* Editor's note: At the time of this interview, Phyllis Kupsick was President of the WOCN Society. Phyllis' presidential term ended on June 10, 2015, and she has now assumed the role of Immediate Past President.
From continuing education to certification preparation and public policy advocacy, the WOCN® Society™ offers a wide range of benefits to its members, who span the globe. In this Q&A, we speak with Wound, Ostomy and Continence Nurses (WOCN®) Society™ President Phyllis Kupsick, MSN, RN, FNP-BC, CWOCN, about the benefits of the society and how it can help nurse practitioners interested in the field.
In fact, Phyllis may be testament to how the society supports nurses. She has been an active member since first becoming a Wound Ostomy and Continence (WOC) nurse in 1993. Not only was she active in her state group for several years, she afterward became part of the SouthEast Region WOC group, holding several different positions on their board. After that, she assumed her first position with the national WOCN Society as Professional Practice Chair.
“I have been fortunate enough to have moved through the ranks to serving currently as the President of the WOCN Society,” she said. “I entered the nursing profession in 1975 because I was looking for a profession with growth opportunities. My basis background in nursing was medical/surgical and I was introduced to the concept of WOC nursing during that time.”
Her interest was in working with patients who had issues such as ostomies and difficult-to-heal wounds. With the support of her chief nursing officer (CNO), she was able to pursue this interest, and her work as a WOC nurse eventually become the stepping stone to future education as she realized that to function more effectively and autonomously, she needed to become an NP. As a result, she is board certified as a Family Nurse Practitioner as well as a certified WOC nurse.
As with most nursing societies, the founding WOC nurses (then known as Enterostomal therapy, or ET nurses) were seeking a method of sharing information and networking with like professionals. It has evolved over the years to be a primary source of continuing education for its members.
WOC nurses serve patients from neonatal through geriatric. Any age group can have wounds, ostomies or continence issues. We work in acute care, home care and extended care facilities, as well as outpatient clinics and private practice. We also have members who work in the industry. We work with patients whose disease processes have resulted in the creation of an ostomy, such as Ulcerative Colitis or Crohn’s disease, who have non-healing surgical wounds due to any number of complicating factors, who have developed pressure ulcers secondary to some condition that has impaired their mobility, etc. The extent of possibilities is unlimited.
Our membership is roughly 5,000 strong with a growing number of our members seeking higher levels of education. We have about 400 members who list NP as one of their credentials, but that number is growing. And we have increasing numbers of WOC nurses who have, or are working on, their doctoral degree. Entry level for the WOC Nurse Education Programs is a BSN and we have nurses who have worked in nearly every avenue available for nurses.
Our WOCNEP (Wound Ostomy and Continence Nurse Education Programs) provide complete education to prepare those successfully completing the program to sit for certification. These programs include both didactic and preceptorships to allow participants to gain hands-on experience. Any nurse holding a bachelor’s degree or higher can apply to one of the WOCNEP programs. There is an experiential pathway for nurses who meet certain criteria and information about that pathway is available on the WOC Nurse Certification Board webpage.
The WOCN Society and the WOCNCB are two separate entities with separate boards of directors. Nurses can choose to take the complete WOC nurse preparation courses (wounds, ostomy and continence) and sit for the tri-specialty certification (CWOCN) or may decide to sit for one or more. The following certifications are available through the WOCNCB:
As stated above, quite a number of our members combine the knowledge they have gained through WOC nurse education with advanced practice education to allow for more comprehensive management of our patients. Many of the health conditions that are treated by WOC nurses are more prevalent in the geriatric population. In fact, in my personal practice as a primary care provider, I found myself seeing patients referred to me by my partners for conditions that they felt inadequate to treat, such as complications of an ostomy the patient had had for many years; skin eruptions that caused wounds; incontinent patients who needed treatment; etc.
In addition, many of the practice guidelines developed by the WOCN are of benefit in daily practice for NPs. Among these are our Lower Extremity Arterial Disease, Lower Extremity Venous Disease, Lower Extremity Neuropathic Disease; and Pressure Ulcer Prevention and Treatment. These guidelines provide evidence-based information in differential diagnoses, diagnostics to determine etiology and treatment options.
As well, our continuing education offerings address many of the conditions seen by physicians and NPs in most primary care settings. This information can assist the provider in beginning treatment, while arranging a referral or in managing less complex issues more appropriately.
The Journal is one of the more advantageous benefits to any NP. The research articles and feature stories provide resources for work with patients. Our conference is also a benefit as NPs can select areas of interest that will have greater impact in their practice settings. The conference is broken into concurrent sessions for Wound, Ostomy or Continence tracks with leaders in these areas, whether WOC nurse, physician/surgeon or any other health care professional, presenting the latest and greatest in their area of expertise.
While planning our 2015 conference, particular attention was paid to bringing in speakers on subjects impacting both our own Advanced Practice WOC nurses and NPs. These tracks are clearly marked and carry ANCC (American Nurses Credentialing Center) approved-subject matter for the level of practice. It is the Society’s intent to continue this trend into all future conferences to meet the needs of a growing number of APRNs.
The WOCN Foundation is an arm of the Society that falls under the guidance of the Center for Clinical Investigation. The Foundation supports efforts for evidence-based practice research through a Member’s Grant given yearly. The primary investigator must be a WOCN member in good standing and must submit a research proposal for consideration. In addition, the Foundation provides financial support for scholarships for WOC nurse education or advanced education, for a MSN or higher, for a WOC nurse. Scholarships, screened by the Scholarship Taskforce, are given twice yearly to deserving applicants.
The WOCN Society is a primary part of my life as a NP and a WOC nurse. The resources it provided, as a member, have aided in my growth as a strong practitioner with unique, marketable skills. I rely strongly on the educational offerings to keep me abreast of changes in technology and therapeutics that impact my practice. And our network of clinicians assures me of a ready resource when needed.