Presented at the 2004 CLEAR Annual Conference September 30 – October 2 Kansas City, Missouri

1. “GENERATIONAL ISSUES AND HOW THEY AFFECT THE DISCIPLINE PROCESS”Donna H. Mooney, RN, MBADirector of DisciplineNorth Carolina Board of Nursing Presented at the 2004 CLEAR Annual Conference September 30 – October 2 Kansas City, Missouri

2. Societal and Environmental Factors • Introduction to Concept • Why this is an Issue • Observations with Licensees • In Education • In Practice • With Discipline Presented at the 2004 CLEAR Annual Conference September 30 – October 2 Kansas City, Missouri

3. What are the Generations? • Traditionalists 1922 – 1943 • Baby Boomers 1943 – 1960 • Generation X 1960 – 1980 • Millennium 1980 – 2000 Presented at the 2004 CLEAR Annual Conference September 30 – October 2 Kansas City, Missouri

4. Generational Influences TRADITIONALISTS • The Great Depression • The New Deal • World War II • The GI Bill • Birth of Social Security Presented at the 2004 CLEAR Annual Conference September 30 – October 2 Kansas City, Missouri

5. Generational Influences TRAITS OF TRADITIONALISTS • Patriotic • Loyal • Fiscally Conservative • Faith in Institutions • Paternalistic • Strong Family Structure • Mother At Home Presented at the 2004 CLEAR Annual Conference September 30 – October 2 Kansas City, Missouri

6. Generational Influences BABY BOOMERS • Booming Birthrate • Economic Prosperity • Expansion to Suburbs • Vietnam, Watergate • Civil Rights Movement • The Kennedy Years • Woodstock • Haight-Ashbury Presented at the 2004 CLEAR Annual Conference September 30 – October 2 Kansas City, Missouri

7. Generational Influences TRAITS OF BABY BOOMERS • “Me” Generation • Flower Children • Lack of Discipline • Idealistic • Conspicuous Consumption • Questions Authority • Women’s Liberation Presented at the 2004 CLEAR Annual Conference September 30 – October 2 Kansas City, Missouri

8. Generational Influences GENERATION X • Sesame Street, MTV, “TV” • Divorce • End of Cold War • Acceptance of Drug Use • Advent of Computers • Birth of 401K’s • Acceptance of Women in the Workplace • AIDS, Crack Cocaine Pervasive • “Rap” and Violence on TV Presented at the 2004 CLEAR Annual Conference September 30 – October 2 Kansas City, Missouri

9. Generational Influences TRAITS OF GENERATION X • Techno Savvy • Culturally Diverse • Independent • Entrepreneurial • Unstructured Living – Wants their Space • Sexually Open • Defies Authority Presented at the 2004 CLEAR Annual Conference September 30 – October 2 Kansas City, Missouri

10. Fall of Berlin Wall Expansion of Technology Roller Coaster Economy Latch Key Kids Columbine (Guns in Schools) Death Keel to Social Security Multi-Million Dollar Salaries Natural Disasters Continued Acceptance of Drugs and Violence Hip Hop Women as Leaders 911 Generational InfluencesMILLENIUM Presented at the 2004 CLEAR Annual Conference September 30 – October 2 Kansas City, Missouri

11. Generational Influences TRAITS OF MILLENNIUM • Independent Thinkers • Independent Spenders • Cyber Literate • Lack of Social Graces / Skills • Health Conscious • Globally Concerned but Locally Apathetic Presented at the 2004 CLEAR Annual Conference September 30 – October 2 Kansas City, Missouri

12. What does this Mean? We have a group of Baby Boomers trying to teach traditional values and principles to a group of Generation X’ers to function in the Millennium Era. No wonder we’re so confused! Presented at the 2004 CLEAR Annual Conference September 30 – October 2 Kansas City, Missouri

13. How does the Mixing of the Generations Affect the Investigator and the Discipline Process? TYPES OF COMPLAINTS BY GENERATIONS AND PREDICTED BEHAVIORS • Abandonment • Falsification of Patient Records and Documentation Errors • Patient Abuse • Falsification of Employment Application or Documents Seeking Nursing License • Practicing with Lapsed License/Without a License • Substance Abuse • Fraud Presented at the 2004 CLEAR Annual Conference September 30 – October 2 Kansas City, Missouri

14. How does the Mixing of the Generations Affect the Investigator and the Discipline Process? DURING THE INVESTIGATION METHODS TO USE DEPENDING ON THE GENERATION • When in the Process Licensee is Notified • Gathering of Data • The Interview Presented at the 2004 CLEAR Annual Conference September 30 – October 2 Kansas City, Missouri

15. How does the Mixing of the Generations Affect the Investigator and the Discipline Process? THE SANCTION ONE SIZE DOES NOT FIT ALL • Determining Appropriate Sanction • Monitoring • Remediation vs. Punishment • Fairness and Equity Presented at the 2004 CLEAR Annual Conference September 30 – October 2 Kansas City, Missouri

16. Challenges to Bridging Generational Issues • The Generation of Most Regulatory Board Staff • The Generation of Most Board Members (The Decision Makers) • Finding Common Ground to Communicate Presented at the 2004 CLEAR Annual Conference September 30 – October 2 Kansas City, Missouri

17. Challenges to Bridging Generational Issues • Public Perception does not Lend Itself to Creativity in Fashioning Outcomes/Sanctions • Recognizing our Differences and Allowing for Varying Expressions of Satisfaction or Compromise • Board’s Authority does not Lend Itself to Allow for Creativity in Determining Appropriate Remedy Presented at the 2004 CLEAR Annual Conference September 30 – October 2 Kansas City, Missouri

18. Generational Issues and How they Affect the Discipline Process • Donna H. Mooney, RN, MBA Director of Discipline North Carolina Board of Nursing Post Office Box 2129 Raleigh, North Carolina 27602 Phone: (919) 782-3211 ext 226 Fax: (919) 781-9461 Email: donna@ncbon.com Website: http://www.ncbon.org Presented at the 2004 CLEAR Annual Conference September 30 – October 2 Kansas City, Missouri