Florida Center for Nursing Regional Status Reports
Florida Action Coalition
February 8, 2017
Linda LaComb-Williams, R.N. Nursing Section Co-chair
Presented in the December 2016 FPHA Newsletter was information on the Florida Action Coalition, time line from 2010-2017. As your FPHA representative on the Florida Action Coalition, I have represented you on the Practice Action Team. One of the major recommendations that came from the Institute of Medicine’s Future of Nursing report was to address the issues of removing scope-of-practice barriers to nurses.
Our Practice Action Team has been involved in educating health providers, elected officials, health care stakeholders, and others about the many aspects of nursing. Additionally, the importance of nursing activities is being publicized, especially in trying to more fully utilize ARNPs in the provision of health care in Florida, not only on access to healthcare, but also on the economy through jobs and increased spending. According to Unruh, Rutherford, and Schirle (2016), ARNPs can contribute an additional $238 to $537 million in wages and benefits annually in the least restrictive practice area. Jobs could be increased by more than 1,800 ARNPs in areas with the least restrictive practice area (Unruh et al., 2016).
Educating the public about the many aspects of nursing can help to form true collaboration of care coordination. As a public health nurse on the team, my goal has been to continue to promote the value and effectiveness of public health nursing in providing health education to not only the public but to the health care receivers and providers in areas of prevention. Prevention is the key to good health, improving health outcomes, and teaching about risk-reduction behaviors.
The Practice Action Team has two work groups: the Institution Work Group and the Legislative Work Group. As a member of the Institution Work Group, FPHA has been involved in promoting information about specific benefits provided by Advanced Practice Nurses. We developed a Nurse Practitioner Role Fact Sheet, ARNP Benefits of Florida-Brief Report, and ARNP Benefits of Florida-Technical Report, which can be reached at the Action Team link https://www.flcenterfornursing.org/FL-ActionCoalition/FocusAreas/PracticeActionTeam.aspx .
The Florida Action Coalition is “providing leadership in advancing the nursing profession so that Floridians can access safe, high quality healthcare” and the Practice Action Team will continue “to educate health providers, elected leadership, coalition stakeholders and the public about the practice of nursing and the many roles of nurses” and continue to promote the importance “that physicians, nurses and other health professionals work together to successfully accomplish coordinated care that is effective and efficient”. Public health nursing/community health nursing “averts the initial occurrence of disease or injury and provides early identification and treatment or a comprehensive rehabilitation of the disease or injury to maximize health” (Hunt, 2013, p. 24).
Florida Action Coalition-Practice Action Team. (2014). Nurse practitioner role fact sheet. Retrieved from Florida Center for Nursing: https://www.flcenterfornursing.org/FL-ActionCoalition/FocusAreas/PracticeActionTeam.aspx
Hunt, R. (2013). Introduction to Community-Based Nursing (5th ed.). Philadelphia, PA: Wolters Kluwer Health/Lippincott Williams & Wilkins.
Unruh, I., Rutherford, A., & Schirle, L. (2016, November 11). What role do Advanced Registered Nurse Practitioners have in meeting Florida's health needs and contributing to its economy? A brief report. Retrieved from Florida Center for Nursing: https://www.flcenterfornursing.org/DesktopModules/Bring2mind/DMX/Download.aspx?Command=Core_Download&EntryId=1246&PortalId=0&TabId=151
Report from QUIN Council (Quality and Unity in Nursing) Linda LaComb-Williams, R. N.
September 9, 2016
The quarterly meeting of the QUIN Council was held at FNA Headquarters in Orlando on September 9, 2016. The chair of the council is Dr. Cindy Parsons, from the Florida Nurse Practitioner Network. Written organizational reports were presented to the members of the Council. Willa Fuller from Florida Nurses Association reviewed the FNA Legislative Platform for 2017. The FNA Annual Report was also reviewed and copies given to each organization represented at the Council.
One issue that is concerning for all the nursing organizations is the “pay for preceptorship” concept that has become a problem for many schools of nursing. Trying to find preceptors for nursing students continues to be problematic at some institutions. Proposals from potential preceptors for accepting students for their preceptorships have included payment for services of the institution. Although some disciplines have always provided some type of reimbursement for their preceptor services, nursing has not been one that usually provides monetary reimbursement to hospitals or other institutions. Schools of nursing are increasingly finding difficulty in placements of their students for training purposes.
The “Nurses on Boards” training has completed the first class with over 20 graduates of the training. Nurses have been encouraged to apply to be members of agency boards. Local Regional Workforce Boards are in need of nursing input as well.
Healthy Work Environments are also concerns for nurses. Workforce Violence Initiatives and Safe Staffing Awareness Initiatives were discussed. Often the nurse is injured by a patient and safety measures are indeed important considerations for all facilities. Another theme the Council is working on this year is the Culture of Safety.
Joe Baker, from the Florida Board of Nursing, reported that the Board is working closely with the Commission for Independent Education to assist students from ITT Tech with a teach-out or transfer plan of action. The IPN program has been in the news in the Ft. Myers area with a TV station reporting several stories alleging the BON has sent nurses to the IPN program without merit. A law firm which represents some nurses who feel they do not belong in IPN is assisting the investigative reporter. Mr. Baker also reported that the Controlled Substances Formulary Committee, which was established in HB 423 met and gave no additional recommendations to the BON for exclusions for ARNP prescribing authority for Clinical Specialists. The BON’s rule will be going through the adoption process and it is anticipated to be in effect by the end of the month.
Mary Lou Brunnel and Andrea Russell reported for The Florida Center for Nursing and the Florida Action Coalition. The annual Education Survey will begin October 3 and will collect information on trends in Florida’s nursing education capacity and faculty supply and demand. The University of Central Florida and the College of Health and Public Affairs will be helping with financial support for the FCN as funding sources have been decreased by the Legislatures. The Florida Action Coalition has been sponsoring Regional Receptions/Town hall meetings to inform people of the progress of the Coalition on the IOMs recommendations of the shortage of nursing. There was a meeting in the Pensacola area on September 14 with another meeting scheduled in the Miami area in January.
The next meeting of the QUIN Council will be in December 2016.
Report from the Chair 9/11/2015
The title of 2015 FPHA Annual Educational Conference, held in Orlando at the Florida Hotel, was “A Prepared Florida: What Does It Mean for Public Health?” The need for preparation for the nursing section was divided into two sections.
The first, on August 20th, was provided by Mrs. Debbie Hogan, RN, MPH. The topic was “Valuable Vaccines”. The presentation was about the importance of vaccines, methods of identification, current updates on the vaccines, and how to deal with vaccine hesitancy among some parents. The important concepts are summarized as being familiar and informed about immunizations, encourage members of the public to keep their families current on immunizations, and realize the importance of immunizations in dealing with public health situations. Mrs. Hogan is from the Florida Department of Health, Palm Beach County, and is a Community Health Nursing Consultant.
The second section, on August 20th, was provided by Dr. Mary Martinasek, entitled “Hookah and Vaping: Will Curiosity Kill the Cat?” Dr. Martinasek is an Assistant Professor in Public Health, from The University of Tampa, College of Natural and Health Sciences. Dr. Martinasek described that both waterpipe tobacco and electronic cigarettes are increasing in prevalence among youth and young adults in Florida. Dr. Martinasek reported that these methods of smoking/vaping are viewed by users as being less harmful than traditional smoking. The presentation gave the viewers a better understanding of how the devices work, prevalence, data, health effects and social-behavioral aspects of each type of smoking/vaping.
The Public Health Nursing Interest group met on August 20, 2015 at 4:30pm at the Florida Hotel. The attendees requested for Linda LaComb-Williams to continue as the co-chair, along with Bobbie Thackeray. Topics for next year’s conference were discussed, but will wait for the Annual Education Committee’s recommendations for general topic. There has been continued concern for the membership in Florida Public Health Association/Nursing Section. Strategies for increasing membership will be in line with the FPHA’s general membership campaign. Linda LaComb-Williams will be putting together a description of the activities involved in the chair’s duties for the Nursing Section.
Linda would also like to thank FPHA for the 2015 Meritorious Service Award and also the scholarship which was awarded to her. Included in this information is her “thank you” to the FPHA Board.
Dear FPHA Board Members,
I wish to express my heartfelt thanks to all of you for your support and encouragement all these years through the Florida Public Health Association. I was so very surprised and honored by the award of the 2015 Meritorious Service Award this year. As a provider of public health services in Florida for many years, I have learned so much about the caring aspects of public health folks in Florida. You are very special to me and my family.
A very simple way for me to summarize public health is as follows: "While medicine is concerned with the individual patients, public health regards the community as its patient, trying to improve the health of the population. Medicine focuses on healing patients who are ill. Public health focuses on preventing illness" (Schneider, Mary-Jane, 2014, p.6). *
I always have felt that the patient can't get any better if we don't provide adequate health education for the patient, family, and friends. The home environment needs to be satisfactory also for patients to improve. We in Florida Public Health Association all work together to make those things happen.
Thank you, also, for the scholarship gift this year. I am truly honored to accept the scholarship, continuing my studies at Nova Southeastern University.
Thank you so much.
Linda LaComb-Williams, R.N., BSN,MPH, CHES, LNC
*Schneider, M-J. (2014). Introduction to Public Health (4th ed.). Burlington, MA: Jones