January, February, March 2011 Vermont Nurse Connection Page 1 Vermont .

Page 2 Vermont Nurse Connection Voices of Vermont Nurses premiered at VSNA Convention 2000 and is available from the VSNA Office at: Vermont State Nurses’ Association 100 Dorset Street, #13 South Burlington, Vermont 05403 Price: 20 each book (plus 3.95 for postage and handling) Make check or money order payable to: VERMONT STATE NURSES FOUNDATION Name: Address: City: State: Zip: If you wish to submit a “Letter to the Editor,” please address it to: Vermont State Nurses’ Association Attn: Vermont Nurse Connection 100 Dorset Street, #13 South Burlington, VT 05403 Please remember to include contact information, as letter authors may need to be contacted by the editors of the VNC for clarification. NOTE: Letters to the Editor reflect the opinions of the letter authors and should not be assumed to reflect the opinions of the Vermont State Nurses’ Association. Jean Graham, Editor January, February, March 2011 The VSNA wants you to take advantage of some of the networking and informational resources available on the Internet. Current information about activities of the VSNA can be found by visiting the VSNA Website at: http://my.memberclicks.com/vsna or http://www.vsna-inc.org Requests for additions or changes to the VSNA website should be communicated before the 1st of each month to the site’s webmaster at vtnurse@sover.net. Also, as a VSNA member you are welcome to join the VSNA listserv. To become a listserv participant, send an e-mail message to the VSNA office at vtnurse@sover.net. In your message, please indicate that you wish to be part of the listserv and include your name, e-mail address, and your VSNA member number. Hope to see you on the web! Deadlines for the Vermont 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: Vol. 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 Attention: VNC 100 Dorset Street, Suite 13 South Burlington, VT 05403-6241 Articles may also be submitted electronically to vtnurse@sover.net . Vermont Nurse Connection Official publication of the Vermont State Nurses’ Association, a constituent member of the American Nurses Association. Published quarterly every January, April, July and October. Library subscription price is 18 per year. ISSN# 1529-4609. Editorial Offices Vermont State Nurses’ Association, 100 Dorset Street, #13, South Burlington, VT 05403, PH: (802) 651-8886, FAX (802) 6518998, E-mail: vtnurse@sover.net Editors: Jean E. Graham and Eileen Girling Advertising For advertising rates and information, please contact Arthur L. Davis Publishing Agency, Inc., 517 Washington Street, PO Box 216, Cedar Falls, Iowa 50613, (800) 626-4081, sales@aldpub.com. VSNA and the Arthur L. Davis Publishing Agency, Inc. reserve the right to reject any advertisement. Responsibility for errors in advertising is limited to corrections in the next issue or refund of price of advertisement. Acceptance of advertising does not imply endorsement or approval by the Vermont State Nurses’ Association of products advertised, the advertisers, or the claims made. Rejection of an advertisement does not imply a product offered for advertising is without merit, or that the manufacturer lacks integrity, or that this association disapproves of the product or its use. VSNA and the Arthur L. Davis Publishing Agency, Inc. shall not be held liable for any consequences resulting from purchase or use of an advertiser’s product. Articles appearing in this publication express the opinions of the authors; they do not necessarily reflect views of the staff, board, or membership of VSNA or those of the national or local associations. Content Vermont State Nurses’ Association welcomes unsolicited manuscripts and suggestions for articles. Manuscripts can be up to: 750 words for a press release 1500 words for a feature article Manuscripts should be typed double-spaced and spell-checked with only one space after a period and can be submitted: 1) As paper hard copy 2) As a Word Perfect or MS Word document file saved to a 3 1/2” disk or to CD-Rom or zip disk 3) Or e-mailed as a Word Perfect or MS Word document file to vtnurse@sover.net. No faxes will be accepted. Authors’ names should be placed after title with credentials and affiliation. Please send a photograph of yourself if you are submitting a feature article. All articles submitted to and/or published in Vermont Nurse Connection become the sole property of VSNA and may not be reprinted without permission. All accepted manuscripts may undergo editorial revision to conform to 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 the authors; they do not necessarily reflect views of the staff, board, or membership of VSNA or those of the national or local association. Copyright Policy Criteria for Articles The policy of the VSNA Editorial Board is to retain copyright privileges and control of articles published in the Vermont Nurse Connection unless the articles have been previously published or the author retains copyright. VSNA Officers and Board of Directors President . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ruth Elsa Baldwin Past President. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . June Benoit President Elect . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Vice President. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Carol Hodges Secretary. . . . . . . . . . . . . . . . . . . . . . . . . . . . Mary Anne Douglas Treasurer . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Jen Botelho District 1 Director . . . . . . . . . . . . . . . . . . . . . . . . Marcia Bosek District 2 Director . . . . . . . . Mollie Chamberlain & Katie Clark District 3 Director . . . . . . . . . . . . . . . . . . . . . . Virginia Umland VSN Foundation . . . . . . . . . . . . . . . . . . . . . . . . . Lorraine Welch VSNA Executive Director . . . . . . . . . . . . . . . . . . . . . June Benoit District Presidents District 1 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Jill Federico District 2 . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Catherine Ann Guy District 3 . . . . . . . . . . . . . . . . . . . . . . Virginia Umland (Director) Staff Bookkeeper. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Martha Stewart Lobbyist. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Christie Steier Committee Chairpersons Convention. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Lorraine Welch Education. . . . . . . . . . . . . . . . . . . Deborah Hayward-Sanguinetti Government Affairs. . . . . . . . . . . . . . . . . . . . . . . . Christie Steier Membership. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Ann Laramee Nominating. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vacant Nursing Practice. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vacant Program Planning . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . Psychiatric Special Interest Group. . . . . . . . . Maureen McGuire Congressional Coordinator . . . . . . . . . . . . . . . . . Christie Steier Senate Coordinator for Leahy . . . . . . . . . . . . . . . Christie Steier Senate Coordinator for Sanders. . . . . . . . . . . . . . Christie Steier ANA House of Delegates . . . . . . . . . . . . . . . . . . . . . June Benoit, Carol Hodges, Lorraine Welch, Ellen Ceppetelli Alternate Delegates . . . . . . . . . . . . . . . . . . . . . . . Richard Frank VNC Editorial Jean Graham and Eileen Girling

January, February, March 2011 Vermont Nurse Connection Page 3 Movie Review: Outside the Popcorn Box Welcome to this new feature of the Vermont Nurse Connection in which movies are reviewed and considered with enhancement of nursing and professional practice in mind AND with a little bit of thinking “outside the popcorn box.” About the Columnist: Sandra McBournie is Program Coordinator of a nursing continuing education department, nursing professor and movie lover. I began using movies to create discussion points with students and decided to start doing reviews for the NH Nurses Association (a constituent member of the American Nurses Association). Food, Inc. explores the root of the evil we call nourishment in this country. Everything to be believed about the quintessential American farmer, the effort of the Food and Drug Administration to protect us from harm, and eating chicken being better for you than eating beef will be challenged while watching Food, Inc. What can now be understood is that corn rules, food is poison, farmers are forced to be cruel to animals and the earth to survive, and the government agencies in place to protect you from harm are in cahoots with profit driven food corporations. The stories covered in this documentary may force viewers to become the most disillusioned genetically modified food eating consumers in history. Take for instance the story about the chicken farmer Carole Morrison, who is expected to grow a chicken from egg to filet in six weeks. This requires an atmosphere for the chickens that, well, isn’t very chicken like. No light, no room to move, and the inability to walk because they are so overgrown with steroids and an unnatural diet that their bodies are too heavy for their legs to carry them. When Carole who makes a measly 18,000/year raising and selling these chickens puts her foot down about this chicken abuse and fights the giant corporation that buys her chicken meat about not allowing light into her chicken house, they cancel her contract. Then there is the tragic story about an E.Coli breakout that caused the death of Barbara Kowalcyk’s young son and her subsequent plight to put a stop to any such future tragedies. The story behind the story; well it turns out that the cows aren’t supposed to eat corn, which allows unnatural 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 the feces filled cow farm supposed to be able to spill down into the spinach field next door. If you are wondering why we feed cows corn if it isn’t part of their native diet, the answer is simple: cheap corn equals cheap feed, equals cheap meat, equals more meat sold, equals big profits for the meat company. Where is the Food and Drug Administration while all this filth is running through farms you ask? Not doing inspections apparently, for according to Food, Inc., they performed approximately 40,000 less inspections in 2006 than they did in 1972. All these stories force the viewer to wonder about the American food consumer’s lack of a relationship with their food; especially if that food once had eyes. Joel Salatin, a good old fashioned “natural” farmer in the film said “industrial food is not honest food” and he believes you can “meet the need without compromising integrity.” In other words the consumer should demand that we let cows act like cows, and chickens act like chickens and let food corporations either cowboy up or squander. We should buy more and locally grown, fresh, organic foods. Which begs another question the movie explores; “what if you can’t afford it?” Everyone knows the cheaper the food is the worse it is for you (think fast food), and this film Kappa Tau Cordially invites you to Our annual WEDNESDAY FEBRUARY 9, 2011 5:00-7:30PM WINDJAMMER RESTAURANT Come for an informal evening of conversation with nursing colleagues. Everyone is welcome! Dinner Menu: Caesar Salad Baked Potato or Rice Pilaf Seasonal Vegetable Choice of: Prime Rib, Broiled Salmon, Boston Scrod, Chicken Teriyaki, Vegetarian Option, or Chicken and Shrimp Combo. Cheesecake with Strawberries Coffee or Tea Cash Bar Check out our website for updates http://www.uvm.edu/ kappatau/ Registration opens January 1, 2011 clearly points to big food business, with bigger profits, and gigantic heavy hands as the reason. Large food corporations respond by saying they are doing us a huge favor with the level of efficiency they provide and that America would have a food shortage if it wasn’t for their iron fisted national network. Food, Inc. sheds a beaming light on what now appears to be an obvious fact: efficiency equals bad food. Is this corporation-farmer-consumer paradigm sounding familiar to caregivers reading this? Big business with big profits (pharmaceutical companies, insurance companies) forcing the middle man (nurse and other healthcare providers) to manipulate the product (caregiving) at risk to the consumer (patient). I highly recommend Food, Inc., if not for your own health and well-being, for the health and well-being of your patients. Kappa Tau Chapter of Sigma Theta Tau Research Night WHEN: January 20, 2011 at 6pm WHERE: 107 Rowell, University of Vermont Robert Nash, Ed.D and Alexis Ressler, M.S., M.Ed., APRN present Scholarly Personal Narrative: An alternative research methodology for nursing

Page 4 Vermont Nurse Connection January, February, March 2011 The Future of Nursing: Leading Change, Advancing Health Submitted by: June M. Benoit MSN FNP, Executive Director-VSNA, Inc. The Institute of Medicine (IOM) is an independent, nonprofit interdisciplinary advisory body to the nation on issues impacting health. Established in 1970 under the charter of the National Academy of Sciences, the IOM provides independent, objective, evidence-based advice to policy makers, health professionals, the private sector, and the public. The process of health care reform in the United States is unfolding; with the adoption of the Affordable Care Act millions of Americans will now have access to health insurance. This provides a unique opportunity to restructure our current health care system into one emphasizing patient centered care, commitment to quality, and collaboration—core components of nursing practice. In examining our current health care delivery system and health care reform efforts, The IOM partnered with the Robert Wood Johnson Foundation (RWJF) to create the RWJF Initiative on the Future of Nursing at the IOM in 2008. The RWJF has long-standing commitment to ensuring our nursing workforce has the necessary capacity, skills, and competence, to meet the present and future health care needs of the public. This Committee was charged with performing an in-depth analysis of our nursing profession and to make recommendations for strengthening nursing to become full partners and leaders within health care reform and health care delivery systems. This past October the Committee released their report with the following four key messages: Nurses should practice to the full extent of their education and training. Nurses should achieve higher levels of education and training through an improved education system that promotes seamless academic progression. Nurses should be full partners, with physicians and other health care professionals, in redesigning health care in the United States. Effective workforce planning and policy making require better data collection and information infrastructure. The VSNA, along with other Constituent Member Associations (CMAs), and the American Nurses Association supports this report. “We at ANA support the recommendations of the IOM report and are eager to partner with others in developing effective strategies to implement these ideas, which are reflective of ANA’s long standing work on behalf of the nursing profession,” ANA President Karen Daley PhD, MPH, RN, FAAN, commented. “This report bolsters the case that ANA has long championed—that the full contributions of nurses and nursing are essential to the delivery of high quality, patientfocused care. The IOM recommendations, along with the adoption of the Affordable Care Act (ACA), serve to create a unique opportunity to restructure our current health care system into one which emphasizes collaboration and a commitment to quality. We look forward to working alongside other key stakeholders to implement the changes needed to ensure we’re building a health care system that provides access to high quality care.” The Report identified a number of barriers that prevent nurses from being able to respond effectively to rapidly changing health care settings and an evolving health care system. These barriers need to be overcome to ensure that nurses are well-positioned to lead change and advance health reform. The RWJF’s Initiative on the Future of Nursing organized a national conference November 30th through December 1st to discuss ways to implement the report’s recommendations. Five CMAs are currently involved in formal pilot projects with the RWJF to develop specific strategies addressing the IOM Recommendations. While not involved with a formal pilot project, the VSNA will engage other key nursing and health care stakeholders in Vermont to specifically address implementing these recommendations 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 can also go to the RWJF Initiative on the Future of Nursing website—TheFutureofNursing.org. North Country Career Center Salutes Miranda Ryan “She has a very professional, calm and consistent The North Country Career Center is proud to announce that Miranda Ryan, a recent graduate of the Health Careers demeanor and this worked extremely well for her during Program, was awarded the Gold Medal in Nurse Assisting this competition.” “I never thought that I would go this far at the National SkillsUSA* competition held in and I owe a lot to my great teachers, Celine Kansas City, Missouri. Champine and Carol Trembley. They pushed Ryan was accompanied to Kansas City by me to compete and I realized that if I put my Health Careers instructor, Celine Champine, mind to it, I could do it,” said Ryan. “I hope who is elated with Miranda’s success. “I have this inspires other kids to try their best.” seen such growth in Miranda over this past Ryan is a 2010 graduate of the Health year. She is very patient-oriented and that mind Careers Program at North Country Career set obviously came through in the competition,” Center. While in the program, Ryan earned commented Champine, adding, “I am so very credentials in CPR, AED (Automated External proud of her and I am confident that she will Defibrillator), First Aid and LNA (Licensed reach her career goals in the nursing field.” Nursing Assistant) licensure. She also received To place first at Nationals, Ryan competed three college credits from the Community against twenty-five other state gold medalists College of Vermont in Medical Terminology. who, like herself, had earned the right to She plans to attend Southern Vermont College represent their home state by placing first in in Bennington in the fall and pursue a nursing their state. During the National Competition, degree. She is currently working at Bel-Aire Ryan had to demonstrate a variety of patient Center in Newport and Wayne’s Snack Bar in care skills, submit a resume, participate in Newport Center. a job interview, and take a written test on Contact Information: Celine Champine, Nurse Assisting theory. Judging also included Miranda Ryan Health Careers Instructor, celinechampine@ professional appearance and attitude, attributes ncuhs.org which Instructor Trembley commented on very positively.

January, February, March 2011 Vermont Nurse Connection Page 5 Personal & Financial Health participation in clubs and activities, handling competition & leadership). (2.) Once you have identified the various issues in which you need to develop more self-control, then you need to identify which emotions tend to lead you to be more out of control. Use the list of emotions and feelings clusters to identify for each issue out of control, which emotions or feelings tend to exacerbate the loss of control. Emotions that lead to being out of control Emotion Feeling cluster Boredom listless, unoccupied, restless, uneasy, a need for novelty, change, or excitement words, you will fatigue the self-control muscle by overusing it. His recommendation is to exert, and then rest, and then exert, and then rest—in this way you may be able to become more self-disciplined by “growing” your strength. “From a practical point of view, you can view the model of self-control as a limited resource,” Duckworth said, “If you’re a nurse in a stressful environment, doing things (both emotionally and physically) that you don’t want to, well, after a long 10-hour shift, like any muscle that gets worn-out, you’re more likely to break a self-control mechanism—yell at your spouse, break your diet, and so on. Think about it: Most people don’t break their diet and raid the refrigerator at 10 a.m. in the morning. This usually happens at the end of the day when their ‘willpower muscle’ is much weaker.” A great way to refill your “willpower reservoir” when the tank is running on empty is to catch a nap, listen to a joke, get a hug, watch a funny movie, etc. But there are times when relaxation, sleep, a change in scheduling or a “time out” is not possible. In these times, it may be viable to—rather than change your behavior—change your environment. “As a nurse, you can make an excuse to get out of a difficult conversation, decreasing your self-control demands. You can then postpone the meeting to a time when your self-control reserves are higher If you’re at the ‘end of your rope,’ then don’t schedule an emotionally difficult session or workout,” Duckworth noted. Anger rage, hate, cheated, infuriated, spiteful, mean, mad, or envious Guilt ashamed, miserable, remorse, blamed, distraught, or pain Depression left out, ugly, empty, powerless, victimized, suffering, useless, low, sad, helpless, discouraged, or troubled Anxiety overstressed, out of control, nervous, overwhelmed, uneasy, tense, pressured, panicked, troubled, confused, or shocked Loneliness unwanted, unappreciated, left out, ignored, unloved, alone, hurt, neglected, ugly, or rejected Fear afraid, tense, anxious, nervous, weak, worried, skeptical, frightened, threatened, panicked Excitability eager, driven, energetic, capable, turned on, enthusiastic, motivated, or clever Implementation Intentions It is possible to double or even triple your chance of achieving 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 use specific how, where, when, what objectives, such as: “If happens, then I will do .” Now name five things that you need to do: “When it is I will do .” Gollwitzer has people delegate the initiation of goaldirected behavior to environmental stimuli by forming so-called implementation intentions. Again, he uses the: “If situation x is encountered, I will perform behavior y” theory. He has observed that forming implementation intentions helps in detecting, attending to, and recalling the critical situation. Moreover, in the presence of the critical situation the initiation of the specified goal-directed behavior is immediate, efficient, and does not need a conscious intent. Forming implementation intentions can be used as an effective self-regulatory tool when it comes to resisting temptations, avoiding to stereotype members of an outgroup, blocking unwanted goal pursuits and more. Plus, action control via implementation intentions seems to save a person’s self-regulatory resources. Comfort proud, refreshed, appreciated, satisfied, accomplished, useful, respected, content, confident, full, calm, or relaxed Happiness good, nice, glad, loved, pleased, wanted, wonderful, delighted, or beautiful Pump Up Your Self-Discipline Muscle by Flexing Your Will (and Won’t) Power by Susanne Gaddis, Ph.D. Like an athlete in training for a major competition, it took several long years of study, self-discipline and financial sacrifice to train to be a RN. In order to study and pass your nursing exams, you made many disciplined decisions to dedicate your time, money and effort in orde

January, February, March 2011 Vermont Nurse Connection Page 1 current resident or Presort Standard US Postage PAID Permit #14 Princeton, MN 55371 Volume 14 Number 1 Vermont State Nurses' Association Official Publication January, February, March 2011 North Country Career Center Salutes Miranda Ryan Page 4 VSNA Trials New CE Site Page .