.Shelly Smith, DNP leading change is multidimensional and must include change within an environment—-structures, processes, and people. We can’t just try to change our “physical” environment without change for those in the environment. The focus must be on the individual & team #DNPleads

.Safety for every patient during every encounter is so critical. Happy to see how your project has grown and how it will impact your organization! EBP guides safe changes!! #dnpretweet x.com/jonaonline/sta…

No matter how authentic you are as a leader there will always be challenges that arise or situations that put your authenticity in question. Staying true to your principles and understanding that leadership is a full time job in itself is an important takeaway for me! #dnpbook

Without incorporating twitter this semester I wouldn’t have known about several initiatives in nursing that have a direct impact on my #dnpproject, although I took a hiatus from the platform I can see the importance of the connections the app affords #dnptweets

Enjoying the day at the Nursing Consortium of Florida Spring Conference. Kathryn E Roberts, MSN, RN, CNS just provided a fantastic keynote. The time for making an impact in our professional practice of nursing is now and so needed. #nursing #nursingleadership

Telemedicine has been successful in meeting people where they are for greater access to improved outcomes in treating opioid use disorder. What is VA doing about offering this service to more people in need?Jason Miyares @StopOpioidOD #nurs638

.drug check strips provide an easy & effective way to test for substances like fentanyl. With the rise in overdose deaths due to fentanyl, utilizing cost effective test strips with the support of community partners can make a difference in VA Community Foundation for a greater Richmond CARITAS #nurs638

OUD is a chronic disease & should be treated as such, including how interventions are monitored. Confirmatory UA will help determine if patients are diverting Bup or taking appropriately. I’d be interested in Beth Macy & Jeff Lunardi thoughts on the subject #nurs638

The expansion of mental Health services in schools is vital in fighting MH Epidemic in children and improving access to treatment. Training culturally competent providers is imperative President Donald J. Trump American Academy of Child & Adolescent Psychiatry #Nurs638

.The importance and influence of the voice of a nurse is immense, especially in public forums. Even if your intention is not to use your voice formally—-presence is a voice, amplified by engagement through advocacy Shelly Smith, DNP

Hopefully with folks flocking back to Twitter the voice of nursing will be even more amplified!

My favorite assigned reading from the course was by Meghani et al. It saddened me to learn about pain treatment disparities in vulnerable populations in the US. National legislative initiatives in eliminating inequities in pain care should be made a priority. #nurs638

23 years ago today, The DAISY Foundation was created. We could not have imagined how this journey would unfold. 5,500 partners in 33 countries and territories, over 2.5 mil nurses nominated, and we are not done yet! We look forward to continuing to express gratitude to nurses.

. @DrKimSue a challenging and informative read, Getting Wrecked opened my eyes to a different world in a city so familiar to me. The opioid crisis is a war of many fronts. #nurs638

Back off when your team is competent, committed, and clear on their goals. #Leadership #Management #LFreakquote

.Va Dept of Health @health_brigade extensive work has been done to support safer drug use, incision of test strip vending machines and supplies through community partners is an inexpensive way to promote safer use for those in need. Strips are legal in VA let’s support access. #nurs638

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