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2020 Conference Schedule

Thursday, Nov 12

9:45 AM – 10:00 AM

OPENING REMARKS

Dr. Nora Warshawsky, PhD, RN, NEA-BC, CNE, FAAN
ALSN President
Professor, Health Systems Department, College of Nursing, University of Central Florida

10:00 AM – 11:00 AM

OPENING KEYNOTE

Pandemic Facts & Leading Through Pandemic:
Lessons Learned from the Past

  • Tener Veenema, PhD, MPH, MS, RN, FAAN
    Professor, Johns Hopkins School of Nursing
Description: To strengthen the nursing workforce during this response and for future pandemics and epidemics, it is critical we identify the gaps in nursing workforce development that have contributed to a lack of pandemic readiness. It is imperative that policy-makers, nurse educators, and the organizations and systems that oversee and provide health care understand the unique characteristics associated with nursing’s role in health care and public health emergency preparedness, what activities are required to prepare the nursing workforce for these roles, and who is responsible for conducting, supporting,and maintaining those activities.

11:15 AM – 11:45 AM

BREAKOUT 1

Addressing Social Determinants of Health in an Interprofessional Collaborative Practice Clinic
  • Connie White-Williams, PhD, RN, NE-BC, FNAP, FAAN
    Senior Director, Center for Excellence, UAB Hospital
    Associate Professor, University of Alabama at Birmingham School of Nursing
  • Maria Shirey, PhD, MBA, RN, NEA-BC, ANEF, FACHE, FNAP, FAAN
    Associate Dean, University of Alabama at Birmingham School of Nursing

Description: This session will describe how an academic-practice partnership implemented a nurse-led interprofessional collaborative practice clinic with an overarching goal of improving health outcomes while decreasing hospital admissions and cost in underserved patients with heart failure. Addressing social determinants of health quickly became a crucial component in the care of the patients. We will describe the interventions utilized to address social determinants and improve health outcomes.

Constructivist Grounded Theory:
Critical Factors Influencing Leadership in Nursing
  • Lucy Leclerc, PhD, RN, NPD-BC (Presenter)
    Assistant Professor of Nursing, Kennesaw State University
  • Kay Kennedy, DNP, RN, NEA-BC, CPHQ (Co-Presenter)
    Sr. Principal, Uleadership

Description: This session will describe how an academic-practice partnership implemented a nurse-led interprofessional collaborative practice clinic with an overarching goal of improving health outcomes while decreasing hospital admissions and cost in underserved patients with heart failure. Addressing social determinants of health quickly became a crucial component in the care of the patients. We will describe the interventions utilized to address social determinants and improve health outcomes.

The Benefit of Simulation to Develop Confidence to Conduct Crucial Conversations in Graduate Nursing Leadership Learners
  • Linda Cole, DNP, RN, APRN, CCNS, CPHQ, CNE
    Assistant Professor, Cizik School of Nursing at UT Health
  • Lisa Boss, PhD, RN, APRN, CNS, CEN, CNE
    Assistant Professor, Cizik School of Nursing at UT Health

Description: The session will describe how simulation was used to enhance master’s level learners’ competency related to American Organization of Nursing Leadership (AONL) Nurse Manager core competencies: (1) foundational thinking skills and (2) relationship management and influencing behaviors when having crucial conversations. Scenario descriptions, methods, results, and lessons learned will be shared with the attendees.

11:45 AM – 12:15 PM

BREAKOUT 2

Frequency of Unfinished Nursing Care in a Southeast State

  • Caitlin Marley Campbell, BSN, RN
    PhD Student, University of Alabama at Birmingham School of Nursing

Description: Nursing care is frequently left unfinished according to nurses around the world (Jones et al., 2015). However, the extent to which unfinished nursing care occurs in smaller U.S. states known for poor health outcomes, such as Alabama, is unknown (Campbell et al., 2020). This session will explore data collected in the Alabama Hospital Staff Nurse Study which included an assessment of unfinished nursing care as measured by the Perceived Implicit Rationing of Nursing Care instrument (PIRNCA). The frequency of unfinished nursing care, the most and least missed items, and factors associated with unfinished nursing care will be presented and discussed in this session.

Exploration of the RN & NA Relationship & Patient Safety Culture

  • Amy Richmond-Campbell, PhD, RN (Grantee)
    Quality Nurse Specialist III for Vidant Health, East Carolina University
  • Diana Layne, PhD, RN, CPHQ
    Assistant Professor, College of Nursing, Medical University of South Carolina

Description: The objectives of this presentation are to present research findings from a recent study aimed at examining Registered Nurse (RN) and Nursing Assistant (NA) perceptions of patient safety culture, evaluating the quality of RN-NA relationships and determining the relationship between relational quality of the RN-NA and perceptions of patient safety. A mixed methods design was used to evaluate RN-NA views about teamwork and associations between the relational quality of RN-NA dyads and perceptions of patient safety culture at a unit level were explored. The setting for this study was a large multi-hospital acute care health system in eastern North Carolina. Findings indicate demonstrative differences in the perception of relational quality between RNs and NAs.

Validity & Reliability of an Instrument to Measure Nurse Manager Competencies to Support Evidence-Based Practice by Clinical Nurses

  • Laura Caramanica, PhD, RN, CNE, CENP, FACHE, FAAN
    Associate Professor, University of West Georgia
  • Lynn Gallagher-Ford, PhD, RN, EBP-C, NE-BC, DPFNAP, FAAN
    Senior Director & Clinical Core Director, Helene Fuld Health Trust National Institute for EBP in Nursing & Healthcare, College of Nursing, The Ohio State University

Description: Numerous studies validate the need for NM support by clinicians to engage in evidence-based practice, but most do not describe how this is achieved. This session will describe the findings of a Delphi Study whereby a panel of experts achieved consensus on a set of 22 leadership competencies that when used by nurse leaders in the conduction of their role responsibilities effectively supports clinicians to use evidence-based practice at the point of care.

1:00 PM – 1:30 PM

BREAKOUT 3

Organizational-Level Financial Statements:
Teaching Students Through Real-World Financial Statements

  • Todd Smith, PhD, MSHA, MBA, RN, NEA-BC
    Assistant Professor, University of Alabama
  • Teresa Welch, EdD, RN, NEA-BC
    Assistant Professor, The University of Alabama

Description: The American Organization for Nursing Leadership’s (AONL’s) Nurse Executive Competencies include five core competencies, including Business Skills, which includes the “understanding of healthcare financing.” Specifically, the AONL’s competencies include “analyze financial statements” within the competencies. In addition, Welch & Smith (2019) state that “financial competency… provides a measure of independence and critical thinking (that is) imperative for the successful nurse leader.” Thus, understanding organizationallevel financial statements is crucial for nurse leaders. This presentation will describe the process used to teach graduate-level nursing administration students about organizational-level financial statements through the exploration of real financial statements from a large healthcare organization.

Reducing Emergency Department Visit Rates in Hospice Patients Using Telemedicine

  • Clara Michelle Teter, DNP, APRN
    Doctor of Nursing Practice, Bristol Hospice & Palliative Care

Description: In this session, statistical analyses for an eight-week intervention project will be reviewed in which forty-four adults aged 35 years and older were educated on Doxy.me telemedicine application usage. Among the intervention group, the number of ED visits and the number of 911 calls decreased from 12 (54.5%) to 1 (4.5%) post-intervention. Paired samples t-tests show there were statistically significant differences in the number of ED visits and 911 calls between the two points in time. The project revealed that patients using the telemedicine hospice care application received timely delivery of hospice and palliative care services, reducing ED visits through early detection of symptom exacerbation. Reimbursable telemedicine visits for home palliative and hospice are feasible.

1:30 PM – 2:00 PM

BREAKOUT 4

Screening, Brief Intervention, Referral & Treatment (SBIRT) Training: Impact on BSN Students’ Knowledge & Attitudes on Alcohol & Drug Use

  • Beverly Quaye, EdD, RN, PHN, NEA-BC, FACHE
    Assistant Professor; Coordinator, MSN Leadership Program,
    California State University Fullerton

Description: Motivational interviewing (MI) is introduced and reviewed as an increasingly popular skill that empowers patients to adopt healthy behaviors and positively impact population health. MI is utilized in brief interventions specifically when screening for alcoholism and other drug disorders (AOD). Inclusion into required BSN curriculum equips emerging nurses to use this method upon entering the nursing workforce to help address current healthcare and system challenges.

Clinical Nurses’ Perception of Authentic
Nurse Leadership & Healthy Work Environment

  • Rosanne Raso, DNP, RN, NEA-BC, FAAN
    VP & Chief Nursing Officer, NewYork-Presbyterian/Weill Cornell Medical Center
    Editor-in-Chief, Nursing Management, The Journal of Excellence in
    Nursing Leadership
  • Joyce Fitzpatrick, PhD, MBA, RN, FAAN, FNAP
    Professor, Frances Payne Bolton School of Nursing,
    Case Western Reserve University

Description: This is a cross-sectional, descriptive, correlational study with 254 clinical nurses in a national sample using the ANLQ and CE-HWES instruments/ frameworks together for the first time, finding a positive relationship between authentic nurse leadership (ANL) and healthy work environment (HWE). In this novel nursing model of authentic leadership, caring is an attribute that was valued by frontline nurses. Background variables were not significantly related to nurses’ perception of the ANL of their manager or their work environment.

2:00 PM – 3:00 PM

GENERAL SESSION

Ethical Issues in the COVID Pandemic:
Implications for Practice & Education

  • Cynda Rushton, PhD, RN, FAAN
    Anne & George L. Bunting Professor of Clinical Ethics, Berman Institute of Bioethics, School of Nursing
    Professor of Nursing & Pediatrics, Johns Hopkins University

Description: The COVID-19 pandemic has created myriad ethical challenges for nurses and other clinicians. The consequences of these ethical challenges range from moral stress to various forms of moral suffering and the possibility of meeting them with in morally resilient ways. In this session, we will discuss the unique ethical challenges of the pandemic, examine the responses and consequences of them and explore ways to leverage our moral resilience to restore our integrity and well-being. Implications for leaders will be highlighted.

Friday, Nov 13

10:00 AM – 11:00 AM

OPENING KEYNOTE

Leading to Change, Changing to Lead: Past, Current & Future Frontiers

  • Bonnie Jennings, PhD, RN, FAAN
    Professor, Nell Hodgson Woodruff School of Nursing, Emory University

Description: In this session, we will first identify select landmark events that have changed the context of care delivery since the 1960’s. We will then chronicle the origin of the Council on Graduate Education in Administrative Nursing (CGEAN) and its segue into the Association for Leadership Science in Nursing (ALSN). Third, we will identify current leadership issues with a focus on turbulence and interdisciplinary practice. Lastly, we will use our superpowers to look into the future regarding opportunities for nurse leaders—many of which come from our past.

11:15 AM – 11:45 AM

BREAKOUT 1

Narrative Nursing: Empowering Nurse Leaders

  • Joyce Fitzpatrick, PhD, MBA, RN, FAAN, FNAP
    Inaugural Director, Marian K. Shaughnessy Nurse Leadership Academy
    Elizabeth Brooks Ford Professor of Nursing,
    Frances Payne Bolton School of Nursing, Case Western Reserve University

Description: Narrative Nursing is a formalization of storytelling from the point of care, a process for empowering nurses to capture and celebrate their leadership skills embedded within the nurse patient relationship. Nursing has a rich history of storytelling; experienced nurse leaders often share their caregiving stories with new recruits, and orient new nurses to the culture and moral values of the profession. Storytelling in nursing serves to highlight our shared values, and communicate the moral, ethical, scientific basis for our professional practice.

From Coping to Building Individual Resilience: Nurse Managers in Rural Workplaces

  • Sonia Udod, PhD, RN
    Assistant Professor, University of Manitoba CANADA
  • Dean Care, RN, PhD
    Professor, Brandon University CANADA

Description: The focus of this presentation will examine coping strategies identified by nurse managers in rural healthcare facilitates in Western Canada, and describe the role of managers in activating individual resilience.

Exploring & Understanding Saudi & Expatriate Nurses’ Needs & Perceptions in Saudi Arabia

  • Jumanah Almusajin, RN, MSN, PhD(c)
    PhD Scholar, School of Nursing, University of North Carolina at Chapel Hill

Description: A pilot study to explore and understand nurses’ needs in Saudi Arabia. This session will address nurses’ individual needs and the challenges encountered by registered nurses in their workplace as well as expatriate nurses’ cultural needs in Saudi Arabia and how the organizational leadership supports (or does not support) the nursing staff in meeting their needs.

11:45 AM – 12:15 PM

BREAKOUT 2

Next Generation of Leaders: Developing & Evaluating the Effectiveness of a Nursing Leadership Mentoring Pilot Program

  • Margot Hedenstrom, PhD, RN, MBA, NEA-BC
    Assistant Professor of Nursing, WellStar School of Nursing
  • LeeAnna Spiva, PhD, RN
    Assistant Vice President, WellStar Health System

Description: Next generation of leaders: Developing and evaluating the effectiveness of a Nursing Leadership Mentoring pilot program.

Work Readiness of Newly Licensed Registered Nurses

  • Gloria Walters, PhD, RN, NPD-BC, CCRN-K
    Nurse Scientist, Novant Health

 This session will report the findings of a collaboration between academia and industry to investigate the work readiness of newly licensed nurses in a large healthcare system. This study builds upon decades of research about newly licensed nurses in a continuing effort to assist and encourage an easier transition to practice. Novant Health’s residency program is accredited by the ANCC Practice Transition Accreditation ProgramĀ® (PTAP).

Task Force on Criteria for Development, Implementation & Evaluation of Nursing Leadership Graduate Specialty Programs

  • Kathleen White, PhD, RN, NEA-BC, FAAN
    Professor, Johns Hopkins School of Nursing, Joint Appointment,
    Johns Hopkins Carey Business School

  • Debra Hampton, PhD, RN
    Professor, Assistant Dean, MSN, DNP Programs
    University of Kentucky, College of Nursing

Description: The Association for Leadership Science in Nursing (ALSN) Board of Directors (BOD) identified a need for nationally-endorsed guidelines/criteria to guide the development, implementation, evaluation and review or accreditation of Nursing Leadership Graduate Specialty programs in the U.S. The guidelines/ criteria will be used to evaluate Nursing Leadership Specialty Master’s, Practice Doctorate, and Post-Graduate Certificate Educational Programs and serve as an adjunct to existing national accreditation standards. It is also expected that these guidelines/criteria may be used to guide the development of new Nursing Leadership Graduate Specialty programs and to conduct self-evaluation of new and existing programs.

1:00 PM – 1:30 PM

BREAKOUT 3

Nurse Leaders’ Role in Promoting Nurse Resilience

  • Holly Wei, PhD, RN, CPN, NEA-BC
    Associate Professor, Graduate Leadership Concentration,
    College of Nursing, East Carolina University

Description: This presentation aimed to identify nurse leaders’ strategies to foster nurse resilience and ways to implement the strategies in clinical practice. Seven strategies are identified to cultivate nurse resilience. The strategies included: facilitating social connections, promoting positivity, capitalizing on nurses’ strengths, nurturing nurses’ growth, encouraging nurses’ self-care, fostering mindfulness practice, and conveying altruism.

The Precision Phenomenon in Healthcare

  • Mary Anne Schultz, PhD, MBA, MSN, RN
    Professor & Informaticist, Department of Nursing,
    California State University-San Bernardino

Description: Despite technological, scientific and biological advances, awareness of and accompanying competencies for Precision Medicine and Precision Health remain flat. Nurse Leaders commonly lack the Knowledge, Skills and Attitudes (KSAs) necessary to launch this awareness and subsequent competencies, leaving nurses, including nurse scientists, ill-prepared to grasp the cross-disciplinary activities necessary to support the goals of the Triple Aim.

Pre-Licensure Nursing Students’ Experiences with Psychological Safety

  • Bret Lyman, PhD, RN
    Associate Professor, Brigham Young University

Description: Psychological safety is foundational to a healthy work environment conducive to organizational learning. Newly graduated Registered Nurses’ experiences as pre-licensure students may impact their psychological safety as they transition to nursing practice, yet little is known about their nursing students’ experiences with psychological safety. Findings from this study can guide nurse leaders and educators to create clinical learning environments that foster psychological safety.

1:30 PM – 2:00 PM

BREAKOUT 4

Innovative Intraprofessional Doctoral Education: Agile, Participatory, Action Research

  • Peggy Jenkins, PhD, RN, CNE
    Assistant Professor, Assistant Dean Graduate Program, Specialty Director iLEAD
    University of Colorado College of Nursing
  • Jacqueline Jones, PhD, RN, FAAN
    Professor, University of Colorado

Description: Participatory, agile, action research methodology was used to include voices of DNP and PhD nursing leadership students who took three courses together over three semesters. Verbatim transcripts from multiple data sources were analyzed using interpretive descriptive qualitative approach. Four key themes emerged describing doctoral nurse leader scholarship and model for collaboration.

The Use of Peer-facilitated Simulation for Teaching Advanced Leadership Skills in a Graduate Nursing Program: A Pilot Study

  • Lisa Boss, PhD, RN, CNS, CEN, CNE
    Assistant Professor, Cizik School of Nursing at UTHealth,
    The University of Texas Health Science Center

Description: To best prepare MSN in Nursing Leadership graduates to effectively function in our complex, rapidly changing healthcare system, nursing faculty must create an innovative and active learning environment where learners develop advanced leadership skills. In this pilot study, we investigated the use of peerfacilitated simulation as an innovative and active learning approach to teaching advanced nursing leadership skills to graduate-level learners.

2:00 PM – 3:00 PM

GENERAL SESSION

Nursing Now: How to Seize & Keep Nursing’s (Local & Political) Voice as a Result of this Pandemic

  • Cheryl Jones, PHD, RN, FAAN
    Professor, The University of North Carolina at Chapel Hill

Description: This presentation will use the global Nursing Now movement and the Nightingale Challenge as context for discussing: 1) the COVID-19 pandemic; 2) opportunities and challenges for nursing and nursing leadership; and 3) how we can seize this important moment in our history to radically change health and health care in the future.

3:00 PM – 4:00 PM

ANNUAL MEMBERSHIP MEETING

Saturday, Nov 14

10:00 AM – 11:00 AM

OPENING KEYNOTE

Leadership Skills for this Pandemic With Emphasis on
Workforce Support & Workforce Needs During & Aftermath of Crisis

  • Mary Ann Fuchs, DNP, RN, NEA-BC, FAAN
    VP of Patient Care & System Chief Nurse Executive, Duke University Health System

  • Robin Begley, DNP, RN, NEA-BC
    AONL Chief Executive Officer, AHA Senior Vice President
    Chief Nursing Officer, American Organization for Nursing Leadership (AONL)

Description: Insights from Nursing Leaders: Through the COVID-19 Lens 8 months in to the COVID-19 pandemic, nursing leaders will share their perspectives on their experiences, as well as feedback from the field. What are the leadership lessons, skills required, workforce needs that will sustain us through this unprecedented time? Are there innovations/best practices that have emerged that nursing leaders can leverage as we plan for the post-COVID needs of our patients, communities and staff?

11:15 AM – 11:45 AM

BREAKOUT 1

The Administrative Supervisor Practice Environment Scale

  • Susan Weaver, PhD, RN, CRNI, NEA-BC
    Nurse Scientist, Hackensack Meridian Health

Description: This session will discuss the development and testing of the Practice Environment Scale (PES) for administrative supervisors who are the nurse leaders on the evening, night and weekend shifts. The 53-item Administrative Supervisor PES was created from the 44-item Nurse Manager PES. There was a significant positive correlation between the overall Administrative Supervisor PES and job satisfaction and healthy work environment. This new Administrative Supervisor PES, with reasonable psychometric properties, can be utilized by nurse leaders to examine and foster administrative supervisors’ practice environments and subsequently enable supervisors to better support the staff in achieving improved nurse and patient outcomes.

Workplace Violence: A Culture of Acceptance - The Nurses’ Cognitive Adaptation to Workplace Violence

  • Elaine Hillin, RN, BSN, CNE, PhD(s)
    Assistant Professor, Texas Tech UHSC, School of Nursing

Description: Violence against nurses in on the rise, and many hospitals have answered the call to keep nurses safe. Hospitals provide classes to teach nurses how to handle violent situations, including verbal and physical attacks. There are state laws that state the consequences that a patient or visitor will be subject too if they are violent towards a nurse. With all of the support for nurses to keep them safe, nurses still do not report a violent act, verbal or physical, to their nurse leadership team. This project is to understand the reasons nurses still have for not reporting a violent act, it seeks to find out if nurses develop a cognitive adaptation to violence.

An Experiential Educational Intervention Aimed at Nurse Managers’ Knowledge & Self-Assessed Competence with Health Care Financial Management

  • Susan McFarlan, DNP, RN, NE-BC
    Assistant Professor, Webster University Department of Nursing

Description: Sue worked with a regional hospital in St. Louis to plan and develop leadership development seminars for nurse managers. Their nurse administrators used the AONE (AONL) Nurse Manager Competencies to assess their managers’ baseline self-assessed competence with regard to each area of competence. Consistent with many nursing studies, indicating that many nurse leaders list financial management as the most difficult of the leadership competencies, these managers scored themselves below “competent” and lower than the other competency areas. This led to the development of an evidence based educational intervention and post-intervention assessment to determine effectiveness.

11:45 AM – 12:15 PM

BREAKOUT 2

Hard-wired Interdisciplinary Teams: How One Children’s Hospital Navigated the First Wave of the COVID-19 Crisis

  • Roberta Pawlak, PhD, RN, NEA-BC
    Professor, Henry Predolin School of Nursing, Edgewood College

Description: The aim of this QI process was to establish a collaborative interprofessional approach to address one Children’s Hospital’s response to the care needs of patients and families, as well as staff safety needs, resulting from the COVID-19 pandemic in spring 2020. Through daily assessment during a rapidly-evolving COVID-19 response, it became clear that interprofessional teamwork was ‘hard-wired’ in response need to ‘just in time’ issues that arose. A collaborative effort that grew from Interprofessional work was emphasized and encouraged, seemingly unique to this setting compared to the ‘parent’ health care organization. The case shared will illustrate how this model of care coordination resulted in rapid-response decision-making with markedly deep inclusive input from all levels of care providers including leaders and front-line staff.

Nurse Fatigue Patterns: A Machine Learning Approach Based on Hidden Markov Model

  • Amany Farag, PhD, RN
    Associate Professor, College of Nursing, University of Iowa

Description: Prolonged work hours coupled with intense physical and mental demands in a highly dynamic work environment have subjected hospital nurses to enormous fatigue. Fatigued nurses are at high risk of negative health outcomes and medication errors. Despite the plethora of studies assessing nurse fatigue and its predictors, very few studies attempted to evaluate fatigue pattern among nurses and temporal changes of nurse fatigue between shifts. This information is needed to help managers make scheduling decisions. This study benefited from the advances in machine learning to address the knowledge gap and study aims.

Sensitizing Acute Care Nurses’ Attitudes Related to the Obese Patient: An Effort to Eliminate Weight-Related Stigma

  • Rachel Hand, MSN, RN, DNP(s)
    DNP Student, Troy University

Description: Weight-related stigma is an ongoing problem in society and occurs in a variety of settings including social interactions and professional healthcare experiences. Weight-related stigma negatively impacts the patient experience and can be detrimental to the relationship between a patient and a healthcare provider. During this session, Rachel will discuss the methodology and results of her doctoral synthesis project, focusing on how a video intervention affects nurses’ attitudes toward obese people. Implications for nursing practice will be present.

12:15 PM – 1:15 PM

GENERAL SESSION

Insights for Academic Institutions on New Ways for Educating All Levels of Nursing Student (in partnership with service)

  • Donna Sullivan Havens, PhD, RN, FAAN
    Connelly Endowed Dean & Professor, M. Louise Fitzpatrick College of Nursing, Villanova University

Description: This keynote will introduce the concept of Positive Organizational Scholarship (POS) tools in practice, leadership, education and research and how Positive Organizational Scholarship in Healthcare (POSH) is being implemented to promote spiraling upward. POS tools and how they are being used will be reviewed including: Appreciative Inquiry (AI), Positive Deviance (PD) and Relational Coordination (RC).

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