You're listening to the BBM Global Network with 25 years in broadcast audio and video production. Our passionate team creates content and marketing for the world of internet talk radio. If you've got a passion come join us at BBMglobalNetwork.com. The BBM Global Network, your voice is now heard.
Welcome to all about nursing with your host Dr. Joyce Bachelor. Executive nurse advisor Dr. Bachelor will present the significant role nurses play in providing healthcare in the 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 in Tune and Radio and I have a very distinguished guest with me this evening and I'd like to tell you a little bit about him. This is Dr. Billy Rosach.
He is a Robert Wood Johnson Foundation Future of Nursing Scholar at the University of Pennsylvania School of Nursing in Philadelphia. He completed his PhD this spring and Dr. Rosach received his baccalaureate degree with magna cum laude from New York University, Worry Myers College of Nursing in 2009 and was a valvictorian of his master's class from Hunter College in 2014. Dr.
Rosach spent one year with the Human Resources for Health Program in Wanda East Africa contributing to the curriculum content for the first master's prepared nursing cohort in the country. He is the editor of three books on leadership, Global Health and Theory Guided Practice and has contributed more than 130 publications in a host of diverse forums. Dr. Rosach has been recognized with numerous distinctions including the International Spirit of Renewal Award from Sigma Beta Tau in 2017 and the National Lillian Wald Service Award from the American Public Health Association in Nursing in 2018 and the National Public Health Service Award for Distinguished Practice in Nursing from the American Nursing Association in 2020.
He serves on the editorial board for the Journal of Hospice and Pally to the Nursing and is a board member for multiple Global Health and Pally to the Care Organizations. Dr. Rosach was recently selected to be a 2020 International Council of Nurses Global Nursing Leadership Institute Scholar which is a highly competitive global policy and leadership development program. He has a fellow of the American Academy of Nursing, the American Association of Nurse Practitioners, the American College of Critical Care Medicine and the New York Academy of Medicine and in the summer of this year he will begin a National Cancer Institute funded T32 psycho-oncology postdoctoral research fellowship at Memorial Sloan Kettering Cancer Center in New York so I can tell that you are definitely not a slacker you have just an impressive number of things to accomplish so this is fascinating so welcome to the show.
Thanks for much for having me. So maybe we could start with when and how did you decide to become a nurse like I can't imagine you grew up one day and said I think I'll end up doing this amazing program at the World Health Organization International so you could tell us how you started. Sure well my mom always worked in hospitals on the administration side of things that was growing up and so people constantly asked me if I wanted to be a doctor but never I wanted to be a nurse so I've been a nurse for about 10 years and I'm a second career nurse so I was actually a graduate of Tisch School of the Arts at NYU so I had a degree in the background of Deeter and Gantz and I was a professional dancer for years and then I kind of had this repetitive motion fracture of my left hip after a very rough touring season and what I'm walking for several months and it was really a time of deflection about whether I wanted to continue with my theater career and I ended up going on to the Macau's therapy school because I just kind of wanted to be in a quiet environment learn about my body about this instrument that I just kind of broken be around healing people and I was so moved by the clinical outcomes in our massage therapy clinics I had one patient in particular who just amazed me I had done this therapeutic massage through her ribcage and her neck muscles and her saline she had suffered from chronic asthma for years and years using her emergency inhaler almost daily and after that massage you had written a letter to the clinic kind of talking about how for a whole week for the first time as long as you can remember you have to be your inhaler I was so blown away by the outcomes of this hands-on care and I just started thinking you know how can I maximize this consciousness and give service to more people and we led to nursing at that time and when I write into nursing school from massage therapy school and it's kind of been my way of continuing my service and optimizing how I can be a service of the world. I'm even more impressed now that you've accomplished what I just finished introducing you to the audience at your second degree student I mean oh my gosh that's amazing so maybe you could share some highlights of your career.
Sure you know nursing school one of my first professors was a nurse anesthetist and I was so enthralled with the idea of being a nurse anesthetist I really planned to go into critical care so I could get that training I needed to get into nurse anesthesia school and I started to shadow in the OR and watch what nurse anesthetist really did I really just kind of realized it didn't resonate with me it wasn't for me and I realized a lot of my joy really came from caring for these complex patients working closely with families managing medical challenges helping to be difficult conversations to help them clarify you know the goals of care and their values are most important to them and so I always think critical care and at those four years I started in critical care one of the biggest highlights because for me you know my specialty now is palliative care and that time in the intensive care unit really put me on track to commit to that path and I'm really helping identify it a few things that really stand out where I'm publishing my first book which is on nurse leadership and it came out of a desire to really contribute something because I was seeing a deficit in some of the leadership I was observing and I wanted to hear people's stories and I wanted to listen from them what their moral and ethical foundations of their practice was how they contributed to the profession what their vision for the future of nursing was and so that leadership book it really just started with one email to a publisher I just kind of spat out a one paragraph proposal and was amazed that the response was you know we've been wanting to write the book for years but nobody showed up to do it and there was just so much support and it was such a great experience because I brought together you know over 30 leaders to write these chapters and as a young nurse it was so encouraging to see how people show up for projects that they really create an opportunity for synergy and moving the profession forward I think one of the other experiences that really stands out is moving to Rwanda and as you mentioned when you read my bio I moved to Rwanda in 2015 I worked with this major health care capacity building initiative we were starting the first master's program in nursing in the country and that experience it changed everything about how I see the world how I see nursing how I see the role of what we're capable of contributing in society within our own countries and of course globally and those partnerships and those relationships they they continue even today through mentorship through research through writing teaching so I think you know those are some of the experiences that really stand out from me that have changed the course of my career that's wonderful and finishing your PhD was although another one of your amazing accomplishments which is pretty recent so congratulations that's no small feat either and I'm just curious the you're moving to on want of what was behind that it was it to help them really set up their master's program is that you know that's what you were doing when you went there I actually didn't know that that's what I would be doing it's about halfway through the year so I had long wanted to really see if you know I had this idea that I would enjoy global health but picking up and moving your life to a different country carries this consideration so that year was really about learning if I wanted it you know long run in my career okay thank you so much this is all about nursing I'm Dr. Joyce Bachelor we're live on the Beebe and Global Network Intune and Radio and it's time for us to take a short break according to the American Nurses Association there are approximately three and a half to four million nurses in the United States so where do all these nurses work what kind of roles do they have what kind of education and training help to prepare them for so many different settings what kind of impact 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 Joyce Bachelor on all about nursing Wednesdays from 7 to 8 p.m. Central Standard Time on the BBM Global Network attorney Renee Marie Smith is changing away we sell real estate she wrote a series of books called My Short Sale Guru Guides for all real estate practitioners whether you're a homeowner wanting to understand the process an agent who has been handling short sales for years or an industry analyst wanting to know how short sales impact your business Renee uses her vast real estate experience to take a comprehensive look at the recent market phenomena while relaying it in an easy to understand format through her company Smith Title Services Renee has counseled thousands of short sale participants and processed in excess of a thousand short sales her knowledge is transformational for real estate professionals and laymen alike and her live presentations provide people the opportunity to ask specific questions about their issues buy her books and schedule her to speak at your next event visit www.smithtitleservices.com or call 305-705-3428 or email her at Renee at Smith Title Services.com isn't it time to sell your property today learn the My Short Sale Guru way welcome back everyone you're listening to all about nursing live in the BVM Global Network in Tune in Radio I'm Dr. Joyce Bachelor the host of the show and I have a distinguished guest Dr.
Billy Rosa who's been telling us about a lot of great accomplishments that he has had in his nursing career in his trip to Haranda for a year and writing his foot first book and I would like to spend a little more time having you tell us a little bit more about the work you've done around palliative care and global health can you tell us how these two areas have overlapped in the work you've been doing sure so it's interesting because people don't always necessarily think about palliative care and global health overlapping but to me they really bring about many of the same important considerations for health equity for universal health coverage particularly kind of who suffer most in the world happen to be the poorest people in the world and they live in low and middle-income countries predominantly so when you think about health equity and how we will actually alleviate the global burden of serious health related suffering worldwide across cultures across contexts it's really palliative care that's going to help to do that so the World Health Organization and the Lampa Commission on Pain Relief and Palliative Care have really called for universal access to palliative care and this is something I become tremendously passionate about so a lot of my global health partnerships started out of Rwanda and led to my second book which was on the Sustainable Development Goals and Global Health and I really started to see a lot of palliative care disparities that happen globally you know I mean even when we look at opioid distribution so like something like 0.03% of the 300 tons of opioids that are distributed every year by the International Narcotics Control Board only 0.03% of that is actually seen by low-income countries so you have about 83% of the world countries that have little or no access to opioids which are the gold standard to manage so your pain and shortness of breath at the end of life so when we look at the United States the United States exceeds its need by 3,000% but countries like Nigeria for instance I think they only get about 0.2% of their population health needs but I've been doing a lot of work around palliative care capacity building we have ongoing research in Rwanda looking at the learning needs of nurses and physicians of palliative care learning needs in district and academic medical centers when I got back from Rwanda I completed a one-year interdisciplinary palliative care fellowship at Memorial Phone Kettering which just was one of the best experiences of my life and really gave me appreciation for you know how disciplines really come together to give that whole person care to patients and families and have been writing just a time we've been doing a lot of writing around COVID-19 and the increase in the palliative care how we can leverage the nursing role increasing their leadership and their visibility throughout the palliative care continuum across all settings how and support expanded to practice for nurse practitioners get nurses more involved in advanced care planning and leadership tables and decision-making tables to make sure that palliative care services are really accessible to everybody so I partner with a lot of different organizations I serve on the board for pallium India which is a leading organization in India that ensures palliative care access with population and the state of Kerala and the there's a wonderful working group who started through the consortium of universities for global health over 30 members on this working group really coming together to advocate for palliative care education and capacity building for all types of learners and clinicians so it's just some of the work that I've done our palliative care and global health well that's wonderful it's extremely important work I was curious that I know that you do a lot of keynote presentations and you've also written about the need for compassionate health care systems how does compassion fit into your work more broadly it's funny sometimes when I talk about you know my different areas of interest I feel like somebody with my TV they might be going what's going on here you're talking about a lot of things but for me they really just seamlessly come together you know anyone think about Christine Ademsey who's the piano of press games she talks about compassionate connected care as the antidote to suffering so you know we just decrease suffering we improve outcomes so for example you know the call light when I'm teaching you the call light how we respond to that is really how we're responding to patient suffering whether it's urgency to the restroom or some kind of other emotional need how engaged with suffering is really a nursing priority that have been all these qualitative studies I've looked at how patients and how they understand compassion how do they perceive compassion or the lack of compassion and clinician and I think nurses are at that intersection they're very precious intersection of being the ones who bring evidence-based practice and science into their care of the human condition and that is an opportunity to extend compassion and Dr. Betty Feral who's an international palliative nursing leader she was just a PPS news hour I think last night and she said you know it's at 3 a.m. it's really the nurse who's gonna show up when the patient turns to them and says am I going to die and if that's not a moment where compassion can make all the difference you know I don't know what it is and and of course as we see increased responsibilities on nurses during COVID-19 and you know redeployment and lack of equipment and all of this I really spent a lot of my time in my in my teenage speeches and my invited speaking engagement talking about the need for self-compassion I mean this is the time that we do listen to each other stories validate and acknowledge each other create some kindness for ourselves because there's just so much expected of us right now around the world and so many of us are struggling with the needed resources to do that job well and effectively and safely so compassion really is all about for me compassion is all about sustaining the workforce it's a good thing we need to sustain the workforce and I think what you were just talking about in terms of some self-compassion and kindness is going to be essential coming out of this pandemic because I've just seen and heard too many stories of people just being having compassion fatigue and getting really burned out on what they were doing and seeing and and the other side of that is that there's also a lot of anxiety for those nurses who are not currently working because volumes are down in hospitals ED volumes and I know people are starting to do elective surgeries but it's been a big financial impact on many people so it's it's interesting so what are some tips that you give people to really help them or maybe we can come back to that after this break but I think this whole thing around compassion fatigue is fairly important so we'll talk about it more so we're coming to you live in the beacon for network and tune in radio this is all about nursing Dr. Joyce Bachelors continue conversation we come back.
French Rastafarian Baker chef Ughmat is a fourth generation baker and has worked in 11 countries across three continents born in Mulhouse 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.Frenchchefmove.com that's HUG UES born Apetit and Blessa. The Opiate epidemic has reached crisis levels and with so many families affected by addiction Opiate related drug overdoses and death the time is now to have a real constructive conversation about addiction that could lead to better prevention treatment and recovery. Alan Charles author and keynote speaker on drug abuse and prevention presents the Alan Charles Show.
Alan brings a message of hope sharing his unbelievable story of surviving a 24-year addiction to cocaine and highlights from his memoir Walking Out the Other Side and Add Its Journey From Loneliness to Life. His Raw Honesty and Courageous Heart breaks the stigma of addiction and offers a unique perspective into the mind of an addict. Join Alan each week as he brings his listeners to a true understanding of the grip of addiction. It is only with this understanding that we can begin to heal.
The Alan Charles Show Thursdays of 9 p.m. Eastern on the BBM Global Network. I'm your host Dr. Joyce Bachelor in All About Nursing.
We're live on the BBM Global Network and Tune in Radio and just before the break I was starting to ask my guest Dr. Billy Rossept. If you could share some tips on what people can do to really deal with having some self-compassion, some kindness and try to avoid this compassion that I know many nursing leaders are concerned about. Yes, so one of the, I just wanted to share a little story that actually happened this week.
I had worked with a team through Partners in Health last year in Liberia in West Africa. They're in a very rural part of West Africa on the southern coast of Liberia and they've created a first nurse-led community based probably the same in the region. And so I went there last spring to work with them and do the first holiday care training, we did scholarly development and self-care practices and big focus on communication and ethical management etc. And this week they reached out and happened to do a self-care workshop where the nurses were really struggling to do COVID-19.
And even though they have such a low number of confirmed cases, the problem is that many of these nurses were front-line during Ebola. And so they're experiencing a retrometization of their own experience, their families are being stigmatized because the population just thinks you know healthcare workers must stay away to protect ourselves. They also have extremely limited physical resources, human resources and they were just really stressed. And so I used them with my coaching background and self-care background, coaching the debrief.
And I think one of the first tips that we can give to people is that this is the time to make time to communicate and to support each other. It has to be a deliberate act. So some of the questions that I use with the group were you know what are your biggest fears right now? What are your biggest challenges right now?
But also building resilience, what are the things that bring each joy and inevitably they kept saying each other that's bringing this joy right now? It's to see each other's passion and commitment to our community that's bringing us joy and giving our work meaning. We also had them envision how they're feeling now and how they've seen themselves a month from now and then lifting concrete actions that they can make to strive toward that vision. But those are really simple things.
And then I wrapped up that self-care and processing workshop. I really hadn't each of them identified something they were grateful for in the moment and during that day and then turned to the person next to them and be as articulate as possible at acknowledging the value they bring to the team and the value they bring to their community. And by the end of the session, some of these nurses were just interiors with overwhelming of kind of acknowledging their exhaustion and fear and worry but also really being present to how much their work means to them. So I think the first thing we have to do is really make time for each other to express ourselves.
It's so simplistic but it's just something that I can traditionally we don't do as a workforce necessarily to the extent we should. I just collaborated with Tinderestin from Hopkins bioethics professor and another colleague from Penn on a paper for nurse management where we provide a few more tips for nurse leadership on really minimizing burnout and moral distress for the workforce during COVID. Some of the things we talk about is really creating a nursing task force. We have a strong nursing presence that makes sure that there are nursing priorities and distribution PPE and clear instructions for staff on how to communicate and communicate.
Really making top leaders accessible to bedside nurses. I can press a huge thing and I know there's several institutions who are doing that. Really putting top leaders in proximity to bedside nurses so that the front line doesn't feel so isolated and so vulnerable and also really emphasizing transparent communication in that way. And then the last tip was really to, well we have a few others but the lesson I'll share here is really to intelligently redeploy staff.
I'm hearing so many staff who decide themselves being redeployed to areas or units where they don't know nothing about the technology or the workflow or the process. We can intelligently redeploy staff to take labs to serve as a support nurse to do the other clinical tasks that are within their social practice that they can feel good about their lead the eight bedside nurses. I think there's a lot of wiggle in there to do intelligently and safely so that everybody feel deported. Thank you for sharing that.
I think those are all really great points and I think the real one that we're not good at is the deliberate time out to really talk about these things. So I look forward to senior publication. So maybe you could tell us a little bit about another area that I know you're passionate about which is the United Nations Sustainable Development Goals. Maybe you could tell the audience a little bit about what are those and why are you interested in them?
Sure. So the Sustainable Development Goals are 17 global goals that were unanimously adopted by all members of the General Assembly of the UN back in 2015. They went into action January 1st of 2016 and many listeners are familiar with the Millennium Development Goals. So these really came out of and built on the Millennium Development Goals and they really focus on five means people, planet, peace, prosperity and partnership with an intention to create the world we want that's kind of their slogan by the year 2030.
And it's really all about building a world of social justice and inclusion and safety for people. So when I was living abroad a few years ago I really started to understand, this is like the way the problem is that the majority of the world don't really care what the United States is doing. They don't care what the WHO is doing. They really care what the UN is doing.
And I realized that all of the nurses and the healthcare workers I was collaborating with were focused on on the MDGs and now the SDGs, Sustainable Development Goals. And so as I started to part to American colleagues nobody knew about them at all and so that kind of sprung me forward into my second book which is all about how the SDGs affect pretty much everything we do as nurses. And now it's really come in the last two years, a huge team with them within nursing, a focus of the recently released state of the world's nursing report. Several reports now including the Triple Impact Report out of the UK in 2016 focused specifically on how nurses can help achieve the SDGs three of them in particular.
And you know it's in my belief that nurses play a role in all 17 of the SDGs. So I led a special edition of nursing outlook as guest editor back in December. They were opening editorial with the Chief Nursing Officer for WHO, Elizabeth Euro. We had an incredible author list to Hasanela Eileen Sullivan-Marx and Kurt from Yale, G.D.
Shemian, past president of ICN, Nigel Crisp, who's founded nursing now and really tied in the relevance of the SDGs to specifically nurses in the US but globally. That's wonderful. Thank you so much. It's great work.
We are coming to you live from the B.B. Engleblen at Work in Toonan Radio. This is all about nursing. I'm Dr.
Joyce Bachelou. I'm the host of the show and we will be right back. Rhonda is currently working on two more books, Shadows of Corruption and Coast to Coast on a piece of toast. To read more about this inspiring author and purchase her books, visit rondaconutsin.com or go to www.amazon.com.
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 unique skill 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 Eastern on the B.B.M Global Network and Toonan 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. You are listening to all about nursing life in the B.B. Engleblen Network and Toonan Radio.
I'm Dr. Joyce Bachelou, the host of the show and I have Dr. Billy Rosa who's been telling us phenomenal work that he's leading and most of the, we were telling us a bit about the United Nations Sustainable Development Goals and just how important they are. And maybe you could tell us a little bit more about the work you've done to date that you're just really excited about.
Sure. So as I was mentioning, we led the Special Issue of Nursing Outlook back in 2019. We also led a year-long editorial series in Public Health Nursing Journal and currently leading a year-long series in American Journal of Nursing. The first issue will be out this June, co-authored with Sue Hasmiller, really focused on how the SUGs help us to build a culture of health for all people everywhere.
And really I think just a lot of my advocacy has been around partnering with organizations. So for example, I've done some work with the American Association of Colleges of Nursing to ensure that the FDDs are integrated throughout the essential documents for all nurses that are educated about how the FDDs relate very clearly to the work that we're already doing. I think that's really the vision of how I see nurses advancing in this area is to help, to identify for themselves how the work they're already doing is contributing at very local levels and very tangible ways to meeting these global goals. You know, if anything, COVID-19 is showing us how interconnected we all are and how we live in this global society.
And so it's not good enough anymore to just think myopically about what's happening right in front of us. We have to think about how it's happening in front of us has worldwide impact because pretty much everything we do does. And I think the FDDs are a great framework for helping nurses whether in clinical practice and leadership roles and research to really help give them a language for how that works in their practice. I have a colleague that said that one of her friends told her that instead of saying it's the year of the nurse, that it's the year you need a nurse.
And certainly nursing has been stepping up to the table and that was certainly nothing that anyone foresaw when they declared that. So thank you so much for sharing that. I'd like to switch now to you telling us a little about the work that you do as a futurist. And in that role, what do you think the opportunities for nurses and clinicians, patients and others will be over the next decade?
I think the FDDs are a great starting point, aligning with these global health goals. Nurses have to be informed and aware of what's happening globally and the global policies that drive national policies that drive institutional policies and how that affects the point of care. And it's all connected back to policy. I think we really have to get clear of the profession to nurture that scientific voice that we have.
We all have it. We all ask scientific questions whether we're at PhD prepared or not, whether we're an NIH-oriented researcher or not. Science is such a part of that spirit of inquiry is such a innate part of being a nurse. So I think that's just really, really important.
I'm leading a lead writer for an international policy report right now for the Wish Foundation focused on nurses and midwives tackling health equity through action on the social determinants of health. And one of the domains we've discovered is building the science and some of the evidence. And a non-nurse colleague commented early on the process, you know, to think about all the hands we have on deck to collect data. And they really saw us as data collectors.
And it was news to that non-nurse collaborator, that nurses could be the investigator, it could be the primary investigator, the co-investigator, it could be a part of the analysis, it could be a part of the dissemination. And so I think nurses over the next 10 years, you know, it's been mentioned in several policy reports, really need to nurture that scientific voice and speak it out loud, not be afraid to speak it out loud. I think another section is really another part to this is adapting to leadership roles at decision-making tables. And I think this is going to take some work of really, this going hierarchy, it's going to mean we need to move towards transdisciplinary models.
You know, again, another thing we're learning during this pandemic is that no one profession can do it alone. And we kind of always know this and talked about it. But now we're really seeing it. I just heard a lecture from Congresswoman Lauren Underwood this past week, she was speaking to us at University of Pennsylvania, and as I assume, and she's been like, a parlor, you want, but at some point you just got to jump in.
And I think it was such a strong phrase to hear because I think nurses keep waiting and waiting and waiting and saying, oh, once we have evidence or once we have another policy report. But I think it's become really cool and clear through all of these reports of the last few years through the nursing now campaign, through the International Year of the Nursing Midlife, that definitely is your recognition, that the time is now. I think that really needs to make the decision to jump into that leadership role and find their voice wherever their form is, whether it's at the bedside or in research or in academia. And to role model the power that we do have at that intersection again of science and the human condition.
And we really are the nearly profession that consistently works at that intersection and can role model that for other healthcare providers. Yeah, you know, one of the things that has come out of this whole pandemic is the fact that there's been a lot of innovation people have had to figure out what to do in situations when they didn't have everything that they needed. And I was struck with one of the chief nurses that shared that whichever caregiver went into the room, he or she did everything from all disciplines, they would kind of go through like all the different things the patient needed and be there. But that way it was just one person that had to go into the room and be with that patient for a period of time.
So, physicians, nurses, or as for their purpose, all of them saying, okay, it's all you to do all these things. And I thought, maybe we can continue to do some of the things that have been working and showing the fact that when the team comes together, it really is better for everybody. So that's pretty exciting. So what do you think is going to happen with the global workforce?
You know, because we don't want to get into stealing each other's nurses when we've done that in the past bringing more foreign trained nurses to the US and all that. And are people talking about that in the circles that you're involved in? I think people are very aware of that, especially those working in the global health field. But I think, you know, what we as, and I say we, I mean, American nurses or nurses working in the United States is that when we look at the literature, when we look at the science, the vast majority of that science, the voice is coming from the global North.
It's coming from US and European nurses in the Western world. And if we're going to solidify the workforce globally, we really need to take concrete actions that's to make sure that the literature we do, the project we initiate, are really inclusive, culturally respectful, and include the voices and input from nurses around the world. That's wonderful. Well, this is all about nursing.
I'm your host, Dr. Joyce Vacher. We're live on the Vegan Global Network in Tune Radio. And right now it's time for us to take a short break.
The Opiate Epidemic has reached crisis levels and with so many families affected by addiction, Opiate related drug overdoses and death. The time is now to have a real constructive conversation about addiction that could lead to better prevention, treatment, and recovery. Alan Charles, author and keynote speaker on Drug Abuse and Prevention presents The Alan Charles Show. Alan brings a message of hope, sharing his unbelievable story of surviving a 24-year addiction to cocaine and highlights from his memoir, Walking Out the Other Side, an addict's journey from loneliness to life.
His raw honesty and courageous heart breaks the stigma of addiction and offers a unique perspective into the mind of an addict. Join Alan each week as he brings his listeners to a true understanding of the grip of addiction. It is only with this understanding that we can begin to heal. The Alan Charles Show, Thursdays of 9 p.m.
Eastern on the BBM Global Network. There are artists and then there's Alice Asmar. This award-winning artist has spent her entire life devoted to her artistic pursuits and has had a lifelong fascination with American Indians of the Southwestern United States. Her book, Dance to the Great Spirit showcases her drawings and paintings inspired by sacred rituals of the Pueblo Indians and four of her lithographs are in permanent collection at the National Museum of American History in the Smithsonian Institution in Washington, D.C.
She is one of four artists in the United States to win a Willy Fellowship for study in Paris at Lea Colde Boz Arts and has been featured in numerous publications. She's exhibited at the world's most prestigious museums and galleries and recently won a 20-year service award from the Burbank City Council and the inaugural art competition of the foundation of the United States in Paris. Welcome back everyone. You're listening to all about nursing, live from the BBM Global Network and Tune in Radio.
I'm Dr. Joyce Batchelor, the host of the show, and I have my guest with here this evening, Dr. Billy Rosson. He was sharing some of the things that he believes are going to be opportunities in the future and very exciting, different ideas that you have shared there.
As you've been explaining all the different amazing impacts that you've had and continue to have in the nursing arena, especially globally, I'm just curious, what are some of the challenges you've experienced? Yeah, I think one of the biggest challenges that I've had at times has been finding where I fit in. I've learned over my 10 years as a nurse that I can't fit any of the traditional boxes. I come from a creative background.
I come from a theatre background. There's that inherent need in me to be self-expressed about what I'm passionate about and what I believe in. It's really important to me that my career is authentically rooted in that. That's something that for me, my internal alarm system, I can tell when I'm out of integrity, when I'm not doing what I'm meant to be doing or when I'm climbing the wrong ladder against the wrong wall.
I think finding out where I fit in and the profession has taken me some time. I spent a lot of time creating my own past because the path that I saw or found wasn't didn't necessarily make sense for me. I think I always try to find that creative outlet. For example, when I was living in Rwanda, everybody was talking about cost constraints and how people can access care.
I noticed that they had a weekly health section in the country's largest newspaper that was circulated across Rwanda and nothing by a nurse, everything was by physicians. I started a weekly column. I wrote a 50 column, but of course, the year on cost-free approaches, improving mental, emotional, physical, social, spiritual well-being. I spent a few weeks on each of those topics.
Really just talk about things that people could do in their own home, with their own families, to improve their own sense of health and well-being. Writing a newspaper column is not something that the big time researcher is necessarily value. I've spent a lot of time writing on blogs or social media platforms because it feels like the audience I need to speak to were the outlet that's presenting itself. I've had people say, why don't you listen to the time on that?
Do something for a high impact here review journal or spending that time writing a grant? It's taken me some time to just really feel my own authenticity in how my career has been evolving if that makes sense. Absolutely makes sense. For me, the other challenge has been work-life balance.
You may have caught on, Joyce, but I'm a little type A. When I get my teeth in a project and there's something I'm really passionate about, I just want to keep working on it. I think this experience and certainly the PhD has really taught me when it's enough, when I really need to make sure that I'm prioritizing family and self-care time and things like fun and joy with the whole action for Sigma is in joy. I think making time for those things has become increasingly important, especially during this quarantine and experience and social isolation that's happening in New York right now.
I think that's very important by doing that, working like writing for the newspaper, getting nurses in the media and doing those kinds of things actually should have a lot of clout because it's important because we've been invisible, as you know. One thing that I have been really impressed with and excited is how many nurses have been in the press and in print and being interviewed. I think we need to make sure we don't lose that post-pandemic because it's the first time in our history for a really long time that people are actually learning what nurses do instead of the crazy stuff they might see on TV. Thank you for sharing that.
I think it's great that you didn't go into a traditional role. That's how you have fun and the profession, truthfully. I was just curious, what kind of challenges do you foresee as you're trying to do the work that you see yourself being involved in? I think that the work will continue to be seen right at end.
I'm so interested in research and I'm also so passionate about policy and education. I think continuing to navigate that and meet the needs that are in front of me with the opportunities that are also in front of me. I think speaking a little more globally, as a part of the policy report on social determinants and health equity, I can't help but talk about COVID-19. But everything that we're seeing, how COVID-19 is bringing to the surface all of these global health inequities that we've talked about for so long, but now are truly unavoidable.
I've heard it a few times now that COVID-19 is a great equalizer and that is just truly not the great equalizer. It is disproportionately affecting the poorest populations, racial minorities, all sorts of marginalized peoples, much differently and much harsher than it is for privileged people or people with higher socioeconomic status. Many of the recommendations, for example, are coming from WHO hand hygiene or social distancing. That's not realistic if you live in a slum in India or if you don't have running water or you don't have money for soap or you don't have the type of job where you can work from home.
What we see is that being called a great equalizer, that's just such a fallacy. If we buy into that, we will continue to perpetuate the same kind of health inequities on the other side of this pandemic as we had before it. I think some of the challenges in the future are really going to be finding that advocacy voice. The WHO state of the world's nursing reports are set.
We comprise 69% of the health care workforce. There's 28 million of us globally, 4 million of us in the US, and 90% of primary health care services worldwide. As you mentioned, we have increased visibility in the media. We have all this support now from the WHO and nursing now.
There's all these opportunities to raise our voice and I think leveraging that to make sure we address and communicate transparently about these health inequities, particularly in the term of crisis, will help soften those challenges and improve the outcomes we really want to see in the long term. Thank you for sharing that. That's wonderful. This is all about nursing.
I'm your host, Dr. Joyce Batchley. We're live on the Vegan Gold Network in Tune in Radio, and we'll continue this conversation when we come back. 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, Coach to Greatness, Unmark Your Full Potential with Limitless Growth, published by iUniverse. 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' My Strategy, Saturdays, 1 PM Eastern on the VVN Global Network and Tune in Radio. 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 do you have on the 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 PM Central Standard Time on the BBM Global Network. I'm your host, Dr.
Joyce Bachelor, in All About about nursing and rely on the Beacon Global Network and Tune in Radio. And my guest is evening. Dr. Billy Rose has been telling us about amazing accomplishments in his career and things that he's done globally and many of his experiences.
And you've shared a lot of wisdom this evening. So I was curious for all the nurses who may be listening, what would you want the to highlight for them? Honestly right now during COVID-19 and everything we're experiencing, I think the highlight is really to be proud of what you're doing right now and how you're serving the world. You know, I have to say I accept working clinically back in the fall to finish my dissertation.
And when the COVID response was ramping up in Newark, I felt a lot of shame and guilt for not being at the front line. And as I talk to all my, a lot of administrative colleagues, researchers, educators, a lot of them are feeling the same thing. So I think I just want to say be proud of what you're contributing, it has value, it has meaning, it makes a difference. And it's enough.
It's just enough. That's great. And since we have a mixed audience, there's a lot of consumers that are listening. Do you have like maybe two or three things that you would want to make sure that they remember from what you've been discussing this evening?
Yes, I think, you know, first COVID has raised global awareness of the need for palliative care, universal palliative care access across the care continuum, across the lifespan at all levels of care services. So we really need open dialogue in every forum to ensure that there is clear and proper understanding of what palliative care is, how it can support patients and families, how it can support the health system at large, and how we can integrate it throughout, again, the disease trajectory. Second, get involved in the global health agenda, really identify how you align with the F.D.G.s, for example, or how you can take local action to the broader agenda of what's happening for people around the world, because we're just so interconnected. And I think the third is really to support each other, be kind to one other, make the time to talk to each other, to ask each other about our fears, our joys, our worries, the meaning and our work, because that's really the only way we're going to get through all those.
So Billy, it'd be great if you could just say a couple of words about palliative care and why sometimes it has a bad rap. People don't understand what it really is and what it's not. So maybe you could just share what is palliative care and why is it so important, and maybe dispel some of the myths people may have. So I think there's a new consensus-based definition, global definition from the International Association for Hospice and Palliative Care that people can Google and look up.
But the gist of it is that it's the active and holistic care of patients and their families who are suffering from severe illness and at the end of life. And the goals are really to optimize quality of life through BBA suffering and to make sure that the healthcare we provide is in alignment with a person's preferences, values, and goals. And so in order to do that, we have to have palliative care support earlier in the disease trajectory. So palliative care can be given in conjunction with curative treatments.
It can be given as a standalone treatment and at the end of life. Sometimes the clarification can happen just by making sure people really understand what we're talking about when we say palliative care and to offer them evidence and insight into how we provide extra layers of support to care teams and health systems and patients and families really at any stage of their illness. So I think very often it's over coupled with the concept of hospice, which is a subspecialty of palliative care, particularly for those loved to be in their last six months of life. So differentiating those would be really helpful and make sure that the relationships of palliative care is expert at fostering is brought on board for their upstream in the disease process.
So when things get difficult and difficult, conversations need having symptoms get more severe or kind of already on board and a part of the conversation. And I think what you said is so important because you want to have families talking about those things way before they find themselves in a situation where their loved one is on a ventilator and the critical care unit are not responsive and you wonder what they would want done or not done. And so thank you so much for sharing that. You have done amazing amount of work and I'm thrilled that you're on the show.
So thank you so much for being here this evening. I really enjoyed learning about the tremendous impacts that you're having. So we're at the end of our show. So you've been listening to all about nursing, live in the BBU Network and Tune in Radio.
I'm Dr. Joyce Batch with a host and I hope that you'll tune in again next week. Thank you. You've been listening to All About Nursing with your host Dr.
Joyce Batchler. Tune in each week and get a daily dose of nursing and the healthcare services they provide and how the nurses are finding innovative ways to address the key healthcare issues they're facing today. Here on Dr. Joyce Batchler's 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.