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What’s Behind the Nursing Shortage?

Posted By Teresa Morris, Director of Advocacy & Government Relations, Monday, April 17, 2023
Much has been reported about nursing and other healthcare staff shortages across the country since 2020 when the world was hit by a global pandemic. While the pandemic highlighted many of the gaps in healthcare that affected certain populations, it also underscored the growing need for more nurses in the pipeline to meet current and future health care demands. 

VA has felt the effects of workforce shortages and has made improving the hiring process for health care professionals their top priority. Both the VA Secretary, Denis McDonough, and Undersecretary of Health, Dr. Shareef Elnahal, have spoken out about the difficulties in the hiring process, noting the need to offer competitive wages and benefits, the importance of onboarding employees faster, accelerating HR Specialist training and readiness, and investing in VA employees.

NOVA continues to discuss these issues with congressional members and staff as part of our advocacy efforts and legislative priorities.

We also remain active in our role as a member of the Nursing Community Coalition (NCC) and continue to support funding for the Title VIII nursing workforce development programs (the ask for FY 2024 is $530 million). This remains critical to strengthening nursing education at all levels, while also providing support for institutions that educate nurses for practice in rural and medically underserved communities. Increased funding for Title VIII programs will help to build and bolster the current and future nursing workforce. 

NOVA encourages all of you to continue to have discussions on the local, state and federal levels as many consider the nursing shortage a “global health emergency.”

The American Nurses Association estimates that more than a million new nurses need to join the workforce over the next few years to prevent a critical nursing shortage. Ten states are projected to have a shortage of registered nurses (RNs) by 2035 and more than half the current RNs are over the age of 50. - Why Is There A Nursing Shortage? | NurseJournal.org

When discussing these issues, be sure to include information on your local area, do your research and provide accurate data and what is needed to overcome and improve nursing shortages.

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Resources:

Nursing Shortages in 2023: A State-by-State Breakdown

The American Association of Colleges of Nursing (AACN) has been keeping a close eye on data and released a survey with solid information.

Future of Nursing: Campaign for Action Homepage (sponsored by AARP)

The Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity

AFGE and the Veterans Health Policy Institute (VHPI) released a survey conducted last year about staffing and employee issues within VA.

 
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Phoenix NOVA Chapter 110 Welcome Event

Posted By Administration, Friday, March 24, 2023
Updated: Thursday, May 18, 2023

A wonderful day of networking and sharing information about NOVA took place on February 19, 2023 when Phoenix NOVA Chapter 110 gathered for a lunch and Membership Meeting at the Phoenix City Grille, welcoming NOVA members, NOVA Nurse Emeritus members, potential new members, and friends. 

Nancy Claflin shared Information regarding the benefits of NOVA membership, including opportunities for LPNs, RNs, and APRNs to join and ways to join including payroll deduction, opportunities to network with other NOVA members across the country; educational opportunities including webinars and NOVA’s Annual Meeting to be held at Harrah’s in Las Vegas, NV October 26-27, 2023; NOVA’s mentoring program, NOVA scholarships, certification and discounts, NOVA News, and volunteer opportunities with NOVA committees. 

Nancy also discussed NOVA’s advocacy efforts, including reviewing NOVA’s 2023 Priority Goals and the upcoming NOVA Hill Day on March 9, inviting attendees to identify specific concerns to be shared with Congressional Members and staff. She also shared information on NOVA’s new Caring for Veterans Webinar Series, a three-year program covering important information, not only for new graduate nurses and nurses new to VA, but also for experienced VA nurses.  Topics to be covered in 2023 include acute pain management, breast and cervical screening, caregiver support, community care, COVID-19, eligibility for VA care, compensation and pension, fundamentals of military culture, hospice and palliative care, homelessness and the HUD-VASH program, suicide in the veteran population, whole health, and wound care. 

Nancy also shared information from the General Counsel opinion which states that NOVA may use VA facilities for their professional association activities. The opinion also states that NOVA has access to post notice of and hold legitimate meetings of their members which means that NOVA members can put up flyers in break rooms or on education bulletin boards for example to announce NOVA’s webinars. 

Attendees were encouraged to follow NOVA on social media, including Facebook, Twitter, Instagram, and LinkedIn, and to share information with colleagues.  Attendees are looking forward to the next gathering.

 
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DC Update: March 2023

Posted By Teresa Morris, Monday, March 20, 2023
Updated: Tuesday, March 21, 2023

We are now in the action-packed months of the 118th Congress and several issues continue to be discussed that are in line with NOVA’s 2023 Legislative Priority Goals.

Senate VA Committee Chairman Jon Tester (D-MT) and committee member John Boozman (R-AR) introduced S.10, the VA Careers Act, which passed out of Committee in February.  

The bill would provide modification of pay limitations for specialty clinical positions and increase pay caps for certain leadership positions in VHA . It also allows VA to pay for licensure costs for recipients of VA scholarship programs; expands leave options for clinicians during national emergencies; provides reimbursement for continuing education costs for all levels of nurses; and modernize ‘s VA’s human resources program. 

NOVA is strongly supporting the bill as it contains several provisions that will provide VA with needed to recruit, retain and Bolstering Care for Veterans Aim of Bipartisan Tester.

NOVA was asked to participate in a Senate VA Committee staff panel about workforce issues pertaining to the bill.  The panel was set up to gather stakeholder information about what is working and not working within VA per R&R, staffing, HR Modernization, and use of congressional authorities provided in the RAISE and PACT Act. The discussion was not made public as SVAC will be hosting a live hearing on Wednesday, March 22 to discuss same issues with VA leadership.

NOVA continues to meet with committee staff and others on the importance of providing VHA with the tools it needs to attract and retain the best healthcare providers and compete with the private sector.

S.10 and other issues came up last week during our Hill Day events in Washington, D.C.as
NOVA members met with congressional offices to discuss all of these issues and local priorities. 

Other issues that have been talked about in various hearings include:

VA electronic health record modernization (EHRM) program. Reports of system slowdowns and outages, and patient safety concerns as well as the departure of Terry Adirim, the Director of the EHRM Integration Office and the recent announcement that Deputy VA Secretary Donald Remy, who oversees the EHR implementation, will step down on April 1 have many House and Senate VA Committee members concerned. Bills introduced on the House side call on stricter enforcement of deadlines and possibly scraping the whole program altogether. The Senate does not seem inclined to go along with House bills, but has called for tougher terms, discounted prices, and a narrower set of tasks for Oracle, as well as severe penalties for poor performance.

Implementation of PACT Act. Since the bill was signed into law, implementation has been key – Congress continues to ask VA to update them on number of toxic disability ratings claims, healthcare outcomes and how they are utilizing technology to provide quick access to care and services under the law.

VA Leadership Accountability. Several members of Congress want to change the structure so that VA does not have to endure leadership turnover with every change in Presidential Administration. HVAC subcommittee on Oversight & Investigations Ranking Member Frank Mrvan introduced a bill that would call for the Under Secretary of Health to be in his/her position for five-year term. Protections for workers were also discussed along with details that employees are encouraged to report to either the Office of Whistleblower Protection (OWP) or to their supervisor’s chain of command.

Stay tuned as we move into budget and appropriations season and things really begin to heat up – as always, I will continue to monitor all policy-related issues as they pertain to VA and what all of you do every day to take care of Veterans!

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President's Message: March 2023

Posted By Administration, Monday, March 20, 2023
Updated: Tuesday, March 21, 2023

On March 9, NOVA members from across the country gathered in Washington, DC, to advocate for the best healthcare for our Veterans. NOVA’s Hill Day is one of my favorite events. It is exciting to be able to walk the hallowed halls of the House and Senate and to meet with our members of Congress.

It’s so important for nurses to share their experiences with those who create the legislation that impacts the care we provide every single day.

One of our themes of the day was “change is made by those who show up.” Show up, you did! We had the highest number of NOVA nurses ever at a Hill Day. We hope those numbers continue to grow.

NOVA is the only professional nursing organization that advocates for VA nurses. Your voice and your input matter!

It’s important to remember that even if you are unable to participate in person, there are many other ways to be involved in advocacy.

Your representatives want to hear from you as an individual, and as a front-line caregiver.

When NOVA sends out a call to action, pick up a phone to call your Member’s office. Send an email. Build relationships with staff who work for you the voter, and for many, you the Veteran.

NOVA will continue to share opportunities for nurses to get involved with advocacy locally as well. Be on the lookout for information about meeting with your Members in the District, especially as August recess nears. It will be a fantastic opportunity to participate without going far from home.

Thank you for all you do to advocate for Veterans and VA nurses by showing up every day!


 
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NOVA’s 28th Annual Legislative Roundtable

Posted By Administration, Monday, March 20, 2023
Updated: Tuesday, March 21, 2023

NOVA’s 28th Annual Legislative Roundtable was held Friday, March 10, 2023 at the American Association of Nurse Anesthesiology (AANA) Headquarters in Washington, DC. Participants were welcomed by TJ Wilcox-Olson, MHS, RN, NOVA President. Kelley Saindon, DNP, RN, CHPN, Chair, NOVA Legislative Committee, discussed NOVA’s legislative priority goals, assisted by Co-Chair Michelle Salazar, BSN, RN. This was followed by presentations from staff from the Office of Nursing Services (ONS) in the Department of Veterans Affairs, representatives from Veterans Service Organizations (VSOs), national nursing organizations, and Congressional legislative staff members.

The following topics were discussed:

  • Reviewing, adjusting pay scales for nursing workforce; reviewing executive pay for nursing staff; raising aggregate pay limits
  • Updating qualifications standards for LPNS, and NAs; providing retention and hiring initiatives including continuing education reimbursement for all nursing staff; hiring right and hiring faster; shorten length of time for hiring
  • Providing sufficient budget to enable additional nurse residency programs
    and adequate infrastructure to support future nursing workforce
  • Supporting retention for academic faculty; increasing partnerships and
    preceptorships
  • Ensuring a diverse workforce with opportunities for career advancement
  • Reviewing and addressing human resources issues including onboarding
    delays; HR staffing to expedite hiring and onboarding; modernizing training
    for HR staff; requiring salary market analysis (locality pay survey) and
    transparent reporting annual to VHA and Congress
  • Providing sufficient funding for VA infrastructure needs, including increase
    in private rooms for female patients and patients with infections
  • Providing appropriate funding for Community Care that doesn’t take away
    from internal medical care funding; ensuring veterans receiving community
    care come back to VA care; requiring training for community care providers
    ensuring that veterans receive equivalent care
  • Supporting VA CAREERS Act of 2023 to improve recruitment and retention;
    updating salary caps; paying for licensure costs for VA scholarship recipients;
    supporting additional staff training for managing older veterans; expanding
    leave options including longer timeframes to take leave and options for lump
    sum payments
  • Looking at providing caregiver needs including increasing telehealth and
    hybrid care models; optimizing nursing practice with telecare; assessing
    changes due to end of COVID emergency regulations for telehealth and
    virtual health modalities
  • Full practice authority for all advanced practice nursing roles (CRNAs);
    supporting changes optimizing services in community and home care for
    APRNs
  • Reviewing evidence-based practice across VA; supporting lifelong learning
    for all nursing staff
  • Supporting prevention of workplace violence
  • Supporting funding for National Institute for Nursing Research (NINR)
  • Supporting VA Caregivers; continuing to provide appropriate staffing for
    specialty care for patients with spinal cord injuries, ALS, MS, blindness, and
    long term care; supporting palliative and hospice care
  • Accelerating Whole Health programs including expansion of dental care; expanding home care; supporting ICAN Act
  • Ensuring safe, functioning electronic health record (EHR)
  • Ensuring full implementation of PACT Act and RAISE Act; supporting VHA Leadership and Transformation Act with 5-year term for VHA Under Secretary for Health; removing restrictions for Under Secretary positions
  • Including NOVA in discussions with VA
  • Support veterans’ preference to receive healthcare in VA.
  • Ensuring VA ensures staff accountability.

NOVA wants to thank all those who attended the roundtable to include our VSO and Union partners, Nursing Community Coalition(NCC) colleagues, Hill Staff and Leadership from the VA Office of Nursing Services.

We could not advocate for VA healthcare, nurses and all those who take care of Veterans without your support and knowledge.

 
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Hill Day 2023

Posted By Teresa Morris, Monday, March 20, 2023
Updated: Tuesday, March 21, 2023
NOVA members assembled in Washington, D.C. for our first Hill Day since the Pandemic – a lot of things have changed in the healthcare space since 2020. As a group we focused on NOVA’s 2023 Legislative Priority Goals which include staffing, recruitment & retention, HR Modernization, onboarding and ensuring a budget that supports these critical concerns.

The day started with our kick-off meeting with special guest, Rachel Stevenson, MA, Executive Director, the Nursing Community Coalition (NCC) of which NOVA is a member. Rachel talked about coalitions and voicing the importance of nursing and its future.  Urging all to speak to your passion to continue improving healthcare for patients, families and your communities. 

It was a terrific way to get everyone motivated and prepared to talk with their congressional members and staff about how nurses contribute to healthcare priorities.

Over 50 NOVA members scheduled meetings on the Hill – many of them coming to DC for the first time to take part in Democracy. It was a wonderful day of advocating for VA healthcare providers – particularly nurses.
 
 
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"When I Call", a poem by Karen Blythe

Posted By Administration, Friday, March 3, 2023
When I call and start the conversation with a loud voice and several unkind words, what am I really seeking?

When I call with vague symptoms, unable to describe my feelings, what am I asking for?

When I call and have so many issues, it is hard for you to decide where to start, what am I really looking for?

When I call with a sob in my voice and a full bottle of pills ready to end it all, what am I requiring of you?

A soft word,
A listening heart,
A kind tone,
Compassion,
intentional silence ,
Sitting with me while I consider my situation ,

An offering of not only medical advice, an appointment or a referral,
I need to be heard, to matter, and to not feel so alone.

So, even though you have metrics to meet and other callers to attend, remember that in this moment, I need your care and attention.

You received my call for a reason, provide a safe place for me to be during this season.  

Be thoughtful and considerate, even if I am not.

Listen with empathy and instill courage so I know someone cares.  

I am looking for compassion and courtesy so please remember, I served our country and we are all free, so please, help me.
 
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San Diego NOVA Chapter 138 Update

Posted By San Diego NOVA Chapter 138, Friday, February 24, 2023
Updated: Monday, February 27, 2023

On January 27, 2023, San Diego NOVA Chapter 138 gathered for an educational dinner event at Olive & Basil in beautiful La Jolla, California. Nearly 30 nurses from 10 different specialties were in attendance to hear Dr. Claire Brines, DNP, present Understanding the Chronic Wound Continuum: The Nurses Role in Real World Wound Healing, Biofilm Based Wound Management, and the Organogenesis Portfolio. Dr. Brines is a nurse practitioner with over 10 years of medical, surgical, and trauma critical care experience. She most recently worked in the surgical trauma intensive care unit at the University of Chicago Medical Center and started the Advanced Practice Provider service line there.

The dinner was also an opportunity for attendees to learn more about NOVA and the importance of nurses coming together to advocate for nursing and Veteran care. NOVA President, TJ Wilcox-Olson, was on hand to share information and answer questions. It was a very successful recruitment event with several new members submitting their applications before leaving the restaurant and more applying online after. This was one of the first events held by Chapter 138 and everyone enjoyed being able to network outside of work. Chapter members hope to host more events in the near future and continue growing in numbers to lend more voices to issues that impact the care VA nurses provide every day.

 
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Tribute to Carolyn Sara Latta, MS. RN, CRRN

Posted By Ruth Holmes, Tuesday, January 24, 2023

Carolyn Latta (lovingly known as Latta) President of Hampton VA NOVA Local Chapter 418 died unexpectantly on January 14, 2023.

Admirably starting her career as a Student Nurse Technician at the Philadelphia VA Medical Center in Philadelphia, Latta had over 30 years of combined VA work experience at the Hampton VA Medical Center and Hunter Holmes McGuire VAMC in Virginia in various roles such Staff Nurse Subacute Care, Staff Nurse Long Term Care, ER Float Staff Nurse/ Medical Surgical Intensive Care Unit, Nurse Case Manager, Interim Nurse Manager, GREC and more recently Restorative Nurse Specialist. Latta had just started a new position working remotely with VA Central Office as a Concert Nurse, Office of Geriatrics and Extended Care. She also worked as Adjunct Faculty at the Hampton University School of Nursing.

She was a loyal and dedicated NOVA Local Chapter President for over 15 years, working diligently within the past 10 years, with a few other dedicated nurses, to reactivate and revitalize the inactive Chapter 418 to a now thriving and productive Chapter. Under her leadership, her chapter participated in Wreaths for America, Nursing Hero Virtual 5K race and other national NOVA activities. Latta and her chapter hosted the Opening Ceremony for the Hampton VAMC Nurses Week activities in 2018 and 2022. Last year she hosted two NOVA sponsored education dinners in April and November which were well attended, resulting in four new NOVA members. She rewrote the updated the chapter policies and recently created the Chapter 418 Nurse Board Orientation packet and a 2022 Strategic plan to ensure continued future growth. Also, under her leadership several NOVA members have received the NOVA RN Excellence Awards; more recently the 2022 Nurse Excellence and 2021 Distinguished Chapter Awards.

Latta has been an active member of the National NOVA Membership Committee for several years, volunteering to assist whenever and wherever needed. This is a huge loss for NOVA, and she will be definitely missed! NOVA expresses our sincere condolences to her family, loved ones and friends.


 
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WRJ Chapter Update

Posted By Administration, Tuesday, January 24, 2023
On November 29, 2022, the White River Junction nurses gathered for an educational offering hosted by Organogenesis. We had an overwhelming positive response to the invitation. Nurses were excited to be among their colleagues in a learning environment. The past several years have challenged our abilities to do exactly this. Leveraging technologies, we have been able to continue such activity through virtual platforms. This was one of the first face-to-face engagements for nursing professionals since the pandemic and it was refreshing. Many nurses who attended had yet to meet new colleagues from the hospital. Hospital leadership attendance was most appreciated and felt our profession was valued. With approximately 20 nurses in attendance, we were able to share ideas, learn of new wound care products, and brainstorm solutions. The future is bright for the WRJ NOVA chapter.
 
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