2010 Third National DNP Conference, San Diego

Breakout session W6 Details, Wednesday, September 29, 2010, 4PM
Sorento Room

Joanna Sikkema, MSN ANP-BC, FAHA, DNP Student
and Mary Jean Schumann, PhD, RN
University of Miami School of Nursing and Health Studies and the American Nurses' Association
Making a Statement: The ANA DNP Position Statement: Advancing the Nursing Profession

Goal of Presentation:
The purpose of this presentation is to chronicle the journey of formulating the American Nurses Association DNP Position Statement in an environment of controversy and discord within the nursing profession. The Doctor of Nursing Practice is pivotal to providing leadership to policy formulation, health care delivery and expert clinical care in a healthcare system in transition in 2010. The nursing profession must achieve philosophical consensus and present a unified voice to seize these opportunities of visionary leadership for advanced practice.

Objectives:
1. Explore effective strategies for obtaining consensus among diverse opinion leaders within the nursing profession.
2. Describe the process of developing a national position statement.
3. Present strategies for obtaining philosophical consensus of the Doctor of Nursing Practice as a terminal practice degree in nursing.

Speaker’s Background:

Joanna D. Sikkema, MSN, ANP-BC, F.A.H.A., DNP student (Case Western Reserve University) is the Chairperson of the ANA DNP Position Statement Writing Committee. Mrs. Sikkema is a member of the faculty of the University of Miami School of Nursing and Health Studies and is the Past President of the Preventive Cardiovascular Nursing Association. She is a recognized national speaker and clinical expert and serves on numerous national health policy committees including CREDO: Coalition to Reduce Racial and Ethnic Disparities in CV Outcomes, CMS Advisory Panel, AHA/ACC writing panel for SIHD (stable ischemic heart disease), and the American Medical Association Episodic - Based Cost of Care Work Group: Heart Failure among others. Ms. Sikkema also is a member of the ANA Congress of Nursing Practice and Economics and a practicing nurse practitioner.

Mary Jean Schuman, MSN, MBA, RN, CPNP, DNP student (Johns Hopkins University) is the Chief Program Officer of the American Nurses Association. Ms. Schuman has been instrumental in leading key ANA initiatives in the areas of policy, clinical practice, nursing quality and advocacy. She is a recognized national speaker on multiple topics that include APRN issues, the National Database of Nursing Quality Indicators, health care policy, women’s issues, and pediatric pain management. She is a nationally certified Pediatric Nurse Practitioner.

Ying "Mai" Kung, DNP, MPH, FNP-BC
Florida State University, Tallahassee, FL
Leadership in Practice: Handling of Adverse Events and the Prevention of Litigation

Goal of Presentation:
In a litigious practice environment, it is important that NPs are aware that appropriate handling of adverse events (when bad things happen) may reduce their risks of being named in a lawsuit. It is the purpose of this presentation to describe a different approach to the traditional “deny and defend” method in the handling of adverse events.

The “disclosure and apology” is a patient-centered and ethically-oriented approach in dealing with adverse events. It is focused on meeting the needs of the patients/their families, and supporting the needs of providers. It emphasizes patient safety by identifying and preventing causes of medical errors, thereby brining about a safer healthcare environment and higher quality of patient care. Nurse practitioners can demonstrate their leadership in adopting an approach that will result in the best practice outcomes for all stakeholders.

Objectives:
1. Discuss factors associated with an increased risk for being named in a lawsuit.
2. Identify two rationales for the traditional “deny and defend” approach to the handling of unexpected adverse events.
3. Name two outcomes associated with the “disclosure and apology” approach to the handing of unexpected adverse events.

Speaker’s Background:
Ying Mai Kung is a graduate from the University of Texas at Austin in 1981with a BS in Nursing. She received a Master’s Degree in Nursing (concentration: Family Nurse Practitioner) and a Master’s Degree in Public Health from Emory University in 1989. In 2006 she received a Post-Master’s Nurse Educator Certificate from the Florida State University. She is completing a Doctor of Nursing Practice Degree from the University of Florida on April 30, 2010 and is receiving the Academic Excellence Award for her graduating class. She works full time at the Thagard Student Health Center and she also serves as an adjunct faculty at the Florida State University.

Ying Mai Kung is well qualified to present at this conference because she has presented at multiple local, regional, and national conferences. She presented on the Legal Issues in Nursing at the Southern College Health Association (SCHA) Annual Conference in 2007. She presented at the 33rd National Primary Care Nurse Practitioner Symposium in Keystone, Colorado on Sports Physicals: Legal Implications of Qualifying and Disqualifying Student Athletes in 2008. In March 2010, Ms. Kung presented on this topic at the SCHA Annual Conference in South Carolina. Ms. Kung also published in many professional peer-reviewed journals including CE articles in the Advance for Nurse Practitioner: Game On: Guidance for Performing PPEs and Pressure to Play: The Legal Implications of Sports Physicals (available at: https://nurse-practitioners.advanceweb.com/CE/TestCenter/Content.aspx?CourseID=760&CreditID=3&CC=204017&sid=2818).

Ms. Kung is especially passionate about this topic. This past September she had to make a difficult decision to either leave for Miami to present at the Second National DNP Conference or to stay with and care for her father. She chose to stay with her father who had out-patient surgical procedures, but died unexpectedly five days later. This experience gave her a new insight on the importance of handling adverse events both from a provider’s and a patient’s point of view.