Resolution: Emergency title: in support of advocacy for policies supporting affordable health coverage and quality care submitted by: National Student Nurses’ Association Board of Directors 2016-2017 authors: Raya Cupler, Coventry Jankowski
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- AUTHORS: Mary Vitullo, William Uznanski, Gina Bucci, Jenna Hoffmann, Curtis Jepson, Rachel Rus, and Abigail Wiseman
- Resolution 19 TITLE: IN SUPPORT OF INCREASING AWARENESS OF IMPROPER DISINFECTION OF NONCRITICAL MEDICAL EQUIPMENT
- Resolution 20 TITLE: IN SUPPORT OF INCREASED EDUCATION ON HEALTH RISKS OF E-CIGARETTE USE IN THE ADOLESCENT POPULATION
- Resolution 21 TITLE: IN SUPPORT OF NATIONWIDE GENOMIC COMPETENCY EDUCATION REGARDING PERSONALIZED PATIENT CARE ACROSS NURSING SPECIALTIES
- Resolution 22 TITLE: PROMOTING WORK-HOME BALANCE IN NURSES TO PREVENT WORK-RELATED INJURY AND BURNOUT SYNDROME
- RESOLUTION 23 TITLE: IN SUPPORT OF PHARMACISTS PRESCRIBING OVER-THE-COUNTER (OTC) MEDICATIONS AND SUPPLIES
- Resolution: 24 TITLE: INCREASING AWARENESS AND EDUCATION ABOUT BREASTFEEDING IN THE BLACK COMMUNITY SUBMITTED BY: Michigan Nursing Students Association
- Resolution 25 TITLE: IN SUPPORT OF IMPLEMENTING THE R3 APP FOR INTIMATE PARTNER VIOLENCE (IPV) SCREENING IN RURAL EMERGENCY DEPARTMENTS
Resolution 18 TITLE: INCREASED NURSING STUDENT ACTION ON AND AWARENESS OF THE EFFECTS OF CLIMATE CHANGE ON HEALTH SUBMITTED BY: Capital University Student Nurses’ Association Columbus, Ohio Naugatuck Valley Community College Student Nurses Club, Waterbury, CT AUTHORS: Mary Vitullo, William Uznanski, Gina Bucci, Jenna Hoffmann, Curtis Jepson, Rachel Rus, and Abigail Wiseman WHEREAS, the United States Surgeon General recognized climate change as a serious, immediate, and global threat to human health; and WHEREAS, climate impacts on human health include: extreme heat, reduced outdoor air quality, increases in extreme weather patterns, increases in vector-borne infections, water-related infections, food-related infections, higher risk for mental health problems, and reduced sense of well-being; and WHEREAS, economic insecurities and personal hardships impair the socioeconomic status of susceptible individuals who are harmed by mental health disorders and air pollution- related diseases due to increased exposures to environmental toxins, temperature extremes, and severe weather conditions; and WHEREAS, climate change influences holistic human health and wellness, as opposed to being a strictly environmental issue; and WHEREAS, an increasing number of nursing hours will be spent on disaster preparedness and response to increased weather-related events including but not limited to heat-related illness, fires, and flooding; and WHEREAS, registered nurses are the first-line advocates for the safety and quality of care of patients and health care workers, as well as care practices and products; and WHEREAS, mitigation of, as well as adaptation and response to the effects of climate change are in a nascent stage, and many are rooted at the local and organizational levels; and WHEREAS, the environments associated with climate alterations affect everyone and as these climates continue to change, the impacts on population health will continue to expand; therefore be it RESOLVED, that the National Student Nurses’ Association (NSNA) encourage nursing students to seek the knowledge and skills to address the human health effects of climate change and the actions they can take to mitigate, respond, and adapt to the effects of climate change; and be it further RESOLVED, that the NSNA encourage its members to hold chapter meetings or forums on climate change and include such topics as actions nursing students can take to fight climate change including sustainability efforts, participating in disaster preparedness efforts in their communities, and discussing this information with their state and national representatives; and be it further RESOLVED, that the NSNA provide workshops on climate change at the Annual Convention and MidYear Conference and publish an article in Imprint about climate change impacts on health and steps nursing students can take to mitigate and adapt to its effects, if feasible; and be it further RESOLVED, that the NSNA send a copy of this resolution to the American Nurses Association, National League for Nursing, American Association of Colleges of Nursing, Organization for Associate Degree Nursing, Sigma Theta Tau International, American Lung Association, American Academy of Pediatrics, Society of Pediatric Nurses, American Public Health Association, Association of Public Health Nurses, Luminary Project, Alliance of Nurses for Healthy Environments, American Holistic Nurses Association, Robert Wood Johnson Foundation, United States Centers for Disease Control and Prevention, United States Environmental Protection Agency, United States Department of Health and Human Services, United Nations, International Council of Nurses, World Health Organization, and all others deemed appropriate by the NSNA Board of Directors. Resolution 19 TITLE: IN SUPPORT OF INCREASING AWARENESS OF IMPROPER DISINFECTION OF NONCRITICAL MEDICAL EQUIPMENT SUBMITTED BY: University of Missouri-Columbia Sinclair School of Nursing, Columbia, Missouri AUTHORS: Erika Buchheit and Amanda Gingrich WHEREAS, the National Student Nurses’ Association (NSNA) House of Delegates in 2011 adopted the resolution “In Support of Increasing Awareness of Improper Disinfection of Stethoscopes” and in 2016 “Cleaning Stethoscopes Between Patients”; and WHEREAS, noncritical medical equipment can be defined as objects that may come in contact with intact skin but not mucous membranes; and WHEREAS, noncritical items frequently touched by hands may contribute to secondary transmission by contaminating hands of health-care workers or by contacting patients directly; and WHEREAS, mobile devices and personal digital assistants play an important role in the transmission of nosocomial pathogens and have been found to have contamination rates as high as 44-95%; and WHEREAS, modern medical care is becoming increasingly invasive, therefore posing a greater risk for infection as a consequence of interactions with the healthcare system; and WHEREAS, single-use equipment bears significant economic burden; therefore, appropriate infection control precautions must be taken for continued use of reusable equipment; therefore be it RESOLVED, that the NSNA support increasing awareness of improper disinfection of noncritical medical equipment; and be it further RESOLVED, that the NSNA educate its constituents about this topic by hosting sessions at the MidYear Conference or the Annual Convention, if feasible; and be it further RESOLVED, that the NSNA publish an Imprint article on proper disinfection of noncritical medical equipment, if feasible; and be it further RESOLVED, that the NSNA send a copy of this resolution to the American Nurses Association, National League for Nursing, American Association of Colleges of Nursing, Organization for Associate Degree Nursing, American Hospital Association, American Medical Association, Emergency Nurses Association, American Association of Critical Care Nurses, and all others deemed appropriate by the NSNA Board of Directors. Resolution 20 TITLE: IN SUPPORT OF INCREASED EDUCATION ON HEALTH RISKS OF E-CIGARETTE USE IN THE ADOLESCENT POPULATION SUBMITTED BY: West Virginia University Student Nurses Association, Morgantown, WV AUTHORS: Anna Royek, Jacqueline Everly, David Irvin, Maria Mullin, and Amy Reeder WHEREAS, the National Student Nurses’ Association (NSNA) House of Delegates in 2015 adopted the resolution, “Increased Research and Awareness of the Current Health Concerns Related to E-Cigarettes”; and WHEREAS, according to the Centers for Disease Control and Prevention, electronic cigarettes (e-cigarettes) are now among the top four tobacco products used among adolescents, increasing the risks for adverse health effects and lifelong nicotine addiction; and WHEREAS, e-cigarettes are battery-operated products that deliver a nicotine-containing aerosol to users by heating a solution typically made up of propylene glycol or glycerol, nicotine, and flavoring; and WHEREAS, e-cigarette use among high-school students has risen 900% between 2011 and 2015; and WHEREAS, public health officials believe that e-cigarette use could become a gateway to using cigarettes, cigars, and smokeless tobacco; and WHEREAS, although dual use with cigarettes is high, some youth experimenting with e-cigarettes have never tried a tobacco cigarette, which indicates that they are initiating the use of nicotine, an addictive drug, with e-cigarettes; and WHEREAS, e-cigarettes are known to deliver harmful chemicals to the lungs, including nicotine, glycerin, propylene glycol, and toxic heavy metals such as nickel, lead, and cadmium; and WHEREAS, youth are being more readily targeted for the purchase of e-cigarettes through advertisements and product design gimmicks such as flavored e-cigarettes; and WHEREAS, accidental poisonings among children drawn to the colors, flavors, and the scents of e-liquids (a flavored nicotine liquid that e-cigarette vaporizes), have become problematic; and WHEREAS, comprehensive prevention targeting adolescents is urgently needed; therefore be it RESOLVED, that the NSNA encourage its constituents to support and implement increased education and awareness regarding the increased use and health risks of e-cigarettes in the adolescent population, including school nurses, educators, pediatric facilities, and public health professionals; and be it further RESOLVED, that the NSNA publish an article in Imprint on this topic, if feasible; and be it further RESOLVED, that the NSNA advocate for the increased use of social media campaigns regarding this topic, if feasible; and be it further RESOLVED, that the NSNA send a copy of this resolution to the American Nurses Association, National League for Nursing, American Association of Colleges of Nursing, Organization for Associate Degree Nursing, American Lung Association, American Heart Association, American Academy of Pediatrics, National Association of Pediatric Nurse Practitioners, National Association of School Nurses, Association of Community Health Nursing Educators, American Psychiatric Nurses Association, United States Department of Health and Human Services, Centers for Disease Control and Prevention, Sigma Theta Tau International, American Public Health Association, Association of Public Health Nurses, and all others deemed appropriate by the NSNA Board of Directors. Resolution 21 TITLE: IN SUPPORT OF NATIONWIDE GENOMIC COMPETENCY EDUCATION REGARDING PERSONALIZED PATIENT CARE ACROSS NURSING SPECIALTIES SUBMITTED BY: California State University-San Marcos, San Marcos, CA and Mineral Area College, Park Hills, Missouri AUTHORS: Stephanie Lichtwardt, Ericka Sumpter, Caitlyn Allgier, Branda Bowles, Megan Copeland, Victoria Cunningham, Jacob Emanuel, Baylee Fincher, Jessica Lawson, Marcus Laut, Kayla Vance, Kimberly Vielma, Gabrielle Williams, and Chandler Yates WHEREAS, genomic advancements, including pharmacogenomics, are rapidly being integrated across the entire healthcare continuum and into all specialties of nursing practice with applications in the areas of assessment, screening, prevention, diagnosis, and therapeutic decision-making; and WHEREAS, the application of genomic advancements, particularly pharmacogenomics, has the potential to enhance the provision of personalized patient-centered care to all patients, an example being those suffering from mental illness; and WHEREAS, the benefits of this type of personalized care are especially evident in the nursing implications of pharmacogenomics, a diagnostic advancement combining pharmacology and genomics to effectively treat illnesses on an individual therapeutic level. Nurses educated in pharmacogenomic principles can ensure optimal outcomes by utilizing enhanced rights of medication administration, minimizing adverse drug reactions, advocating for testing, and providing education; and WHEREAS, with over 78.6 million people taking psychiatric drugs annually and the increased need for more efficient treatment due to recent funding cuts of 4.35 billion dollars, the mental health population stands to benefit greatly from personalized drug therapy and nursing interventions, serving as an exemplar of the impact and necessity of genomic applications; and WHEREAS, considering the shift towards personalized medicine, nurses’ current knowledge of genomics is inadequate to provide appropriate patient care. Educational initiatives that integrate genomics into curricula are critical to equip nurses with the skills and knowledge to provide safe patient care; and WHEREAS, the perceived barriers to successful integration of genomics into nursing curricula include the lack of faculty knowledge regarding content (91%), overloaded curricula (83%), low priority (48%), and the absence of genomic content on the NCLEX (22%); and WHEREAS, genomic core competencies have been developed to guide application of professional skills and responsibilities. The Essentials of Genetic and Genomic Nursing: Competencies, Curricula Guidelines, and Outcome Indicators, 2nd Edition serves as the benchmark for genomics education; and WHEREAS, despite existing resources, established competencies, and published model curricula for nursing education, the acquisition of skills and progress of genomic applications in all nursing practice, including mental health, remains limited due to inadequate genomics education; therefore be it RESOLVED, that the National Student Nurses’ Association (NSNA) encourage its constituents to increase awareness and advocacy of the application of genomic knowledge to health promotion, disease prevention, and therapeutic decision-making, including pharmacogenomics, as an aid to personalize therapy across nursing specialties, particularly mental health, in communities and health care settings; and be it further RESOLVED, that the NSNA encourage its constituents to advocate for the incorporation of genomic content in nursing curricula as outlined in the Essentials competencies; and be it further RESOLVED, that the NSNA encourage its constituents to advocate for the provision of support, training, and quality resources to prepare nursing school faculty for the successful integration of genomic content into nursing curricula; and be it further RESOLVED, that the NSNA increase awareness and advocacy of the application of genomic knowledge to nursing practice through articles in Imprint, and informational and educational breakout sessions at the Annual Convention, if feasible; and be it further RESOLVED, that the NSNA send a copy of this resolution to the American Association of Colleges of Nursing, American Nurses Association, American Psychiatric Association, National Alliance on Mental Illness, National Institute of Mental Health, National League for Nursing, Organization for Associate Degree Nursing, American Organization for Nurse Executives, Association of Community Health Nursing Educators, National Council of State Boards of Nursing, Collegiate Commission for Nursing Education, National Coalition of Health Professional Education in Genetics, International Society of Nursing in Genetics, and all others deemed appropriate by the NSNA Board of Directors.
RESOLVED, that the NSNA encourage nursing programs to develop an elective course or added topic in course syllabi that promotes the wellbeing of the student and as a future professional in a holistic way; and be it further RESOLVED, that the NSNA encourage evidence-based practice investigations and monitoring of nursing students work-home balance progress through a session on this topic at the Annual Convention, if feasible; and be it further RESOLVED, that the NSNA publish an article on this topic in Imprint, if feasible; and be it further RESOLVED, that the NSNA send a copy of this resolution to the American Nurses Association, American Holistic Nurses Association, American Association of Colleges of Nursing, Organization for Associate Degree Nursing, National League for Nursing, National Council of State Boards of Nursing, and all others deemed appropriate by the NSNA Board of Directors.
RESOLVED, that the NSNA encourage its constituents to collaborate with pharmacists on educating patients about medications, dosages, and side-effects to best meet the healthcare needs of the patient; and be it further RESOLVED, that the NSNA send a copy of this resolution to the American Nurses Association, National League for Nursing, American Association of Colleges of Nursing, Organization for Associate Degree Nursing, National Association of Boards of Pharmacy, and all others deemed appropriate by the NSNA Board of Directors.
WHEREAS, infants should be exclusively breastfed for the first 6 months of their life and continue breastfeeding for at least one year; and WHEREAS, breastfeeding has positive outcomes for mother and child from a nutritional, physiological, and developmental perspective; and WHEREAS, breastfeeding is associated with a lower risk of the development of obesity, type 2 diabetes, sudden infant death syndrome, gastroenteritis, and asthma. Each of these conditions has a higher rate observed among Black (when compared to White) children; and WHEREAS, Black women have the highest rates of formula supplementation of breastfed newborns before they are 2 days old, and have the lowest rates of breastfeeding at both 6 and 12 months postpartum; and WHEREAS, the number of Black infants who were breastfed at least once (58.9%) remains lower than the number of White (75.2%) and Hispanic (80.0%) infants; the Healthy People 2020 goal is 81.9%; and WHEREAS, research suggests multiple barriers prevent Black mothers from breastfeeding exclusively for the first 6 months, including insufficient support from medical professions, the mother’s lack of knowledge, social norms for formula feeding, lack of family and social support, and embarrassment with public nursing; and WHEREAS, Black mother’s breastfeeding decisions may be shaped by their culture’s history of slavery, wet-nursing, and other negative historical reproductive health experiences; and WHEREAS, well-defined evidence has shown that television, print, and other media directed at mothers can significantly influence social norms and cultural beliefs around breastfeeding; therefore be it RESOLVED, that the NSNA support the education of the Black community on the importance of breast feeding though a session at the MidYear Conference or the Annual Convention, if feasible; and be it further RESOLVED, that the NSNA publish an article in Imprint, social media posts, and the website regarding this topic, if feasible; and be it further RESOLVED, that the NSNA promote World Breastfeeding Week and Black Breastfeeding Week, if feasible; and be it further RESOLVED, that the NSNA send a copy of this resolution to the American Nurses Association, National League for Nursing, American Association of Colleges of Nursing, American College of Nurse-Midwives, American Congress of Obstetricians and Gynecologists, American Academy of Pediatrics, Society of Pediatric Nurses, American Academy of Family Physicians, Organization for Associate Degree Nursing, American Medical Association, National Association of Neonatal Nurses, La Leche League International, International Lactation Consultant Association, Association of Women's Health, Obstetric and Neonatal Nurses, National Black Nurses Association, National Alliance for Breastfeeding Advocacy, March of Dimes, Breastfeeding USA, the International Board of Lactation Examiners, Women, Infants, and Children (WIC), Black Mothers’ Breastfeeding Association, African American Breastfeeding Network, and all others deemed appropriate by the NSNA Board of Directors. Resolution 25 TITLE: IN SUPPORT OF IMPLEMENTING THE R3 APP FOR INTIMATE PARTNER VIOLENCE (IPV) SCREENING IN RURAL EMERGENCY DEPARTMENTS SUBMITTED BY: Harding Nursing Student Association, Searcy, Arkansas AUTHORS: Emma Word, April Mazak, Heather Fraser, Cami Ash, Alexa Santamaria, and Rachel Bow WHEREAS, the National Student Nurses’ Association (NSNA) House of Delegates in 2015 adopted the resolution “Increasing Awareness and Recognition of Abuse in Multiple Demographics” and in 2016 “Routine Intimate Partner Violence Screening and Education on College Campuses”; and WHEREAS, R3, an iPhone application that contains the HITS (Hurt, Insulted, Threatened with Harm and Screamed) screening tool, has a sensitivity and specificity of 96% and 91% respectively; and WHEREAS, the United States Department of Justice describes IPV as actions in a relationship that demonstrate a partner attempting to control or exert power over the other partner in the relationship; and WHEREAS, IPV screening is recommended for all women between the ages of 14-46, as this is the demographic group most affected; and WHEREAS, lack of adequate staff training, a standardized screening tool, and a hospital protocol on the subject inhibit detection of IPV in the hospital setting; and WHEREAS, nurses often cite not having adequate time or not feeling comfortable enough asking such personal questions as the reasons why they do not screen for IPV; and WHEREAS, 1.5 to 4 million women in the United States are affected annually by IPV, causing the death of 1500 women and more than 2 million injuries, and 2 to 14% of emergency department visits are due to IPV-related injury; and WHEREAS current screening protocol in emergency departments detect less than 10% of victims; and WHEREAS, it was found that screening is particularly needed in rural area hospitals as IPV is prevalent within the rural community yet very underreported; and WHEREAS, 22.5% of female residents in rural areas reported IPV, which is a significantly higher rate than the 15.5% prevalence rate in the urban setting; therefore be it RESOLVED, that the NSNA encourage its constituents to advocate for rural emergency departments to implement protocol using the R3 application to screen women between ages 14-16 for IPV; and be it further RESOLVED, that the NSNA publish an article in Imprint on this topic, if feasible; and be it further RESOLVED, that the NSNA send a copy of this resolution to the American Nurses Association, National League for Nursing, American Association of College of Nursing, Organization for Associate Degree Nursing, National Council of State Boards of Nursing, Sigma Theta Tau International, and all others deemed appropriate by the NSNA. 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