All About Nursing Show 2

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Welcome to All About Nursing with your host, Dr. Joyce Bachelon. Executive nurse advisor Dr. Bachelon will present a significant role in nurses' play in providing healthcare in a multitude of healthcare settings.

Listen to some of today's key nurses who work in practice in academia settings and talk about the challenges they face in today's modern medical world. So please welcome the host of All About Nursing, Dr. Joyce Bachelor. Good evening.

I'm your host, Dr. Joyce Bachelor, on All About Nursing, and we're live on the BBM Global Network in Tune & Radio. I'm really delighted this evening to be able to introduce a guest that I have on the show with me, Dr. Bob Dent, who is currently serving as a Senior Vice President, Chief Operating Officer and Chief Nursing Officer in Midland Memorial Hospital in Midland, Texas.

Bob has completed his Dr. of Nursing Practice degree and has just amazing credentials and a lot of great experiences. I have so many things that I could say about Bob because he's just done so many wonderful things in his career. And what we'll be focusing on tonight is really letting him tell you some of the highlights about his career, how he really decided to come into nursing, the path that he took, and some of the different opportunities that he's seen.

Bob, currently also in addition to his day job, is the President of the American Organization of Nursing Executives, and he currently serves as adjunct faculty for both the University of Texas, of the Permian Basin and Texas Tech University Health Science Center School of Nursing in Lubbock, Texas. So I think you're going to really enjoy hearing more from Bob. So with much more introduction, I'm going to go ahead and begin some of the questions. And thank you so much, Bob, for agreeing to be on the show this evening.

Welcome. I'd like to be joining you and I've known each other for quite some time, and I've always appreciated your work. And so it's an honor to be on line with you and talk about my career and the questions that you might have for me. Wonderful.

So when we just begin with you, tell us a little bit about how did you become interested in the nursing profession? Well, sure. You know, I'm the oldest of four boys and all of us have become nurses, but it was, and whenever I was young, actually I had a sister, her name was Carol, and Carol died when she was two years old from complications of leukemia. And I was just before, a couple years before I was born, and to growing up, my grandmother and my mother would always say that someday you would become interested or be in healthcare.

And so throughout my early life, I requested gifts and things associated with healthcare, have a picture at Christmas time with my mother and my brothers around the table, and I'm playing with my stethoscope and blood pressure costs and those things. And I've been always interested in the healthcare profession. And so that's a little bit about, you know, why I became interested in one healthcare, two, I ended up getting into the nursing profession eventually. What made you decide to look at nursing rather than going on to medical school, for example?

Sure. Yeah. You know, I was, again, in Sweetwater, Texas, and that's where I was raised. A new chief nursing officer there at the time, her name was Donna Bovreich, and she's currently still there, and this was back in the early 80s, but she's still there now as a chief executive officer for Rolling Plains Memorial Hospital.

She began a medical explorers program. And so my junior and senior years in high school, I joined the medical explorers program, worked with other students of my age at the time. You know, I enjoyed the smells, the sites, and everything of the hospital, the hospital setting. And I volunteered as much time as I could outside of my classwork at the high school, there at the hospital.

I think one of the, you know, my first interactions outside of just being in the hospital setting, I volunteered time at the emergency department. And it was in the emergency department that the nursing staff and medical staff, we had a patient that came in and full arrest, cardiac arrest. And that's when I was allowed really to do my first set of compressions in an emergency room setting. After graduating high school, I did go to a university in a town, an an anode, right next to where I was born, but it was right next door to Sweetwater.

And there I did decide to go pre-med, thinking that I might be interested in a medical profession. But then came back to Sweetwater, worked with a mentally handicapped in our local community. And there again, faced with a great vocational nurse who would come by, and I got to see more about what she did. And ultimately, he went to a vocational nursing program there in Sweetwater.

And that's my, the beginning of getting into nursing. I introduced many great nurses at right out of high school in my early life. Thank you. And last week, Bob, I was sharing a little bit about the fact that there are so many different ways someone can enter into the profession.

And I was explaining that there are different programs that you can go to with different levels. And I didn't really talk about the LVN level. I started with the associate degree, but I was looking at and remembering that you really did start as a licensed vocational nurse. And so maybe you can share a little bit about why you decided to choose the LVN route.

And then what made you continue to go on and go back to school to eventually come back and complete your doctor of nursing practice degree? Sure. So in Sweetwater and being, in living there, the only nursing program that was available to me and visiting with the vocational nurse that was working with me in a, with a mentally handicapped there was right there. So I went to that vocational nursing program.

And interestingly, I'm now serving back on Texas State Technical College, now Institute then, but I'll be serving on their VN to our advisory board. So where I started, I'm going to be helping understand some of the nuances from there. So I decided to go to my vocational nursing program and did that year. And from there, I moved to Lubbock, which was a much bigger city than what I was raised in in Sweetwater and started working at that large hospital Methodist Methodist hospital there, now Covenant, great environment.

My supervisor, director was Frank Ward. And he really embraced lifelong learning and leaders in development. And so I embraced everything that I could about the workplace environment and leading our learning and signed up for every class that I possibly could to do that. I became somewhat of a teacher, if you will, and Bloom Poms and post-hard transplants and became a mentor preceptor to RN students in the area.

And I realized that if this is something that I was passionate about nursing, I had caught that bug if you will and said, this is what I really want to do. And then I need to go back to nursing school. And so there was a, in the area, South Plains Community College had the associate degree nursing program. And so I went back to school and became an associate degree nurse.

And from there in Lubbock, I moved to Arizona and became part of Banner Health. And working in the intensive care unit, my background is in critical care and intensive care and my specialty really was in cardiovascular care. And so I did a live on the night shift at the ICU and my colleagues chose me to represent them on a shared governance council. And ultimately asked me to serve as a patient care manager.

And so while I received immediate gratification during great care at the bedside with my patients and families, I found that having influence over the workplace environment and creating that sort of positive area and helping people work was exciting to me. And I knew that if I wanted to stay in a leadership role, I needed to complete my back award degree. So I did, I got back into school for a BSN and through there focused on leadership and leadership development from my BSN. And my first leadership role happened to be as an assistant director of nursing in a sub acute unit, hospital based sub acute unit.

And so I moved from acute care to long-term care. So I could become that leader in that environment and learned a lot in that role. It was a short time later within about nine or ten months I was promoted into the director of nursing for the 180 bed facility. And then four months after that promoted into the long-term care administrator.

And from there I decided that I needed to get my graduate degree and I did an MBA. And then ultimately came back to Texas in a private area, Texas Tech University started an inaugural doctorate program at Texas Tech. And we can hear more about that. This is all about nursing and I'm Dr.

Joyce Bachelor. I'm here live on the VBM Global Network and Tune in Radio and it's time to take a short break. Dr. Rob Moyer is the director of the Ocean River Institute and he is passionate about saving the ocean by helping dolphins suffering from nitrogen pollution.

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You are listening to All About Nursing Life from the BBM Global Network and to an end radio and I'm Dr. Joyce Bachelor, the host of the show. Before the break, Dr. Bob Dent was sharing some highlights about his career and sharing with everyone the path that he took when he went back to school starting as an LBN and then completing an associate degree nursing program as well as then getting an MBA and then on to his Dr.

nursing practice degree. So why don't we start with a little bit about what kind of things did you see that changed or opportunities that changed as you started to get the more advanced degrees and experience. You were focusing a little bit about moving into leadership so maybe you could kind of share a little bit more about that. Sure, with each level of education that I was able to obtain, it just seemed like the breadth and depth of the education, I mean, it just opened up doors and thoughts, different perspectives in each of those.

And so I learned a lot from the faculty and from my students that I worked with in those regards but I really enjoyed each level of that education and what it did for me. So share with me a little bit about being a male and a predominantly female profession. Did you have challenges along the way since you were pretty much ahead in your time being a pretty small minority of men being in the profession during your tenure? Sure, I've been a nurse for over 30 years I think now and I think even today when you look at the nursing workforce and men in nursing, I think we still represent about 10% to 12% of the overall nursing workforce and so that number, while I think it's improved a little bit over time, it hasn't significantly improved and not that there were 4 million nurses across the United States now from the latest county.

From my perspective, I've never really had any challenges. I think I learned I worked alongside with the nurses and they've gotten along with pretty much everybody. We do a lot of great work together. So really I don't think from my perspective that there's really been any challenges.

I think what we as a profession need to look at is we continue to think about diversity within the workforce which is very important. I think parity within the workforce is important as well. And with that parity and you think about we focus a lot in our organization and others about when you think about the demographics of our nursing workforce or others that it matches the patient population and maybe the community that we serve. And we recognize across the country that if you were to look at it just globally, it's about 50% men and 50% women.

And the fact that there's only 10% to 12% men in the workforce, there's a long way to go and to attract more men into that, into the workforce. I think there's plenty of opportunity there for that. So what would you share with young men that are thinking about potentially selecting a career and what would you say to them about why you think that going into nursing would be an awesome opportunity and one that they should really consider? I mentioned that I've got three brothers and they're all nurses as well and I've got brother-in-law who's a nurse practitioner in Arizona.

I've got nephews that are into the nursing program. I think nursing is a stable career. You get into the nursing workforce. There is plenty of opportunities at the point of care, wherever that point of care is, whether it's in a hospital or ambulatory setting, leadership, education, clearly we need more faculty in our academic institutions as well.

So there's a wide breadth of opportunities across the career continuum or care continuum for all nurses to be able to work. And I found it's very rewarding to be able to care for patients and families and create the positive, healthy workplace environments for people to do best from a leadership perspective. It's been very good for me and I promote that to young men. There's a countless number of students from the high school, local high schools, my board members will bring and say, Bob, do you mind visiting with this young man?

I said, not at all. So I'll visit with him on a regular basis and understand what their passion is and how that might fit into the nursing workforce and some of them have gone on to become the conferences. I mentioned early on that Donna Bogre started that medical explorer program that got me interested and piqued my interest. And so I've been since started my own organization, a medical school program, moved that to a youth health service core.

And now we're about to create a health sciences academy for nine through 12 graders who may be interested in health care. And so I think from a nurse leader perspective, creating those opportunities for high school students and younger students to understand what might be available to them. One of the things that I had started to see when I was in my prior chief nursing officer role was more men coming into the profession as their second degrees. It was not unusual to have people come and say, you know, if it's working in IT or some other profession and they really wanted to now try to go into nursing.

And we can really talk a little bit more about that when we come back from our break. So again, we are coming to you live from the BBM Global Network and tune in radio on the all about nursing. I'm Dr. Joyce Bachelor and we'll continue this conversation when we come back.

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I'm your host, Dr. Joyce Batchelor, on All About Nursing, and we are live on VBM Global Network and Tune In Radio. Before the break, Dr. Dent was sharing a little bit about his experiences as a male nurse and a lot of the things that he's doing to really help coach and mentor other men that would potentially be interested in the nursing career.

One of the things that I would like to ask is, when we were chatting a little bit about, when I was in my prior Chief Nursing Officer role, I started seeing a lot of men that had careers already in some other field coming back into nursing with the alternate degree programs that a lot of universities offer. I was just wondering if you could say a little bit about that. If you're seeing some of that, or what are some of the challenges from your perspective, Bob? Yes, the second degree BSN program.

Anybody that has a degree in another field, whatever that degree bachelor degree might be, there are the second degree BSN programs. It's a one year, rather intense program because of the clinical and the science and everything associated with it to get through and then to be able to test for the NCWAC. There's the NCWACs of the National Exam to be able to pass and be being competent to practice nursing. With that, yes, we've seen in our area, in our market, second degree BSN students come through.

We've had the opportunity on a couple of occasions to look to scholarship. The men who are interested in that nursing career, sometimes I think the challenge is with family and understanding the complexity of that nursing program to get back into it. But then we also recognize that it's very successful. And many of the nurses coming out of the second degree BSN programs hit the ground running really well and have a lot to offer the nursing field.

So we've been pretty impressed with the second degree BSN prepared nurses whenever they come out. That's great. Thank you very much for sharing that. I think that's one of the areas that, again, we're trying to let people know that there are different ways to come into the profession.

That includes people that have a degree in something else. And I think that having the experience of also getting some nurses that way, the skills and the experiences that they bring from their other life professional jobs has just been amazing when you can then apply those talents into the healthcare arena. So we really need more of you. So hopefully people are listening and thinking, wow, maybe that's something I'd like to explore a little bit more.

So I've heard you talk a whole lot, Bob, about lifelong learning. And I know how committed you are to that. And I know both of us have heard early in our careers that you have to have really good mentors. So I was just curious if you could say a little bit more about who you were working with as a mentor, what kind of value you found having a mentor and what that kind of relationship really assisted you with.

Yeah. Mentoring is one of those gifts that keeps on giving. And I had the opportunity just this week to receive an email from a nurse, relatively young in the profession out of California and asking for mentoring a mentoring relationship. And so I sent that note and he said at the time and the email that someday he wanted to grow up to be like Dr.

Bob Nett, which I sent that to my mentor, Ron Anderson. And I said, look, from my perspective, I said, I always wanted to grow up to be like Ron Anderson. And Ron, at the early on in my leadership career, she really took me under her wings, showed me the way. And I was led by example.

I learned a lot of her mannerisms and how she addressed critical or crucial conversations. She was the one that really told me to get involved with the American organization, Nurse Executives, that today I'm the president of that wonderful association. And so there's been a, you know, that mentoring relationship and from there created a really strong professional friendship and work with each other on a regular basis. But Ron is one, Donna Bovreat, I mentioned earlier, was a mentor of mine earlier in my career.

I moved back to Texas about 11 and a half years ago. She first called me back to one welcoming me back to Texas. And so there's an opening on the Texas organization of Nurse Executives Board Directors and what I'd be interested in serving in that role. So I think as you think about mentors in that relationship, you know, we're all going to hit a wall from time to time and we're going to have our own struggles and having that person to fall back on to, you know, to help answer the questions or help you actually ask the right questions.

I think it's really important for that relationship. And one of the things I would like to just hear your thoughts on is that I really work hard with people to try to get them to understand as young nurses, young leaders that having mentors and making the time for the mentoring, making sure that they take the time for their own personal development and just the time to think, especially in leadership roles, about what they're really doing if they're on track or not. And yet I find that when I have reached out to people trying to really get them to take some time to do the mentoring, they're very quick to say I'm too busy and it's like they're not getting the message that I know you're busy, I know you're working hard, but part of what your work entails is really making sure that you continue to really grow and the benefits of having a mentor as a thinking partner. So, you know, what made you make sure that you took the time for the mentoring as you were working through your career?

As I was working early on again and I'll focus back on Rhonda a little bit, she opened up a whole world of nursing that I didn't even know at the time. You know, I think sometimes even at that education, from my vocational nursing to D&P, each level of that education, my engagement and professional associations, my work with Rhonda as a mentor of mine, it opened up so much more of the nursing profession. We had a lot of opportunities, but to be able to have, like you said, that that thinking partner to make sure, and it's not always that they're going to give you the answer, but they may help you frame the question that you can think about it yourself. And I think that's been an important relationship they have, is not necessarily to seek out an answer, but to see that you're on the right track in some of your thoughts in there.

Thank you for that. You know, going to be about time, that is both on being a mentor or being a mentee. It's almost as if you cannot not have the time to be a mentor or to be a mentee. You've got to be able to find that time and seek out those opportunities.

Yeah, I commonly say to people, everybody teaches and everybody learns and you do both roles throughout your day in many situations and making sure that you do take the time to really have those kind of relationships because it really does help you think differently, bigger, makes connections outside of your four walls. So that's really exciting to hear. One of the things I was curious about is, what do you consider an important competency for nurses and nurse leaders today? I had shared last week that when I graduated nursing school, the only mouse I knew was the kind that my cat brought home.

And if you look at where we are today in terms of the technology and the advances in medications and all different kinds of machinery and procedures, you know, I keep thinking we need the best and brightest minds and the profession as a result of all of this. So what do you think needs to really be focused on as far as competencies for our nurses and nurse leaders? But, you know, from my perspective, and all that is important and some of that is even using the team steps, which is about team strategies for improving patient safety. If you look at that model, it's about knowledge, skill and attitude and how that improves performance.

And I think knowledge and skill, whether it's talking about mouse or the mouse or others, you can test. I think the biggest part of that equation is going to be about the attitude that you bring in. And so for me, I think the most important competency for nurses at the point of caring wherever that is, or nurse leaders from wherever they are, is going to be about relationship management. And it's not as much about what you can control as about what you can influence.

And if you're not taking the time to develop relationships, and that relationship could be with your patients and you're trying to educate them about their disease or the medications that they're taking or the discharge instructions, or if you're in a nurse leader role and you're having to work with a medical staff or your other professional colleagues or other nurses that you might not be directly in your control. Understanding communication and relationships, I think, is the most important competency that any nurse needs to have and be able to manage. We can chat a little bit more about that after our break. So we're coming to you live from VBM Global Network and Tune in Radio.

And this is the All About Nursing Show and I'm Dr. Joyce Bachelorette, the host. We'll be right back. We're an Asants Woman, Trailblazer, Maverick.

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Prior to the commercial break, Dr. Det and I were talking a little bit about what we consider important competencies that nurses and nurse leaders are going to need as a result of the fact that the technology and the advances we've been making in healthcare and treatments is just really changing the way that nurses and other health professionals need to work. And so maybe we can go back to your thoughts, Bob, about the kinds of things that you think are going to be really important for nurses, both at the staff nurse level, all the way up to the nursing leader level as far as competencies they should be thinking about developing. You know, outside of that, again, thinking about the relationships that people have in the sphere of influence and those behaviors that you have there, the technology continues to grow exponentially.

When I was a nurse in the 1980s, everything was on paper and today the electronic medical records and the data that's drawn from that, the advent now is we get into more artificial intelligence, machine learning and the coming of already being used in the workforce in some places, robots, and what they can do. I think that competency and embracing, you know, what we're going to be able to do from using that artificial intelligence, machine learning, robots, and healthcare, it'll improve healthcare. It's not going to take away from the compassionate connected care that nurses will provide again to that patient and their family at the bedside. It's really understanding that technology and how you're going to embrace it as it comes in, really learning from a lifelong learning perspective, but not giving up on compassionate care.

And that's what you're a point of care nurse or a nurse leader. We've got to continue to think about and advocate for our patients and the families. I would agree with you. We have similar backgrounds of critical care and CBI cardiovascular intensive care, specifically.

I remember when I first started in critical care and I was really learning a lot about the technology and the monitors and all sorts of things like that. And particularly if a person was on a balloon pump and other things that we use for life-saving technologies. I just remember being so caught up sometimes and all of that that I had to really make sure I stopped and remembered that there was a real person attached to all the lines and tubes that we sometimes will see and be using on patients. So I think your points are well taken is that that caring aspect, the touch is always going to be extremely important and does differentiate.

I think what nurses do, robots will never be able to really do. But I do think that we have to be ready to embrace the challenges we'll continue to see. And I'd like to switch a little bit here because I would like to showcase a little bit about the work that you've been doing with your leadership philosophy. And I've had the pleasure to know you having been in the DNP program with you as well for two years.

So I've gotten to really hear more about what you were leading at your organization. But share a little bit about, because you've now published about your leadership philosophy, how did you come about, why did you, what was important to really have the philosophy be known in your organization and how have you leveraged it? Sure. I've always, within my own leadership, reflected on the things that my experience is.

And so I have a journal, I carry a journal with me pretty much everywhere I go. And those different experiences, I'll write those things down. The things that are really significant. And patients safety, obviously, is the one that is important early on in my career, having experienced a couple of patient deaths associated with something, whether it was restraints or other kinds of things.

But in recognizing the significance of those kinds of things, patient safety is number one. And so I always talk about people first, and safety always is one of my leadership philosophies. I want to be there for the people, and I think we need to focus on the people within the organization. That's been something that I make sure that we make sure of.

But then we have to make sure that we're taking care of patients safely and so safety always. People first safety always. And so as I, in my 30-year career, and those significant things that have made an impression on my life, creating that leadership philosophy. And that leadership philosophy, again, my experiences, your experiences are going to be different than mine and anybody else's, but really reflecting on what's made a significant impact.

Publishing that work is, I think, very important for your team to know who they're working with, what you stand for, what you don't. It's similar to the values that you might espouse. But what is it that really is your passion? And then you've got to make sure that whatever your philosophy is matches with the organization that you're working with and that you're developing people along that way.

So all my, the people that I work with understand my leadership philosophy. And we talked about some of those things on a regular basis. It helps shape some of our leadership team pledge, the common language across our leadership team that we're going to do. So it becomes very important that way.

What kind of impact have you seen in your organization as a result of the work that you have just described? I know that you've been working on- The last couple of- Go ahead. No, I was going to say, I know that you've been working on retention, as one example. So I was just curious if you could share a little bit more about that.

Sure. So retention, participation, satisfaction, you know, a lot of the quality outcomes, whatever you think about quality and patient safety. And so we've been working on that cultural transformation and talking about people first, recognizing that the people and the culture being the invisible architecture of the organization. And so I've had the opportunity to work with a professional friend of mine, Joe Tai, who's worked on culture and ownership and values for quite some time.

And so we've developed some of that work even within our own organization. And to have seen significant improvements, and just last week during nurses' week, I happened to be up rounding on night shift and visiting with the staff. And they were talking just openly, they acknowledged that you can walk into this organization and you can sense that it's a great place to be. And they were talking about the different elements of that great place, the feeling, the camaraderie, the friendships, the quality outcomes that we achieved.

So there's been a lot of positive outcomes. And so with that comes, if you create that teamwork and communication and rid the environment of any toxic behaviors, a bullying and stability disrespect and other kinds of those behaviors, you're going to improve teamwork and communication and you're going to get better outcomes associated with it. Have you had your medical staff included in all of the work that you're describing? We have.

You know, one of our private practicing pediatricians, Dr. Sarri Navulsi, he took off work for five days. He was a chief of staff at the time, but he wanted to be a part of that culture. He saw what we were doing.

He saw how our staff and others were responding to that work. And so he became a coach. So he could be a great example to our medical staff. Our chief medical officer, Dr.

Larry Wilson, he is also engaged. He was in the emergency department at the time, but interested in that work. So we do that training on the culture of ownership. And so people have that with all of our medical staff that come in, the medical students, residents that are there as well, they all receive the same training perhaps in a different way, but they do receive the training that everybody else does.

So everybody is speaking the same language when it comes to our culture. Thank you so much. This is all about nursing. I'm your host, Dr.

Joyce Bachelor. We are live on the VBM Global Network and Tune in Radio, and it's time for us to take a short break. 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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Learn the My Short Sale Guru way. Welcome back everyone. You're listening to All About Nursing Live from VBM Global Network and Tune in Radio. I'm Dr.

Joyce Bachel of the host of this show. After the break, Dr. Dutton and I were chatting a little bit about what kinds of things he was really working on in terms of his leadership philosophy and the kind of impact that he has been able to really achieve at the organization that he leads by really making it clear to the staff and staff being inclusive of all. And that involves, of course, medical physicians as well as respiratory therapists and other professionals.

And so I think that what we were hearing were some incredible outcomes that were improving and the fact that people are very engaged and really want to work there and stay there, which is really quite an important topic in nursing today. So I'd like to switch gears just a little bit because I would like to make sure that we have a little bit of time to share what you've been doing with the nursing profession in general. And I know that you've been engaged in professional organizations throughout your career and you're currently the president of the American Organization of Nursing Executives and maybe you can share with the audience a little bit about what is it that role entails and what is the organization focused on so that people are more aware of the fact that this isn't a specialty and the kinds of things that nursing leaders are trying to really work on today. Absolutely.

And I've been involved with AO&E for many years, dating back probably the 1990s. And again, Rhonda Anderson, my mentors asked me to join and I really never looked back. I owe AO&E a lot for what I've been able to do with nursing leadership and engaging in that work. Early on being part of the nominations committee, the Strategic Planning Committee, getting involved in state associations, whether it was in Arizona or Colorado or Texas, and so really staying involved.

I mentioned before the break about the culture of ownership, well the three essential elements of the culture of ownership that to be emotionally positive, self-empowered and fully engaged. Well, it's under that fully engaged work that I think on a nursing profession front that there is plenty of opportunity, whether it's AO&E or any of the other nursing professions for our nurses and nurse leaders to be highly engaged into. So as the AO&E president, it's been important for me and our board to really connect with our members across the country. And I've been traveling, I've been in California, in New Mexico right now, I'm calling from Iowa, I'll be going to Illinois and then Kentucky and Georgia later this year.

And so just really traveling around the country and understanding what are the issues facing nursing and nursing leaders and does our priorities within AO&E have the opportunity to address those and our board is very engaged in that work. So we're doing a lot around advocacy, core competencies. We have guiding principles to help nurse leaders. Early in my career as an early career, I relied on those guiding principles to make sure that I was following some sort of framework that was, you think about our nursing spot leaders in the organization who have put a lot of time and effort in creating those guiding principles that as an early career as I can fall into and understand what it is that need to guide me in the decisions that I need to make.

So AO&E has meant a lot to me over my career and continues to mean a lot. And so that's a little bit about AO&E. You know, I've always said to myself that when I hear about something that nursing has come out with, if there's like a new policy or they want to change something nationally, and sometimes I would think to myself, who are these people and how did they come up with this? And I found myself early in my career thinking I either need to accept what they come up with and assume that they really did their best or I don't like it get more involved.

So I can really learn more about how I might give it to influence what I think needs to be looked at or changed. And so I think those are important things to have our young leaders really understanding is that there's such a value to being engaged in professional organizations and the networking and the kinds of things that you can really achieve become multiple because you've got so many people that are willing to help you and you never have to start with a blank piece of paper. So I think that's pretty exciting. You know, can you share a little bit about something that you're really trying to make sure that you do address with the organization during your time as president?

Right now we're gathering a lot of research. Now that research and branding and understanding we want to be inclusive and we are, it's in our bylaws and everything else. We want to be inclusive of all four million nurses across the country recognizing that nurses lead from where they are. And so what are we doing to be reflective of that?

Whether it's in our brand or tagline that we are the voice of nursing leadership, core competencies and those kinds of things. And so right now we're gathering all that research data different this year than years past when we gather the data. We've always asked historically our members. And now we're not only asking our members but we're asking those outside of the current membership structure of AOE.

Our mission, again, is to shape healthcare through innovative and expert nursing leadership and recognizing that leadership can be any nurse within the field. One of the appointed board members that is serving her first of two years now is Megan Sefin and she was a point of care nurse at the University of North Carolina. And so she's serving on the board to reflect the perspective of the opinion of point of care nurses. She would tell you that she's been a member of AOE longer than she's been a nurse because she joined as a student in the involved in strategic planning.

I think that's great. I think that's a really smart tactic. I think that's a really great job of getting the nursing students engaged so they can really understand the importance of staying involved in professional organizations and how to really expand their networking and their knowledge base. So that's very exciting to hear.

Thank you so much for sharing that. One of the things that I wanted to make sure that I recognized because I had the wonderful opportunity to be at the dinner when the American organization, the nurse executives had their meeting was just the amazing support that your family has also provided. I know that you are very proud of all of the support that your family has provided. And so I just wanted to see if there was anything you wanted to share a little bit about that kind of perspective as well because that's important for people when they're in these roles also making sure that they're balancing family and work and all of that.

So maybe you could just say a little bit about how you've made sure that you've balanced all of that because I'm very impressed with what you've done. Absolutely. My wife and I, we met in nursing school, a vocational nursing program in Sweetwater and got married shortly after we graduated and we have five children, together, three boys and two girls. And if you think about work and life and making that fluid at all, I've tried to make it important in my life.

I mentioned people first, safety always, but first is family first. And if you can't take care of your family, then you're not going to be able to focus on the people in the safety within the organization. But first is family first and then once you get to the hospital, it's people first and safety always. And so making sure that you're there for your family and important occasions within their life.

My wife, Karen, she's been a supporter of me throughout my career. She's been there alongside every decision that we've made in that career as well. After our second child and we moved to Arizona, we decided that it would be best that she'd become a stay at home mom. But she has helped raise our five children and it's been remarkable to me.

Well, thank you. This is all about nursing and I'm your host, Dr. Joyce Bachelor. We are live on BBM Global Network and Tune in Radio.

We will continue this conversation when we come back. Hello, I'm Steve Fagan and I'm president and CEO of Fagan Associates, but I'm also a life coach. I'm here to help you reach your dreams, goals and objectives. As a life coach, it's my job to be your support, to be your teammate, to help you understand what is your dream, what is your life passion.

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And I'll be glad to help you move forward to live the life of success. Reach your dreams, your goals, your objectives. We can do it together. I'm your host, Dr.

Joyce Bachelor, and I'm all about nursing and we're live on the BBM Global Network and Tune in Radio. Similar to the break, Dr. Det was telling us a little bit about his family and I've had the privilege of meeting his wife and his children and have just seen the amazing balance that Bob has in fact maintained between both working and being involved in all the different things he's described here this evening, but making sure that his family came first and it's really paid off because he has just a wonderful family to talk about. One of the things that I would like to see if you'd like to say anything else, Bob, before we move to a final area of focus about your family.

They're great. All of them. They're remarkable. They love my wife and family very, very much.

And so, know that family first and then making sure that you espouse that as a leader too within your organization that people know that they've got to be able to take care of their family's first. That's important. Thank you so much. You've become an author publishing three books in the past three years and that's very impressive.

And so maybe you could spend a little time sharing with us, you know, why or how did this come about? And I know that you and I talked about having you come back on a second show to really talk about what it takes to actually publish and how do you get started. But maybe you could kind of share with us some highlights of like what made you decide to start doing this. Well, in all three of these books, I'm a co-author with my professional friend, Joe Tye, Joe's the author of many other books.

And so whenever he came and we were talking about, you know, kind of this memory of the future, if you will, I've always had an interest at some point to write about some of the things that I've been involved with, experiences that I've had. And so together in recognizing the changes, the cultural transformation at the hospital, we've co-authored the three books. The first one was Pickle Pledge and it's around Attitude, which again we think is very important in the equation towards patient safety and outcomes. The second one was on building a culture of ownership and healthcare and we have a lot of practical examples of things within our organization.

And then the last one, which just got published in April this year, was on the heart of a nurse leader and it's about values based leadership and a call to action in most of the 60 parts of that, the 12 core action values and the four cornerstones for each of those, the 48 that get to what that means. You know, outside of the books and the articles, the publications that is there, I think it's important from my perspective and working with Joe in here to be able to share or disseminate what works across a healthcare system to improve workplace environments and create a framework for that to happen. That's really very exciting and I really appreciate you taking the time and being here with us this evening and I look forward to having you on another show at another time. And so tune in next week for one opportunity to hear from Marcia Fowler, who is a Chief Clinical Officer of AMN Healthcare who will be sharing more about an RN study that she provides.

So bye for now. You've been listening to All About Nursing with your host Dr. Joyce Bachelor, tune in each week and get a daily dose of nursing and the healthcare services they provide and how nurses are finding innovative ways to address the key healthcare issues they're facing today. Here on Dr.

Joyce Bachelor'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.