All About Nursing (41)

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Welcome to All About Nursing with your host, Dr. Joyce Bachelor. Executive nurse advisor, Dr. Bachelor, will present the significant role nurses play in providing healthcare in a multitude of healthcare 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. So please welcome the host of All About Nursing, Dr. Joyce Bachelor. Good evening.

I'm your host, Dr. Joyce Bachelor on All About Nursing and rely on the BBM Global Network and Tune in Radio. This evening I have a distinguished guest with me and I'd like to tell you a little about Dr. Alicia Georges.

Dr. Georges was elected by the AARP Board of Directors to serve as the AARP's National Volunteer President from June 2018 to June 2020. The President's role is filled by an AARP volunteer who is also a member of the Volunteer Board of Directors. The primary duty of the President is to act as the Principal Volunteer Spokesperson and liaison between the board and those at AARP serves.

The 50 Plus and AARP's members and volunteers engaging with these groups to promote the mission and strategic goals of AARP and to hear their perspectives. In addition to her duties representing AARP, Dr. Georges is a professor and chair of the Department of Nursing at Lehman College and the Graduate Center of the City University of New York. She's President of the National Black Nurses Foundation.

She previously served as a staff nurse, team leader, supervisor and district manager for the Visiting Nurse Service in New York. She serves on the Board of Black Nurses Women's Health Study and RAIN. She earned her undergraduate degree from the Seton Hall University College of Nursing, her Masters in Nursing from New York University, an Doctoral Degree in Educational Leadership and Policy Studies at the University of Vermont. I'm really excited to have you on this evening.

So welcome. Thanks for having me. So I would like to start off by having you tell a little bit about when and how you decided to become a nurse. Well, I was born in St.

Thomas, the United States Virgin Islands a number of years ago. And one of my greatest role models was a nurse midwife who also happened to be my godmother. And coming from an island in the Caribbean, nurses had such a leadership role in our communities. Everybody knew, and I would call her NEDI forward, who was the nurse, who went to people's homes, who delivered the babies, who were there to be sure the mothers and the family members were fine.

We also had a very well now, I can look back and see a very well structured public health nursing system in our island. Nurses ran the hospital, they ran the clinics, they made the home visits, and I always like their uniforms. I just thought I would like to be one of those when I grew up. That's wonderful.

Can you share some highlights of your career? Well, there's been a few highlights that I think about a lot. One is when I graduated from Seton Hall University back in 1965, I'm not sure how long I've been out of college. And coming to New York, I hadn't lived in New York, again coming from an island, I lived for four years out in oranges in New Jersey, and then coming to the Bronx in New York, and being able to really have an opportunity to impact lives.

I was just exponential, impact lives here in the Bronx, and taking care of families. In those days, you did everything in community and visiting nurses. A newborn to a person who may have been dying this before all the well-organized hospice. The other was things like meeting some really fabulous people, like Dr.

Mary Elizabeth Carnegie, who I used to read for the journal of research. I mean, I met her and I was blown away by this fascinating woman. And people like my men who later became a mentor of mine, and people like Mary Gloria Smith and Rita Dumas, and my folks from NYU, Erle McGrace, Martha Rogers, those folks. I just thought, you know, you read about them, and then you got to, you could touch them, you could listen to them, you could come close, and just stuff things with them.

And then some of the other things was really taking over, not taking over, but becoming a leader in some of the professional organizations, being the president of the National Black Nurses, being president of CGF and S International. AARP, I mean, who thought this little girl from the Virgin Islands would ever become a board member of the world's largest consumer organization? That alone was mind-blowing to me. And now most recently, I just got appointed to the HHS Secretary of Foreign and Meat today, New Family Care Giving Advisory Council.

Oh, that's wonderful. Yes. Yeah, we got for an in-lamp and my October induction into the, as a living legend in the Academy of Nursing. I mean, that just, that just says, I mean, that, that has really been the highlight of my career.

That's wonderful. And as you were speaking, I was thinking that the audience may not appreciate just how many of the people that you were naming were really the icons in nursing who we all read and studied, and so for you to have the opportunity to meet them. And as you said, touch them and talk to them, it's pretty amazing. And I was curious.

And again, congratulations about the living legends with the American Academy of Nursing. That is an extremely high honor. And so that's really, really wonderful. So what do you think has contributed to helping you be so successful?

You know, I learned a long time ago, you know, it's all about relationships. And, and want how you build them and how you retain them. And making sure that you give as much as you get, that you, you're transparent, you're fruitful, that you have integrity, that you continue, you never, you never ignore when people reach out to you. Maybe you can't help them at that point in time, but you try to connect them.

So I think one of the things that I've learned is how to become a connector and also how to build a network for myself. And not just in, in, in, in just nursing, but here in the Bronx, I've been politically involved in, and building connections with, we call them in, you know, AARP agents of opportunity, you know, who people, you know, who you wouldn't think of, of having them become your mentor, like elected officials, like, you know, policymakers that you didn't think, you know, you could connect to people who, you know, just every day people in, in this state in this country who give you advice and you think about what they said because you've seen the passion that they've had and the commitment they've had in just making changes in community. And I, I'm just learning from them. I never felt that anyone was, was beneath me that I could not learn from them, including my students.

That's awesome. And I think that you've raised a lot of really good points about the opportunity to mentor and then also be a mentee. So it's wonderful that you're able to share that right now. This is all about nursing.

I'm Dr. Joyce Bachelor. We're live on the BBM Global Network and it's time for us to take a short break. Dr.

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Visit www.globalglory.org or on Facebook at Global Glory, call 866-624-5679 and feel the glory. Welcome back everyone, you're listening to all about nursing live from the BBM Global Network TuneInRadio. I'm Dr. Joyce Bachelor, the host of the show, and just prior to our break, my guest, who is Dr.

George's, was telling us about some of the major accomplishments that she's had in her career, which I think you're going to really enjoy continuing to hear more about the work she's been leading, especially the fact that she's going to be inducted as a living legend at the American Academy of Nursing meeting coming up in October. It's a very high honor, and so we're really lucky to have you with us. So maybe we could go back and start to have you tell us a little bit more about your experience as a nurse. How did you prepare to be an advocate for patients and families in both the practice and the policy arena?

You know, one of the things that I learned early on as a student and also as a beginning staff in visiting nurse service in New York is to learn about as much as I could about the people that I would be providing services to or working with. And so I really, again, not coming from the, as we call it, the continental United States, I really had to do a deep dive into just understanding the population here in New York City. And so learning and just talking to people, just having them, making them comfortable and finding out what do they want from, what do they expect from me as the nurse who is providing services? You know, what is it that they thought I could bring or they felt that I could do to help them to meet what it is they needed to meet?

Now, I remember vividly a young couple who had a spine, a bifida child, and when I spoke to them in Spanish because that was their primary language. And I was asking, what is it that you think that I could do to help you besides, you know, showing her somebody exercises? And she's saying understanding that I cry and that I hurt and that I also laugh and that I am here to make sure that my child gets the best that she can. And then years later, she was opposed to childhood modulums in our world.

And I thought about it and I said, I learned from her mother to listen. Great thing that I learned to just listen to listen critically. And by listening, that helps you to be able to advocate for what's right for your patients because it's right and it's what's needed. And when you begin, and then again, sitting in a role as a family caregiver because my husband had Parkinson's.

And so I was his primary caregiver in the last few years of his life. And just learning from how all of those things that I've learned from patients that I put into the role in my caregiving and my understanding that that was important. I knew what other families felt. So I could put myself in that role as a family caregiver and then see myself as also advocating for patients, particularly when it became very, so a family member.

That was very different. And that has brought me to where I am very open and very transparent. And I think one of the things that patients as they trust all of us nurses trusted that I would speak up on their behalf and it wasn't about me, but it was about them and what their needs were. And I have brought that to any practice setting I've been in and also to the policy arena.

I remind people that I'm there to speak not because this is about just nursing and Alicia Georges. This is about what people need. This is about human caring and what we need to do to make things better for people. So I brought that and I listened to the policymakers do and I listened to their sides of the story.

But I also listened to the stories of all the people that I've come in contact with so they can hear from their narrative, you know, the patients narratives. And bringing that to the policy arena I think has been important. You know, I do a lot of testifying and a lot of speaking all across the country and how for many years. And I think the other thing is that the people who I speak in front of, they know that I have integrity and what I'm saying is not, is the truth.

And they trust me in whatever organization it is that I represent. And your skills around being able to advocate and listen well, I would think it's really very, very important with your role now as AARP's National Volunteer President and Board Member. What are the issues that you and your team are addressing in this role? Prescription drugs.

The greed, the price is killing, it's crippling our older adults. You know, when I have a patient on tell me that they are just in there insulin so they don't finish up all of it. I know, you know, if they need hit me insulin costs in 300,000, that's crazy. Well, I mean, having been a nurse for so long, insulin, insulin and then people have it.

And we know what I say to people, we're not talking about people who have, you know, folks, oh, they don't pay for it. Yes, they do. These are not folks who have a plan that there's no question that it will pay. These are folks who have to do the poll insurance.

We have to meet the deductibles. And these are people who work all their lives in this country, all their lives. They've never asked for a handout. Never asked for a handout.

And they're here adjusting insulin so that they could laugh. That's just unacceptable for having to make a choice. I came back from having testified in January about prescription greed. And somehow my, I don't know, my script, I don't know, I didn't get my medication.

I had to go to a CVS and I'm sitting there waiting, waiting. And this man is standing in front of me and he's standing up there counting out money. He was paying over 600 and some dollars. Wow.

And I was saying that it was awful how he's worked all his life. And now he's got to spend all this money for medication. My God, I live in a community where I know, you know, it's a little middle income and middle income. But I blew my mind.

Yes, I know. I guess I'm hearing that concern a couple of weeks ago about a family whose son died because they didn't have enough money to buy insulin, which is just to be unheard of in our country. So thank you for sharing that. What are some other outcomes that you're hoping to really achieve in this role?

Well, one is to promote healthy aging. And so, so myself, I said, I'm becoming a role model. I'm walking, keeping my weight down, eating the right foods, helping people to live their best life. That as they grow older in this country, it is no longer, you know, it's something different.

That we have really our whole theme of this roughing aging. We don't want to talk about, you know, getting old. We're talking about doing things in a different way. We're talking about having doing things differently.

We're not seeing ourselves being put on a pilot, you know, we're talking about as we grow older, and so doing things to help, you know, younger generations, to begin to do more for the older population. I remind people of fastest-growing groups is that people are 85 and above. That's a great point that you've just made, but we're going to need to take a short break here. So we're coming to you live from the Pimbo Global Network and to an in-radio for all about nursing.

I'm Dr. Joyce Batchill. We're going to continue this wonderful conversation. We come back.

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So where do all these nurses work? What kind of rules do they have? What kind of education and training help to prepare them for so many different settings? What kind of impact do nurses have on patient outcomes?

The World Health Organization has announced that 2020 will be the year of the nurse honoring the 200th Earth anniversary of Florence Nightingale. An international initiative called Nursing Now is underway to raise the profile of nursing. The National Academy of Medicine has convened a committee to create the future of nursing 2020-2030 that will focus on how the nursing profession can create a culture of health, reduce health disparities and improve the health and well-being of the U.S. population.

Learn more and join Joyce Bachelor on All About Nursing, Wednesdays, from 7 to 8 p.m. Central Standard Time on the BBM Global Network. I'm your host, Dr. Joyce Bachelor on All About Nursing, and we're live on the BBM Global Network in Tune & Radio.

And before the break, my guest, Dr. Georges, who is just an amazing resource for us to be hearing from today, she's got an amazing career, was sharing with us that one of the priorities that she's working on in her role as the volunteer president of ARP is looking at the prescription drug prices, as well as really trying to help come up with how do we have healthy aging, and more baby boomers continue to move into their more retirement years. And so I think that's a wonderful opportunity that you're working on, and I was curious if there's anything else you want to share about that before we move into a different topic area. One of the other things Dr.

Bachelates that one of the greatest fears that people have in this country as a grow older is dementia. So we've got in ARP, we're working, and we are the global brain health secretariat. And so we're looking at how we can be helping people to understand the whole phenomena about cognitive decline and what cognitive decline versus dementia and Alzheimer's. So that's another thing that we're doing.

And I think that's awesome. I also heard you talk a bit about how social isolationism is going to be something that we have to address. And I know there's a lot of people that live by themselves, and our families are scattered today, very different than I know when I grew up. Everybody was like right in the same neighborhood.

And is that another area that you're working on as well? That's one of the hallmark programs of our foundation. And that's social isolation because what we're seeing is social isolation, depression, people not eating, and it contributes to the dementia. And so we're working so hard in China.

We've got some projects with Johns Hopkins, with a VA in trying to see how we can have the kinds of programs that can begin to cut through and to really begin to stop the social isolation. And so getting people involved, and we always say, if you're volunteer, people who volunteer don't tend to be socially isolated. So they're physically able to try to encourage them to volunteer. We have a volunteer, if it may take them.

That's wonderful. So as you're looking ahead, what do you see as the major challenges in nursing education? One is we've got to stop thinking about nursing as an all-house role-based and acute care, and begin to see that people want to age in place in communities. And we're going to have to move back again to where it started with Warren's second-gale 200 years ago, back to the community.

And really looking for, as I said in my testimony, leadership in community and having nurse leadership in community in community health. And so I think we've got to get away from us in nursing education, just concentrating on what's happening in hospitals. We begin to take a large focus on population health, really begin to look at how environment the environment, all of the social determinants have an impact on folks. And we need to emphasize this more and more.

We also need to really concentrate on teaching more geriatrics and gerontology in nursing education. I mean, we haven't in and out, but we keep forgetting that the majority of people we see and who need our care are 50 plus. Then that's five-year-olds. They tend to be fairly healthy.

And so that's one of our major challenges. And we're here redoing this new. The other thing is the reduction of the number of people in hospitals and they're very cute leaders. So how we use simulation to really foster teaching and learning is also important.

And I think we're getting there a little more slowly because we have gotten so into this tech stuff that we forgot what was happening in community. But I think we're getting there. We just have to get this myth from the public and our students now and coming in. That nursing is as they see on TV.

Everybody is not running an emergency room and falling in love with the doctors and nurses on the floor. But rather that we plug away in communities and we make changes in people's lives. We help people to live better lives. Absolutely.

I think that I had gone to the nursing now, USA meeting a few weeks back in Chapel Hill and heard clearly from some of the students that they had there to talk to us that to your point they wanted to know all about all the opportunities in nursing because they're not hearing it in school. They're really hearing how to get ready to work in the hospitals. And I think they're amazed when they start to hear about all the opportunities. And that was one of the things that drove me to do the radio show is that there are so many places nurses work and so many different things we're doing.

I think it's important for people to know the breadth and the depth of the kind of changes that we hope to lead and make. So thank you for raising that. So we think there are some of the obstacles to us really making more progress in these areas. We need new thinkers.

We need to really help our nursing faculty to think outside of box. So one of the, again, because we've all been so educated in a certain way. So even now we're, when you talk about nursing, I'm not even now a doctoral and a master's in doctoral education, it has to change. It has to address really what the trends and that's going on in the world.

And in doing that, then we can overcome some of the people just don't look at the intersection of things. We've got to stop this silo piece. I'm not an advocate of integrated, whatever curriculum and so forth. But I think we can work together in a very, very different way.

And also look at other professionals. We're not the only ones who can teach people who will become nurses. We build on a liberal arts and sciences. But we also can look at our colleagues in dentistry.

We've been, you know, there's a group I experience speaking to dentists and NYU have been dentists, working with dentists. That's another look at some of the other professionals who have done the same value. Yeah, no, I think that's really an excellent point. So thank you for sharing that.

We are coming to your life and the people who will not work into it in radio. This is all about nursing. I'm Dr. Joyce Bachelor, the host of the show and we'll be right back.

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That's not my forte. So how we learn from them and how they learn from us, I think it's so important. And it's the next thing that we need to be doing in nursing. We really need to push the IPI and in the practice setting.

That's wonderful. I agree with you. 100%. I'd like to have you tell us more about the strong advocacy you've had as a nursing leadership.

What do you mean when you talk about nursing leadership? Well, nursing leadership means that you should be able to work with different people, with numbers of people, but that we all have to have a common goal. And that the person, the nurse leader, has to be somebody who brings integrity, initiative, I say, be bold. You have to be bold or vicious.

And be encouraged, because many times you may be pushed back. But the key in all of this is being respectful and in believing that you can do it. And so I find that, you know, I tell folks when I talk about nursing leadership, I say, yeah, to learn how to handle stress. So you've got to learn, you've got to have some humor here.

You've got to learn how to laugh. You've got, you know, hopefully we won't cry that much. But you have to, I think that they, and I think Colin Powell says it all the time, the essence of leadership is trust. And I like to add an integrity.

And so that's what I feel. And that's what I mean by having those kinds of nurse leaders inspiring other people, you know, working alongside with other people. Many times nurse leaders step back and let others take, they move forward. And then I was looking to take all the credit, but, you know, sharing with others, you know, they reward just like we share with them when, you know, things don't go right.

That I think is to me, that's what it means to be a nurse leader. I think the other thing that you're talking about, and you certainly are an amazing role model here, is having the advocacy skills to go after something that you know really needs to be changed and have the patience and the persistence and perseverance to stick with it if it's something that's important. So I was curious, how is your background in nursing prepared you for the role you have in policy and advocacy at ARP? Because the nursing I have had the courage to stand up for it, I have thought was right.

You know, I'm a student at a 60, so we talk about the days of civil rights, days of, you know, unfairness, standing up for what was right. I learned well back in the 60s about that, and as a nurse. And as I said earlier, standing up for what was right on behalf of patients and having that common goal, which was to make sure that patients got good care, good quality care, safe care. And so I think having that, understanding that, and also understanding in nursing, you've got to have evidence.

So you can't go shooting off about any policy unless you're coming with some data and some evidence to show why we need to have these things done. Nursing prepared me for that. We don't just talk in nursing just to talk. We come in with the evidence.

And some of that evidence, well, most of the evidence, we get from the science of the research that has preceded the evidence that we now have in hand. And we don't do things just out of a reaction or I say to people because you feel like that should be it. It's not about a good response. It's about very clearly defined, critically thinking, critical thinking, clinical decision making.

And I use those same process when I'm talking about policy, when I go before any policy group. So when you ask me a question, I'm ready. I do not go in front of anybody pushing for anything unless I have the background and the data to support what I'm asking for. So what would you tell other nurses that are thinking about getting involved in the policy arena like what they should do?

Start locally. Go out and find out what's going on in their local community. That's why I started. I'm very active in my community and in finding, getting on community boards, getting on planning boards, getting on those things.

And you know what? People think nurses know everything. So I just let them believe it. Everybody has a question to ask a nurse.

It's interesting they don't ask the physician. But they think if they ask the nurse the nurse should have the question. Then the community has a lot of respect for nurses. We know that from the, how many years we've been the number one trusted.

So start there locally. Engage, you know, engage in what's happening in your community. Show up at the town hall meeting. Show up at the hearing.

Find out what's happening. Read what's going on in your community if you don't want to read a daily news paper. Read a New York Times online every day. You know, just know what's happening.

And then from there begin to build, you know, a cadre and a network of other people like you who have the same kind of interest, you know, and goals. And then our nurses usually, and you will see how you begin to get involved in it. Yeah, no, I think you're raising a great point that you had said it early on. It's building your network and having a lot of different colleagues that you can rely on.

I think this is a great thing for us to talk a bit more about. But right now, this is all about nursing. I'm your host, Dr. Joyce Bachelor.

We're live on the PPM Global Network in Tune and Radio. And it's time for us to take a short break. According to the American Nurses Association, there are approximately three and a half to four million nurses in the United States. So where do all these nurses work?

What kind of roles do they have? What kind of education and training help to prepare them for so many different settings? What kind of impact do nurses have on patient outcomes? The World Health Organization has announced that 2020 will be the year of the nurse, honoring the 200th Earth anniversary of Florence Nightingale.

An international initiative called Nursing Now is underway to raise the profile of nursing. The National Academy of Medicine has convened a committee to create the future of nursing 2020 to 2030 that will focus on how the nursing profession can create a culture of health, reduce health disparities, and improve the health and well-being of the U.S. population. Learn more and join Joyce Bachelor on All About Nursing, Wednesdays, from 7 to 8 p.m.

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You are listening to All About Nursing, Live from the BBM Global Network in Tune in Radio. I'm Dr. Joyce Bachelor, the host of the show, Andy For The Break. I have a very distinguished guest on the show, Dr.

Georges, who was sharing with us how nurses can get involved in policy and the need to get involved locally, it could be getting on a school board or showing up at different types of meetings that might be where key issues are being discussed about what's going on in the communities. I know we've talked a lot about building up a network of colleagues that you can also rely on and colleagues meeting even broader than just nurses, which I think is really good advice. So thank you so much for sharing that. One of the things I wanted to hear a little bit more from you about tonight is how we could get much greater attention on the social determinants of health because they're so critical and maybe you could share a little bit more about the work you're leading in that arena.

Yes, one of the key things about the social, we knew they were here. We never talked about them. We never, and particularly in nursing education and in practice, we've never assessed our patient about, do you have enough food? Yes.

Are you able to eat, have enough meals? It's your food insecurity. It's a big thing. Unless you made a home visit, nobody asked, oh, I live in a three bedroom, I got lights, I got them.

Nobody ever asked about really what the housing was like. We just didn't ask. We made too many assumptions about if you weren't homeless, then everything more unlikely was fine. But we're beginning to see that the intersection of all these areas, and today we were talking in our Senate here.

When the one is doing it, Lee has got a band talking about a student on this campus who are hungry. I mean, when did you ever hear that in a college? Why are we missing? If you're hungry, you're not going to learn very well.

This we know, we have the science to show that lack of good food, things are talking in the brain. You don't just know it properly. So I think just talking about it, upfront incentive, constantly talking about it is critical. We can't just morph it into, okay, we're just taking care of this.

Why is it going on? We need to really constantly bring our elected officials, our health officials, always upfront in talking about the social determinants. And really talk about it. Get out there, like I said earlier, and get on and find out about these housing.

Here in New York City, we were appalled when we saw the condition of some of our public housing units. People live there. Why didn't we know this? Why didn't we speak up before?

Nurses should be speaking up about this. Nurses and communities should be, or need to be in community and speak out about this. Nurses know about kids who are hungry. Nurses know about older adults who are hungry.

Nurses know about folks who, from the contacts and the engagement in community, what's going on? People who don't have any visitors in their apartment, who the neighbors haven't seen for days. We can't keep saying it. We've got to keep talking about it, talking about it, and talking about it.

We've hidden it too long. As you started talking about this, it came to mind that when I first started in nursing, I was taught that discharge planning started on admission when the patient was admitted. I think we've lost some of that focus, and we don't ask the kind of questions like you were describing that we should be asking because they certainly make a major impact when they are potentially being discharged. And so I think you're raising some really important issues.

So what roles do you think nurses should be playing in relationship to the social determinants of health? Change these records and the questions that I asked when patients and families come into institutions. You know, being upfront and center in what they need to be doing in asking questions about families and where they come from. Have been those kinds of discussions, not amongst themselves, but with other members in the way that health care agency or institutions in which they were.

Put it out front. Let nursing take the leadership. Be the ones to inspire people to think about it and to work towards making sure that communities have those things that they need. When I go to solve the problem on Dr.

Bachel overnight, it's going to take a while. But if we got to begin at someplace and as we like to see in AARP, we're disrupting age. We've got to disrupt all these disparities. We've got to disrupt all this stuff.

And so we need to figure out how to be good disruptors. And I think nursing can take the lead in that. It's interesting that you share that because when I was in my formal system, say no role, the school health nurses ended up becoming employees of our organization because the school district was going to eliminate them completely. So we started to help subsidize.

And I think that was an amazing opportunity because to your point, it was amazing to start learning based on what the school nurses were dealing with in the schools, just what was really happening in our community and the number of children that are on those food assistance programs for breakfast and lunch. And then what happens during the summers was just mind-boggling. So I think that you're raising issues that are extremely important. I like the direction that you're going.

So are there other things you'd want to say about what kind of role nurses can do to really expand and make a difference in this arena? I think nurses need to take over many of these community agencies. That sounds like, I don't mean disrupted, but really step out front and take over some of these NGOs in communities across this country. I think if nurses do that and can show the intersection of all of these determinants and what it means in regards to health outcomes for those communities, I think we'll be for a hit.

I think we need to really, really take the leadership in these communities. I think that's a great idea. Have you seen anybody that's starting to do some of that or any kind of areas that would be great to role model and have other people following? Yeah, I think first of all, I hate to say this, but the internet visit a nurse service in New York and not run by a nurse.

It hasn't been run by a nurse in years. And so we need to step up to the plate and say to these boards, you know, that as nurses, we can begin to do that. That's one of the places where we really need to take back control over some of these home health services that are not run by nursing, but it depends on us to be the ones to do what needs to be. There are a number of community agencies interested in a flaw, but the way they use what a nurse is and the nurses are willing to tell you the nurses and that they've taken over some of the places.

Nurses getting involved and being a health commissioner. You know, maybe some of the places have stuck with that, you have to be a physician, but many don't. Yeah, no, I think you've been raising some excellent points and I was not aware that the person in charge of visiting nurses in New York was not a nurse, but as you said that, I started thinking, well, yeah, more people are taking those over for a profit kind of company. So this is all about nursing.

And your host, Dr. Joyce Batch, the Relive on the B-B-Gloven Network in Tune & Radio, and we will definitely continue this conversation. We come back. It's all about you.

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Find your greater happiness. Be well, be aware, be magical. Welcome back. I'm your host, Dr.

Joyce Batchelor, and I'm all about nursing and we're live on the BBM Global Network in Tune and Radio. And just prior to the break, my guest, Dr. George's, was sharing with us some examples that she is seeing where nurses are really stepping up to make a difference in the social determinants of health and then giving us examples of other ways that nurses could do that. And so I thought maybe you'd like to share a little bit more about that.

Well, I believe, formerly, that if we had someone nurses who were commissioners of health agencies and were running some of these large community bases, as you described it earlier, Dr. Batchelor, those businesses that are for profit, I think we will see a difference. I think that nurses would bring a very distinctive set of beliefs and values to that position. So we got to encourage our young nurses to, and even though they have seasoned nurses to run for these offices, step up there and get their resumes and the best way they can get it and start hitting all these search companies and going out.

Or if they can get together and become entrepreneurs and start their own business in communities that provide service. You know, all they have to do is learn a business and have the same business documented as everybody else. And I think we're smart people and we can do it. I think you're absolutely correct.

I think that's wonderful. You have shared just a whole wealth of information with us this evening. And I applaud that work that you're doing with the ARP. It's very exciting.

Is there like one key point that you would want to be sure the audience takes away from everything that we've been talking about on the show today? Yeah, I think that for me and I'll say it for myself, I think that we have to have passion. We have to have a purpose. We have to be committed and we have to make sure that we use all the evidence and the science that we have.

And go ahead. And so that I think that you're absolutely correct that you had said earlier that nurses need to come prepared as well when you're entering into the policy arena. Correct. Right.

And they have to persevere. It's not going to happen overnight. So you need to be there for the long haul. This is a long journey.

You know, it's not a sprint. It's a long journey. But if you have the passion and commitment, the purpose and the data and the science that you can use, you can get there. You'll be able to do it.

I think that goes back to what you said earlier around being an advocate of nursing leaders and really having people step up into these roles. And I think you're just doing an amazing job role modeling that for us. Is there anything else you'd like to tell our audiences we're going to be ready to wrap up our show this evening? That nursing is one of the greatest professions.

It's one that has been good to me and I have been good to nursing. And I think that if you're interested in human caring and you've got the ability that people should make sure that nursing becomes their career. I would agree with that. And I really appreciate you sharing so many of these wonderful things that you're working on, both in your role with ARP.

It's also your role with academia. And I appreciate you being on the show. So and again, congratulations to you being inducted into American Academy of Nursing in October as one of the living legends. That's quite an honor.

So this is you've been listening to all about nursing live in the BBM Global Network and Tune in Radio. I'm Dr. Joyce Bachelors, the host of this show. And I hope that you will tune again next week.

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