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

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

3. Presented at the 2004 CLEAR Annual Conference September 30 – October 2 Kansas City, Missouri What are the Generations? Traditionalists1922 – 1943 Baby Boomers1943 – 1960 Generation X1960 – 1980 Millennium1980 – 2000

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

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

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

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

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

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

10. Presented at the 2004 CLEAR Annual Conference September 30 – October 2 Kansas City, Missouri Generational Influences MILLENIUM 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

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

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

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

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

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

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

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

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