All About Nursing (28)

You're listening to the BBM Global Network with 25 years in broadcast audio and video production. Our passionate team creates content and marketing for the world of Internet Talk Radio. If you've got a passion, come join us at BBMGlobalNetwork.com. The BBM Global Network, your voice is now heard.

Welcome to All About Nursing with your host, Dr. Joyce Bachelor. Executive nurse advisor, Dr. Bachelor, will present the significant role of nurses play in providing health care in the multitude of health care settings.

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

I'm your host, Dr. Joyce Bachelor, in All About Nursing. We're live on the BBM Global Network and Tune in Radio. I'm really excited this evening to have a very distinguished guest with me, who is Dr.

Patricia Jodor Wise, and I'd like to share a little bit about her background. Dr. Jodor Wise is known for her work related to continuing competence, leadership, and policy development. She's the author and editor of a leading undergraduate nursing text called Leading and Enaging and Nursing, and serves as the editor of Chief for Two Journals.

The Journal of Continuing Education and Nursing, Continuing Competence for the Future and Nursing Forum. She has taught at every level of nursing education for nursing assistant through practical nursing, associate degree, diploma, baccalaureate, masters, doctoral, and continuing education. She has served as the Dean of the Texas Tech University Health Sciences Center, School of Nursing and Lubbock, and Department Head at Ferris State College. She's the past president of the Texas Nursing Association, the Texas Nurses Foundation, the American Nurses Credentialing Center, and CGen, which is an organization that is devoted to leadership development at the graduate level.

Pat has served as an international speaker and consultant in several countries. She's also served as Treasurer of the American Academy of Nursing, was elected Treasurer of the National League for Nursing, where she is now President-elect. Pat is serving as co-author on three forthcoming books, One Related to Policy, Another Related to Leadership Development, and the Third International Nursing Education. Dr.

Patricia Wise serves on the Faculty of Texas Tech University Health Sciences Center, where she teaches in the doctoral program, and serves as an advisory to doctoral students. She is also a guest faculty at the University of Texas in Houston Health Sciences Center, where she teaches Health Policy. Pat is President of the Wise Group, which provides faculty development, especially in the area of teaching effectiveness and scholarly writing and leadership development. It is wonderful to have Pat on the show, and I think that the topic we're going to be talking about tonight, which is Healthy Work Environments, as you'll see.

And I've already heard Dr. Wise has a lot of experience in this arena. And prior shows, I've had other guests talking about the fact that we have a lot of competition right now for staffing, and the nursing shortage, and looking at the fact that there's been reported increases in burnout and compassion fatigue. And so the whole focus around the working body is really important, and Jim with past broad experiences, especially on the ANCC, which is the group that does the magnet designation, which we've talked about on some other shows, which is really a very important distinction for hospitals today, which we achieve.

So welcome, Pat, to the show. It's great to be here with you. I thought tonight that we might talk a bit about tying in with the idea of Healthy Workplaces and how we get there is part due to how we prepare people to be nurses. And the school of nursing started at PecisTech's reintegrated nursing.

And what that meant was, at one point, nurses were, if you will, whole in all of the various roles that they needed to perform in terms of nursing. And then we became highly specialized. So if you think way back to when Nightingale first started the idea of formal education for nurses, she really got her initial work through the other endeavors, but primarily the Crimean War. And when she figured out that people who did this in the work really needed direct care, it was beyond just fixing a broken leg or a gunshot wound.

It was the ongoing care that they needed. She cared that she was engaged in. Certain other soldiers were dying, which weren't. And she figured out that the difference was whether or not people were washing their hands.

It's interesting to me that that is still a hot topic all these decades and centuries later. We still are concerned about washing our hands because it's such a fundamental thing in terms of presenting infection. By the way, she invented statistics. So for people who hate statistics, you might not want to thank a nurse for that, but that is where you got it from.

So anyway, when she figured that out, she then leveraged her position in society. She was born to a very wealthy family. And so she had no hesitation to call parliament up to say, we need so many other supplies. And when had done that, people apparently was a little nervous in terms of requesting supplies, and they did.

And the health care of the soldiers in the service. And that latter example is an example of serving beyond what is your job, if you will. In other words, nothing said she had the right to parliament to get the resources that were needed, but she did. And it made a difference.

Without any one of those elements, she wouldn't have been as effective as she was. So as we think about ourselves today, whether it is us as individuals and acting all of those roles that were creating collaborative work groups, we have that potential to really create healthy work environment. And the reason we want to do that is because in addition to voting a better place for people to work, all of the research says that when you have people happier in their work, meaning nurses, and conditions to provide the care and having the resources that they need, the care is better than if all those conditions weren't in place. And it's interesting that you've raised hand-washing, since I would agree with you, it's still quite an issue that we're always working on.

But it's also interesting to hear back then that she was very much advocating and influencing which are still leadership competencies and things we work on today. Correct. And we think about in terms of Congress or our state legislature, but most of us don't have the influence that she did as an individual. So the more we act in unity, the more effective we can be for the people we serve in terms of getting the kinds of legislation that can make a difference for people.

That's wonderful. And I think as you do the research that you have been working on with your books and those that you've been realizing, are you seeing some of these same kinds of issues and trends that are coming back in terms of needing to focus once again? Because it feels like we're kind of repeating ourselves in some ways with our history. We are.

And in part, I thought I'd talk a bit about history. You know, that same as saying is when we don't understand our history, we're condemned to live it again. So here we are living it again because some of us forgot all of this behind the themes in terms of our process, work in those things. I think the justice is an example.

The idea of engaging in research, none of us is likely to go out to be a statistician or create some new statistical problem. But the idea of what we need to know in terms of statistics is really critical because it helps us figure out when we do one thing versus another for a patient. Does the one thing versus the other make a difference or not? And if it does, then we ought to study it in more depth to be sure that we are really capitalizing what we know best for patients.

And it's great that you brought that up. Last week we had a speaker, Dr. Ann Keshen from NIH was also talking about nursing research and the important role that nurses are playing. So right now this is all about nursing.

Dr. Joyce Batchley relied on the Pima Gohol at work and tuning radio and it's time for us to take a short break. America is out of control. Today's capitalism and the approach to money is in fact the symptom of a more widespread pattern of excessive behavior.

In his book, The Culture of Excess, How America Lost Self-Control and Why We Need to Redefine Success, Clinical Psychologist Dr. Jay Slosar, Poor Trays in America Where Excess Fools Will Drive to Succeed. Dr. Slosar examines the cultural factors that lead to excess ranging from obesity to fraud to pervasive budget deficits.

His book examines the powerful economic and social factors and their impact on our psychological well-being. Dr. Slosar explores the psychological impact of increasing narcissism, perfectionism, self-destruction and our identity confusion. He offers recommendations for helping generation me become generation we.

Those who resist Slosar's message will want to avoid his discussion of regulation and his recent message that at this point, democracy must be more important than today's capitalism. Get his book now online or by visiting thecultureofexcess.com. Welcome back everyone. You're listening to all about nursing, live at the BPM Global Network and tuning radio.

I'm Dr. Joyce Batchley, the host of this show and I have a very distinguished guest with me this evening, Dr. Patricia Yoderwise. And Dr.

Patricia Yoderwise was telling us about some of the history with Florence Nightgale and healthy work environments and the fact that we're still working on some of these same issues, but I can't watch anything but the amazing ability for her to be able to advocate and influence way back then and things that are still impacting us today. And I was curious, as we continue to think about the history, I think in your introduction it was clear that you've worked with all different levels of professionals in nursing, all the different kinds of ways nurses can get degrees. And we have talked in other shows about the fact that we've got so many different kinds of ways to enter. It can be a little bit confusing sometimes, but maybe it'd be helpful, Pat, if you could tell us how has nursing evolved to be where we are today?

Thank you for asking that question because a lot of people who think we should have only one kind of nursing education program, and well conceptually that makes sense in terms of we now understand this is the educational preparation that nurses have. The reality is that the diversity of the education opportunities are really what makes nursing available to so many people. And not that we don't want as well prepared as they can be, educationally, but the real key is some people can't afford either time-wise or money-wise or thought-wise to start off in a program that might lead to a doctorate degree as an example. So we have a variety of ways to enter.

The research over the recent probably 20 years I get with GAS has really supported the idea that nurses who are prepared at a bachelor's level and above really make a difference in terms of patient care. So when someone might ask, well why do we prepare all nurses in that manner? And part of that is our history because nursing education will be started in hospital-based programs. In fact, if you look back around the late 1800s, you will see that graduates of the schools of nursing seldom took positions in the hospital.

They were really employed by patients' families. Who was working in the hospital was the students. There was typically one or two nurses there who oversaw the students and the rest of the care was provided by students. Well, obviously, in that process, we realized that with the majority of nursing programs in the northeast, I think is the one with the greatest number, but they're pretty uncommon as you head west in the country.

What happened was that as nursing education moved toward the offered in a back college or university, some of the programs in the diploma program highly competitive in terms of the quality of the graduates. What we've seen in recent years is that some of those programs have some free-standing regrancing institutions affiliated with the free-standing of themselves in English and collaborative partner in nursing education. When you think back that when the first school we call today chief nursing officer, like you would go and get a bachelor's degree and then you'd be better at the best side, no, it was you were going to take on some totally different roles. So that is obviously involved because now almost every level of education is highly focused either very directly or indirectly on the betterment of care for the people that we provide care for.

And this is a good way for us to take a little break here. We are coming to you live from the BBM Global Network and turn in radio for all about nursing, and I'm Dr. Joyce Matchley. We're going to continue this conversation.

We come back. Thank you. Thank you. I'm your host, Dr.

Joyce Matchley, and all about nursing. We're live on the BBM Global Network and tune in radio. And before the break, Dr. Patricia Wise was telling us about the diploma programs and how those evolved as well as in the back-of-wariate programs.

And having been an individual graduate with the diploma program, I'm very familiar with the history of those programs. And I think it'd be great for you to continue to help us also understand why did the LPN programs really become much more popular? Well, actually they really flourished at the result of World War II because so many nurses had volunteered to go into service to World War II. And somebody needed to staff the hospitals and we didn't go back to the idea of students, so we used licensed practical nurses, or they are known in California and Texas, licensed vocational nurses.

So they filled a huge gap. But in recent years, many hospitals have decided not to employ nurses prepared in that role because of the research I mentioned earlier about baccalaureate prepared nurses really make the different, back-work and higher really make the difference. So many of the licensed practical or vocational nurses have transitioned to home care or long-term care facilities for their full talents in a full manner. So you will see many long-term care facilities that have a high intensity of nurses at that level and far fewer registered nurses.

Then about in the middle of the 20th century, in her doctorate, he created the idea of preparing a nurse in two years, or as we now know, the associate degree nurse. And again, originally, just like we've all thought we were done, no matter what level we have. Then in recent years, and in part due to a study out of the Institute of Medicine, which is now known as the National Academy of Medicine, and in part that because some educational institutions have worked together, it's a seamless move from one program to another. We also have other kinds of educational programs like a second degree program, in other words, people who don't have a history of nursing education, for people who have been veterans, and helping them transition their skills, for example, as a woman in the Army or the Navy or whatever, and being able to use those skills.

So we have entry levels everywhere from a vocational nurse all the way through master's and doctoral preparation. Those lives, too, they're just a few of those. So most of the people are prepared in a baccalaureate or lower level of nursing education. But the real key is getting those people into the right places so that their full talents are really used.

Sometimes that hasn't happened, gotten frustrated because they knew they could do more for patients, but they weren't able to in the organization, which they were employed, so they moved ahead. So when you think about how we first started out with nursing, transitioning into practice, early on, even in the last century, or even late in the last century, or maybe even yet today, nurses had like a one to two day orientation. You know, like where to hang your hat and how to get your little son a few other types of work have created with known as a residency program, maybe even a year, a planned program designed to transition a new graduate into a place of really tree-maker post-side that they emphasize in those kinds of programs about if they all make sense. For example, when I graduated from nursing school, we didn't talk about quality improvement.

Mid was really about quality improvement, but we were really very focused on patient safety. The second thing that those kinds is, and again, you might say, well, why are we focusing on that rather than things about patients? And it goes back to the research that I shared earlier that says, well, that's why we focus on a healthy workplace. The whole idea of interprofessional collaboration in patient-centered teams.

And as you might expect in a one or two year based program, and really that's because even the two years take three, three and a half years, they don't really have time to spend a lot of time talking about interprofessional collaboration. We even threw the baccalaureate level. So we need to be able to figure that out because if we don't work as a team in providing care to patients, it can suffer. And so how to work collaboratively together is really important.

And then I would add that as Sarah's evolved recently, we've seen it transition out of the hospital and into community-based settings. In fact, if you have had any encounter in healthcare other than like an annual checkup, you know that you went to some kind of a pre-standing institution, emergency room, or a pre-standing clinic, or a pre-standing surgical center, and went home the same day after something that you had that was pretty major years ago, you would have been in the hospital for weeks to death if you're in and out. And so we see how people have transitioned, so we all sort of have to be together on the same page. We've also seen the emergence of groups like, there's a group called Navigators, and these are especially prepared nurses who are designed to, they're always designed to help people figure out where do I go from here?

How do I get to the next physician or nurse practitioner that I need to see? And so those roles have evolved by virtue of the kinds of changes that have happened in healthcare. You know, as you've been describing this, I've been thinking about how, you know, trying to educate the public about nursing, it's complex because we do have so many different options, which is actually a good thing in many ways. It can also be challenging in other ways when you're describing the residency.

I remember new graduates looking at me like, why do I have to be back in class? I just finished all this schooling. And what we used to say to them is that everybody was prepared at different places, and they came to us with variations in where they were in their practice and understanding. And we wanted to help level set, and then also be sure that they knew how we wanted our practice to be in the organization they were working in.

But it's, you know, it definitely makes it more challenging when you have people coming in from various degree programs. And so right now we're coming to you live from the BpM Global Network Intune and Radio. This is all about nursing, and I'm Dr. Joyce Matchelor, host of the show, and we will be right back.

Joseph A. Morgan is the owner of ION Health, which specializes in very unique medical devices. ION Health offers biomass, alkalife, and frequency machines. Biomats are a far infrared and negative ion-committing FDA-approved medical device.

With many different sizes available, you can place them on your bed, on a massage table, or on a seat in your car. It is an unobtrusive way to health. Alkalife machines are water ionizers that cleanse and raise the alkalinity of your tap water, making high alkaline water. Frequency machines utilize certain frequencies to kill viruses and bacteria.

These devices are safe and effective. Coming from a health conscious background and studying physiology at the Academy of Natural Health, Joseph A. Moylan has 15 years of experience in the health field and wants to help you live a healthy long life. Visit www.ionhealthbioemats.weebly.com or call 765-520-2988.

Don't let your health go astray. Get in touch today. You're listening to all about nursing live from the BpM Global Network and Tune and Radio. I'm Dr.

Joyce Matchelor, host of the show, and I have distinguished guests with me this evening, Dr. Richard Shorter Wise. And just prior to the break, Dr. Wise was telling us a lot of the history of all the different ways that people can become nurses and how that all evolved over time.

I think that's been very enlightening and pretty exciting to be able to share with everyone that's listening. I think another area that I'd like to discuss with you is the component about service. How nurses really have become who they are today and how they really do take care of patients across the whole continuum of care. Maybe you could share a little bit more about that.

Sure. There's a lot of ways in which nurses extend their talents beyond their own work environments. I think about a lot of the nurses who are actively engaged in cancer or the heart associations. They know that those kind of groups really help make their patients volunteer, for example, for the American Red Cross.

And that natural disaster is to try to help out so that people there who have care, strictly on only the people that they have in their own community. And so there's a lot of groups like that. And then of course we have our professional organizations such as the American Nurses Association, which covers all registered nurse. And then we have some specifically clinically based ones such as the American Association of Critical Care Nursing.

We also have some that are focused on roles. The nurse leaders are typically members of the American organization's nurse executives. And then the last group that I want to point out in terms of how nurses volunteer at their time is that we also have what I think of as professional segments. And so we have, for example, the National Black Nurses Association to address issues that are not necessarily unique to them.

But kind of distinctive implication for them. We also have a group called Men in Nursing. And it too is very active in terms of what it does. The current emphasis, right, as a result of that instance that I mentioned, its name is the Future.

This is the last year, as continuing on, is called Nurses. And that is designed to help nurses become better prepared to serve on boards, such as hospitals and click on private boards. Because in essence through literature and through the work that nurses have actually done, we know that having an earthen on a board a very different insight in terms of a variety of issues. And I just received a book recently by Henry Ninsberg called Bedtime Stories for Managers.

And it's not exactly a bedtime story book if you know what I mean. A chapter in there called Who Can Possibly Manage a Hospital. And he talks about what the issues are for professional managers. And then he talks about what he says.

And I'm going to quote this paragraph. This leads to nurses. Their practice is often more visceral, more engaging, more engaging, more engaging, more engaging. And arguably closer to the whole patient as a person.

Moreover, their jobs are once a continuous care, more than intermittent care. Possibly are inclined to engage in more teamwork. So many nurses at least should be rather more suited to managing hospitals. But how to get the doctors to accept management by the nurses?

Of course he makes. So as I was thinking about that, I thought about the Gallup Poll. And I'm sure some people know that Gallup does a lot of polls on a lot of different things. And anyways, anyway, they have done a most tough until 1999.

And every year since then, we have ranked as number one, except 2001. Can you think about that? That basically for almost a year, we've been ranked number one. And I believe it's because patients know we are their advocates and that we make sure that whatever the patient needs is some way that we can figure out how to make it happen.

For example, you think about pets in hospitals today. That came about because we used to smuggle the patients. I mean, that's the case. That's the case.

Because we used to say they were so important to some patients. And it was like saying to them, no, your son or daughter can't do it. So if that kind of thing that I think keeps us really well connected. And some of that goes then to the next area that I talked about originally, and that is our scholarship and research.

Our original efforts was all about students. We got things logical. When you think about so few of us were prepared beyond our own period of time, we began looking at clinical areas and then trying to break some of the habits that had been well ingrained, not just in the profession, but in the whole healthcare system, in order to make a difference in terms of care. And for example, there were two major projects that happened in, I think, around the 1970s and 80s.

One was called CERN, and it was focused on people with urinary tract infections. There was one called NCAS that looked at mothers and babies and what we could do to improve their care. So we have taken on individual kinds of projects as we've moved through the profession. Then we looked at systems, and that's how magnet came to be.

It grew out of the efforts of the American Academy of Nursing and the study originally called Believers and the Stayers. And then the American Nurses Perdentialing Center created the Magnet Recognition Program. And again, the research around that says that there are certain things that when done consistently really dramatically increases the quality of the care. And so, it is an open designation.

It's interesting as you're describing this, Pat, because we discussed magnet in the past when I had Pam Cibriano on. And Sue Hasmell has also been on the show to talk about which Johnson Foundation's work around a culture of health and the future of nursing and getting nurses on boards. And the thing that still pops up in my head as you're talking is that we're still, though, unfortunately invisible in the media, which was another guest that I had on. So I think that bringing back the history, maybe there's some lessons in here that we can take in terms of how to get this all reenergized in terms of the standards around magnet.

I think that hospitals, as you know, are struggling right now trying to figure out their financials and get that research around what makes nurses want to be attracted and retained in an organization and feel engaged still holds true. But we find people are not really taking those characteristics on, which is just still puzzling to me. So this is all about nursing. I'm your host, Dr.

Joyce Bachelore. We're live on the B-Bimple Network in Tune & Radio, and it's time for us to take a short break. Sorry, I didn't. Renaissance woman, Trailblazer, Maverick.

Those are just some of the words to describe to Chandra Poulard, owner and CEO of House of Virgo Entertainment, LLC, a woman minority veteran-owned entertainment company based in Washington, D.C. Ms. Poulard served 10 years honorably in the United States Navy and departed from active duty to pursue her dreams of becoming an entertainment mogul. House of Virgo Entertainment offers script writing, producing, directing, DJ services, editing and more.

They cater to businesses, corporations, college students, working professionals, inspiring artists and nonprofit organizations and employee veterans of the Armed Forces. To Chandra Poulard is pioneering the way we view media and taking her brand global, visit her at www.houseofvirgoentertainment.com or call 281-515-3740 and like her on Facebook at House of Virgo Entertainment, LLC. Welcome back everyone. You're listening to All About Nursing, live on the B-Bimple Network and Tune & Radio.

I'm Dr. Joyce Bachelor, the host of the show. Before the break, Dr. Shorter Wise, who is my guest with me here this evening, was telling us about the scholarship and research that nurses have been involved in and the history behind that and really talking about the magnet designation and the research that was done years ago that really demonstrates what organizations need to do in order to have the right kinds of things in place to attract and retain and nurses and have them really be engaged.

So maybe you could tell us a little bit more about that and how it's really still needed today. Right. What I was talking about was that the magnet recognition, which was based on research, in other words, it wasn't just something that really was based on some research that stayed in a facility or not. And if you think about some of the research people need any kind of job, that's the same type of thing that's going on for nursing.

What's been interesting to me in the recent years is that now physicians are experiencing those same kinds of things. And I think that what we have learned through magnet and the work in nursing really well too because same general kinds of issues. And I think when we layer that on, now we were talking a bit about the issue of finances, but in addition to that, we've got all the issues, the pressures, about focusing on population health and what's called social determinants of care. In other words, trying to figure out what do we know about the communities that we serve so that we aren't just doing a cookie cutter approach.

If we work in New York City, it should work in El Paso, Texas. Now we need to figure out what our population like and what kinds of demographics are present for that particular area. They'll understand what kinds of services we want to address and how best to serve people. Thank you very much.

That's pretty awesome. I kind of like to switch just a little bit, Pat, and recognize that you are absolutely known to be a great mentor. And you have really helped individuals figure out their strengths and talents and then how you connect them to the right people so that they can really leverage their talents. And I would want to let the audience that's listening know that you've been one of my mentors as well.

And I have been very fortunate to have worked with you over a number of years and then specifically in the DNP program at Texas Tech and most recently with the creation of the CUNO Academy that has now been, this is the six year that we're starting to really focus on developing new chief nursing executives. And so can you share other examples of leaders and how do you know how to really help connect them with the right people and then some examples of what they've been able to accomplish? Sure. And, you know, let me say that I really believe we're all experts in something.

It doesn't matter who we are or what a walking life is. We all have something that we do better than somebody else. But he has them to leverage whatever that is. It is something else.

I thought about this question. I thought maybe I would give you three rather different kinds of examples of nurses and what they have done to make a difference. I would also want to acknowledge that there are so many things that happen in terms of patient care equipment and that kind of thing. That the reason it's better today is because nurses said to the manufacturer, you know what this doesn't work, there's a better way and here's what to do.

I want to acknowledge all of those nurses out there who've spoken up on behalf of patients to make something better. They've done a wonderful job of always trying to improve what it is that people have available to them. People I want to tell you about tonight are Dr. Janelle Stichardt.

She is a nurse and she was concerned about how physically taxing nursing practices, not just from the standpoint of movement, but also from whether we sit or stand or all of those kinds of things. And so she teamed up with some architectural firms, provides some advice about how to build healthcare facilities. As a result of that they're better designed. So then, first of all, if you think about it, it's not as intimidating to a patient.

If they walk into a smaller area than if they are looking down this long, long, long hallway, again have benefited patients because we've attended to the needs of the people. So Janelle has really made a big difference in terms of the design in healthcare. So share with you about Dr. Seil Travignet.

He happens to be one of our graduates from Texas Tech and he has really taken what he came to us with, which is federalable, already feels brain kind of thing. And we focus more and he has taken all that knowledge and really leveraged it in terms of the care that nurses can provide organization money. That then makes the organization want to invest more in nursing because they say, well, what a return on our investment. In his current role in California, he is coordinating all of the health stuff, just gave you about how to overcome whatever the issues might be with physicians.

Obviously, Seil has a bad way to make that work. I want to mention is Dr. Linda Eiken, when I said about all the research about educational level, that additionally she's done a lot in terms of the ways in which staff need to be assigned. In other words, how many people can one nurse provide or in different settings has really provided the foundation what nursing has done in terms of making certain that we have sufficient numbers of people to provide care and thinking about the strategies for what happens.

We might not. Nobody is left in the merge. In each of those cases, they didn't just use their talents for one purpose. I think about the idea of each of us having a purpose in life.

If our purpose is just about us, we probably do okay, but we don't do great things. But so many of the nurses that I know have a purpose beyond themselves. And so each of those people that I just talked about had a reason for being interested in something beyond what their own work involved, so that they were making it better for others. And so that you were using those talents that they had to be maybe not as influential as Florence Nightingale, but certainly to really capitalize on the talents that they had beyond simply providing care for a small group of patients.

They made a difference for a huge group. It's great that you've been able to acknowledge those three. I know there's many more that you could also describe. And Dr.

Stilte, who was actually interviewed on a prior show, so that show is still available if you wanted to go back and listen to it. He was able to describe his journey in nursing, which was just fascinating and continues to be as you just mentioned, he's doing some phenomenal work. So thank you so much, Pat. This is all about nursing.

I'm your host, Dr. Joyce Batchley. We're live on the BVN Global Network Intune and Radio, and we're going to continue this conversation when we come 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. Ms. Reeves has put her words into action through Ray of Hope, Kenya.

An international initiative that provides outreach to victims of abusive relationships there with a goal of helping them rebuild their lives and the tools to avoid abuse. Ms. Reeves operates various business interests through her umbrella network, Nella LLC, and credits her success to her diverse work experience. Whatever your goals, whether striking a balance, reinvincing your image or simply lifting your lifestyle, Pamela Reeves will help you achieve them.

Your life, your call, dial 410-901-5715 or email Pamela at PAM or EG01 at Verizon.net. She's also on the web at PAMreaves.com and on Twitter at Pamela underscore Reeves. I'm your host, Dr. Joyce Bachelor on All About Nursing and relied on the BPM Global Network and Tune In Radio.

And I have again my distinguished guest with me this evening is Dr. Patricia Wies, who has been doing a phenomenal job telling us about the history of nursing and how we've really gotten to where we are today. And what I'd really love to do is spend this last portion of our show having you talk about what you think is going to be really important for nurses in the country to be doing as you look at the future. Well, I need to keep on doing because obviously we're doing a lot of things right, but I'd like to expand our horizons a bit.

First of all, nurses exist because of the need of people for the talents that we share. I want us to think about the future and how to invent it rather than simply letting the future happen to us. And many of you might be saying, well, I didn't do that, well, I didn't either, but here's a simple way to think about it. And I suppose this model in 2011, if you can believe that, far back.

And it's very simple. Learn widely, think wildly, and then act wisely. So in the first step of learning widely, I know we're really consumed with just even a literature in our own specific niche within nursing, let alone the broader picture of nursing. But we need to pick up other kinds of knowledge with something that's totally different than what we normally read.

And see what we get from that in terms of how could I use that in nursing. So if we expand our horizons in terms of even just scanning literature and talking with people, even casually, in terms of other fields, we come away with new ideas. So the second step then is one where I think we tend not to do too well. And that is think wildly.

We're very focused on evidence-based practice and finding the evidence and then acting on it. But if we really are inventing the future, the key is there is no evidence out there about what that's going to be. And so we need to be as wild as we want to be in how we think about the future. So think of an example.

Today's emergency departments are really where people go when they have no where else to go, and they're also the pipeline of mental health care. So our key could be to figure out where can we provide care in a less expensive way to groups that really need the care and how we could go about doing that. That's just one example, but there's also the things we could invent or new approaches that we might have to patient care on a regular basis. The third step then is to act wisely.

So we might have all these crazy ideas and we might want to try them all, but it is logical to try them all. And it isn't logical to try that is really crazy. So the idea is to figure out, okay, now what we know about where we are in society today, what of all those great ideas that we just had, could we take and move forward with them? And link that with a patient we have for doing better for our patients.

That's why we exist. That's a wonderful way to summarize a lot of what you've been talking about in terms of learn wildly, think widely and act wisely. And I encourage you to describe that before and I think that's pretty exciting. And you had mentioned a little bit about how the National Academy of Medicine has now started work on 20, 20, 30 future of nursing.

And we also have been talking about how the American Association of Critical, sorry, American Association of College of Nursing and organization of nursing execs are working on the whole issue around redesigning the essentials of all of our education. And it just seems like these are again really important times for nurses to be engaged in these professional activities and to apply the principles you've been describing so that we can really create a culture of health and make things a lot better as we go forward. Is there anything else that you would like to say before we end our show this evening? Well, the one thing I would say is if you want a career, not a job, a career where everything can change and you can still carry through and feel confident that what you're doing is making a difference.

Nursing is it? Thank you for that. I would tend to agree with you. And I think that we've been describing a lot of the different shows, the very different kinds of roles that nurses are holding.

And many times people land in different jobs within the profession when they had never even dreamed that they would get there. But they had mentors along the way, as you've been doing for so many, which all of us appreciate. And I think that we just want to make sure again people know that a lot of the shows that we recorded in the past have some of the same people on them versus on boards. Coalition was also on one of the radio shows and the whole issue around being invisible in the media and work that's going on to try to change that.

So thank you so much for being on our show. Really appreciate it. You are listening to All About Nursing Live from the Vegan Global Network in Tune & Radio. I'm Dr.

Joyce Bachelors, the host of the show, and hopefully we'll tune in next week with us. Thank you. You've been listening to All About Nursing with your host, Dr. Joyce Bachelors.

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

The Ideas, Views and Opinions of this broadcast are those of the participants of the program and are not necessarily the ideas, views and opinions of the VBM Global Network Company.