TONL Monthly
September 2019
TONL News & Updates
Fiscal year 2019 has been a tremendous growth year for Texas Organization of Nurse Executives (TONE) largely due the dedication from our chapter leaders and committee chairs. The diligent efforts of or chapter leadership to bring value to the chapter meetings and the meticulous work from our committees has kept us connected, educated and informed. Their combined energy has generated a 21% growth as of July 2019.
Submitted by Cynthia Plonien, DNP, RN, CENP
In August, the College of Nursing and Health Innovation at UTA hosted a retirement celebration for Dr. Beth Mancini as she transitions from her role as professor and senior associate dean for education innovation.
Submitted by Jessica Smith, PhD, RN
Although rural hospitals serve about one fifth of the United States, few studies have investigated relationships among nursing resources and rural hospital adverse events. The purpose of this survey was to determine relationships among nursing skill mix (proportion of registered nurses [RNs] to all nursing staff), the work environment and adverse events (medication errors, patient falls with injury, pressure ulcers and urinary tract infections) in rural hospitals.

There are many different ways to stay connected and receive feedback on topics or discussions you may be interested in. TONE is looking at possibly introducing an additional member benefit, by offering a collaborative tool for members to join however, we need your feedback. Please take a minute to answer one question in order for us to gauge if we should introduce a listserv, blog or forum to better serve our membership. For any further feedback or questions, please reach out to us at

American Sentinel University

One $1,500 grant will be awarded to a TONE member pursuing advanced degrees. The grant will be awarded based on EBP Project Proposal and financial need.

For more information about the grant, including criteria and online application, please click here.

It's that time of year whereby TONE will be opening up the scholarship application process. We are excited to be expanding our scholarship opportunities for 3 different categories this year.

  1. Scholarship for TONE members pursuing advanced degrees. This scholarship will be awarded based on academic achievement, community service, and financial need.
  2. EBP Grant. The grant will be awarded based on EBP Project Proposal and financial need.
  3. TONE Conference scholarship for TONE members to attend the TONE Conference in 2020. This scholarship will be awarded to TONE members that have not attended a TONE conference in previous years.

All applications will be reviewed by the TONE Scholarship committee and awardees will be notified once selected.


Nurse Scholarship -

EBP Grant -

Conference Scholarship -

Read this month's Nurses on Boards Coalition newsletter by clicking here.

The purpose of the ongoing collaborative between CNOs and academic deans and directors from Texas Schools of Nursing is to discuss issues that address nursing in the work place and nursing education, specifically preparation for entering the work place. Workshop meetings occur twice a year, alternating between location in Dallas and in Austin.
Nursing Leadership
By Jennifer Thew, RN, HealthLeaders Media
We’ve all heard the saying, "An ounce of prevention is worth a pound of cure." In other words, a little foresight and planning can fend off a crisis. At Seattle Cancer Care Alliance, nurse leaders have taken a preventive approach to the organization's future workforce needs.
From Minority Nurse
The important role that nurses play in our society cannot be overstated. From their bedside manner to their deep medical understanding, nurses have long been the backbone of our health care system. Now, many nurses are transitioning to a new and influential role: nurse entrepreneur.
By Carole Jakucs, MSN, RN, PHN,
Teaching healthcare professionals about wound care has taken Nancy Morgan, MBA, BSN, RN, WOC, WCC, DWC, OMS, to dozens of places around the United States. When the longtime RN began her career in wound care, she never imagined educating clinicians would take her to American Samoa, an unincorporated U.S. territory in the South Pacific Ocean located 2,200 miles southwest of Hawaii.
By Nancy Sweazy, BSN, RN, CNOR, Daily Nurse
One can easily surmise that Nurse Ratched was not drinking kale smoothies, jogging daily and taking long, hot baths. The facets of compassionate nursing care that Ratched famously lacked, such as kindness and generosity, seldom come from a nurse experiencing a sense of deficit within themselves. A lackluster approach to one’s work is generally the prerequisite for what is now a bonafide medical diagnosis: burnout.  
Practice and Patient Care
By Raj Toleti, Becker Hospital Review
We also know that patient behavior is the primary driver in improving long-term health. Engaged patients are more satisfied patients and more apt to follow treatment plans. Fortunately, we are in a time when a physician’s advice and counsel can walk beside a patient virtually to help them manage their care and be active in its outcome.
By Elizabeth Binsfield, BA, RN, Minority Nurse
On most days nursing is extremely rewarding. At the end of our shift, we feel we’ve done a good job caring for the needs of grateful patients. But occasionally, we encounter patients who test our patience and make it challenging to effectively care for them. So how can we improve the situation when caring for difficult patients?
By Michele Mojciechowski, Daily Nurse
According to the CDC, about one in nine women experience postpartum depression. Oftentimes, nurses may be able to recognize this in their patients and assist them in getting help. First, though, you have to know what you’re looking for. Susan Altman, DNP, CNM, FACNM, a clinical assistant professor and midwifery program director at the NYU Rory Meyers College of Nursing, has been a midwife for more than 20 years. She took some time to answer our questions on recognizing postpartum depression in new moms.
By Lisette Hilton,
Critical care nurses today are less likely than 10 years ago to believe patients on mechanical ventilation need sedation. But 66% of nurses still believe mechanical ventilation sedation is necessary for patient comfort, according to a survey published July 2019 in the American Journal of Critical Care. The data was collected in a survey of the 177 members of the American Association of Critical-Care Nurses (AACN).
Education and Events
Your destination for exciting Nurse Executive job opportunities and the best resource for qualified candidates within the nurse executive industry. Visit the TONE Career Center today!
On Sept. 13, Marion Spears Karr and Shirley Robinson will speak on the importance of the nursing "lens" for board effectiveness; structure and function of types of boards, both in healthcare and community-based organizations; board roles and responsibilities; and more. The program, which will be held at the Memorial Hermann Memorial City Medical Center, will provide 5.5 hours of nursing continuing education.

AONL will conduct "Health Care Finance for Nurse Executives" on Sept. 23-24 in Austin, Texas. In this highly interactive two-day program, participants will take their finance comprehension beyond the operational finance of budgeting and income statements to gain the tools necessary to collaborate in high-level financial strategic decisions. Attendees will earn up to up to 16 CE credits.

Click here for more info and to register.

Public Policy
By Emily Rappleye, Becker Hospital Review
U.S. Citizenship and Immigration Services is no longer renewing medical deferred action status, which allows immigrants with serious illnesses to legally stay in the country while they receive medical treatment, The Boston Globe reports. Only military families will be able to renew medical deferred action status. Families of at least 12 children hospitalized in Boston will be affected, according to the report.
Members in the News
By Jacklyn Lora, CBS 19
Texas is in the midst of a nurse shortage. To combat this, UT Tyler is working to get qualified nurses into the field as soon as possible. UT Tyler’s nursing program will now offer classes all year long, allowing more students to join the program and graduate earlier.
Healthcare Industry
By Nancy J. Brent, MS, JD, RN,
Alternative-to-discipline programs are used by boards of nursing to help nurse licensees receive needed treatment and maintain an unencumbered professional nursing license. They provide a “non-punitive, nondisciplinary and usually confidential approach” to the nurse licensee. Treatment and aftercare are included in alternative-to-discipline programs.
By Andrea Park, Becker Hospital Review
Though artificial intelligence has been proven in multiple studies to outperform human physicians at a variety of medical tasks, further tests are needed to determine whether this holds true in an actual clinical setting. In an op-ed for STAT, Michael Joyner, MD, an anesthesiologist and physiologist at Rochester, Minn.-based Mayo Clinic, suggests a new kind of "Turing test" is needed before AI takes over complex medical tasks, many of which "lack fixed rules and stereotypical features" — two qualities typically necessary for an automated machine to do its job.