Get to know Anne M. Ireland, MSN, RN, AOCN^®, CENP, director-at-large on the ONS Board of Directors from 2018–2021. Anne is the executive director for community nursing practice at the City of Hope National Medical Center in Duarte, CA.

Since 1981, more than 700,000 Americans have died from HIV/AIDS. Nearly 32 million people have died worldwide, and experts suggest that almost 38 million are currently infected with the virus. In the decades since the disease was first discovered, HIV/AIDS treatments have advanced, providing patients with a chance to manage a once-deadly diagnosis. With an active and outspoken community of advocates, patients with HIV/AIDS have seen a swell of support.

During the Year of the Nurse, many organizations are finding ways to promote and champion the expertise and experiences that make up the most trusted profession in the United States. The American Association of Colleges of Nursing (AACN) is focusing on ways nurses will affect the upcoming presidential election, ensuring nursing professionals are registered, educated, and ready to vote in 2020.

Vaping pens and other electronic smoking devices were branded as step-down strategies to help the 60 million Americans who are unable to quit traditional cigarettes. The U.S. Food and Drug Administration even supported the idea initially, but research eventually showed that vaping products contain the same or higher levels of nicotine as other tobacco products and are equally as addictive.

Each year, February marks Black History Month: a time of celebration, recognition, and awareness of the countless accomplishments and achievements of black leaders and trailblazers throughout history. In the oncology nursing community, it’s no different. ONS’s African American leaders have made a lasting difference to patients with cancer and the professional community, paving the way for future generations and championing excellence in oncology nursing.

ONS member Donna Clark, RN, BSN, OCN®, was a dedicated oncology nurse whose impact changed the lives of countless patients with cancer for more than 30 years. Clark passed away on February 4, 2020, after a storied career as an oncology nurse and cancer survivor. Her experiences as both patient and healthcare professional allowed her to cross the gap, relate to patients, and empathize with their cancer journey. Her focus on nursing excellence left a lasting impact on the profession and resonates throughout the larger oncology nursing community.

The Woodhull Study on Nurses and the Media: Health Care’s Invisible Partner  showed that nurses were quoted in only 4% of health stories in the news media. In 2018, Mason and team published the Woodhull Study Revisited: Nurses’ Representation in Health News Media 20 Years Later. They found that after two decades, only 2% of health stories in the news media quoted nurses; although not statistically significant, the decrease is still a concern. The 1998 study identified that nurses were just starting to move into positions of authority in healthcare systems, a status that might make them more available for journalists. Yet in 2018, nurses occupied more healthcare leadership positions in diverse sectors but were still not being used as expert sources by journalists. Why?

Get to know Julie Painter, MSN, RN, AOCNS^®, OCN^®, director-at-large on the ONS Board of Directors from 2017–2020. Julie is a clinical nurse specialist/nurse practitioner at the Community Hospital of Indianapolis in Indiana.

More than engineers, accountants, professors, or police officers, nurses lead the pack when it comes to honesty and ethics, according to 2019 Gallup polling data. For 18 years in a row, nurses have been recognized as the most trusted profession in the United States—by a considerable margin, too. Ratings for nursing honesty and ethics outpaced every other profession by a wide margin, and nurses lead the next most trusted profession—engineers—by nearly 20 percentage points.

Get to know Maggie A. Smith, DNP, MSN/Ed, RN, OCN^®, director-at-large on the ONS Board of Directors from 2017–2020. Maggie is an oncology nurse navigator at the University of Chicago Medical Center in Illinois.

In celebration and recognition of Florence Nightingale’s 200^th birthday, the World Health Organization (WHO) designated 2020 as the “Year of the Nurse and Midwife.” As part of this initiative, WHO is holding seminars, publishing papers, and is developing the first-ever State of the World’s Nursing report which will release at the 73rd World Health Assembly.

Celebrations are planned around the globe for 2020 to recognize the impact that nurses make on the health and well-being of our communities. What’s the occasion? The World Health Organization has designated it the Year of the Nurse and Midwife, in honor of Florence Nightingale’s 200th birthday. This exciting year will culminate with the end of the three-year, international Nursing Now! campaign designed to raise the profile and status of nurses worldwide. And we’ll look forward to the release of the new Future of Nursing 2020–2030 consensus study from the National Academy of Medicine that will describe how nurses can help people to get and stay healthy.

After busy Thanksgiving get-togethers and frantic Black Friday, Small-Business Saturday, and Cyber Monday shopping, many people take a moment to reflect and give back to a cause that captures their passion. Dubbed Giving Tuesday, it’s a day dedicated to philanthropy and fundraising. For the first time ever, the Oncology Nursing Foundation issued a Giving Tuesday challenge to ONS chapters—a friendly competition to see which group could get the highest percentage of its membership to donate to the continued growth and excellence of oncology nursing. When all was said and done, 30 ONS chapters helped raise more than $19,000 to support the education, research, and leadership development of oncology nurses everywhere.

Connection, creativity, and change were just some of the components of the ONS Board of Directors’ third-quarter face-to-face meeting held October 31–November 3, 2019. In addition to their regular agenda, the ONS Board conducted enterprise-wide joint and individual meetings with the Oncology Nursing Certification Corporation and Oncology Nursing Foundation boards.

U.S. and European oncology nurses might feel out of their element in a Russian model of nursing practice, which is considerably different than what they’re used to in their own countries. For example, Russian nurses mix all chemotherapy infusions for patients and have no access to pharmacists. Russian blood and marrow transplant (BMT) units have a much higher ratio of physicians to nurses than what’s traditionally seen in other parts of the west. But, like nurses around the world, Russian nursing professionals are keenly interested in improving their oncology practice—although they typically receive education in an academic rather than technical setting.   

A few weeks ago, a former student who was returning to the Pittsburgh area six years after graduation invited me to lunch. She had completed a master’s degree in the interim and had worked successfully as a nurse practitioner.

As a trailblazer and pioneer in palliative care and end-of-life research, ONS member Betty Ferrell, PhD, MA, FAAN, FPCN, director of the division of nursing research and education at City of Hope in Duarte, CA, has improved the quality of life for countless patients with cancer throughout the world. In recognition of her vast contributions to oncology nursing science and patient-centered care, Ferrell was elected to the National Academy of Medicine, one of the highest medical honors in the United States, on October 21, 2019. She joins the ranks of only 2,200 other medical professionals to be appointed to the Academy.

You’re juggling three patients: one is nauseated and requesting lorazepam now, another’s blood transfusion is finished and the pump’s alarm is loudly chirping down the hall, the third has an order list coming in like rapid fire—and it’s only 8 am. In a blood and marrow transplant (BMT) unit, this sounds like a relatively calm morning.

Oncology nurses at every professional level may encounter a variety of unexpected experiences, ranging from unkind words uttered by a patient or coworker to a medication error or the traumatic or untimely death of a beloved patient. Although the events seem like isolated, separate experiences, they can have a compounding impact on a nurse’s well-being.

Personal development is a lifelong process. It’s a way to assess our skills and qualities, consider our aims in life, and set goals to realize and maximize our potential. Part of personal development involves challenging ourselves to learn and master new skills. The more we put ourselves out there—away from our comfort zone to try new things—the more we learn about ourselves.

One word comes to mind to describe the 2019 ONS Chapter Leadership Weekend (CLW): exhilarating. As a chapter Board member attending for the first time, I learned new information, networked and met with dedicated chapter leaders, and of course got to eat some delicious food while in Pittsburgh.

ONS member Ruth McCorkle, PhD, RN, FAPOS, FAAN, had a storied, trailblazing career in oncology nursing, leading the way to advance nursing research, patient-centered care, and educational excellence. McCorkle passed away on August 17, 2019, surrounded by her close family, leaving behind an indelible legacy to the oncology nursing profession.        

Have you had “aha” moments in your life? Times when you finally understood something so completely that you could now fully explain it to someone else? Perhaps you had an aha moment after a session at the recent ONS Congress or after reading an article in the Oncology Nursing Forum or Clinical Journal of Oncology Nursing. Or maybe you finally understood the benefits of dual inhibition of ER+ metastatic breast cancer with antihormonal therapy and CDK4/6 inhibitors after reviewing the recent infographic included with your ONS journal mailing in May.

During the  44th Annual ONS Congress in April 2019, some sessions featured a Continuing the Conversation event following the main session. As a speaker, this might have been the best part for me. It was filled with unexpected, wonderful surprises and great conversations with oncology nursing colleagues.

It’s never too late to honor those who served the United States with great valor, especially during times of war and hardship. In April 2019, a group of federal legislators submitted a bipartisan, bicameral bill to honor cadet nurses who served during World War II. At the time, cadet nurses were not recognized with veteran distinctions, despite often serving in active warzones and filling a desperate need for medical care.

Cancer care is evolving rapidly, and ONS is committed to providing oncology nurses with tools to stay abreast of innovative treatments and technologies used to care for people with cancer. The ONS Board of Directors has both strategic and stewardship responsibilities for the fiscal health of the organization that will help us to meet those goals. 

As Washington attempts to address the soaring costs of prescription medications, some experts are attempting to shed light on the many complicated aspects of the drug pricing issue. The free-market system has countless moving parts, and perhaps so-called big government ownership isn’t the answer to inflating drug costs. As the author aptly states, “From a public-relations standpoint, drug companies are often their own worst enemies. Occasionally, a breathtakingly awful company taints the image of the whole industry.”

Although cancer isn’t one of the very highest causes of death in Azerbaijan, the nation still feels the impact of the global cancer burden: lung cancer and gastrointestinal cancers rank number 8 and 10, respectively, on the top 10 causes of death in the country, and their incidence is growing. As part of its commitment to sustainable international programs to support the advancement of cancer care, ONS and its members have a responsibility to disseminate knowledge to international nurses in countries like Azerbaijan. 

The ONS Congress Planning team really nailed it this year. In Just four words, using the theme of Growing Together, Transforming Care, they were able to describe the essence of why we will gather as a professional organization for ONS’s annual meeting.

It’s been almost a decade since the Institute of Medicine—now the National Academies of Medicine (NAM)—released The Future of Nursing: Leading Change, Advancing Health report. Although many aspects of the nursing profession have been enhanced, still others are woefully lacking in change. Healthcare workplace safety incidents are still too high—up to 12 times higher than in the overall workforce—educational opportunities are still too expensive, and scope-of-practice authority is still too limiting in many states—all of which are ONS policy priorities.

Five years ago, I was consulted, as a mental health clinical nurse specialist, by a nurse manager seeking assistance in determining an appropriate response to a bullying situation on one of her units. That was the first time I learned that our profession has a longstanding and significant problem with incivility and bullying from within. 

Setting ONS up for a strong future was the overarching theme of the January 2019 ONS Board of Directors meeting by conference call. The group appointed new members to the Leadership Development Committee—which grows, shapes, and nominates ONS’s future leaders—and devised a strategy for identifying what oncology nursing’s role will be 10 years in the future.  

To recognize outstanding contributions and excellence to the field of clinical nurse specialists, the Clinical Nurse Specialist Institute (CNSI) selected 38 nurses to its inaugural class of fellows, including three ONS members Marilyn Chrisman, MS, APRN, GCNS-BC, Patricia Geddie, PhD, CNS, AOCNSA, and Tina Mason, MSN, ARNP, AOCNA, AOCNSA. They will be among the first fellows to use the FCNS credential in practice.

As the number of cancer survivors continues to increase, more oncology-trained nurses are needed to care for this population. Unfortunately, not all schools of nursing have clinical experiences in the oncology setting. However, the University of North Carolina leadership is committed to increasing the pipeline of students interested in caring for patients with cancer and their families through an innovative summer fellowship program.

During its December 2018 meeting, the ONS Board of Directors closed a successful year with discussions and decisions that will strengthen ONS leadership at all levels in 2019 and beyond.

Public opinion surveys from respected groups such as Gallup serve as a barometer on certain topics and issues. In Gallup’s 2019 poll assessing ethics and honesty, nurses were again ranked the most-trusted profession in the United States for the 20th year. In 2019, 84% of respondents said they rated nurses “very high” for honesty and ethical standards, leading the pack by a wide margin. Patients, families, and caregivers know firsthand that nurses are driving patient-centered care. For that very reason, they rank nurses higher than physicians, clergy, police officers, and educators. It’s a position that commands respect.

Nestled between Tanzania and Mozambique in eastern Africa, Malawi is a country of more than 18 million citizens. It faces a unique cancer burden that’s proven challenging for practitioners and patients alike. With a high prevalence of HIV-infected individuals, Malawi sees a proportionate rate of AIDS-related cancers, including Kaposi sarcoma, cervical cancer, and non-Hodgkin lymphoma. Currently, healthcare professionals in the country face a lack of standardized oncology education and resources. Roughly 84% of the country’s citizens live in rural areas with limited access to healthcare institutions.

Despite flashy television campaigns, countless pamphlets and brochures, and seemingly constant reminders, people are still unaware of important cancer prevention information. The World Health Organization estimated that 30%–50% of all cancer cases are preventable. But between modifiable behaviors, hereditary and genetic risks, infectious agents, and more, the general public finds itself mostly unprepared to tackle the cancer prevention conversation.

From her patients to her colleagues to the entire cancer care community, ONS Past President Sandra Lee Schafer, RN, MN, AOCN^®, made everyone she touched feel special, inspiring and motivating a generation of oncology nurses in advancing care for patients with cancer. Schafer passed away on December 7, 2018, but her legacy of compassion and care lives on.

“If you know other countries and their people, there will be no wars or hatred.” That was the motto I understood when I was younger and I remember participating in international oncology and nursing conferences, exchanging knowledge, resources, and education with other countries. Cancer connects us all, and that maxim has stuck with me and marked my interest in travelling and meeting new people.

Nurse practitioners (NPs) play an undeniably valuable role in producing quality outcomes in cancer patients. For National NP Week from November 11–17, 2018, pause with ONS to recognize, thank, and support the oncology NPs who relentlessly pursue excellence, striving for the best for their patients from diagnosis through survivorship.

During the ONS Board of Directors monthly meeting by conference call in September 2018, supporting ONS chapters through the model transition continued to top the agenda.

On an unseasonably warm Saturday in October, Pittsburgh, PA, was struck by one of the United States’ greatest tragedies in recent history. The shooting at the Tree of Life Synagogue in Squirrel Hill—a quiet, unassuming neighborhood in the heart of the city—sent shockwaves through the community, the country, and the world. On October 24, 2018, one man’s attack violently stole 11 lives from the Jewish community.

On September 12, 2018, I had the honor of attending the Nursing Community Coalition’s (NCC’s) 10th Anniversary Celebration as an ONS representative, joining members of ONS’s health policy staff. NCC is a 61-member coalition, working to further nursing education, training, and support through united advocacy efforts.

Long-time ONS member and oncology nurse scientist Karen Meneses, PhD, RN, FAAN, Professor and Associate Dean for Research at the School of Nursing at the University of Alabama at Birmingham (UAB) passed away unexpectedly on August 1, 2018.

Each spring brings a flurry of annual meetings held by oncology organizations: Association of Community Cancer Centers (ACCC), American Association for Cancer Research (AACR), American Society of Clinical Oncology (ASCO), and ONS’s. This year I attended all and was part of panel presentations at ACCC and AACR to bring the nursing perspective to the topics.