All About Nursing (11)

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Welcome to All About Nursing with your host, Dr. Joyce Bachelor, executive nurse advisor, Dr. Bachelor. We'll present a significant role in nurses' play in providing healthcare in a multitude of healthcare settings.

Listen to some of today's key nurses who work in practice in academia settings and talk about the challenges they face in today's modern medical world. So please welcome the host of All About Nursing, Dr. Joyce Bachelor. Hi, this is Dr.

Joyce Bachelor. Good evening. It's all about nursing and we're live on the BBM Global Network and to and in radio. In this evening, I am going to be sharing with you a little bit about the different kinds of ways you can go back to nursing school.

And we've been talking for the last few weeks about the fact that there's a lot of different degrees someone can achieve while they're in the nursing profession and that there's different kinds of qualifications depending on what kind of job you want to really have. So I thought I would remind everybody that when I share with you initially in the first show that my experience was starting as a deployment nurse, which is a three-year program, and there are still some diploma programs open in the country, but many of them have folded. The programs were very much subsidized by the hospitals where traditionally the nurses would work once they had graduated from their program. But we moved into having more of the nursing training moving to associate degree programs and baccalaureate programs.

And so the associate degree program is where you can go back to school and it's normally there are prerequisites and then it's about two years of experience where you really get into the clinical field and get the hands-on training and come out with again associate degree. There is a movement in the country to really try to push to where we have 80% of our nurses at the baccalaureate level by 2020. And so we've really been working with the associate degree programs to really coach them to have their students understand that this is a way they can begin in the nursing profession, but it's really going to be critical for them to remember that they're going to need to return. And there's been a lot of work done to start aligning them so that they're able to get some course credits while they're beginning in their associate program that will help them bridge into the baccalaureate program.

Many organizations have started to hire associate degree nurses with the stipulation that they go back to school to get a baccalaureate degree within five years of being hired. Now you may be wondering, well, why are we pushing that? And there has been research done that shows that there is a difference that education does matter. And most other countries don't even have this kind of option available.

It's really been at the baccalaureate level only. And we're really trying to find ways for us to really get our nursing leaders, our nursing staff at the same kind of level that they need to be considering what other professionals are also doing. And so you may times may have friends that are thinking about going into the profession, and I know I coach people a lot that, in fact, for monetary reasons or time-wise, or this is a way for them to at least start and get a degree and begin to work in the profession, that it's okay, as long as you understand that you'll need to eventually go back. I kind of describe this to people by helping them know that the number of doors that you may want to have open to you while you're in the nursing field really will vary in terms of what kind of degree, what kind of specialization, what kind of certification and experiences that you get.

So you'll find that actually just recently, the state of New York has passed a legislative bill where they're going to require the nurses have a baccalaureate degree, and they're really moving very aggressively in this direction. So I think that there'll be more and more discussions happening across the country as we're really trying to look at how do we stay pacing with what other professionals are doing. Sensitivity always is, as I was, again, a diplomaner, and I have worked with many wonderful associate degree and diplomanerists who feel like this may be a way to say they're not as good as others that have a baccalaureate degree, and that is certainly not what we're saying at all. It's just trying to look ahead to the future of what we believe is going to be needed as we continue to see more and more acute patients, complexity of needs that are different today than they ever have been in the past, and that really the field is demanding people that have more of the education, particularly as we're advancing in many different ways.

And so I think that, again, there's many stellar nurses. I want to make sure people that may be listening understand that there's a lot of value placed on whatever education or to start with, but there really is a push for nurses to return to school. The baccalaureate programs really are in place for nurses, again, there's usually about two years of prerequisite work that's done, and then applying for nursing school. And the baccalaureate degree is, in fact, what we're trying to push is being the minimum.

There are many jobs that already require baccalaureate degree. If you go back and look in the history of nursing, the public health for a long time now has required nurses to have a baccalaureate degree. These nurses are working out in the public, and they're really very much independent, and they're trying to look at how to influence population health issues and have needed that additional education and training that really stresses more on evidence-based practice and nursing research and really understanding community needs and figuring out ways to really help lead changes, to really influence the health of the people in our communities. I can also share with you that the military has really been pushing in this direction for a number of years, and the Army and the Navy.

I think, I'm not sure, I think it was the Air Force had not moved in this direction in the 70s, but I know I wanted to really go into the Navy, and they stopped admitting to plome graduates back in the early 70s. And so there's already been a shift where a lot of the nurses that I went back to school with when I was working on my master's, for example, were already baccalaureate prepared from the Army, working on their masters. And so they had already been moving in the direction of having their nurses really be pushed towards having the higher degrees. And so I can also share with you that there's a lot of different ways someone can go back to school because we also have what we call alternate degree programs.

And I think sometimes we make confused people about all the different choices, but in fact I think it's a blessing because this kind of a program really allows us to have people that have had really great experiences in some other field that decide at some point in their life that maybe they want to do something different, and they have the ability with a baccalaureate degree to get credits for that degree. And the programs do vary a little bit, but there are again prerequisites that need to be met, but many times there's a concentrated effort to have nurses be able to go back to school in a condition about 18 months, and the programs will vary depending on which school you're looking at. But it's really been, I think, wonderful because we have people coming into the profession that bring life skills and experiences from other industries that I think really do help to give us an even better diversified, educated workforce. I know for example I had one young man that told me that he had been working in the IT field for a number of years, and he ended up having a family issue where he really had lost his brother due to unfortunate circumstances, and he really thought that he wanted to do something different and had watched what the nurses did while caring for his brother, and it was something that he felt like he needed to change career fields.

And I'm sure he was making really good money in the IT field, but again I don't think the money mattered as much as for him to be able to do something that he found would be very appealing and again did have other opportunities for mobility once he got into the field and had some experiences. I would say it's not uncommon to find people that really do find that maybe this job isn't as satisfying as something else, so they decide that they want to come into the profession. So this is all about nursing, I'm Dr. Joyce Bachelor, we're live on the VPN Global Network in TuneIn Radio, and it's time to take a short break.

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Joyce Bachelor of the host of the show. Before the break, I was telling you a bit about the different ways that people can enter into the nursing field. In this evening, I have a very distinguished guest with me who actually chose nursing as a second degree pathway, so it's perfect time for me to introduce you to her. Dr.

Rose Sherman is a ten-year professor in the Christine Elene, I'm sorry, Lynn College of Nursing, Florida Atlantic University in Boca Raton, Florida. She also serves as the graduate coordinator for the Nursing Administration Master's Program and Director of the Nursing Leadership Institute. Dr. Sherman received a BA in political science and a BS in Nursing from the University of Florida.

Her master's degree in nursing is from the Catholic University of America. She has a doctorate in nursing leadership from Teachers College, Columbia University, New York City. Prior to joining the faculty at Florida Atlantic University in 2002. She had a 25-year nursing leadership career with the department, I'm sorry, the Department of Veterans Affairs at my VA Medical Centers.

Dr. Sherman has authored more than 90 peer-reviewed articles and eight books, chapters on nursing leadership topics. She has received $2.7 million in extramural training and research grants to support her work in the development of current and future nurse leaders. She is an alumnus of the Robert Wood Johnson Executive Nurse Fellowship Program and a fellow in the American Academy of Nursing.

She currently serves on the Board of Directors of the American Nursing Association Nursing Leadership Institute and is on the Beryl Institute Senior Nursing Advisory Board. She's an author of a popular nursing leadership blog called www.emergingarrenleader.com, which has been designed for emerging leaders and Rose also serves as the editor-in-chief for the American Organization of Nurse Executive's Journal Nurse Leaders. So with that introduction Rose, maybe you can begin by sharing why you became a nurse. Well, yes, Joyce.

My story is going to be different from others that you have probably heard because I didn't grow up really wanting to be a nurse. I did work as a candy striker for a number of years and really enjoyed it. But I had a very different career cap in mind for myself. I wanted to be a lawyer with the intent of being a public defendant specifically.

I really wanted to work with juvenile defendants. And this was my goal from the time I was in high school. I was on the debate team and actually was pretty good at debate. I really enjoyed being forced to argue both sides of every argument and I think it really strengthened my critical thinking.

While I was in high school, I was given a Dale Carnegie scholarship by a local business forum group and later went on to compete in the Dale Carnegie National Speaking Contest in Place 11. Our high school didn't have a future lawyers club at the time, but all of us in debate were headed to college with law school in mind. So I graduated from high school and went to the University of Florida where I majored in political science as you've indicated and I loved it. It was an honors program, so I also took quite a few science courses and really did quite well in them, but never really considered changing majors.

I was accepted at the University of Florida Law School, which at the time was very competitive to get into because it was one of the few law schools that the state had. And only about 10% of my class were women in 1974. I started law school and had a revelation. I decided I did not want to spend my career doing this type of work.

It really wasn't me. I was much more geared to helping people and that began to understand was really not the focus of legal profession. I was pretty miserable because here I planned out my whole life and now didn't like the direction I was headed in. My parents were actually very upset with me.

They were both Irish immigrants with terrific work ethic and philosophy that you sold her through the bad times as Winston Churchill used to say, but I couldn't do that. Fortunately, I was married and my husband firmly believed that it was fine to change your mind. He himself was back in school to become an architect. I really don't know why or how, in looking at alternatives, I decided to explore nursing as a major.

Two of my a's had been nursing, so I'm familiar with nursing, but I decided to go and see the college advisor. And she immediately had me meet one of the professors in the College of Nursing who, lo and behold, had also dropped out of law school. And she was very inspirational. To me, she was smart, she was encouraging.

I really felt that nursing could be a good thing for me. I had excellent grades and really only needed a few additional core courses and was then admitted to the BSN program. Now, at the time, there really weren't any alternate entry programs to nursing like you were talking about at the beginning of the show. You did the whole BSN program, but I never looked back.

It was the smartest decision that I really ever made. And it gave me a great deal of confidence about trusting my intuition, which really has always served me well. Now, I was fortunate to have a supportive husband because there were many naysayers and the law school was really not happy with me for dropping out of the program. It was one of the few women in the program, and I appeared to have good potential.

So I'm one of those people, Joyce, that you talked about at the beginning of the program. I started out in one career track and then switched to nursing. So Rose, that's a great story. And I'm just curious.

We may have some listeners out there that are currently working in fields that may not be of as much interest anymore and maybe thinking about transitioning into nursing. What advice would you have for them? Well, you know, I'm feeling way into nursing. I really didn't have any idea what incredible opportunities really existed in this profession.

I look at my own career where I worked as a staff nurse, a nurse leader, a writer, a speaker, a journal editor, and an educator. And I truly believe that there really is a place for everyone in this profession. And I also believe that you can build on talent. Regardless of what those talents are, you can build on talent that you've gained in other fields.

Now, unlike the experience that I had when I went back to school, we now have alternate, alternate entry programs, which I'll talk about a little more in a little while. But, you know, I would say don't be afraid to try something new. It's truly almost never too late. But the guidance that I have heard is that it takes you about five years to really acquire the skills and education to switch and transition to a new field.

And I'm sure that some of your audience out there, Joyce, is really intrigued by what they've heard from you. But nursing is really different than the public may think. There's real career growth in this profession and many opportunities. You know, but one thing I've been doing a lot of reading recently about robotic and artificial intelligence and where I think it will definitely have a huge impact in nursing.

You know, nursing is a career that is not going to be outsourced overseas. And although AI and robotics will have an impact, I don't think it's going to impact the job growth in nursing to quite the extent as it will in other professions. That's interesting. And I was just curious.

You've been, you spent about 25 years working for the Department of Veteran Affairs. What did you learn about caring for veterans from that experience? Well, I was in nursing school. We had two clinical experience.

I had two clinical experiences working in the medical center. And when I began at work in the medical center, I really felt like I found a home. I really enjoyed talking and working with veterans. Now, at the time, my husband was an active student in the military.

In fact, he was a career military officer for 26 years. And my father-in-law was a former prisoner of war. Well, I was very aware of, I was aware of veterans issues. I also knew that, you know, my husband's plan on staying on active duty.

And Rose, I've been here in Texas. Rose, I'm sorry, but we're going to need to take short breaks. So we're coming to you live from the Beebein Global Network and TuneIn Radio for all about nursing and Dr. Joyce Bachelore will be continuing this conversation.

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Joyce Bachelor, and I'm all about nursing and we're live on the BBM Global Network and Tune in Radio. Before the break, Dr. Sherman had started telling us a little bit about her career, having worked for 25 years with the Department of Veterans Affairs. So Rose, can you continue to tell us a little bit more about that experience?

Well, you know, I started as I had mentioned before the break. My husband was on active duty in the military. So I knew that we would be moving around the country and the Department of Veterans Affairs had 172 hospitals nationwide. So it really seemed like a pretty good career plan for me to go to work for the VA.

I started working at the Miami VA Medical Center right out of my nursing program. And at that time, that was in the mid-70s, our veterans were not as ill as they are today. Most were either World War II or Vietnam veterans. In my early career, the Vietnam veterans had many problems with PTSD and drug use.

And I think people that lived here that know that they were treated differently when they returned home from war, and that was very evident in their adjustment. What I really absolutely loved about the VA was the mission. It was really very clear where our mission was, to care for those who served. The staff that I worked with in the VA across my 25-year career were very professional.

There were never enough resources. The veterans really loved us. They absolutely loved the staff, and we loved them like family. It really was a very different feeling than many of my nursing colleagues had in other environments.

My husband used to tell everyone they had to watch his closet because when we had veterans that were homeless, I give them his clothes. I really believed in taking care of our veterans. I know that the professional staff is trying to do their very best work in a very difficult situation. The needs of the Iraqi and Afghanistan veterans have really overwhelmed the VA, particularly in the area of mental health.

While some of our politicians may talk about outsourcing care, if you talk with any veterans group, you will hear their support for VA staff and resistance to decrease funding for the VA. I've heard that too, and I've also had people that, like you, have worked in the VA or have had experience being in the military and understanding that there are very specific kinds of needs that are available. There's probably education that needs to happen in the civilian hospitals that may back to have some veterans admitted to them because they don't necessarily understand and appreciate how to really help them. That's really very interesting.

Thank you for sharing that. I'm curious. At what point did you decide to move into a leadership role because it sounds like you certainly were doing phenomenal work as a staff nurse? Interestingly, as much as I love leadership now, I was hesitant to move into leadership initially.

I went back to graduate school for my master's degree. It was more clinically focused. I really loved working with patients and staff. Yet, increasingly, I really found myself being drawn into leadership activities.

I took my first leadership role because my husband was actually transferred, and that was all there was available at that VA Medical Center. Being a head nurse, which was the term for manager, then on a very busy medical unit, was very challenging, especially during the first year. It was a teaching hospital, and the unit had 59 beds. Like many new managers, I felt like I was drowning every day the first year, but then something really remarkable happened.

One day our chief of medicine came to visit me, and he told me he didn't know what I was doing, but every medical intern in resident was requesting to be placed on my unit. I'm sure that part of that was that we had a fantastic staff who I encouraged to take ownership of what happened on the unit. I also believed it was because we oriented physicians to our unit. We had no hesitation in teaching them the right way to do things, so it was to let them know they were making mistakes.

I really saw the power in nurse leaders to be true advocates for patients. As an example, one day a resident made a mistake in patients care and family curious, and there was really no change in their mind. I talked with them, but they wanted him transferred. I told them I understood their feelings and if this is what they really wanted, we would do it.

I called our medical center director and I spoke with him, and he said, is there anything we can do to make this situation right? I said, what I think we can do is pay for the ambulance to take into another facility. That's what we did. The family wrote to the medical center director and told them in their letters that all those things hadn't worked out.

We felt like they'd been respected and listened to. As a leader for almost 25 years, I really knew I could make a difference for both patients and staff. The lead that working for the VA was one of the best career decisions that I ever made. You were ahead of your time and Kudos to you for really looking at the interprofessional needs and realizing back then too that we have to make sure everybody on the team is really working well together.

That was a great example. I'm curious. When did you decide to transition into an academic role? That was a big change.

I was working in New York City at the Manhattan VA Medical Center and I finished my doctorate and began teaching in an adjunct professor role. I have been received transfer orders to Seattle. I had a unique opportunity to go on faculty full time at Seattle University as a VA employee as part of a special program that the VA funded at the time to combat the nursing shortage. I loved teaching from the very beginning.

I knew I was good at it, but I was still very drawn to the VA. I was no way that I could give up working with our veteran patients. If you fast forward my career about nine years, I was approaching my 25th year with the VA. For the first time in my career, some of your listeners probably had this experience.

I worked for a very toxic boss and it was extremely difficult. For four years, I was pretty frustrated and unhappy with his approach. I'm pretty talented at the decisions about people. I began to realize it was time for me to move on.

It took me a long time to realize it, but I did. I talked to the Dean at my current university and she encouraged me to think about a full time academic position. I retired from the VA and began full time work as a college professor. It was a great decision that I never regretted.

I really had to start from the very beginning because that was a whole new career pivot for me. In looking back, having not had that toxic boss, I probably would not have done that. I'm a real big believer in the connectedness of things and that there's reasons why things happen. Regardless of how difficult they are at the time, they can really be transformation.

As it goes with that saying, when one door shuts, many other doors may open. I think that's a really great example for you to share with us. We are coming live to you with the BBM Global Network and in radio. This is all about nursing and Dr.

Joyce Bachelor, the host of the show and we will be right back. Certified professional coach Pamela Reeves can help you with your relationships. Motivational and image coaching are just some of the ways she can help you enhance all aspects of your life. Her book, Is It Love or Merely A Sick Attachment helps readers clearly distinguish healthy, loving relationships from toxic ones.

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Joyce Batchler, the host of the show. Prior to the break, Dr. Sherman was telling us about her transition into academic setting, and a lot of that had been precipitated by having an experience of working for a very toxic boss, which I'm sure as Rose said earlier, many of us have had the similar experience. I'm sure that lucky for us that we had Rose move into the academic role because I'm sure her students have been able to really profit from having the experience of learning from her.

So maybe you can continue to tell us a bit more about what that transition was like, how you prepared for it, and anything else you'd like to share about that? No, it's interesting, Joyce, today I had a phone call with a nurse that is being down, she's a research scientist at a medical center, and they're downsizing their research department. And so she's looking at moving into an academic environment and has any questions about how to do that. And so it kind of gave me an opportunity to really think back upon my own experience because any time that you make a major change, and from one area, and the practice setting is much different than a university setting, you've got to really think through what the new skill sets that you need might be in making that move, and what you need to do to kind of prepare yourself.

And I thought the first thing was that I learned that even though I was a very senior executive leader in the VA, when I went into the academic setting, I was really just really a novice. And so I had to be respectful of that, that I was really restarting a career in a different direction. And there were a couple of areas, I knew how to teach, I was a good teacher, and I knew that that would not be a challenge for me. But in university, there was also an expectation that you will do research and you will write.

And those were really two new, very new skill sets for me. So I had to, although I had done some research as part of my doctoral program, I had to go back and really re-teach myself how to do research. And I'd only written one article while I was working for the 25 years in the VA. So I knew that learning to write and write well would be an important skill set.

So I am a real learner. I just put myself to work, I ask a lot of questions, I look at the best in the field, I figure out how I'm going to do it, and I think a lot of learning how to do research and learning how to write, to some extent, is just a lot of practice. And that's what I did over the years. I find it so hard to believe that you had not published one article in your 25 years with the VA.

When I look at the number of articles and things that I've seen your name on, that's pretty amazing. My graduate students just laugh and laugh and laugh about that when I tell them that story. I always tell them, if I can do it, you can do it. That's great.

So you've actually been in a wonderful position working with alternate entry students. Can you tell us a bit more about the work that you've been doing with them? Yeah, we said we get back to talking about how your listeners who are thinking about nursing could learn more about alternate entry paths. Right now I'm a program director of a nursing administration and financial management.

It's a master's program. So my students are all are in at this point in time, but many did not start in nursing. And we have these conversations all the time about how they can leverage what they learned in a previous career and apply it to nursing. Now my recommendation is that if you're out listening and you think that you're interested in becoming a nurse, if you have a bachelor's degree in area other than nursing, C-Quit is called an accelerated bachelor's degree program.

These programs are usually 12 to 18 months and you graduate with a bachelor's degree in nursing and eligibility to sit for the nursing exam. I think as Joyce mentioned at the top end of the show, there's also an associate degree nursing pathway, but most employers today are really looking for backaloriate prepared nurses. So if that would not be my recommendation, if you have the option to go through a bachelor's program. Now the good news is we currently have nursing shortages in many areas in the US.

So it could be possible that a hospital system might completely fund your bachelor's education in exchange for several years of employment. The downside is that nursing programs usually require full-time attendance. So you really can't work full-time in the 10 school full-time for your basic nursing education. You can do this at the graduate level, but you can't do it at the basic nursing level.

Let me tell you about some of the students that I've worked with over the years. I came into nursing as a second career. I currently have a graduate student that is a certified public accountant for seven years, but never really enjoyed it. And she went back through an accelerated degree program.

Now today, she's managing a very large surgical department. Interestingly, her CPA has been invaluable because she's accountable for a very large budget and vector budget, close to $15 million. So she's really managed to leverage her skills and tells me that's probably the reason why she was able to get that leadership position. I had another student a number of years ago who was director for AOL at the time for their French operation.

So she's actually headquartered in Paris, and she directed all of AOL's operations in France. Now she had a software engineering degree, but was very unhappy in her work. She went back through an accelerated degree program and later went through my master's program. Today, she is a vice president for clinical informatics, and these are the folks that manage all of their electronic health records for our large health systems.

She tells me that her work in her previous leg really set her up, but it's career opportunity. She has quite a range of responsibilities in her role, but she's well prepared to do it with her software engineering degree. I had a student today who, unlike me, finished law school and practiced for a number of years, but didn't feel fulfilled. She went back to an accelerated degree nursing program, and today she's a quality and risk manager for a very large health system.

And you can imagine quality and risk management. Her legal education has really been invaluable. These are just a few examples of how you can leverage what you bring into nursing in nursing. Those are all really, really great stories.

Thank you for sharing that. This is all about nursing. I'm your host, Dr. Joyce Bachelor.

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Joyce Batchler, the host of the show. Before the break, Dr. Sherman was sharing with us some great examples of people that have had a field of interest and come back into nursing as a second profession. I was just curious because lawyers and CPAs, what were some of the prerequisites that they needed to really work on in order to transition into an alternate entry program?

Well, that's a really good question because in some degree programs you might not have the science coursework that you might need, like biology, chemistry, anatomy and physiology. Those are typical prerequisites. What I recommend, Joyce, is that if you are interested in perhaps applying to a nursing program, all of the programs have advisors. Usually what the advisors like to do is look at a copy of your college transcripts of all the courses that you've taken and then they can kind of do a gap analysis to see what prerequisites you might need.

It could be just a couple, it might be more than that. It's good to get a really early start on this because these programs are very competitive. They get lots of applications and you need lots of lead time to complete the courses that you need to really just keep it applied for them. That's wonderful.

Thank you for sharing that. I kind of like to switch and talk a little bit about the incredible role that you have as the editor of Nurse Leader. Can you describe how you became the editor and some of the responsibilities you have in the role? Well, I think that as I mentioned, I had written only one article when I left the VA after 25 years.

So it doesn't seem like I would be the world creative candidate for the editor of the journal. In fact, if you'd asked me 10 years ago, if I'd be editor in chief of a journal, I probably would have said no way. But the truth is that sometimes others see things and you that you don't see in yourself. And I've always been a good writer.

And once I really began writing in my academic career, I did quite a bit of writing and had personally written many articles. About eight years ago, I met and became very close friends with Roxanne Spitzer who was then the founding editor of Nurse Leader of the Journal, which is the official journal of the American Organization of Nurse Executive. She invited me to join her editorial board, which has many prestigious nurse leader members. And I served as the guest editor on a number of issues for the journal.

And about five years ago, Roxanne told me that she would be retiring a few years and indicated that she wanted me to take over the editor role. Now, I asked her why me. And she told me that not only was I a good writer, but she felt I was pretty unconventional in my thinking. And she liked that and felt that that's what was needed to move the journal forward.

She mentored me. And I'm now in my third year as journal editor. And Roxanne, I'm happy to say, has remained with us as the emeritus editor and still continues to write columns. I and myself have always been an avid reader and fascinated by the publishing business, which this is another career pivot for me.

So it's really taking time to learn about the publishing business. Our publisher, this journal, is Elsevier, which is one of the largest journal publishers in the business. They publish several thousand journal globally and actually have great resources for their editors, according to their online publishing campus. So you can really learn how to be an editor through taking their online courses.

I didn't know they did that. That's wonderful. Because I think for listeners to understand too that nurse leader really is one of the journals that a lot of nursing leaders really do read because of the quality content and all that. So that's wonderful.

I think another piece that I would like to share a little bit more is about the blog that you created for nurse leaders. Can you tell us more about that? Yeah. Before I talk about the blog, let me just because people might not really know what editors do, what their responsibilities and the role are.

And because it is so interesting. And I think what they say in the publishing business is you're always working against the deadline. It's really true. You either have an issue in press or you're moving toward press.

And as an editor, part of my responsibility is overall accountability for the quality of the journal. And because it's the official journal of the American Organization of Nurse Executives, nurse leaders are obviously our target audience. And so I'm responsible for these readers to give them good content that will keep them updated and the information that they need to apply in their leadership practice. So as editor, I usually do the first and probably last review of every article that's published.

This journal is editorial board review. So our board does the peer review of the articles. And when I look at articles, what I'm looking at is what they'd be of interest to our readers and are they well written. You know, we get a lot of articles, Joyce, that are submitted on topics that really aren't new information, nor are they relevant to leadership.

So I'm accountable. And this is hard sometimes to say no when this is the case. I also have the responsibility to write an editorial for each issue and work closely with our managing editor on any copyright and copy editing issues. And of course, we present all of our publishing data each year to the board of AOE.

I think one of the best parts of being an editor is to reaching out to leaders who are doing great work and just asking them simply to write about it. And some tell me that without being pushed, they probably would not have written about their work. Now, one thing that made it easier to become an editor, I think, was the whole concept that I did have this plot. And how it started was about nine years ago, I was sitting on an editorial board of a journal, and I'd written several editorials for the journal, guest editorials.

And the editor of the journal asked me to write another guest editorial. And then she refused to publish it because she felt that it was too controversial. And it was that really concerning because I felt it was an important piece of work to get out to nursing. And there was nothing in the work that was not true about what was happening in healthcare environments and how it was impacting nursing.

And so I wasn't really happy about her decision. And a short time later, I attended a program about blogging, which you think about nine years ago, it was still relatively new at that time. But I thought about it and did some due diligence and decided to kind of take the plunge. And I knew if I had a blog, I could control the content and hopefully educate particularly our younger nurse leaders.

So this November, my blog, which is Emerging RN Leader, will be eight years old. And I've written 500 to 700 word blogs twice a week for eight years. So that's a lot of writing. And so not only has it made me a better writer, but it really forces me to stay on top of everything new in healthcare and leadership.

That's quite a large number of subscribers to tell me sometimes that they feel like I'm a clairvoyant because I'm addressing the issues that they're experiencing real time. Now writing a blog does cost me money to do this, but for me it's an investment in nursing and I am really extremely proud of it. That's awesome. This is all about nursing.

I'm your host, Dr. Joyce Bachelor. We're live on the BBM Global Network in Tune and Radio. We'll continue this conversation when we come back.

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And I'll be glad to help you move forward to live the life of success. Reach your dreams, your goals, your objectives. We can do it together. I'm your host, Dr.

Joyce Bachelor on All About Nursing, we're live on the BBM Global Network, Intern and Radio. Prior to the break, Dr. Sherman was telling us about a blog she created and has been writing now for eight years, which is just an incredible accomplishment. I also know that you have really done a lot of work to become certified as a strength-based coach.

Can you tell us a little bit about why you decided to do that? Yeah, Joyce, I've always been a big believer in a strength-based approach to leadership. Sure, you know, when there are problems and weaknesses, we need to address them. But the truth is that our greatest learning and achievement is ultimately an area of where we're talented.

So about a decade ago, I began using the book by the Gallup Corporation, Strength-Based Leadership in my courses. And when you purchase really that book or any of the Gallup books, new, it includes a code that allows you to take the strength assessment online. Now, interestingly, for many of my graduate students, when we went ahead and then when we evaluate the program, they tell us that learning about their strengths has really been a highlight of their graduate education. Because it really enables them to really learn more about themselves and really figure out how they can leverage the talents that they have in their work.

And that's important. About four years ago, Gallup began a strengths-coaching certification program. And I was using the assessment so much in my teaching that I decided to make the investment in really learning more. And I've become somewhat of an evangelist in believing that the strengths really does help people to gain insight into not only how they can work best, but how they can live their best life.

And right now, it's pretty amazing, Joyce, but over 19 million people globally have taken the strengths assessment. So Gallup has great data on how strengths can benefit an organization. Specifically, I think in the area of employee engagement, they have some pretty incredibly convincing data that if people do know their strengths and work, and work in an institution where they use their strengths, they're far more engaged in their work. So coaching is something that I have really enjoyed doing as part of my teaching, and I think my students tell me I'm very good at it.

So that's how I made the decision to go ahead and get certified as a coach. So we have just a couple minutes left, and I'd like to have you just highlight that you're going to be writing a new book for nurse leaders. Can you just tell us quickly about what you're going to be containing in that book? Right.

I think the book is really an outcome of what I'm learning about the power of coaching and the leadership approach. And I titled it the nurse leader coach, Become the Boss Knowing Once Delete. It's been published in January 2019. And the reason that I'm writing the book is because what nurses expect from their leaders today is changing.

We're past the days of community control leadership where staff are supposed to be grateful because they have a job. Today's nurses really want their leaders to be coaches who will help them learn and grow as professionals. And I think that the nurse leader and this is something that you've talked about with all of your guests is really the Lynch Pen in staff recruitment and retention. And when nurses don't receive coaching and feedback that they desire, they'll leave organizations as really evidenced by the high nursing turnover that some of the health systems are really experiencing today.

The coaching is a different approach to developing staff. So you don't wait until annual reviews to discuss areas in need of improvement. You really take the time to understand the motivations of individual staff and really enable their best performance and encourage their success. So the goal of the book is to help nurse leaders to really shift their mindset from a more traditional management approach to one that's more aligned with what our contemporary workforce wants, which is a leader coach.

And you really can't do that without providing them with skill sets. So that's the goal of the book, Joyce, to provide readers with skills and resources to do this. That's really wonderful. I was remembering that you make the decision to leave the VA system because of a toxic boss.

And I'm really happy that you had that toxic boss rose because the kinds of things you've accomplished since you've left them have been very beneficial to nursing. So thank you very much for being on the show and for sharing all of that. You all are listening to All About Nursing Live from the BBM Global Network in TuneIn Radio. I'm Dr.

Joyce Bachelor, the host of the show. Please tune in next week for another wonderful opportunity to hear more about nursing. You've been listening to All About Nursing with your host Dr. Joyce Bachelor.

Tune in each week and get a daily dose of nursing and the healthcare services they provide and how nurses are finding innovative ways to address the key healthcare issues they're facing today. Here on Dr. Joyce Bachelors, All About Nursing. You've been listening to the BBM Global Network.

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