[PHNURSES] Fwd: Advance article update re National Nurse: Support
SusanSPHN at aol.com
SusanSPHN at aol.com
Mon Sep 29 21:18:58 PDT 2008
From: SusanS PHN
Below is a recent article updating information on the National Nurse
initiative. Support is mounting...especially at the grassroots level.
United State of Nursing
Quest continues to establish an Office of the National Nurse.
By Shelby Evans
It all started in May 2005 with an Op-Ed piece that appeared in The New York
Teri Mills, MS, RN, ANP, CNE, a nursing faculty member at Portland Community
College in Oregon, posed the question: "Who better to educate Americans on
how to take better care of themselves than nurses?"
With that simple concept in mind, she argued, the best figure to lead the
charge in applying preventive strategies to improve our citizens' health and
lower our country's healthcare costs would occupy a newly created post - that
of a National Nurse.
"We're seeing a rise in chronic conditions that are preventable, and it's
just been a travesty as a nurse to witness that, as well as the climb of
obesity in our country," Mills explained. "I believe nurses are in the best
position to do something about it.
"We have a Surgeon General, why not a National Nurse to lead the country
into a culture of prevention?"
Mills set about to launch a campaign, the National Nursing Networking
Organization, to garner support, elicit feedback and ideas, and hone her idea into
an actionable goal.
The concept has evolved in the 3 years since - for example, stemming from
the original idea to create a wholly new entity, Mills realized an
infrastructure exists that can be buttressed and expanded to fulfill her vision.
Today, the campaign seeks to begin with the closest thing the U.S. now has
to a National Nurse - the chief nursing officer of the U.S. Public Health
Service (USPHS) - and adapt it into the Office of the National Nurse. The program
also would utilize another existing entity, the Medical Reserve Corps (MRC),
to accomplish the new office's goals on a local level.
By strengthening existing resources and networks, and unifying them under
one national office of nursing leadership, Mills believes the initiative would
usher in a new era of healthcare - one that hinges on prevention.
A Broad Vision
The mission for the proposed office is to establish symbolic national
leadership by elevating the current USPHS post to a level of high visibility to the
nursing profession and the public, to complement the work of the U.S.
Surgeon General, to promote involvement in the MRC to improve the health and safety
of the community, and to incorporate proven evidence-based public health
education in implementing prevention strategies.
In a similar way that Smokey the Bear is synonymous with preventing forest
fires, and McGruff is linked to crime prevention in the public consciousness,
Mills believes a central, visible nursing figure could bring to the forefront
the importance of disease prevention and wellness.
Creating the office, Mills explained, would not only elevate the status of
the nursing profession, but also provide a stronger conduit among localized
efforts to problem-solve on a community level - essentially optimizing the
impact of multiple small efforts through coordinated resource management.
"We know using best practices to deliver a message of prevention requires
multiple components," she said. "In addition to a National Nurse stating what
the message would be, it needs to be reinforced in a way the public can
understand. That's why what we're asking for is to utilize what we have now, which
is a Medical Reserve Corps, and to integrate the component of national nurse
teams and other disciplines."
The MRC would provide a foundation for building a network of volunteer
nurses and other health professionals to promote, encourage and support nationwide
efforts that focus on wellness and disease prevention.
A Local Focus
Though the proposed office is a national one, the strategies it would
promote are local ones, tailored to the needs of individual communities and
implemented by individual nurses. The concept, Mills said, is one of empowerment.
"What we're proposing is having every nurse afforded the opportunity to
participate in her own community in prevention-oriented efforts, whether it be
immunization clinics or healthy living fairs," she explained.
"It would probably look different in every community because every
community's needs are different."
The Office of the National Nurse would provide the leadership that could
propel grassroots community efforts around the country. Mills cited some common
messages among candidates over the course of the current presidential
campaign, such as urging Americans to step up to the plate and see how they can
contribute to making the country a better place, as evidence her vision is one
whose time has come.
"Certainly nurses want to be a part of that. If you look at the American
Nurses Association's Code of Ethics, it says the nurse's primary commitment is
to the patient - whether that be an individual, a family, a group or a
community, and that we are to advocate for and strive to protect those people's
health and safety and well-being.
"That's why most of us went into nursing to begin with, to help keep people
well," she continued. "Nurses are really concerned about the demise of our
healthcare system. We're tired of being ranked so poorly in terms of
preventable deaths compared to other countries, and dead last in industrialized
countries in infant mortality."
Uniting an Image
Mills emphasized that elevating the status of a nurse to a high level of
prominence on a national stage would be a boon to the profession as a whole. "To
be at that top position at the policy table would be so important and so
valuable for nursing," she said. "And to be able to portray nursing accurately
to the public is a pretty big deal as we face this ever-looming nursing
"We believe having a national leader to inspire others to enter the
profession would be a big deal."
The importance of the prestige implicit in the concept of a National Nurse
is part of the reason the campaign seeks to grow the office from the current
USPHS chief nursing officer role. The position already is aligned to work
directly with the office of the Surgeon General and is reputable among public
health nursing leadership.
"We want to elevate that stature and bring about cooperation, not
competition, and work together on common goals," Mills said. "We do need to do
something differently, and it is a paradigm shift in some regards - and yet not
really. All the pieces have been in play for years, we just have to put them
The fragmentation of the nursing profession in recent years, due to emphasis
on specialty, education level and other factors, is something that could be
improved through national nurse leadership, Mills believes, and uniting in
common goals is crucial.
"There's just too much work to be done to be pulled apart; we need to come
For more information about the campaign, visit
_http://www.nationalnurse.org/_ (http://www.nationalnurse.org/) .
Shelby Evans is associate editor at ADVANCE.
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