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The Hospice and Palliative Nurses Association (HPNA) Board of Directors is pleased to announce that the 2015 Board Officers are Joy Buck, PhD, RN, serving as President; Virginia (Ginger) Marshall, ACNP-BC, ACHPN, FPCN, as President-Elect; and Judy Bartel, MSN, ACHPN, CHPCA, FPCN, serving as Secretary/Treasurer. Other board members include Jennifer Gentry, MSN, ANP-BC, GNP, ACHPN, FPCN, past president; Patrick Coyne, MSN, ACHPN, ACNS-BC, FAAN, FPCN; Joseph F. Ebberwein, BBA, MPS; Karen Kehl, PhD, RN, ACHPN, FPCN; and Donna L. Morgan, BSN, RN, CHPN, CHPCA.



Marian Grant, DNP, ACHPN, CRNP, RN, resigned her position on the HPNA Board of Directors as she has taken on another professional role.



The Annual HPNA Membership Meeting will be held on Friday, February 27, 2015, in Philadelphia, Pennsylvania, during the 2015 AAHPM/HPNA Annual Assembly.



The JHPN schedule for 2015 will be 6 volumes instead of 8. The 6 volumes will include additional pages/articles so that members will continue to have the same number articles/pages that had been in the 8 volumes. This decrease in journal volumes is consistent with many nursing journals. This change also significantly reduced journal printing and mailing costs. These cost savings helped avoid any increase in membership dues for 2015.



HPNA and Oxford University Press will be releasing the first 2 volumes of the HPNA Palliative Nursing Manual Series in early 2015. The volumes are Structure and Processes of Care and Physical Aspects of Care: Pain, Nausea, Vomiting, Fatigue and Bowel Management. A total of 8 volumes will be produced in this series. Visit for further information about the series and to purchase these texts.



In October, the Board of Directors of the National Board for Certification of Hospice and Palliative Nurses (NBCHPN) announced a name change to the Hospice and Palliative Credentialing Center (HPCC). The new name reflects the organization's commitment to continuing competence, while also positioning the organization to best fulfill the mission of advancing expert care in serious illness. It is important to note that the new HPCC name does not alter the significance or validity of the current credentials and that each of the 7 certification programs' names and credentials remains unchanged.



The HPNA Board selected these 4 members as the fifth cohort of HPNA Research Scholars. Three attended for the first year. Judith Adams PHD, MSN, RN, FNP, is a postdoctorate at Durham Veterans Administration. Judith's research focuses on improving communication between intensive care unit staff nurses and family members of seriously ill patients. Stewart Bond, PhD, RN, AOCN, is a Boston College faculty member who studies delirium in advanced cancer patients, particularly those in the outpatient or home setting. And, Jennifer Seaman BSN, RN, is a doctoral student at the University of Pittsburgh who investigates ways to integrate palliative care principles in critical care nursing practice. Attending for his second year was Nick Dionne-Odom, PhD, RN, now a postdoctorate at the University of Alabama at Birmingham. Nick is building a program of research related to family caregiver quality of life and decision making while caring for individuals with life-limiting illness.


The HPNA Research Scholars program supports funding to participate in the Annual Kathleen Foley Palliative Care Retreat and Research Symposium of the National Palliative Care Research Center, cosponsored by the American Academy of Hospice and Palliative Medicine (AAHPM), American Cancer Society (ACS), and HPNA. The retreat was held in Park City, Utah, in October 2014. Also participating in the retreat were the recipients of National Palliative Care Research Center Pilot/Exploratory Grants and Career Development Awards and Recipients of ACS Palliative Care Pilot/Exploratory Grant Awards.


More information about the HPNA Research Scholars Program may be found under the "Research" menu of the Web site, The application deadline for the 2015 Research Scholars Program is February 15, 2015.



Please visit or for details and registration for all preconferences offered in conjunction with the Annual Assembly.


HPNA supports nurses desiring to advance their professional development with specialty certification through HPCC. Two of the many preconferences at the upcoming AAHPM/HPNA Annual Assembly will be Certification Reviews. HPNA is offering two 1-day courses that encompass the fundamental concepts of palliative nursing at either the APRN or RN level. The review courses will provide a review of the content areas based on the HPCC detailed test content outlines. These courses may be used to increase the hospice and palliative nurse's knowledge of general palliative nursing or to assist the nurse in self-identifying topics that require further preparation and study in advance of sitting for a specialty certification examination. The ACHPN Certification Review and the CHPN Certification Review are being offered as 2 separate full-day preconferences. Registration for these preconferences is through the Annual Assembly registration.



The HPNA Board Development and Leadership Committee seeks nominations (including self-nominations) for individuals to serve on the Board of Directors for a 3-year term to begin January 2016. The association proudly serves as the voice for hospice and palliative nurses.


Nominees must be active members of HPNA for at least the past two years. Applicants to the Board of Directors will be asked to provide evidence of key competencies that are relevant to governance on a national board. In order to complement the competencies represented by current Board members, the Board Leadership and Development Committee is seeking individuals with competence in research, advocacy and/or community development. Full details are noted on the HPNA Web site under the "Leadership" menu. The application deadline is February 2, 2015.



HPNA would like to congratulate 3 newly approved local chapters, which were recently awarded charter by the HPNA Board of Directors. A local chapter provides an opportunity for education, networking, peer support, and a variety of other possibilities at the community level. The following chapters will receive the official Certificate of Chapter Charter at the 2015 HPNA Leadership Weekend in Pittsburgh, Pennsylvania. The National Office wishes the best of luck to these HPNA Chapters as we work to advance expert care in serious illness:


Great Sacramento Area (California), Northwest Georgia, Northeastern Oklahoma.


HPNA now has 50 chapters across the United States! To contact an HPNA Chapter in your local area, please visit the Chapter area of the HPNA Web site,




The Core Curriculum for the Long-Term Care Nurse provides evidence-based practices to guide quality palliative care. Not all long-term-care facilities have access to palliative care providers; therefore, this text will provide a resource to supplement care. Knowledge empowers. This empowerment can mean residents will enjoy care that will maximize their quality of life. The target audience for this text is long-term-care administration, medical directors, directors of nursing, advanced practice registered nurses, nursing staff, certified nursing assistants, social workers, and activity directors. In other words, all those who may have a part to play in bringing quality care to the residents. The Core Curriculum for the Long-Term Care Nurse is organized using the 8 domains of the Clinical Practice Guidelines for Quality Palliative Care. Below is an excerpt from the Structure and Process of Care chapter.


Editor & Author: Cindy Stafford, MS, GNP-BC, ACHPN






A. Advance care planning is the process of establishing the patient's goals of care for the last phases of his/her life. If patient agrees, these conversations should also include patient's significant others.


B. These goals should be part of the resident's plan of care.


C. These conversations should occur in a calm, quiet setting.


D. The resident should have plenty of light if there are documents to read or sign.


E. The resident should be free of any symptoms/discomfort/distress that would impede from his/her full concentration.


F. These conversations should occur at the following intervals and be integrated into the nursing home culture of care planning.


1. On admission to facility


a. Does resident have a living will, if so, review with resident?


b. Is the resident aware of his/her medical diagnoses?


c. What does the resident know of his/her medical condition?


d. Does the resident have capacity?


e. What does the resident identify as making life worth living?


f. What does the resident identify as not making life worth living?


g. Whom would the resident want to speak for them if he/she cannot speak for himself/herself?


h. Whom does the resident identify as important in their life?


i. Are there health problems the patient would feel that are worse than death (eg, uncontrolled pain)?


j. Is the full interdisciplinary team taking part in understanding/working toward resident's goals?


2. At the time of significant change(s) in condition (eg, exacerbation of disease, hospital transfer, improvement of functional status)


a. If resident is able, discuss scenarios so patient can choose course of action/plan of care in advance of crisis


b. Upon resident's return from a hospitalization, review events and determine if resident's goals have changed


3. Discuss resident and family goals at the annual plan of care review-whether there were or were not significant changes throughout the year


4. Dying phase


a. If resident is able, review goals as death approaches


b. Review resident's goals with significant others as indicated


c. Set resident's dying environment in accordance with patient's desires based on all data gained from resident/significant others




A. Using concept of a village, all staff are involved in the resident's care


1. Administration-welcoming resident


2. Medical-addressing clinical needs


3. Nursing-providing holistic nursing care


4. Social work-addressing psychosocial needs


5. Certified nursing assistants-meeting personal care needs


6. Activity staff-adding to quality of life


7. Physical therapist/speech therapist/occupational therapist-working toward restorative goals


8. Spiritual or religious care providers-addressing spiritual needs


9. Other service-oriented staff (cleaning services, maintenance, etc)-adding positive environment


10. Hospice staff-as appropriate, working with above to add quality end-of-life care


11. All of the above work as a team to meet the whole-person needs of the resident



Wilson CB, Davies S. Developing relationships in long-term care environments: the contribution of staff. J Clin Nurs. 2009;18:1746-1755.



Planning is beginning for the 2016 AAHPM/HPNA Annual Assembly to be held in Chicago, Illinois. Thinking of submitting an abstract for the next conference? Have an idea but stymied about pulling it together? HPNA has resources available to help you prepare a submission for the 2016 conference-visit the Education menu/Conferences on the HPNA Web site,, for tools to assist you with this process.


Calls for the 2016 AAHPM/HPNA Annual Assembly being held March 9 to 12, 2016, in Chicago, Illinois:


* April 1-May 5, 2015-First call for workshop, concurrent, and SIG symposia sessions


* July 1-August 4, 2015-Second call for case papers, and posters


* October 1-November 3, 2015-Third call for interdisciplinary case conference submissions


All proposals must be submitted via



The HPCC Board of Directors welcomes new members Kathleen Broglio, DNP, ANP-BC, ACHPN, CPE, and Catherine Glennon, MHS, RN, OCN, NE-BC. They join the Board members who continue their service: Julia Aucoin, DNS, RN-BC, CNE; Kathie Kobler, MS, APN, PCNS-BC, CHPPN; Susan Koff, MSN, ARNP, ACHPN, CRRN; Stephen McGowan, MBA; and Joyce Palmieri, AVP, RN, MS, CHPN. Officers for 2015 are Sue Koff, President; Stephen McGowan, Treasurer; and Joyce Palmieri, Secretary.



HPCC announces that the 2015 computer-based testing schedule is the same as 2014. The four 2015 testing windows are March, June, September, and December. The testing schedule with application deadlines and instructions is posted on the Candidate Handbook, which is available on our Web site,, under Competence.


See the chart below for testing window dates and "received by" application deadlines for 2015.



All certificants whose certification expires in 2015 should visit the new Web site,, for details regarding renewal of certification. The 2015 Hospice and Palliative Accrual for Recertification (HPAR) information is available under the Competence menu selection.


Advanced Certified Hospice and Palliative Nurses (ACHPNs) and Certified Hospice and Palliative Nurses (CHPNs) will use the online recertification process called LearningBuilder to submit their 2015 HPAR applications. Beginning in 2016, all CHPNs will no longer have the option of testing for recertification and will be required to submit HPAR for renewal of certification.


All 2015 applications for renewal may be submitted between January 1 and October 31, 2015. This expanded timeframe for submission is a major change implemented for 2015 by certificant request.


If you have any questions about the HPAR process for any of our programs, please contact us at or call (412)787-1057.



In an effort to maintain contact with you as a certificant, please ensure your e-mail address is current. E-mail us at or call the National Office at (412)787-1057.



Learn more about item writing by attending the workshop "Secrets of Competency Testing: Writing Items for Hospice and Palliative Certification Exams." HPCC, with expert assistance from Applied Measurement Professionals of Olathe, Kansas, offers a unique opportunity for you to make a direct contribution to developing the certification examinations.


The workshop is offered as a 3-part course; the first 2 parts must be done independently online; the 3rd and last part is a live webinar. After completing the first 2 courses online, including posttest and evaluation, submit the online IWW Application for the third part. Choose 1 of 3 dates for the live webinar:


Monday, March 9 - 3:00 to 4:30 PM ET


Tuesday, June 9 - 10:30 AM to noon ET


Wednesday, October 15 - 11:00 AM to 12:30 PM ET



Full details are posted at under "Exam Development." Contact hours are offered for successful completion of all 3 parts of the IWW.



Start the New Year with a new financial commitment[horizontal ellipsis] a gift to the Advancing Expert Care Campaign!


Our goal is that every HPNA member, HPNF donor, and HPCC certificant makes a donation to Advancing Expert Care during this 2015 year. Gifts of every amount are greatly appreciated and sorely needed. Giving is as easy as visiting and clicking on "Give to the Campaign!"


In October, our 3 national nursing organizations announced a collaborative effort to transform the care and culture of serious illness in the United States. HPNA, HPNF, and HPCC launched a $5-million, 5-year campaign aimed at increasing the number of certified hospice and palliative nurses, advancing research into best practices of hospice and palliative care, elevating palliative nursing leadership at the local and national levels, and enhancing nursing competence through certification.


We are enthusiastic about the future of palliative nursing! The Advancing Expert Care Campaign is quickly gaining momentum, and the excitement it is generating is remarkable. Already more than $1 million in gifts and pledges has been raised!


How do you join in? Visit, where we've published information about our 6 core campaign strategies:


1. Ongoing evaluation and research into the educational needs of hospice and palliative professionals


2. The design of programs, courses, and curriculum to advance expert care in serious illness


3. Advancing research into best practices of hospice and palliative care, while supporting and developing palliative nurse researchers


4. The development of nursing leadership programs at the local and national levels


5. Enhancing nursing competence through certification


6. The creation of programs to support and increase the number of nurses and other professionals certified in hospice and palliative care



To volunteer to assist us with the development and implementation of 1 of these 6 campaign strategies, click the "I'm In" button to join the effort to transform the care and culture of serious illness. To make a financial gift to the campaign, click on "Give to the Campaign!" We thank you in advance for your support of this momentous effort.


Be sure to explore the new HPNF Web site at! There you'll find the announcement of Conference Scholarship winners to the 2015 AAHPM/HPNA Annual Assembly in Philadelphia along with the recipients of the Certification Scholarships and winner of the Judy Lentz Scholarship for the Advancement of Palliative Care in Oncology Nursing. These are all examples of programs and services supported by generous donations!


~ Please remember HPNF in your will and estate planning ~