A Message to the Nations Nurses

  1. A Message From ANA President
    Mary Foley, MS, RN

    As we celebrate National Nurses Week 2001 (NNW) May 6-12, the American Nurses Association (ANA) and its constituent member associations (CMAs) salute nurses across the country. This year's theme, Nurses are the True Spirit of Caring, reflects the many ways in which nurses have consistently delivered quality patient care and advocated for their patients despite the challenges of a turbulent health care system. By advocating for nurses, ANA advances its goal of high-quality patient care.

    Safety, Staffing Set as Priorities:
    A key focus of NNW 2001 is a "call to action" with regard to nurses' working conditions, particularly as they relate to nurse staffing issues and, in turn, affect quality patient care.

    That's why, in addition to celebrating nursing's accomplishments this year, ANA is asking nurses across the country to join us in pushing the call button over the nation's burgeoning nurse staffing crisis. For some time now, ANA has been sounding the alarm over inadequate staffing practices and an emerging nursing shortage that is expected to worsen over the next decade as the baby-boom population begins requiring increased nursing care. And, many of those concerns were confirmed with the results this past February of an ANA Staffing Survey designed to measure nurses' perceptions of their working conditions and levels of satisfaction.

    Chief among the survey's findings are nurses' concerns that deteriorating working conditions have led to a decline in the quality of nursing care. Specifically, 75 percent of the nurses surveyed feel the quality of nursing care at their facility has declined over the past two years, while 56 percent say the time they have available for patient care has decreased.

    In addition, more than 40 percent of the nurses surveyed said they would not feel comfortable having a family member or someone close to them cared for in the facility in which they work. And more than 54 percent of nurse respondents would not recommend their profession to their children or their friends.

    In the three months since the ANA Staffing Survey results were released, the ANA has worked closely with members of the media to publicize the impact that poor working conditions are having on the emerging shortage. Through such media outlets as NBC News, Good Morning America, CNN, C-SPAN, the New York Times, USA Today, The Washington Post, the Wall Street Journal and Modern Healthcare, the ANA has ensured that nursing's concerns are heard.

    In addition to its publicity efforts, ANA has embarked on a nationwide federal and state legislative agenda, which is pushing for the following state and federal safe staffing protections:

    Restrictions on forced overtime, so nurses know they will not be required to work mandatory overtime when they are tired or have outside commitments;

    Increased whistleblower protections, so nurses can report unsafe conditions without fear of reprisal;

    Mandated collection of workforce and nursing-sensitive quality indicators, so nurses know health care facilities are publicly accountable for the quality – not just the cost – of patient care, and for staffing levels used to deliver that care.

    Establishment of patient classification systems to better calculate the appropriate level and mix of nursing staff needed to deliver safe, quality care.

    In addition, ANA has been working with members of Congress to come up with ways to attract more young and mid-career people to the profession. And the results of those efforts include the recently introduced Nurse Reinvestment Act and the Nursing Employment and Education Development (NEED) Act, two bills aimed at alleviating a growing shortage of nurses in the United States.

    Both bills contain a combination of scholarships, loan repayments and innovative recruitment techniques designed to prompt more young people to choose nursing as a career, as well as encourage existing nurses to increase their levels of education.

    But that's not all. During National Nurses Week, Sen. Harry Reid (D-NV) and Rep. Maurice Hinchey (D-NY) will introduce the Patient Safety Act in the Senate and the House, respectively.

    The Patient Safety Act is proposed legislation that focuses on major safety, quality and workforce issues for nurses employed by health care institutions and their patients who received care in those institutions. This bill, when passed, will require health care institutions to make public specified information on staffing levels, mix and patient outcomes.

    At a minimum these institutions would have to make public the number of registered nurses providing direct care; numbers of unlicensed personnel utilized to provide direct patient care; the average number of patients per registered nurse providing direct patient care; patient mortality rates; the incidence of adverse patient care incidents; and methods used for determining and adjusting staffing levels and patient care needs.

    In addition, health care institutions would have to make public data regarding complaints filed with the state agency, the Health Care Financing Administration or an accrediting agency related to Medicare conditions of participation. The agency would then have to make public the results of nay investigations or finding related to the complaint.

    Complementing ANA's efforts in Congress, the United American Nurses (UAN), ANA's labor arm, has launched a Safe Staffing campaign that features NNW rallies across the country. More than 800 nurses have already signed on to "Demand Safe Staffing" through a UAN petition to be shared with policymakers, and UAN National Labor Assembly delegates will make their case for safe staffing to members of Congress during a June 26 UAN Lobby Day. And, ANA will hold another lobby day two days later, on June 28, prior to the ANA House of Delegates meeting.

    The bottom line is that quality patient outcomes and a healthy RN workforce -- which are tied to proper staffing and adequate working conditions-- are ultimately more cost-effective. Thus, it pays to pay attention to and address work environment concerns.

    To help achieve this goal, ANA is encouraging hospitals to shift their focus from expensive, short-sighted recruitment efforts to meaningful retention strategies.

    One such strategy can be found in the American Nurses Credentialing Center Magnet Nursing Services Recognition Program. Hospitals that have been designated as "magnets" have been found in studies to attract and retain professional nurses who experienced a high degree of professional and personal satisfaction through their practice.

    Currently, only 32 hospitals have been awarded "magnet" recognition, but the essential criteria can be used by nurses and administrators to assess their own facilities for improvements.

    In the meantime, the ANA will continue to sound the alarm on unsafe staffing practices in the coming year. The goal is to mobilize nurses around the staffing crisis, educate the public, and develop and implement initiatives to address the problem.

    Through these various efforts, it is ANA's goal to restore the meaning to the theme of this year's National Nurses Week – to truly put the spirit -- and the nurses – back into caring. We hope, both for the nurses and for the nation's sake, that our efforts are successful.

    ANA has honed its focus around five core issues to better meet nurses' and nursing's needs. The core issues are:

    Appropriate Staffing,
    Workplace Rights,
    Workplace Health and Safety,
    Continued Competence,
    Patient Safety/Advocacy.

    As ANA continues its advocacy on behalf of nurses, we need your voice. As a constituent member association member, you are a part of the ANA, the largest national network of registered nurses. And with your voice, we add strength to our message, as well as to our numbers, as we work in collaboration with other organizations that have joined nursing as partners. So, we do hope you will help us in our quest to bring nursing's collective voice together, as a call to the profession, and as we take these issues to the nation.

    NNW is the perfect time for us not only to reflect upon our accomplishments and our goals, but also to put forth our ambitious crusade on behalf of better staffing and working conditions.

    As we celebrate our profession and recognize our colleagues, I would like to extend my appreciation for your commitment to the true spirit of nursing and to improving the profession as a whole. Let's recommit to work together.
    Mary Foley, RN
    American Nurses Association http://www.ana.org/pressrel/nnw/message.htm

    sounds to me like theres a lot more there than just "advanced practice". Too bad some people will just put their heads in the sand just because they dont want to believe it.

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    About -jt

    Joined: Oct '00; Posts: 2,662; Likes: 46


  3. by   MollyJ
    Thanks for putting this message up. reminds us what we are up against.
  4. by   RNPD
    "RESTRICTIONS" (caps mine) on forced overtime, so nurses know they will not be required to work mandatory overtime when they are tired or have outside commitments"


    Originally the ANA was calling for an outright BAN on mandatory OT. Sounds like a subtle change, but not one for the better. Is the ANA caving to demands from the hospitals and the AMA & managed care? I don't want restrictions; I want a law that states that except for publicly declared emergencies, nurses-and other staff-will NEVER be forced to remain after their mutually agreed upon hours.

    I can only hope that this was an overlooked error in wording and not a change of heart on the part of the ANA.
  5. by   NRSKarenRN
    Yesterday, I went to Harrisburg, PA along with members of PASNAP and 1199P/SEIU and met with my state representative and senator's office to get Mandatory overtime legisslation introduced. It will be an uphill fight as HAP strong here;But because it is a patient safety as well as nursing safety issue, one we must persue and win in the end.

    I also plan to attend the UAN/ANA rally on June 26th. We as nurses must come together to support our profession for no one will do it for us.
  6. by   Barbara Rose
    I have to answer your inquires: first, respect: check the polls, nurses are the highest respected profession out there; the public loves us, it is employers, healthcareworkers, and other nurses who don't. That's a totally different topic altogether.
    Now, pay is something that can't be legislated (unless you want to work for the government) so it is a state, union, or local issue that requires local involvement and advocacy. That means you need to get involved.
    Again,you want a say in your work environment. Well, that's up to you.
    The ANA is not the end all of everything, it is a voice for the profession, not the ultimate problem solver. That is up to each one of us in the profession. WE must step up and take control of our profession on a personal and local level. As long as everyone sets back and waits for someone else to solve our problems, then nothing will be done.
    Get involved, YOU must take control at work, make suggestions, get involved, work on committees, make the effort to set up staffing guidelines with nursing input (in Texas that is being considered as part of the licensing process for hospitals now), you have to demand better pay, etc. for yourself and you coworkers. You will have to have the support of these coworkers and probably your state nurses association or some other group to assist. YOU and YOUR voice need to be heard for local issues. One voice can make a difference if directed correctly, and continually blasting the ANA on this list won't get the problems solved. Join CNA or MNA or someone else, just get involved and be part of the solution, not part of theproblem. As health care issues are solved, NURSES need to be at the head of the line for correct changes, not letting someone else lead us where we don't want to go. DO SOMETHING!!!!!!!!!!!
  7. by   SchmalRN
    NRSKarenRN: I probably saw you there! I was there too, but with my son and his 4th grade on a field trip. And I live in Delaware Cty, as you do! I did not even know that nurses were there until we started walking through the rotunda and saw all of you! Bill Adolph was ushering us through to the other side to get photos of the kids on the steps of the capitol. Just in case you noticed... my son and I were the ones who gave some of the nurses a thumbs up! I wanted to break out of my chaperone role and stand there with you guys, but I am sure you understand that I couldn't leave the kids.

    Anyway thank you for all that you are doing to give nurses a voice. I have been forced into mandatory OT before and had to arrange child care at the last minute as many others have. IT is so stressful. We are living in very scary times in our profession and I just wanted you to know that I appreciate the nurses who are trying their hardest to make a difference for all of us, as well as for pt safety. THANK YOU!
  8. by   NRSKarenRN
    Dear SchmalRN:
    Thank you for your kind words. I did notice the school group from my area and saw the thumbs up from my pearch on top of the capital steps. it was my first time in Harrisburg, but won't be my last.
    Please request Rep. Adolph to sign onto the Mandatory OT Legislation being introduced by Rep. Surra. Because is it proposed legislation, it does not yet have an assigned bill # until it has cosigners. I can send you copy of this legislation if desired. Individual letters make for a powerful voice especially if they come from the constituents=voters of district.

    The other big concern is SBON keeps no workforce statistics: how many of PA licensed RN's actually work in this state; amt FT and PT employment, # of RN + LPN's planning to retire or leave profession. This information is vital to know workforce #'s so one can plan for anticipated staffing needs. Thanks. Karen
  9. by   -jt
    "How about the basic core issues of better pay, respect, and empowering individual nurses to make changes directly at our work places? "

    Maybe you havent read past this BB or even glanced at the iniatives but thats all in there... under WORKPLACE RIGHTS.
  10. by   SchmalRN
    I emailed you, NRSKaren, about getting info on that legislation. I do want to write to Bill Adolph. THanks!
  11. by   Barbara Rose
    No, wildtime, I am not new. I have been reading the posts, yours as well as the others. I did not suggest run to washington, I suggested individual involvement. By the way, yes, I have been to the ER lately; I was there with my husband who was seen by a FNP who did not identify himself because he wanted the patients to think he was a doctor. Even had the nerve to try and fool me, but one of the other workers knows me, so he apologized. Well, that didn't help the other patients and if he is ashamed of being a nurse, he needs to do something else.
    Nurses are always hard on each other. That has to stop; with the ANA, with individuals, and in the work place. IF AND WHEN that happens we can change our profession, otherwise we just keep covering the same issues. Same book, different chapter, etc. I contend that each individual must make an attempt to better the profession, then as a whole come together. Seems easy enough in theory, but hey, I only have a 2 year degree, have worked for 20 years and started out as a nurse aide, so what do I know?
  12. by   natalie

    Over, and over, and over, and over, ad nauseaum, this is your overriding theme:

    "As you can see from this BB there are ANA supporters who refuse to accept defeat and who chastize anyone who dares speak anything negative about the ANA."

    Why do you think in terms of "accepting defeat"? What the hell motivates you? What do you envision? Get on with it, if it's fruitful.
    Give yourself a little respect.
  13. by   Level2Trauma
    Originally posted by wildtime88:
    <STRONG>Barbara Rose, you must be new around here.

    Do not give me a lecture about what individual nurses need to do. If you would have read my posts from a month ago you would have seen me saying the same thing and you would have also seen me getting blasted by a few of the ANA members for the idea. I even offered a feasable plan but that two was blasted by ANA supporters. It seems that there are ANA supporters who only want to do things the ANA way. The same way ANA has been doing things for the last 100 years without results. We are still in the same basic shape they were a century ago with the same complaints.

    The only solution they wanted was for everyone to join the ANA and push for the legislation which has been proposed or get out and march on Washington or State capitals.

    AS far as the public's respect, that is nice but evedently you have not spent much time in an emergency department to see the other side of the coin. I know who's respect we as a profession need to change our basic working conditions. Do you really think we are going to get it by running to Washington? We will get the same respect as we gave to the little kid who went crying to mommy or daddy that we all knew when we were children, none. The truth is that the ANA had the perfect opportunity to lead and empower individual nurses and in the process could have gain a lot of respect from nurses themselves, but what did they choose to do? Run to washington themselves. The nursing profession is only as strong as it's self declared leadership. The ANA is weak and ineffective at changing the basics and so is our profession as a direct result.</STRONG>
    Wildtime, It just may be that there have been nurses like you around for a 100 years. This may actually be the root of the problems faced by nurses today. Too many want to run their mouth without providing any solid action. As much as you piss, moan, and groan about the ANA on the BB, you can't possibly have any time left for constructive work. It is attitudes like yours that keep the nursing profession marred up in mud. Give it a break, join an organization (any organization) and fight for change. But for the sake of nursing, DO SOMETHING BESIDES RUN YOUR MOUTH!!!
  14. by   essarge

    blah, blah, blah!

    Have you considered HRT's? Your hormones seem to be out of control!


    Well said!!!