The Wisconsin Nurse
Table of Contents
WNA Welcome Visible, Valued & Vital. Meet Brandon Geracie: Passionate Nurse, WNA Member, and Advocate for Growth
WNA Updates Highlights of the October 12, 2024 Update on ANA and WNA Dues Increase WNA Membership Assembly Annual Meeting Congratulations to the Fall 2024 Future Nursing Leader Award Winners! 3rd Diabetes Care and Education Conference Recap
WNA Councils WNA Legislative and Regulatory Priories for the 2025-27 Biennium December is World AIDS Month WNA Tri Council Implements Opportunities to Review Nursing Research and Quality Improvement Project Insights from an Immersive Education Experience with Continuous Glucose Monitors for Hospital Diabetes in School Health (DiSH): Targeted In-Person Sessions to Enhance School Staff Knowledge Around Diabetes Management
WNA Task Forces WNA Workplace Violence Report
Upcoming Conferences
Environmental Health Smart Ways to Make a Difference With Our Clothes Health Impacts of Federal Climate Investments
NP Forum MALPRACTICE INSURANCE: DO YOU NEED IT?
Nurses Foundation of Wisconsin Honor a 2024 Fallen Nurse
Nurses Caring For Nurses Nurses Caring for Nurses ~ Reimagined Nurse Suicides High During the Pandemic,but Feared Surge Never Materialized
Legislative Update WNA Public Policy Council Developing Agenda for Annual Nurses Day at the Capitol Reauthorizing the Dr. Lorna Breen Health Care Provider Protection Act: Supporting Nurse Mental Health and Workforce Resilience
Join WNA & ANA Today
Notices
December 2024
Volume 1 - Issue 2
WNA Welcome
Visible, Valued & Vital.
Gail Hanson Brenner, PhD, RN, CNE

Visible, Valued & Vital. Throughout the year, WNA has celebrated our 115th anniversary with the message that WNA and nurses are visible, valued, and vital. Although we as an association are visible, I know there is more that I, as your President, can do to increase our visibility. As I networked with other ANA Presidents and Chief Officers at the Leadership Summit this week, I realized that I need to be more engaged and visible. This will be part of my mission and vision for 2025, so please contact me at gail@wisconsinnurses.org if you would like me to speak on behalf of WNA; it can be for 5 minutes or an hour -- whatever you desire. I want to hear your ideas how WNA, even with our limited resources and staff, can be more visible in our state.

For the 22nd year in a row, "nurses remain the most trusted profession, with 78% of U.S. adults currently believing nurses have high honesty and ethical standards" (Gallup Poll, 2024). So, we are valued, but we need to better articulate our work and what we do. In addition, nurses also need to support each other more as one way to show that we value each other. Give verbal praise to your coworkers, send thank-you notes, create an award for outstanding work done, and speak up so you can be heard.

Nurses -- including you -- are vital to the health of Wisconsinites because you provide direct patient care, monitor health, provide emotional support, educate and advocate; we play a crucial role in overall well-being. WNA is vital due to being committed to nurses advancing our profession to improve health in Wisconsin. Advocating for nurses, lobbying for nurses and patients, providing educational offerings, and being a source of support are some of the reasons why I am an active member of this organization. Networking and developing life-long professional and personal friendships is one of the benefits that I did not expect upon joining -- but has been vital to my development as a nurse. I challenge you to entice one colleague to join WNA so that WNA can remain a vital force in 2025.

I would like to share more about the ANA's Leadership Summit, but also appreciate shorter messages as a consumer. So I will leave that for January. But I will invite you to join our Annual Membership Assembly/Meeting on Saturday morning, January 18th from the comfort of your home. We are planning a virtual MA this year due to several reasons, so I hope you will join us to hear more about the Leadership Summit along with all the work WNA has done throughout the year.

Thank you for entrusting me as your WNA President this past year. Please let me know if you want or need anything from me in the new year so that I can help WNA be even more Visible, Valued & Vital in 2025.

Happy Holidays!

Gail

Meet Brandon Geracie: Passionate Nurse, WNA Member, and Advocate for Growth
Gail Hanson Brenner, PhD, RN, CNE

Meet Brandon Geracie: Passionate Nurse, WNA Leader, and Advocate for Change

For Brandon Geracie, the inspiration to pursue a career in nursing came during a deeply personal moment. While witnessing the compassionate care ICU nurses provided to his aunt in her final days, Brandon was struck by their dedication and empathy. That experience ignited his desire to make a similar impact on others through nursing.

Brandon has been a proud member of the Wisconsin Nurses Association (WNA) since 2022, with a brief membership from 2017-2018 after graduating with his BSN. His WNA journey paused when he moved to England for four years but resumed upon his return to the U.S. Currently, Brandon serves as the Staff Nurse Representative on the WNA Board of Directors and co-chairs both the Membership & Recruitment Task Force and the Nominating Committee.

Caring for Patients, Embracing Diversity

“What I enjoy most about being a nurse is simple,” Brandon shares. “It’s caring for patients and helping them through some of the toughest moments of their lives.” One of Brandon’s most memorable experiences stems from his time practicing nursing in England. While the essence of nursing is universal, he found that different healthcare systems bring unique approaches to patient care. Adapting to a new system broadened his perspective and deepened his appreciation for the diversity in healthcare delivery worldwide. These experiences not only honed his professional skills but also strengthened his adaptability and empathy as a nurse. 

The Value of WNA Membership

Brandon credits WNA with providing invaluable opportunities for his professional and personal growth. “WNA’s leadership opportunities have been transformative,” he says. “I’ve also witnessed the power of collective advocacy through WNA’s lobbying efforts, which drive meaningful change for nurses across Wisconsin.” Beyond advocacy, Brandon values how WNA keeps him informed about healthcare trends and issues at both state and national levels. The educational resources have inspired him to expand his knowledge and continue his commitment to lifelong learning.

Advice for New Nurses

Brandon offers this reassuring advice to new nurses: “Don’t feel like you need to know everything right away. Nursing is a profession of continuous learning. Even after years of practice, I still learn something new every day. Never hesitate to ask questions—it’s not a weakness but a strength that ensures safe and effective care.” He emphasizes the importance of honesty, reminding new nurses that it’s okay to say, “I’m not sure, but I’ll find the answer for you.” This mindset builds trust and reinforces the commitment to quality care.

Life Beyond Nursing

When he’s not working, studying, or completing clinicals, Brandon finds balance through yoga, spending time with his partner, and enjoying the company of his pets: Kali, an 8-year-old rescue dog from Alabama, and Pumpkin, a 14-year-old calico cat. “They’re the laziest pets, and I wouldn’t have it any other way!” he says.

For relaxation, Brandon loves reading novels, traveling, and indulging in comfort food—his go-to being Culver’s. His favorite vacation? The Seychelles, an island paradise near the equator.

Advocating for Change

Brandon’s goals extend far beyond his day-to-day responsibilities as a nurse. He’s passionate about empowering the nursing community to thrive and grow. By participating in healthcare politics, he advocates for policies that enhance patient care and support nurses’ well-being. He’s particularly committed to addressing critical issues like workplace violence and raising awareness about human trafficking—areas where WNA is actively working. “I dream of creating safer, more supportive work environments where nurses feel valued and equipped to provide the highest level of care,” he says.

Brandon’s vision includes contributing to a stronger, more resilient healthcare system—one where nurses and patients alike can flourish.

A Day Off, Dreaming Big

With a schedule as packed as Brandon’s, his ideal day off is simple: relaxing with his pets and partner, watching his favorite TV shows, and catching up on a good book. Brandon’s journey as a nurse exemplifies resilience, compassion, and a commitment to lifelong learning. His contributions to WNA and the broader nursing community inspire others to embrace their roles as advocates and leaders in healthcare.

New WNA Members

Christine Abbott - Madison
Nicole Allman - Monona
Luz Almeida - West Allis
Michelle Barcelona - Mequon
Allison Barton - Mc Farland
Tawnee Berg -   Augusta
Sarah Bouc  -  Manitowoc
Amber Brown - Middleton
Mary Buchman - Waukesha
Dena Casey - River Falls
Travis Christman - Eau Claire
Michelle Cyr - Oak Creek
Shelly Dillon - De Soto
Jenny Draeger - Madison
Lindsay Ellwein - Milwaukee
Megan Emmrich - Ripon
Brittany Engel - Altoona
Brittany Erby - Milwaukee
Nikki Fekete - Waukesha
Gretchen Forbes - Madison
Angela Freber - Beaver Dam
Sheryl Fronek - Greendale
Laura Galarowicz - Poynette
Maureen Goines - Racine
Barbara Guslek - Milwaukee
Bonnie Hann - Oregon
Mikayla Hartmann - Merrimac
Courtney Harvey - Madison
Jennifer Hiley - Beaver Dam
Tara Hohlstein - Pardeeville
Sharon Horstmeier - Brodhead
Amanda    Jackson - Phillips

Breann Lanser - Brodhead

Andrew Leatherman - Cedarburg
Kim Linson - Grafton
Laurie Mayfield - River Falls
Miranda McElligott - Madison
Anneka Mckenzie  - Madison
Dorothy McLaurin - Milwaukee

Ron Neal - West Bend
Amanda Olson - Pewaukee
Taylor Palm - Wauwatosa
Gina Petrie - Eau Claire
Courtney - Pettke Franklin
Melissa - Prell Nekoosa
Sara - Presteen Kaukauna
Mohammed Rayyan - Greendale
Bobbie Rogers - Mount Horeb
Stacy Rojas - Greendale
Lori Rosin - Wautoma
Summer Ross - Johnson Creek
Molly Russell - Marshall
Heather Sather - Sun Prairie
Sheila Schroetter - Ellsworth
Lindsey Schwalbach - Weston
Stephanie Shulman - Verona
Kayla Simmons - Milwaukee
Heather Steppe - Oak Creek
Gina Strehlow - Milwaukee
Holly Teclaw - Thorp
Calyn Vang - Eau Claire
Latoya Walker    Waukesha

WNA Updates
Highlights of the October 12, 2024
WNA Board of Directors Meeting
Bri Dunbar

Present: Gail Hanson Brenner, WNA President, Jennifer Lindner, Vice President, Tracy Zvenyach, Treasurer, Amy Hermes, Secretary, Brandon Geracie, Staff Nurse Representative, Christine Bakke, APRN Representative, Rene Buenzow, Director-at-large, Tamara Swanson, Director-at-large, Roberta Pawlak, Director-at-large. WNA staff: Gina Dennik-Champion, Executive Director, Megan Leadholm, Associate Director, Bri Dunbar, Membership & Events Coordinator.

  1. Approved the Board of Directors August 20, 2024 Minutes.

  2. Accepted the reports of the president, vice president, treasurer, membership task force, APRN representative and nurses caring for nurse's task force and executive director.

  3. Approved the WNA Public Policy Councils, WNA 2025-27 Policy and Regulatory Agenda for the legislative biennium.

  4. Reviewed progress on WNA 2023-2026 WNA Strategic Plan.

Update on ANA and WNA Dues Increase

Update on ANA and WNA Dues Increase

By now you should have received communication from ANA regarding the 5.1% membership dues increase for the Premier member and a $9.00 increase for the Standard member. WNA will receive 50% of the Standard member dues increase. At the August 2024 the WNA Board of Directors voted to increase Premier dues by 3% and. This will result in a $9,000 increase in revenue for WNA for 2025.

The dues increase will begin on January 1, 2025. For members paying annually you will see the increase on the date your dues renewal, for those paying monthly you will see the increase on your anniversary date of joining ANA/WNA.

ANA has not had a dues increase for over eleven years and as you know the impact of inflation has affected everyone. There is a need to continue to provide the benefits to you the member. More information will be provided at the January 18, 2025 WNA Annual meeting.

WNA Membership Assembly Annual Meeting
Agenda for Virtual Meeting on 1/18/2025

When: Saturday January 18, 2025 8:30 am to 12:00 pm

Where: Virtual Meeting

Agenda

  1. Call to order

  2. Call and Determine Quorum

  3. Standing Rules for 2025 WNA Annual Meeting

  4. Leadership Reports 

    • Minutes of 2024 WNA Annual Meeting

    • President Address

    • Report of the Treasurer

    • Report of WNA Executive Director

  1. Report: Goal 1 - Elevate the profession of nursing throughout the state of Wisconsin.
    • Workplace Violence Report
    • Establishment of Nurses Caring for Nursing
    • Promoting Nursing Quality Practice and Research
    • Addressing Wisconsin's Nursing Workforce Shortage
    • Growing Wisconsin's Nursing Association membership

WNA Members Response

  1. Goal 2 Advance the practice of nursing in Wisconsin to improve health and healthcare
    • Policy activities
    • Regulatory activities
    • Public Health
    • Promoting Innovative Nursing Models that support nursing care
    • Grant: Improving post-partum mental health screening and treatment for Black mothers

WNA Members Response

  1. Goal 3 Promote and support the professional success of nurses in Wisconsin.
    • Anti-Human Trafficking Task Force
    • Annual NDAC/Biennial PP Agenda
    • Improvements to WNA Newsletter

WNA Members Response

  1. Summary and action items related to recommendations for Goals 1 -- 3

  2. . WNA Elections Report

    • Report of WNA Elections and announcement of winners.

    • Administer the Oath of Office

  1. Nurses Foundation of Wisconsin Report
    • Scholarship and Award Winners
    • Launch of Silent Auction
  1. Other business

  2. Adjournment

Nightingale Tribute

The Nightingale Tribute offers a time for members to participate in a ceremony that recognizes Wisconsin nurses who passed away during 2024.

Register for the Annual Meeting by scanning the QR Code:

Congratulations to the Fall 2024 Future Nursing Leader Award Winners!

Twice a year, the WNA Awards Committee selects five graduates of schools and colleges of nursing in Wisconsin to receive the WNA Future Nursing Leader Award. The award is presented each Spring and Fall semesters at the school of nursing pinning ceremonies. Winners receive a complimentary year of membership in the Wisconsin Nurses Association, along with an appointment to a WNA council or committee of his or her choosing. He or she will also receive a certificate and lapel pin presented at their pinning ceremony.

Lizabeth Carranco, Alverno College

Marnie Britton, University of WI - Eau Claire

Nadira Ali, University of WI - Milwaukee

3rd Diabetes Care and Education Conference Recap
Faleasha Gallagher, BSN, MPH, RN, PCCN, TNCC

The 3rd Diabetes Care & Education Conference took place from September 27th-28th in Wisconsin Dells, WI. This day and a half conference was interdisciplinary with RNs, APRNs, RDs, PharmDs, and Diabetes Care and Education Specialists attending from across the state.  Attendees thought the conference content was applicable to their workplace and they loved the variety of topics from Artificial Intelligence to Burnout. The evaluation noted that all speakers were knowledgeable, engaging, and passionate on their topics. Highlights for participants were the quality diabetes information, Interacting with the exhibitors, the CGM experience, and networking with others. The venue was centrally located, easy to access, clean, and had reasonably priced rooms. However, participants had a difference of opinions in the ideal length of breaks, room temperature, and food. Many participants commented that they are excited to come back this upcoming year and prefer in-person conferences for staying engaged in learning and the networking opportunities.  We commend the diabetes conference planning committee for a well-organized, informative conference. WNA can't wait to offer this again in 2025. Stay tuned for the save the date!

If you are interested in being a planning committee member for the Diabetes Care and Education Conference in 2025 please submit this form: Click Here

WNA Councils
WNA Legislative and Regulatory Priories for the 2025-27 Biennium
Hallie Barteau, BSN, RN

One of the Wisconsin Nurses Association's Public Policy Council responsibilities is to create a set of agreed-upon priorities that guide the organization in policy review and advocacy for an upcoming two-year period. The priorities were submitted to the Wisconsin Nurses Association Board of Directors and approved. Priorities in the recently approved biennium include healthcare access, education, nursing practice, and the nursing workforce.

December is World AIDS Month
Florine Ndakuya-Fitzgerald, PhD, RN, NPD-BC

Brief History

World AIDS day was established in 1988 by the World Health Organization as an avenue to facilitate international collaboration for an epidemic that was impacting all countries. Three decades later, this day serves as a reminder to eliminate stigma surrounding the diagnosis of HIV and AIDS and advocate for access to prevention and treatment. For a chronological timeline of HIV and AIDS, visit HIV.gov Website.

Statistics

Tremendous progress has been made in reducing the number of new HIV infections and deaths from AIDS across the world. According to the latest statistics, there were 31,800 new HIV Infections in United states, 14% of those being in the Midwest region (CDC, 2022). In Wisconsin, the number of new HIV infections was 289 (Wisconsin Department of Health Services, 2024). The graph below shows the trend in new HIV infections and diagnosis over the last decade.

Data Source: HIV: Data | Wisconsin Department of Health Services Accessed 12/9/2024.

Unfortunately, HIV continues to be one of the most stigmatized diagnoses. The CDC tracks HIV stigma scores annually measured by a tool that asks about personalized stigma in the past year, HIV disclosure concerns, negative self-image and perceived public attitudes about people living with HIV. The median HIV stigma score was 31.2 in 2018, 30.7 in 2019 and 28.4 in 2020 on a scale of 0 (no stigma) to 100 (high stigma) among those living in United states and Puerto Rico 18 years of age and over.

What can nurses do?

  1. Educate patients on HIV disease, prevention, and treatment. Encourage patients to get tested when applicable. For every 100 people living with HIV in the U.S., 87 know their status (CDC, 2024).

  2. Reduce Stigma surrounding the disease. Nurses are at the prime position to promote inclusivity by ensuring that those living with HIV don't feel isolated and unsafe to disclose their status. Nurses should also challenge myths and stereotypes by advancing evidence-based care.

  3. Advocate for policy changes. In Wisconsin and the U.S., HIV disproportionately affects LGBTQIA+ and racial minorities. Additionally, evidence show an association between other social determinants of health, such as homelessness and HIV infections. Nurses should advocate for policies that advance equitable care (CDC, 2024; WDHS, 2024).

  4. Engage in research and innovation to advance care for those with HIV. Nurses should continue to engage in research, quality improvement and evidence-based practice projects in all practice settings, including at the community and state levels to contribute to advances in HIV care and cure.

Article references 

A Timeline of HIV and AIDS | HIV.gov

Data Tables: Quality of Life and HIV Stigma---Indicators for the National HIV/AIDS Strategy, 2022--2025, CDC Medical Monitoring Project, 2017--2020 Cycles

HIV and AIDS Resources | HIV.gov

World AIDS Day | NIH

Prevention and Treatment of HIV Among People Living with Substance Use and/or Mental Disorders | SAMHSA

World AIDS Day | UNAIDS

World AIDS Day | United Nations

The United States President's Emergency Plan for AIDS Relief - United States Department of State %

World AIDS Day

HIV: Data | Wisconsin Department of Health Services

WNA Tri Council Implements Opportunities to Review Nursing Research and Quality Improvement Project

One of WNA's Strategic Plan is to increase awareness of nursing research and quality improvement work. The WNA Tri Council has taken on this goal by showcasing posters reflecting nursing research and quality projects in WNA's The Wisconsin Nurse. Posters and abstracts will also be posted on the Nursing Practice tab on WNA's website. If you are interested in having your research or project work showcased in TWN please go to:

The Tri Council has selected two posters to share with you this month. The posters were presented at the 2024 WNA Diabetes Education and Care Conference which took place in September and are included in this issue of TWN.

Insights from an Immersive Education Experience with Continuous Glucose Monitors for Hospital
Whitney Beaton, MSN, APNP, ACCNS-P, CDCES
Gwen Klinkner, DNP, RN, BC-ADM, CDCES, FADCESS
Sarah Bergstrom, BSN, RN, CPN and DNP Student

Poster #1: Insights from an Immersive Education Experience with Continuous Glucose Monitors for Hospital Staff: Authors: Whitney Beaton, MSN, APNP, ACCNS-P, CDCES, Gwen Klinkner, DNP, RN, BC-ADM, CDCES, FADCESS, Sarah Bergstrom, BSN, RN, CPN and DNP Student

The purpose of this project was two-fold. Offer an immersive learning opportunity specific to CGM devices for multidisciplinary inpatient and operating room (OR) staff at an academic medical center in the midwestern United States. Better understand the impact of an immersive learning opportunity on clinician knowledge and confidence that could influence future education.

Diabetes in School Health (DiSH): Targeted In-Person Sessions to Enhance School Staff Knowledge Around Diabetes Management
Whitney Beaton, MSN, APNP, ACCNS-P, CDCES

Poster #2: Diabetes in School Health (DiSH): Targeted In-Person Sessions to Enhance School Staff Knowledge Around Diabetes Management. Author: Whitney Beaton, MSN, APNP, ACCNS-P, CDCES

The purpose of this project was to assess whether in-person, targeted diabetes education sessions for school nurses and health staff within a specific school district would lead to a perceived increase in diabetes-related knowledge. Author: Whitney Beaton, MSN, APNP, ACCNS-P, CDCES

WNA Task Forces
WNA Workplace Violence Report
The Wisconsin Landscape of Workplace Violence: Education, Practice and Policy

The Wisconsin Nurses Association (WNA) has recognized that Workplace Violence remains a critical issue and finds that it will require a multifaceted strategy to improve the working environments for Wisconsin's nurses. WNA formed a workgroup in November of 2023, with the advice from WNA's Workforce Advocacy Council, to develop and launch a survey about workplace violence towards nurses.

The WPV Prevention Survey Report consists of complied information related to recommended standards and guidelines offered by CMS, TJC and OSHA which are as follows:

  • WPV prevention training,

  • Types of incidents seen in the workplace,

  • Facility incident reporting process,

  • Impacts on the care of patients, and

  • Impacts on nurses' wellbeing.

From personal stories and data, WNA has created recommendations to support the nursing workforce, improve colleagues-to-colleague relationships, promote safe practice environments, involve key stakeholders, and advocate for federal and state policy change.

WNA urges nurses, nurse leaders, healthcare organizations, and policymakers to review the recommendations and implications to advance WPV prevention in Wisconsin. You can find the Report on WNA's website at https://www.wisconsinnurses.org/wp-content/uploads/2015/12/NDAC-Workplace-Violence-Survey.pdf

Upcoming Conferences
Environmental Health
Smart Ways to Make a Difference With Our Clothes
Kathryn Lammers, RN, PHN, PhD

I have been following this story for a long time but found this hard because all of us need new clothes for the weather, big events, weight change, new jobs, new babies...........we love getting these new clothes. Yet excessive clothes are creating excessive pollution at the source, time of washing, time in drier, and time into the waste stream. Buying less and washing less are two easy places to start. This article provides a more comprehensive view of different fabrics, documentaries, and pollutants. The documentaries are especially convincing when you see how mountains of our clothes pollute other countries.

The contents of our wardrobes create unfashionably massive environmental issues. The apparel industry is responsible for about 8 % of carbon emissions and more than a third of the primary microplastic pollution junking up our oceans. Clothing manufacturing also gobbles up enough fresh water to fill 32 million Olympic-size pools every year. That's why more than two dozen major brands have signed a UN pledge to cut carbon emissions by 30 percent by 2030. Zara and Uniqlo are among those jettisoning plastic shopping bags, while H&M and Converse are upcycling old clothes into new ones. Laws can also encourage better behavior---for example, France requires brands to reuse or recycle unsold inventory. Still, consumers hold a lot of power. Here are simple steps toward assembling a more sustainable wardrobe.

  • Rayon

Become a Wilderness Guardian

According to the forest preservation group Canopy, some 150 million trees are logged annually to make flowy viscose rayon fabric, and about one-third of those trees come from ancient and endangered forests. Seek out viscose rayon certified by the Forest Stewardship Council (REI maintains a roster on its website). 

Or shop with one of Canopy's partners---brands like Levi's, Eileen Fisher, and C&A---which have set targets to eliminate old-growth forests from their supply chains. Levi's, H&M, and Banana Republic use some tree-free rayon fabrics---Refibra, NuCycl, and Circulose---made from recycled clothes and even farm and food waste. Beware viscose rayon labeled as "eucalyptus" or advertised as "natural" simply because it's from trees.

  • Cotton

Most cotton is grown using gobs of synthetic chemicals and pesticides. Choose certified-organic cotton clothing and look for the Global Organic Textile Standard label, which guarantees chemical safety from farm to factory. You can also support brands like prAna, which is pledging to use 100 percent sustainable cotton by 2025 as part of a challenge overseen by the nonprofit Textile Exchange.

  • Shoes

It takes an impossible-to-recycle combo of plastics, foams, rubbers, and glues to manufacture most of the 24.2 billion pairs of shoes created each year. The vast majority of shoes end up in landfills, where they leach plasticizers and heavy metals---your sneakers' foam padding alone can last up to 1,000 years in the dump. So choose shoes that can be resoled, donate those that are worn but not worn out, and buy footwear made from plant-based, recycled, recyclable, or biodegradable materials. Allbirds makes a foam outsole using bio-based plastics sourced from sugarcane, and Converse added a line of All Stars with a recycled-denim upper.

  • "Easy Care"

Clothes with easy-care qualities---resisting wrinkles, smells, moisture, or stains---can contain toxic chemicals. Stain resistance and waterproofing often come from a coating of fluorochemicals, which don't break down in the environment, and some wrinkle-free clothing is made using formaldehyde, a known carcinogen. "If something is easy-care or wrinkle-free, it should raise a flag that it could contain formaldehyde," says Ben Mead, managing director of Hohenstein Institute America, a textile-chemistry testing company. Seek out clothing with Bluesign or Oeko-Tex Standard 100 certification; these textiles have been tested for chemical safety. And if you need waterproof gear, get stuff labeled as non-perfluorinated, PFC-free, and PFAS-free.

  • Laundry

Polyester, nylon, and acrylic are common materials used in clothing---and some of the main sources of plastic pollution. Of the estimated 1.5 million tons of primary microplastics contaminating oceans each year, about 35 percent originate in synthetic clothes. Laundry is one of the main culprits. You can use a micro­plastic-catching laundry bag like Guppyfriend or a Filtrol, a microplastic-filter attachment for your washing machine. Wash clothes on cold, as recent research indicates that shorter, cooler washes reduce microplastics' release by a third. Perhaps rethink your washing habits to decrease washing and increase air drying.

This article by Elizabeth Cline appeared in the November/December 2020 edition with the headline "Green Your Closet." https://www.sierraclub.org/sierra/2020-6-november-december/taste-test/smart-ways-greenify-your-closet

What is a Fibershed and how is it transforming the way we think about clothes?

A Fibershed is a relatively new grassroots effort that works toward lowering the negative effects of pollution, waste, and inhumane sweatshop work. Often, they are regionally based using relatively simple targeted strategies. Secondhand stores and clothing swaps work especially well when targeted. For example, these might be the targeted plan for one of the less complex Fibersheds:

  • Swaps for clothing and equipment to use in hockey, soccer, baseball, dance, and snow skiing. This swap might be organized by people in the sport for the families. I have seen swaps or sharing between schools, cities, clubs, and parks.

  • Secondhand clothing targeted for children, work, pregnancy, formal wear, and winter coats work well.

  • Promote air-dry clothes instead of clothes dryer.

Wisconsin has several Fibersheds so you might want to join their efforts.

The following list is a from a complex Ohio based Fibershed:

  1. What clothes are the best to wear? The ones you already have! 

  2. Do the best you can with the resources you have. 

  3. Reduce microfibers from entering waterways and the atmosphere by washing your clothes less often, spot cleaning as needed, and air-drying clothing. Mend and patch to extend the life of clothing.

  4. Have a clothing swap with friends and neighbors!

  5. Buy less, skip the trendy fast fashion! Think about purchasing high-quality and lasting items, similar to heirlooms that can be passed on to loved ones. 

  6. Buy pre-owned clothing, sourced from local stores. 

  7. Purchase clothing made of natural fibers. Avoid petroleum-based fabrics such as nylon, polyester, and fleece. 

  8. Get involved in your local Fibershed community!

  9. Be aware that clothing marked as stain-resistant or waterproof is often treated with fluorochemicals, formaldehyde, or other toxic chemicals. Clothing, particularly petroleum based, is often treated with flame retardant chemicals (PFAS). Your skin is a permeable organ that is being exposed daily to these harmful chemicals. 

  10. Donate quality clothing. Do not donate torn, soiled clothing that cannot be worn and will ultimately burden others.

  11. Look for upcycling opportunities in your area or find a use for items that cannot be donated. 

  12. More complex example of a Fibershed with expansive goals

Fibershed can be a geographical landscape that provides the resources and infrastructure to create local fabric (local fiber, local dyes, local labor).

Rust Belt Fibershed includes a 250-mile radius outside of Cleveland, Ohio including parts of Michigan, southern Ohio, Western Pennsylvania and Western New York. The goal is to build a community that collaboratively supports locally grown textiles in a way that decreases consumption of fast fashion and works to restore the soil. Rust Belt Fibershed aspires to connect everyone in all parts of our local fiber system: farmers, fiber processors--from large mills to home spinners, weavers, dyers and fiber artists--to designers, shop owners, consumers, and fiber enthusiasts. Through their efforts they hope to foster friendship, creativity, and a greater respect for our environment, as well as an understanding of the impact we share in our corner of the world.

  • Unsustainable Processes with Fast Fashion

We must move away from a traditional linear system- based on extraction practices which is a system that thrives on more and faster, on unsustainable use of resources, we often lose the connection with the land, each other, our values, and even ourselves. Each point in the linear system is designed to be siloed, moving in one direction with the end-of-life clothing ending up in one place- the incinerator or the landfill. 

Textiles made from plastic fibers are responsible for microplastic shedding at every stage of their life: when they're worn, when they're washed, and when they're disposed of.  

An estimated 92 million tons of fast fashion waste is generated yearly, the textiles are not biodegradable and the chemicals and dyes in the fabric are harmful to the soil and water! In the Atacama Desert, entire landscapes are now covered by new and old garments. Every year, some 59,000 tons of used and unsold clothing end up in Chile from all over the world. 

Instead, we need to pause, think through the cause and effect of the linear system, and move to a circular system. 

A more sustainable, circular economy that allows for the inclusion of creative ideas, alternative means of production, local labor, local resources, place-based clothing, beneficial textiles, and a system that values people and not abundance. 

One Fibershed in Ohio invited members to join one of these projects:

  • Closet Survey for Climate Health

  • One Year, One Outfit Project

  • The Rust Belt Linen Project

  • Rust Belt Alpacas Project

I believe that documentaries are especially valuable when the topic is new to us. The issues around clothing choices include carbon footprint, water waste, water pollution, unsafe work, and soil waste.

The global demand for fashion and cheap clothing has risen at an unprecedented rate that the fashion industry now accounts for 10% of global carbon emissions while contributing to nearly 20% of global wastewater. What's more, the world at large generates an estimated 92 million tons of textiles waste every year, which is expected to soar up to 134 million tons a year by 2030. But how did we get to this point? Environmentalists and filmmakers have shed light on the terrible working conditions in developing countries in order for people to enjoy cheap clothing, driving our reckless consumption habits. These are some of the best fast fashion documentaries illustrating the environmental and social impacts of the fast fashion industry, as well as solutions in breaking the cycle.

Must-See Fast Fashion Documentaries

  • RiverBlue (2017)

Canadian conservationist, professor and paddler Mark Angelo embarks on an unprecedented three-year river journey around the world. What he ends up unveiling during his expedition is the shocking damage and pollution of the global fashion industry has done to our rivers and water sources. In this revelatory documentary, discover shocking statistics including how we consume 2,700 liters of water to produce one cotton shirt -- which is enough to sustain a human being for almost three years -- and how we're contributing monumental amounts of wastewater from fabric dyeing and treatment. Narrated by clean water supporter Jason Priestley, RiverBlue sheds light not only on the toxic materials that get dumped in our waterways, but offers solutions to reevaluate our consumption practices to ensure a sustainable future, making it one of the best fast fashion documentaries to watch.

  • Made In Bangladesh (2019)

The hero of this documentary is Shimu, a 23-year-old textile worker who fights for fair labour rights following the death of a co-worker at the factory that she works at in Bangladesh. See her contentious struggles against management and disapproval of her husband, and her unwavering will to fight for her fellow female workers to ensure safe working conditions. Made in Bangladesh is an earnest portrait of social rebellion and a powerful feminist statement to boot, and it should be on everyone's must-watch list of fast fashion documentaries. 

  • The True Cost (2015)

If you only watch a film about fast fashion, make it this one. The True Cost pulls back the curtain on how we truly pay the price for our clothing, especially as fashion is produced more rapidly and in massive, wasteful quantities. The groundbreaking fast fashion documentary covers everything from the environmental costs and impacts of our current global fashion industry, the labor rights abuses in developing countries, as well as delving into how genetically modified cotton is related to cancer incidence and suicide. Interspersed with interviews from the world's leading voices including Stella McCartney, Livia Firth and Vandana Shiva, the film will force viewers to look at their clothes and habits in a whole new perspective. 

  • The Machinists (2010)

This British documentary follows the daily lives of three female workers who make clothes for popular high street brands like Primark, H&M and Zara in the garment factories of Dhaka, Bangladesh, as well as the boss of a trade union to illustrate how the fashion industry makes huge profits at the expense of their workers. Directors Hannan Majid and Richard York provide a deeply personal account of the workers' stories and the uphill battles in which they face to improve their working conditions and fair wages. 

  • Udita (2015)

A semi follow-up to The Machinist, Udita focuses on the lives of the women at the center of a grassroots movement in the garment industry. Over the course of five years, these inspiring women have braved through beatings, sacking, arrests, and the 2013 Dhaka garment factory collapse -- which caused the death of 1,134 workers to experience the protection that they enjoy today. Experience the long fight through the eyes of the unions' female members, workers, and leaders as the film calls for the end of exploitation of garment workers around the world. 

  • The Next Black (2014)

Is green the new black? That is the question this documentary attempts to answer as it explores innovative solutions and technologies that will likely reshape the future of fashion. The Next Black dives into the world of sustainable fashion and ways in which we can make it more accessible, as well as championing leaders of the "slow fashion" movement. The film is also packed with interviews with designers and innovators sharing their passion for fashion and the environment, providing a fresh, and in many ways, hopeful snapshot of our fashion industry. 

  • Unravel (2012)

UK-based filmmaker Meghna Gupta takes audiences on a journey from Western and developed countries to India's industrial interiors, unravelling in the process just how our discarded clothes get recycled and repurposed into yarn. This 14-minute short film puts a spotlight on a recycling facility in India where clothing and goods from the fast fashion industry end up, and reveals the unique alert, they think there's a water shortage. Seeing the situation through their eyes forces us to realize how recklessly we treat our garments and how wasteful the industry as a whole has become. 

https://earth.org/fast-fashion-documentaries/

The article has drawn from good sources but this is a fast-moving market with many efforts to provide a positive public view. Take your time to learn more. The choices we make for ourselves, families, and community matter. Nurses have a unique role as a well-respected community member. In the work setting we are leaders and can impact purchasing through policy changes. Reusable materials are the first step to a sustainable cycle therefore cotton gown instead of plastic gown would be preferred.

When I was in practice, I found the Wisconsin Environmental Health Network (https://www.wehnonline.org/) was the most powerful change agent by bringing together experts in practice and researchers to improve our choices for medical supplies to lower pollution. Their conference is held around March each year but often you can get copies of the presentations. See the opportunities. Be open to learning more.

Health Impacts of Federal Climate Investments
Kathryn Lammers, RN, PHN, PhD

Climate investments can significantly improve health outcomes by mitigating the negative health impacts of climate change, such as reducing air pollution from fossil fuels, preventing extreme weather-related injuries, and improving access to healthcare in vulnerable areas, essentially creating a "health co-benefit" from climate action; meaning that policies aimed at reducing greenhouse gas emissions can also lead to substantial public health improvements.

Examples of climate investments that improve health:

  • Urban greening: Planting trees in cities to reduce the urban heat island effect

  • Building efficiency upgrades: Retrofitting buildings to improve energy efficiency and reduce indoor air pollution

  • Renewable energy projects: Investing in solar and wind power to decrease reliance on fossil fuels

  • Climate-resilient infrastructure development: Building flood defenses and seawalls in coastal communities

  • Community-based adaptation programs: Empowering local communities to develop climate resilient strategies

Join the Alliance of Nurses for Healthy Environments on Wednesday January 22nd at 3 pm ET for this FREE virtual event. This webinar will feature speakers who will provide an overview of how climate investments improve health outcomes, examples of local benefits to communities, and opportunities for nurses to promote implementation at a state and local level.

Speakers include:

Aaron Petykowski, Senior Program Manager, Climate Action Campaign

Robbie Orvis, Senior Director, Modeling and Analysis, Energy Innovation

Stefen Samarripas, Senior Local Policy Manager, ACEEE

Register here: Meeting Registration - Zoom

NP Forum
MALPRACTICE INSURANCE: DO YOU NEED IT?
Dr. Tina Bettin, DNP, MSN, RN, FNP-BC, APNP, FAANP

Malpractice insurance or professional liability insurance is coverage or insurance that covers you if something goes wrong related to your profession. Similar to your home or auto insurance, this is coverage to help protect you. As an APNP practicing in Wisconsin, you are required to carry malpractice insurance by Wisconsin State Statutes s. ​655.23 (currently $1,000,000 per occurrence/$3,000,000 annual aggregate) with specific information in N8.08 in the Administrative Code of the Board of Nursing. As nurse practitioners and APRNs increase in number so to the number of malpractice claims, but the percentage of malpractice claims remains stable. Information data from the National Practitioner Data Bank (NPDB) supplies proof that NPs have lower rates of malpractice claims per number of patients compared to physicians and is the lowest among health care professionals (US DHS). The most common malpractice claims against NPs are failure to diagnosis or delay in diagnosis (AANP).

Most APNPs work for a health system/employer that provides malpractice insurance. As a provider, the NP/APRN is encouraged to understand the health system/employer malpractice insurance and whether personal malpractice insurance is needed. Remember the health system/employer, may protect their interests. As the NP/APRN, you may not have any say in the settlement if you have only health system/employer malpractice insurance. Settlements related to malpractice issues will continue to follow you for years--licensure applications, hiring applications, and certification for participation in government programs such as Medicaid which are subject to review by the NPDB; provider identification within the NPDB can be viewed as a reflection of negative past performance. Unfortunately, these settlements, which you may not have any say in, may impact your ability to secure future employment. Many health system/employer-based malpractice only cover you when you are employed by them. Remember, malpractice claims can be filed for a number of years after the incident in question, and unless you have tail coverage you would not be protected.

Personal malpractice insurance protects you and your individual issues. Based on the specific policy that you obtain, there are significant personal protections that the NP/APRN retains that are not part of the health system/employer malpractice. Here are some specifics of the personal malpractice insurance, based on the particular policy that one has:

  • personal lawyer

  • license protection defense which designed to protect NPs in the event of regulatory or disciplinary action with Board of Nursing

  • coverage of legal fees-NPs, prosecution and defense

  • patient awarded damages

  • lost wages

  • Personal financial protection

  • Options of claims-based and/or occurrence-based claims as well as tail protection

If you are a student, it is recommended that you carry a policy as you are not covered by the preceptor's policy or the health system you are doing your clinicals in. The university has a policy but most do not know the specifics of the policy. If you own a business, your personal policy will not protect your business or employees, you need to carry policy for the business.

Yes, there is a cost to personal malpractice but there are long-term benefits if anything ever happen that help protect you professionally and financially. Please protect yourself and your career. There are numerous options to obtain personal malpractice insurance. Many of the companies that provide personal malpractice insurance have associations or contacts with various nursing organizations. If you are a member of nursing organizations, checking with them would be a good starting step on your journey to obtaining personal malpractice insurance.

This is a big decision but one that will protect your future when you need it the most. This is important as you never know when something may happen and many times it is not the big catastrophic event that we initially think of with malpractice issues.

Article references 

Heuer, B; Cavender, J; Lofgren, M; Dihigo, S. (2019). NAPNAP Position Statement on Malpractice Insurance for Nurse Practitioners. Journal of Pediatric Health Care, Volume 33, Issue 4, A11 - A13. https://www.jpedhc.org/article/S0891-5245(19)30116-6/fulltext (accessed December 1, 2024)

Nurses Service Organization. (Retrieved December 11, 2024) Medical Malpractice 101, file:///C:/Users/GinaDennik-Champion/Downloads/NP-Infographic-X-13713-419-Web-FINAL.PDF

Wisconsin State Legislature. Chapter 655 Health Care Liability and Injured Patients and Families Compensation. https://docs.legis.wisconsin.gov/statutes/statutes/655/iii/23 (accessed December 1, 2024)

Wisconsin State Legislature. Chapter N 8 Certification of Advanced Practice Nurse Prescribers.

https://docs.legis.wisconsin.gov/code/admin_code/n/8 (accessed December 1, 2024).

U.S. Department of Health and Human Services, Health Resources & Services Administration (2018) Data analysis tool. Rockville, MD. https://www.npdb.hrsa.gov/analysistool/ (Accessed December 1, 2024).

Nurses Foundation of Wisconsin
Honor a 2024 Fallen Nurse
Bri Dunbar

The Nightingale Tribute is presented at the WNA Annual Meeting to honor ANY nurse who passed away in that year.

The ceremony is in honor and recognition of the individual's commitment and dedication to science and the practice of nursing.

The 2025 WNA Membership Assembly Annual Meeting will be held on Saturday, January 18th, 2025.  Please submit nurses to be honored by January 3rd for inclusion in our tribute. We will also list the names on the WNA webpage.

To submit a name, please click here.
For more information on the Nightingale Tribute,
please click here.

Nurses Caring For Nurses
Nurses Caring for Nurses ~ Reimagined
Recognizing the Struggles Nurses Face
Kristin Waite-Labbott, RN, BSN, CARN, CPRC
Christopher Wojnar, MSN, APNP, PMHNP-BC

Nurses are enduring unprecedented challenges in today's healthcare landscape. Staffing shortages, workplace violence, and declining mental health exacerbate the stresses of an already demanding profession. According to the CDC, health workers continue to face a mental health crisis (Nigam et al., 2023). In 2022, 48% of Wisconsin's RN workforce reported worse mental and physical health compared to before the COVID-19 pandemic, and two-thirds of nurses experiencing mental anguish are not seeking support due to stigma (WCN, 2022). The mental health crisis is further reflected in the troubling statistics that female nurses had 21% and 41% higher suicide rates than their general population counterparts in 2018 and 2019, respectively. According to a cohort study of a nationally representative sample of workers, 759 nurses died by suicide in the United States between 2017 and 2018 (Olfson et al., 2023). This combination of factors has highlighted the urgent need for systemic support for nurses.

The Workforce Advocacy Council Takes Action
The Wisconsin Nurses Association (WNA) has recognized the critical need to provide comprehensive, stigma-free resources for nurses struggling under these pressures. In response, the WNA launched the Nurses Caring for Nurses (NCN) Task Force to reimagine the program and meet the current needs of nurses, students, and leaders. This task force is focused on creating a robust resource repository hosted on the WNA website. The repository is designed to provide tailored support for nurses across a wide variety of challenges, including mental health concerns, workplace stress, and career transitions.

Key Objectives of the Nurses Caring for Nurses Task Force

  1. Centralized Resource Repository: The WNA website will serve as a one-stop shop for nurses to access curated tools, mental health resources, and educational materials, empowering them to address their unique challenges.

  2. Judgment-Free Support Options: For those requiring one-on-one support, the task force aims to connect nurses with empathetic listeners who can provide immediate assistance without judgment or fear of professional repercussions.

  3. Ongoing Development and Expansion: By consistently incorporating feedback from nurses and experts, the task force will ensure the repository evolves to meet the changing demands of the profession.

A Collaborative Effort
The success of this initiative depends on the expertise and dedication of the task force members, whose diverse skills and insights are critical in shaping a program that nurses can trust. This collaborative effort is focused on fostering a culture of care within the nursing profession, where seeking help is normalized and support is readily available.

Stay Connected
The WNA encourages all nurses to follow the progress of the NCN Task Force through the WNA newsletter. As new developments unfold, the task force will continue to refine and expand the program to make a lasting impact on Wisconsin's nursing workforce. Together, we can reimagine a brighter, healthier future for nurses---because those who care for others deserve care too.

 

Task Force Members:

  • Aimee Laliberte

  • Ayesha Ransom

  • Beth Salko

  • Cheryl Honeycutt

  • Christopher Wojnar

  • Deborah Martin

  • Dennise Lavrenz

  • Elizabeth Mounir

  • Gail Hanson Brenner

  • Heidi Paquette

  • Jacquelyn Frombach

  • Juliana Rendon

  • Kaylee Litchfield

  • Kristin Waite-Labott

  • Liesette Rendell

  • Megan Lane

  • Mona Hernon

  • Olivia Zaleski

  • Sara Bell

  • Susan Fuhrman

  • Teresa DuChateau

  • Xochitl Halstead

  • Yousaf Mona

  • Gina Dennik-Champion, WNA Executive Director

Christopher Wojnar, MSN, APNP, PMHNP-BC is the Founder and CEO Empowered Psychiatric Solutions; Kristin Waite-Labott, BSN, RN, CARN, CPRC is the Founder and President of the Wisconsin Peer Alliance for Nurses (WisPAN).

Article references 
  1. American Nurses Association. (2023). The American Nurses Foundation says action is still needed to address serious nursing workforce challenges. Retrieved from https://www.nursingworld.org/news/news-releases/2023/the-american-nurses-foundation-says-action-is-still-needed-to-address-serious-nursing-workforce-challenges/

  2. Davidson, J. E., Makhija, H., Lee, K. C., Barnes, A., Richardson, M. G., Choflet, A., Ali, T., & Zisook, S. (2024). National Incidence of Nurse Suicide and Associated Features. The Journal of nursing administration, 10.1097/NNA.0000000000001508. Advance online publication. https://doi.org/10.1097/NNA.0000000000001508

  3. Nigam, J. A., Barker, R. M., Cunningham, T. R., Swanson, N. G., & Chosewood, L. C. (2023). Vital signs: Health worker--perceived working conditions and symptoms of poor mental health --- Quality of Worklife Survey, United States, 2018--2022. MMWR Morbidity and Mortality Weekly Report, 72(44), 1197--1205. https://doi.org/10.15585/mmwr.mm7244e1

  4. Wisconsin Center for Nursing. (2023). 2022 RN workforce report. Retrieved from https://wicenterfornursing.org/wp-content/uploads/2023/07/2022-RN-Report.pdf

Nurse Suicides High During the Pandemic,but Feared Surge Never Materialized
— "Hero praise" may have been protective, but a disciplinary pause couldalso have played a role
SF
Shannon Firth

The study by Davidson et al. (2023) found that female nurses had consistently higher rates of suicide compared to the general female population, both before and during the COVID-19 pandemic. This finding is concerning, as it suggests that nurses may be at increased risk for suicide, even in the absence of a major crisis.

While the pandemic did not exacerbate the risk for female nurses, the study highlights the need for continued support and interventions. Factors such as job stress, long hours, and exposure to traumatic events may contribute to increased mental health challenges and suicide risk among nurses.

The study also emphasizes the importance of addressing systemic issues within the healthcare system, such as inadequate staffing, workplace violence, and burnout. By implementing measures to improve working conditions and provide adequate support, it may be possible to reduce the risk of suicide among nurses.

The authors call for further research to investigate the underlying factors contributing to the elevated risk of suicide among nurses and to develop effective interventions to address these issues.

Female nurses' suicide risk remained higher but didn't worsen through the COVID-19pandemic compared with other women, according to a large retrospective cohort study.


Female nurses had 21% and 41% higher suicide rates than their general population counterparts in the pre-pandemic years of 2018 and 2019, respectively, found researchers led by Judy E. Davidson, DNP, RN, of the University of California San Diego.

During the pandemic, incidence rate ratios were in the same range, elevated 26% for female nurses versus female non-nurses in 2020 and 35% in 2021. All comparisons between the two groups were statistically significant. In comparison, male nurses' suicide rates were comparable with those of male non-nurses across the period covered by the study published in the Journal of Nursing Administration. Given the overwhelming stress of the pandemic, "we had anticipated a rise," Davidson said via email. The lack of a pandemic-related surge in female nurse suicides may be due to a host of factors, she said.

Keep reading this article HERE

Legislative Update
WNA Public Policy Council Developing Agenda for Annual Nurses Day at the Capitol
Gina Dennik-Champion, MSN, RN, MSHA

WNA Nurses Day at the Capitol is scheduled for Tuesday February 25, 2025 at the Monona Terrace and the State Capitol. The purpose of the day is to share nurses' voice, value and visibility to our state legislators. WNA will provide you with the skill sets to meet and share our policy priorities for the 2025-26 legislative session. There are policies that need to be addressed for both our patients and our nursing workforce

The plans are underway and will include the following:

  • Overview of the importance of nurse advocacy in the legislature.

  • Review of WNA legislative priorities for the 2025-2027 session.

  • Tips on effective communication.

  • Legislator panel on the importance of nurse advocacy and their take on WNA legislative priorities.

  • Preparing for legislator visits to the state capitol.

  • Legislator visits debrief with members of WNA's Public Policy Council.

  • The morning will include breakfast and opportunities to visit with exhibitors.

Reauthorizing the Dr. Lorna Breen Health Care Provider Protection Act: Supporting Nurse Mental Health and Workforce Resilience
Christopher Wojnar, MSN, APNP, PMHNP-BC

The reauthorization of the Dr. Lorna Breen Health Care Provider Protection Act represents a critical opportunity to continue addressing the mental health challenges facing healthcare workers, particularly nurses. Named in honor of Dr. Lorna Breen, an emergency physician who tragically died by suicide during the COVID-19 pandemic, this act underscores the urgent need for systemic reforms to safeguard the mental well-being of those who dedicate their lives to caring for others. The Dr. Lorna Breen Health Care Provider Protection Act is a first-of-its-kind legislation providing $140M for programs impacting the mental health and well-being of the healthcare workforce. You can take immediate action by going to "Reauthorize LBA - Dr. Lorna Breen Heroes Foundation" (https://drlornabreen.org/reauthorizelba/) and advocate for the continued support health workers deserve in 2025 and beyond.

WHY?

Healthcare workers, including nurses, face alarming rates of burnout, anxiety, depression, and substance use challenges. According to the Centers for Disease Control and Prevention (CDC), 46% of healthcare workers reported symptoms of burnout in 2022, up from 32% in 2018. This crisis has been exacerbated by the COVID-19 pandemic, staffing shortages, and workplace harassment, with nurses disproportionately affected due to their frontline roles. Tragically, nurse suicide deaths increased by 267% between 2007-2008 and 2017-2018 (Davis et al., 2021).

Please stay tuned for an in-depth dive into nurse mental health, adverse outcomes, suicide, risk factors, and most importantly, what keeps nurses going, in future articles.

The Dr. Lorna Breen Act addresses these challenges by promoting education, training, and awareness to reduce the stigma surrounding mental health in healthcare. However, much work remains. Current licensure applications in many states include intrusive mental health questions that deter nurses from seeking help, while Board of Nursing proceedings often make nurses' personal health information (PHI) public. These practices not only stigmatize mental health issues but also create significant barriers to care.

Reauthorizing the act offers a pivotal opportunity to advocate for reforms that protect the mental health of nurses and other healthcare providers. Priorities should include:

  1. Ensuring that nurses' mental health records are treated with the same confidentiality as physical health records to encourage help-seeking without fear of career repercussions.

  2. Removing or rephrasing intrusive mental health questions to comply with the Americans with Disabilities Act (ADA) and reduce stigma.

  3. Increasing funding for wellness programs and Alternative to Discipline (ATD) initiatives to provide accessible, affordable support for nurses in recovery.

The act also serves as a catalyst for cultural change in healthcare, highlighting the importance of normalizing discussions about mental health and creating a safe environment for healthcare workers to seek help. By centering the lived experiences of nurses, advocacy efforts can address the unique challenges they face and inform policy reforms that prioritize their well-being.

As Congress considers the reauthorization of the Dr. Lorna Breen Act, we must recognize its transformative potential to protect healthcare workers, reduce stigma, and strengthen the resilience of the nursing workforce. Supporting nurses' mental health is not only an ethical imperative but also a critical step toward ensuring the sustainability of our healthcare system.

Article references 
  • Centers for Disease Control and Prevention. (2024). Health workers face a mental health crisis. VitalSigns. Retrieved from https://www.cdc.gov/vitalsigns/health-worker-mental-health/index.html
  • Davis, M., Cher, B., Friese, C., Bynum, J. (2021). Association of US nurse and physician occupation with risk of suicide. JAMA Psychiatry, 78(6):651--658. https://doi.org/10.1001/jamapsychiatry.2021.0154

  • Dr. Lorna Breen Heroes Foundation. (2024). The State of Our States. Retrieved from https://drlornabreen.org/removebarriers/

Join WNA & ANA Today
Notices

WISCONSIN NURSES ASSOCIATION

2024 BOARD OF DIRECTORS

Gail Hanson Brenner, President

Jennifer Lindner, Vice President

Tracy Zvenyach, Treasurer

Amy Hermes, Secretary

Brandon Geracie, WNA Staff Nurse Rep

Christine Bakke, WNA APRN Rep

Rene Buenzow, Director-at-Large

Tamara Swanson, Director-at-Large

Roberta Pawlak, Director-at-Large

 

WISCONSIN NURSES ASSOCIATION STAFF

Gina Dennik-Champion, Executive Director

Megan Leadholm, Associate Director

Bri Dunbar, Events and Membership Coordinator

Coordinator

 

THE WISCONSIN NURSE EDITORIAL BOARD & STAFF

Gina Dennik-Champion, Editor

Bri Dunbar, Managing Editor

Faleasha Gallagher

Florine Ndakuya-Fitzgerald

Christopher Wojnar

Kristin Waite-Labott

Hallie Barteau

Tamara Swanson

 

CONTACT INFORMATION

Wisconsin Nurses Association/

Nurses Foundation of Wisconsin

6200 Gisholt Drive, Suite 104

Madison, WI 53713

info@wisconsinnurses.org

www.wisconsinnurses.org

Facebook - @wisconsinnurses

American Nurses Association

8515 Georgia Avenue, Suite 400

Silver Spring, MD 20910-3492

memberinfo@ana.org – www.nursingworld.org

The Wisconsin Nurse is the official publication of the Wisconsin Nurses Association in collaboration with the Nurses Foundation of Wisconsin for you, the WNA member.

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