Professional Engagement

 

2021

Podcast – Seekers of Meaning – The Seekers of Meaning TV Show and Podcast

Northeastern School Health Academy Leadership Institute – Presenter – School Nursing and Advocacy

Podcast – Healthcare Soothsayers with Dr. Bonnie Clipper – Robin Cogan, Nurse Influencer, School Nurse, Camden School District & Faculty, Rutgers School of Nursing.

Podcast – Outcomes Rocket – Rebecca Love & Robin Cogan The Powerful Difference School Nurses Make in Our Health

American Pediatric Surgical Association Annual Meeting – Presenter – School Based Gun Violence Prevention

Back to School Conference, Meenta, Inc. – Panelist: School Nurse Leaders on the Frontlines of Reopening 

Ohio School Nurse Association 2021 Conference – Keynote Speaker – Amplify the Voice of School Nursing

The Virus Project – Panelist: School Nurse Leaders: Hear their Plan to Reopen Schools Safely

New Jersey Education Association (NJEA) – Presenter: NJEA PSI HOPE / Facts and Updates on COVID-19 

Inspira Health – Area Health Education Center – Presented: COVID-19: School Nurses Connecting with Students During a Pandemic 

She’s On Call – Panelist Children’s emotional, physical, and educational health – Episode #35 of She’s On Call!

ACEs Connection – Transforming Trauma Virtual Film Festival -Collaborator – A year long series of trauma-informed documentaries and discussions sponsored by ACEs Connection, CTIPP

New Jersey Education Association (NJEA) – Presenter – The Importance of School Nurses in Creating Healing Environments 

PBS NewsHour Extra – Panelist – Gun Violence: PBS NewsHour Extra Educators Voice

Pleasantville, New Jersey School District – Presenter – Building Vaccine Confidence and Well-Being Check-up With The Relentless School Nurse

Podcast – School Nurse Leader Robin Cogan – Joins Dr. Ruth Oshikanlu onNurses & Midwives Talk

2020

PBS NewsHour Extra – Panelist – https://www.pbs.org/newshour/extra/2020/12/educator-voice-rebekah-jones-offers-covid-advice-to-school-support-staff-who-feel-ignored/

Educator Voice: Rebekah Jones offers COVID advice to school support staff who feel ignored

Indiana Department of Education – Presenter – School Nurse Well-Being During a Pandemic

Burlington County Professional Development Institute – Presenter – School Nurse Well-Being During a Pandemic 

Northeastern University School Health Academy – Panelist – Public Health Approaches to Protecting Youth from Gun Violence During COVID and Beyond – presenter 

ACEs Connection – A Better Normal – Guest Speaker – Education Upended with Lara Kain and Robin Cogan

HealtheVoices – Panelist –  Finding Your Purpose: Defining Your Voice and Presence on Social Media

New Jersey American Academy of Pediatrics – Presenter – Suspect Child Abuse and Neglect

New Jersey American Academy of Pediatrics – Panelist – Resilience Screening and panel discussion

American College of Surgeons -Clinical Congress 2020 – Presenter –  Topic: Firearm Violence and Children 

New Jersey Education Association (NJEA) – Presenter – Topic: Well-Being During a Pandemic

Inspira Health NetworkPresenter – Topic: School Nurses Well-Being During a Pandemic

Northeastern University School Health Academy (NEUSHA) – Summer Institute Panelist – Topic: Reopening Schools in the Midst of a Pandemic 

Northeastern University School Health Academy (NEUSHA) – School Nurse Media Lab – Co-presenter to 135 school nurses focused on how to frame the national public health issue, How to Reopen Schools Safely

Nursing Solidarity Story Circle – Participated in a story circle as an outlet for nurses to share their stories in a time of national reckoning: Nursing Solidarity Story Circle 

ACEs Connection – A Better Normal: Back to School in a Pandemic with Cissy White and Robin Cogan

Nursing Mutual Aid Inaugural #TwitterConference – Collaborator and presenter at this unique event that centered the voices of nurses. Nursing Mutual Aid Twitter Conference

Northeastern University School Health Academy (NEUSHA) Webinar – COVID-19: Recognizing Disparities during the Pandemic 

NY Life Webinar – FAMILIES  #Together@Home: Helping parents, children, and caring adults make the most of their new living, working, and learning environment . . . home!

NEUSHA Webinar – COVID-19: School Nurses Connecting with Students During the Pandemic

Podcast – RN-Mentor – RN-Mentor Podcast – Robin Cogan, The Relentless School Nurse

Podcast – American Journal of Nursing – Off the Charts: Podcast COVID-19: It’s Not Only About Hospital-Based Nurses 

Podcast – See You Now COVID- 19 The Nurse Response: School Recess

Podcast – Penn Nursing Amplify Nursing Podcast Episode 4

Podcast – Robin Cogan – Gun Violence Across Generations

Podcast – Breaking the Silence with Dr. Greg Williams

Podcast – Shift Change: Amplify the Voice of Nursing with Robin Cogan

2019

Texas School Nurses Organization (TSNO) Fall conference – Speaker – No More Empty Desks – A School Nurse’s Story of Advocacy 

Sipple Lecture – Moravian College Nursing – Keynote – Amplify the Voice of Nursing Through Social Media – Be Relentless

‘Not “Just” a Nurse’ International Network of Nurse Leaders Inaugural Online Summit – Presenter – Amplify the Voice of Nursing Through Social Media – Be Relentless  https://www.youtube.com/watch?v=xul1Dx-Ptuw&feature=youtu.be

NJ AAP School Health Conference – Co-presenter School Nurses and Pediatricians Make Perfect Partners https://njaap.org/calendar/school-health-conference/

Press Conference with Congresswoman Lauren Underwood – Represented school nursing in a press conference held by Rep. Lauren Underwood focused on gun violence and the impact on schools and students. 9/26/19. The Day the School Nurse Went to Capitol Hill

Villanova University School of Nursing – Health and Human Values Lecture: Keynote Speaker fall lecture series – The Relentless School Nurse: Creating a Healthier World For Children https://relentlessschoolnurse.com/2019/10/31/the-relentless-school-nurse-free-nursing-webinar-with-1-ceu-in-exchange-for-a-tweet/

Future of Nursing 2030 Town Hall – Panelist for the Philadelphia Town Hall Future of Nursing 2030 for the National Academies of Medicine. https://www.youtube.com/watch?v=Vv1q4M6DxKA

National Association of School Nurses (NASN) Annual Conference Breakout Session Speaker – Amplify the Voice of School Nursing Through Blogging & Social Media

NASN Conference General Session Presenter – Walking in Unchartered Waters: The ACEs Epidemic Impacting School Communities 

Aspira Health Network Presentation – What School Nurses Need to Know About ACEs and Mental Health 

NJ AAP Webinar – Pediatricians and school nurses are powerful partners. 

Guest lecture: Social Media as Narrative in Nursing Advocacy University of Pennsylvania Nursing Course: NARRATIVE MATTERS IN HEALTH AND ILLNESS EXPERIENCES

ACEs & Resiliency Workshop: 2 hour workshop for Camden City School District preschool staff

Guest lecture: Twitter as a Tool for Nursing Advocacy – UMASS Amherst School of Nursing Course: State of the Discipline

Webinar: Twitter As a Tool for School Nursing Advocacy –Northeastern University School Health Academy: NEUSHA Webinar Presenter

2018

Panelist – Building a Culture of Health Conference – A Two Generation Approach to Trauma: NJ Pilot Projects Educating about ACEs Science in the Classroom and Implementing ACEs Screening in Pediatric Primary Care

Keynote Speaker – Why I Became a School Nurse Activist – NEUSHA Northeastern University School Health Academy Face to Face Workshop. Student Safety Topics for School Professionals

ACEs presentation: St Joseph Child Development staff introduction to ACEs for preschool staff.

Presenter – ACEs Awareness Workshop – 4-hour workshop for Burlington County School Nurses Association 

Panelist – ACEs Connection 2018 Conference – ACEs as the root and result of Gun violence panel discussion

Presenter – NJ Collaborating Center for Nursing (NJCCN) School Health Leadership Showcase – shared outcomes of grant-sponsored initiatives including Community Cafe Project and Youth Mental Health First Aid.

Keynote Speaker – Acelero Health Advisory Council Annual Meeting – presented a workshop about the impact of Adverse Childhood Experiences and Adverse Community Environments to members of the advisory council.

Keynote Speaker and Panelist for Congressional Town Hall – Congressman Donald Norcross held a Gun Safety Town Hall. Congressman Donald Norcross Town Hall

Panelist, University of Delaware School of Nursing – Topic: Nursing Leading Healthcare Transformation: Emerging Roles and the Reformation of Nursing. 

Johnson & Johnson School Health Leadership Program (JJSHLP) Fall Retreat – Faculty for JJSHLP Fall Retreat, 

2017

Speaker & Panelist – Presented at the NJCCN Community Engagement Symposium about Community Cafes: Conversations that Matter. 

NJCCN presentation – Presented Community Cafe Initiative at NJCCN School Nurse Conference

NASN Conference presenter – Presented at the JJSHLP Pre-conference as well as a workshop and roundtable discussion at NASN 2017 conference.

Guest speaker/panelist Rutgers University – Health Promotion Course in collaboration with the Camden Coalition of Healthcare Providers. The Future of Nursing in Health Promotion.  Nursing Panel: Designed to provide students a diverse look at nursing practice and perspectives from seasoned professionals.

Presented workshop – Community Cafe Initiative at the Lown Institute’s Annual Conference in Boston, MA.  

Presented at NJSSNA Spring Conference – Educating School Nurses in Population Health – 

Presented at the New Jersey Nursing Initiative (NJNI) 8th Annual Conference – NJNI Grantee update 

2016

Presented Webinar:  The Keys to Community Engagement – Audience Johnson & Johnson School Health Fellows. https://sakai.rutgers.edu/portal/site/f484f1b6-b289-47b5-8fcf-61d4a9b6da02/tool/0961de12-9028-467a-9497-a1cec2c1c7aa 

Presented NJNI grant update “Educating the Next Generation of School Nurses” to 2016 NJNI grant recipients. 

Guest speaker for The National Association for the Education of Young Children (NAEYC) Winter Professional Development training.  Topic:  Ask the Preschool Nurse

Poster Presentation – Community Café Initiative at the Inaugural Conference of the National Center for Complex Health and Social Needs.

 Keynote Speaker – for the Camden Coalition of Healthcare Providers quarterly ACO dinner. Topic: School Nurses: Out of the Health Office and into the Community. 

Program Liaison – Johnson & Johnson Leadership Institute – weeklong intensive professional development training for School Health Leadership Fellows. 

Represented the Johnson & Johnson School Health Leadership Program at NASN National Association of School Nurses Conference in Indianapolis. 

NJNI Grantee: Educating School Nurses to Engage in Population Health: Out of the Office and into the Community. $200,000.00 grant to redesign Rutgers-Camden School Nurse Certificate Program.

NJHI (New Jersey Health Initiative) Video Community Café Initiative highlighted to illustrate work being done in Camden City preschools to engage parents and build provider relationships. https://www.youtube.com/watch?v=XW9YcTVD75M 

 

October 23, 2019: Sipple Lecture featured speaker – Moravian College Nursing

October 17, 2019:  Summit Speaker for ‘Not “Just” a Nurse Day’ International Network of Nurse Leaders Inaugural Online Summit 

 

October 16, 2019: NJ AAP School Health Conference – Co-presenter School Nurses and Pediatricians Make Perfect Partners https://njaap.org/calendar/school-health-conference/

September 26, 2019:  Congresswoman Lauren Underwood Press Conference – Represented school nursing in a press conference held by Rep. Lauren Underwood focused on gun violence and the impact on schools and students. 9/26/19. The Day the School Nurse Went to Capitol Hill

September 19, 2019:  Villanova University School of Nursing – Health and Human Values Lecture: Keynote Speaker fall lecture series – The Relentless School Nurse: Creating a Healthier World For Children – https://relentlessschoolnurse.com/2019/10/31/the-relentless-school-nurse-free-nursing-webinar-with-1-ceu-in-exchange-for-a-tweet/

July 24, 2019: Future of Nursing 2030 Town Hall – Panelist for the Philadelphia Town Hall Future of Nursing 2030 for the National Academies of Medicine. https://www.youtube.com/watch?v=Vv1q4M6DxKA

 

June 30, 2019: NASN Conference Breakout Session Amplify the Voice of School Nursing Through Blogging & Social Media

June 29, 2019: NASN Conference General Session – Walking in Unchartered Waters: The ACEs Epidemic Impacting School Communities

June 1, 2019: Invited to be a Fellow in The Barbara Bates Center for the Study of the History of Nursing, University of Pennsylvania School of Nursing 

May 2, 2019: Aspira Health Network Presentation – What School Nurses Need to Know About ACEs and Mental Health

April 22, 2019: NJAAP Webinar: Pediatricians and School Nurses Make Powerful Partners 

April 8, 2019: Guest lecture: Social Media as Narrative in Nursing Advocacy University of Pennsylvania Nursing Course: NARRATIVE MATTERS IN HEALTH AND ILLNESS EXPERIENCES

 March 27, 2019: Presentation – ACEs & Resiliency: Provided 2-hour workshop for Acelero staff on Adverse Childhood Experiences and implications in the classroom.

March 21, 2019: Featured guest panelist for a Twitter chat event following the virtual screening of Broken Places – through www.acesconnection.com https://www.acesconnection.com/blog/broken-places-twitter-discussion-march-21st-5-p-m-pst-8pm-est-to-follow-virtual-screening-for-aces-connection-members

March 7, 2019 –  Guest lecture: Twitter as a Tool for Nursing Advocacy – UMASS Amherst School of Nursing Course: State of the Discipline

January 16, 2019 – Webinar: Twitter As a Tool for School Nursing Advocacy –Northeastern University School Health Academy: NEUSHA Webinar

November 28, 2018 – Panelist – Building a Culture of Health Conference – A Two-Generation Approach to Trauma: NJ Pilot Projects Educating about ACEs Science in the Classroom and Implementing ACEs Screening in Pediatric Primary Care

November 23, 2018 – The Relentless School Nurse Blog selected as one of 2018 Top Nurse Blogs by Nurse Recruiter.Screen Shot 2018-11-23 at 4.52.40 PM

November 6, 2018 – Keynote Speaker – How I Became a School Nurse Activist – NEUSHA Northeastern University School Health Academy Face to Face Workshop. Public Health Issue: Firearms Impacting Student Safety in Schools

October 27, 2018 – Presenter – ACEs Awareness Workshop – 4-hour workshop for Burlington County School Nurses Association about ACES, resilience, and parenting with high ACEs.

October 16, 2018Panelist – ACEs Connection 2018 Conference – ACEs as the root and result of Gun violence panel discussion

June 30, 2018 – National Board for Certification of School Nurses – Awarded the 2018 NCSN of the year at NASN’s annual conference in Baltimore, MD.

June 16, 2018 – Presenter – NJCCN School Health Leadership Showcase – shared outcomes of grant-sponsored initiatives including Community Cafe Project and Youth Mental Health First Aid.

June 14, 2018 – Keynote Speaker – Acelero Health Advisory Council Annual Meeting – presented a workshop about the impact of Adverse Childhood Experiences and Adverse Community Environments to members of the advisory council.

May 29, 2018 – Keynote Speaker – Town Hall with Congressman Donald Norcross on Gun Safety. Video of Town Hall with Congressman Norcross

May 28, 2018 – Podcast Nursing Economics Journal: https://relentlessschoolnurse.com/podcasts/

May 9, 2018 – Received Rutgers-Camden Chancellor’s Award for Teaching Excellence for Part-Time Faculty.

April 2018Appointed to 50th Anniversary Committee of the National Association of School Nurses tasked with coordinating the year-long celebration of organization’s anniversary.

April 2018Guest Editorial, Nursing Economics Journal: NURSING ECONOMIC$/March-April 2018/Vol. 36/No. 2. http://www.nursingeconomics.net/necfiles/2018/MA18/57.pdf

March 16-17, 2018Co-Chair of New Jersey State School Nurses (NJSSNA) Spring Conference – 400 NJ School Nurses attended the 2-day conference in Princeton, NJ. As Education Co-chair for NJSSNA, I shared responsibility for planning the conference, including the design and implementation of programming for 2 Keynote speakers and 17 breakout sessions. The theme was Vision, Voice, Visibility in celebration of NJSSNA 80th Anniversary.

February 8, 2018Panelist, University of Delaware School of Nursing – Topic: Nursing Leading Healthcare Transformation: Emerging Roles and the Reformation of Nursing.

February 7, 2018NJ Statewide Preschool Annual Conference – Member of NJ Department of Education Preschool Advisory Committee tasked with creating the annual day-long conference for 225 nurses.

January 27, 2018Founding member of New Jersey School Nurse Advisory Council (NJSNAC) – Inaugural meeting. The overarching goal of the NJSNAC is to support evidence-based recommendations to promote the visibility and leadership of New Jersey School Nurses.

November 3-5, 2017Johnson & Johnson School Health Leadership Program (JJSHLP) Fall Retreat – Faculty for JJSHLP Fall Retreat, culminating event for 2016 Cohort of J&J Fellows.  Presented Community Café: Conversations that Matter, hosted viewing and facilitated discussion of two documentaries: Paper Tigers and Resilience: The Biology of Stress and Science of Hope, co-presented Mental Health Matters.

November 1, 2017 #SesameHero – Selected to by Sesame Street in Communities as a Sesame Hero in recognition for the work being done with Camden, NJ preschool families through the Community Café Initiative.

October 20, 2017NJ State Liaison – Appointed to represent NJ as State Liaison to the National Board for Certification of School Nurses (NBCSN.)

October 14, 2017 Speaker & Panelist – Presented at the NJCCN Community Engagement Symposium about Community Cafes: Conversations that Matter.

August 2017Certified Youth Mental Health First Aid Instructor – Sponsored by New Jersey Collaborative Center for Nursing (NJCCN) as one of 2 NJ School Nurses trained as an Instructor for Youth Mental Health First Aid https://www.mentalhealthfirstaid.org/

July 26, 2017NJCCN presentation – Presented Community Cafe Initiative at NJCCN School Nurse Conference

July 2017 – Debuted Relentless School Nurse Blog hosted on the NASN website. Link to example of the weekly blog post: https://schoolnursenet.nasn.org/blogs/robin-cogan/2017/10/08/the-relentless-school-nurse-meet-aunt-bertha

July 1, 2017 – Named Johnson & Johnson School Health Leadership 2017 School Nurse of the Year at NASN 2017 49th Annual Conference in San Diego

June 29 – July 3, 2017 – 49th Annual NASN Conference presenter – Presented at the JJSHLP Pre-conference as well as a workshop and roundtable discussion at NASN 2017 conference.

June 7, 2017 – NJDOH 2017 Population Health Hero Award recipient – Presented Community Cafe Initiative at the 2017 Population Health Summit and accepted Population Health Hero Award on behalf of my Johnson & Johnson School Health Leadership team.

May 16, 2017 – Inducted in NJ State School Nurse Association Education Co-Chair

May 8, 2017 – Guest speaker/panelist Rutgers University – Health Promotion Course in collaboration with the Camden Coalition of Healthcare Providers. The Future of Nursing in Health Promotion.  Nursing Panel: Designed to provide students with a diverse look at nursing practice and perspectives from seasoned professionals.

May 5-7, 2017 – Presented workshop – Community Cafe Initiative at the Lown Institute’s Annual Conference in Boston, MA.  The workshop is entitled: Harness the Power of Community Engagement by hosting a Community Cafe.  Collaborative presentation.

April 2017 – Selected by Camden County School Nurse Association for the New Jersey State School Nurse (NJSSNA) 2017 “School Nurses Who Make A Difference Award.”

March 25, 2017 – Presented at NJSSNA Spring Conference – Educating School Nurses in Population Health – 1/1/2-hour workshop to engage NJ School Nurses in Population Health principles as well as a deeper understanding of the Social Determinants of Health and the impact on student health.

March 24, 2017 – Presented at the New Jersey Nursing Initiative (NJNI) 8th Annual Conference – NJNI Grantee update

March 23, 2017 – Presented Webinar:  The Keys to Community Engagement – Audience Johnson & Johnson School Health Fellows. Link to Webinar: https://sakai.rutgers.edu/portal/site/f484f1b6-b289-47b5-8fcf-61d4a9b6da02/tool/0961de12-9028-467a-9497-a1cec2c1c7aa

March 1, 2017 – Publication in NASN School Nurse Journal: NASN Sch Nurse. 2017 Mar;32(2):83-86. doi: 10.1177/1942602X16686139. Cogan RM, Conway SM, Atkins JD.

February 2017 – Member of NJ DOE ESSA Stakeholder Focus Group – Representing NJ School Nurses at the State level.

February 16, 2017 – Presented NJNI grant update “Educating the Next Generation of School Nurses” to 2016 NJNI grant recipients.

February 15, 2017 – Presented Framework for 21st Century School Nursing Practice at the Statewide Preschool Nurses Conference sponsored by the NJ Department of Education.

January 25, 2017 – Guest speaker for The National Association for the Education of Young Children (NAEYC) Winter Professional Development training.  Topic:  Ask the Preschool Nurse

December 20, 2016 – Appointed to the Camden Early Start Advisory Committee

December 8-9, 216 -Poster Presentation – Community Café Initiative at the Inaugural Conference of the National Center for Complex Health and Social Needs.

November 29, 2016 – Invited to present Community Café Findings to the Camden Coalition of Healthcare Provider Health Information Exchange Oversight Committee Meeting – Goal was to explain the work of School Nurses and how gaining limited access to the Health Information Exchange (HIE) would positively impact the care of our students in Camden.  The committee was supportive and concluded that School Nurses can participate in a pilot project with the HIE.

November 18, 2016 – Founding member of the Pediatric Provider/Camden School Nurse Work Group. This group was formed through collaboration with the Camden Coalition of Healthcare Providers as a direct result of the outcomes shared by the Community Café Initiative.

November 4-6, 2016 – JJSHLP Program Liaison – Fall Retreat 2015 Cohort –I was both a participant and part of the leadership team that coordinated the Fall Retreat.  My team was asked to present our Community Café Initiative as part of the opening evening session.

August 2016 – One of 5 School Nurses Invited to participate in an NJNI/NJHI sponsored Writers Retreat – Manuscript Writing for Publication. Workshop retreat to be held October 14-16, 2016.

August 4, 2016 –  Keynote Speaker – for the Camden Coalition of Healthcare Providers quarterly ACO dinner. Topic: School Nurses: Out of the Health Office and into the Community.

 July 16-22 2016 –  Program Liaison – Johnson & Johnson Leadership Institute – weeklong intensive professional development training for School Health Leadership Fellows. Received Inspirational Leadership Award at culminating event.

June 29- July 3, 2016 –  Represented the Johnson & Johnson School Health Leadership Program at NASN National Association of School Nurses Conference in Indianapolis. Assisted in coordinating the Pre-conference day for JJSHLP (Johnson & Johnson School Health Leadership Program) alumni. Poster Presentation – Community Café Initiative 

 June 15, 2016 – NJNI Grantee: Educating School Nurses to Engage in Population Health: Out of the Office and into the Community. The program will be uniquely designed to address the complex and increasingly demanding health needs of students and their communities within the state. Preparing school nurses to work collaboratively in the community and providing high-quality comprehensive leadership training will ensure that they develop long-term skills that allow them to be leaders and change agents within their schools and communities. Furthermore, working across sectors in their communities, school nurses can together enact effective, sustainable, school health initiatives that impact New Jersey as a whole and improve population health practices statewide. This innovative redesign will meet the ever-growing demands of Certified School Nurses in NJ as the initial phase of the program will continue to meet NJ Department of Education Certification Requirements The Rutgers School Nurse Certification Program aligns with the Framework for School Nursing in the 21st Century as designed by the National Association of School Nurses (NASN).

June 2016 – NJHI (New Jersey Health Initiative) Video produced featuring my 2015 Johnson & Johnson School Health Leadership Team. Community Café Initiative highlighted to illustrate work being done in Camden City preschools to engage parents and build provider relationships. https://www.youtube.com/watch?v=XW9YcTVD75M

Feb – June 2016 – Appointed to a joint task force to pilot an attendance initiative between the Camden City School District and the Camden Coalition of Healthcare Providers. The focus was to provide social support to high truancy students who are also high emergency department users. The pilot program will be expanded during the 2016-2017 school year.

March 2016 – present Coordinated and Hosted 7 Community Cafes with parents of Camden City preschool students.  The purpose was to build community capacity and improve provider relationships.  Data collected was shared with the providers through the collaboration with the Camden Coalition of Healthcare Providers.

September 2015 – present – Health Advisory Board Member – Acelero Head Start AHEC committee member representing Camden City School District.  The focus was community collaboration.

July 2015 – Johnson & Johnson School Health Leadership Fellow – participated in weeklong Leadership Institute of this highly selective program providing intensive training to school nurses and their teams since 1988.