To save costs and reduce the number of meetings, the ONS Board combined the traditional January and March meetings into a late-February meeting. It served as my final in-person board meeting, a bittersweet moment filled with reflection on ONS’s past, present, and future. 

On its January conference call, the ONS Board of Directors completed work that will guide ONS leadership for the future.

ONS President Susan Schneider, PhD, RN, AOCN^®, FAAN, was appointed to the Biden Cancer Initiative board of directors, among other experts in health care, business, finance, and technology. The Cancer Initiative also named ONS Chief Executive Officer Brenda Nevidjon MSN, RN, FAAN, to its advisory committee, comprised of 25 other experts aiming to transform the way cancer is detected, diagnosed, and treated by implementing new solutions to complex healthcare problems.  

A responsibility of the ONS president, Board members, and senior staff is to advocate for our patients and our profession. To say that 2017 was a busy year is an understatement. This column, whether written by the president or by me, often describes where ONS has been, who has represented the organization and you, and what our advocacy or education has been.

Happy New Year! The beginning of the year is a time to look forward and anticipate possibilities. It is also a time to reflect on what has been accomplished in the past year. 

ONS member and oncology nurse, Kevin Sowers, MSN, RN, FAAN, former president of Duke University Hospital in Chapel Hill, NC, was appointed president of the John Hopkins Health System and executive vice president of Johns Hopkins Medicine, both in Baltimore, MD, on December 8, 2017, and begins his tenure on February 1, 2018. He is only the second person in Johns Hopkins history to hold these dual roles.

At two national nursing events in October 2017, ONS members received prestigious awards. You may have seen the news about them in your ONS Voice weekly emails. They did not receive these awards without the work of colleagues who prepared their nominations.

At the October Board meeting, we looked back at 2017 as a year that included great meeting times for ONS members at Congress in Denver, CO; regional chapter officer meetings; Leadership Weekend in Pittsburgh, PA; and Capitol Hill Days in Washington, DC. The ONS Board also looked ahead to 2018 and the third year of the strategic plan.

I just finished writing a sympathy card to the family of “Beth.” For the past five years, Beth was in a support group that I facilitate for individuals with advanced cancer. Beth is an example of why I am an oncology nurse. She was an amazing woman. A deliberate thinker, she collected information and made decisions about her health that fit her goals. She once asked me, “How can you continue to care for folks with cancer year after year? It must be hard.”

For oncology nurses, quality cancer care isn’t just about individualizing care for your patients, following local and national guidelines to the letter, or educating patients and family members to get them through their cancer diagnosis. Those are critical components to great cancer care, but tangible and intangible elements impact oncology as well.

Laura Fennimore, DNP, RN, NEA-BC, professor of acute and tertiary care at the University of Pittsburgh School of Nursing in Pittsburgh, PA, has been selected as the next ONS president for the 2018–2020 term. She will be president-elect effective January 1, 2018. Fennimore’s appointment is the first under the ONS bylaw changes that were voted into practice by members in 2016. These governance changes provide the ONS Board of Directors the authority to select candidates from among the member-elected directors-at-large to fill officer roles on the ONS Board.

As part of its mission, ONS honors and maintains nursing’s historical and essential commitment to advocacy for the public good. Working collaboratively with policymakers, cancer and nursing community advocates, and other stakeholders at the local, state, federal, and international levels, ONS seeks to integrate the nursing perspective throughout the policymaking process and urges that oncology nurses be appointed to all relevant federal panels, committees, commissions, and boards. During its September conference call, the ONS Board of Directors focused on two key areas of ONS advocacy.

In 2017, the ONS Board is implementing the new process where the Board of Directors appoints the next president who will be responsible for the ongoing shaping and molding of our society. During our virtual meeting on August 29, this was one of the most important topics that we discussed. The Board is committed to ensuring that our next leader has the vested interest of our organization and possesses the core competencies and values necessary to continue to move our organization forward.

The annual ONS Leadership Weekend brings together the boards of ONS, ONS Foundation (ONSF), and the Oncology Nursing Certification Corporation (ONCC); the ONS Leadership Development Committee; the ONCC committee chairs; and leadership representatives from all of our chapters. Many national office staff join in the planning and activities too. The weekend is a valued, traditional investment in volunteer leaders at the local and national levels. In one session during this year’s meeting in July 2017, the questions that were asked indicated to me that understanding ONS and the roles and responsibilities of the various groups in the ONS enterprise could be helpful.

Specialized Knowledge: Quality Care. This is my ONS presidential platform. In several columns, I have discussed how ONS resources can provide you with the specialized knowledge and expertise to provide quality care. This issue, I’d like to focus on quality care.

The American Nurses Association (ANA) launched a grand challenge this year: Healthy Nurse, Healthy Nation. The premise is that we are the largest health professionals group but also rate poorly on health indicators. If we improve our health, we can be role models for our family, friends, patients, and community. ONS is supporting the ANA challenge, and I hope you have seen the weekly ONS tips that will help in this challenge.

Earlier in 2017, a group of 12 nurses traveled to Cuba to learn about cancer care and the healthcare system there. Cubans are very proud of their healthcare and educational systems, which are offered without charge to their citizens. We learned so much on this trip, but my take-home message from this experience was the importance of prevention and early detection.

As Oncology Nursing Month, May saw celebrations at the ONS 42nd Annual Congress and in our workplaces. Nurses on ONS staff enjoyed recognition and celebration of their commitment to our mission and you. They partner closely with members who volunteer their time and expertise in developing initiatives and priorities for ONS. I would like to describe a few of those initiatives and work groups that have met at the national office in the first six months of 2017.

This year the American Nurses Association’s National Nurses Week theme was Nursing: The Balance of Mind, Body, and Spirit. Take time this month to establish new ways to find balance. As nurses we are taught to view the individuals we care for holistically, yet we don’t always care for ourselves with the same focus. Spring is a symbolic time to renew. Take time to learn something new, take actions to renew your spirit, and be mindful of ways to nourish your body. These actions are important for your health and for the health or those you care for.

As much of the Northeast received a spring snowstorm, the ONS Board of Directors met face to face in Pittsburgh the second week of March. For this Texas girl, it was a beautiful sight to watch the falling snow as the Board discussed important organizational issues, and I couldn’t help but draw associations between our board governance work and the seasonal work of sowing into programs and reaping the reward of those programs to achieve our organizational vision.

As the largest healthcare profession and the one most trusted by the public in the annual Gallup survey, nurses have the power to improve the health of communities throughout the country by bringing their expertise into the boardroom. However, we are an absent voice in so many of those boardrooms.

The ONS budgeting cycle is not unlike what occurs annually at each of our healthcare settings. ONS staff and senior leadership work to develop a budget each year. In March 2017, the ONS Board of Directors met with staff to review the year-end financials for 2016. This review helps us prepare for the treasurer’s presentation during the Business Meeting at the 42nd Annual ONS Congress in Denver in May.  We will meet again in September and October to review and approve the proposed budget for 2018.

In collaboration with the former President Obama’s health policy team and the Cancer Moonshot, myself and several other members of ONS were invited to attend a community oncology event as part of the White House’s Making Health Care Better series.  The event, “Addressing the Cancer Challenge: Progress in Research, Prevention, Coverage, and Quality,” took place at the White House complex on January 11, 2017. It was by invitation only from the White House Cancer Moonshot Task Force.

In September, ONS conducted a member survey with 14,728 randomly selected members. Thanks to the 1,842 (12.7%) who responded, the ONS Board of Directors and staff have learned much about the pressing challenges you face in your practice. Most frequently cited were appropriate staffing levels or mix (64%), staff training and education (50%), sufficient patient care resources (38%), and compassion fatigue (36%). You also added many other challenges to the list. This information will guide ONS in developing resources and services for you. It facilitates our identifying gaps in what we offer and what may be needed.

Two years ago, I became ONS’s third chief executive officer and the staff partner to a Board of Directors that had a clear vision for a system that marches. If, as a member, you feel that ONS has undergone many changes in the past two years, you are correct.

At the end of July, Pittsburgh was full of energy and excitement as more than 400 oncology nurses attended Leadership Weekend. The experience is designed for ONS Chapter and Community leaders, as well as Board members of all three corporations and our Leadership Development Committee, to share ideas and learn leadership skills.

On May 1 during the 2016 Congress, I introduced my ONS presidential platform, “Specialized Knowledge: Quality Care.” Cancer nursing requires dedication, skill, and KNOWLEDGE. Oncology nursing, as we all know, is constantly changing. New treatments. New standards. New regulations. New processes. The list goes on. Staying informed and prepared for the future of oncology is daunting for any oncology nurse.

As I start this amazing adventure as your new ONS president, I can’t help but pause and reflect on how I got here. Those of you who know me say that I am an organized, motivated, dedicated oncology nurse who is proud to be involved in ONS. What I’ve never had was a specific five-year plan. Instead, I’ve had role models: individuals who inspired me, recognized my potential, and often channeled my energy in the right direction.

As one of the largest professions in the United States, nursing encompasses many different avenues of study and patient care. From bedside to research to education and beyond, this workforce accounts for more than 3 million RNs. On March 15, ONS president-elect, Susan Schneider, PhD, RN, AOCN®, FAAN, presented at the Nursing Community Senate Caucus in Washington, DC. The caucus provided nursing advocates a forum to relay the importance of the field of nursing to senators.

CHANGE has been a theme throughout my presidency. Think about it. The ONS staff leadership changed, bringing on the third chief executive officer in 40 years. The ONS Board of Directors changed the ONS mission, vision, and core values; developed a strategic plan that aligns with the revisions; and created bylaw changes for members’ vote.