National Student Nurses’ Association 2012 House of Delegates Proposed Resolutions Abstracts The 2012 House of Delegates will have an opportunity to debate the following topics during Resolutions Hearings and in the House of Delegates where they will have the chance to amend and vote to adopt these important policies. Once the Resolutions Committee has met with all of the authors at the Convention, the full text of each resolution will be available to delegates and posted on the NSNA Convention mini website. Watch your Friday broadcast email for link prior to convention. In Support of Behavioral Pain Scale Use with Ventilated Patients During Invasive and Noninvasive Procedures in the Intensive Care Unit Oregon Student Nurses Association The purpose of this resolution is to inform Nursing students, faculty, healthcare institutions and organizations about the use of the Behavioral Pain Scale. For ventilated patients, use of the Behavioral Pail Scale is supported by evidence-based articles in accurately assessing pain experienced during invasive and noninvasive procedures in the Intensive Care Unit. Pain management is paramount to this vulnerable population who cannot verbalize wishes using the normal pain scale of 1-10. Currently, there is no standardized pain scale tool available for this population. By addressing this topic, patient satisfaction, quality, and the cost of healthcare will be influenced positively. In Support of Implementation of Standardized Guidelines for ICD Deactivation Management with Regards to End-of Life Issues Mineral Area College Student Nurses Association, MO This resolution supports the implementation of standardized guidelines for implantable cardioverterdefibrillator (ICD) deactivation management for end-of-life issues. The use of ICDs to prevent sudden cardiac death has increased due to the expanded Medicare and Medicaid coverage and the increasing geriatric population. Clients with ICDs have periodic follow-up to ensure safety and optimal device performance. Before, during, and after device implantation, ongoing education regarding end-of-life issues and device deactivation should occur. In Support of Advocating the Use of the Concussion Signs and Symptons Checklist from the Concussion in High School Sports Tool Kit from the CDC by all High School Nurses to Distribute to Students, Parents and Athletic Directors Nursing Student Association of South Dakota This resolution aims at raising awareness of the immediate and long-lasting effects of traumatic brain injuries in high school aged children, therefore reducing the potential of misdiagnosis and treatment plan that can incur. 1 In Support of Increased Job Incentives to Address Nursing Faculty Shortages University of Pennsylvania, PA This resolution promotes the return of qualified nursing faculty by increasing salaries and funding for higher nursing education. It calls for NSNA to encourage its constituents to recognize and promote incentives to attract qualified, experienced nursing faculty. NSNA programming and publications will be used to encourage nursing students to consider the nurse eductor role when planning their nursing career. In Support of Bachelor of Science in Nursing (BSN) in 10 Ohio Nursing Student Association As the amount of technology and patient acuity increases, the education of Registered Nurses needs to increase as well. Research shows that hospitals with greater proportions of baccalaureate prepared nurses experience lower mortality. Through the Affordable Care Act, federal funding has been allocated to support Associate and Diploma prepared nurses to obtain their BSN within ten years of initial licensure. This resolution requests that the National Student Nurses Association support the Bachelor of Science in Nursing (BSN) in Ten Initiative. In Support of Increased Awareness Toward the Negative Health Effects of Hookahs Florida Nursing Student Association Hookah use is becoming more popular, and it carries with it the misconception that it is a healthy alternative to cigarette smoking. However, research has shown that it is actually more harmful. This resolution will raise awareness by the general public about the negative health effects associated with hookah use. This can be accomplished through increasing knowledge about it in nursing school educational programs and having student nurses and new graduates use that knowledge to educate their patients and community members. In Support of Implementing Practices Suggested in the Joint Commission Report, "Advocating Effective Communication, Cultural Competence, and Patient-and Family-Centered Care for the Lesbian, Gay, Bisexual, and Transgender (LGBT) Community: A Field Guide" The University of Illinois-Chicago The purpose of this resolution is to build upon a resolution written by the Johns Hopkins University in 2006 entitled IN SUPPORT OF INCREASING CULTURALLY COMPETENT EDUCATION ABOUT LESBIAN, GAY, BISEXUAL, TRANSGENDER (LGBT) INDIVIDUALS. This population is still imperiled by health inequalities and discrimination, and this has been recognized by a myriad of organizations including the Institute of Medicine and the Joint Commission. This resolution will combat the previously mentioned health inequalities and discrimination through implementing strategies proposed by the Joint Commission in the report entitled ADVANCING EFFECTIVE COMMUNICATION, CULTURAL COMPETENCE, AND PATIENTAND FAMILY-CENTERED CARE FOR THE LESBIAN, GAY, BISEXUAL, AND TRANSGENDER (LBGT) COMMUNITY: A FIELD GUIDE. 2 In Support of Increasing Awareness for Standardized Patient Care Handoff Midlands Technical College, SC Effective communication during patient care hand-overs from ambulance to Emergency Department personnel is critical to patient safety. This resolution aims to raise awareness among EMS personnel, emergency department nursing staff, and those to training to serve in these areas. Increased Awareness of Prevention and Management of Concussions in Student Athletes Johns Hopkins University, MD This resolution will improve prevention and management of concussions in student athletes by raising awareness and supporting legislation, thereby reducing the incidence, severity, and long-term negative consequences of TBIs among youth. In Support of Increasing the Awareness for the Need to Improve the Care for Young Adults with Diabetes Transitioning from Pediatric to Adult Diabetes Care Systems The University of Illinois, Urbana The current healthcare system fails to support the transition from pediatric to adult care for emerging adults with diabetes. The lack of a transitional process puts this vulnerable population at high risk for preventable complications. The purpose of this resolution is to educate healthcare workers about the need to better transition this population and subsequently reduce major complications, mortality, and the associated healthcare costs. In Support of the Education and Adoption of Allow Natural Death (AND) to Replace do not Resustitate (DNR) Orders in Healthcare Facilities Drexel University, PA Allow Natural Death (AND) is an emerging concept to making end of life choices less difficult for patients and their family. This resolution advocates for establishment of AND orders to replace existing DNR (Do Not Resuscitate) orders. The change in terminology puts a positive connotation on what is thought to be a negative decision. Where a DNR is commonly viewed as taking away care from a patient, the term AND can be seen as allowing the natural process of death to take place without losing that care for the patient. In Support of Promoting Mandated Screening for Substance Use Disorders (SUD) Along with Continued Assessment and Initiation of Treatment for those Inmates in Need at all Correctional Settings Oregon Health Sciences University, Portland By focusing on the incarcerated population and their need for mandated screening, continued assessment, and thorough treatment of substance use disorders, we will touch a large number of those affected and potentially address the root cause for many arrests and imprisonments. This resolution 3 addresses the management of the often-neglected disease of addiction to substance use disorders (SUD), which is a public health issue effecting the entire population. In Support of Responsible Social Networking in Healthcare Ashland University,OH Social networking is a tool used by millions of active users' every day to bridge information gaps, search for potential employment, build professional relationships, and strengthen personal relationships. As nursing professionals it is vital to understand our responsibilities regarding the practice of safe communication. The purpose of this resolution is to educate nursing students, educators, and professional nurses on the responsible use of social networking in healthcare. In Support of Increasing Awareness to Prevent Tubing and Catheter Misconnection Errors California Nursing Student Association Tubing misconnections have long been documented as the primary cause of many healthcare-related injuries in America. The intended outcome of this resolution is to increase awareness about the dangers of tubing misconnections in the hospital setting. In Support of Promoting the Professional Responsibility of Nursing Students to Participate in the Education of Low Income Children Regarding the Importance of Healthy Eating Grand Valley State University, MI This resolution aims to involve nursing students in the education of low income children on the topic of healthy eating. It explores the mutual benefits of these two populations coming together for the purpose of education to reduce the overall childhood obesity rates. In Support of Increased Awareness of Mental Health Funding Deficits and Fund-Raising Organizations' Activities Duquesne University, PA The amount of funding that mental health receives is minuscule compared to that received by other health conditions. Nurses have a role in educating the public about the facts of mental illness, and ways to contribute to the treatment and research of these debilitating diseases. Federal funding is needed to achieve an optimal level of care for mental illness. This resolution fosters greater awareness of funding deficits, and encourages participation in organizations that work to increase spending for mental health. The Path to Better Health: Increasing Awareness of Wellness Programs in Order to Shift from Managing Diseases to Preventing them University of Alabama, Birmingham The purpose of this resolution is to raise awareness for wellness programs research, practices, and 4 activities and to encourage NSNA constituents to provide wellness screenings and to promote wellness programs through university-based activities. In Support of Ongoing and Increased Awareness of the Importance of School Nurses Salisbury State University, MD This resolution seeks to reduce the elimination of school nurse positions and the delegating of RN school-nurse duties to non-licensed personnel. Increasing the awareness of the value of school nurses will improve the health and safety of school children. Increased Awareness of the Psychosocial Needs of Young Adult Survivors of Childhood Cancer Villanova University, PA Young adult survivors of childhood cancer are at increased risk for psychosocial sequelae due to their treatment and overall cancer experience in the formative years of childhood. This resolution encourages nursing students to recognize the unique needs of young adult childhood cancer survivors and work to develop nursing interventions to promote health related quality of life these young survivors. In Support of Development of Regulated Safety Standards Inflatable Houses and Slides Emory Student Nurses Association, GA This resolution raises awareness about the lack of regulated safety standards for inflatable bounce houses and slides and encourages the development of safety regulations for this category of the amusement industry. It is intended to promote the accountability of states to report related failures and accidents associated with inflatable bounce houses and slides thus gaining more accurate data to prevent adverse occurrences. In Support of Diversity in Nursing Through Use of Gender Neutral Terminology Within Nursing Education Seminole State College of Florida This resolution calls for publishers, editors and authors of nursing textbooks to use gender-neutral terminology within their literature; for educators to use gender neutral terminology within their lectures, exams, and any and all classroom material; and for nursing students to establish peer groups in which gender neutrality is achieved through role modeling and mentorships. Increasing Education About and Awareness of the Effects of Third-Hand Smoke on Infants and Children Florida State University This resolution educates nurses and increases their awareness of third-hand smoke and the effects on infants and children. Through education and enhanced awareness, smokers will be able to make more informed decisions and to better protect their families and other nonsmokers from third-hand smoke. 5 Adoption of Social Media Policies by Nursing Programs National Student Nurses’ Association Board of Directors This resolution encourages NSNA constituents to advocate for social media policy inclusion in nursing programs. Several professional nursing and healthcare related organizations have published social media recommendations; students in nursing programs have been penalized for social media usage even when school policies are not in place. This resolution seeks to promote ethical and professional conduct of nursing students during social media usage. In Support of Comprehensive Contraceptive Education for Adolescents Georgia Baptist Association of Nursing Students This resolution encourages comprehensive contraceptive education for adolescents, including longacting hormonal contraceptives such as intrauterine devices and implantable contraceptives. Education about more effective contraceptive methods would help lower the teen pregnancy rate. In Support of Education and Awareness of Cyberbullying in Adolescence Brigham Young University, UT This supports increased education and awareness of cyberbullying in adolescence and encourages NSNA constituents to advocate for increased education about cyberbullying prevention and recognition. In Support of Research and Education for Paternal Post-Partum Depression University of Maryland, Baltimore There is a need for both increased research and education in paternal post-partum depression. This resolution encourages paternal specific post-partum depression research, as well as the implementation of paternal post-partum depression education in nursing school curricula. In Support of Increased Nursing Education Regarding the Patient Protection and Affordable Care Act Harding University, AR This resolution encourages NSNA constituents to increase awareness about the changes in the delivery of nursing and healthcare services related to the Patient Protection and Affordable Care Act. Examples of this education includes, but are not limited to: implications of the comprehensive health insurance reforms, accountability of insurers, lowering healthcare costs, improved healthcare choices and enhanced overall qualiy of care. Seek to Add Prochaska’s Transtheoretical Model and Kelly's Commitment to Health Construct to Nursing School Curriculm 6 Tennessee Association of Student Nurses This resolution improves the success rate of health behavior change interventions in nursing practice and ensures long-term compliance by seeking to add Prochaska's Transtheoretical Model and Kelly's Commitment to Health Construct to nursing school curriculum. In Support of Increasing Awareness of the Effects of Poverty on Health Arkansas Nursing Students Association This resolution addresses the devastating effects of poverty on health by increasing awareness in the nursing community, thereby inspiring nurses to advocate for policy change and increased education. Establish Efficient Cleaning Regimens in the Hospital Settings to Reduce the Rate of Clostridium Difficle Infections Texas Tech University By establishing an efficient cleaning regimen in hospitals, the amount of Clostridium Difficile infections will be reduced. The cleaning regimen includes incorporating bleach wipes and/or hypochlorite-based cleanser to clean patient rooms. The cleaning regimen includes using educational materials covering the proper protocol, posting flyers, and a mandated in-service education. In Support of Awareness and Legislation Regarding Violence Prevention for Healthcare Workers University of South Carolina This resolution calls for awareness and support of the NSNA and its constituents to advocate for legislative regulation to enforce a standard program of prevention for, and protection against, workplace violence in the healthcare setting. Seek to Increase Awareness of the Clinical and Educational Benefits of High-Fidelity Simulations to Pre-Licensure Nursing Students University of Missouri Sinclair School of Nursing High-fidelity simulations are becoming more of a necessity due to the changing dynamics of healthcare and the complex demands on nursing care to increase patient safety. This resolution increases awareness of the potential educational and clinical benefits of using high-fidelity simulations and encourages increased government funding for the use of high-fidelity simulators. Reaffirmation of the Resolution of 2003 Addressing the Nusing Shortage Through Recruitment and Retention of Men into the Nursing Profession recruitment/retention of Men in nursing Pasco Hernando Community College- FL 7 This resolution reaffirms the resolution that was passed by the 2003 NSNA House of Delegates addressing the shortage of men in nursing. It is imperative that NSNA continue its efforts to increase men in the nursing profession. Increased Awareness Regarding Psychoactive Bath Salts (PABS) and their Health Implications University of Maine This resolution increases the awareness and knowledge of healthcare personnel regarding the increased presence of Psychoactive Bath Salts-a Schedule 1 hallucinatory drug that creates a severe paranoia; placing the user, hospital staff, law enforcement officials, and communities in extreme danger. By raising awareness of the dangers, primary and secondary prevention strategies may be developed and evaluated for effectiveness in harm reduction. Healthcare personnel may become involved in community education efforts as well as in the development of PABS treatment protocols. In Support of Passage of the Uniform Emergency Volunteer Health Care Practitioner Act (UEVHPA) by State's Not Enacted In Georgia Association of Nursing students The “Good Samaritan Law” is an established part of the common law in every state in the union to allow health care workers the ability to give good faith assistance in an emergency situation without fear of legal prosecution. However, this law does not allow for health care workers to volunteer working in another state during a time of “Declared Emergency,” such as a natural disaster. The Uniform Emergency Volunteer Health Care Practitioner Act (UEVHPA), which has been adopted in 13 states and is being promoted in others, closes this legal gap. Health care workers from other states would be allowed to practice during a time of “Declared Emergency,” without legal ramifications to their licenses, as long as they were in good standing in their own state. In Support of Increased Awareness Regarding the Need for Research and Improved Treatments for Children with Cancers Wallace State Community College, AL This resolution brings awareness regarding the need for increased research and treatment options for childhood cancers. It encourages NSNA constituents to collaborate with professional nursing and healthcare organizations to increase evidence-based research related to childhood cancers. In Support of Wireless, Hands-Free Communication Devices to Strengthen Communication Between Clinicians, Improve Efficiency Among Healthcare Workers, and Decrease Costs in Healthcare Settings Iowa Association of Nursing Students This resolution increases awareness of the benefits that wireless, hands-free communication devices bring to nurses and other personnel in the healthcare setting. An increased awareness allows nurses and other personnel to realize the potential benefits of wireless, hands-free communication in improving patient care. 8 In Support of Education Regarding Misuse of Prescribed Stimulants Used for the Management of Add/ADHD in College Students West Virginia University This resolution increases awareness among constituents about the rising trends of misuse of prescribed stimulants in college-aged populations. Through education focusing on identifying at risk individuals, motives for misuse, signs and symptoms of abuse, and potential complications, this resolution reduces the prevalence of misuse of prescribed stimulants used for the management of ADD/ADHD. In Support of Human Papillomavirus Vaccination for Women and Men to Reduce Risk of HPV-Related Diseases Maryland Association of Nursing Students This resolution supports the vaccination of women and men of all ages to effectively reduce the risk of HPV-related disease. It encourages NSNA constituents to collaborate with nursing and education programs to include into their curricula new information on HPV vaccination for women and, in particular men, in an effort to reduce further transmission of HPV viruses. In Support for Advocating for Awareness and Education About Alternative-To-Discipline Recovery Programs for Substance Abusers Among Nurses Handling Controlled Substances Student Nurses Association of Pennsylvania This resolution advocates for increased awareness of behavioral changes associated with addiction in health care providers, and calls for the education of nursing students and professionals about legal options for reporting suspected abuse among colleagues. It encourages nursing students to learn about alternative programs and peer assistance for substance abuse. In addition, the resolution encourages nursing students to support increased research on the implementation of alternative-to-discipline programs, and encourage self-reporting among addicted health care providers handling controlled substances. In Support of Promoting Increased Awareness of Emergency Department Staff of Charitable Organizations Available State and Nation-Wide That are Designed to Financially Assist the Indigent with Emergency Medical Expenses University of Alabama, Huntsville The intention of this resolution is to reduce the number of patients who, against medical advice, selfdischarge without receiving medical attention due to financial constraints. This can be done through education and increased awareness of Emergency Department staff, to include nurses, on charitable programs designed to financially assist the indigent with emergency expenses, including medical. This resolution also intends to increase awareness among nurses and Emergency Department staff of the potential unfavorable outcomes that may occur when patients self-discharge against medical advice. 9 In Support of Significantly Improving Sexual Health Education Health Assessment and Awareness in Nursing Curricula University of Conneticut Student Nurses Association This resolution increases nurses’ competencies to assess, educate, and counsel patients with sexual health and sexuality concerns. This will be achieved by an increased emphasis on these topics throughout nursing curricula. Education on how to discuss sexual health and sexuality with patients, as well as increased knowledge regarding these topics, will help nurses treat patients more holistically. In Support of Increased Awareness and Education of the Detrimental Effects of Water-Pipe Smoking New Jersey Nursing Students Inc. This resolution advocates for the education of the general public on the detrimental effects of waterpipe smoking. Educating nursing students about the long- lasting impact of water-pipe smoking on the health of communities will decrease the spread of the water-pipe smoking epidemic . 10