Virginia Nurses Today - Quarterly
Table of Contents
2024 Nurse Staffing Summit 2024 Nurse Staffing Summit Register by November 14
VNF President's Message Reflections on My Time as Board President of the Virginia Nurses Foundation
VNA President's Message
CEO Message Apply Now! VNF Innovation Awards to Support Mental Health Initiatives for Nurses 
Congratulations to Sentara Northern Virginia Medical Center, Woodbridge for Achieving ANCC’s New Magnet with Distinction Recognition!  2024 Leadership Excellence Award Finalists Announced!  U.S. Senator Tim Kaine Announced as Virginia Nurses Association’s 2024 Champion of Nursing  VNF’s Silent Auction is Back and Just in Time for the Holiday Season!  Thank you to our 2024 Gala Sponsors! Celebrating Jay Douglas: Honoring Her Legacy in Nursing
Meet the Virginia Nurses Association’s New Board Leaders! 
VNF Board of Trustees Appoints  Foundation Board of Trustees Appoints Mesha Jones President, 2025-2027 
Share Your Story! Complete the VNA’s Anonymous Workplace Violence Survey  Workplace Violence: What Protections Currently Exist for Healthcare Workers  Introducing Nursing's 2025 Public Policy Platform  Virginia Nurses on Climate and Health  Missed VNA’s Live Legislative Summit? Tune in On-Demand!  Thank you to our 2024 Conference Sponsors! Advocate for Nursing & the Health of all Virginians at VNA’s 2025 Lobby Day!  2025 Event Calendar James Madison University Nursing Students and Faculty Attend Global Peace Seminar in Japan Virtual Nursing: A New Era of Accessible Healthcare  Take Control of Your Online Presence with VNA’s Member Account Features  Nursing’s Movers & Shakers!  Virginia Nurses License Plate How Your EHR Documentation Can Protect You in Court: What Every Nurse Needs to Know  Innovation Unleashed! Elevate Your Leadership with VNF’s Next Level Leadership Program 
Save the Date
November 2024
Volume 32 - No. 4

Promoting advocacy and education, advancing professional practice, and influencing the delivery of quality care

2024 Nurse Staffing Summit
Register by November 14

The Virginia Nurses Association and Virginia Nurses Foundation are hosting the Nurse Staffing Summit on November 22-23 at the Hilton Hotel & Spa in Short Pump, Virginia. As the healthcare industry confronts an unprecedented staffing crisis, this event will serve as a vital platform for addressing challenges and exploring innovative solutions. Healthcare professionals, educators, policymakers, and industry leaders will come together to examine the complexities of the crisis and strategize on strengthening the nursing workforce for the future.

This summit is packed with dynamic presentations and interactive sessions, focused on the critical issues impacting nurse staffing in Virginia and beyond. Topics will include the nursing shortage and its causes—such as educational barriers, retention challenges, workplace culture, and reimbursement models—as well as the influence of technology and policy on the profession’s future.

Keynote Speakers
The summit will highlight two influential speakers who are leaders in the field:

Dr. Peter I. Buerhaus , PhD, RN, FAAN, a nationally recognized nurse and healthcare economist, will deliver a keynote titled Strengthening the Current and Future Post-Pandemic RN Workforce: Leadership, Data, and Avoiding Untimely Distractions. Drawing from his vast experience and recent research, Dr. Buerhaus will provide an overview of the RN workforce and its projected growth through 2035. He will discuss how nursing leaders, supported by timely data and federal guidance, overcame past shortages and the lessons learned for today’s post-pandemic challenges. His presentation will offer practical recommendations for leaders to maximize the expanding RN workforce in coming years.

Dr. Katie Boston-Leary, PHD, MBA, MHA, RN, NEA-BC, FADLN, will deliver her keynote Sustainable Staffing Solutions in Nursing, and discuss how the nurse staffing shortage continues to impact nurses, patient care and population health.  The time is now to implement solutions using a ”tribrid” approach, strategic partnering and human centered thinking to build healthy work environments for optimal outcomes to be attained for nurses and patients. It is high time to create a world where nurses are practicing in an ideal caring environment and patients feel valued and optimally cared for.

Summit Highlights

In addition to the keynote addresses, the summit will feature:

  • A Leadership Intensive by Dennis McIntee, CEO & Co-Founder of the Leadership Development Group, focusing on transformative leadership skills for nurses.

  • The Nurse Leadership Academy Rapid Fire Series, showcasing cutting-edge leadership projects by VNF Fellows, delivered in an engaging, fast-paced format.

  • Work Environment Spotlight: Cultivating a Healthy Work Culture: Strategies to Eradicate Workplace Bullying and Incivility, led by Renee Thompson, DNP, RN, FAAN, CSP, of the Healthy Workforce Institute. Dr. Thompson will explore practical tools and strategies participants can immediately implement to address bullying and incivility within the care environment. When nurses are equipped to address disruptive behaviors, employees stay, and patients achieve better outcomes.

  • Film Screening of “Everybody’s Work: Healing What Hurts Us All”, a documentary examining the pervasive issue of racism in healthcare. A Fireside Chat will follow with keynote speaker and film participant Dr. Katie Boston-Leary, allowing attendees to engage in discussions on how systemic racism affects both patients and nurses, with reflections from healthcare leaders.

  • Rapid-Fire Podium Presentations featuring Virginia clinicians sharing practical solutions on staffing, workforce development, and building equitable workplace environments.

Advocacy and Networking Opportunities

The summit will also offer an in-depth panel discussion on strengthening nurse staffing in Virginia, featuring leaders from VNA and healthcare organizations across Virginia. Attendees will learn about ongoing advocacy efforts, best practices, and successes in implementing nurse staffing committees. This is a unique opportunity for healthcare professionals to engage with thought leaders and collaborate on strategies to address the staffing crisis.

With 12.5 nursing contact hours available and an exhibit hall showcasing the latest resources and innovations for nursing, the summit promises to be an empowering experience for all attendees.

Registration Information

Registration for the event is open until November 14 at 5 PM. VNA members receive a discounted rate of $300, while nonmembers can register for $389. Register online via the Nurse Staffing Summit website and take advantage of membership opportunities with VNA and the American Nurses Association to save on registration!

This summit is a must-attend for healthcare professionals looking to navigate the staffing crisis, improve workplace culture, and drive meaningful change in the nursing profession. We hope to see you there! 

VNF President's Message
Reflections on My Time as Board President of the Virginia Nurses Foundation
Dr. Phyllis Whitehead, PhD, APRN/CNS, SCHPN, PMGT-BC, FNAP

As I reflect on my VNF board presidency, one thought comes to my mind…. “extreme honor” for the privilege of serving for the last four years. We have endured many challenges, including the COVID pandemic and workforce strains. But through it all it was a privilege being able to meet and talk with nurses throughout the commonwealth to hear your concerns and being able to implement resources and opportunities via the Foundation for you and our communities. I am proud that VNF is committed to improving the health of Virginia's communities by developing an educated and diverse nursing workforce through leadership development, research, and innovation.

VNF has been consistently committed to improving access to healthcare and health equity. We have worked to reduce health disparities and improve the health and wellbeing of Virginia’s marginalized communities through education and community outreach.

Unfortunately, we know that being a nurse during the last several years has come with many stressors including mental health distress and suicidal ideation. And in our marginalized communities and communities of color, the numbers are even more grim. A survey conducted May 2022 by TrustedHealth, revealed that 1 in 10 nurses reported they have had suicidal thoughts since the start of the pandemic, more than twice the incidence of such thoughts among U.S. adults. We’ve coupled with the Medical Society of Virginia to bring their SafeHaven™ program, created in partnership with VITAL WorkLife, to nurses through their employers.

We have trained more than 200 school nurses in the National Council for Mental Wellbeing’s Youth Mental Health First Aid program. Moving forward, we hope to extend that training to high school students.

Another program I am extremely passionate about is the Nurse Leadership Academy, which is intended for new and emerging nurse leaders. Nurses are not only care providers but also leaders in their communities and workplaces. The 10-month Academy provides opportunities to develop the skills and knowledge they need to become effective leaders and advocates.

I am so thrilled at the success of our license plate campaign. It is exciting to see so many of the “Nurses Change Lives” plates when I'm driving throughout Virginia. If you haven't gotten your license plate, please get one today. These plates honor nurses and support nursing education and scholarships in Virginia. $15 from each plate goes to VNF for the programs and initiatives described.

I'm also honored to share that we provided the inaugural Dr. Vivienne McDaniel Health Equity Scholarship dedicated to advancing diversity, equity, and inclusion within the nursing profession and communities to VNF Board President-Elect Mesha Jones for her work in exploring innovative approaches to addressing health disparities and focusing on solutions with local schools.  And the wonderful work that the Diversity, Equity and Inclusion Committee has done and will continue to do.

There are so many wonderful projects and initiatives over the last four years that I have been forever changed with this journey. I just want to say “Thank YOU” for the privilege of being part of the VNF and serving as your President.

VNA President's Message
Dr. Sherri Wilson, DNP, MPA, RN, CDP®, FAAN, FADLN

It has been an absolute honor to serve as your President. During the past two years, we have made remarkable strides in advancing our mission and strategic imperatives, giving voice to more than 123,000 nurses across Virginia. Our unwavering focus on health equity, staffing, and fostering healthy workplaces has been the cornerstone of our efforts. Together, through meaningful partnerships, we have proven that we are truly stronger when united. 

Advocacy has been our hallmark. We actively engaged in legislative sessions, championing our public policy platform to bring about positive change. I had the privilege of co-moderating a panel with Senator Tim Kaine at the Best Practices in Long COVID Summit, where we explored innovative, patient-centered strategies for the prevention and treatment of long COVID. 

Our conferences—Healing the Divides; Re-engaging, Re-igniting Passion, and Revolutionizing Practice; and Forging a Successful Future for Nursing—were resounding successes, as were our annual Legislative Summits. As a VNA Voting Representative at ANA’s Membership Assemblies, I contributed to proposals and statements that reflect our shared values. 

One of the most rewarding aspects of my role has been recognizing nursing's rising stars. Presenting the VNF & VNA Future Nursing Leader Awards to deserving BSN graduates were highlights. Attending the premiere of SHIFT Nursing’s documentary, Everybody’s Work: Healing What Hurts Us All, was profoundly moving, as it amplifies the voices of nurses who have faced racism and explores its impact on healthcare. 

I was honored to address the University of Virginia's Nursing Professional Governance Organization at their Annual Summit. Additionally, at HCA Virginia Health System’s inaugural Capital Division Nursing Conference, I presented "You Are Unstoppable," sharing well-being strategies that empower us to thrive as leaders. It was a privilege to spotlight the Virginia Nurses Association’s initiatives to advance nurse and health worker well-being statewide. 

Running for ANA President this year was an unforgettable experience. While I was not elected, I am immensely proud of what my team and I accomplished in such a short time! You can read more about it in the August issue of Virginia Nurses Today. 

One of our key achievements was partnering with the Virginia Hospital & Healthcare Association to develop the Nurse Staffing Committee Framework. Adopted by the VHHA Board of Directors, this framework elevates the voice of frontline nurses and provides a flexible structure for hospitals to develop nurse staffing plans. It underscores the vital connection between nurse and patient well-being. 

As my term comes to an end in December, I am honored to pass the torch to our esteemed colleague and incoming VNA President, Dr. Kathy Baker. I truly believe our best days are ahead. Let us continue to define the moment and advance our profession. Together, we will strengthen our workforce and improve healthcare for all. 

Let's keep making history—together! 

CEO Message
Apply Now! VNF Innovation Awards to Support Mental Health Initiatives for Nurses 

The statistics are undeniable and deeply concerning: 

  • A 2022 study published in the Journal of Nursing Management found that 38% of nurses reported symptoms of depression, and 41% experienced anxiety—largely fueled by pandemic stress, overwhelming patient loads, and emotional trauma. 
  • A 2023 survey by the American Nurses Association revealed that over 50% of nurses avoid seeking mental health care due to fear of professional repercussions. 
  • Data from the National Institutes of Health shows that 10-15% of nurses struggle with substance use disorders. 
  • A 2021 study in JAMA Psychiatry highlighted that female nurses have a 58% higher risk of suicide than the general female population, while male nurses face a 41% higher risk. 

Both the Virginia Nurses Foundation and the Virginia Nurses Association are actively working on several initiatives to promote healthcare professionals’ well-being. We also believe that nurses – as natural problem solvers – may have wonderfully innovative solutions but lack the seed money to formalize the effort and gain broad leadership support.

To support these efforts, VNF—thanks to the financial backing of VNA—is offering $50,000 in Innovation Awards. These awards aim to fund initiatives that improve and safeguard the mental health of nurses in the workplace. Applicants can request funding up to $10,000, and the deadline to apply is January 31, 2025. Projects must be completed by December 31, 2025. 

We encourage nurses from all practice environments to apply and bring their ideas to life. By investing in your vision, we can take meaningful steps toward a healthier future for nurses. 

Eligibility: Members of the Virginia Nurses Association, whose project will benefit a segment of nurses working within Virgina. 

Examples of Fundable Projects 

Important: These are only examples! While you are welcome to build off any of these ideas, please don’t let them limit your creative process and vision! 

1.) Telehealth Mental Health Support for Nurses: 

  • Objective: Evaluate the effectiveness of telehealth counseling sessions in improving the mental health of nurses. 
  • Expected Outcomes: Increased access to mental health support, reduced stigma, and improved mental health outcomes.  

2.) Wellness and Relaxation Spaces: 

  • Objective: Create dedicated wellness and relaxation spaces (i.e., an outdoor healing garden or lavender room for nurses.) 
  • Expected Outcomes: Increased utilization of break times, reduced stress, and improved overall mental well-being.

3.) Nurse-Led "Check-In" Program 

  • Objective: Establish regular mental health check-ins to foster early identification of emotional distress, including suicidal ideation, and to create a culture of support and intervention.
  • Expected Outcomes: 
    The program is expected to result in the early identification of nurses at risk for suicidal ideation or mental health struggles, leading to timely referrals to mental health professionals or peer support networks. It will also foster increased trust and open communication among staff, reducing the stigma associated with mental health challenges and improving overall mental health outcomes 

4.) Crisis Intervention and Resilience Training Program 

  • Objective: Equip nurses with the skills to recognize early signs of suicidal ideation, intervene effectively, and foster emotional resilience to handle the pressures of nursing. 
  • Expected Outcomes: 
    The program is expected to reduce incidents of suicidal ideation by creating a more resilient nursing workforce, increasing awareness and confidence among staff to intervene when colleagues show signs of distress, and fostering a supportive environment equipped to handle emotional challenges. 

 Implementation and Reporting

  • Innovation Award Disbursement: Funds will be disbursed on February 28, 2025, upon project approval.
  • Monitoring and Evaluation: A mid-term virtual check-in will be required, as will a final report sharing outcomes, challenges, and lessons learned.
  • Dissemination: Successful projects will be showcased at the Virginia Nurses Association & Foundation’s 2026 spring or fall conference and published in the Virginia Nurses Foundation's e-newspaper (Virginia Nurses Today) and website. 

 Application Process 

Click here to submit your proposal for up to $10,000 in VNF Innovation Awards monies.

1.) Proposal Submission: 

  • Applicants must submit a detailed proposal online, outlining their project, objectives, expected outcomes, and budget. 
  • Proposals should include a literature review supporting the project's rationale.

2.) Selection Criteria: 

  • Innovation and originality 
  • Feasibility and practicality 
  • Potential impact on the mental health of nurses in your work setting or community 
  • Sustainability and scalability 
  • The individual submitting the proposal must be a VNA member

3.) Review Panel: 

  • Proposals will be reviewed by a selection committee, including nurse and healthcare leaders. 
Congratulations to Sentara Northern Virginia Medical Center, Woodbridge for Achieving ANCC’s New Magnet with Distinction Recognition! 

Sentara Northern Virginia Medical Center in Woodbridge, Virginia received the American Nurses Credentialing Center’s (ANCC) new Magnet with Distinction recognition this August.

This new recognition in the Magnet Recognition program was created at the 2022 National Magnet Conference® and is a new designation recognizing the highest performing Magnet organizations around the world. Magnet Recognition with Distinction™ (Magnet with Distinction) is based on validated empirical data, and only a select few hospitals will achieve this elite level of performance. Magnet with Distinction hospitals serve as exemplary role models for nursing excellence and for creating an environment of care that improves patient outcomes. Magnet with Distinction celebrates hospitals and healthcare organizations that exceed the scoring thresholds required to attain Magnet designation. It raises the bar to recognize top-tier organizations that have achieved the highest level of nursing excellence while addressing emerging challenges and changes in health care moving forward.

Congratulations to all the nurses at Sentara Northern Virginia Medical Center!

Learn more about ANCC’s Magnet with Distinction here.

2024 Leadership Excellence Award Finalists Announced! 

The Virginia Nurses Foundation announced the finalists of the Leadership Excellence Awards honoring those nurses in the commonwealth who have propelled nursing forward! Winners will be announced at the VNF Gala, held at the Hilton Hotel & Spa in Short Pump, Virginia on November 23. Individual tickets and 10-seat tables for the Gala are available for purchase on the Gala webpage. Secure your seat to nursing’s biggest night before it’s sold out! 

Direct Patient Care Leader - Patient Experience Finalists 

  • Debbie Sprouse, Augusta Health 
  • Megan Payette, Bon Secours Memorial Regional Medical Center 
  • Laura Bland, Bon Secours St. Mary's Hospital 
  • Rachel Rudd, CJW Chippenham Hospital (HCA Healthcare) 
  • Dominique Qoraichi, Inova Fairfax Medical Campus 
  • Georgia Jenkins, LewisGale Medical Center (HCA Healthcare) 
  • Deanna Malone, Riverside Doctors' Hospital Williamsburg 
  • Lisa Hinman, Riverside Shore Memorial Hospital 
  • Marissa Davis, Sentara Obici Hospital 
  • Sarah Hartsock, UVA Health 
  • Sarah Toney, VCU Health 
  • Lacy Khandan-Barani, VCU Health 

Direct Patient Care Leader - Patient Safety Finalists 

  • Joan Thomas, Bon Secours Health Center at Harbour View  
  • Mary Sutton, Bon Secours Memorial Regional Medical Center 
  • Anthony Schwartz, Bon Secours St. Mary's Hospital 
  • Dolores Ritual-Gray, Inova Alexandria Hospital 
  • Yerayewa Beatrice Coulibaly, Inova Fairfax Medical Campus 
  • Charity Brown, Inova Mount Vernon Hospital 
  • Akua Marfo, Inova Mount Vernon Hospital 
  • Logan Underwood, LewisGale Hospital Salem (HCA Healthcare) 
  • Hilary Sharpe, Riverside Doctors' Hospital Williamsburg 
  • Stacy Davis, Sentara Obici Hospital 
  • Megan McDonald, UVA Health 
  • Ciara Britt, VCU Health 
  • Cathleen Friedrichs, VCU Health 
  • Lacy Khandan-Barani, VCU Health 
  • Tiffany Lord, VCU Medical Center - Evans Haynes Burn Center 
  • Sarita Rhodes-Vivour, VHC Health

Public Health Nurse - Finalists 

  • Roxanne Harris, Augusta Health 
  • Jayne James, Loudoun County Community Services Board (Virginia Department of Behavioral Health and Developmental Services) 
  • Rosalie Bieda, Richmond City and Henrico County Health Districts (Virginia Department of Health) 
  • Mackenzie Dunn, Richmond City and Henrico County Health Districts (Virginia Department of Health) 
  • Amy Snearer, Richmond City and Henrico County Health Districts (Virginia Department of Health) 
  • Iesha Williams, Richmond City and Henrico County Health Districts (Virginia Department of Health) 
  • Sherry Norquist, Sentara Healthcare 
  • Barbara Kelly-Gibbs, Sentara Obici Hospital 
  • Elizabeth Carpenter, UVA Health 

Public / State Government Service - Finalist 

  • Ginger Vanhoozer, Virginia Department of Health 

Nurse Educator - Finalists 

  • Tiffany Malave, Centra Health 
  • Christopher (Chris) Parker, Centra Health 
  • Carol Lesniak, HCA Healthcare – Capital Division 
  • Kathleen Russell-Babin, Inova Health System 
  • Tomeka Brown-Rolle, Inova Fairfax Medical Campus 
  • Lucy Little, Paul D. Camp Community College 
  • Elisa Lemmon, Riverside Doctors’ Hospital Williamsburg 
  • Jennifer Williams, Riverside Walter Reed Hospital 
  • Jennifer McDonold, Sentara Princess Anne Hospital 
  • Mary Doyle, The George Washington University 
  • Whitney Shanley, The George Washington University 
  • Deanna Pototschnik, UVA Health 
  • Lacy Khandan-Barani, VCU Health 
  • Amy Chodorov, VCU Health 
  • Valerie Coleman, VCU Health 
  • Christina Szabo, VCU Health 
  • Lisa Steeves, VHC Health 

Nurse Manager / Director - Finalists 

  • James Kelley, Bon Secours Memorial Regional Medical Center 
  • Tarshae Robinson-Coker, Bon Secours Southside Medical Center 
  • Carolyn Hitchcock, Centra Bedford Memorial Hospital 
  • Caryn Brown, Centra Health 
  • Tiffany Covarrubias-Lyttle, Centra Health 
  • Robbie Price, Centra Health 
  • Jackie Weaver, Centra Health 
  • Erin Reynolds, Inova Fairfax Medical Campus 
  • Mary Haigh, Riverside Regional Medical Center 
  • Melissa Grootendorst, Sentara Leigh Hospital 
  • Stephanie King, Sentara Obici Hospital 
  • Sharon Seaborne, Sentara Obici Hospital 
  • William (Bill) Lombardi, UVA Health 
  • Catherine Terrell, UVA Health 
  • Kelly Walsh, UVA Health 
  • Roberta Sey, VCU Health 
  • Janet Kaiser, VCU Health – Community Memorial Hospital 
  • Jessica Byrd, VHC Health 

Nurse Researcher - Finalists 

  • Holly Puckett, Centra Health  
  • Ethlyn McQueen-Gibson, Martha Goodson Center (Riverside Health System) 
  • Kristi Morgan, Sentara Obici Hospital 
  • Ashley Darcy Mahoney, The George Washington University School of Nursing 
  • Claiborne Miller-Davis, UVA Health 
  • Melissa Gomes, UVA School of Nursing 
  • Richard Westphal, UVA School of Nursing 
  • Heather Fudala, VCU Health  

Nursing Informatics - Finalists 

  • Cyndi Solana, Augusta Health  
  • Jincy Anthony, Central State Hospital (Virginia Department of Health) 
  • Meg Atkins, Riverside Doctors' Hospital Williamsburg 

Nursing School Dean / Director - Finalists 

  • Chris-Tenna Perkins, Bon Secours Memorial College of Nursing 
  • Sarah Huffer, Centra College 
  • Felisa Smith, Norfolk State University 
  • Wendy Downey, UVA School of Nursing 
  • Melissa Gomes, UVA School of Nursing 

Chief Nursing Officer of a Hospital - Finalists 

  • Crystal Farmer, Augusta Health 
  • Robin Johnson, Bon Secours Memorial Regional Medical Center 
  • Emily Mapes, Bon Secours Richmond Community Hospital 
  • Margaret Lea Lee, CJW Chippenham Hospital (HCA Healthcare) 
  • Dina Dent, Inova Fairfax Medical Campus 
  • Alquietta Brown, Inova Mount Vernon Hospital 
  • Stephanie Jackson, Sentara Healthcare 
  • Kathy Baker, UVA Health 

Chief Nursing Executive - Finalists 

  • Maureen Sintich, Inova Health System 
  • Aysha Kuhlor, Institute of Post-Acute Care 
  • Mary Morin, Sentara Healthcare  
U.S. Senator Tim Kaine Announced as Virginia Nurses Association’s 2024 Champion of Nursing 

The Virginia Nurses Association is excited to announce U.S. Senator Tim Kaine as recipient of its prestigious 2024 Champion of Nursing Award. The award will be presented during the Virginia Nurses Foundation’s annual Gala, November 23 at the Hilton Hotel & Spa, Short Pump. 
 
The Champion of Nursing Award is bestowed upon champions of the nursing profession in Virginia. Senator Kaine has been a tireless advocate for the Dr. Lorna Breen Health Care Provider Protection Act, originally passed in 2022, and has provided $103 million to 45 organizations to address health worker mental health, reduce burnout, and prevent suicide. The Act also established the Impact Wellbeing™ campaign, offering solutions for hospitals to improve staff well-being, and supported research identifying key suicide risk factors and interventions for the healthcare workforce.   

Senator Tim Kaine was elected to the Senate in 2012 and serves on the Armed Services; Budget; Foreign Relations; and Health, Education, Labor, and Pensions (HELP) Committees.  

As co-chair of the bipartisan Career and Technical Education (CTE) Caucus, Senator Kaine focuses on expanding access to job-training programs to ensure that students of all ages are prepared with the skills they need for the jobs of the modern economy. Senator Kaine has also led successful efforts in the Senate to reduce unemployment for military families and veterans.    

As a senator from one of the states most closely connected to the military and the father of a Marine Reservist, Senator Kaine is focused on crafting a smart defense strategy and reducing the risk of unnecessary war. He works to ensure that the military has the resources it needs to keep the country safe, and that service members and veterans receive the benefits and care they have earned.  

Senator Kaine has consistently pushed for reforms to expand access to quality care. This includes legislation to give Americans more options for affordable health insurance and to combat the opioid abuse epidemic.    

He was first elected to office in 1994, serving as a city councilmember and then Mayor of Richmond. He became Lieutenant Governor of Virginia in 2002 and was inaugurated as Virginia’s 70th Governor in 2006.  

VNF’s Silent Auction is Back and Just in Time for the Holiday Season! 

The holiday season is just around the corner, and what better way to get into the spirit of giving than by supporting a cause that makes a difference? The Virginia Nurses Foundation (VNF) is excited to announce its online silent auction, offering a unique opportunity to bid on incredible items while directly contributing to vital programs that uplift nurses and the communities they serve. 

Auction Details: 

  • Dates: November 1 to November 23 
  • Location: Online & Accessible here: https://tinyurl.com/VNF2024SilentAuction  
  • What's Up for Bid: Destination vacations, day trips, smaller gifts, and more! 

Whether you’re looking for an unforgettable getaway, the perfect gift for a loved one, or simply something special for yourself, this auction has something for everyone. Plus, you’ll be supporting the incredible work of the Virginia Nurses Foundation, making your winning bids even more rewarding! 

Why Your Bid Matters 

Proceeds from the auction will go toward funding four key initiatives: 

  1. Mental Health Initiatives – Mental health is more important than ever, especially for nurses who have been on the front lines of care. Your contribution helps ensure these healthcare heroes have access to the support and resources they need.
  2. Education and Scholarship Programs – VNF is committed to nurturing the next generation of nurses through scholarships and educational programs. By participating in the auction, you help provide opportunities for future healthcare leaders to thrive. 
  3. Leadership Development – Strong leadership in nursing improves patient outcomes and workplace environments. VNF invests in leadership development programs that equip nurses to take on key roles in healthcare management.
  4. Climate Health and Health Equity Initiatives – VNF is dedicated to promoting environmental health and equity in healthcare. Auction proceeds will fund efforts to address the impacts of climate change on health and to improve access to equitable care for all communities. 

Just in Time for the Holidays! 

This year’s auction comes at the perfect time. With items like luxurious destination vacations, relaxing day trips, and thoughtfully curated gifts, you’ll find something for everyone on your holiday list while supporting a great cause. Not only will you be giving memorable gifts, but you'll also be giving back to those who give so much. 

How to Participate 

Participating is simple! Just visit https://tinyurl.com/VNF2024SilentAuction during the event dates, browse the items, and place your bids. Every dollar you spend will make a meaningful impact on the lives of nurses, their patients, and the wider Virginia community. 

Let’s make this holiday season about giving back. Your participation in the Virginia Nurses Foundation’s online silent auction will help fund critical programs that support nurses’ well-being, education, and leadership, as well as health equity and climate initiatives. Together, we can build a healthier, more resilient future. Make your bid count – for a brighter future for nurses and the communities they care for. 

Thank you to our 2024 Gala Sponsors!

Thank you to our 2024 Gala Sponsors!

Premier Sponsors

Diamond Sponsor

Gala Reception Sponsor

Gold Sponsors

Interested in sponsoring or exhibiting?

Learn about our many 2025 sponsor levels and complete our Commitment Form!

Celebrating Jay Douglas: Honoring Her Legacy in Nursing

As some of you may know, our esteemed Executive Director of the Virginia Board of Nursing, Jay Douglas, is retiring this September from the role she has held for the past 22 years! Throughout her tenure, she has been an invaluable leader, advocate, and mentor in shaping the landscape of nursing in Virginia.

Ms. Douglas currently serves as President of the NCSBN Board of Directors and has been on the Board of Directors since 2018 and assumed the role of president in 2020. She has been the Executive Director of the Virginia Board of Nursing since 2002. In this position, she oversees the regulation of approximately 230,000 license, certificate and registration holders including registered nurses, licensed practical nurses, advanced practice nurses, massage therapists, nurse aides and medication aides. Additionally, Ms. Douglas has responsibility for oversight of 150 prelicensure nursing education programs. 

Ms. Douglas is a registered nurse with a master’s degree in management, is certified in Substance Abuse Counseling, and is a Fellow of the National Council of State Boards of Nursing Institute of Regulatory Excellence. She further serves as Commissioner of the Interstate Nurse Licensure Compact.

In recognition of her dedication and service, Ms. Douglas has expressed her wish to forego traditional retirement gifts. Instead, she believes in paying it forward to support the very heart of our profession – nurses. Therefore, she kindly requests that any gestures of appreciation be directed toward the Virginia Nurses Foundation.

The Virginia Nurses Foundation plays a crucial role in advancing the nursing profession by providing scholarships, top tier professional development, grants, and resources to support nurses' ongoing education and professional development. By contributing to this cause, we not only honor Ms. Douglas’ remarkable career and her unwavering commitment to nursing excellence, but also invest in the future of nursing in Virginia. 

If you would like to participate in this meaningful gesture, you can make a donation directly to the Virginia Nurses Foundation in Ms. Douglas’ honor (https://tinyurl.com/VNFJayDouglas).

Meet the Virginia Nurses Association’s New Board Leaders! 

The Virginia Nurses Association is proud to introduce our newly elected leaders, a group of esteemed professionals who will bring a wealth of experience, dedication, and leadership to the organization. These individuals, each with a strong commitment to advancing the nursing profession, will play a pivotal role in leading VNA and ensuring we are true to our mission of advancing the nursing profession and influencing the delivery of quality care. We are excited to welcome them to our leadership team and look forward to the innovative contributions they will bring. 

 “We are thrilled to welcome such an extraordinary group of leaders to our board and nominating committee. Their impressive achievements and deep expertise in nursing leadership will be invaluable as we continue to champion the voice of nursing across Virginia! The diverse talent, passion, and wealth of experience they bring will undoubtedly propel our organization forward and enhance our impact on the nursing profession and those we serve,” said Janet Wall, Chief Executive Officer. 

Newly elected VNA leaders, whose 2-year terms will commence January 1, 2025, include: 

VNA Board President 

Kathy Baker, PhD, RN, NE-BC 

Dr. Kathy Baker, Chief Nursing Officer of UVA Medical Center, has been elected President of the Virginia Nurses Association (VNA), an affiliate of the American Nurses Association. Dr. Baker’s 2-year term will commence January 1, 2025.  

Dr. Baker came to UVA from VCU Health, where she had more than two decades in nursing leadership, including most recently as associate chief nurse and associate vice president of nursing. She also serves as adjunct faculty for the VCU School of Nursing’s master’s program in Nursing Leadership. While at VCU, she oversaw transformational efforts to strengthen the nursing workforce, increase the focus on quality and patient safety, and improve overall operational efficiency. At UVA Health, her priorities include advancing new nursing care models to ensure UVA Health is making the best use of all team members’ skills and supporting the recruitment, retention, and mentorship of outstanding nurses. 

Dr. Baker offers a unique cross-sector approach that combines decades of nursing expertise across multiple roles and settings. Her background in nursing leadership, nursing academia, state and national organizations as well as government appointments in the Commonwealth of Virginia, distinctly position her to lead the Virginia Nurses Association in meeting its mission of advancing professional nursing practice and positively influencing the delivery of quality care. 

VNA Board Secretary

Ericka Daley, DNP, BSN, RN, CEN  

Dr. Ericka Daley, RN II at Sentara Northern Virginia Medical Center, has been elected to the board role of Secretary. She previously served as Director-at-Large, Frontline Nurse on the board. In addition, she is an active member of VNA’s Commission on Workforce Issues. As a staff nurse, Dr. Daley was Chair of her facility’s Unit Practice Council for several years, assisting staff in the identification and development and implementation of best practices. Most recently, Dr. Daley acted as Unit Magnet Champion in preparation for site visits culminating in the awarding of Magnet status for her local hospital system. 

VNA Board Commissioner on Nursing Education

Theresa Gaffney, PhD, MPA, RN, CNE  

Dr. Terri Gaffney, associate professor at Marymount University, has been elected to the board role of Commissioner on Nursing Education. She is currently an active member of the Commission on Nursing Education. She served on the Virginia Board of Nursing from 1994 to 1997 and is Co-Founder and Chair of the Virginia Taskforce for Innovative Models of Clinical Nursing Education. Dr. Gaffney served as President of the Virginia Nurses Foundation, the charitable arm of the Virginia Nurses Association, from 2008 to 2009. 

VNA Board Commissioner on Nursing Practice 

Tiffany Covarrubias Lyttle, BSN, BS, PCCN  

Ms. Tiffany Covarrubias Lyttle, Nurse Wellness and Patient Education Coordinator at Centra Health, has been elected to the board role of Commissioner on Nursing Practice. She is currently completing her second term as VNA Secretary and continues to serve as the Government Relations Chair for her local VNA Hill City Chapter. She also serves as co-chair of the VNA and Virginia Nurses Foundation’s Diversity, Equity, and Inclusion Council. Ms. Covarrubias Lyttle is also active with the National Association of Hispanic Nurses and serves as the Bylaws Chair for their D.C. Metro Chapter. 

 

VNA Board Commissioner on Workforce Issues

Julianne George, MSN, MBA, RN, CNML, NEA-BC, NC-BC, PCCN-K, CCRN-K  

Ms. Julianne George, Senior Director of Critical Care and Neurosciences at Inova Fairfax Medical Campus, has been elected to the board role of Commissioner on Workforce Issues. She spent more than 15 years in nursing leadership roles, effectively tackling workforce challenges in acute care, critical care, and behavioral health domains. She leads the Northern Virginia Chapter of the American Association of Neuroscience Nurses and is actively engaged in mentorship programs for the American College of Healthcare Executives and for the American Nurses Association.  

VNA Board Director-at-Large, Frontline Nurse 

Carlise Talley, MSN, RN  

Ms. Carlise Talley, Director of Nursing at HCA Henrico Doctor’s Hospital, has been elected to the board role of Director-at-Large, Frontline Nurse. She has more than 30 years’ experience working in healthcare, with 10 of those years serving in leadership positions. She previously served VNA on the Committee on Nominations and is an active member of both the National Black Nurses Association and the American Legion Auxiliary. Ms. Talley further serves as an ECPI University Advisory Board Member and volunteers for local feeding programs within her community. 

Committee on Nominations 

Tuyet Chuong, RN  

Ms. Tuyet Chuong, a surgical-trauma intensive care unit RN at UVA hospital, has been elected to the VNA Committee on Nominations. She currently serves as the President of VNA’s Piedmont Chapter and is an active member of VNA’s Commission on Nursing Education. At her facility, she serves on the Nursing Professional Governance Organization as their Wellbeing Champion for the surgical trauma intensive care unit. Ms. Chuong also volunteers as an emergency medical technician within her community. 

VNF Board of Trustees Appoints 
Foundation Board of Trustees Appoints Mesha Jones President, 2025-2027 

“We are thrilled to welcome Mesha Jones as the incoming President of the VNF Board, effective January 1, 2025. Her extensive experience and commitment to advancing nursing in Virginia make her uniquely positioned to build upon the remarkable work of outgoing Board of Trustees President Dr. Phyllis Whitehead. Mesha’s leadership and vision will undoubtedly continue to strengthen our foundation’s mission and create new opportunities for nursing innovation and growth throughout the commonwealth." 

Mesha Jones, MSN, RN, CCRN, CWON has more than two decades of healthcare experience. Her professional journey began more than 13 years ago as a certified nursing assistant, and she has since seamlessly transitioned into the role of a registered nurse, accumulating invaluable experience across diverse healthcare settings such as critical care, wound ostomy care, and ambulatory clinics.  

Beyond her professional commitments, Mesha actively contributes to advancing nursing in Virginia. She plays pivotal roles in the Virginia Nurses Association and Foundation, having served as the past Piedmont Chapter President and currently co-leads the VNF and Virginia Nurses Association’s Diversity, Equity, & Inclusion Council. As VNA’s Board Commissioner of Nursing Practice, she fervently advocates for policies that empower nurses and enhance patient care outcomes. holding board memberships with both organizations. 

 

Be sure to read Mesha’s first article as president of the Virginia Nurses Foundation in the February 2025 edition of Virginia Nurses Today! 

Share Your Story! Complete the VNA’s Anonymous Workplace Violence Survey 

Data from the Occupational Safety and Health Administration reveals a stark truth: healthcare workers, including nurses, are at an elevated risk of workplace violence. Healthcare settings account for nearly 75% of workplace violence incidents in the private sector, with nurses among the most affected. According to data from Press Ganey, more than 5,200 nursing personnel were assaulted in the second quarter of 2022. On average, two nurses were assaulted every hour, which is about 57 assaults per day. 

As the Virginia Nurses Association works to address workplace violence, we invite you to share your experiences. Your responses will be kept confidential, and we ask that you refrain from including personal details or the name of your employer or work setting. This initial survey aims to broadly identify key issues driving workplace violence. Additional surveys may follow to further assess the problem and guide our strategy. Complete the survey here. Thank you for your participation! 

Access VNA’s Members Only Workplace Violence Toolkit 
This toolkit is a valuable resource for individual nurses, empowering them to recognize, prevent, and respond to workplace violence effectively, fostering safer and more supportive work environments. 

Not a VNA Member? 
Join today for just $15 a month! 

Workplace Violence: What Protections Currently Exist for Healthcare Workers 
Dipti Ramnarain, Virginia Nurses Foundation Board of Trustees Advisor

Healthcare work involves stress, as patients are usually coming for help at a hard or difficult time in their life. However, the inherent stress of dealing with unwell populations is often exacerbated by issues such as workplace violence. Indeed, healthcare employees face workplace violence far more than other industries.1  According to the American Nurses Association, upward of 80% of workplace violence incidents go unreported.2  Many healthcare workers are unaware of the federal, state, and local protections available to them. Awareness of existing protections provides a better understanding of what resources are currently available, and where additional legislation or action may be needed. The following synopsis of current protections provides a review of the largest and most active protections for Virginian healthcare workers in an effort to better educate the Virginia nursing population.  

Many federal agencies have addressed workplace violence for healthcare workers. The Occupational Safety and Health Administration (OSHA) recognizes workplace violence as a hazard in healthcare.3 and has developed guidelines for healthcare workers in addition to the U.S. Department of Health.4.5 It is important for healthcare organizations to be aware of these guidelines and references when implementing best practices and programs addressing safety and security within their premises. 

In addition, several pieces of federal legislation have been introduced to address healthcare workplace safety. The “Workplace Violence Prevention for Health Care and Social Service Workers Act” is pending in Congress, having passed the House as H.R. 1195. Additionally, Senator Tim Kaine and other Virginia legislators have proposed legislation that would give hospital staff enhanced legal protections against workplace assaults.6 The Safety from Violence for Healthcare Employees (SAVE) Act has also been introduced in Congress and increases legal protection for hospital workers against both workplace assaults and intimidation. Many national nursing organizations have already formally come out in support of this legislation,7 and Virginia nurses should continue to support the full passage and implementation of these two pieces of national legislation. In addition, OSHA is proposing a Workplace Violence Prevention Standard for the healthcare industry in December 2024, a potentially significant policy which all healthcare employers should be aware of since OSHA enforcement actions have both federal and state consequences.8   

Virginia state laws have also been implemented to address workplace violence in healthcare settings. Under VA Code § 18.2-60, it is a Class I misdemeanor to threaten to kill or harm a healthcare professional who is rendering care. Virginia Code § 18.2-57 increases penalties for assault or battery of healthcare workers. Virginia also requires hospitals to implement security plans that include at least one off-duty police officer.9  

Many healthcare organizations in Virginia have also been working to address workplace violence. The Virginia Hospital & Healthcare Association (VHHA) launched multiple Public Service Announcements such as the “Help Us, Help You” campaign, highlighting the issues healthcare workers face.10 In addition, VHHA supports the Hospitals Against Violence initiative to combat workplace and community violence. One of the most powerful tools for healthcare organizations is the Workplace Violence Prevention Toolkit developed by the VHHA Workplace Safety Task Force. These detailed guidelines help healthcare organizations address workplace violence and develop programs to effectively address it.11 In addition, the hospital-based Violence Intervention Program (HVIP) Collaborative provides support to survivors of workplace violence, and their families. VNA has a Workforce Issues Commission that regularly reviews these issues during their annual Legislative Summit and during each General Assembly session, and through the work of their Workplace Violence Toolkit. The Virginia Nurses Foundation (VNF), the charitable arm of VNA, also strongly supports local and national protections and other advocacy opportunities. VNF President Phyllis Whitehead further emphasizes that the “Virginia Nurses Foundation is dedicated to advancing the nursing profession, improving the health and wellbeing of all Virginia communities, ensuring the safety of nurses and promoting a healthy workplace.”   

An easy three-step method for Virginia nurses to actively address their concerns and advocate for legislation and workplace environments that address the specific violence and harassment faced by healthcare workers is: 

  1. Awareness: A quick review of the above legislative, regulatory, and organizational protections so nurses can understand their current environment and make informed decisions as to what additional work is needed. 
  2. Advocacy: An easy way for Virginia nurses to advocate for legislation and protections that address the specific violence and harassment faced by healthcare workers is to get involved in organizations such as VNA and VNF. 
  3. Impact: Nurses can share their experiences and issues through professional organizations and other platforms to further educate their peers and colleagues. 

This article can help with the first step, Awareness, by educating our community.  Please join VNA for further opportunities to get involved in advocacy on this important topic. The prevalence of workplace violence in healthcare is unacceptable, and you can be an important participant in creating a healthier and safer environment! 

Introducing Nursing's 2025 Public Policy Platform 

Exciting news! Nursing’s 2025 Public Policy Platform is now available! Read on to learn about the legislative, policy and budget initiatives the Virginia Nurses Association (VNA) and other Virginia nursing organizations are pursuing during the 2025 General Assembly session. 

Nursing’s Public Policy Platform spotlights about 4-6 priority issues that are agreed upon by the Virginia Legislative Nursing Alliance (VLNA), a convening of leaders from nursing specialty organizations throughout Virginia, which is spearheaded by VNA. VLNA participants meet each summer and fall to discuss legislative priorities and develop the Public Policy Platform for nursing. The number of nursing organizations participating in VLNA has continued to grow and is now recognized by legislators and state policymakers. Collectively, we’ve proven that we can have a far greater impact on the future of nursing and healthcare in the commonwealth. 

The purpose of the group is two-fold: 

  • It’s a great opportunity for all participating organizations discuss their legislative priorities and 
  • This group identifies the 4-6 priorities that will be included on Nursing’s Public Policy Platform 

Nursing’s 2025 Public Policy Platform 

**VNA is a nonpartisan organization that focuses on issues, not candidates.** 

Strengthening the Nursing Workforce  

Ensuring Safe Staffing and Promoting Workplace Safety  
The shortage of available healthcare professionals coupled with growing demand makes the importance of safe staffing even more critical. Nurses and other healthcare professionals are working longer hours and being assigned too many patients. To protect the resilience of the workforce and maintain the highest quality care for patients, Virginia’s nurses must be empowered and involved in creating appropriate staffing plans.   

Additionally, policies must be enacted to better ensure healthcare professionals’ safety at work. Healthcare professionals continue to face an elevated risk of workplace violence from patients and other individuals; as much as five times higher in hospitals than the national average. Policymakers should ensure reporting of workplace violence incidents and make it easier to restrict threatening individuals’ access to facilities. Other workplace hazards need to be addressed to protect our workforce, enable healthcare professionals to provide optimal care, and to ensure patient outcomes are not jeopardized.  

Investing in Nursing Programs and Growing the Workforce  
Virginia continues to experience an alarming shortage of healthcare professionals, especially in the nursing profession, while large numbers of nursing school applicants are being denied admission based not on merit, but rather on a lack of faculty and available clinical sites. It’s crucial that the commonwealth continue to invest in growing nursing education programs to increase enrollment and eliminate the staffing shortage. We should continue growing support for nursing faculty, clinical preceptors, and the recently created Earn While You Learn program. Investments should also support greater diversity in faculty and admissions to ensure a future workforce that is truly reflective of our communities.  

Protecting the Ability to Report Medical Errors  
Our healthcare system relies on the concept of “Just Culture,” that is, it acknowledges that errors occur due to system failures that allow them to occur. When an error is made, healthcare facilities rely on clinicians to voluntarily report the error so that a root cause analysis can be performed, and future errors can be prevented via system changes. Criminally prosecuting those who make unintentional errors endangers patient safety. If clinicians fear criminal prosecution for voluntary disclosure of an error, they will be less likely to report errors, and this will allow system failures to go undetected and uncorrected, ultimately making patients less safe. Such a risk also makes it more difficult to recruit individuals to be healthcare providers. It is vital that we preserve Just Culture to protect patient safety by removing the fear of criminal prosecution for an unintentional error, as was recently enacted in Kentucky.   

Increasing Access to Care  

Supporting the Health and Wellbeing of All Virginia Communities  
To ensure the optimal health of all Virginians, wellness must always be factored into our policy decisions. All Virginia communities deserve the opportunity to live in a state of well-being and have equal access to safe and affordable healthcare. To eliminate health disparities, we must advance legislative solutions that promote a culture of health and reduce barriers to wellness, regardless of race, ethnicity, sexual orientation and gender identity. This includes safeguarding patient autonomy and protecting privacy within the patient-provider relationship. Finally, climate health poses a significant threat to human health, and its impacts are magnified for the most vulnerable among us. Environmental initiatives must be prioritized to protect the health and well-being of Virginia communities, now and in the future.  

A Nurse in Every Virginia School  
Every student, and every school, deserves a nurse. Thanks to newly authorized Medicaid reimbursements for many school health services, the goal of having a nurse in every Virginia school is within reach - but only if policymakers ensure that our schools have adequate resources and support. School nurses are front line healthcare providers, serving as the bridge between the healthcare and education systems. They serve as public health sentinels, overseeing the physical and mental health of all students. For many children living in or near poverty, the school nurse is the only healthcare professional they see. School nurses are essential in communicable disease surveillance, identification, and intervention. Above all else, access to a school nurse is a student health equity issue.  

Advancing Full Practice Authority  

Parity in Practice and Payment  
Unnecessary practice restrictions and disparate insurance reimbursement rates for clinicians limit access to care for Virginians, particularly those in rural and underserved areas. It’s essential that we acknowledge the capabilities of all qualified clinicians to foster efficient and effective patient care and promote a collaborative and equitable healthcare environment in which licensing and regulatory authority belongs to the experts in each discipline. To accomplish this, clinicians must be licensed to practice to the full extent of their education and training, and accountable to the Board of Nursing, rather than a Joint Board. Furthermore, hospitals must be empowered to grant practice privileges to clinicians and seek equitable reimbursement for their services. Parity in practice and payment will help Virginia recruit and retain highly skilled clinicians and improve access to care in health professional shortage areas, and we call upon policymakers to act. 

Take Action 
Click here to take action on the issues mentioned above via VNA’s year-round Advocacy Action Center where you can call or email your legislators in just a few clicks. You will be asked to enter your address so that you can be matched to your legislators, and you can customize the prefilled message anyway you’d like! 

Virginia Nurses on Climate and Health 
Tiffany Covarrubias-Lyttle, MSN, RN, NEA-BC, VNA Commissioner on Nursing Practice
Virginia Slattum, MPH, RN - Richmond Henrico, Health Districts Community Health Nurse Supervisor

If you spent time outside this summer, you probably felt extreme heat pretty quickly. This year, we round out the hottest summer on record north of the equator (NOAA, 2024). Extreme heat is only one of the impacts seen as our climates change. As nurses, we work with clients actively impacted by climate-related issues, from public health nurses managing infectious disease changes in their region to emergency room nurses managing clients with heat stroke. The good news is that nurses are positioned to positively impact the climate and health narrative in Virginia as trusted healthcare team members, client advocates, integral members of interprofessional teams, and promoters of evidence-based system changes.  

Climate is intimately connected to the health of our communities. When the climate changes, there are impacts to resident health. Some of these impacts are direct, such as when a community member experiences heat illness on a very hot day. Health impacts can also be more obscure, such as when a community member with a chronic respiratory disease has more exacerbations during pollen season—as the pollen season gets longer and more intense due to warmer and more atmospheric CO2, so too do allergies and asthmatic reactions. Changes to our climate can even impact the societal structures essential to protecting the health of our communities, such as emergency vehicle response ability during an extreme weather event.  

In Virginia, we have evidence that changes to our climate can impact health. Heat is one of the most data-driven; extreme heat frequency, intensity, and duration is actively increasing, with well documented evidence of health impacts related to increased heat. Since the early 1900s, Virginia has seen over a 1.5F rise in its temperatures and is expected to continue trends upward with our changing climate (Runkle et al, 2022).  

On our hot days, many Virginia residents acutely experience heat-related illness. According to the Virginia Department of Health, more than 3,240 individuals in Virginia sought care for a heat-related illness (HRIs) in ranging levels of severity in 2024. 2024 has resulted in the most documented HRIs in Virginia since data collection started in 2015. While most cases of heat illness occurred in the middle of summer, it is important to note that individuals sought care as early as April and into late September due to heat illness (VDH, 2024).  

While the Virginia HRI data is impressive, it is an undercount of the health burdens our community experiences due to heat. According to a syndromic surveillance study by Wang et al of Virginia healthcare utilization from 2015-2020, around 6% of healthcare visits in the summer can be attributed to ambient heat. The study also found that all-cause healthcare visits began increasing at daily heat indexes of 79 F, even though HRI-specific visits increased at 86F (Wang et al, 2022). Also, temperature extremes can impact some medication efficacies and/or delivery systems, potentially resulting in clients receiving incorrect dosages of the medications they need to protect their health.  

Nurses and other healthcare professionals play important roles in supporting the health of our communities, especially when changes occur like those in our environments. We are creative problem-solvers who know that small steps toward a solution can make a big difference in our community. Virginia added that, “with the support of my team, I implemented a new heat communications protocol in the summer of 2024 for my local health district. It was designed to inform those who work in our most heat-vulnerable communities with up-to-date weather information and resources to share with residents.” 

Virginia continued, “We utilized the National Weather Services’ HeatRisk index to share each day’s predicated heat impact, be it Yellow/Minor Heat Risk, Orange/Moderate Heat Risk, Red/Major Heat Risk, or Magenta/Extreme Heat Risk (NWS, 2024). We used existing TEAMs chats designed to communicate with our Community Health Workers and other outreach-based team members to share that day’s heat risk. For days with higher heat risk levels and/or other significant weather concerns, we added information about community resources to our team communications, such as cooling center locations, tips to stay cool, and emergency weather shelter locations and hours. These communications elevated the acute environmental concerns of the day so that those who work most closely with our community had up-to-date information and guidance.” 

Nurses play a crucial role in climate action due to their unique position in the healthcare system and their direct impact on community health. Nurses are the largest healthcare workforce and the most trusted profession (Walker, 2024). When nurses take part in climate action, our community listens. Nurses are already prepared to understand how clean air and water impact a person’s health and well-being. Still, we become influential ambassadors through education on climate action and how to empower our community to stay healthy. 

By learning about the specific impacts of climate change on health in the populations we serve, nurses can better understand how marginalized communities often bear an inequitable burden of the climate crisis. This knowledge enables us to provide more informed and compassionate care, especially during extreme weather events, as we have recently experienced. In 2024, Virginians endured the hottest summer on record (NASA, 2024) and were impacted by life-altering storms and floods. Yet, in the wake of these events, our Virginia communities experienced notable differences in impact and resources. 

Nurses don’t have to take on the mantle of climate action and health equity alone. The Virginia Nurses Association has launched a new Climate Health webpage, which offers various information on climate and health topics from local to global perspectives. Through the Climate Health webpage, nurses can join a community of other action-oriented nurses and contribute by sharing valuable information, collaborate on local climate and health initiatives and contact state legislators in support of climate health legislation and funding 

Together, we can amplify our impact and forge the path toward health equity. No matter who or what you are in a particular workplace, you can make meaningful small changes to support the health of our communities through our changing climate. 

Some steps you can take to advance climate health: 

  • Learn about climate’s impact on health in your area. Not everyone bears the weight of the climate crisis equally, with marginalized communities often experiencing inequitable burden. Learn more about how this looks in your community.  
  • Keep our changing climate in mind as you care for clients, especially before or during extreme weather events 
  • Visit VNA’s new Climate and Health Page! This includes a wide arrangement of resources from local to global on climate and health topics and ways for nurses and community members to take action on climate health. Have resources you think should be included? Please send them to the Virginia Nursing Association at ebuck@viriginianurses.com! 
  • Get involved! Look into who is focused on climate and health in your area, join a work or community group focused on climate issues. 
Article references 

American Public Health Association (2024). How Climate Change Affects Your Health. American Public Health Association. Retrieved from https://www.apha.org/news-and-media/multimedia/infographics/how-climate-change-affects-your-health  

National Oceanic and Atmospheric Administration (2020). Earth had its hottest August in 175-year record. U.S. Department of Commerce. Retrieved from https://www.noaa.gov/news/earth-had-its-hottest-august-in-175-year-record#:~:text=June%E2%80%93August%202024%20was%20the,a%20degree%20C)%20above%20average.  

National Weather Service (2024). NWS HeatRisk. National Oceanic and Atmospheric Administration. Retrieved from https://www.wpc.ncep.noaa.gov/heatrisk/ 

Runkle, J., K.E. Kunkel, L.E. Stevens, S.M. Champion, B.C. Stewart, R. Frankson, W. Sweet, and S. Rayne (2022). Virginia State Climate Summary 2022. NOAA Technical Report NESDIS 150-VA. NOAA/NESDIS. Retrieved from https://statesummaries.ncics.org/chapter/va/  

Virginia Department of Health (2024). Heat-Related Illness (HRI) in Virginia. Commonwealth of Virginia. Retrieved from https://www.vdh.virginia.gov/surveillance-and-investigation/syndromic-surveillance/hri-surveillance/ 

Missed VNA’s Live Legislative Summit? Tune in On-Demand! 

The Virginia Nurses Association was delighted to host a cadre of nurse advocates, educators, health policy experts, and state legislators, for the 2024 Legislative Summit! This year’s summit was jam-packed with advocacy and activism, and its impact will carry us forward on solid footing for Virginia’s 2025 legislative session. A sincere thank you to all who participated!  

A powerful keynote address was delivered by Delaware Lieutenant Governor Bethany Hall-Long, a dedicated nurse educator and public servant. Lt. Governor Hall-Long shared her personal journey from healthcare to the statehouse, reflecting on how her nursing career fueled her passion for legislative advocacy. She reinforced the vital role nurses play in shaping healthcare policy and encouraged attendees to bring their unique perspectives to the legislative arena. In the words of Lt. Governor Hall-Long, “If you’re not at the table, you’re on the menu!”  

Dr. Ashley Apple, a professor, nurse practitioner, Commissioner on Government Relations for the Virginia Nurses Association, and quite possibly one of the most enthusiastic nurse advocates alive, provided a lively overview of the history of advocacy and activism in nursing. “After all,” she says, “it’s our ethical duty as nurses to show up in the political spere on behalf of our patients and communities!” Of course, she didn’t stop there- Dr. Apple also provided a crash-course on the legislative process in Virginia, highlighting specific opportunities for nursing engagement and providing tips on how to develop rapport and influence legislators on nursing and healthcare policy issues.  

Later in the day, Dr. Apple facilitated an overview of nursing’s 2025 public policy platform for Virginia, which is established each year via consensus of the Virginia Legislative Nursing Alliance, a workgroup of leaders from specialty nursing organizations across the commonwealth. The “Hot Topics in Nursing” segment included a robust discussion with Cindy Rubenstein, president of the Virginia Association of Colleges of Nursing, and Brittany Whitley, a lobbyist representing VNA with Lamar Consulting, LLC. Andrew Lamar, principal of Lamar Consulting, LLC, and longtime lobbyist for VNA, also provided a thorough analysis of the political climate in Virginia and the impact it is expected to have on Virginia’s elections, budget, and policies now and in the future. With our well-informed nurse advocates, and our much beloved lobbying team, VNA is expecting a successful legislative session in 2025!  

Summit attendees heard from the Director of Congressional and Political Advocacy at the American Nurses Association, Samuel Hewitt, who covered key federal legislative and policy issues that impact nursing and healthcare, including some exciting bills currently before the 118th Congress. Notably, the Improving Care and Access to Nurses (I CAN) Act, a bipartisan bill sponsored by Rep. Lauren Underwood (D-IL), a registered nurse, and Rep. Jennifer Kiggans (R-VA), a nurse practitioner, seeks to expand Medicare coverage for vital healthcare services provided by APRNs and allow nurse practitioners to certify the need for inpatient hospital services under Medicare and Medicaid. The I CAN Act would expand access to care for millions of Americans and is currently supported by more than 235 healthcare organizations! Also of note, is the Nurse Overtime and Patient Safety Act, a bipartisan bill for which Rep. Jennifer Kiggans (R-VA) is the chief patron. This bill would prohibit healthcare facilities from requiring nurses to work longer than their previously scheduled work shift, more than 48 hours in a work week, more than 12 consecutive hours in a 24-hour period, or during the 10-hour period immediately after a 12-hour shift. To contact your federal legislators in support of these bills (and numerous others), click HERE. 

This year’s summit featured interviews with an impressive list of Virginia lawmakers! Interviews were conducted by members and elected officers from VNA, and each lawmaker was asked to provide insight and feedback on the legislative priorities identified in nursing’s 2025 public policy platform for Virginia. Attendees heard from two members of the Senate Education and Health Committee, including Senator Mamie Locke (D-VA23), the first African American woman elected Mayor of the City of Hampton and chair of the Virginia Legislative Black Caucus, and Senator Tara Durant (R-VA27), a breast cancer survivor and former member of the House of Delegates who joined the Senate in 2024. Attendees also heard from two members of the House Health and Human Resources (HHR) Committee, including Delegate Kieth Hodges (R-VA98), founder of the Middle Peninsula Opioid Task Force and Vice-Chair for the Rural Caucus, and Delegate Mark Sickles (D-VA17), the ranking member of the HHR Committee and member of the Prescription Drug Pricing Workgroup. Not only did these interviews provide valuable insight for our legislative efforts in 2024, but they also provided an opportunity to advocate to lawmakers on issues of importance to nurses in Virginia. That’s a double win!  

If you weren’t able to catch the live broadcast of the Legislative Summit, fear not- it’s available on-demand through March 31, and it provides a fantastic learning opportunity ahead of the 2025 legislative session. A sincere thank you to all who contributed to this year’s successful summit, and we look forward to seeing you all again at VNA’s in-person Lobby Day on Tuesday, January 21 at the Virginia State Capitol!  

Thank you to our 2024 Conference Sponsors!

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VNA's Online Advocacy Hours Available On-Demand 

 During October, the Virginia Nurses Association (VNA) held nine virtual Legislative Advocacy Hours during which VNA chapter leaders, staff and lobbyists shared our 2025 legislative priorities with Virginia nurses, nursing students and legislators. If you missed these free events, you can access them on VNA’s Advocacy Hours webpage at no cost to you! Stay informed!

Advocate for Nursing & the Health of all Virginians at VNA’s 2025 Lobby Day! 

8AM Tuesday, January 21 at the State Capitol   

VNA's Lobby Day is a day to advocate for nurses and the nursing profession at the Virginia State Capitol! On Tuesday, January 21, we will be meeting at the General Assembly to advocate for 2025 legislation, issues impacting the nursing profession, our patients and clients, and our communities. You’ll also have the opportunity to observe the legislature in session! All nurses and nursing students are welcome to join us, so please share this opportunity widely - you do not have to be a VNA member to participate! Our Lobby Day will include an overview of our policy platform, our bill progress, tools for reaching legislators, and talking points to share with them about our current legislation. 

We make it easy… and fun! If you’ve never participated in one of our Lobby Days or met with a legislator, no worries! Nurse leaders, VNA staff, and team leaders will be on hand to guide you every step of the way! Participants will be grouped based on VNA's 12 geographic chapters and VNA leaders will take the lead in facilitating your conversations with legislators.  

Before Lobby Day, please contact one or both of your legislators to set up an individual meeting!  We’ll provide you with the materials about our policy platform to leave behind and tips for having successful meetings. Register here! 

A Look Back at VNA’s 2024 Lobby Day 
Click here to view VNA’s 2024 digital Lobby Day photo album! 

James Madison University Nursing Students and Faculty Attend Global Peace Seminar in Japan

This August, James Madison University nursing students and faculty participated in the International Student Seminar for Global Citizenship and Peace, hosted by Hiroshima University in Japan for the International Network of Universities (INU) Nursing Collaborative. The workshop, Global Perspectives on Nursing Impact on Global Conflict, Healthcare Advocacy, and World Peace, was part of the International Student Seminar for Global Citizenship and Peace 2024. The 10-day seminar welcomed students from INU member universities around the world. The nursing workshop included expert speakers from INU participating schools of nursing, joint sessions with other INU workshops, visits to community sites, and interactive case studies in which all students will be participating, and students participated in lectures centered around emergency responses, natural disasters, and the commemoration of the atomic bombing of Hiroshima during World War II. The workshop aimed to engage nursing students and faculty in academic and applied inquiry regarding Nursing's Impact on Global Conflict, Healthcare Advocacy, and World Peace so that graduating nurses can advocate for and raise awareness of those affected by these global conflicts and the consequences thereof. The James Madison School of Nursing invited first-generation students to apply who had never traveled outside of the country before or who had a military background. Senior nursing students Luke Hubbard and Tatiana Sanchez were selected to attend, and they traveled with Melody Eaton, Director of the School of Nursing, and Christine Argenbright, nursing professor.

Topics included global healthcare systems, safety and emergency response plans, working in conflict zones, and lectures by individuals who survived or whose family members survived the dropping of the atomic bomb in 1945.
Along with informative lectures, the seminar prioritized providing opportunities for the students to meet and collaborate with other students from around the world. Twenty-eight students ranging from PhD to BSN levels from Bangladesh, Cambodia, China, Egypt, Japan, South Africa, Sweden, and the United States attended the Nursing Collaborative Workshop. Initially, the students engaged in activities to break the ice and support meaningful connections, such as visiting local attractions together. The students were also intentionally placed in international groups to promote the exchange of ideas from diverse cultural perspectives. The culmination of the experience came in the form of a final project. Each group was assigned a final project at the end of the workshop to demonstrate the depth of learning achieved during the experiential, immersive experience. Hubbard reflected on his personal experience, “I had never been out of the country before, so after an experience like this, it made me really want to learn about other countries. Other countries have really good ideas and good healthcare systems, and I got a real appreciation of different perspectives.”

The highlight of the experience was attending the 2024 Peace Memorial Ceremony with approximately 50,000 attendees from Japan and around the world. Attendees included Prime Minister Kishida, atomic bomb survivors, and the bereaved family members whose family members passed since the last ceremony adding their names to the cenotaph. The ceremony concluded with the ringing of the Peace Bell and a silent moment of prayer at 8:15 am, the exact time of the bombing 79 years ago. “The experience was transformational”, said Argenbright.

"My visit to Hiroshima was deeply impactful experience —it's a city that beautifully balances its tragic past with an inspiring commitment to peace and renewal. Just walking around the Peace Memorial Center, I felt a strong connection to both the weight of history and the hope for a better future and global peace," said Sanchez.

 

The diversity of thought, culture and humanity that was infused throughout the Nursing Collaborative Workshop and the entire INU and Hiroshima Peace Memorial experience will be forever part of each student and faculty participant’s persona! It was an extraordinary experience!

Virtual Nursing: A New Era of Accessible Healthcare 

This article is provided by the Virtual Nursing Academy. For more information, please visit https://virtualnursingacademy.com/. Earn $200 off at registration checkout when you use the code ‘VNAF’! 

Virtual nursing is part of a hybrid care model, meaning it is a dual-sided model where there are nurses in direct patient care and virtually available to patients. The nurse who is closest to the patient or who is providing the direct patient care is the nurse “in charge” and responsible for the patient. The virtual nurse, practicing in a remote capacity, provides an assistive role meant to support or supplement the work of the direct care nurse. 

The role of the virtual nurse differs by organization, as every organization is different.  Each organization has its own goals and unique approach to a virtual care model. The virtual care model functions provided are value-added services that can be offloaded by the virtual nurse while not physically present with the patient. These functions may include conducting the patient admission and discharge processes including documentation and limited assessment, as well as several other use cases (applications). The use cases for virtual nursing and virtual care are expanding quickly and include not only admission and discharge as mentioned above, but also pain reassessment, patient education, patient surveillance, dual nurse verification of blood products and high-risk medications, rapid response and code support, safety rounds, interdisciplinary rounds, documentation support, staff/patient safety response and more. 

Utilizing virtual nurses to facilitate the admission and discharge processes is a tremendous support to the direct care nurse because it shifts approximately 30 minutes of focused documentation time away from the direct care nurse, allowing them to focus on other patients or other care needs. In the example of admission and discharge documentation, this means that the virtual nurse would interact with the patient via technology that allows the nurse to visualize and talk with the patient and vice versa. Not every patient is an ideal candidate for virtual nurse interaction. There are some patients who may not be suitable candidates due to visual, speech or hearing impairments, dementia, confusion or simply unwillingness to engage in a virtual nurse interaction. 

The role of the virtual nurse is evolving rapidly and is part of the broader virtual care team. Building and launching a virtual nursing or virtual care model is complex and requires a vision for the care model, goal setting, a team to lead the work, outcomes tracking to guide the work, leader support, ongoing iteration and change management. Working with experienced virtual care leaders can expedite the process, help avoid missteps and apply best practices. Care model transformation and migrating to a virtual care model is challenging although possible with careful planning and execution.  

The outcomes associated with a virtual nursing care model are reduced length of stay, readmissions, and unplanned transfers to the ICU. Improved patient throughput and experience due to virtual nurses' availability to assist with questions and care needs are also becoming a pattern nationally. In addition, virtual nurse models have shown improved nurse satisfaction and decreased turnover on the units that deploy a virtual nursing care model.  

There is much to gain from implementing a virtual nursing model. The business case is different for each organization and depends on organizational goals. Deployment of virtual nurses can be either net-neutral to the existing staffing model or additive, every virtual nursing care model is different. However, it is important to note that virtual nursing is not a replacement for direct care nurses. 

The promise of virtual nursing and the virtual care team is to ensure that the professionals on both sides of the equation provide high-quality and efficient patient care and have a more positive experience while doing so.  A virtual care model can simplify workflows and allow the care team to find more satisfaction in their work again. Launching a virtual care delivery model is a work in progress for a while until the workflows are hardwired and the goals are met.   

Take Control of Your Online Presence with VNA’s Member Account Features 

As a valued member of VNA, you gain access to an exclusive online community that offers a range of features designed to enhance your professional experience. Did you know that with your online member account, you can easily control the visibility of your personal information? With just a few clicks, you can decide what information to share with the community, putting you in the driver's seat of your online presence. 

To start managing your personal information, log in to your member account by visiting the VNA homepage. At the top of the page, click "SIGN IN". If you do not know your login credentials, contact Membership Manager MJ Gearles for assistance. Once you are logged in, navigate to the top right corner where it says "Welcome, [Your Name]". Click on the dropdown menu and select "Account and Settings". Here, your profile information and accessible features will appear. 

To edit any field, click the red person icon next to it, which allows you to change the option to private. Once a field has been set to private, a lock icon will appear next to it. To change the visibility of any private field, click the lock icon and select the "Members Only" option to make the information visible to other members. Remember to save any changes you make. 

Managing your profile ensures that you share only the information you are comfortable with, providing a customized and secure experience within the VNA community. Whether you want to network with other professionals or keep certain details private, you have the flexibility to adjust your settings at any time. 

Not currently a VNA member? Join today for just $15/month to take advantage of the online community and many other benefits. Membership opens doors to numerous opportunities for professional growth and networking. Do not miss the chance to enhance your nursing career, join today! 

Nursing’s Movers & Shakers! 

Check out these Virginia nurses and organizations who are making strides in the profession! 

Magnet Designations 

  • Riverside Regional Medical Center, Newport News, VA receives Magnet Designation. Kudos to Frankye Myers, Senior Vice President and Chief Nursing Executive, Sadie Thurman, Chief Nursing Officer and Tonya Vermette, Magnet Program Director. Congratulations to the nursing teams for their hard work, commitment and passion in providing top tier care to patients! 
  • Sentara Northern Virginia Medical Center receives Magnet with Distinction Designation, a special designation that celebrates hospitals and health care organizations that exceed the scoring thresholds required to attain Magnet recognition. Congratulations to Jeff Joyner, President, Christina Grabus, Chief Nursing Officer and the entire Sentara Northern Virginia Medical Center for their outstanding commitment to patient care! 
How Your EHR Documentation Can Protect You in Court: What Every Nurse Needs to Know 

Insights from NSO, a VNA Personal Benefits Partner 
Visit their website at https://www.nso.com/  

Metadata analysis of information in a patient’s electronic health record (EHR) has the potential to provide valuable information to attorneys in the case of a lawsuit. This information, such as patterns of missing data, can bolster a legal case, leaving nurses vulnerable to punitive action. The best way to avoid negative results of a metadata analysis and subsequent legal action is effective documentation. 

Metadata in the EHR 

One of the first steps a plaintiff’s attorney takes when building a potential medical malpractice case is to review the documentation in the plaintiff’s/patient’s EHR. An EHR stores a wealth of information, including the data entered, when it was entered, who entered it, who viewed it, and whether it was modified. It also stores when someone simply viewed something and how long they were viewing the record. All this information is referred to as metadata, which can otherwise be thought of as “data about data.” 
 
Metadata can be analyzed not only to identify single incidences of error, such as choosing the wrong descriptor from a checklist, but also to detect patterns that can provide insights into the nurse’s care and support an attorney’s case. For example, an attorney might use a metanalysis showing that a nurse is routinely late in documenting to imply that their work is sloppy, creating a negative impression that can affect the nurse’s perceived credibility and even undermine their defense.
 
Federal Rules of Civil Procedures recognize that metadata is “discoverable.” An attorney gains access to EHR information through e-discovery, which the American Health Information Management Association (AHIMA) defines as “the pretrial legal process used to describe the method by which parties will obtain and review electronically stored information (ESI)”. ESI covers any device (such as computers and tablets) and electronic data, such as email and progress notes and radiographic images in an EHR. E-discovery is a complicated process for both the attorney and the organization maintaining the EHR. Data is usually obtained via a computer-generated record of audit trails showing user access and actions.

Protection through documentation 

In the case of litigation, metadata can play an important role in determining the credibility of evidence, including a nurse’s testimony and documentation. A one-time minor error in documentation is not likely to affect the outcome of a case, but more substantial errors can have a significant impact. For instance, if you testify that you notified a provider of a change in a patient’s status at 11:30 but EHR data show you made the entry at 16:30, without noting the late entry and when you notified the provider, your credibility may be affected. Frequent errors and errors of omission can undermine a nurse’s credibility in court. 
 
On the other hand, metadata based on your complete and accurate documentation can help exonerate you by bolstering your credibility and providing evidence that you adhered to your organization’s policies and procedures and the standards of practice. 

Documentation recommendations 

Here are some recommendations that will help ensure your documentation serves you well in court. 

  • Avoid documentation gaps. An example is neglecting to document normal vital signs or routine medication administration when required. Missing information enables an attorney to construct a narrative that may not be flattering to you. 
  • Don’t copy and paste text from one patient’s EHR to another. It is too easy to forget to revise the text to reflect variations between patients. 
  • Use templates and checklists cautiously. These tools can save time, but they also can cause errors. For example, you may forget to revise a template to reflect a patient’s condition. 
  • Do not share your password. Sharing passwords not only compromises cybersecurity, it could also lead to documentation errors such as another clinician entering their documentation under your name, or your profile being logged in to multiple devices at once. 
  • Make any changes to the record as soon as possible, per organizational policy. A correction of erroneous information is typically indicated in some way in the EHR. Information should not be deleted because that alters the record. Corrections are acceptable when made appropriately. However, negative narratives can be created when late entries or corrections have not been made according to organizational policy. You should also avoid making any changes to a record after receiving notice of a lawsuit, even if you intend to clarify points. In fact, you should not even access the patient’s EHR again without first speaking with your risk management team or attorney. 
  • Know that what you view is recorded. The EHR will take note of what you view and for how long. This has implications beyond your own patients. For example, if another nurse asks you to pull up a patient’s record for a second opinion, the EHR will store the fact that you looked at the patient’s record, and how long you accessed it. You certainly want to provide assistance, but if your conclusions differ from the requesting nurse, it may be prudent to make your own note in the EHR. 
  • Document referrals and notifications from other nurses about changes in a patient’s condition. You’ll also want to document the response to notifications of changes. If you fail to receive an appropriate response, take further action, such as notifying your supervisor. 

Documentation as a tool 

EHRs have opened the door for detailed metadata analysis that can support — or not support — a lawsuit. Complete, accurate documentation reflects your practice and is a tool that helps in defending you in case of legal action. 

Organizations, metadata analysis, and e-discovery 

Organizations should be aware of the implications of what metadata analysis can reveal. For instance, in a case described by Gardner, an analysis showed that a hospital turned off alerts in a clinical decision support system because they came up so often that clinicians ignored them. A plaintiff’s attorney was later able to show that one of the alerts might have prevented injury to their client. 
 
Organizations should have a detailed plan for responding to e-discovery requests. Attorneys Hansen and Pratt note that requests must comply with Federal Rules of Civil Procedure 26(b)(2)(C)(iii). The organization will need to supply the requested information unless they can show a court that doing so will create an undue burden or expense.     

Article references 

RESOURCES 

  • AHIMA. E-discover litigation and regulatory investigation response planning: Crucial components of your organization’s information and data governance processes. n.d. https://bok.ahima.org/doc?oid=107115#.ZByfmBXMJhE 
  • Barrett M, DeAngelo TR, DeAngelo JG. E-discovery: Metadata analysis in medical malpractice litigation. The Legal Intelligencer. 2020. Commentary. https://www.law.com/thelegalintelligencer/2020/04/09/e-discovery-metadata-analysis-in-medical-malpractice-litigation/?slreturn=20230223103325 
  • Conn J. Making IT legal-size; As electronic health-record systems become more complex, so do the issues involving the legal status of those records. Modern Healthcare. 2008;38(20), 
  • Gardner E. The weight of the I.T. evidence; why EHRs won’t reduce your malpractice premiums. Health Data Management. 2013;21(10). 
  • Hansen MD, Pratt TJ. Follow the audit trial: The impact of metadata in litigation. Defense Counsel J. 2017;84(3). 
  • Shwayder JM. Electronic records and metadata: Old and new liability risks: Metadata from an EHR form an audit trail of activity, which can make or break a malpractice case. Cont OB/GYN. 2018;63(9). 

  
Disclaimer: The information offered within this article reflects general principles only and does not constitute legal advice by Nurses Service Organization (NSO) or establish appropriate or acceptable standards of professional conduct. Readers should consult with an attorney if they have specific concerns. Neither Affinity Insurance Services, Inc. nor NSO assumes any liability for how this information is applied in practice or for the accuracy of this information. Please note that Internet hyperlinks cited herein are active as of the date of publication but may be subject to change or discontinuation. 
 
This risk management information was provided by Nurses Service Organization (NSO), the nation's largest provider of nurses’ professional liability insurance coverage for over 550,000 nurses since 1976. The individual professional liability insurance policy administered through NSO is underwritten by American Casualty Company of Reading, Pennsylvania, a CNA company. Reproduction without permission of the publisher is prohibited. For questions, send an e-mail to service@nso.com or call 1-800-247-1500. www.nso.com. 

Innovation Unleashed! Elevate Your Leadership with VNF’s Next Level Leadership Program 

Open to all nursing healthcare professionals! 

Ready to unleash your leadership potential? The Virginia Nurses Foundation (VNF) and Virginia Nurses Association (VNA), in partnership with renowned expert Dennis McIntee (at left) of the Leadership Development Group, are excited to offer the transformative Next Level Leadership course. Our 2025 program will have a different focus! The Leadership Development team will coach you to enhance your leadership skills, to help you tackle the challenges of recruitment and retention! Whether you're looking to enhance your influence or advance your leadership role, Next Level Leadership is your path to success. Don’t miss this opportunity to elevate your career, impact patient care, and lead with purpose in the ever-evolving healthcare landscape. It’s time to embark on a leadership journey that will reshape your future and unlock new levels of success as a healthcare professional! 

Earn continuing education credits while exploring essential leadership modules with certified development coaches. Next Level Leadership participants receive personalized one-on-one coaching with experts from the Leadership Development Group and complimentary registration (a $300 value with continuing education!) to VNA & VNF’s fall conference at the Renaissance Portsmouth-Norfolk Waterfront Hotel, November 14 and 15, 2025. VNA & VNF’s annual in-person fall conference attracts hundreds of nurses, healthcare experts and stakeholders from across Virginia, making it the perfect opportunity for networking! Plus, graduates of the Next Level Leadership program will be honored during a special celebration immediately before the fall conference kick off.

Level Up in 2025 
Click here to learn more about the 2025 Next Level Leadership curriculum and secure your spot on the interest list! 

Save the Date

Save the Date for VNA & VNF’s Virtual Spring Conference! 

The Virginia Nurses Association and the Virginia Nurses Foundation’s annual spring conference will be held virtually April 9-10, 2025. The conference will also be available on-demand through July 31, 2025. Be sure to bookmark the Spring Conference webpage -- agenda and speaker details will be available soon!  

The cost will be $139 for VNA members and $199 for nonmembers. Take advantage of cost savings by becoming a member of VNA and the American Nurses Association today! Discounted pricing for hospitals and schools of nursing will also be available for this conference! Hospitals, health systems and schools of nursing will be able to register all of their nurses and all of their pre-licensure nursing students for one great price! Administrators, beat the rush and register your organization for one of these accessible options now! 

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