All About Nursing (43)

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 Batchelor. Executive nurse advisor, Dr. Batchelor, will present a significant role in nurses' play in providing healthcare in the 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. Welcome to the host of All About Nursing, Dr. Joyce Batchelor. Good evening.

I'm your host, Dr. Joyce Batchelor, and all about nursing, and we're live on the BBM Global Network and TuneIn Radio. I'm delighted to introduce my guest this evening, who is Dr. Greer Glaser, and I think you're going to really enjoy hearing a lot about her career.

Dr. Glaser is the Dean of the College of Nursing, and Schmidt Lab Professor of Nursing and Associate Vice President for Health Affairs at the University of Cincinnati. She is a nationally recognized leader in nursing education. Dr.

Glaser has a strong history of developing community, national and international partnerships and securing federal funding for nursing research, scholarship and program implementation. In recognition of her work as a researcher, educator and healthcare leader, Dr. Glaser has received significant honors and awards. She holds a bachelor's degree in nursing from the University of Michigan and a master's in PhD degree in nursing from Case Western Reserve University.

Welcome, Dr. Glaser. Thank you so much. I'm happy to be here.

So I think it'd be great if we could start off with you telling us a little about when and how you decided to become a nurse. That's a great question. I actually think I have a story that's very similar to a lot of nurses, and that is, I knew people that were nurses. My mom was a nurse.

My mom was a nurse, and she absolutely loved her career. She started in the Army Cadet Corps and had her education paid by the government and then worked on a labor and delivery unit. She met my father, who was a physician, and what I grew up with was great role models that talked about how much they loved what they did. They both wanted to help people, and they were so happy to be able to always talk about the great cases and the people they met.

So my mom actually was a camp nurse, and I went to the camp where she was a nurse, and so from a very young age, I thought that was something that I always wanted to do. Now, why didn't I become a physician, or why did I become a nurse? Because both of them really did love what they did. From my mom, I learned that nurses really are the ones that are with patients 24-7, and nurses most often get to spend the most time with patients and their families.

So nursing really emphasized the relationships between nurses and those they cared for, and nursing is always emphasized the caring piece of the relationship. So those things really appeal to me, those are values that I have, and I have to say, I have never regretted becoming a nurse one minute of my life, and I do think that most nurses, if you ask them, if they're happy they chose the profession, at the end of their careers, most nurses will say it was really great and such an honor and privilege to be able to work with people in this very intimate way. That's awesome, and you're right, there are many people that do share similar stories, and so thank you so much for sharing that. You have a very distinguished career, and I was just curious, if you could share a few highlights that you're most proud of.

Oh, wow, I could go on and on and on, what I really loved, but also my first job was labor and delivery nurse. I loved that because it was one-to-one with a woman and her partner watching the birth of a baby, is a much awesome thing. And again, the nurse is the one that spends the entire labor and delivery experience with the patient, and the physician comes in to the delivery just for the last minutes to maybe hour, so I loved that idea that I could spend that time and help people get through that. A great thing that I got to do, I was always interested in political action and trying to make sure that policies supported both the people that we care for and the nurses, and so I started off locally, and I ended up being the national chair of the American Nurses Association Political Action Committee, and people might not notice, but the American Nurses Association actually endorses presidential candidates and also congressional and senate candidates, and so one of the things I got to do was be in a room that was very small with just the candidate and the campaign manager and some other members of the political action committee and actually asked candidates for the president of the United States questions about healthcare and priorities, and that was a tremendous experience.

Another one was I was a Fulbright Scholar, so the U.S. government sends academics over to other countries as global citizens, so we can learn about other countries and cultures, and also they can learn from us. And so I went to Israel for a six-month period, and I taught at Tel Aviv University and did research, and on that experience I was able to bring my three kids and family, and I can't say how valuable it is for anyone, any nurse, anybody to immerse yourself in a different culture to understand that we have so much to learn from each other, and it was wonderful. Last experience I'll just talk about quickly, and you can ask me other questions.

I was a Robert Wood Johnson Executive Nurse Fellow, that's a three-year leadership development program for nurse leaders, and one of the funny experiences there is they asked us who we would want to mentor us during this period of time, and I originally said I wanted the Dean from University of Washington School, nursing, who was a really wonderful Dean and scholar, and they said to me, you've been around nurses your entire career, you are a leader, you don't need to be around other nurses, we really need to learn from others, we have lots to learn from other disciplines. So my first mentor was Senator Sherrod Brown, I got to work in his Congressional Office in D.C. and in the Office in Ohio, and my second mentor was Dean Lois Nora, who was the Dean of a medical school in Northeastern Ohio Medical College at the time. So again, I've been able to learn from so many people, so many different cultures, one of the things I think my story highlights is this.

When you think of nurses, they do a variety of things, and they have a variety of experiences, it's not just nurses working in a hospital and on a floor, it's nurses are out talking to legislators, trying to impact the policies that make a difference in people's healthcare and lives. So let me step there and please ask me more. So I think it's really interesting that you started, sounds like pretty young in your career on a policy track, was there something that drove you in that direction? Yes, it's a really good question.

I think it may have been my education at University of Michigan, there were a lot of people that were very interested in policy issues, and I think they influenced me to join the nursing association and become involved in that way. I think you're raising a really important issue too about becoming involved in your professional organization and the opportunities that come from that and the mentoring that goes on, and other guests that had on the show have really talked about how that impacted their career a lot. Would you agree with that? That's been a really big part of your success and your way you started to really spend more time and have to hold on actually having you answer that question because it's time for a break.

So this is all about nursing and I'm Dr. Joyce Bachelor, we're live on the VM Global Network in Tune and Radio, and it's time to take a start 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 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. Dr. R. C.

will share extraordinary resources and services that promote educational success, as well as making a difference in the lives of all social workers, as well as the lives of children, adolescents, and teens of today. She will have open discussions addressing many of the issues that we face about our youth and how being employed in the uniquely skilled profession of social work for over 18 years has taught invaluable lessons through her personal experiences. She will also provide real-life facts, examples, and personal stories that will confirm that why serving as a child advocate is extremely beneficial when addressing the needs of the whole child. Listen live Saturdays, 10 a.m.

Eastern on the BBM Global Network and Tune in Radio as Dr. R. C. will provide foot-provoking information that will empower, encourage, and strengthen students, families, and communities across our nation.

You can also visit her at sorewithkd.com. Welcome back everyone. You were listening to All About Nursing, live on the BBM Global Network and Tune in Radio. I'm Dr.

Joyce Bachelor, that host of the show. And as prior to our break, I had introduced my guest, Dr. Greer Glazer, who is the Dean of the College of Nursing, and she's been my Professor of Nursing and Associate Vice President for Health Affairs at the University of Cincinnati. She was telling us about the amazing opportunities that she has taken advantage of in nursing, and I had started to ask her if she thought that being a member of a professional organization really had helped her make connections and impact her careers.

And maybe we could go back and have you tell us a little bit more about that career. Yeah, so I was educated at college that you have an obligation to be a member of your professional association. And the point of this is that I can do a lot as an individual, but collectively, when we all are working together, we can do much more. So becoming a member of the association helped me meet other people, it helped me to be able to network with others, it gave me mentoring with people that had been there for many, many years, and it gave me opportunities to learn new skills.

So that example I gave how I was the political action committee chair for the American Nurses Association, it started off by becoming a member at the Greater Cleveland Nurses Association, and we actually endorsed candidates at the state level and the local level. So I learned a lot of skills, I met a lot of people, I continued to expand my horizon, I learned to testify about bills in the legislature, I learned how to write language for bills, and so it was invaluable, and I think that every nurse should be a member of the Professional Nursing Association, because when we are working together, we can accomplish great things. That's awesome, and I would totally agree, and we've talked about how there's three and a half, four million nurses in this country, and if we could align on some issues, we'd make a really big difference in healthcare, so thanks for sharing that. You can say one thing Nancy, I really don't think most people realize there are more nurses in the United States than any other healthcare profession.

So I don't think people think about that often, I think sometimes people think that maybe there are more physicians, but there are so many fewer physicians, it's really the healthcare workforce is primarily nurses and other professionals. Wonderful. So Greer, you currently serve as a Dean at the University of Cincinnati College of Nursing, what are the major issues that you and your team are addressing? Oh boy, we just have a few kidding.

One thing that we're very, very serious about is that we want to make sure we have the right students, because we know that we have changing demographics, we know that we want to have nurses that have particular characteristics like our empathetic, our good communicators, our caring, so we want to make sure we get the right people, and we want to be able to match the demographics of where we are in Cincinnati with the nurses as well as the United States. So we actually started a process of admitting students differently at University of Cincinnati three and a half years ago. It's called Holistic Admissions. It's where you use more than tests and grades to admit your students, and you actually look at characteristics of students you're looking for, and we've introduced an interview that's called an MMI where students are rated on their ability to exhibit whatever characteristics we're talking about, and five minutes at a particular station that's been shown to be a really good way to identify students.

So we have changed the way we admit students, and we want to make sure we've got the right people there, and that the students are there for the right reason. You know, for a while, you probably could have heard that some people seemed to want to go into nursing because they knew that it was the number one profession where you'd be able to get a job, and they were just really interested in the job, and that's not the student we want. We want a student who really is there for the right purpose, which is to make a difference in people's lives and help people either manage their own diseases or become healthier and help them attain their high wellness. Another thing we are currently working on in a major issue for us is we have to have programming so that we ensure our students are successful.

So if we admit somebody, we want to have whatever it takes to make sure that they are going to graduate and be able to take the test that lets you become a nurse. So we've got tutoring and mentoring and budget for all that. And a huge issue in nursing right now is what we're teaching and how we're teaching it. We have different learners than when I was in school.

We have students who are technologically capable and used to using technology in their learning. So we actually became apple designated school. We are using iPads for undergraduate curriculum and some of our graduate curricula. So instead of sitting in a classroom where somebody is lecturing at you for hours with a PowerPoint presentation, everything is now on the iPad and students are using that both in the classroom and really wonderfully in clinical settings.

So we can use it as a teaching tool with the patients and their families when they're in different clinical settings. In addition to how we're teaching, it's what we're teaching. So we need to make sure we're teaching content to help prepare our students not just for now, but for the future. So we're working to integrate social determinants of health, aging, dying, behavior change, and vulnerable populations topics that are really important to our nation so that we're able to provide care to people in ways that they need.

Last thing to major issue for us is we aren't the only healthcare professionals. Nurses are very important. I say they are the backbone of the healthcare system, but we couldn't do it alone and we can't do it alone. And we need our colleagues, our very good colleagues and the other healthcare disciplines.

So we're focusing on how do we provide interprofessional education? How do we provide content with our colleagues in medicine, social work, PT, OT, pharmacy, all of the different health disciplines we have? That's wonderful. That sounds very comprehensive.

And we'll hear a little bit more about that right now. We're coming to you live from the B.D. Englable Network in TuneIn Radio. This is all about nursing.

I'm Dr. Joyce Bachelor, and we'll continue this conversation when we come back. French Rastafarian Baker Chef Ughmat is a fourth generation baker and has worked in 11 countries across three continents. Born in Muhlhouse, France, he began apprenticing in his father's bakery at age 12 and has devoted his life to learning cultures of the world from inside kitchens across the globe.

He also teaches traditional French baking by hosting demonstrations in classes, and his passion for baking is reflected in his delicious confections. With a deep respect for discipline and his rastafarian way of life, Chef Ughmat exemplifies commitment to tradition and culture in a global world. Traveling extensively and combining a myriad of flavors into his recipes, Chef Ughmat brings a unique approach to baking. To read more about the French rastafarian baker, visit www.frentchefu.com.

That's H-U-G-U-E-S. Born Apertit and Blesa. Mike Zorek, a three-time California state champion in Greco-Roman wrestling at 114 pounds. Mike, blinds its birth, was born in Hartford, Connecticut.

He was a six-time national playcer, including two-seconds, two-thirds and two-fourths. He also won the veteran's folk style wrestling twice at 152 pounds. In all these tournaments, he was the only blind competitor. Nancy Zorek, a creative spirit whose talents have taken her to the stage and into galleries and exhibitions in several states.

Her father, a commercial artist who shared his instruments with his daughter and helped her fine-tune her natural abilities, influenced her decision to following his footsteps. Ms. Zorek has enjoyed a fruitful career doing what she loves. Listen, Saturday mornings at 12 Eastern for the Nancy and Mike show for heartwarming stories and interesting talk on the BBM Global Network.

I'm your host, Dr. Joyce Bachelor in all about nursing and relied on the BBM Global Network in Tune and Radio. Before the break, my guest, Dr. Greer Glazer, I started to tell us about the very exciting goals that she has as a Dean of the University of Cincinnati College of Nursing.

And you had started to talk about how it was important to focus as well on other professionals and the in-professional work that you do. Would you like to describe it a little bit more? Yeah, so I mean, what's important is not that you just have students sitting in the same course and call that interprofessional. It's important to have people that are experiencing issues and working together to try to solve them.

So let me give you an example. We have students from pharmacy, social work, nursing and medicine. We have a simulated experience where there's a medication here, which we know happens often in health care settings. Because we're all humans, and so we do make mistakes.

So we go through from the beginning of where a practitioner ordered the medication that happened to be a physician. But of course nurse practitioners can order medications too, but in this case, it was a physician ordering medication. And the pharmacy filled it, and it was brought up to a floor, and one person took off the orders, and then the next nurse actually had the patient and gave the medication to the patient, and it turned out that it was not appropriate. So they go through the scenario and talk about it and talk about all of the places where there are opportunities to communicate that this was not the appropriate medication or dosage.

And what's so interesting, I'm not remembering exactly the statistic, but of about 47 groups of four students, 45 out of 47 said the nurse was to blame. And the whole point of the exercise was the air was made in the very beginning and could have been caught all the way through. And so many of the errors that are made in health care are not individual errors. They're really system errors and communication errors, and we all are responsible, and we all need to work together.

That's a great example. We've talked about organizations trying to become more highly reliable and creating a culture that's just, and so your example is perfect. And our commitment to patient safety means that we've all got to really be comfortable stopping the line and asking questions. We see things.

So thank you for sharing that. I'd like to switch a little bit to begin to ask you about the future of nursing 2010-2020 Committee that is working to really look at recommending that 80% of the nurses be prepared at the baccalaureate level. Why do you think this is the future that we need to be moving to? This was the report was 2010-2020, and we didn't reach the goal of 80%.

I think we reached about 64% in the United States and it varies state by state. The reason why I think they made that recommendation, which by the way, any of the recommendations that were made from an Institute of Medicine, National Academy of Science report has to be evidence-based. So there was evidence for this and the evidence is that if you have the higher percentage of baccalaureate nurses in a hospital, the lower congestive heart failure mortality, the fewer pressure ulcers, the less there is a problem of not rescuing somebody who's starting to become very ill, that there's more of the ability to rescue patients. And the fewer post-operative blood clots that people have.

They're also a shorter length of stays for patients, which that's what we want. And interestingly enough, a recent study showed there's higher proficiency in making good diagnoses. So that's another little myth I want to bust, which is that only physicians diagnose. Nurses do make diagnoses also, and it's important that they do.

It's their, you know, a very important member of the team. So there are better outcomes when you have the higher proportion of baccalaureate nurses that you've got. As all of us know, we've had family members that are being cared for in hospitals and elsewhere. There's increased complexity.

People are sicker. People are staying in the hospitals, much shorter lengths of time. And we are seeing more people being cared for in the community. So as people are moving out of hospitals and being cared for, we need people with the education to be able to provide the care that they need.

That's great. I know that being here in the state of Texas, we're doing a lot of improvement. We're not at the 80 percent, but we're up above the 60 percent, which is pretty good considering the size of the state. But we're not there yet, but there's certainly a huge commitment and we're making progress.

So other things I wanted to mention, Joyce, I don't want anybody to misunderstand me because oftentimes I'll hear now that people that do not have a baccalaureate degree, those are associate degree nurses who have two-year community college degrees feel like they're being disenfranchised and we're saying something about an individual person. So this really isn't about individuals. This is about a group. And I totally understand that there are nurses that need to go to root of getting an associate degree in the beginning because of the cost and the other challenges in their lives.

But what we're saying is everyone needs to make a commitment to help people move from having associate degrees to the baccalaureate degree. And so like at University of Cincinnati, we had had an onsite program with very few students in our end-to-batchers program. We started an online program and we've been able to just increase the numbers of students getting baccalaureates from their associate degree programs because it works with their lives. Yes, thanks for clarifying that.

And I'm originally a diploma graduate, so I do know the pain that you go through and you think, oh my goodness, I have to go back to school. But education does matter and the number of doors you want to open in your career really do vary. And it kind of takes us to the second part of the future of nursing 2010-2020. I'm sorry, 2010-2020 Committee on recommending the doubling of nurses with doctoral degrees.

And it might be helpful to talk about both DNP and PhDs you're describing that too. Yeah, I'm so happy to do that because I think this is very misunderstood. So we want nurses that are interested in getting their PhDs. And those nurses are people that want to focus on research and the science.

We need people that are doing research. And DNPs are nurses at the highest degree for practice. And they're focused on population health, management of groups rather than illness, individuals, evaluation and quality assurance projects. And they really are the answer to the primary care physician shortage that is we have more advanced practice nurses that are doctorately prepared.

They're going to be able to provide great care to people that need it. The last reason why they wanted to know that nurses were our faculty. That's a really great point. We're going to need to go to commercials.

So we're coming to you live from the BBM Global Network in Tune & Radio. This is all about nursing and I'm Dr. Joyce Batch, the host of the show and we'll be right back. Tune into It's All About You with a Host, Dr.

Martha Lass, a lively weekly broadcast on BBM Global Network. One of the most empowering shows for time-starved, over-scheduled multitaskers. The professional expertise of Dr. Lass is directly available live every Thursday at 1pm.

To answer and address concerns about relationships, life transitions of career, needy, dating and committed relationships. It's All About You with Dr. Lass, who expand your understanding of current concerns across your relationships by broadening and expanding possible solutions in developing skills for mutually desired outcomes. Dr.

Martha's expertise is as a licensed marriage and family therapist, life, transition coach and all things to do with communication at work, home and with friends. Check out her website at AUNeaktherapysenter.com Welcome back. You're listening to All About Nursing, live from the BBM Global Network in Tune & Radio. I'm Dr.

Joyce Batch, the host of the show. And just prior to the break, my guest Dr. Greer Glazer, who is the Dean at the University of Cincinnati College of Nursing, was telling us about the work that the Future of Nursing report has been really recommending around doubling the number of nurses with doctoral degrees. You had started to talk about Ph.D.

and D&P and the difference between the two degrees and what each one is really trying to specialize in more so maybe you could share a little bit more about that. Okay, so let me just say that this recommendation actually was met. So we did double the amount of nurses in the United States with doctoral degrees. But very interesting that a huge increase in nurses with the D&P, Doctor of Nursing Practice, but was pretty flat of nurses that were seeking a Ph.D.

And why we need doctoral prepared nurses, not just to be able to do the research and provide the care, is that they are faculty. Most baccalaureate programs and higher require faculty that have doctoral degrees. So some of you living across the country are currently having nursing shortages and many people have had big nursing shortages over the last number of years. And even in the future, we're projected to have some, you know, in varying geographic locations.

The biggest reason for these shortages is that we don't have enough faculty with doctoral degrees to teach. So it's really important for us to pay attention to this as we move forward. So in your role as the Dean of the University of Cincinnati College of Nursing, you're working to educate advanced practice nurses. Why are advanced practice nurses so important?

So glad you asked me this question. I want to make sure everybody knows that there are four types of advanced practice nurses. We have nurse practitioners, which a lot of people have heard of. We have certified nurse midwives who are basically caring for women and their families, child-bearing families.

We have nurse anesthetists and we have clinical nurse specialists who have traditionally been specialty based in hospital. Nurse anesthetists deliver almost 75% of anesthesia in the United States. And so these people are really important in being able to provide the care that everyone needs. Our nurse practitioners, nurse midwives and clinical nurse specialists provide primary care.

They provide acute and specialty care. And what we know from research is that nurse practitioners serve in underserved urban and rural areas at higher rates than other professionals. So we're very interested in making sure we're able to provide care where people need it. And nurse practitioners and the other advanced practice nurses actually go to these underserved areas.

We also know that we've got an aging population. We know it's doubling by 2030. And so we have more people that have more complex issues. And we need to be able to have the providers and we don't have a lot of people going into geriatric medicine or gerontology.

And so one of the things we're doing at University of Cincinnati is we're preparing geriatric nurse practitioners. Really important because they'll be providing the day-to-day primary care for our aging population. Last reason why advanced practice nurses are so important is in addition to helping people deal with their diseases and chronic illnesses, they focus on health promotion. They focus on disease prevention, health education, counseling.

And they're really working hard to help guide people to make better lifestyle and health decisions. Most people would be shocked to know the biggest factor that determines an individual health is their lifestyle and their health decisions. And how much of our education educates us to do those things. That's why we're really working at University of Cincinnati and across the country at all nursing schools to make sure our students have this content and they're doing this with the people that we provide care to.

So on prior shows we've talked a little bit about some of the issues that advanced practice nurses face, but I particularly around scope of practice. I'm just curious if you could share a little bit about from your experience. What are you seeing? Okay, that's a great question.

I do have a lot of experience here. I was in my political action in Ohio. I was part of the group that lobbied for the first change to the Nurse Practice Act that actually named advanced practice nurses in the legislation and gave them a scope of practice. But what most people in the United States that are citizens don't know, every state has a different nurse practice act.

They all have different laws that govern the nursing practice in that state. And so for advanced practice nurses, the law can limit their independence and the law can limit their prescriptive authority, their ability to write prescriptions. And there's also laws in state that regulate how much they can be paid and for what services they can be paid. So this is like really a huge issue.

We've got payment rates for the same services that a physician would provide that advanced practice nurse makes less money. We have many nurses, as you said, that cannot practice to the full scope of their licenses. So this is something that I think is not just an issue for nurses. I think this is an issue for all citizens who care about being able to get quality care by people that are able to provide that.

So we need to make sure that all advanced practice nurses are able to practice to the full scope of their licenses. I think the most recent number is 30 some states do allow independent practice for nurse practitioners. It needs to be all the states. And nurses don't need to have supervision for their ability to prescribe medications that limits their ability to help people when they need help.

Another example I think is for the future that we need to be thinking about telehealth. The ability to communicate with people in different locations is going to be something that is more and more prevalent in the future. And the ability to pay for those services from advanced practice nurses or any nurses differs in different states and the nation. That's going to be a bigger problem as we move forward.

Thank you so much. This is all about nursing. I'm your host, Dr. Joyce Bachelor.

We're live on a BBM Global Network and it's time for us to take a short break. Master of words, powerful player. What life-changing words can Dr. Janet Smith-Orfield pull out of her magical toolbox that just might mysteriously open the door?

You never knew it was there. A door to free yourself from fear forever. Transform your rage into right action. Release your guilt.

Position you into a life of freedom, purpose, passion, power and peace. All quite suddenly, unexpectedly and almost miraculously with no effort on your part. Join Dr. Janet every Monday at noon Eastern on Dancing With Words, Dancing With Wisdom on the BBM Global Network as she and her guests show you how words map our experiences.

Immersing you in a sound bath that relaxes your muscles, opens your mind and supports you in co-creating your extraordinary life. Author, radio show host and coach John M. Hawkins reveals strategies to help gain perspective, build confidence, find clarity, achieve goals. John M.

Hawkins' new book, Coached to Greatness, Unmock Your Full Potential with Limitless Growth, published by I-Universe. Hawkins reveals strategies to help readers accomplish more. He believes the book can coach them to greatness. Hawkins says that the best athletes get to the top of their sport with the help of coaches, mentors and others.

He shares guidance that helps readers reflect on what motivates them. We discover and assess their core values, philosophies and competencies, find settings that allow them to be the most productive and attractive progress towards accomplishing goals. Listen to John Hawkins' live strategy. Saturdays, 1 PM Eastern on the BBM Global Network and TuneInRadio.

Welcome back everyone. You're listening to All About Nursing Live from the BBM Global Network and TuneInRadio. I'm Dr. Joyce Batch, the host of the show.

And my guest this evening is Dr. Greer Glazer, who is currently the Dean at the University of the University of Texas. She's been telling us a lot about the great work that she's leading and a lot of the major changes that she's helped to shape policy-wise in our country. I know that you were sharing with us earlier about the need for more nurses to have their PhDs and people really interested in nursing research.

I was hoping that you could tell us a bit more about why nursing research is so important. Oh, great. Nursing research is done by nurses with PhDs. They have PhDs like other scientists.

So why I think it's so important is the average length of time from a research study to actually seeing the findings implemented is 17 years, which obviously is way too long and not going to really make a difference to a lot of people. Most nursing research can be applied right now and make a difference in people's lives right now. The kinds of research that most nurses do are things like how to manage symptoms they're having that may relate to a conditioner disease they have. And a good example of a great nursing research study was a study that looked to understand why people do not go for scheduled colonoscopies and to increase the rate of them.

So we know we've got a lot of testing that we have that's preventative, which is what we're wanting to focus on. We'd rather prevent disease and illness than deal with them once they're there. So in one study I could talk about 50% of the people that signed up for a colonoscopy at a major medical center did not come for their appointments. So, you know, it was not good for the people that didn't come and it wasn't good for the health care setting because they were preparing, you know, many cases and they weren't there.

So a research study was done to find out, well, why weren't they coming and what were the issues? And they were able to find out from the research that was done that there was a huge issue related to the prep, so getting ready for the colonoscopy. There were people that were frightened to find out what they might find and they were too afraid to have the colonoscopy because they didn't want to find out that they might have cancer and things like that. So, nurse research is important because nurses are usually doing studies that make important contributions right now and help people live their lives in a better way right now.

Let me give you an example of how it could impact the health and wellbeing of a person. Tammy Baccas is an endowed chair at the college and does research with the elderly. She's using telehealth robots to deliver health coaching to the elderly in their homes and with a three session coaching session by nurse practitioners students, she found that she was able to reduce the number of days that people said they didn't feel healthy per month, that started off 11 days a month, that an elderly person did not feel healthy before the coaching afterwards down to three. So it makes a difference to people and it's so important for us to make sure that our research is funded, that the funding agencies have funding available, sufficient funding available for nurses to do the research.

It's interesting that there's been a lot of research for a lot of years since we've had PhD education and research for over 40 years. It has shown that home visits with parents to be through their child's first two years of life makes a difference in the children's and the parents' lives. Many fewer negative outcomes, less child abuse, less child neglect, all kinds of things so that what we really want to be able to see is funding for the work to be done to start. And then people actually implementing the science that has been discovered by these nurses that really make differences in real people's lives.

You know, and I think that when you're talking about PhD nurses do research, I think the DMP nurses and masters prepared, you know, look at magnet hospitals, a lot of times it's done in conjunction with some kind of mentor or perhaps somebody from a local university or someone that's got a PhD. The part that's pretty exciting is to think about how do you take research and put it into action and actually see what it does when you start to spread it on a wider scale. You know, thank you for sharing that because I was fascinated by the robots and telehealth because I think that's just a wonderful way for us to start to impact what Dr. George is on a prior show who's the elected president of AARP said that social isolation is a very big concern that they have with a number of people that are getting older.

So you're right on target with that group. Thank you so much. I just want to say that you're right on target too because the best thing we can do is pair, Dr. Leopard's peer nurses and PhD and BNP together.

The nurse with the PhD is the one that's responsible for the research. The DMP is responsible for the implementation. So that's a really wonderful pair. The other research I wanted to point out nursing research that people don't know about.

There have been issues about if nurse practitioners really can provide the primary care or whatever kind of care it is to the population if we just need physicians and nursing research for many, many years has demonstrated that nurse practitioners can provide high quality care and all these settings. It's at least equal if not better in some ways to others. So it's really important to mention that this is evidence based that NPs, nurse practitioners and any of the other advanced practice nurses provide high quality care. Thank you for sharing that.

I think that it's interesting as CVS and Wal-Breens and while Mar and others start looking at offering primary care, they really are working with nurse practitioners to help really increase access to care and making it very convenient. I think there's a lot of things for us to continue to work on and influence as it continues to go forward. Is there anything else that you want to share about the research and the impact on the wellbeing of people? You gave us a couple of great examples and may need to hold that actually because it's time for a commercial break.

So this is all about nursing. I'm your host, Dr. Joyce Bachelor. We're live on the BVIM Global Network and we'll continue the conversation.

We come back. Introducing BetterHomeAndGarden.com. That's www.BetterHomeAndGarden.com with just a letter N in BetterHomeAndGarden.com offers you the highest quality products on the market that are environmentally safe and effective and to make them available to you at the lowest possible prices. BetterHomeAndGarden.com understands that kind of creativity and do it yourself attitude.

Thus we developed our website BetterHomeAndGarden.com. BetterHomeAndGarden.com offers you the following products right online. Bath, bedding, collectibles, crafts, sewing and hobby, food and beverage, furniture, home decor, kitchen and dining, lamps and lighting, large appliances, musical instruments, outdoor cooking, patio items, pet supplies, plant and garden, rug and floor coverings, small appliances, travel and luggage and so much more. BetterHomeAndGarden is an online retailer offering a wide variety of high quality brand name merchandise at discount prices.

Our service is personal and we aim to please visit us at www.BetterHomeAndGarden.com. Make your home your own. 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 birth 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 medicine. 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 Joy Spatchelor 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 Batchelor.

I'm all about nursing and we're live on the BBM Global Network and Tune in Radio. And my guest this evening is Dr. Greer Glazer who is the Dean at the University of Cincinnati College of Nursing. And I know one of the things that you have a lot of passion for is really interprofessional care.

So maybe you could talk a little bit about how you're preparing your students and professionally at the University of Cincinnati College of Nursing. Oh, thanks. So as I said, I mean, we are working with the other colleges to prepare health profession students, both in coursework and in clinical to make sure we are able to provide as many opportunities as we can where they are working together. Why is this so important?

No one profession can do this by themselves. And it's very complex that involve all of the health professions. So as I mentioned, nurses, physicians, social workers, pharmacists, nutritionist, PTs, OTs, x-ray technicians, all of them. Why is it important?

Because a Johns Hopkins study found that 250,000 people in the United States die of medical errors yearly. Other studies have even raised that to 440,000. Here's a shocking statistic. Medical errors are the third leading cause of death after heart disease and cancer.

So what we're trying to do when we provide interprofessional education is to help our students learn how to work with other people, how to deal with system failure, fragmented care, communication errors, because there is no way that medical errors should be the third leading cause of death. And I think that we can make a huge dent in that if we really pull our resources and target students. I mean, of course, we want to target people that are in healthcare settings. But once they're in healthcare settings, they've already been socialized.

They have their bad habits. Best to get them before they start. That's wonderful. You know, you've been sharing so many things that I think people that may be listening that are nurses or think about becoming nurses are very inspired by that.

And as you know, we have a lot of non-nursing consumers in general listening. And you've had so many wonderful things that you've shared. What takeaways would you like our audience to remember about nursing and nursing education? Wow, I'm going to try.

And then you can like cite some too. If I have to. I want people to really understand that nurses are the backbone of the healthcare system. They're the largest group of healthcare professionals in the United States.

They are the ones that are with patients or the people they're caring for 24, 7 every day of the week. And they're the answer to the primary care physician shortage. Nurses have to be able to perform to the full extent of their education. And as I said before, I don't think this is just a nursing problem.

I think consumers have to get involved in changing our outdated nurse practice in their states so that they're assured to have access to high quality care. When I make sure everybody remembers them that research does support that nurse practitioners provide care that is safe, effective, patient centered, efficient, equitable, and evidence based. All research shows comparable quality to positions in the care they're providing. Some show even higher patient satisfaction, fewer unnecessary readmissions and fewer emergency room rates.

But again, as I said, we can do what we're educated to do. We absolutely do need physicians. We need to be able to refer people to physicians when it is out of the scope of our practice. And last I want to say that oftentimes people talk about how caring nurses are and how we're the ones that are there nurturing the patient, which we are in.

That's a very important part. But nurses are also critical thinkers and they're intelligent. We have such high expectations for our nurses and they are the ones that are delivering care and will be the ones to deliver care in the future. Thank you so much for that.

I think those are just wonderful closing thoughts. I really want to thank you again for agreeing to be on our show this evening. And I'm sure everybody has really learned a lot from your experiences. You've been listening to all about nursing live in the media and global network and TuneIn Radio.

I'm Dr. Joyce Batchler, the host of the show and TuneIn, next week to hear even more about where nurses work and the difference that they're making. Thank you. You've been listening to All About Nursing with your host, Dr.

Joyce Batchler. TuneIn each week and get a daily dose of nursing and the health care services they provide and how nurses are finding innovative ways to address the key health care issues they're facing today. And here on Dr. Joyce Batchler's All About Nursing.

We'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.