News & Views

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Title:
News & Views
Physical Description:
1 v. : ill ; 29 cm.
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English
Creator:
Nurses Association of the Commonwealth of The Bahamas
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Nurses Association of the Commonwealth of The Bahamas ( donor )
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Nurses Association of the Commonwealth of The Bahamas
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Nassau, Bahamas
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Nursing -- Periodicals -- Bahamas   ( lcsh )
Nursing -- Periodicals   ( lcsh )
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serial   ( sobekcm )

Notes

General Note:
Motto: Together we achieve Executive board for 1984-1986 listed on p. 4.
General Note:
Includes brief history of the Nurses Association of the Commonwealth of The Bahamas. It was founded on 30 May 1947.

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Hilda Bowen Library
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Hilda Bowen Library
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ABOUTNEW'SANDVIEWSThethemeselectedfortheAnnualGeneralMeetingfor1986was"NursesReachingOuttoTouchOneAnother",I 'wish tocommendtheperson(s)concernedforselectingsuchatimelyandwellthoughtouttopic.Congratulationsarealsoextendedtothekeynoteandotherspeakers,whoexpoundedsoablyandeloquentlyontheconferencetheme.Astheattendanceofourmemebrswasdisappointing,thedeciisonwastakentocompileareportoftheconferenceandmakeitavailabletoyouataminimalcost.May IusethisMediumtowishallofyoua NewYearfullofPeaceandHappiness,onhehalfofmyselfandthemembersofmycommittee.Weanticipateandlookforwardtoyoursupport.BestwishesW.T.StuartChairpersonPublicityandPublicRelationsCommittee

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,THENURSESASSOCIATIONCOMMONWEALTHOFTHEBAHAMASEXUCUTIVEBOARDMEMBERS 1984-1986 OFFICERSPRESIDENT1STVICEPRESIDENT2NDVICEPRESIDENTTREASURER SECRETARYASSISTANTSECRETARYASSISTANTTREASURER CHAIRPERSONSOFSTANDING COMMITTEES: EDUCATIONAL & RESEARCH MEMBERSHIP SOCIO ECONOMiCPUBLICITY/PUBLICATIONSSTANDARDS & PRACTICE TRUSTEES ANDILB.LaRODA CELESTELOCKHARTPEARLRAHMINGBREZETTA KING REGISTRAR BREZETTA KING ANDILB.LaRODA GLORIAD.FERGUSON RENEEROTHCELESTELOCKHARTGWENDOLYNBRICEBERNADETTEELLISFLORINDACLARKE JANICEARMBRISTER PATRINELLA DELEVEAUXGENEVATHORNTONDOREENPETERSMARYJOHNSON

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..SECRETARY'SREPORT NURSESASSOCIATIONOFTHECOMMONWEALTHOFTHEBAHAMASBy:MsGwendolynBriceThisreportgivesabriefaccountofmeetingsheldfortheperiodDecember,1985-November,1986.YoumaybeawarethatIwasonstudyleavefromSeptember,1985-August1986.MissBernadetteEllisactedinmycapacityduringthistime.May ItakethisopportunitytoexpressmysincerestgratitudetoBernadetteforheruntiringsupportthroughtheyear.ExecutiveMeetingsAreminderthatexecutivemeetingsareheldmonthly,theFridaypreceedingthesecondMondayofthemonth.UnlikeothermembersoftheAssociation,theexecutiveofficersdonotenjoytherecesstakeninJulyorAugust.Atotalof12meetingswerescheduled,butonlynine(9)wereheld.MeetingswerecancelledinFebruary,JuneandAugustbecauseaquorumwasnotpresent.AquorumforanExecutiveBoardMeetingisfive(5).Therangeofattendanceatthesemeetingsheldwas toten(5-10).withameanofseven(7).InSeptemberofthisyear.theBoarddecideditwasmoreconvenienttoholdmeetingsafterwork,thiswastriedanditseemedbetterforthemajority.Meetingsdidnotlastaslongasthoseheldintheevening.Timerangeformeetingsheldwasonehour15minutestothreehourssevenminutes.Onlyontwo(2)occasionsdidameetinglastforonehour15minutes.andboth were afterworkmeetings.Theaveragetimewastwohours30minutes.

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2Tomakeupforthosetimeswhentherewasnoquorum.aformofpunishmentwasfour(4)callmeetings.oneinJulyoneinAugust.andtwoinSeptember.Attendanceforthesemeetingsrangedfromfivetoeight,withameansix.lengthfromone:andaquarterhourstotwo l2) hours.Purposeofthesemeetingswerefordecisionstobemadeonvariousmatters,e.g.CaribbeanNursesOrganization.Attendanceatmeetingswerevariable.Aspreviouslymentionedtherangewhenameetingwasheldwasfivetoten(5-10).Whentherewasnoquorum.therewerethreepersonsyear.NoquorumwaspresentinMarch.Mayand.June,andarecesswastakeninAugust.Attendancewasontheincrease,rangingfrom18-29withanaverageof23personsateach

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There2.53.4.3meeting.Meetingsusuallylastedoneandahalfhours.wasonegeneralcallmeetinginFebruary.HighlightsSpecialeventswillbedealthwithinthepresident'sreportandthevariouscommittees.HoweverIshalljustindicateafewhighlights.1.Nursescontinuedtodemonstratetheirconcernforothersbyparticipatinginthevariousbloodpressureclinicsinthecommunity.Theseweredoneattheinvitationofprivateorganizationsinthecommunitye.g.McDonaldsandBahamasChamberofCOmmerce.TheAssociationreceiveditsfirstscholarshipsfromRoyWestCorporationoftheBahamas:MrsGenethDavisispresentlyaseniorP/MattheUniversityHospitaloftheWestIndies.Andisdoingwell.HonourarylifemembercertificateshavebeenissuedtodeservingmembersoftheAssociation.TheAssociation'scontinuedparticipationinworkshops,seminarsandconferencese.g.TheNursingProcessWorkshop,theseminaron cancert CaribbeanNursingOrganizationandCommonwealthHealthMinistersMeeting.ThehostingofareceptionforthedelegatesofCommonwealthHealthMinistersMeeting.Colleagues,IhavecometotheendofmytenureontheExecutiveBoard,andwordscouldneverexpressmyemotionsatthistime.Thevastknowledgegainedaboutassociationsandtheirmanagementwasinvaluable.Therewereopportunitiesto

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4meetpeople,anddiscusshealthproblemswhichareof c concernworldwideand.moreimportantly,wastheobeyingofChrist'scommandtoloveoneanotheraswasdemonstratedbythecementedcamaraderieovertheyears.Sincerestgratitudeisextendedtoyouforpermittingmetoenjoythesedelights.

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ANNUALGENERAL MEETING REPORTOFTHESOCIa-ECONOMICWLEFARE COMMITTEEoBy:Mrs Geneya ThorntonMrPresident,MadamVicePresident,MadamSecretary,otherExecutivemembers,Colleagues.TheSocio-EconomicWelfareCommitteeoftheNursesAssociationoftheBahamasiscomprisedofthefollowingMembers:MrsPatBethelMrsPearlCooperMrsBrezettaKingMrsGenevaThorntonMrsGloriaOkpunoMrsMargaretBostwickMrsBeverlyFordMrsPearlRahmingMrsSusanneRoberts-WallaceMrsGraceMunnings-PrivateDutyNurse-MaternityAreaP.M.H.-PrivateDutyNurse-SurgicalAreaP.M.H.-CommunityNursingServi-BurnsUnitP.M.H.-Sandi1ands-CatholicSchools-NursesRegistrar-MaternityAreaP.M.H.ChairpersonTheSocio-EconomicWelfareCommitteeheldmanymeetingsin1985andthefirstquarterof1986.Ouraimsandgoalswerediscussedandthesearesomeofthesuggestionsthatwereimplemented:FashionShowandTeaCookOutInternationalNightLentenTea&FashionShowMarch31,1985October29,1985November9,1985March9,1986

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2Fromtheseeventswerealized$3,033.20.ATeaPartywasheldcforretiredNursesonFebruary8th,1986andwasasuccess.*OurCommitteeMembersaremindfuloftheneedforNursestostriveforbargainingrightsbyinvestigationsinthe revealedthattwo-thirdsofourNursesmustbemembers.WespoketomanyofourTC/NurseswhoregrettednotbeingmembersofourAssociationbuttheyreasonedthataccordingtoArticleXVIX,Chapter6,theyfelttheirgoalscouldnotbefullymet;wehopethatthiswillbefurtherpursued.TothePrivateDutyNursesandNurseG.Munnings,thankyouyouforyourdonationwhichwassubsequentlyusedtopurchasethecupsandsaucersnowutilizedinthekitchenofLongleyHouse.TotheSocio-EconomicWelfareCommitteeMembersandtherestofyou yourfamiliesandfriendswhogaveofyourtime,talentsandmonies,thankyouforyoursupportduringtheyears1985and1986;withoutthesupportofeachandeveryoneofyou,oureffortswouldhavebeeninvain.Regrettably,duetocircumstancesbeyondmycontrol,therewerenofurther bymyCommitteeinthelatterhalfof1986,becauseofmyextendedabsencefromNewProvidence.Thankyou.GENEVA THORNTON*P.S.DuringthistimeflowersandfruitsweresenttoailingNursesandalsoto ofdeceasedColleagues

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END OFOFFICEREPORTBYJ.M.ARMBRISTEREDUCATIONAL(RESEARCHCOMMITTEENURSES'ASSOCIATIONOFTHECOMMONWEALTHOFTHEBAHAMASMrPresidenttmembersoftheexecutiveboard,associationmembers,Goodevening.Theyearprovedtobeamostexcitingoneanditwasagreatlearningexperienceformeandforthemembersofthecommittee.Mytermofofficebegan,withtheunfortunateresignationofMrsHildaDOuglas,who;becauseofherincreasedwork-loadfounditdifficulttocontinueaschairpersonofthiscommitteeinNovember 1985; Theoverallaimofthecommittee:Toprovidecontinuingeducationfornursesinordertofosterprofessionalgrbwthandtouseresearchmethodologysoastoimprovepracticeskills.THEOBJECTIVES:1.Conductaneducationalmeetingeverythirdmonth.2. ?rovide continuingeducationprogrammesformembers.3.Conductresearchonacornmanproblemaffectinghealthdelivery.4.Encouragememberparticipationinconferences.5.WriteseriesofarticlesforNewspapers.TheeventsoftheyearcommencedwiththeNinthAnnualConferencewhichwasopenedbytheMinisterofHealthDrNormanGay-

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2ourfirstconferencetobeheldatLongleyHouse.TheThemeo .... ""NursingasaProfession-ItsPerspectivesandPriorities".Duringthemorningsession,ourguestspeaker,MrsSyringa oftheAdvancedNursingUnit,UniversityoftheWestIndies,gaveaneloquentspeechontheInternationalViewofperspectivesinnursing.Shechallengednursesandprofessionalstopolicetheirprofessionandtoberesponsibleandaccountablefortheiractions.Herpresentationinitiatedaninterestingdiscussionandpertinentquestionswereraised.ThesecondspeakerwasourownDirectorofNursingServices,MrsIronacaMorris.Herspeechentailedanationaloverviewoftheprofession.Sheurgednursestobeemphatheticaswestrivetorealizeourgoals.Groupdiscussionwasheldduringtheafternoonandsuggestionsweremadeastohowwemightimproveourselvesprofessionally.Theconferencewaswellattendedanddeemedmostsuccessful.Itwaspleasingtonotethatallthestudentsofthenewintroductorycourse#20wereabletoattend.OnMarchlath1986,anEducationalMeetingwasconductedatLongleyHouse.MrsJackieDeanwastheguestspeaker.TOPICBreastSelf-ExaminationPracticeAmongBahamianWomen:GovernmentClinicClientele(Surveydone1984-1985).May1986thePrimeMinisteroftheCOmmonwealthoftheBahamasdeclaredtheweekof11-17MayNursesWeek. Toe Theme"CaringfortheFuture".

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3 TwoofthestatedarticlesappearedintheNassauGuardian.1.Immunization-PhilaberthaCarter, R.N., S.C.M.Z.AntenatalCare-CarolynSeymour, R.N., S.C.M.TheotherarticlesdidnotappearbecauseofanerrorbythePublishers.Inaddition,twotalks-"YouthourBestResource"and"CopingwithAging"weregivenbyMrSheldonBenebyandEvangelistRexMajorrespectively.BothwereverywellreceivedandhopefullyallmemberswerestimulatedtodiscoversolutionstoproblemsexperiencedbytheYouthofournation;andasweareallagingtofacetherealityofit.RadioandTelevisionalsohelpedustocelebratetheweek.MrsW.StuartandMrA.B.LaRodawerefeaturedontheMinistryoofHealthProgramme-hostedbyMrsFelicityAymer.TheTopic"TheChangingRoleoftheNurse".Theweekculminatedwithachurchservice theStLuke'sChapel,PrincessMArgaretHospital.ArchdeaconMurilloBonabywasthecelebrant.Hestatedinpartthatcaringforthefuturewasadifficultbutrewardingtaskandthatweasnursesmustbeaptlypreparedtodoso.ThetenthannualconferencewasheldatLongley House onDecember5th,1986.TheTheme"Caregivers,Reachingouttotouchoneanother".Thisthemewasselectedbecausesovery often, incaringforothers,we forget thatourownneedsmustbemet,and .lso those

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4ThisconferencewasofficiallyopenedbyourDirectorofNursing,MrsIronicaMorriswhobrieflyemphasisedtheneedfornursesascolleaguestocareforourselvedinordertoprovidebetterpatientcare.MrsMarinaSandsablymadeanacademicpresentationonthetheme-"CaregiversReachingouttotouchoneanother".ThesecondspeakerMrsFaithLochanexpandedonthe"MentalHealthofNursesintheworksituation".Theconferencewasfairlywellattendedandradioandtelevisioncoveragewasreceived.Thecommitteeregretsthatnotallofourobjectivesfortheyearweremet as planned.Inclosing,mayIsaythatthisterminofficewasmostrewardingformeandIwillcontinuetooffermyservices,andtocontinuetotakeanactiveroleintheassociation.Myheartfeltthankstothemembersofthiscommittee.MrClaytonRolle,MrWarrenKnowles,MsSuzieAdderley,MrsLydiaKnowles,MrsPhilaberthaCarterandMrsEvelynAlfred,withoutwhosesupportthiscommitteecouldnothavefunctioned.ManythankstothePresidentforhispatienceandencouragement,andtothemembersoftheexecutiveboardfortheirhelpandsuggestions.AndtoyouthemembersoftheAssociationforyourcontinuedsupportandhelpwhichmadethisyearasuccessfulone.

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REPORTOFTHEMEMBERSHIP COMMITTEE NURSES ASSOCIATIONOFTHECOMMONWEALTHOFTHEBAHAMASANNUALGENERAL MEETING5thDECEMBER,1986By:MrsPatrine11aP.De1eveauxMrPresident,MadamVicePresident,MadamSecretary,OtherExecutivemembers,Colleagues.Theyear1986isalmosthistory,inamatterofafewweeks(threeweeksandfivedaystobeexact)anewyearwilldawnandanewbeginningforournewlyelectedOfficersofthisgreatNursesAssociationoftheCommonwealthoftheBahamas.TonightIcanattestthatourAssociationisgrowinginstrength,slowlybutsurelyandtogetherwewillcontinuetostrengthenourforcessothatintheverynearfuturewecanhaveonehundredpercentsupportfromnursesfromhomeandabroad.Theoverallobjectivesfortheyear1986wereasfo110ws:-1.AssesstheoverallmembershipstatusoftheAssociation.2.ImplementwaystoensurethatmembersbecomemoreactiveintheAssociation.3.Allocateanumbersystemtoeachmemberanddistributemembershipcards.4.Submitreplyletterstonewmembersalongwithacopyoftheconstitutionandmembershipcards.

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2Thefollowingisabriefsummaryoftheaboveobjectives:"" Objectivesnumbersoneandfourwereachieved.Objectivesnumbertwoneedsimprovementdespiteconversingwithmembersre:attendanceonaonetoonebasisaswellasbynoticesetc.alsogeneralmeetings-attendanceremainsunsatisfactory.ObjectivenumberthreehasbeenachievedinthateachmemberoftheAssociationshouldhaveinhis/herposessionamember-shipcard,withanumberonit.Aregisterispresentlyimplemented.ThemembershipCommitteefortheyear1986were:MrsPatrine1laP.De1eveauxMrsEldoraHartBenebyMsPaulaDealMrsNathalieBonamyChairpersonD.N.E.P.M.H.P.M.H.C.N.S.Membersonthecheckoffsystem(code48)Nov.1984were291.Memebrsonthecheckoffsystem(code48)Nov.1985were408.Membersonthecheckoffsystem(code48)Nov.1986were460.ForthecomingyearitisenvisagedthattheAssociationwillcontinuetogrowbyGod'sGraceandourwork.

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REPORTPUBLICITY&PUBLIC"RELATIONS COMMITTEE NURSESASSOCIATIONCOMMONWEALTH"OFTHEBAHAMAS Aimsforthedurationofthecommitteewereasfollows:-To themembershipsawarenessoftheroleofaprofessionalassociation.BY:1)Informingthemembershipofwhattheassociationhastooffer.2)Updatingthemembershipre:currenteventsnationally,regionallyandinternationally.3)Publicizingnursingeventsthroughthemedia.4)Establishingaquarterlynewsletter.5)Planningtowardsayearlynews1etter/magazine/COMMITTEE MEMBERS:MsD.PetersMsA.SymonetteMsR.StrachanMsM.NixonMsF.Blakely-SandsMsS.RolleMsB.KingMsM.MunningsMsP. Hanche!l ChairpersonSecretaryAttimesvariousothermembersoftheNursesAssociationoftheCommonwealthoftheBahamasandexecutiveboardmembersgavevaluableassistancewhichenabled.thesaidcommitteetofunctionsmoothly.Mysincerethanksto ofyou.

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My 2Duringthetwoyearsthecommitteeassistedinthevariousnursingassociationfunctionsincluding Ntirses Week'sLentenTeas,AnnualCOnferencesandTheGrandOpeningoftheheadquartersin1985.NursesFellowshipsandScholarshipsofferedlocallyandinternationallywerebroughttotheattentionofthemembership,aswereanumberofconferences,themostmemorablebeingthatoftheI.C.N.ConferenceheldinIsraelwhichsomemembersattended.During1985anewsletterwasproducedandourcommitteerealizedthatatpresentaquarterlyproductionwasnotpossible.Ourplanstoproduceasequencein1986weremarredbytheuntimelymaternityleaveofmyself-beforegettingthenewsgatheredofftoprint.Forthegreaterpartof. 1986 thecommitmentsofthiscommitteewerefulfilledbymembersoftheexecutiveboard,asduetocircumstancesbeyondmycontrolIwas tocontinuetotakeanactivepart.thanksandappreciationgoesouttothem.Theonesectionofouraimswhichfellfarshortoftheexpectedgoalwastheyearlynews/magazine.Duringthepreliminaryplanningitwasthought that articlesrelatedtotheprofessionofnursingfromBahamian nuising specialists,alongwithanoutlineoftheHistoryofNursingintheBahamasandprojectionsofthefutureofnursingin Bahamasmaybe intluded. Itwasalsothoughtthatinordertoproduceaqualitymagazine,fromplanningto may .twelvetoeighteenmonths,theexpensesbeingmettotallybyadvertisingaswelearnedfromtheproductionofthenewsletteraseparate

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3sub-committeeworkingonthatprojectalonewouldbenecessary.ItmaybethatthepresentpublicityandPublicRelationsCommitteewillbeabletobringourdreamstofruition.D.F.PetersCHAIRPERSON

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THEPRESIDENT1SANNUALREPORT FOR YEAR ENDING DECEMBER1986By:MrAndilB.LalRodaOfficersofthisAssociation.Colleagues:I ampleasedtopresenttoyouonceagain-andfinally-theaccountoftheyearof Followingthe theAssociation'shistoryi.e.openingofourHeadquartersinNovemberlast.Yourexecutive Board metandformulatedseveralobjectivesfortheNewYear.TheWatchWord"PARTICIPATION"waschosenastheguidefortheactivitiesforthisyear.Whileeffortsweremadeto .... continueoureffortstomaintainourpreviousdegreeofin-volvement-ourprimarygoalwastoincreasecapitaltotheorganizationthroughrenting spaceinourHeadquartersandincreasedmembership.To.thisendallavenuestoprocuretenantswereexploredandI amhappythatbothofficersarerentedwithleasesofone and threeyearsrespectively.Presentlythetotalincomefromthe isusedexclusivelyforthepaymentofthemortgage,andnecessaryrepairstothebuilding.Protocolsfortheuseoftheauditoriumisbeingformulatedandseveralrequestshavebeenreceivedfortheuseofthishall.Revenuefromthiswillalsohelptodefraythecostofutilitiesandupkeep.Careofthisedificeasyouknowisimportant-hencedomesticswerecontractedonaregularbasisforboththeinteriorandmaintenanceonaregularbasisforboththeinteriorandmaintenanceofexterior(physicalstructure)andgrounds.

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2Asyouwouldnoticethree(3)airconditionunitswerepurchasedtoproducethecomfortweneedduringthewarmermonths.Inadditionanotherunitwaspurchasedasapartoftheagreementforthe.1argerofficeandcarpetingwasalsoinstalled.Itwouldbefoolhardyofustoignorethefactthatweareinahurricanezone.Thereforestormshutterswerealsopurchasedforprotectionintheeventofstorms.Thefinalprotective.measurewillbe ihe installationofmetalbarstothefrontentrance-negotiationsarepresentlybeingmadeforthesetobeinstalledassoonaspossible.Nomajorsocialfundraisingwasheldduringtheyear-duetountowardcircumstances.However,astheTreasurerreportedwewereandstillareabletobalanceourfinancesandremaininthe"b 1ackIIAsreportedamembershipdrivewasiniatedandamajorincreaseinmembershipwasrealized.thishelpedtremendouslyin ourincome.Ifeelhowever,thatitisimportantthatallMemberswhohavenotyetpaidtheirpledgeofonehundreddollars($100)shouldconsidertheimportanceanddosowithhaste.EDUCATIONAnotherhighmomentinouraccomplishmentfortheyearwasthepresentationoftheRoywestScholarshiptoStaffNurseJanethDavis-whoispresentlyenrolledinamidwiferyprogrammeatU.C.H.Jamaica.Accordingtoreportsreceivedsheismaintainingaveryhighstandardofperformance.Wecontinuetowishhereverysuccess.

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3AsIhavetoldyouthisavenueforscholarshipsisongoing D andseveralapplicationsarebeingprocessedforsubmissiontoRoywestforadditionalscholarships.MembersareremindedthataletterofacceptanceattheInstitutionmustbereceivedbeforethescholarshipcanbegranted.WearealsoaffordedfullpartiiipationinWorkshopsheldbytheMinistryofHealthontheNursingProcess.InvitationswereextendedtoallNursesinprivatepractice-manyofwhomembracedtheopportunitytobeexposedtothisveryimportantconcept.TheAssociationwasfortunatetohavebeeninvitedtosendfour(4)NursestoattendaWOrkshopon"Protocolsof0 .. careofCancerPatients".ThiswasofferedbyMsCarrolHughesofEducationalExcursions,AtlantaGeorgia.Applicationsforthe3Mscholarshipwereinvitedbutasusualtherewasnoresponse.Membersareencouragedtotake ofthisofferingforprofessionaldevelopment.YourAssociationcontinuestomaintainMembershipin:INTERNATIONAL COUNCIL 'OF NURSES -andas tisual regularcorrespondenceandimportantcurrentnursinghealthliteraturearereceived.COMMONWEALTHNURSES FEDERATION -WewerehonouredbyavisitfromtheSecretaryGeneralinOctoberthisyearwhoexpressedherspecialdelightinbeingabletovisitus.CARIBBEAN NURSESASSOCIATION-AsyouknowyourAssociationwasrepresentedbytwo(2)membersMrsGloriaFergusonandMrsGwendolynBriceatthe12thBiennialConferenceheldinStThomas

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4VirginIslands,inOctober.Bothofficersreportedthattheexperiencewasrewardingandthankyouforaffordingthemtheopportunitytoattend.Allmembersareurgedtotakeadvantageoftheliteraturereceivedandtheconferencesforthebenefitgainedareinvaluabletoprofessionalgrowth.COMINGEVENTSI.C.N-C.N.R.-MeetingAugustnextNewZealand.I.C.N.CongressKoreaJune1989.WeurgeyOUtostartsavingnowtoattendtheseveryimportantevents.Wewouldlikealargecontingenttoaccompanytherepresentative.NationallyMembershipcontinuesontheNursingCounciloftheBahamas-three(3)members-President,MrsCelesteLockhartandMrsEvelynAlfredwillservefor1987.-NationalHealthEducationCOuncil-NationalHealthInsuranceWorkingPartyCollegeoftheBahamas/MinistryofHealthAdvisoryCommitteeWeareencouragedtomaintainourinvolvementintheseorganizationsinordertohavetheVoiceofthe Ntirses heardatthedecisionmakinglevels.OTHERACTIVITIES:-BloodPressureClinics-Bahamas ofCommerce-AerobicclassesPlansnotcompleted:--MotherCraftClasses-Helpwith expenses

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5HelpwithotherscholarshipexpensesSoftLoansPension/GroupInsuranceAtameetingwithMinistryofHealth,inOctober,severalissueswerediscussed:-(1)FullrecognitionbyMinistryofHealthastheofficialconsultativevoiceoftheProfessionalintheBahamas(2)QuarterlyMeetingwiththePermanentSecretary,MinistryofHealth(3)OfficialleaveforthePresidenttocarryoutworkoftheAssociationandothermatters.

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Caregivers,ReachingOutToTouchOneAnotherbyMarinaE.SandsBA. RN.RM.

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Topic:ANNUALCONFERENCEKEYNOTEADDRESSBy:MrsMarinaE.SandsCaregivers TouchOneAnotherMadamDirectorandMadamDeputyDirectorofNursing.Othermembersofthenursinghierachy.MrPresidentandmembersofExecutiveBoardoftheNursesAssociationoftheBahamas.Mynursingcolleaguesandco-workers.Goodmorning.isitimportant?Isitnoteworthy?woulditevokeattention?is'itofItwaswithprofoundpleasurethatIacceptedtheinvitationtospeaktoyouthismorningonthethemeofthistheTenthNursesAssociationoftheBahamasAnnualConference.Jandidn'thavetotwistmyarmatall."CaregiversReachingOutToTouch.OneAnother".Iwouldalsoliketocongratulatethepersonorpersonsresponsibleforchoosingsuchatimelytheme.Toassistmeinacceptingthisassignment,Iimmediatelysetupthree(3)criterias:1.Significance2.Interest3.Manageabilityspecialorgenuineinteresttomeandothers?canthissubjectbedevelopedwithintheallowedtimeframe?CanIcontrolitandnottalkonandonneverreachingaconclusion?

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.. 2.IacceptedandnowI amreadytorollupmysleevesandmixmortar.Thecoreofthepracticeofnursingistheindividual.WhenI say individualIcangoonbrainstormingadinfinitumthinkingofnotionsandideasrelatedtothatconcepte.g.patient,co-worker,colleague,mother,father,son,daughter,husband,nurse,caregiveretc.etc.HoweverI'llchoosethewordcaregiver and equateitwiththeword"nurse".Thehumanmindatbirthisviewedashavingnoinnateideas---likeacleanstate,orasthephilosopherscallit"tabulaRasa".Itismaturityandexperiencesthatcontinuallycreateideasandimagesonthisslate. ". BythetimewegraduatefromNursingSchoolourslatesarecrowdedwithamultiplicityofconceptsthatserveaswindowstoopenourmindstonewworldsofphenomenathatwemighthaveneverknownexisted.Weareinthis becauseservicetootherpeopleisadominantappeal.Medicineingeneralandnursinginparticularhasshiftedtheemphasisinpatientcarefromthealmostexclusiveconcentrationonthepatientsdiseasetoconsiderationofthewholepatienti.e.theholisticviewilluminatingthefactthatmindandbodyareinextricablybound __ cannotbeseparatedonefromtheother.e.g.ifyoufractureyourlittletoewhenthe pain startsyouwillknowthatthisistrue.We,too,areboundtogether,notinextricablybutbythevalues,policies,commitmentetc.relativetocaregiving.Thatis

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3.whywemustpossessandcontinuallydevelopabodyofknowledge Q that can bea"ppliedtoourpractice.ForcaregiversthisisimperativelLifeasacaregiver isnqt alwayspeachesandcreamespeciallywhenitrequirescontactwithindividualswhomwemayconsiderunattractiveaswellasattractive.Learningtoacceptthisfactandtogiveexcellentnursingcareregardlessofone'sownfeelingsrequiresmuchselfdisciplineandskillininterpersonalrelations/communication.PresentlyweareimplementingtheNursingProcessintothehospital.Itisworkingtothegoodnotonlyforpatientcarebutalsoitissending us backtoourbooksforfurther ..orientationtothiswidelyacclaimedphilosophyofcaringanditisencouraginginvolvementofallhealthteammembersandthepatient.Seehowitisaffectingcommunication.Inthistheme:"CaregiversReachingOutToTouchOneAnother",doIdetectunderstonesofan existing deficitin communication? See thisiswhyIchoseinterestasacriterionforacceptingthisassignmentlIfthisissowhy??Haveweforgottenthatthepracticeofnursingisinterpersonalinnature?Weworkhardatestablishingatherapeuticrelationshipwithourpatientsandtheirfamiliesbutwehardlyworkatmaintainingasupportiverelationshipwitheachother.Someofusareafraidtobeberealwitheachotherbecauseofthefearofbeingmistrusted,rejected.

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judged,hurt,enviedetc.4Thisisso.Ontheotherhanditisnormalcyforsomeofustobeevilandmalicious.But'thankGodsomeofusarestilljewels,too.Thisisreal.Today we havecometogethertoremoveourmasksandfascadesthat we oftenwearandmakeourselvesknowntoeachotherandshowourselvesinwaysthatotherscanperceive us 'selfdisclosure,itiscalledoropenness.Isitbecauseweareunwillingtoselfdisclose?(NothowparliamentariansdobesidesbeingunwillingI'llbeashamed)smile.JohnPowellsaysinhisbook"WhyAmIAfraidTOTellWhoIAM".IfItellyouwhoI amandyoudonotlikemewhatam IgoingtodobecauseI amallIhaveII.SomeofyoumightbeawarethatlastweekwestartedaRoleBasedTrainingCoursewithNo.II'satPrincessMargaretHospital__gearedtowardsenrichingtheirjobsinsuchaway as toencouragethemtoperformbetterandhopefullyactasrolemodelsforotherstaffmembers.Oneofthefirstissueswehadtodealwithwasknowingourselves.Thelecturerintroducedustoadevicecalledthe"Johari"Window,designedbypsychologistsJosephLuftand'HarryIngham,toshowhowselfdisclosureoperatesininterpersonalcommunication.I'llillustrate

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b FRAME #1 -EverythingAboutYouImaginethereisaframewhichcontainseverythingthereistoknowaboutyou:Yourlikesanddislikes,yourgoals,yoursecrets,yourneedseverything.Ofcourseyouarenotawareofeverythingaboutyourself.Likemostpeopleyouareprobablydiscoveringnewthingsaboutyourselfallthetime.Torepresentthisaspect,wecandividetheframecontainingeverythingaboutyouintwoparts #2 everythingaboutyourself

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o6FRAME 112 Thepart.youknowabout,andthepartofwhichyouarenotaware.Wecanalsodividetheframecontainingeverythingaboutyouinanotherway. 113 KnowntoselfNotknowntoself

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7FRAME 1/3 Inthisdivisiononepartrepresentsthethingsaboutyouthatothersknow,andthesecondpartcontainsthethingsaboutyouthatyoukeeptoyourself.WhenweimposethesetwodividedframesoneatoptheotherwehaveaJohariWindowknowntoothers. 1/4 notknowntoothers

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8FRAME 114 JohariWindowYoucanseeJoharidivideseverythingaboutyouintofourparts.Part1representsthepersonofwhombothyouandothersareaware.ThisareaiscalledyouropenKnowntoSelfarea.NotKnowntoSelfKnowntoothersNotknowntoothers12OPENBLIND34HIDDENUNKNOWN

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9Part2representsthepartofyouthatyouyourselfarenotawareof,butothersare.Thisiscalledyour'blindarea.Part3representsyourhiddenarea;youareawareofthispartofyourself,butyoudon'tallowotherstoknowit.Part4representsthepartofyouthatisknownneithertoyounortoothersandisthereforereferredtoastheunknownarea.Asonegetsmoreinsightintoopenness,theseblind,hiddenandunknownareasdecrease'tendnottobeaslarge.Arelationshipislimitedbyanindividualwhoislessopen.Actually,interpersonalcommunicationofanysignificanceis virtua+ly impossibleiftheindividualsinvolveddonothavesomeopenareasthatopennessisnecessary.

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u10Soyousee.caregivers.makingyourselvesknowntoyouandtoeachothershowingyourselvesinawayotherscanperceiveyoubeingopen representingthepersonofwhombothyouandothersareawareorbelonginginPartIofyourJahariWindowistantamount/equivalenttoreachingout.Reachingouttotouchoneanothersnotonlyinaphysicalsensebutinamentalsenseaswell.Therelationshipthatexistsbetweenusinonlyasgoodasitscommunication.Haveyoueverexperiencednotbeingabletogettoknowsomeonebecauseheorshewastooreservedorclosed?Orperhaps havefrustratedanotherperson'sattemptstobuildarelationshipwithyouforthesamereasons.Ontheotherhand.haveyoueverexperiencedtheeffectofwhenyouropennessmeetsanother'sopenness?Communicationflows e.ffort1essly.eg.TraveIling0nap1anesittingnexttoanopenperson.Youseethereisacertainamountofhonestyanddepthexhibitedincommunicationbetweenonewhoknowsandacceptsoneselfandthoseotherswhoknowhim/herassuch.Thatiswhatitisallabout.

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c u11IreadyouaquotefromFatherJohnPowell(Ilikehim)."IfyouandIcanhonestlytelleachotherwho 'we are.that is. whatwethink.judge.feel.value.love.honourandesteem.hate,fear,desire.hopefor.believeandarecommitedto,thenandthenonly can eachofusgrow".AfewweeksagoIwaslisteningtoRev.SimeonHallspeakonhappiness,onMorningDevotionswhileIwasdrivinghornefrommyusualmorningexercises.Hesaidthathappinesscouldbesought,taught,caughtbutneverbought.Sotrue.Icouldnothelpbutthinkofhowhappywewouldallbeifweascaregivers betaughttobesoughtandcaughtinPositionIintheJohariWindow,sothatinterpersonalcommunicationcansoimprovetopervadetheentirehealthcaresystemresultinginpositivesequellaelike:1.Betterrelationship2.Superiormentalhealth3.SelfconceptdevelopmentWithalltheseonboardimprovedstandardsofpatientcarewouldbeaguaranteeinallthehealthcarefacilitiesinthisCommonwealth.Lestweforgetthenegative toselfdisclosure/openness.Adler,RosenfeldandTowne,authorsofthebook"Interplay"citethe ofmanypeopleinoursocietytocommunicatewithothersasaforceactingagainstselfdisclosure.Theymaynotfeargettingintouchwiththemselvesbuttheymayfear

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'". u12lettingothersgetintouchwiththem.GerardEgan,viewingselfdisclosurefromasociologicalperspectivepositsthattherearetwoforcesthatcanworkagainstit:(a)Culturalbanbasedontheviewthatopensharingisasignofweakness,exhibitionismormentalillness.(b)Asocietywidecultivationofthe"lie" as awayoflife.Thisforceisrelatedtothebeliefthatmisinterpretationisnecessarytoacquireandmaintainpowerandwealthinsociety.Anotherdrawbackisthatyourhonestymighthurtanotherperson'sfeelings.e.g.withC,e1este."Wellsinceyouasked.thecolourofthatdressnothingforyou".Concluding.letusembracethis todaytoponderanewthemasteringoftheactofself-disclosure which bythewayalsoleadstoselfawareness;andevenafterweleaveheretodayletus toremainintouch.maintainourhumannessandallowour re1ationahips toexperiencenewbonding.CaregiversReachOut and OneAnotheropenuptooneanother.Relate.Behuman.Ihumblyandearnestlyinvokeagainthepresenceofasweet,sweet,spiritin place.Thankyou.

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THENURSESASSOCIATIONCOMMONWEALTHOFTHEBAHAMASELECTEDOFFICERSPresidentlstVicePresident2ndVicePresidentSecretaryAsst.SecretaryTreasurerAsstTreasurerSTANDING COMMITTEESMissErnestineDouglasMrsEvelynBoyd-AlfredMsJuanitaGreenMsBernadetteEllisMrsSandraJohnsonMrsCastellaBowlegMrsPearlRahming(Chairpersons)Education & ResearchSocial&EconomicWelfareMembershipNursingPractice & StandardsPublicity&PublicRelationsMrsMarinaSandsMrsPatriciaBethelMrs'ShirleySmithMrsPamrekaFergusonMrsWillimaeStuart

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PRESIDENT'SOUT-GOINGADDRESS---_._----SECONDBIENNIALINSTALLATIONCEREMONYDECEMBER1986MrLutherSmithPermanentSecretary,MinistryofHealthMrsVetaBrownUndersecretary,MinistryofHealth,DistinguishedGuest,Colleagues:Areviewofour"Archives",afewdaysago,revealedthaton30thMay,1947afewcourageousandvisionarynursingcolleaguesbannedtogethertoformwhatwenowknowastheNursesAssociationoftheCommonwealthoftheBahamas.Thisbravestep,cameatatimewhentheroarofgunsofWorldWarIIwerescarcelysilentacrosstheAtlantic.Coulditbethe ..'" surgeofNewBirththatusuallyfollowtheupheavalofwarthatmotivatedthosepioneers?-Historydoesnottell!However,whatevertheforce,thatsmallandarduousbeginningsetthestagefornursesintheBahamastobeseenasaunifiedgroupofprofessionals,willingtocampaignforandinitiate withintheirranksandmethodofpractice.Despitenumeroushandicapsencountered,frustratingobstaclesandthethroesofcolonialism,theyperseveredandwhileprogresswasslowandnumbersjustovertwenty,(20)theimpetusinitiatedbythosesuffragettesprevailed.Astimeevolved Bnd theselfimageofthenurseandtheAssociationincreasedmorenursesbecameinvolvedandtodaywebbastamembershipofalmostfivehundred(500)mightsay"We'vecome.alongwaybaby",butIcautionyouthatwehaveyetalongwaytogo.

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2Itwasfour(4)yearsagoladiesandgentlementhantheBatonofLeadershipforthispioneeringorganizationwaspassedtomebymypredecessorMrsCelesteLockhart.Withherusualcharm,enthusiasmandburstingenergy,likethatofanathleteinamarathon-sheseemedtohavesaid-holdtightly,run!-win!.TheseunspokenwordswerethedrivingforcethatimpelledmeduringtheseyearsIservedasPresidentofthisgreatassociation.Tonight,therefore,asItakearetrospectiveglanceatthe"Troack".I amjustlyproudtosayinthewordsofStPaul,"Ihavefoughtagoodfightand I've finishedthecourse."Notbymyselfletmehastentoadd,forhaditnotbeenfortheencouragementanduntiringsupportofmyteamexecutiveboardmembers,cheeringmeon,veryfewofthoseobjectivessoenthusiasticallyformulatedwouldhavebeenachieved.Thepathtofulfillmentandattainmentofthesegoalswerenotnicelypavedandframedinever-bloomingflowers-ohno!oftentimesthingswererough-thereweretimeswhenIknewIbitofmorethanIcouldchew-butthroughitall,Istoodtall-anddidit.Colleagues,asIcompletemysecondterminofficeasyourpresident,I amtemptedtobaskinmytriumphswhileinofficeorevenrecountmytroubles-Iimaginethat,thatisahumanelement.However,Ishant,forthepresentevidencestandsastestimonytowhatwasdoneandIsincerelywishthatanygoalsachievedwouldandshouldonlybeseenasthestepping

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3stonestotheultimatelevelofexcellence-professionalexcellence-whichistheepitomeoforganizationalaccomplishment.Presently,theNursingprofessionisfacedwithawaveof:Newtechnologyinhealthcaredelivery;Anewbreedofcandidateenteringtheprofession;theproverbialcryofinadequatestaffing,shortageofneededsupplies,equipmentandotherresources;thetermprimaryhealth isfrequentlymentionedbutthecurativehealthcaresystemisstillprimarilyfocusedonillnessratherthanprimaryhealth;itisprojectedbyworldHealthorganizationthateightytoeightyfivepercentofprimaryhealthcarecanbegivenbyNursesandthepotentialcapabilityofnursestoprovidethisserviceiswellrecognized.However,inthepastthemajorityofnurseshavebeeneducatedinawaythatmaynotberelevanttothisnewchallenge;onefinds'alsothatthroughouttheworldmoreNursesarebettereducatedthaneverbefore(TheBahamasBeingnoException)yetthereisconcernbymanythattheirpreparationhas!:emphasizedtheirroleincurativemeasurestoanexcessiveextent,somuchso,thatithashamperedtheadvancementofknowledgeandskillsinthecaringaspectsofNursingPractice;thesearebutafew-thetaskaheadisstillenormous.Hereathornetheprognosislookspromisinghowever,workshopsconductedbytheMinistryofHealthontheNursingprocesshasprovidedallinterestednurseswiththeopportunitytobeexposedtotheconceptsoftheprocess-andchangesincurricula

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4wouldundoubtedlybringaboutrevolutioninthepresentemphasisandMethodologyofnursingcaredelivery.WhatcanthisAssociationdo-howdoesitplantofeatureindecisionstofacethesechallengesandfindanswerstotheseissues....?WeareindeedheartenedbythewillingnessshownbytheMinistryofHealthtomeetwiththeAssociationtodiscussmattersofmutualconcern.Itismyhopethatthisavenuewillcontinueandthroughthismedium,worthwhilesolutionsmaybefoundforthemanyhealthproblemsthreateningtheveryfibreofthisNation.Colleagues,ladiesandgentlemen-Ihavefinishedmyracethetrackisclearedandtheshotshavealreadybeenheardfortheothertobegin.AsIstandasthefirsttocheerthenewleaderandherteam,thequestionresounds-whatoftomorrow?Iwillsay,thatyouhaveenteredatacrucialjuncture,whenitseemstomeasiftheassociationisfacedwithadorbodingairofprofessionalsluggishnessandaneedforrenewedvitalityamongourpeers.Allisnotlosthowever,forwehavereasontohopetherearestillafewamonguswhozealouslyguardandupholdthehighstandardsforwhichourpredecessorsfought-stillafewwhothroughuntiringcommitmentandeffort,supporttheorganizationto.enhanceitsprogress.Iurgeyoutostandfirmtherefore,fostersustainedcredibility;becarefulnottoappeartorespondonlytoincidenceswhichstirstheemotionandstandtocompromisetheorganization.

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".5Besteadfastinyourquesttofacethechallengesahead.Neverfalter,"Forthereismuchmorelandtobepossessed."1thankyou.

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NURSESASSOCIATIONOFTHECOMMONWEALTHOFTHEBAHAMASINAUGURAL ADDRESS -by:MissErnestineJ.DouglasOurPermanentSecretary,MrLutherSmith;MyGoodFriendandImmediatePastPresident,MrA.B.LaRoda;LadiesandGentlemen;Colleagues,GoodEvening.IwouldfirstliketothankAlmightyGod(inthewordsofmylatecousin,SirMileB.Butler)forbringingmeto day,thisvery hiah honor,whichyouyouhavebestoweduponme,toserveasyourPresidentisindeedahumblingexperience.Approximatelyfour(4)yearsago,whentheimmediatePastPresidentofferedhimselfupforthepresidencyoftheAssociation.Ihadalsogivenseriousconsiderationtotheidea,butasmyfriendseemedmorekeenthatI,Itookthedecisiontowithdrawandgivehimabetterchanceofwinning.My anddearfriend,MrsEloisePenn,wassomewhatdisappointedthatIhaddoneso.Beingthe goodAnglicanthat I amhowever,IbelieveintheCommunionofSaintsso1believe,I ampursuadedthattonight,sheisquitepleasedwithmybelateddecision.Ihavebeentryingtoidentifyinmyownmind,whenIdecidedthatIwouldpresentmyselfasacandidateforthePresidency,andIcouldnot,butwheneveritwas,itwasMrLaRoda,whoquitehesitantlyapproachedmewiththeidea,seeminglyfearfulof.myresponsebecauseheknowsmesowell,wellitworkedbecausehereIstand.HeevenmanagedtoarrangeitsothatIwouldhaveno andhence,noexcuse.

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2Idon'tknowifanyofyoumembersoftheassociation,werestruckbythefactasIwas,thatwiththeexceptionoftheAssistantSecretary'spost,alloftheotherslateofOfficershavebeenelectedunopposed.Intryingtoanalyze ..... thisphenomena,twoquestionscametomind:-1.Whethernothavinganyoppositionwasduetotheresoundingfaithwhichyouhadinourabilitytoserve?2.Orwhetherinfactthemembershipdonothavetheinclinationtoserve?Itrustthatitistheformerratherthanthelatter,becauseifisisthelatterIviewthisasasadcommentaryonourAssociation,thisstateofaffairsremindedmeofsomewordstakenfromIsiah"WhomshallIsend,andwhowillgoforus?ThenIsaid"HereI amLordsendme".Ibelievethatweareliving averyexcitingtime, .. notonlyinourworldandnation,butinNursingintheBahamasaswell.(Mysisterwhoispresentherethisevening,sincerelybelievesthatnotonlydoInevergetexcited,butcannotforthatmatter).ThiseveningIwanttodispelthatmyth,aswhenIthinkofthepossibilitiesthatexistforthisAssociationandtheprofessiononNursingintermsofwhatwecantogether asacohesivebody,it melItisaknownandundisputedfactthatNursesinanycountryformthelargestbodyofcaregivers,veryoften,weasNurses,boastofthisbutareweusingthistoourcredit?Arewecapatalizingonthisfact?

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.. Yesterday,ourconferencewasofficiallyopenedhereatLongleyHouse,incloseproximateytothehospital,threeofourveryownNursesresearchedandveryeloquentlyandably,expoundedontheConference'stheme.butNurses,wouldyoubelieve-that we werenotabletofillthesefewchairs.If we areseriousaboutourAssociationandProfession. we muststartbysupportingtheeffortsofourAssociationwithourpresence.WhichbringsmenowtoanotherconcernthatIhave.Atpresent. we havebeenabletoprocurethecommitmentof four hundredplus(400+)Nursesonthecheckofsystem.Thatisindeedlaudable.WIthoutthatkindofeffortonyourpart,tonight.wewouldhavehadtoseekalternateaccomodation".elsewhere.However,membershipinanorganizationdemandsmorethangivingthreedollars($3.00)permonthorwhatevertheduesstipulated.Ioncereadthat"wegivebutlittlewhen e giveofourpossessions.itiswhenwegiveourselvesthatwetrulygive."Mydearcolleagues,whatourAssociationsorelyneedsare.memberswhoarewillingtogiveofthemselvessothatwecancontinuetobuildthisAssociation into anenviableone. pn manyoccasions.thosefaithfulfewofus.whohaveagainstgreatoddsandoftentimediscouragementbeenfightingto thisassociationviable.have ourselvedthequestion,"AretheNursesintheBahamasdifferent or anylesscommittedtotheidealsofhershosenprofessionthanher

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r4counterpartinotherpartsoftheworld?"Ihaveconcludedthat,inherently,sheisnot.Ibelievethatanythingpossibleandpositivethattheycando, we canalsodo.Oneofthegreatchallengesthatfacesmy new teamofofficersandmyselfisthatoffindingtheformulactomotivateourpeerstoseetheneedtoriseupandinvolvethemselvesintheAssociationHow oftenhaveyouheardorcommentedyourself."WhatistheAssociationdoing?"Restassuredthatyourlackofparticipationdelimitswhat we cando-yourAssociationneedseachofyou.Ourthemeforthisconferenceisawell outandtimelyone,thatis,CAREGIVERSREACHINGOUTTOTOUCHONEANOTHER.thekeynotespeaker,aswellastheother two speakersemphasizedtouchingourcolleagues.intheworkplace.Iwouldliketo,ifImight.extendthattoreachingouttonursesnotonlyintheworkplacebuttoourcolleagueswhoduetovariousreasons. are nolongerintheworkplace.Howoftendo we notseeourcolleaguesaftertheyhaveretiredoraresick,untilwearesummonedtoattendtheirfunerals.(thismightsoundabitmorbid),butshouldnotweascolleagues.setupthemachinerywhereby we caninstituteandimplementaplanforthepurposeofdirectingattentiontothisimportantarea.Admittedly,thisideawasmuchtalked about duringthelastadministration,andsomestridesmade. We. hopetoseethiseffortfullymobilizedveryearlyduringthisadministrativeterm.

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5Anothermatterofconcerntomeisthatofpatientcare.Fartoooften,membersofourprofessionarecriticizedbytheconsumersforthealledgeddeliveryofpoorqualitynursingcare.Tomymind,thereisnoexcuseforthisasweshouldatalltimesstriveforexcellenceinourpursuits,particularlythatofcaringforthepatientsthatweareprivilegedtoserve.I amawarethattheareaofcontinuingeducationhasbeenofconcerntoourAssociationforsometime.Consequently,attentionwillbedirectedtowardthisthroughthestrengtheningoftheeducationandresearcharmoftheAssociation.Educationishowever,apersonalexperience,wecanencourageandwecanteach,buttheeagernessanddesiretolearnmustcomefrom withinanindividual.Werecognizehowever,thatitisourprofessionalresponsibilitytoencouragethetypeofenvironmentconducive tolearningandtoprovidethestimulationandleadershipwhichwillmotivateeachofustoachievethehighestlevelofprofessionalaccomplishment.Iwouldliketo,atthistime,takethisopportunity to commendandcongratulateMrLaRoda,andhisexecutivebodyforajobwelldone,IhaveonmyownaccountbeinginspiredbyMrLaroda'shighlevelofcommittment,hisableleadership,andtenacityofpurposeduringhistenureinoffice.

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6Tonight,lowe much tomany.Iwouldberemisstherefore,ifIdidnotpaytributetoafewpersons.Firstofall,tomyfamilywhohavealwaysbelievedinmeandmyabilitytoachieve: my grandmother,(whotaughtmemorethananynursingschoolortextbookaboutcaring):mymother;myson,Ron;mysister;cousins;andmyfriends,whom Ialsoregardasmyfamily,buttonight,myAuntWill,MrsWilliseRobinson,whoreallyisresponsibleforyouhavingaPresidenttonightbecauseitwasshewhohadavisiontwenty-seven(27)yearsagoofmybeinganurse(recountstory).WheneventhingsgowrongformeinNursing,Iblameher.Whentheygowell,liketonight,Ipraiseher.AuntWill,thankyouforallyou havedone.lowealsoagreatdebtofgratitudetoMsHilda Bowen,formerDirectorofNursing(whoisunabletobeheretonight),whosoughtanavenueforpostbasicpreparationforthosenurseslikemyself,whohadtakenthedecisiontopursue ourbasictraininghereathomeandremaintoholdthefort,asitwere,Miss thankyouverymuch.Thisactiononherpart,formedthecatalystformyacademicpursuitsandachievements.Finally,Iwouldliketo,onbehalfofthenewlyelectedofficersandmyself,thankyouforthetrustwhichyouhavereposedinus.YouhavecuasedwhatIbelievetobeagoodteamto come intooffice.Wepledgeourselvestoproveworthyofyourtrust.anew.Wealso,atthistime,inviteyoutorecommityourselvesWerecognizeandacceptthattonight,wehaveassumedanawesomeresponsibilitybutweareundaunted.Weacceptthe

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..J 7challengeandlooktowardsthefuturewithhope.Admittedlywehavenotchosenaneasypartbutthennothingworthwhileiseasy.Weareconfidentthatwearegoingtoachievegreatthingsbecausewearepersuadedthat."WecandoallthingsthroughChristwhostrengthensus."Thankyouandgoodevening...



PAGE 1

. . . -, . .. : ... .. Commonwoolth, o' ,,,:"':: . " . : I . .. fhe &ham
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ABOUT NEW1S AND VIEWS The theme selected for the Annual General Meeting for 1986 was "Nurses Reaching Out to Touch One Another", I -wish to commend the person(s) concerned for selecting such a timely and well thought out topic. Congratulations are also extended to the key note and other speakers, who expounded so ably and eloquently on the conference theme. As the attendance of our memebrs was disappointing, the deciison was taken to compile a report of the conference and make it available to you at a minimal cost. May I use this Medium to wish all of you a New Year full of Peace and Happiness, on hehalf of myself and the members of my committee. We anticipate and look forward to your support. Best wishes W.T. Stuart Chairperson Publicity and Public Relations Committee

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. -THE NURSES ASSOCIATION COMMONWEALTH OF THE BAHAMAS EXUCUTIVE BOARD MEMBERS OFFICERS PRESIDENT lST VICE PRESIDENT 2ND VICE PRESIDENT TREASURER SECRETARY ASSISTANT SECRETARY ASSISTANT TREASURER CHAIRPERSONS OF STANDING COMMITTEES: EDUCATIONAL & RESEARCH MEMBERSHIP SOCIO ECONOMIC PUBLICITY/PUBLICATIONS STANDARDS & PRACTICE TRUSTEES ANDIL B. LaRODA CELESTE LOCKHART PEARL RAHMING BREZETTA KING REGISTRAR BREZETTA KING ANDIL B. LaRODA GLORIA D. FERGUSON RENEE ROTH CELESTE LOCKHART GWENDOLYN BRICE BERNADETTE ELLIS FLORINDA CLARKE JANICE ARMBRISTER PATRINELLA DELEVEAUX GENEVA THORNTON DOREEN PETERS MARY JOHNSON

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SECRETARY'S REPORT NURSES ASSOCIATION OF THE COMMONWEALTH OF THE BAHAMAS By: Ms Gwendolyn Brice This report gives a brief account of meetings held for the period December, 1985 -November, 1986. You may be aware that I was on study leave from September, 1985 -August 1986. Miss Bernadette Ellis acted in my capacity during this time. May I take this opportunity to express my sincerest gratitude to Bernadette for her untiring support through the year. Executive Meetings A reminder that executive meetings are held monthly, the Friday preceeding the second Monday of the month. Unlike other members of the Association, the executive officers do not enjoy the recess taken in July or August. A total of 12 meetings were scheduled, but only nine (9) were held. Meetings were cancelled in February, June and August because a quorum was not present. A quorum for an Executive Board Meeting is five (5). The range of attendance at these meetings held was to ten (5 10), with a mean of seven (7). In September of this year, the Board decided it was more convenient to hold meetings after work, this was tried and it seemed better for the majority. Meetings did not last as long as those held in the evening. Time range for meetings held was one hour 15 minutes to three hours seven minutes. Only on two (2) occasions did a meeting last for one hour 15 minutes, and both were after work meetings. 30 minutes. The average time was two hours

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2 To make up for those times when there was no quorum, a form of punishment was four (4) call meetings, one in July one in August, and two in September. Attendance for these meetings ranged from five to eight, with a mean six, length from one:and a quar.ter hours to two l2) hours. Purpose of these meetings were for decisions to be made on matters, e.g. Caribbean Nurses Organization. Attendance at meetings were variable. As previously mentioned the range when a was held was five to ten (5 10). each time. When there was no quorum, .there were three persons The month of January attracted the most persons, Attendance of executive officers to regular monthly .meetings was also highest in January seven (7), but decreased as the months went by, At this time I must commend the following executives for their consistency in attending Mr President, rightfully so, should have, and did attend meeting. Mrs Gloria Ferguson, 1st Vice President, Assistant Secretary,.Mrs Bernadette Ellis and Treasuier, Mrs Celeste Lockhart attended almost all. Executive Officers did manage to. have one with the Honourable Minister of Health, Dr Norman lasted for almost three (3) hours. I am certain Mr President will highlight the salient points in his report. Regular Meetings A total of seven (7) regular meetings were held this year. No quorum was present in March, May .and. June, and a recess was taken in August. Attendance was on the increase, ranging from 18 -29 with an average of 23 persons at each

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3 meeting. Meetings usually lasted one and a half hours. There was one general call meeting in February. Highlights Special events will be dealth with in the president's report and the various committees. However I shall just indicate a few highlights. 1. Nurses continued to demonstrate their concern for others by participating in the various blood pressure clinics in the community. These were done at the invitation of private organizations in the community e.g. McDonalds and Bahamas Chamber of Commerce. 2. lhe Association received its first scholarships from Roy West Corporation of the Bahamas: Mrs Geneth Davis is presently a senior P/M at the University Hospital of the West Indies. And is doing well. 3. Honourary life member certificates have been issued to deserving members of the Association. 4. The Association's continued participation in workshops, seminars and conferences e.g. The Nursing Process Workshop, the seminar on cancer, Caribbean Nursing Organization and Commonwealth Health Ministers Meeting. 5. The hosting of a teception for the delegates of Commonwealth Health Ministers Meeting. Colleagues, I have come to the end of my tenure on the Executive Board, and words could never express my emotions at this time. The vast knowledge gained about associations and their management was invaluable. ?here were opportunities to

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4 meet people, and discuss health problems which are of c concern worldwide and, more importantly, was the obeying of Christ's command to love one another as was demonstrated by the cemented camaraderie over the years. sincerest gratitude is extended to you for permitting me to enjoy these delights.

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0 ANNUAL GENERAL MEETING REPORT OF THE SOCIO-ECONOMIC WLEFARE COMMITTEE By: Mrs Thornton Mr President, Madam Vice President, Madam Secretary, other Executive members, Colleagues. The Socio-Economic Welfare Committee of the Nurses Association of the Bahamas is comprised of the following Members: Mrs Susanne Roberts-Wallace Private Duty Nurse Mrs Grace Munnings -Maternity Area P.M.H. Mrs Margaret Bostwick Private Duty Nurse Mrs Gloria Okpuno Surgical Area P.M.H. Mrs Pearl Cooper -Community Nursing Servi Mrs Pat Bethel -Burns Unit P.M.H. Mrs Beverly Ford -Sandilands Mrs Pearl Rahming -Catholic Schools Mrs Brezetta King -Nurses Registrar Mrs Geneva Thornton -Maternity Area P.M.H. Chairperson The Socio-Economic Welfare Committee held many meetings in 1985 and the first quarter of 1986. Our aims and goals were discussed and these are some of the suggestions that were implemented: Fashion Show and Tea Cook Out International Night Lenten Tea & Fashion Show March 31, 1985 October 29, 1985 November 9, 1985 March 9, 1986

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0 2 From these events we realized $3,033.20. A Tea Party was held for retired Nurses on February 8th, 1986 and was a success.* Our Committee Members are mindful of the need for Nurses to strive for bargaining rights by investigations in the revealed that two-thirds of our Nurses must be members, We spoke to many of our TC/Nurses who regretted not being members of our Association but they reasoned that according to Article XVIX, Chapter 6, they felt their goals could not be fully met; we hope that this will be further pursued. To the Private Duty Nurses and Nurse G, Munnings, thank you you for your donation which was subsequently used to purchase the cups and saucers now utilized in the kitchen of Longley House. To the Socio-Economic Welfare Committee Members and the rest of you your families and friends who gave of your time, talents and monies, thank you for your support during the years 1985 and 1986; without the support of each and every one of you, our efforts would have been in. vain. Regrettably, due to circumstances beyond my control, there were no further activities by my Committee in the latter half of 1986, because of my extended absence from New Providence, Thank you. GENEVA THORNTON P.S. During this time flowers and fruits were sent to ailing Nurses and also to relatives of deceased Colleagues

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c END OF OFFICE REPORT BY J.M. ARMBRISTER EDUCATIONAL/RESEARCH COMMITTEE NURSES' ASSOCIATION OF THE COMMONWEALTH OF 'THE BAHAMAS Mr President, members of the executive board, association members, Good evening. The year proved to be a most exciting one and it was a great learning experience for me and for the members of the committee. My term of office began, with the unfortunate resignation of Mrs Hilda DOuglas, who; because of her increased work-load found it difficult to continue as chairperson of this committee in November 1985; The overall aim of the c6mmittee: To provide continuing education for nurses in order to foster professional growth and to use research methodology so as to improve practice skills. THE OBJECTIVES: 1. Conduct an educational meeting every third month. 2. ?rovide continuing education programmes for members. 3. Conduct research on a common problem affecting health delivery. 4. Encourage member participation in conferences. 5. Write series of articles for Newspapers. The events of the year commenced with the Ninth Annual Conference which was opened by the Minister of Health Dr Norman Gay -

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0 .... 2 our first conference to be held at Longley House. The Theme "Nursing as a Profession -It:s Perspectives and Priorities". During the morning session, our guest speaker, Mrs Syringa of the Advanced Nursing Unit, University of the West Indies, gave an eloquent speech on the International View of perspectives in nursing. She challenged nurses and professionals to police their profession and to be responsible and accountable for their actions. Her presentation initiated an interesting discussion and pertinent questions were raised. The second speaker was our own Director of. Ntirsing Services, Mrs Ironaca Morris. Her speech entailed a national overview of the profession She urged nurses to be emphathefic as we strive to realize our goals. Group discussion was held during the afternoon and suggestions were made as to how we might improve ourselves professionally. The conference was well attended and deemed most successful, It was pleasing to note .that all the students of the new introductory course #20 were able to attend. On March 10th 1986, an Educational Meeting was conducted at Longley House. Mrs Jackie Dean was the guest speaker. TOl.'IC -Breast Self-Examination Practice Among Bahamian W6men: Government Clinic Clientele (Survey done 1984-1985). May 1986 the Prime Minister of the commonwealth of the Bahamas declared the week of 11-17 May Nurses Week. Tlie Theme "Caring for the Future".

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1. 3 Two of the stated articles appeared in the Nassau Guardian. Immunization Philabertha Carter, R.N., S.C.M. 2. Antenatal Care -Carolyn Seymour, R.N., S.C.M. The other articles did not appear because of an error by the Publishers. In addition, two talks "Youth our Best Resource" and "Coping with Aging" were given by Mr Sheldon Beneby and Evangelist Rex Major respectively. Both were very well received and hopefully all members were stimulated to discover solutions to problems experienced by the Youth of our nation; and as we are all aging to face the reality of it. Radio and Television also helped us to celebrate the week. Mrs W. Stuart and Mr A.B. LaRoda were featured on the Ministry u o of Health Programme -hosted by Mrs Felicity Aymer, The Topic "The Changing Role of the Nurse". The week culminated with a church service the St Luke's Chapel, Princess MArgaret Hospital. Archdeacon Murillo Bonaby was the celebrant. He stated in part that caring for the future was a difficult but rewarding task and that we as nurses must be aptly prepared to do so. The tenth annual conference was held at Longley House on December 5th, 1986. The Theme "Caregivers, Reaching out to touch one another". This theme was selected because so very often, in for others, we forget that our own needs must be met, and lso those .of;,_ ,c:0l leagues.

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4 This conference was officially opened by our Director of Nursing, Mrs Ironica Morris who briefly emphasised the need for nurses as colleagues to care for ourselved in order to provide better patient care. Mrs Marina Sands ably made an academic presentation on the theme -"Caregivers Reaching out to touch one another". The second speaker Mrs Faith Lochan expanded on the "Mental Health of Nurses in the work situation". The conference was fairly well attended and radio and television coverage was received. The committee regrets that not all of our objectives for the year were met as planned. In closing, may I say that this term in office was most rewarding for me and I will continue to offer my services, and to continue to take an active role in the association. My heartfelt thanks to the members of this committee, Mr Clayton Rolle, Mr Warren Knowles, Ms Suzie Adderley, Mrs Lydia Knowles, Mrs P&ilabertha Carter and Mrs Evelyn Alfred, without whose support this committee could not have functioned. Many thanks to the President for his patience and encouragement, and to the members of the executive board for their. help and suggestions. And to you the members of the Association for your continued support and help which made this year a successful one.

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0 REPORT OF THE MEMBERSHIP COMMITTEE NURSES ASSOCIATION OF THE COMMONWEALTH OF THE BAHAMAS ANNUAL GENERAL MEETING 5th DECEMBER, 1986 By: Mrs Patrinella P. Deleveaux Mr President, Madam Vice President, Madam Secretary, Other Executive members, Colleagues. The year 1986 is almost history, in a matter of a few weeks (three weeks and five days to be exact) a new year will dawn and a new beginning for our newly elected Officers of this great Nurses Association of the Commonwealth of the Bahamas. Tonight I can attest that our Association is growing in strength, slowly but surely and together we will continue to strengthen our forces so that in the very near future we can have one hundred percent support from nurses from home and abroad. The overall objectives for the year 1986 were as follows:-1. Assess the overall membership status of the Association. 2. Implement ways to ensure that members become more active in the Association. 3. Allocate a number system to each member and distribute membership cards. 4. Submit reply letters to new members along with a copy of the constitution and membership cards.

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2 The following is a brief summary of the above objectives:"" Objectives numbers one and four were achieved. Objectives number two needs improvement despite conversing with members re: attendance on a one to one basis as well as by notices etc. also general meetings -attendance remains unsatisfactory. Objective number three has been achieved in that each member of the Association should have in his/her posession a member-ship card,with a number on it. A register is presently implemented. The membership Committee for the year 1986 were: "o Mrs Patrinella P. Deleveaux Chairperson D.N.E. Mrs Eldora Hart Beneby P.M.H. Ms Paula Deal P.M.H. Mrs Nathalie Bonamy C .N. S. Members on the check off system (code 48) Nov. 1984 were 291. Memebrs on the check off system (code 48) Nov. 1985 were 408. Members on the check off system (code 48) Nov. 1986 were 460. For the coming year it is envisaged that the Association will continue to grow by God's. Grace and our work.

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REPORT PUBLICITY & PUBLIC RELATIONS COMMITTEE NURSES ASSOCIATION COMMONWEALTH 'OF THE BAHAMAS Aims for the duration of the committee were as follows:-To the memberships awareness of the role of a professional association. BY: 1) Informing the membership of what the association has to offer. 2) Updating the membership re: current events nationally, regionally and internationally .... 3) Publicizing nursing events through the media. 4) Establishing a quarterly news letter. 5) Planning towards a yearly news letter/magazine/ COMMITTEE MEMBERS: Ms D. Peters Chairperson Ms A. Symonette Secretary Ms R. Strachan Ms M. Nixon Ms F. Blakely-Sands Ms s. Rolle Ms B. King Ms M. Hunnings Ms p Hanche!l .. At times various other members of the Nurses Association of the Commonwealth of the Bahamas and executive board members gave valuable assistance which enabled .the said committee to function smoothly. My sincere thanks to of you.

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Q 2 During the two years the committee assisted in the various nursing association functions including Week's Lenten Teas, Annual Conferences and The Grand Opening of the headquarters in 1985. Nurses Fellowships and Scholarships offered locally and internationally were brought to the attention of the membership, as were a number of conferences, the most memorable being that of the I.C.N. Conference held in Israel which some members attended. During 1985 a news letter was produced and our committee realized that at present a quarterly production was not possible. Our plans to produce a sequence in. 1986 were marred by the untimely maternity leave of myself -before getting the news gathered off to print. For the greater part of 1986 the commitments of this committee were flf illed by members of the executive board, as due to circumstances beyond my control I was to to take an active part. thanks and appreciation goes out to them. My The one section of our aims which fell far short of the expected goal was the yearly During the preliminary planning it was thought that articles related to the profession of nursing from Bahamian nuising speciJlists, along with an outline of the History of. Nursing in the Bahamas and projections of the future of nursing in Bahamas may be intluded. It was also thought that in order to produce a quality magazine, from planning to may take .twelve to eighteen months, the expenses being met totally by advertising as we learned from the production of the news letter a separate

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3 sub-committee working on that project alone would be necessary. It may be that the present publicity and Public Relations Committee will be able to bring our dreams to fruition. D.F. Peters CHAIRPERSON

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THE PRESIDENT'S ANNUAL REPORT -------------------FOR YEAR ENDING DECEMBER 1986 By: Mr Andil B. La1Roda Officers of this Association. Colleagues: I am pleased to present to you once again -and finally -the account of the year of Following the the Association's history i.e. opening of our Headquarters in November last. Your executive Boaid met and formulated several objectives for the New Year. The Watch Word "PARTICIPATION" was chosen as the guide for the activities for this year. While efforts were made to continue our efforts to maintain our previous degree of in-volvement -our primary goal was to increase capital to the organization through renting space in our Headquarters .... and increased membership. To _this end all avenues to procure tenants were explored and I am happy that both officers are rented with leases of one arid three years respectively. Presently the total income from the re'nt is used exclusively for the payment of the mortgage, and necessary repairs to the building. Protocols for the use of the auditorium is being formulated and several requests have been received for the use of this hall. Revenue from this will also help to defray the cost of utilities and upkeep. Care of this edifice as you know is important -hence domestics were contracted on a regular basis for both the interior and maintenance on a regular basis for both the interior and maintenance of exterior (physical structure) and grounds.

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2 As you would notice three (3) aircondition units were purchased to produce the comfort we need during the warmer months. In addition another unit was p urchased as a part of the agreement for the _larger office and c arpeting was also installed. It would be foolhardy of us to ignore the fact that we are in a hurricane zone. Therefore storm shutters were also purchased for protection in the event of storms. The final protective. measure will be ihe installation of metal bars to the front entrance -negotiations are presently being made for these to be installed as soon as possible. No major social fund raising was held during the year-due to untoward circumstances. However, as the Treasurer reported we were and still are able to balance our finances an d r em a in in th e b 1 a ck 11 As reported a membership drive was iniated and a major increase in membership was realized, this helped tremendously in our income. I feel however, that it is important that all Members who have not yet paid their pledge of one hundred dollars ($100) should consider the importance and do so with haste. EDUCATION Another high moment in our accomplishment for the year was the presentation of the Roywest Scholarship to Staff Nurse Janeth Davis -who is presently enrolled in a midwifery programme at U.C.H. Jamaica. According to reports received she is maintaining a very high standard of performance. We continue to wish her every success.

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3 As I have told you this avenue for scholarships is ongoing o and several applications are being processed for submission to Roywest for additional scholarships. Members are reminded that a letter of acceptance at the Institution must be received before the scholarship can be granted. We are also afforded full partiiipation in Workshops held by the Ministry of Health on the Nursing Process. Invitations were extended to all Nurses in private practice -many of whom embraced the opportunity to be exposed to this very important concept. The Association was fortunate to have been invited to send four (4) Nurses to attend a WOrkshop on "Protocols of care of Cancer Patients". This was offered by Ms Carrol Hughes of Educational Excursions, Atlanta Georgia. Applications for -the 3M scholarship were invited but as usual there was no response. Members are encouraged to take of this offering for professional development. Your Associatiori continues to maintain Membership in: INTERNATIONAL COUNCIL OF NURSES -and as tisual regular correspondence and important current nursing health literature are received. COMMONWEALTH NURSES FEDERATION -We were honoured by a visit from the Secretary General in October this year who expressed her special delight in being able to visit us. CARIBBEAN NURSES ASSOCIATION -As you know your Association was represented by two (2) members Mrs Gloria Ferguson and Mrs Gwendolyn Brice at the 12th Biennial Conference held in St Thomas

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4 Virgin Islands, in October. Both officers reported that the experience was rewarding and thank you for affording them the opportunity to attend. All members are urged t:o take advantage of the literature received and the conferences for the benefit gained are invaluable to professional growth. COMING EVENTS I.C. NC.N.R. -Meeting August next New Zealand. I.C.N. Congress Korea June 1989. We urge you to start saving now to attend these very important events. We would like a large contingent to accompany the representative. Nationally Membership continues on the Nursing Council of the Bahamas -three (3) members -President, Mrs Celeste Lockhart and Mrs Evelyn Alfred will serve for 1987. -National Health Education COuncil -National Health Insurance Working Party College of the Bahamas/Ministry of Heal.th Advisory Committee We are encouraged to maintain our involvement in these organizations in order to have the Voice of the Ntirses heard at the decision making levels. OTHER ACTIVITIES: -Blood Pressure Clinics -Bahamas thambers of Commerce -Aerobic classes Plans not completed:--Mother Craft Classes -Help with iLlness expenses

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s Help with other scholarship expenses Soft Loans Pension/Group Insurance At a meeting with Ministry of Health, in October, several issues were discussed:-(1) Full recognition by Ministry of Health as the official consultative voice of the Professional in the Bahamas (2) Quarterly Meeting with the Permanent Secretary, Ministry of Health (3) Official leave for the President to carry out work of the Association and other matters.

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Caregivers, Reaching Out To Touch One Another by Marina E. Sands BA. RN. RM.

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.. .. Topic: ANNUAL CONFERENCE KEY NOTE ADDRESS By: Mrs Marina E. Sands Caregivers Out To Touch One Another Madam Director and Madam Deputy Director of Nursing. Other members of the nursing hierachy. Mr President and members of Executive Board of the Nurses Association of the Bahamas. My nursing colleagues and co-workers. Good morning. It was with profound pleasure that I accepted the invitation to speak to you this morning on the theme of this the Tenth Nurses Association of the Bahamas Annual Conference Jan didn't have to twist my arm at all. "Caregivers Reaching Out To Touch. One Another". I would also like to congratulate the person or persons responsible for choosing such a timely theme. To assist me in accepting this assignment, I immediately set up three (3) criterias: 1. 2. 3. Significance Interest Manageability is it important? Is it noteworthy? would it evoke attention? is it of special or genuine interest to me and others? can this subject be developed within the allowed time frame? Can I control it and not talk on and on never reaching a conclusion?

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.. .. 2 I accepted and now I am ready to roll up my sleeves and mix mortar. The core of the practice of nursing is the individual. When I say individual I can go on brainstorming ad infinitum thinking of notions and ideas related to that concept e.g. patient, co-worker, colleague, mother, father, son, daughter, husband, nurse, caregiver etc. etc. However I'll choose the word caregiver and equate it with the word "nurse". The human mind at birth is viewed as having no Lnnate ideas ---like a clean state, or as the philosophers call it "tabula Rasa". It is maturity and experiences that continually create ideas and images on this slate By the time we graduate from Nursing School our s .lates are crowded with a multiplicity of concepts that serve as windows to open our minds to new worlds of phenomena that we might have never known existed. We are in this because service to other people is a dominant appeal. Medicine in general and nursing in particular has shifted the emphasis in patient care from the almost exclusive concentration on the patients disease to consideration of the whole patient i.e. the holistic view are inextricably bound other. illuminating the fact that mind and body cannot be separated one from the e.g. if you fracture your little toe when the pain starts you will know that this is true. We, too, are bound together, not inextricably but by the values, policies, commitment etc. relative to care giving. That is

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. 3. why we must possess and continually develop a body of knowledge that can be applied to our practice. imperative! For caregivers this is Life as a caregiver isn't always peaches and cream especially when it requires contact with individuals whom we may consider unattractive as well as attractive. Learning to accept this fact and to give excellent nursing care regardless of one's own feelings requires much self discipline and skill in interpersonal relations/communication. Presently we are implementing the Nursing Process into the hospital. It is working to the good not only for patient care but also it is sending us back to our books for further orientation to this widely acclaimed philosophy of caring and it is encouraging involvement of all health team members and the patient. See how it is affecting communication. In this theme: "Caregivers Reaching Out To Touch One Another", do I detect understones of an existing deficit in communication? this is why I chose interest as a criterion for accepting this assignment! If this is so why?? Have we forgotten that the practice of nursing is interpersonal in nature? We work hard at establishing a therapeutic relationship with our patients and their families but we hardly work at maintaining a supportive relationship with each other. Some of us are afraid to be be real with each other because of the fear of being mistrusted, rejected,

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" 0 4 judged, hurt, envied etc. This is so. On the other hand it is normalcy for some of us to be evil and malicious. But thank God some of us are still jewels, too. This is real. Today we have come together to remove our masks and fascades that we often wear and make ourselves known to each other and show o u r s e 1 v es in way s th a t o t he r s c an p e r c e iv e u s ___ s e 1 f d is c 1 o s u r e it is called or openness. Is it because we are to self disclose? (Not how parliamentarians do besides being unwilling 1111 be ashamed) smile. John Powell says in his book "Why Am 1 Afraid TO Tell Who 1 AM" If I tell you who 1 am and you do not like me what am I going to do because I am all I have''. Some of you might be aware that last week we started a Role Based Training Course with No. 111s at Princess Margaret Hospital ___ geared towards enriching their jobs in such a way as to encourage them to perform better and hopefully act as role models for other staff members. One of the first issues we had to deal with was knowing ourselves. The lecturer introduced us to a device called the "Johar!" Window, designed by psychologists Joseph Luft and Ingham, to show how self disclosure operates in interpersonal communication. I'll illustrate

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0 FRAME 01 -Everything About You Imagine there is a frame which contains everything there is to know about you: Your likes and dislikes, your goals, your secrets, your needs everything. Of course you are not aware of everything about yourself. Like most people you are probably discovering new things about yourself all the time. To represent this aspect, we can divide the frame containing everything about you in two parts #2 everything about yourself

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0 6 FRAME 112 The part.you know about, and the part of which you are not aware. We can also divide the frame containing everything about you in another way. Known to self 113 Not known to self

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0 7 FRAME 113 In this division one part represents the things about you that others know, and the second part contains the things about you that you keep to yourself. When we impose these two divided frames one atop the other we have a Johari Window 114 -----> known to others not known to others

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Q 8 FRAME 114 Johari Window You can see Johari divides everything about you into four parts. Part 1 represents the person of whom both you and others are aware. This area is called your open Known to others Not known to others Known to Self 1 OPEN 3 HIDDEN area. Not Known to Self 2 BLIND 4 UNKNOWN

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9 Part 2 represents the part of you that you yourself are not aware of, but others are. This is called your 'blind area. Part 3 represents your hidden area; you are aware of this part of yourself, but you don't allow others to know it. Part 4 represents the part of you that is known neither to you nor to others and is therefore referred to as the unknown area. As one gets more insight into openness, these blind, hidden and unknown areas tend not to be as large. A relationship is limited by an individual who is less open. Actually, interpersonal communication of any significance is virtua+ly impossible if the individuals involved do not have some open areas that openness is necessary.

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u 10 So you see, caregivers, making yourselves known to you and to each other showing yourselves in a way others can perceive you ___ being open ---representing the person of whom both you and others are aware or belonging in Part I of your Jahari Window is tantamount/equivalent to reaching out. Reaching out to touch one anothers not only in a physical sense but in a mental sense as well. The relationship that exists between us in only as good as its communication. Have you ever experienced not being able to get to know someone because he or she was too reserved or closed? Or perhaps have frustrated another person's attempts to build a relationship with you for the same reasons. On the other hand, have you ever experienced the effect of when your openness meets another's openness? Communication f 1 ow s e f f o r t 1 e s s 1 y e.g. Travelling on a plane sitting next to an open person. You see there is a certain amount of honesty and depth exhibited in communication between one who knows and accepts oneself and those others who know him/her as such. That is what it is all about.

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u c 11 I read you a quote from Father John Powell (I like him). "If you and I can honestly tell each other whowe are, that is, what we think, judge, feel, value, love, honour and esteem, hate, fear, desire, hope for, believe and are comniited to, then and then only can each of us grow". A few weeks ago I was listening to.Rev. Simeon Hall speak on happiness, on Morning Devotions while I was driving home from my usual morning exercises. He said that happiness could be sought, taught, caught but never bought. So true. I could not help but think of how happy we would all be if we as caregivers could be taught to be sought and caught in Position I in the Johari Window, so that interpersonal communication can so improve to pervade the entire health care system resulting in positive sequellae like: 1. Better relationship 2. Superior mental health 3. Self concept development With all these on board improved standards of patient care would be a guarantee in all the health care facilities in this Commonwealth. Lest we forget the negative to self disclosure/ openness. Adler, Rosenfeld and Towne, authors of the book "Interplay" cite the of many people in our society to communicate with others as a force acting against self disclosure. rhey may not fear getting in touch with themselves but they may fear

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u .... 12 letting others get in touch with them. Gerard Egan, viewing self disclosure from a sociological perspective posits that there are two forces that can work against it: (a) Cultural ban based on the view that open sharing is a sign of weakness, exhibitionism or mental illness. (b) A society wide cultivation of the "lie" as a way of life. This force is related to the belief that misinterpretation is necessary to acquire and maintain power and wealth in society. Another draw back is that your honesty might hurt another person's feelings e.g. with C .ele s te "Well since you asked, the colour of that dress nothing for you". Concluding, let us embrace this today .to ponder anew the mastering of the act of self-disclosure which by the way also leads to self awareness; and even after we leave here today let us to remain in touch, maintain our humanness and allow our relationahips to experience new bonding. Caregivers Reach Out and One Another open up to one another. Relate. Be human. I humbly and earnestly invoke again the presence of a sweet, sweet, spirit in this place. Thank you.

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THE NURSES ASSOCIATION COMMONWEALTH O F THE BAHAMAS ELECTED OFFICERS President lstVice President 2nd Vice President Secretary Asst. Secretary Treasurer Asst Treasurer Miss Ernestine Douglas Mrs Evelyn Boyd-Alfred Ms Juanita Green Ms Bernadette Ellis Mrs Sandra Johnson Mrs Castella Bowleg Mrs Pearl Rahming STANDING COMMITTEES (Chairpersons) Education & Research Social & Economic Welfare Membership Nursing Practice & Standards Publicity & Public Relations Mrs Marina Sands Mrs Patricia Bethel Mrs'Shirley Smith Mrs Pamreka Ferguson Mrs Willimae Stuart

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PRESIDENT'S OUT-GOING ADDRESS ---------SECOND BIENNIAL INSTALLATION CEREMONY DECEMBER 1986 Mr Luther Smith Permanent Secretary, Ministry of Health Mrs Veta Brown Undersecretary, Ministry of Health,Distinguished Guest, Colleagues: A review of our "Archives", a few days ago, revealed that on 30th May, 1947 a few courageous and visionary nursing colleagues banned together to form what we now know as the Nurses Association of the Commonwealth of the Bahamas. This brave step, came at a time when the roar of guns of World War II were scarcely silent across the Atlantic. Could it be the surge of New Birth that usually follow the upheaval of war that motivated those pioneers? -History does not tell! However, whatever the force, that small and arduous beginning set the stage for nurses in the Bahamas to be seen as a unified group of professionals, willing to campaign for and initiate within their ranks and method of practice. Despite numerous handicaps encountered, frustrating obstacles and the throes of colonialism, they persevered and w hi 1 e pro gr e s s was s 1 ow and number s j us t over twenty ( 2 0 ) the impetus initiated by those suffragettes prevailed. As time evolved and the self image of the nurse and the Association increased more nurses became involved and today we bbast a membersh{p of almost five hundred (500) Me might say "We've come a long way baby", but I caution you that we have yet a long way to go.

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b 2 It was four (4) years ago ladies and gentlemen than the Baton of Leadership for this pioneering organization was passed to me by my predecessor Mrs Celeste Lockhart. With her usual charm, enthusiasm and bursting energy, like that of an athlete in a marathon -she seemed to have said -hold tightly, run! -win!. These unspoken words were the driving force that impelled me during these years I served as President of this great association. Tonight, therefore, as I take a retrospective glance at the "Track". I am justly proud to say in the words of St Paul, "I have fought a good fight and rve finished the course." Not by myself let me hasten to add, for had it not been for the encouragement and untiring support of my teamexecutive board members, cheering me on, very few of those objectives so enthusiastically formulated would have been achieved. The path to fulfillment and attainment of these goals were not nicely paved and framed in ever-blooming flowers -oh no! often times things were rough -there were times when I knew I bit of more than I could c hew -but through it all, I stood tall -and did it. Colleagues, as I complete my second term in office as your. president, I am tempted to bask in my triumphs while in office or even recount my troubles -I imagine that, that is a human element. However, I shant, for the present evidence stands as testimony to what was done and I sincerely wish that any goals achieved would and should only be seen as the stepping

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3 stones to the ultimate level of excellence -professional excellence -which is the epitome of organizational accomplishment. Presently, the Nursing profession is faced with a wave of: New technology in health care delivery; A new breed of candidate entering the profession; the proverbial cry of inadequate staffing, shortage of needed supplies, equipment and other resources; the term primary health is frequently mentioned but the curative health care system is still primarily focused on illness rather than primary health; it is projected by world Health organization that eighty to eighty five percent of primary health care can be given by Nurses and the potential capability of nurses to provide this service is well recognized. However, in the past the majority of nurses have been educated in a way that may not be relevant to this new challenge; one finds 'also that throughout the world more Nurses are better educated than ever before (The Bahamas Being no Exception) yet there is concern by many that their preparatiori has emphasized their role in curative measures to an excessive extent,so much so,that it has hampered the advancement of knowledge and skills in the caring aspects of Nursing Practice; these are but a few -the task ahead is still enormous. Here at home the prognosis looks promising however, workshops conducted by the Ministry of Health on the Nursing process has provided all interested nurses with the opportunity to be exposed to the concepts of the process -and changes in curricula

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4 would undoubtedly bring about revolution in the present emphasis and Methodology of nursing care delivery. What can this Association do -how does it plan to feature in decisions to face these challenges and find answers to these issues .... ? We are indeed heartened by the willingness shown by the Ministry of Health to meet with the Association to discuss matters of mutual concern. It is my hope that this avenue will continue and through this medium, worthwhile solutions maybe found for the many health problems threatening the very fibre of this Nation. Colleagues, ladies and gentlemen -I have finished my race the track is cleared and the shots have already been heard for the other to begin. As I stand as the first to cheer the new leader and her team, the question resounds -what of tomorrow? I will say, that you have entered at a crucial juncture, when it seems to me as if the association is faced with a dorboding air of professional sluggishness and a need for renewed vitality among our peers. All is not lost however, for we have reason to hope there are still a few among us who zealously guard and uphold the high standards for which our predecessors fought -still a few who through untiring commitment and effort, support the organization to .enhance its progress. I urge you to stand firm therefore, foster sustained credibility; be careful not to appear to respond only to incidences which stirs the emotion and stand to compromise the organization.

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. 5 Be steadfast in your quest to face the challenges ahead. Never falter, "For there is much more land to be possessed." I thank you ...

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NURSES ASSOCIATION OF THE COMMONWEALTH OF THE BAHAMAS INAUGURAL ADDRESS -by: Miss Ernestine J. Douglas Our Permanent Secretary, Mr Luther Smith; My Good Friend and Immediate Past President, Mr A.B. LaRoda; Ladies and Gentlemen; Colleagues, Good Evening. I would first like to thank Almighty God (in the words of my late cousin, Sir Mile B. Butler) for bringing me to this day, this very high honor, which you you have bestowed upon me, to serve as your President is indeed a humbling experience. Approximately four (4) years ago, when the immediate Past President offered himself up for the presidency of the Association. I had also given serious consideration to the idea, but as my friend seemed more keen that I, I took the decision to withdraw and give him a better chance of winning. My labe and dear friend, Mrs Eloise Penn, was somewhat dis-appointed that I had done so. Being the gdod Aftilican Ehat I am however, I believe in the Communion of Saints so l believe, I am pursuaded that tonight, she is quite pleased with my belated decision. I have been trying to identify in my own mind, when I decided that I would present myself as a candidate for the Presidency, and I could not, but whenever it was, it was Mr LaRoda, who quite hesitantly approached me with the idea, seemingly fearful of .my response because he knowsme so well, well it worked because here I stand. He even managed to arrange it so that I would have no and hence, no excuse,

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2 I don't know if any of you members of the association, were struck by the fact as I was, that with the exception of the Assistant Secretary's post, all of the other slate of Officers have been elected unopposed. In trying to analyze this phenomena, two questions came to mind:-1. Whether not having any opposition was due to the resounding faith which you had in our ability to serve? 2. Ot whether in fact the membership do not have the inclination to serve? I trust that it is the former rather than the latter, because if is is the latter I view this as a sad commentary on our Association, this state of affairs reminded me of some words taken from Isiah ''Whom shall I send, and who will go for us? ...... Then I said "Here I am Lord send me". I believe .that we are living a very exciting time, .. not only in our world and nation, but in Nursing in the Bahamas as well. (My sister who is present here this evening, sincerely believes that not only do I never get excited, but cannot for .that matter). This evening I want to that myth, as when I .think of the possibilities that exist for this Association and the profession on Nursing in terms of what we can together as a cohesive body, it me! It is a known and undisputed fact that Nurses in any country form the largest body of care givers, very often, we as Nurses, boast of this but are we using this to our credit? Are we capatalizing on this fact?

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3 Yesterday, our conference was officially opened here at Longley House, in close proximatey to the hospital, three of our very own Nurses researched and very eloquently and ably, expounded on the Conference's theme, but Nurses, would you believe -that we were not able to fill these few chairs. If we are serious about our Association and Profession, we must start by supporting the efforts of our Association with our presence. Which brings me now to another concern that I have. At present, we have been able to procure the commitment of foui hundred plus (400 +) Nurses on the check of system. That is indeed laudable. Wlthout that kind of effort on your part, tonight, we would have had to seek alternate accomodation ..... elsewhere. However, membership in an organization demands more than giving three dollars ($3.00) per month or whatever the dues stipulated. I once read that "we give but little when e give of our possessions, it is when we give ourselves that we truly give." My dear colleagues, what our Association sorely needs are, members who are willing to give of themselves so that we can continue to build this Association intQ an enviable one. Pn many occasions, those faithful few of us, who have against great odds and often time discouragement been fighting to this association viable. have ourselved the question, "Are the Nurses in the Bahamas different or any less committed to the ideals of her shosen profession than her

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4 counterpart in other parts of the world?" I have concluded that, inherently, she is not. I believe that anything possible and positive that they can do, we can also do. One of the great challenges that faces my new team of officers and myself is that of finding the formulacto motivate our peers to see the need to rise up and involve themselves in the Association How often have you heard or commented yourself, ''What is the Association doing1" Rest assuredthat your lack of participation delimits what we can do -your Association needs each of you. Our theme for this conference is a well out and timely one, that is, CARE GIVERS REACHING OUT TO TOUCH ONE ANOTHER, the key note speaker, as well as the other two r emphasized touching our colleagues, in the work place, I would like to, if I might, extend that to reaching out to nurses not only in the work place but to our colleagues who due to various reasons, are no longer in work place, How often do we not see our colleagues after they have retired or are sick, until we are summoned to attend their funerals, (this might sound a bit morbid), but should not we as colleagues, set up the machinery whereby we can institute and implement a plan for the purpose of directing attention to this important area, Admittedly, this idea was much talked about during the last administration, and some strides made. We. hope to see this effort fully mobilized very early during this administrative term.

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-' . 5 Another matter of concern to me is that of patient care. Far too often, members of our profession are criticized by the consumers for the alledged delivery of poor quality nursing care. To my mind, there is no excuse for this as we should at all times strive for excellence in our pursuits, particularly that of caring for the patients that we are privileged to serve. I am aware that the area of continuing education has been of concern to our Association for some time. Consequently, attention will be directed toward this through the strengthening of the education and research arm of the Association. Education is however, a personal experience, we can encourage and we can teach, but the eagerness and desire to learn must come from within an individual. We recognize however, that it is our professional responsibility to encourage the type of environment conducive to learning and to provide the stimulation and leadership which will motivate each of us to achieve the highest level of professional accomplishment. I would like to, at this time, take this opportunity to commend and congratulate Mr LaRoda, and his body for a job well done, I have on my own account being inspired by Mr Laroda's high level of committment, his able leadership, and tenacity of purpose during his tenure in office.

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6 Tonight, I owe much to many. I would be remiss therefore, if I did not pay tribute to a few persons First of all, to my family who have always believed in me and my ability to achieve: my grandmother, (who taught me more than any nursing school or text book about caring): my mother; my son, Ron; my sister; cousins; and my friends, whom I also regard as my family, but tonight, my Aunt Will, Mrs Willise Robinson, who really is responsible for you having a President tonight because it was she who had a vision twenty-seven (27) years ago of my being a nurse (recount story). When even things go wrong for me in Nursing, I blame her. When they go well, like tonight, I praise her. Aunt Will, thank you for all you have done. I owe also a great debt of gratitude to Ms Hilda Bowen, former Director of Nursing (who is unable to be here tonight), who sought an avenue for post basic preparation for those nurses like myself, who had taken the decision to pursue our basic training here at home and remain to hold the fort, as it were, .Miss thank you very much. This action on her part, formed the catalyst for my academic pursuits and achievements. Finally, I would like to, on behalf of the newly elected officers and myself, thank you for the trust which you have reposed in us. You have cuased what I believe to be a good team to come into office. We pledge ourselves to prove worthy of your trust. We also, at this time, invite you to recommit yourselves anew. We recognize and accept that tonight, we have assumed an awesome responsibility but we are undaunted. We accept the

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.. J 7 challenge and look towards the future with hope. Admittedly, we have not chosen an easy part but then nothing worthwhile is easy. We are confident that we are going to achieve great things because we are persuaded that, ''We can do all things through Christ who strengthens us." Thank you and good evening. ..