All About Nursing (42)

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Welcome to All About Nursing with your host Dr. Joyce Bachelor, executive nurse advisor Dr. Bachelor, who 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 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. Good evening. I'm your host Dr.

Joyce Bachelor on All About Nursing and we're live on the BBM Global Network and TuneInRadio. I have a wonderful guest with me here this evening and I'd like to tell you a little bit about her. My guest is Dr. Karen Cox, who was appointed the president of Chamberlain University in 2018, which is the largest provider of nursing education programs in the country.

Prior to joining Chamberlain, she served as the executive vice president and chief operating officer of Children's Mercy in Kansas City. In 2003, she led the organization to receive Magnet designation by the American Nurses Credentialing Center during her tenure as senior vice president for patient care services and chief nursing officer. Dr. Cox serves as the current president of the American Academy of Nursing and that's a very prestigious role and has a lot of responsibility on my dad.

Karen also started her career as a licensed practical nurse and holds an associate degree in nursing from Excelsior College, a bachelor's in nursing degree from the University of Kansas and masters in PhD in nursing from the University of Missouri in Kansas City. So welcome Karen. I'm delighted to have you on the show. Thank you.

Glad to be here. So it'd be really great to start off by having you tell us when and how did you decide to become a nurse? Not unlike a lot of young women or girls from my generation, nursing was something that people leaned toward, but I really fell in love with it when I became a junior volunteer when I was 14 years old at the medical center of independence in independent Missouri and just enjoyed working with the nurses, watching them work with patients. And then once I was old enough, I worked in a skilled nursing facility and that just really sealed the deal for me.

And I have to say I've never looked back. Well, you have a very prestigious career. And so I was just curious if you could share some highlights of your career with everyone. Some of the highlights would include probably number one is mentoring young leaders and watching them move on to new and broader roles.

I also was a Robert with Johnson Executive Nurse Fellow and learned a lot there. And many of my highlights I would attribute to that. But the magnet designation that you talked about, we were the number 66 in the country. So we were early to the magnet designation and the second, only the second children's hospital to receive the designation.

The other thing that is really important to me is I worked with children was to really focus on implementing psychosocial care at a very broad level. And what that really means is it's great to cure somebody's disease, a child's disease. But psychosocial care is the way that we ensure when they are cured, their spirit is still intact. And so that includes working with child life.

But it really is just an orientation towards the psychosocial needs of children. And then kind of the last thing I would say is I implemented the management system at Children's. And it has had a lot of good effects on outcomes, on efficiency, on the patient experience. So I really feel good about that.

And I'm glad to know that it continues on this day. So you mentioned that Robert Johnson fellowship, I was just curious, what else do you think has contributed to your success? I would say really in essence, it's humility, it's respect. And a real recognition that every member of the team is essential to optimal care delivery.

And that really became the foundation for my leadership style. And when I say humility and respect, I mean, it's one thing to say hello to people in the hall. It's another to truly know them, understand them and appreciate them regardless of what their role is. And people know the difference when they see it.

I do think that having the ability to connect to people after all, it's all about relationships. Leadership is about relationships. And we all know that how critical that is. And if you don't have those relationships, truly you're going to have a hard time in leadership.

And that really means leaders are only as good as a relationship, no matter a person's title, stage in life, or even moment in time. And I hear you describing that. I think you were in a perfect place to do pediatrics, because it's about the patient and it's also about all the family. And that's very complex.

And I think very diverse in terms of the kinds of needs that you end up seeing, I would assume that I've never done pediatrics. I thought it was just too emotional. One of the things in my favorite story about working with children is I interviewed a young woman as a new graduate who wanted to work on my pediatric unit where I was director. And I asked her why she wanted to do pediatrics.

And she said, because I don't like dealing with adults. And I said, well, the interview is over. When you work with children, you work with many people, including their extended family and parents. And it is, it's emotional.

And it's one thing to see somebody in their 80s and 90s sick. It's another to see your three or four year old be diagnosed with a serious condition. Yes, I think it does take a very special person. I also think it shows, again, how many different choices there are in the profession.

And I think we're lucky to have people that like a lot of different kinds of aspects of nursing care. Is there anything else you'd like to share as a highlight of your career? I just think people need to be open to what comes next. You can plan a career in terms of what you want to accomplish.

But sometimes things go a different direction. With that, you're able to even accomplish more. So for people to really be open to those opportunities and not just think in a very linear fashion about where they're going to go to be successful. And I see that that was really interesting as I did your introduction because I did not know that you had started as a licensed practical nurse and associate degree.

So I would imagine that there were things that made you want to go back to school and then get more advanced degrees. And so you may want to say a little bit about what spurred you on to do that. So I'm very purposeful of always including that I started as an LPN. And I do that for one reason.

Well, two reasons I'm proud of it. And two, it shows that there is a progression. I didn't feel like after high school. I was smart enough to go to college.

So I wanted to be a nurse and work in the nursing home long-term care. And so I did that. But with each step and each degree, I got a greater degree of confidence. And so your career, your career always has progressions.

And no matter where you start, you can continue on. I always like to share that it seems like the more doors open up and more opportunities as you continue to advance with the degrees and the experience and the networking that I know that you definitely are a part of because you have a huge network of colleagues that you work with. And there's a lot that goes on in terms of learning from each other. So is there anything else you'd like to share on that before we move on to a different kind of question or focus?

I would like to just mention on the LPN being in an LPN program. That's where I really learned how to care for patients. It was less about the technical skills and more about care. And so I think that really contributed.

It also helps me understand what it's like to be in different roles and hierarchy in the healthcare team. That's awesome. This is all about nursing. I'm Dr.

Joyce Bachelof. We're live on the B-Bim Global Network and Tune in 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 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 30. 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 Bachelof on all about nursing. Wednesdays from 7 to 8 p.m. Central Standard Time on the BBM Global Network. French Rastafarian Baker Chef Ughmat is a fourth generation baker and has worked in 11 countries across three continents.

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I'm Dr. Joyce Bachelor, the host of the show, and I have a very distinguished guest with me this evening, Dr. Karen Cox, who is currently the president of Chamberlain University, and she is also currently the president of the American Academy of Nursing and has just a very distinguished role and plays a very important role with the Net Organization. Prior to our break, she was telling us how she got started as an LPN and then moved on through a variety of degree programs and has done just a lot of incredible work.

I was curious, Karen, because you had a very distinguished career with working with the Children's Hospital. I know that you were very proud to have it be a chief of magnet designation, which we've talked about on prior shows. It's a very high distinction that organizations can achieve. I was curious, what made you make a change to move to becoming the president of Chamberlain University?

Well, Joyce, you're right. It is a big change because, for the last 30 years until I took this role, I went to a hospital every day to work my whole adult life. Thinking about this kind of a change, at this point in my career, it gave me pause. I thought about it, but there were two things that really drew me to the role.

One was the diversity of the student population at Chamberlain. It backed in 22 of the 22 campuses where we do pre-licensure BSN programs. 50% are of underrepresented minorities. We're the largest school in the country that provides degrees to underrepresented minority students.

I can say a little bit about why that's important. I think most people know that in general, the workforce in healthcare, particularly nursing, does not represent the population in terms of demographics. We also know from the science that if you don't have the diversity of healthcare professionals or nurses that you do patients that health disparities don't, they continue on and they tend to get worse. We know that that, how important that is.

To be able to provide that is very meaningful. When you think about why we're able to do that, one of the issues is how much we suffer from a lack of spots in nursing schools. Over 56,000 qualified students were unable to get into nursing programs last year. That means that to get into nursing programs, the majority of them, you have a 3-8, 3-9, 4.0.

I don't know about you, Joyce, but I don't know if I can get in again. We may have some 3.9, but we also have the 3.2s. That accounts for people who maybe didn't have the best in high school sciences or pre-represented courses. Just life happens if they're a little older and have different responsibilities than those typically going to a school with a campus for their nursing programs.

The second thing that drew me to Chamberlain was what we described as Chamberlain Care. I can talk about that later, but essentially it's a different way of educating students in nursing because there's still a tendency of nursing to have faculty and other colleagues in universities to treat nursing students in less than a caring manner. If we aren't able to role model working together with each other with a student at the focus and their success is our success, then we shouldn't be surprised when we hear that there's still mistreatment of new nurses, that there's still some bullying that occurs because we're a caring profession. We have to demonstrate that in the program and how we work with each other.

So those were the two things that really brought me to Chamberlain. As a health care workforce solutions provider, Chamberlain provides education that helps close those skill gaps across the healthcare industry in allied health as well as nursing. It's interesting that you brought up about the caring because we're working on that in the state of Texas as well, trying to look at how to have a good experience for our students, but that also means our preceptors. There's so many challenges as you know with placements and trying to make sure everybody's getting support and they have what they need.

So I think that's awesome that you're really looking at that. And I agree with you, the bullying, we've had on some discussions on that on other shows as well. It's ironic that we're the most caring professionals and yet we have bullying going on and we're still eating our young. It just doesn't always make sense.

And there's obviously things that we still need to do to improve that. So it's very exciting work that you're leading here. And I was curious, what kind of outcomes are you really interested in achieving with this work? That we're interested really relate to Chamberlain's mission, which is to educate, empower, and embolden diverse healthcare professionals who advance the health of people, families, communities, nations, and truly to put caring back into the nursing curriculum and back into the nursing realm.

Because I think we've kind of lost our way in nursing where that has become so high touch as a profession until the 90s, mid 90s, and we have become so much more high tech that we're kind of losing that caring, that personal relationship at the expense of patients using the electronic health record and other technologies. And the answer is we need both. So we're looking to make sure that the nurses that we graduate, the students we graduate, understand that nursing is both a high touch and a high tech profession, and really trying to thread that into the curriculum. And we strive to graduate extraordinary healthcare professionals who have significant and positive impact in their communities and around the world.

And the other pieces we know that as we're working with students who don't always have the top grades, the 3.9 or 4.0, we know that only 30% of outcomes of students are related to their ability to learn or to previous education. 70% are really those social determinants of learning. Those things that we know impact them more than anything else. Are they working full time?

Do they have good transportation? You know, what about their daycare? What about family members others that they're providing for? And so trying to really make sure that we support that through very intentional work, very intentional research to really demonstrate that these students can be outstanding extraordinary nurses.

That's wonderful. And you know, as you were sharing that, I was thinking about how you used to always talk about there's an art of nursing and there's a science of nursing. And I think the caring that you're talking about is going back to that art of nursing. So we can talk a little bit more about that in a little bit.

So right now we're coming to you live from the BeeBemBom Global Network and Tune in Radio. This is all about nursing about your Joyce Bachelor and we'll continue the conversation when we come back. Attorney Renee Marie Smith is changing the way we sell real estate. She wrote a series of books called My Short Sale Guru Guides for all real estate practitioners.

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Before the break, my guest Dr. Karen Cox was sharing with us some of the reasons why she decided to move from having been in an operations role within a hospital for a long long time to becoming the president of Chamberlain University. I think it's exciting to hear the kinds of things that you're working on. I was curious as I was listening to you talk about that.

I was interested in also hearing more from you about what other issues do you think we're facing both as nurses and then in the nursing profession. Great. Thanks, Joyce. I'll start with individual nurses as professionals.

I think the things that are going to impact nurses in the future, some of it really truly relates to the advances in healthcare in general and it will change the role of nurses. Some of that is related to virtual reality as an opportunity. It also looks at AI in the future and I think we won't recognize the nursing profession in a decade, if not sooner. Hopefully we'll make it so that nurses have the time to spend doing the thing that only the nurses really can do from both the clinical side to the psychosocial and development of relationship side.

I'll talk a little bit more about that later with social determinants but suffice it to say that the social determinants of health are going to be something that nurses are going to have to become very very familiar with to be successful in the next iteration of our healthcare system. The other thing that we continue to hear about is workplace violence whether that's from patients and families, whether it's verbal abuse, actual physical abuse and it is a serious issue. One of the things that I see as a possibility and something that some organizations have done are develop programs for all the people working in hospitals to learn more about why some of that happens and what you can do to de-escalate the situation. You can't mix every situation that way.

If somebody wants to come in with a knife or gun but even then you have an opportunity to step it back to pull it down. I hope that organization, certainly Children's where I work before, has a program in place and think it really equips nurses and other health professionals to feel secure in your role. Certainly other hazards exist such as injuries. We know that nurses are very high on the list and from OSHA in terms of injuries per professional and that can be exacerbated by the fact that the population is about 60% overweight and obese.

So just doing simple things that used to be a lot easier when patients take away as much, take a lot more physical exertion and often need two people and sometimes there is a second person. Also nurses as nurses were exposed to bloodworm pathogens and that's no small matter. Sometimes people might take that for granted but it's something that we have to be very vigilant around. And as I mentioned earlier about the bullying and harassment that still exists, that is something that the nursing profession has to own.

That's not something that's going to be solved by an outside group, another professional, administrators. It truly has to be something that we confront as a profession. The other individual issue that nurses I think experience now and it continues and I don't see it decreasing related to ethical issues. And we know the challenges occur depending on what setting to work in.

And those ethical issues, if not addressed appropriately, can really lead to moral distress which is one of the reasons, another reason that people burn out, they burn out from the shortage of having enough health professionals working within whether that's a choice by hospital administration or just the sheer lack of nurses available in a community. And if people don't have that support, that's going to cause, that's not only an ethical issue but it causes burnout. And one of the things that worries me, and this is more announced to the professional level, is sometimes when we're talking about burnout and compassion and fatigue, individual health professionals, some of the things that we try to implement make it seem like it's a professional's responsibility and not the administrative structure and indeed it's both. So you can do mindfulness training all you want but if you have two more patients then you should have based on your QUTE, that's not going to solve the problem.

So it's really one of those things that has to again be addressed by professionals that are administrative roles as well as clinical professionals. And the other thing with the profession is the shortages and overall, and this time it appears that the shortages may be much more regional in nature and some may have enough and some may not. So that's going to be a different challenge than we've faced in the past and so we'll need to look at that when we're solving looking for solutions to solve the issue. One of the things that's leading to this shortage is the fact that nurses don't always think of a clinical role in a hospital in a med-search unit as a great professional career.

And often if you talk to nurses and most students they plan to be there anywhere from one to five years and then move on and the issue is a great opportunity also in the issue because there's so many things nurses can do now, not in the hospital even there. They work for EHR companies, they work for drug companies, they do research trials, they go into advanced practice and become nurse practitioners. And so I think that's going to be something important for us to really try to look what makes somebody want to be a nurse and be that expert nurse and be in a unit in a specialty for a longer period of time. Because that used to be the case but now if you talk to chief nurses and I'm sure you need to try.

It's hard to get those nurses, it's hard to keep them at the bedside. You know we had changed and didn't call them our units, medical surgical units anymore, we called them acute care units and then we went to the specialty that they had to start trying to elevate them up. So we'll talk about that a little bit. So right now we're coming to your live from the BBM Global Network into an in radio.

This is all about nursing. I'm Dr. Joyce Bachelor, the host of the show and we'll be right back. Animal lover, author, artist and public speaker Patricia Dali-Life is a renaissance woman in her own right.

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I'm Dr. Joyce Bachelor, the host of the show, and I have a guest on this evening, Dr. Karen Cox, who is a very distinguished guest. She currently serves as president of Chamberlain University and also president of American Academy Nursing.

Prior to our break, Karen, we've been talking about how nurses, it's a great profession because there's so many choices. It's also challenging because there's so many choices. We were talking a bit about how nurses don't stay on our medical surgical units and that it's still a wonderful career that you can do that. I was sharing that we had changed the name to acute care rather than medical surgical to start showing how specialized the nursing units really were to raise their stature.

So I don't know if you want to say a little bit more about that, Karen, and the nursing shortage and how all that plays out. Yes, just a couple of other things, Joyce. As I said, it's going to be more regional in nature, so we're going to kind of solve for that problem, which will be new thing that press the face. I think the other piece is around making the work environment better, improving the work environment.

That's part of magnet, that's part of AAC and critical care's healthy work environments. It does make a difference because it's a spiral. So nurses leave because they're, the environment's not healthy and the more nurses leave and then the nurses remaining have still have even more shortages. We really have to address that.

It's the prestige to think, I'm going to work in critical care, I'm going to be a nurse practitioner and that's fine, but we need a much many of our nurses to be interested in acute care. Right now, only 60% of nurses work in hospitals, which is dramatically different than it even was five years ago. To address that, we're going to need to think about things. And one of the issues is working 12-hour shifts, working on those units, it's very physically exhausting and it's emotionally draining.

And then, by the way, you have to make sure you take good care of the patients and they have safe care and they have really a caring approach to attending to them. The other piece I wanted to say is there's also a tremendous physician shortage, particularly in those primary care specialties of family practice, pediatrics and internal medicine. And it's at the point where nurse practitioners and PAs last year graduated more professionals than medical schools. And this next year, it looks like nurse practitioners alone will graduate more across the country than medical students.

So, medical schools, why do I say that? Because people are wanting nurses or wanting to become nurse practitioners. And so, it's exacerbating one shortage, the nursing workforce shortage in clinical care, but it's actually helping to solve or to help address the shortage of providers, in those primary care areas. And I think that's something that we need to keep in mind as we're looking at the shortages.

I think if you look at the typical demographics of how we predicted shortages in the past, it did not take into account the nurse practitioner piece and it didn't take into account all the other roles that are available now that weren't in a decade ago. I would agree. And I say, you're talking about that. I'm living in Texas.

I can tell you here in Austin alone, there are three new hospitals that will be built and we actually have a group working on how we're going to address our shortage because it's such a big state. We're trying to break it down by regions to really understand those issues. And of course, you start looking at the aging of the faculty. You get really nervous about making sure that pipeline can stay adequately moving through.

So, those are all really great points, Karen. I was curious if we could shift a little bit because I really like to have that. Oh, sorry. Go ahead.

Can I just add about Texas? Chamberlain has four campuses where we have pre-vising to PSN programs because just as looking at the data that you're referring to and the growth of the population, we felt like that that was going to be important to help the state of Texas and surrounding areas. It's quite a fascinating state to try to manage with everything that's happening. So, I was curious if we could move to talking a little bit about your role as president of the American Academy of Nursing.

And I think it'd be great if you could share a little bit about, you know, what kind of work are you doing in that role and what would you like the audience to better understand the academy really is trying to address to really improve things in nursing? Well, first off, just to grab the academy nursing just a little bit. The American Academy of Nursing is made up of leaders in all sectors of nursing and, and Joyce and I are both fellows in the academy. And we're not an in-work-facing group.

In other words, we're not looking at a particular specialty in nursing. We're very, which is fine. Those are fine and important organizations, but we're different in that we're out-work-facing. So, our goal is to improve the health of the public through, you know, evidence-based policy making.

And so, the focus is on policy, evidence-based policy, and working to address those issues that we know exist in health and health care are attended to through that mechanism. And so, I've had the honor of being, serving as president-elect for two years and then president for two years, and I will end my term in two months. And it's been such a great experience. The academy is working hard to really look at, not just developing the science and then saying, this is the policy that should change or be implemented based on that.

What we're really working for now is how do you take that evidence and work with other like-minded groups on the issue you're talking about and make change in a way that utilizes all of our groups because the academy is a small group. There are a lot of small groups like us and really get outside nursing, get outside of even a health care and look at those partnerships to really take advantage of the collective wisdom that each group brings. And so, as we've developed our priorities, policy priorities for 19 and 20, one of the things that we're squarely focused on are the social determinants of health. And I mentioned that earlier, but that's when you look at health care, only 30% is really related to their actual health care.

It's all about the other things that influence it. And that's where you live. Do you have safe housing? Do you have enough food to eat?

And that is something that the academy looking through our nursing lens really works to address. That's awesome. This is all about nursing. I'm your host, Dr.

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Dr. Joyce Batchley, the host of the show, and just before the break, my guest Dr. Karen Cox, who's currently serving as the president of both Chamberlain University and the American Academy of Nursing, was telling us about the work the Academy is doing with others to try to make an impact on the social determinants of health and started to really explain what those means. Maybe you'd like to continue with that, Karen, and share more about that with the audience.

Yeah, thanks, Joyce. The social determinants are really also something we refer to as a culture of health. And it meaning that attending to those 70 to 80 percent of things that impact health, aside from health care, really making sure that those are integrated into actual health care. And one of the most interesting things to me is now hospitals and payers are starting to appreciate the importance of those social determinants.

For example, one hospital in Chicago had many homeless people coming to their EDs when it was really hot or really cold. And they worked with the community to develop housing for these homeless individuals, and thereby improving their ability to care for themselves and also their quality of life. So I think those are the things we need to start thinking about. The other important thing from the Academy perspective is that things are evidence-based.

So my best example is when the shooting happened in Lakeland last year, we in Florida, we came out two days later with, here's the evidence. We didn't say, you know, the NRA and the Second Amendment are what we're going after. No, we didn't say that as the Academy. We said, these are the hands full of things that are evidence-based that will decrease the gun violence, and we think you should consider those.

And within the next few weeks, we had our expert panel actually on violence actually put together a paper that went into detail about each of those recommendations. And so that's one of the things with the Academy, looking at those social determinants of health, are trying to address things both proactively and reactively. That's wonderful. And I remember when you were talking to about people having enough to eat and, you know, living in Austin, it's a very booming city, growing like crazy.

And yet there are so many children that are on food assistance, for lunch assistance, and there's always a cry of like what to do when school's out for the summers. And so it's very, very real issues that we're all facing. So thank you for sharing that. I think nurses seem to be critical in terms of helping to improve a lot of these things that you've been describing.

And I was just curious, what are some things nurses can do to increase patient outcomes and improve things with fewer resources? So thanks, Joyce. I think when you talk about improving patient outcomes and in the face of shortages or limited fewer resources, we have to think through what that means. But we do know that having the right workforce makes a difference.

And we know from the research that Dr. Linda Aiken from the Center for Health Come Outcomes and Policy Research at the University of Pennsylvania School of Nursing has shown that for every additional 10% increase in BSN prepared nurses, there's a decrease in mortality rates of roughly 5 to 7%. And when the majority of nurses on a particular unit are BSN prepared, patient outcomes are better overall. And so sometimes we think about that as an individual issue, as a flight to somebody within the associate's degree.

I think what the research has really shown is that having the culture of a unit be focused on nurses that continue their education, and that education comes with a different level of critical thinking often, reasoning skills, and expanded cultural sensitivity, which people don't always think about to better connect with patients. And Linda Aiken, Dr. Aiken, spoke at the International Council of Nurses this summer. And she basically called the question and said, okay, what else is it going to take?

We've been doing 10 to 15 years of research showing many, many things other than what I talked about, the change in outcomes based on staffing, based on education preparation. But there hasn't been a real move to integrate that into our workforce planning. And it's not something that necessarily hospital leaders all believe in or feel like they're not able to support. And so I think the outcome piece to that is pretty serious.

And the fact that we know the answer, at least part of the answer and for the most part are choosing to ignore it, is really a concern. And I think there's going to be, you're going to see more effort over the next number of years trying to really figure out how to best integrate that work. The other thing about outcomes, when we look at some of the health-acquired conditions and prevention of those things, nurses are critical to all of them in one way, shape or fashion. And I think the thing to always remind nurses that they know what the right thing to do is they know what the protocols are.

And they know because it's either in policy or they know it from the science and the evidence. And it's important that they feel empowered to do the things that meet, they know will make a difference and be supported to do those things. Because at the end of the day, nurses are really the safety net for patients. They're 24-7.

They know them better than anyone else by virtue of time and their relationship. And so I see that attention to that as very important. On an interesting note, I'm working with a hospital that takes, is in a very low socioeconomic area. And their staffing is okay.

They don't have a lot of the support and luxuries that other hospitals have. But yet their outcomes on health-acquired conditions is amazing. It's been several years since they've had a central line of both blood and infection. And so I think we have to be realistic about what it takes to keep patients safe.

That's great. I think that we did a lot of work trying to look at how to have preventable deaths and injuries. And I think that we were making some pretty good progress several years ago. But I worry with all the churn in the system and all of the regulatory pressures and cost pressures that were kind of losing that ground.

And it's great to hear that you're seeing that organizations are still able to do that. So right now, this is all about nursing. And I'm your host, Dr. Joyce Bachelor.

We're live on the BBM Global Network and TuneIn Radio. And we'll continue this conversation when we come back. TuneIn to It's All About You with host, Dr. Arthur Lats, a lively weekly broadcast on BBM Global Network.

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Joyce Bachelor in All About Nursing and we're live on the BBM Global Network and TuneIn Radio. And just prior to the break, my guest, Dr. Karen Cox, was telling us a lot about the patient outcomes and the kinds of things that she's seeing that I think are really great in terms of working with hospitals that may not always have the adequate resources, but there's still things that they're doing to make sure that the care is done well. And I was curious if we could move a little bit into how all of this fits into improving public health because you keep hearing more and more about how and you said it earlier, so much care is being given outside of the hospitals for walls.

So how do you see nursing fitting into all that? Well, that's a choice where I think about the nurses role as advocates. And nurses advocate for patients, one patient's family at a time. All day long throughout your career.

But there are three to four million nurses in the US. And we spend the most time with patients and we're the most trusted professions. And sometimes I feel like we squandered at trust that we have because we could use this for a platform and really leverage that trust to communicate with people wherever you are about the evidence and the way it seems for healthcare. One example is, you know, if your child is school where they're about to PE time in half, you know, the evidence says that's not the right thing to do.

Well, you you know, go to the school board meeting where it's being discussed and say, you know, as a registered nurse, the science, I know that the science says for each 30 minutes of degrees, this is the outcome. And so if all of us do that, where we are, not in a big way, but it's always day in and day out, not from the emotional perspective, but from your friends, it's amazing to think about what we could actually complete and really, you know, make a difference in the health of the public. I think that's awesome. I like the way you said that too, because we've talked about getting nurses on boards and being involved.

And I think you're right, it's bringing that evidence is really, really critical. You know, here, we've talked about a lot of different things this evening and with your role, both with the Academy, but also your president role with the chamber university. Well, do you want nurses who are beginning their careers to know and understand about being a nurse? I think it's important to realize how critical your role is, but it's important to care for yourself and give yourself a little slack.

Transitions are hard. I mean, tradition is, and so you need to use the resources available to you. And one of the most important things I want people as new nurses to know is that if you are in a situation where you're caring for a patient and a family member or patient says to you, you know, if they say anything remotely, like that doesn't look right, or that's too much medicine for what I'm used to getting, or it's not the right drug, stop in your tracks. You're never too busy for patient safety.

And, you know, if you don't listen, it's one of the key things that impacts patient safety is you negative, is when you don't listen. So you need to listen, listen again, and listen some more, and consult with a colleague. But the other thing I would say is just that it's such a rewarding profession, and you have so many choices. And the whole notion of caring for yourself is important because you don't have, if you can't care for yourself, how can you possibly care for others?

There's a reason they say on the airplane when they're doing safety checks, you know, put the mask around yourself first before helping others. And that's something that nurses need to understand and need to really build into their daily life and routine. It's interesting you bring that up because I also had Pam Sipiano when she was President of A&A at the time talking about Healthy Nurse Healthy Nation because we're not the best role models when it comes to that. And I think that you've got some great points that you've brought up.

Karen, this has been fabulous having you on the show. And I hope that you continue to have great success in your roles. And thank you so much for being with us tonight. You've been listening to All About Nursing, Live, and the Bee Bim Global Network in Tune Radio.

I'm Dr. Joyce Batchelor, the host of the show, and hopefully you'll tune in again soon. Thank you.