’s Degree from Coppin State University and her Doctoral Degree from Chatham University. She is currently the President of the Chi Zeta Chapter of Sigma Theta Tau Nursing Honor Society, Vice President of the National Organization for Women (NOW)-Baltimore, a member of the Academy of Healthcare Executives and holds certifications as a family nurse practitioner and Nurse Executive-Advanced.
The Intersection of Staffing and Work Environment: What Leaders Must Know to Succeed
Mary Jo Assi, DNP, RN, NEA-BC, FNP-BC, FAAN
Associate Chief Nursing Officer
As Press Ganey’s Associate Chief Nursing Officer, Mary Jo Assi leads strategies to strengthen caregiver resilience and engagement, reduce patient suffering and deliver compassionate, connected care. She is a faculty member at Florida Atlantic University, where she teaches in the university’s Doctor of Nursing Practice Program. Before joining Press Ganey, Mary Jo was Vice President of Nursing Practice and Innovation at the American Nurses Association where she led the organization’s strategic initiatives to promote and support best practices for enhancing the nursing work environment. During her more than 35 years of nursing experience, Mary Jo has worked as a clinical nurse, nurse educator, advanced practice nurse and nurse executive. She also held the position of Magnet Program Director in several settings and served as an ANCC Magnet® Commissioner for six years. She is a fellow of the American Academy of Nursing.
The pre-conference workshop focused on the national landscape and why there are staffing problems; models, trends and best practices; and how to understand the business case, including acuity, Press Ganey scores, the ANA cost calculator and more.
- Understand the National Landscape of Nurse Staffing
- Understand how to articulate the Business Case for Nurse Staffing
- Applying Innovation in patient care models to improve nurse staffing
Annual Conference - Friday, February 23, 2018
Board of Nursing Update
Kristin Benton, DNP, RN
Director of Nursing
Texas Board of Nursing
Kristin K. Benton, DNP, RN has been the Director of Nursing for the Texas Board of Nursing since 2013. In this role, Dr. Benton leads policy development and regulatory activities associated with pre-licensure nursing education programs, APRN licensure, and standards of nursing practice in Texas. Her area of interest is remediation of nursing practice breakdown.
Dr. Benton earned bachelor’s degrees in psychology from the University of Florida and in nursing from Louisiana State University Health Sciences Center School of Nursing, a master’s degree in nursing from the University of Texas Health Science Center at San Antonio, and a doctor of nursing practice degree from Texas Tech University Health Sciences Center School of Nursing. Prior to her current position, she taught nursing at Austin Community College from 2000-2012. She served as an appointed member on the Texas Board of Nursing from 2008-2012, and as President from 2011-2012.
The aim of this presentation is to provide nurse executives in Texas with updates from the Texas Board of Nursing (TBON). Among recent updates are the implementation of the new, Enhanced Nurse Licensure Compact (eNLC), changes resulting from the 2017 Texas Legislative Session, and future regulatory activities of the TBON.
- Describe recent trends and regulatory updates relevant to nurse executives.
- Discuss implications of the Enhanced Nurse Licensure Compact (e-NLC).
- Discuss future regulatory activities of the Texas Board of Nursing.
Step Into your Superpower: Strategies to Improve Healthcare Outcomes
Joel Boggess, MBA, MA
Finding your Voice LLC
Because of the selfless, and heroic efforts of nurses and other health care professionals, Joel Boggess not only survived a triple skull fracture (basilar), decerebration, and a four-week coma, he learned how to live life fully.
Now, at age 48, the recovery, and never give up lessons that were woven into him by the obvious, and not-so-obvious heroes, has forever changed the way he sees possibilities, potential, and promise.
Joel helps nurses navigate change, do more with less, and thrive.
His motivational content, and practical how-to pieces, have appeared on Success.com in Networking Times and in Huffington Post.
Joel's latest book, Finding your Voice, hit the #1 spot in the success and self esteem categories and was spotlighted by the editors of Success Magazine and included as a Success Book Summary.
Because of the intimate, life-saving experiences that nurses and caregivers encounter on a daily basis, the ability to relate, understand, and connect with a healthcare audience, comes natural, is felt throughout the room, and is almost immediate.
Originally from San Antonio, Joel and his wife Pei live in Texas, and have a Golden Retriever and a Golden rescue, Bubba and Happy.
Without safeguards, strategies, and 1-2-3 steps for implementation, caregivers can find themselves worn-out, overwhelmed and unsure of how to navigate the complexities of a changing and regulated environment.
Without a plan for renewal, and the building-up of emotional, mental, and physical resilience, commitment to the profession, could turn into a recipe for frustration and burnout.
The good news is, research in the fields of happiness and positive psychology, have shown that resilience - the ability to bounce back from family and relationship problems, serious health difficulties, or workplace and financial stressors, can be learned, honed, and mastered.
Attendees will walk away with science-backed strategies, that will bring them higher levels of health, happiness, and success.
- Simple steps for self care
- Simple steps for self leadership
- Simple steps for collaboration
Creating and Sustaining Civility in Nursing: Preventing and Addressing Incivility, Bullying and Workplace Mobbing
Cynthia Clark, PhD, RN, ANEF, FAAN
Strategic Nursing Advisor
ATI Nursing Education
Dr. Cynthia Clark is Strategic Nursing Advisor for ATI Nursing Education, Professor Emeritus, and Founder of Civility Matters®. She serves as a fellow in the American Academy of Nursing, the National League for Nursing, and co-chaired the American Nurses Association Professional Panel on Incivility, Bullying, and Workplace Violence. Her theory-driven interventions, empirical measurements, theoretical models, and reflective assessments provide best practices to foster civility and healthy work environments around the globe. She is the recipient of numerous awards; including the prestigious Elizabeth Russell Belford Award for Excellence in Education, awarded by Sigma Theta Tau International. Her book, “Creating and Sustaining Civility in Nursing Education” received 1st place honors as the AJN Book of the Year and is a must-read for all educators and health care professionals.
Jennifer Castaneda, RN, BSN, MSN, CLNC
Nursing Supervisor/Staffing Coordinator
HCA Las Palmas Medical Center/El Paso Behavioral Health Systems
I have been in healthcare since 2001 mostly in emergency medicine. I was a staff nurse in the ER for the first 8 years of my career, then transitioned into a clinical coordinator, ER director and then administrator or critical care services. I am currently the nursing supervisor at a behavioral health hospital in El Paso.
Adrienne Ferguson, BSN, RN, C-EFM
I was trained as an ED/Trauma Nurse out of nursing school. I later trained as a labor and delivery nurse. I have been travel nursing in OB for the past 3 years, which has provided the opportunity to work at ten facilities across the country.
Shanna Ingram, BS, BSN, RN
Lead Nursing Content Reviewer
Shanna Ingram graduated from Baylor University in 2014 with her Bachelor of Science in Nursing. She also has a Bachelor of Science in Biology from Texas Tech University. Shanna began her nursing career in an intensive care unit, where she worked as a charge nurse and clinical coach and served on the unit’s partnership and education committees. She is currently working as the Lead Nursing Content Reviewer at UWorld, an education company located in Coppell, TX. Shanna is currently attending Duke University School of Nursing, where she is pursuing a master’s degree in nurse education. Shanna is a member of Sigma Theta Tau International.
The detrimental impact of workplace incivility is well documented and if allowed to take root, the consequences can be extreme. So, imagine an enjoyable workplace—an environment where you and your colleagues can truly thrive in your career and profession. This engaging and thought-provoking session provides a deepened and empirical understanding of workplace incivility, its impact on individuals, teams, organizations, and patient care—and emphasizes the need to cultivate and sustain healthy workplaces.
- Summarize the “State of the Science” regarding civility and incivility in nursing.
- Explore the impact of incivility, bullying, and mobbing on individuals, teams, organizations, and patient care.
- Discuss a variety of evidence-based strategies to promote a healthy environment.
Disaster Preparedness: A Nurse Leaders Role
Cole Edmonson, RN, DNP, FACHE,
Texas Health Presbyterian Hospital Dallas
CNO with 27 years experience in health care, speaker, author and researcher.
Janet Leatherwood, MSN, RN,
Vice President/Chief Nursing Officer
Houston Methodist Sugar Land Hospital
Janet Leatherwood, MSN, RN, NEA-BC serves as Vice President and Chief Nursing Officer of Houston Methodist Sugar Land Hospital (HMSL) since 2001. HMSL serves the Fort Bend community, located 20 miles from Houston, Texas. During Leatherwood’s oversight HMSL has grown from a 26-bed facility to a 347 bed facility. Leatherwood’s most recent accomplishments include HMSL achieving Magnet® designation in 2017. HMSL is the first Fort Bend County hospital to achieve this distinction. During Hurricane Harvey in August, 2017 HMSL was the only hospital in Fort Bend County to stay open throughout the multiple day disaster.
Leatherwood holds a BSN from Houston Baptist University, Houston, TX, a MSN from University of Texas Medical Branch, Galveston, TX and is Nurse Executive Advanced Board Certified.
Kimberly Hatchel, DNP, MHA,
HCA - Sunrise Hospital and Medical Center
Kimberly Hatchel received her undergraduate degree in nursing from Austin Peay State University, her master’s degrees in nursing and healthcare administration from the University of Phoenix. Dr. Hatchel obtained her Doctorate in Nursing Practice from Vanderbilt University in Nashville, TN.
After beginning her career in Tennessee, Dr. Hatchel joined Hospital Corporation of America (HCA) in 1991 as an Emergency Room and Critical Care Nurse at Horizon Medical Center. She became the first enterprise Assistant CNO in 2010 serving under Dr. Jane Englebright in the Clinical Services Group. Through this experience she developed a passion for hospital throughput and health information technology and has utilized this as a lever for organizational change. She successfully guided improvement in Emergency Services throughput metrics and implementation of an all electronic documentation platform across 160+ emergency departments. In late 2012, she transitioned to the Medical City McKinney and was awarded Studer’s What’s Right in Healthcare Award for improvement in overall Emergency Services. In 2016, she was named Nurse Executive of the year by the March of Dimes for the Southern Nevada Region. In 2014, she was named Top 25 Women in Business in McKinney, Texas. She is member of the American Organization of Nurse Executives, the Emergency Nurses Association, and the Sigma Theta Tau International Honor Society.
She is currently the CNO for Sunrise Hospital and Medical Center and Sunrise Children’s Hospital a 690-bed acute care hospital a part of the HCA system.
Dr. Hatchel resides in Boulder City, NV with her husband Stephen and her son Taylor who will be headed to Nebraska for college in the fall. She also has two grown daughters and three grandchildren. Dr. Hatchel can be reached via email at Kimberly.Hatchel@hcahealthcare.com
Emily Weber, MS, RN, CPN,
Texas Children's Hospital
Emily Weber is the Nursing Director for Acute Care services and the Magnet Program at Texas Children's Hospital in Houston, Texas. She holds a Bachelor of Science and Master's degree in Nursing. She is currently enrolled for her Doctor of Nursing Practice (DNP) degree at the University of Texas Health Science Center at Houston, and will graduate in May 2019. She has completed her Nurse Executive Advanced certification and holds a certification in Pediatric Nursing. With 19 years' experience, Mrs. Weber is passionate about pediatric nursing, and nursing leadership. Her leadership definition is “Dream Big, Work Hard, and Connect with People!” Emily’s husband, Jeff, owns his own Respiratory Therapy business. They have two daughters, Jordan and Lauren, who are both active in volleyball and 4-H.
Discuss the nurse leaders role in disaster preparedness, intra-disaster and recovery. Learn from practice experience and theoretical application.
- Demonstrate an understanding of preparedness versus readiness
- Understand the role of the nurse leader during the event ( disaster)
- Learn the importance of planning for recovery
Leading Your Team To A Culture Of Compassion: Evidence-Based Methods of Improving Patient Satisfaction
Patient Experience Improvement Speaker
M French Communications, LLC
INSPIRATION lights up your people’s inner drive to push past perceived limitations and perform at their highest level. As a young man on top of the world with a new college degree and dream job as a forester, Jake French’s life was suddenly turned upside down by a devastating spinal cord injury that left him a quadriplegic. A published author, Jake has firsthand experience in what needs to happen to keep organizations and employees moving forward when facing challenges. He has met a variety of medical professionals in his journey to regain independence, and has gained extremely valuable insight into what providers can do to create a positive experience from the patient’s perspective. Today he rocks the stage, compelling audiences to laugh as they learn, and think creatively about no cost strategies to innovate in your quest to improve patient experience.
This rockin' keynote speech is for leaders in health care who want to inspire their teams to create a culture of compassion so they can increase patient satisfaction. If you want to show your staff how to connect with their patients, identify potential issues before they become a problem, and empower care receivers to become their own advocates, then maybe it's time to tap into some feedback directly from one of your most savvy consumers.
After a freak accident left Jake French a quadriplegic, he spent 8 years collecting insightful strategies that would have dramatically improved his experience as an end user of your services. Leaders who are searching for ways to pass down enthusiasm and compassion to their teams so they can improve their effectiveness will gain notepads full of innovative ideas in this talk from the patient's perspective.
A culture of compassion is about creating an environment where patients feel listened to, encouraged, and equipped to handle their health challenges. Leaders who want to propel their organizations to the next level will walk away with immediately actionable strategies for how to teach their staff what they can do to make each patient feel like they are receiving more compassion, which will ultimately increase patient satisfaction. Count on the real world patient perspective from Jake French to assist you in passing down the advice from an actual consumer of your product that will help you make your teams more passionate and profitable!
- Audience will single out a “but” that could currently be preventing higher patient satisfaction at their organization
- Participate in an exercise that breaks our habit of rejecting ideas so we can develop a culture rich in idea sharing, fresh thinking, and trust
- Model one technique leaders can use to lift up the people around them so they can create an upbeat atmosphere for their teams and patients
Community Partnerships Engaging Future Nurses
Anne-Gret Friedrich-Cuntz, EdD, MSN, RN, CMSRN
Director Nursing Education & Professional Practice, Magnet & Pathway
Methodist Richardson Medical Center
Anne-Gret Friedrich-Cuntz, EdD, MSN, RN, CMSRN is a nurse for almost 40 years. Currently, she holds the position as Director of Nursing Education and Professional Development, Magnet, and Pathway at Methodist Richardson Medical Center. She is a member of ANPD, DFWANPD, TONE, Sigma Theta Tau. She was past President of the local DFWANPD chapter. As she immigrated to the United States, she had to start her professional career all over. She took her LVN and RN Boards while working as a patient care assistant. She went back to school for a BSN degree as her original education was a Nursing Diploma in Germany. A Masters Degree in Nursing provided her the opportunity to work as an Educator. As a lifelong learner it became evident to her that she needed to complete a doctoral program in education in order to provide and foster best practices in her role.
With more than over 200,000 employees working in the healthcare area in the DFW marketplace, organizations are required to be creative to engage, hire, grow and retain nursing and other members of the healthcare workforce. Strategies such as employee engagement, strengthening of the Shared Governance model, Magnet and Pathway designation, workforce retention and staff growth through succession allow the facility to retain staff and remain below the market one year retention rates. Additionally, the seeds of employee engagement are planted before hiring a healthcare employee. First, recruitment of employees starts in grade school. Very active community involvement by this organizations leadership developed into a unique program, the Richardson Independent School District (RISD) Health Science program on the Richardson Methodist Continuing Care campus. Space in the authentic healthcare environment houses the program that allows RISD students to prepare for licensure or certification for employment in an in-demand healthcare field upon graduation. The Health Science program exposes students to the healthcare industry in real-world settings, allowing them to learn the skills and pedagogy to prepare them for entry into the workforce in positions such as Phlebotomy Technician, EKG Technician, Emergency Medical Technician, Medical Assistant, Nurse Aide and more. Second, HB 5 requires High Schools in Texas to offer learning opportunities in professional settings such as healthcare. This longstanding partnership with local high schools provides rotations throughout the entire hospital. These partnerships allow for learning opportunities for the high school students. Third, local nursing schools introduce their students into clinical rotations on the campus and allow the students to experience nursing from the first year of nursing school up to the last semester. All these partnerships allow non-nurse employees or members of the community to become interested in a career in nursing.
- Describe a unique way to encourage healthcare careers by building community partnerships with local school districts.
- Introduce ways how collaboration with local nursing schools can impact the hire of future nurses to your organization.
- Provide information on how to create an inviting culture that encourages others to want to work in your organization.
From Firestarter to Fire Extinguisher: Developing Resilience as a Nurse Leader
Jill Benns, RN, MSN MBA-HCM PCCN-K NEA-BC
Director of Clinical Education
Jill Benns, RN, MSN, MBA-HCM, is a Board Certified Nurse Executive. She is Progressive Care certified through the American Association of Critical Care Nurses. She began her clinical career in Detroit Michigan in cardiac telemetry and then advanced to the cardiac cath lab and the chest pain unit. After completing her Master's degree in Nursing and in Business she advanced within the VA Healthcare System where she opened an electrophysiology clinic at Dorn VA Medical Center in Columbia, South Carolina. At the Regional VA level she became the Clinical Program Manager for Surgical and Acute Care Services for 7 VA hospitals in Region 11, where she led the implementation of an 11 million dollar Da Vinci Surgery Program for their 3 largest hospitals. She also was instrumental in the creation of the TAVR program at the Ann Arbor, MI VA and the redesign of Cardiology services at the Fort Wayne, Indiana VA Hospital. Currently, she is the Director of Clinical Education for Parkland Hospital and Health System. As the Director of Nursing she has created system wide programs for: Nurse Leader Development, New Graduate Nurse Residency, EMR Clinical Optimization and Paraprofessional Healthcare Workforce Development. In 2014 she was awarded a $600,000 HRSA Grant to implement a Healthcare Paraprofessionals program in the Midlands of South Carolina. In 2010 she was awarded the designation of Palmetto Gold and was recognized as one of the top 100 nurses in South Carolina. She is a Lean Yellow Belt and a certified DDI Facilitator. She is a certified Just Culture Facilitator.
As nursing leaders we are frequently called upon to be the change agent, while balancing daily operational needs and providing urgent intervention. Developing resilience is a key strategy nurse leaders should use to maintain happiness, prevent burnout and promote well-being. This poster will present evidenced based research to support the use of resilience in enhancing happiness. It will outline the 10 emotions linked to enhancing resilience and identify 3 key strategies nurse leaders can use to develop and maintain a resilient lifestyle.
- The learner will be able to define resilience as it applies to the nurse leader.
- The learner will be able to summarize the evidence to support development resilience as a key to preventing burn-out.
- The learner will be able to discuss key strategies to use to enhance resilience.
Workplace Violence: Finding the Words to Describe What We Already Know
Kristie Brown, MSN, RN, FNP-BC
Doctor of Nursing Practice Student
Texas Tech University Health Sciences Center School of Nursing
Kristie L. Brown, MSN, RN, CEN, FNP-BC is a Nurse Practitioner Rees-Jones Trauma Center at Parkland Hospital in Dallas, TX. She has been a nurse for 19 years and worked 16 years in Trauma/ER at Parkland. Her APRN experience includes work as an Emergency Room Provider and Trauma Advanced Practice Provider.
Outside of nursing, she is passionate about horses and owns one of her own. She and her horse Hatties Geronimo (Jaxon) compete in Cowboy Dressage, Trail Competitions, and Ranch Sorting. She also has an extensive background volunteering in Hippotherapy (OT/PT on horseback) and Therapeutic Riding.
Kristie also serves on the State of Texas Special Olympics Equestrian Committee. She loves seeing the joy and happiness on the faces of the competitors.
Christy Weaver, RN, MSN, FNP-C
Texas Tech University Health Sciences Center
Christy Weaver, MSN, FNP-C is an assistant professor at Texas Tech University Health Sciences Center School Nursing and teaches in the Non-Traditional Undergraduate Program. Christy works as a nurse practitioner with Pediatric Associates of Lubbock Developmental Center in Lubbock, Texas. Prior to her transition to academia, Christy worked for over seven years at Dallas Children’s and Cook Children’s Medical Center.
- Workplace Violence: The Numbers
Two Distinct Types of Violence
- The Bureau of Labor Statistics found healthcare workers 4 times more likely to experience a violent incident
- The ANA surveyed over 3000 nurses – half reported experience of verbal abuse, and one in five reported being physically assaulted
- In Minnesota, 5000 nurses found almost 39 nurses per 100 nurses/year experienced non-verbal abuse and 13 per 100 nurses/year experienced physical assault
- 2016 survey by the Texas Center for Nursing Workforce Studies (TCNWS), only 40.5% of nurses said they reported their most recent workplace violence experience
- To compound the problem, these same studies have consistently cited underreporting as a significant challenge. In the Texas study, only 40.5% of nurses said they had reported their most recent workplace violence experience.
Enabling Nurses to Report Violence
- Affective violence is self-protection; it is preceded by high levels of autonomic (sympathetic) arousal, is characterized by the emotions of anger and/or fear, and is a response to a perceived imminent threat. Other researchers refer to affective violence as impulsive, reactive, hostile, emotional or expressive.
- Predatory violence evolutionary basis is hunting. It is not preceded by autonomic arousal; it is characterized by the absence of emotion and threat and is cognitively planned. Other researchers refer to predatory violence as intentional, instrumental, premeditated, proactive or cold-blooded
Nurses are expert at assessing individuals, patients, and situations
- Nurses have the right to safe work environments and must not normalize workplace violence, regardless of the perpetrator’s intent.
- Recognizing workplace violence as both sub-types, affective and predatory, will encourage nurses to report all violent incidences. Predatory and affective violence both require administrative support and decisive response, for which reporting is crucial.
- Prevention strategies of the two sub-types of violence are also as different as the two types of violence. Prevention measures must discriminate between the safety needs of each type. Failure to acknowledge and identify the two distinct types of violence and have a strong response will inhibit future reporting, perpetuating the problem of under-reporting.
- Recognition of the two types of violence by nursing and nursing leadership will encourage institutional policies and training to be more relevant to the incident.
- Nurses recognize and understand the two types of violence, but to encourage reporting we need the tools, the right words, to define what we know.
- The tools to enable reporting should highlight the difference between affective and predatory violence to make it acceptable and important to report both.
- Nurses on the frontline of healthcare can contribute to the reduction of workplace violence through accurate and reliable reporting if they are asked with the right words.
- Discuss the implications of reporting and under reporting of workplace violence against nurses.
- Identify factors contributing to under reporting of workplace.
- Learn and discuss the difference between affective and predatory violence.