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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 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 in All About Nursing and we're live on the BBM Global Network Intune and Radio. And I have a very exciting opportunity to introduce four guests with me this evening. We are actually coming to you live from the International Association of Leadership Science and Nursing Conference at the UCLA Lesson Center.
And I'm the vice president of the program's chairperson of the conference. And I thought it'd be great for you to hear from our guests tonight. I have two individuals who are on the practice side and two that work for academia. So I'd like to just tell you a little bit about each person.
Nora Wachowski is a professor for the Graduate Nursing Leadership Program at the University of Central Florida College of Nursing. She has really spent a great deal of time doing a lot of research to try to understand the predictors and outcomes of nursing and interest practice. And she's just been so engaged and I think if you look drop on the internet, you find out she has a lot of accomplishments. My second guest is Dr.
Barbara Cherry, who is currently the professor, associate dean and department chair for leadership studies at Texas Tech University Health Science and Center School of Nursing. She is currently the past president of the association and has just a lot of experience working on management administrative positions and has again just a very impressive career. And my third guest is Dr. David Bailey.
And he's a new doctor. I'd like to point out he's recently finished his PhD. So he kind of dies every time I tell everybody that. But he is currently the chief nursing officer at the UCLA Medical Center in Santa Monica, which is a designated hospital and serves as a cornerstone of UCLA's health largest and expanded community network.
And he's got just a phenomenal background as well. And my fourth guest is actually Gabe's boss who is Dr. Hear and Gridley, who is the chief nurse executive at UCLA Health. She is a member of both UCLA Health and the School of Nursing, senior leadership teams and she's responsible for nursing practice and peer delivery across UCLA's Health's four hospitals in the inventory here.
And I would just like to point out that Hear and David have been extremely supportive and they are actually our sponsors for the international nursing conference that we have here in LA this week. So thank you all for being on the show. And you're going to get to know a little bit more about each of them as they begin to answer some of the questions that we have prepared for this evening. And I'd like to start with Nora, who is currently again our president, and have her tell you a little bit about what is leadership and leadership science and why is this important?
Well, thank you Joyce and thank you for the nice introduction. First and foremost, healthcare organizations exist to meet the health needs of the communities they serve. Teams of leaders can be found in all healthcare organizations and their primary responsibility is to ensure that the organization meets those community needs. The leaders are the people in the organization who decide what services the organization will provide.
They decide how they're going to coordinate their services with other organizations in the area. For example, cities often have two or more healthcare systems and it's common for each organization to determine what they're going to specialize in or what their priority healthcare needs they want to focus their services around. Once the leaders determine the scope of services to be provided, they determine the resources that they need to meet those services. Resources include things like the buildings, the people that work there, and the equipment that are needed to provide the service.
They determine the level of care for those services. For example, the organization may want to focus on providing cardiac care in an acute care hospital and then follow up care in an ambulatory clinic. They decide what structure best fits with the communities they're serving. These are called the macro structures.
They also determine structures and processes to coordinate the work that needs to get done inside the organization. So going back to our cardiac services example, what will be the range of cardiac services we provide in this organization? Do we offer open-heart surgery? Or do we offer just less invasive interventions that can be done in the cardiac cath lab?
And if we offer these services, then we need to think about the complementary services that are needed. For example, a medical cardiology intensive care unit or a cardiac surgery critical care unit. In addition to meeting the needs of the community, leaders ensure that the services provided in their organizations meet the standards set by accreditation bodies. This is, you know, the good housekeeping seal of approval.
In other words, leaders want to be responsible for ensuring that their care meets the highest quality standards. One way that leaders ensure quality care will be provided is to ensure there's an adequate supply of highly skilled workers. Nurses are the largest group of employees in any healthcare system, and there is always a chief nurse who holds ultimate accountability for the nurses who are working in the organization. And so, Norek, maybe you could tell us about the professional organization as a whole, because it's got kind of a unique feature in that it brings together different kinds of leaders.
Maybe you could share a little bit more about that. Well, the Association for Leadership Science in Nursing is a phenomenal professional organization, and our primary objective is to promote collaboration among nursing faculty, researchers, and leaders from practice. We are all committed to developing the best way to lead nurses and deliver nursing care. We're focused on the science behind what we do.
And Dr. Barbara Trier, I would like to ask you a bit about, you know, this conference is a theme, disruptive innovation, impact for practice, policy, and academia. Why are we having this conference? Why is it important from your perspective?
Okay, that's a great question. Thank you, Dr. Bachelor, and I'm really excited to be here. So within this whole organizational structure that Norek talked about, there is really a great deal of complexity in how we get one individual laying in a patient bed or being seen by a provider in a clinic, that with that patient we ensure that they get the most up-to-date, event-space care in a really efficient, effective manner.
So any of you who are going to the hospital or going to a clinic or engaging in community to get a flu shot or whatever, there's a lot of complexity around how we make that care happen. And so we have, you know, our effort is always towards helping people be the best state of health possible. But these complex healthcare systems that we work in and that are all over our nation require nurse leaders to be constantly vigilant and constantly looking for better, safer, and more efficient ways to take care of patients and promote health both at the individual and the community level. So it also requires that we look for innovations and it may be disruptive.
What's a new way to kind of break them old or the old way we do things? So that disruptive innovation is what we're looking for to take their care of our patients and within these complex systems that Norek has talked about and that you probably have experienced when you go to the hospital. So bringing the two groups together, academia and practice, nurses and academia are responsible for educating nurses who will work on the front lines of care. We also provide higher levels of, we provide a higher level of education for advanced practice leaders, leaders in higher levels of that organization.
So both practice and academia are constantly, yeah, we'll have to talk about this a little bit more in just a few minutes. This is all about nursing, I'm going to do a spatula, we're light on the vehicle when that we can tune in radio and it's time 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 rules 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 health, reduce health disparities and improve the health and wellbeing of the U.S. population. Learn more and join Choice Bachelor on All About Nursing, Wednesdays from seven to eight p.m.
Central Standard Time on the BBM Global Network. For over 50 years, Evelyn Stupula has been a loving advocate for people with disabilities throughout the state of Pennsylvania. President and founder of Big Heart Bridges, her organization actively campaigns for legislation and support of civil liberties that meet the needs of disabled individuals with housing, transportation and employment. Stupula has joined forces with a variety of esteemed organizations that advocate for the disabled.
She serves on the board of the United Cerebral Palsy of Pittsburgh and the Governance Cabinet and Advisory Committee for people with disabilities. And she is a consultant for the Pennsylvania Governance Conference for Women. Her many efforts have led to the implementation of a transportation program for the disabled with the Access Power Transit System of Allegheny County. Evelyn Stupula strives daily to serve the interests of the disabled, to protect their freedoms and enable them to live normal public lifestyles.
To learn more, please call 412-491-2605 or email Evelyn at ers9265-atverizon.net. Welcome back everyone. You're listening to All About Nursing, live in the BBM Global Network and Tune in Radio. I'm Dr.
Joyce Bachelor, the host of the show. I had been introducing my guests here a little bit earlier. And prior to the break, Dr. Barbara Cherry was telling us about the conference that we're having here in Los Angeles and why it's important.
So maybe you could continue to tell us a bit more about why it's so important to be having academic and practice partners really working together and taking a look at a lot of complex issues that help us make sure we do better job taking care of our patients. Sure. So nurses who are in academics and nurses who are on the practice side where care happens, they're totally dependent on each other. Nurses, we need those practice sites as training sites for our students.
And the practice sites need the product we produce, which is trained nurses who can work on the front lines of health care. By having nurses in one room focused on both academia and practice, we also throw health policy in there. That's one of the portions of our thing. We get all these guidelines together and we can really talk about innovations to improve the health of individuals and communities we serve.
So having the two groups, academia practice, along with the focus on health policy, which is to address standards, regulations, reimbursement issues, we really can come up with some dynamic results and innovations for health care. So Dr. Bailey, you are chief nursing officer from your perspective on that practice side of the world. Why do you believe that this is important to have strong partnerships with our colleagues at the academic settings?
I think it's really for multiple reasons. And I'm actually thinking for the opportunity to participate tonight. But I think this partnership is important for many, many reasons. Really like Dr.
Jerry said, is to create that pipeline. But on the other side of the practice side, we have to sort of set training around. But we should also be able to take that feedback. If we're finding new items or new technologies, new therapies, we need to make sure we keep our colleagues on the academic side in part of this change.
And we're identifying issues. And really, this would be a myriad of issues. We just have to really make sure that dialogue is back and forth. And it just doesn't stop when they leave their school.
And then we teach them some activity. That really is a total disconnect to me, the two. So it's very important that we have that academic partnership. And we have one in our organization.
And we've been able to give that feedback. But the other thing is, it's the partnership that we have. We, on my different campus, we've created a dedicated education unit. Well, that is the school that has taken several about the one unit we do this.
Five of our staff nurses have volunteered. And they were trained by the faculty at the school nursing. And then they started as their mentors. But while our nurses are learning to educate, to train on the unit.
But they are able to learn how to get that feedback and construct a mechanism like a faculty member or mentor board. So it is going to huge work for a back group. And they want to continue to do that. So we're doing that for two quarters per year.
And we do the Mac and Stuis, which is the math industry program, one quarter. And then we're doing the bachelor's entry or other quarter in its work there. You're very nice to have science. That's very exciting.
The name of the organization Leadership Science and Nursing. Why is this really having the organization focused on the importance of nursing leadership science? What's that all about? I think I always, Karen, really, thank you very much.
You're inviting me to participate today. It's an honor. I think one of the things that's really important about leadership science for nursing is that if you look at the history of nursing, many of us got our first leadership job because we showed up. We did not get any what you call formal training or education.
And leadership is a science management. It is a science. And I think by being able to concentrate on infusing more of that information into our practice, we become a better mentor and coach to the people that were onboarding as new nurses. And also to keep the experience nurses in our realm and practicing hopefully at the bedside.
It's nice to keep them there as well. And Dr. Warshal, you have spent a lot of time to research nursing managers and others. So why do you think it's important in terms of what the organization is focusing on from a nurse leader perspective?
Well, I think nursing leadership faculty, in other words, faculty teach in academic leadership programs, they have the perspective of, in two ways. One is to conduct research to try to identify what the best evidence is and what are the best strategies for delivering care. So for example, understanding what it takes to coordinate care across disciplines for a single patient or how to organize nurses' work so that they have more job satisfaction and are more interested in staying in the profession. So that's one side.
The other side is that we also teach the new emerging leaders or the seasoned leaders how to go about, how to engage with evidence-based leadership practices. And so the nice part of this conference is it brings faculty and practice leaders together. And it's an opportunity for nursing faculty who have been away from organizations, maybe away from direct leadership practice, to stay engaged with the current realities. Health care has been changing dramatically since over the decades since I became a nurse.
And even in the 15 years that I've been away from, health care practice, by moving into academics side, life has changed. And the only way, one of the best ways for me to stay connected to what's happening in health care is by engaging in conversations with my nursing practice partners. And so while I'd love to say that we, as researchers and academic faculty, have all the answers at our fingertips, we don't. Sometimes we do need to conduct those research studies.
Unfortunately, it takes us a little bit longer than active side can enact change. But eventually, I think we get there. Thank you so much. That's wonderful.
We are coming to you live in the Ville Envelope Network and to an end radio. This is all about nursing and Dr. Joyce Bachelorette. And we'll continue this conversation when we come back.
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We're live on the VB Global Network and Tune in Radio. And before the break, you were hearing some amazing work that in the room with me today have been leading. And we've been talking about the importance of leaders for practicing and academia working together. So Dr.
Cherry, maybe you could tell us a bit more about, what does that mean or examples of, what is the academic practice partnerships as really about the importance? OK, I think the examples are probably the best way to really understand what academic practice partnerships are. Everyone of them are different. We do different things.
My focus is more on communities versus the hospital system, although we do have a strong practice partnership with our hospital system or our students train. But one thing we realized was in long-term care. Our long-term care organizations need a lot of support and they have few resources for education and leadership. And so we created, we worked with all the nursing homes in our county.
We bring them together once a month at the directors of nursing and they have just a leadership development forum. They talk about their issues. They learn from each other. And then we as a faculty, we're the ones that have a little bit of time to do some research and give them guidance on, say, they have issues with falls.
We can give them guidance about how to prevent falls, what are the evidence-based practices for fall prevention, what are some good assessment tools, how do we train your staff, how you track and see if you're making improvements. And so it's really a good way to help improve care in long-term care facilities through this venue with all, with many directors of nursing from around our own county in the room. Another example that I think was really interesting to work with a group that was a clinic for underserved kids on Medicaid and with mental health issues that most of these kids were from lower socioeconomic backgrounds. And they were just diagnosed with ADHD, hyperactive ADHD.
And so what the providers in the clinic were wanting to do was to make sure they weren't over diagnosing or underdiagnosing these kids. And so a group of faculty worked with the providers to come up with the standard evidence-based guidelines to ensure they were following the correct processes to diagnose these kids and given the correct medication. So that was really a cool project to work on. So those are just two examples of academic practice partnerships.
I'm sure Karen probably has several more she could talk about. Thank you. Yeah, you know, it's interesting. I think the Dean at the School of Nursing here at UCLA, and I are partnered and have been since I started here several years ago.
And I think the challenge for us is that, I think Barbara, you mentioned it earlier, the front line of practice. The front line of practice is not where it was 15 or even 10 years ago, right? So the changing landscape has shifted to the community. So to your point, the community work is excellent.
So I think some of the things that we've really focused on are centered on, we helped partner with them to support their new DNP program. So the majority of the faculty of course are at the School of Nursing. However, we have infused six staff, Dr. Lee prepared staff from the medical center to help support the education in alarm by teaching courses.
And I think some of the opportunities we've been able to realize there is we've offset some of the issues around academic shortages for prepared educators and professors. And then the other piece is we've infused a lot of real-world information into the curriculum, which I think has benefited the students. They do have me teach finance, which I always marvel at. But it's interesting to see how we've been able to blend our work.
Another opportunity we've had is to partner to create, hey, boots on the ground, opportunity for nurses from outside of the United States to come and visit here and do some scholarly work, but also blend it with experiential experience by coming over to the hospital and working with the staff nurses and the different leaders in our hospital environment. The benefits there have been twofold. One, we've been able to find grant funding and monies to support both the School of Nursing and the Nursing side of the equation at the medical center to further promote education of our staff nurses and our nursing leadership, predominantly on an ongoing basis, which has been great. We've worked together to look at placing nurse practitioners, where it makes the most sense in our community.
And we've done some great work by placing them at FQHCs. Those are family medicine clinics, for those of you not familiar with our acronyms. And then it's also helped us, we've also taken ourselves inside. And those are outside activities that we've done to promote nursing and to help people get more engaged and enhance their practice.
The second thing is we also sent, as part of our engagement overseas, in our international partnership, the customer, if you will, in China, asked for more of the leadership experience. And we actually were able to take our director, senior director of our Center for Nursing Excellence, and one of our DNP prepared nurse leaders to create a one-week syllabus, or one-week curriculum for about 10 emerging leaders in China, nursing leaders in China. And to think that we can promote the American nursing culture in other countries and that that's what their hungry for is been really kind of exciting, not only for us academically, but also for the two doctorate prepared nurses that went over and did that, came back all of below. And then finally, internally, we partnered with the School of Nursing to help advance research by our staff.
A really great example that's been published and posted in a variety of places was I worked with the healing garden in a psychiatric hospital. We had a group of staff nurses who wanted to do more research about the effects of patients working with gardens and working with, you know, and all those wonderful things that all of us enjoy when we garden. And they actually were able to measure the impact of the healing garden on the patient's response. And so I think that was very exciting and very well received across the country and actually internationally.
So we've had some really great research occur because of our relationship with the School of Nursing. And I think what we've actually been able to do is infuse reality on both sides. And we've also come to understand the importance of making a difference at more than just our university. And the State of California, the Health Impact Coalition, of which I am a board chair, we are working diligently to identify better ways to partner with our academic members.
So that what we're able to do is actually enhance nurse recruitment, retention, and reduce turnover and be ready to care for patients in the right environments and consumers in the right environments where they require health and preventive care. That's fabulous. We're very excited to hear. We are coming to you live in the Beaver Global Network in Tune Radio.
This is all about nursing. I'll talk to you by special to show and we will be right 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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Mike Zorek, a three-time California State Champion in Greco, rolling wrestling at 114 pounds. Mike, Blind Since Birth, was born in Hartford, Connecticut. He was a six-time national place, including two seconds, two-thirds and two-fourths. He also won the veteran's book style wrestling twice at 152 pounds.
In all these tournaments, he was the only line 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 follow in 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. You're listening to all that nursing life in the BBM Global Network and in radio. I'm Dr.
Joyce Bachel, the host of the show. And I have four very distinguished guests on the show with me this evening. We've been talking about the importance of practice and academic leaders working together. And thank you, Dr.
Grimley, for sharing all the phenomenal work that you're leading with UCLA nursing. And it sounds like a phenomenal opportunity to also learn what maybe we can learn from China when you start working abroad like that, because we're not perfect for sure. So that's very exciting work. Dr.
Warshasi, could you tell us a bit more about your experience and what you're seeing when it comes to innovation around practice partner and research? Well, following up on Dr. Grimley, I think that's fascinating. That's a great opportunity for us to really advance professional nursing practice internationally.
And so I think that's just amazes me how much impact we're having. But one of the things, especially after listening to Dr. Terry and Dr. Grimley, talk about their experiences.
My caveat is if you've seen one academic practice partnership, you've seen one. And so the nature of these partnerships really vary widely. And by example, when I was at the University of Kentucky, I had strong partnerships with a variety of practice settings in the area. And I was able to provide, from my faculty role, I was able to basically provide consultation services to these different organizations.
And in exchange, the healthcare system would pay the college a small portion of my salary. So for one organization, I was asked, they had an in-house leadership development program. I was asked to come in and do an evaluation of their program. And then make recommendations for change and actually implement and then evaluate those changes.
In another organization, this was a more rural organization. They really had limited access to expertise. And so they asked me to come in and initially I started out by facilitating some strategic planning retreats for the chief nursing officer. But then I continued in my relationship with them and I would go out to the hospital twice a month and work with the managers and staff nurses.
First, it was to help them develop a professional practice model to implement shared governance, which is a collaborative approach to involving nurses in organizational decision making and control over their nursing practice. And then it evolved as they had evolved in their professional practice, they were ready to take on more evidence-based practice. And so I helped guide them through the process to educate and coach them through evidence-based practice projects. The importance of that is that they were then able within their organizations, these nurses were able to affect change to improve patient outcomes.
And it really was they were able to measure their progress, they were able to measure their impact. And at the end of the day, improving the quality of patient care and outcomes is what nursing leaders are there for us to help make that happen. In more, I like that that we did something somewhere at the local level, we noticed several years ago, on one of the SCCU facilities, they cast any multiple patients to us with pressure injuries. And so we just turned that approach exactly like we were talking about and we had our skin nurse, our one last big con nurse, to reach out to them.
And said, we've noticed this, let us come help you and let us come educate. So, our junior, our boy nurse, he went over to them and did the training for them. And invited them back, they went to our system or the place that was sort of serving as that skin champion. He said, why don't you come spend the day with me?
And let me show you some of the different products and how we do things here. and then call and don't be afraid to call because you know if that's the issue, then you have to support you and you can keep your patient there. If that's the appropriate level of care. So there's multiple examples out here like that, so thank you for sharing.
And I think that underscores the point of it is that if you have an engagement or executive on the practice side willing to reach out to a dean at a school in nursing, that it's just the possibilities are really endless when you put the innovative thinking together to come up with what's the what is our need and how can we complement each other in addressing that need. It's critical to Laura because I think of all the different places where we haven't done a good job or we haven't been able to because we're a bandwidth in nursing to a good job of creating more operating or nurses or more emergency department nurses or whatever type of nurse isn't a traditional inpatient nurse because that's pretty much where we clinically train our nursing staff that are our nursing students. So partnering with schools locally, an example we've been able to do is we actually have we take new grants at like a cap using the capstone methodology. They come in in the summer they're junior to senior here with us in our operating rooms and they go into an in-depth training program, they go back to school in September and do us we become their capstone opportunity and by the time they graduate they are eligible and qualified to circulate and in an OR suite which is a very it's probably one of the quickest uh it's one population of nurses that are retiring and leaving a procession faster than any other based on their age.
So being able to introduce circulating nurses, bona fide qualified circulators even though they're new grads back into those positions is really a true service community and I think that partnership between that school of nursing and and us has made a tremendous difference because we can't hire them all, we try but we can't hire them all so they are ready to go to a neighboring facility so we're feeding people into the community. Our you know our next biggest goal is to get something along with psychiatric nursing. That'd be awesome. You know behavioral health is probably the United States biggest embarrassment and I think anything we can do to promote better behavioral health services across the country using advanced practice and providing that education to our nursing staff is critical.
Can we talk about the complexity of the care that's been changing? I also think that leadership has had challenges as we've developed systems and there's been mergers and acquisitions and maybe we can talk about that when we come back. This is all about nursing and I'm your host Dr. Grace Bachelors, we're live on the weekend global network in tuning radio and it's time to play short break.
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Joyce Batchall, the host of the show. Just before the break I was starting to ask Dr. Karen Grimley if she could share with us about what's changed in terms of leadership as we've had single hospitals become part of systems with burgers, acquisitions and you hear about this every day. What are the implications for that?
And I thought it'd be perfect since I have a cat who's a system CNA and I have David who's a site CNA. What are the implications for leadership? Well, there's a couple. I think some of the things that we and David China at any time.
I think some of the things that we found with that is understanding how to share. I mean we're a matrix organization because while David reports to me directly he has dotted line reporting relationships with the administrative officer at the site he's at and we do everything and I've heard a link people in at the right level. So what I found with the system level CNE position is bringing in an advisory group of nurses together, nurse leaders together who can help you understand the organization whether or not they report you or not. So David is one of about 12 or 13 nurse leaders who come together once every couple of weeks and we discuss how things are rolling and where people are having issues and find kind of purpose, kind of issues, things like that and take steps to make sure that we're looking at things not only at the local level but also at the system level.
We try to make sure that we don't create redundant systems and redundant functions and the piece that this is really called upon as leaders is communication and span of control or span of support for the nurse leaders closer to the bedside. So we've done a lot of work around designing a nursing organization that has a structure that is really assuring that that unit directors have the opportunity to support and mentor their staff and we've done that by putting in a or in the process of putting in a clinical nurse manager role to better support the unit director and their coaching and mentoring of staff and also in guiding a lot of the different policy procedures around patient care. We take patient centers very seriously at UCLA and we believe it's something that sets us apart because it's highly technical as we are a patient's experience just as high a time. I'm really proud of that and we take great strides to make sure that happens so our communication has got to be clear and that one seems to take this level deeper is into the frontline staff level.
We about a year and a half ago we recognized the three hospitals that are licensed us that really are all-manned and we recognize that each had their own infrastructure on how they got there. So over about two and a half years ago the journey started and we started moving from the local magnet councils that each had and we moved to a professional governance model. So there is a local magnet councils that were going to be really went after the ANCC model and looking at the four the foundations of the foundation, the looking at transformational leadership except for professional practice new knowledge and structural empowerment. So now all the three hospitals have that structure in place but then we roll it up instead of to break away from the silos and to help cross nursing from all the sites.
We now have system level councils so the chainers of them, locals councils, come into the system level and so we have a retreat yesterday with the group just to really look at because we've been a year and a half into it. So we have little things that we need to refine for a work so that we're going to start yesterday but it really helps do that and then we take those those chairs from the system level groups and the core of the coordinating council and that's where they sit with the chief nurses, Karen, myself, Pat Maajan, sorry colleague from RASNIC and then also the other person leaders of the building or in the system and so we have that active dialogue and how will care be provided for health instead of at one campus or the other. So it really has done a lot and you know, caring myself. It's like the energy of the industry is part of making things because we were worried or they get frustrated because they didn't feel there was movement but we just sort of sat out there and watched it yesterday and that energy was there.
It was very present and they were very excited. We have to do this because we wanted to get forward and I think it was very exciting to sit out and watch. So is that the group that's helping you to address concerns that you may have? Yeah, actually the most important group in our organization are the nurses closest to the bedside and the clinic exam rooms and that we believe so strongly in it that our coordinating council is actually chaired by staff and that is absolutely critical to spread the word up and down and across that nursing's voice is important.
First because I represent the voice of the patient 95% of the time and the second is they're the people who see the realities every day at the bedside. So the benefits we have of taking that voice forward and learning from it whether it's David or me because we don't get that close all the time or us helping educate the schoolers. You know this is a normal conversation for the dean and I to have as far as the relevance of what we're doing at the bedside and how it ticks and ties into the university school of nursing. So we do this as just part of our day-to-day which is really great.
We also, because we get that voice, we hear very clear some of the realities of care delivery today and workplace violence is probably an instability is probably one of the most disturbing things that's occurred over the last probably the last three or four years it's really escalated and so identifying how we're going to approach that and what the best evidence is sort of you know we've had to go outside of nursing to find that evidence right? To look at what is it that people have studied in other professions and in other specialties that could help inform our practice so that we provide a safer environment. We provide a more savvy staff. You know I always say that while we're the most trusted profession we're also the most trusting and it's startling to watch nurses put themselves into situations because they're in trying to help somebody and totally sacrifice their safety in doing so and so from our perspective the care of our staff and their safety really drives not only their engagement but it also helps assure that we're doing the best job we can at the bedside with our end up in the clinics as well so those are some things that are really important to us and thank you and that was a huge you know I was at the night I think it was a few three-year sessions on workplace violence and and it's all doing things like that and and I it said me that all three of those sessions were packed with standing room and I'm not talking small rooms I'm talking probably eight nine hundred and there we know three hospitals have done really much jobs and we are going to learn from that because I think that is a national process that we all need to look into and see how we can handle this better.
Thank you very much for that this is all about nursing and your host Dr. Joyce Fassler relied on the video of the Network Intunium Radio and we'll continue this conversation to come back. Animal lover, author, artist and public speaker Patricia Gellilife is a Renaissance woman in her own right a lover of animals from a young age Patricia lives on a farm in Virginia and has rescued neglected thorough bread horses keeping them or finding them safe havens she is also a published author and her book's document real-life experiences that she shares in her passionate stories taking the reader around the world in a colorful kaleidoscope of life an accomplished artist Patricia Gellilife's oil paintings feature animals portrait stills nature and abstract and she allows the brush to paint the image in an organic natural way a public speaker Patricia is motivated to continually wonder about life and advocates for all of us to do the same and document our own unique history to learn more about Patricia Gellilife visit www.literary lady.com and www.patricia-light.com or email her at pd-light at gmail.com 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 health reduce health disparities and improve the health and well-being of the US population learn more and join joy spatula 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 at all the nursing we live on the BBM Global Network in Tune and Radio and we were hearing from Dr. Karen Greenley and Dr. David Bailey about some of the things he's been working on and how amazing their surveillance model is and magnetistic nation and then the concern about the violence and incivility in the workplace I was wondering Dr.
Can you tell us what about what are the concerns in academia? Well you know one of the things that I love about that I love most about practice is that it's very responsive to sometimes too responsive to you know changes and they're able to adapt quickly on the academia side it's really the structure is very rigid and I think that it can stifle innovation I think that we come up with great ideas but then to overcome the barriers to getting good ideas implemented is a real problem for our academic practice partnerships to survive so ultimately I really do believe I know it's a kind of radical thought but I think academia really needs to be reinvented I think you know faculty could be providing far more expert consultation but the systems are so fraught with rigid rules and processes what we need are more fluid structures and processes in order to make those partnerships possible and one of the things that's going to even compound a little further is the upcoming or the we're in the midst of large faculty retirements and so we're losing a lot of faculty wisdom and it's harder to fill those positions so we're at an important kind when we have lots of opportunity and we really need to be exercising full creativity in order to innovate so what's awesome oh yeah and Nora I just want to comment on that because that is that that brings really explains why we have this conference when we talk about what goes on in academics what goes on in the practice side I think every listener has heard the challenges that that nurses face when they're in the workplace starting to take care of patients and then how do we in academics you know help our nurse our new nurses that we're teaching and educating and sending out into the workforce how do we help these nurses learn to deal with these issues and so these partnerships this bringing these two groups together at this conference provides this fabulous opportunity for us to learn from one another we learn about research projects what is the best way to deal with workplace violence what is the best way to deal with the falls or infections or whatever it is and so we see how this leadership component can really help address frontline issues that are occurring in healthcare and make a difference to what goes on in people's lives the the some of the things I think one of the other things that we really have to address is the RN shortage we have to have nurses nurses that are the largest profession in the United States the largest health profession large school professions in the United States and yet we also are especially we know in Texas and I'm not sure about California but we are having a facing a pretty serious nursing shortage so we have to find ways to innovate and work with our practice partners work with our academic partners and then also work with policy initiatives because the way that's one of the things that our conference was uh had a policy component in there and we need our legislative bodies to support ways that they can find better fund nursing education so that we can produce the nurses that we need what would you like the audience that's listening this evening to really take away from what we've been discussing so far on maybe Dr. Terry you'd like to answer that first sure I think it's a take away one thing is that nurses are your advocates they're the ones that are going to make things happen and really help you try to get the care you need or get to the healthiest place you can possibly be so just remember that your nurses are advocate and we the nurse leaders are really the ones even by the front lines but we're behind the scenes making things happen so take care of your nurses thank you also very much it's been wonderful having all of you you been listening to all about nursing life and if you can go back to the radio and Dr. Joyce Bachelors is showing please tune again next week thank you you've been listening to all about nursing with your host Dr.
Joyce Bachelors tune in each week and get a daily dose of nursing and the health care services they provide and how nurses are finding innovative ways to address the key health care issues they're facing today here on Dr. Joyce Bachelors all about nursing you've been listening to the BBM 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 BBM Global Network Company.