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Welcome to All About Nursing with your host, Dr. Joyce Bachelor, executive nurse advisor, Dr. Bachelor, who will present the significant role nurses play in providing health care in a multitude of healthcare settings. Listen to some of today's key nurses who work in practice in academia settings and talk about the challenges they face in today's modern medical world.
So please welcome the host of All About Nursing, Dr. Joyce Bachelor. Good evening. I'm your host, Dr.
Joyce Bachelor on All About Nursing and we're live on the BBM Global Network and TuneIn Radio. I have a very distinguished nursing leader on the show this evening, who is Dr. Seil Trippineer. I know you will enjoy hearing about the different roles and experiences it's still has had and the work he continues to lead.
I'd like to start with a brief introduction that only captures some key highlights of his career. You'll learn a lot more during the interview that I had with Seil this evening. Dr. Trippineer is the regional chief clinical executive officer for Providence St.
Joseph Health in Southern California region. He has regional cross continuum oversight of clinical care delivery. This includes strategic direction and planning for all clinical services such as medicine, nursing, quality, infection prevention, care coordination, clinical operations, clinical education, case management and social services. He serves as a conduit between the system and the region for the clinical institutes.
Prior to this appointment, he served as the first system vice president and chief nursing officer for premier health. Dr. Trippineer is a seasoned nurse executive within healthcare system experience and executive leadership, quality improvement, organizational transformation and system standardization. He has a fellow in the American Academy of Nursing and an active member of the American Organization of Nursing Secutives.
He obtained his bachelor's in master's degree in nursing from the University of Montreal, Canada and a doctor of nursing practice degree from Texas Tech University Health Sciences Center School of Nursing in Lubbock, Texas. In addition to his duties as the regional chief clinical executive, he is an assistant professor for Texas Tech University Health Sciences Center and the master's in nursing administration program. He also is a member of two nursing journal advisory boards and serves as a member of the Western Governors University, the National Nursing Program Advisory Council and is a member of the vesent LLC company. Dr.
Trippineer was the first registered nurse appointed as the board chair of fidelity healthcare, which is a Southwest Ohio largest home healthcare agency and premier health community. He currently serves as a member of the Institute for Human Caring Advisory Board. As you can see and let hear all the different accomplishments of Dr. Trippineer, I'd really like to welcome you to the show and maybe, Zill, you can start by sharing why it is you decided to become a nurse.
Absolutely. First choice I just wanted to thank you for giving me this opportunity and to be able to chat with you this evening. It's very exciting. So why did I become a nurse?
It's actually an interesting story. I was about seven years old when my dad was diagnosed with diabetes. He was for the non clinicians on the show right now. He was essentially a kind of late type one, a diabetes diagnosed individual, which is very rare.
Typically, that type one or diagnosed at a much younger age and he was very, very, very ill. I will always remember seeing my dad being so sick and all of us being so scared that it was really like nothing we could do and the fear of losing him. And so he came back home after his diagnosis and being treated and spent a few days in the hospital as I recall. And when he came back, it was this whole change in lifestyle that needed to occur for him to live with his disease.
And I remember being so fascinated by it and really wanted to do so much to care for him. And I feel to this day that that was the impetus that drove me to do something with my life that would allow me to care for others, to make a difference for others. And so very quickly on, in high school, that I knew which was lots of clarity that I wanted to be a nurse man to be able to do that. Did you ever have second thoughts or think about another career choice besides nursing?
You know, I'm going to say no. I mean, did I think about other career? Yes, I did. But once the decision was made, I did not have any second thoughts.
I probably very similar to other individuals who were thinking about careers in healthcare. You know, I had the, you know, I thought about perhaps nursing. I thought about perhaps medicine. I thought about chiropractor as well.
I thought about osteopathy. I remember thinking about that. So those were probably kind of the four major things that I was thinking about. And it became, it became pretty obvious to me that where I needed to be was to be a nurse because I felt that in this profession, I could embrace health promotion in a very meaningful way.
And that spoke to me a great deal and the ability to care for others in a variety of ways in multiple different settings. And probably the key word here is health promotion. And then it became very clear to me that that's where I need to be and I need to be a nurse. So you're in a very prestigious leadership role and I'm just curious.
I've met so many nursing leaders that didn't really choose to become a leader. It just they were asked to take an assignment or maybe cover while they were trying to find a replacement. What was it deliberate for you to move into the leadership role or did you kind of have somebody kind of push you in that direction? I am probably a very different than most of my colleagues on that note.
It's not uncommon. I'm sure you probably can relate to that. You know, most people are, you know, are asked or stumbled upon it or are they taken into an assignment and here you are. But for me, it was very deliberate.
In fact, I entered nursing school with the aspiration of becoming a chief nurse. Now did I call it a chief nurse at the time? Probably not. I don't know if I really knew which title I wanted to be exactly.
But I did. I was very keenly aware that they were positioned within the organization that led other nurses that led the organization in its, from a strategic perspective and also took care of those who cared for others. And that was very, very inspiring to me. So I just knew from the get-go.
And even through my, even through my, my entry into nursing, I was much of my projects, much of my readings, much of the, the folks that I encountered, you know, if you will along the way, they were all, all, all gears towards that, that very specific outcome, if you will. So it sounds like you started to take steps pretty early in your career. Was there a specific preparation that you knew you would need to go through in order to get yourself positioned and ready for a nurse executive role? I, yes.
And it evolved over time, I would say. You know, it's interesting is when I graduated, I graduated with my bachelor's degree in 89. Now it was still at the time there, there really was an in-depth back in Montreal, Canada. So, and when you think about the workforce that was caring for patients back then, you know, at the best side, those were cared for patients who were baccalaureate prepared.
It was a pretty small proportion, right? Yeah, I don't remember exactly what. And so, I, so I'd like to talk more about that, but right now we need to take a short break. So this is all about nursing and I'm Dr.
Joyce Batchelor and we are live on the BBN Global Network and Tune in Radio. Dr. Rob Moyer is the director of the Ocean River Institute and he is passionate about saving the ocean by helping golf and suffering from nitrogen pollution. Nitrogen is a dangerous pollutant affecting our oceans, altering ocean ecosystems and contributing to global warming.
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Thank you. Welcome back everyone. You are listening to all about nursing, live from the BBM Global Network and Tune in Radio. I'm Dr.
Joyce Batchler, the host of the show. Before the break, Dr. Trebanier was telling us a little bit about the things that he really did to prepare himself to become better prepped and in a position to assume a chief nursing executive role in his career. So, maybe you could continue on with the kinds of things that you intentionally did.
Sure. One of the things that I was mentioning is right off the bat I prepared myself as a baccalaureate prepared nurse, which today really took the team that much. Back then, there were very few baccalaureate prepared nurses, at least in Montreal, Canada that were practicing. And it's almost like I felt I was ready.
Well, of course, we always feel that we're ready to conquer the world. When we just graduate and clearly I was not. So I prepared myself to be a nurse exec in multiple ways. One of which was to gain additional education.
So I've seen a master's degree in nursing administration. And that was really the basic level of preparation that allowed me to be a better nurse executive. Now, aside from the formal learnings, if you will, and then many years later, I ended up getting a doctorate degree in executive practice, but leadership practice. In addition to that, I think that what's really important, what has been really important for me and I certainly would encourage anyone to do the same, is really the constant lifelong learning process, right?
So you should show lots of curiosity and in reading and learning and surrounding yourself with others that allow for that professional development. And probably enjoys one of the most important moment for me. And I wish I had had that moment earlier in my career is the importance of accessing mentors, like official mentors, individuals who you aspire to be, who have impressed you in one way, should I perform and to reach out to these individuals and make them part of your lifelong learning and help you along the way. That has been so helpful for me.
The time in my career where I became very deliberate about identifying mentors for various specific things is my career just catapulted. I wish I had done that earlier. I think I'd be a better leader today even if I had done that earlier in my career. And I know that I'm a better leader today because of these great mentors that I've had along the way.
So I'd say that those were probably the how I got to prepare myself to be aware of today. You know, I have shared on prior radio shows that it's important to really have a network of colleagues that you can call upon. And I think sometimes also having mentors outside of your organization so that you can really feel competent that when someone is coaching you were giving you feedback that it stays confidential. It's a little bit tricky or sometimes when you have individuals within the organization that you might also be relying on.
And then the importance of getting involved in professional organizations so that you can really meet people and begin to build that kind of network and find people that will have expertise in areas that you really want to be able to learn and grow in. I'm impressed with the fact that you've been so open to receiving feedback as well from working with mentors. And I was just curious if there's anyone that you have found that was like your most impactful mentor or just share a little bit about why that person was so helpful for you. You know, of course you had to ask me for that one, right?
There are so many of them. You know, here's one that I'd like to highlight for us this evening. I'd like to highlight a gentleman named Norman Shubb. And I want to talk about Norman for multiple reasons.
One of which is that he does fall into the category where he's just, you know, the question you just asked me to. The world is lost. We have lost. Norman, less than a year ago, six, eight months ago now Norman passed away.
And he was a great, great coach and mentor for me and I missed him deeply. And so in honor of Norman, I feel that I need to share this with you and with all of you. Norman was a pretty short guy and for me to stay short. So that means that, you know, because I'm not to also begin with, but believe it or not, he was a tad shorter than I am.
And had lived a life and showed up, if you will, in a room like he was seven-foot tall. In a good way, had this presence about him that commanded attention in a nanoseconds every time he came into a room. And I've learned many things from Norman, but one of the things that I learned from Norman that had such an impact on me is the concept that he called, and I oftentimes referenced him about that, of the concept of intellectual honesty and intellectual honesty meaning, the importance of speaking what you think out loud in the moment at the time. Now, of course, you have to have the right words.
Of course, you have to have the right relationship for certain things to say. But nonetheless, not to hold anything back that could present the team or an individual to grow or as equally important in our business, in any business. It's important to learn how to show that. And I'll tell you a little bit later about what I mean by intellectual honesty.
We are coming to you live from the BBM Global Network in TuneIn Radio for all about nursing and I'm Dr. Joyce Batchelor. We will continue this conversation when we come back. Psychologist, master certified coach and CEO of the Executive and Organizational Development firm True North Leadership, Dr.
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Joyce Batchelor, the host of the show. Prior to the break, Dr. Paineer was telling us about one of his mentors who just really stood out and had really helped him with a concept called intellectual honesty. Dr.
Paineer, can you continue to tell us a little bit more about how this person was such an important mentor and why he kind of impact he had for you? Sure. Norman called intellectual honesty and his ability to be able to say what you think in the moment at the time to either the audience or an individual so that for the better or the growth and for the better of the business, if you will. We all find ourselves in situations sometimes where we know that we might be thinking about something that's either controversial or we find ourselves in the middle of a conversation where someone says something and we know that everyone feels uncomfortable about this for one reason or another, but no one says anything.
It's very detrimental to either the team or the business at hand. The concept of intellectual honesty is really to say something right there in the moment at that time. Of course, it requires practice. It requires the right word, the sensitivity around the folks.
It also requires managerial courage that occurs to say what needs to be said right there and then so that we don't spend our time spinning and we don't have these meetings that can sometimes appear to be unproductive at best. That's what Norman taught me, talking about the importance of intellectual honesty and every time I find myself in a situation where I know that someone needs to say something about this because it doesn't feel right, look right, then I developed that ability to have that courage to demonstrate that intellectual honesty and I found that it really helps the team to move forward. Generally speaking, people do appreciate it. You help the whole team to move forward.
You get on and I will forever be grateful to Norman about teaching me about intellectual honesty. I think it's a great concept, especially as I transition to this next question for you, which is I was very impressed when you went to become the first system vice president chief nursing officer for premier health and you were doing fabulous work there and you then really decided to leave, excuse me, premier health and join the Providence-Ake Joseph Health System and I'm just curious, what kind of process did you go through to make that decision? That was such a hard decision to make. You're right.
I had joined premier health with a really great opportunity to serve as their first system chief nurse. Premier Health is a health system based in South West Ohio and learned a lot in great organization, great people. There's always stuff to do obviously, but was working very closely with the team and had the succession plan all lined up because that's something that I believe everyone needs to do at any given time, particularly because I had been there for four years. All of a sudden I get this call, like many of us do from time to time being healthcare executive and this one was about Providence-Ake Joseph Health.
Now the interesting thing about this is that Providence is a, Providence-Ake Joseph is a merger, if you will, between multiple Catholic health systems, primarily in the West of the United States and the Providence part of it really relates to and is part of the sisters of Providence and I knew about the sister of Providence because the sister of Providence were sisters who originated from Montreal, Canada, which is my hometown. So I just thought that was kind of intriguing right there at first and you know when you get this call that just feels that is happening at the right time, at the right place, it's with the right people, it happens to be in a system that was founded in part by sisters who came from where I come from. That connection felt way too meaningful for me to not look at it further and clearly as I looked at it further, I thought there were even more reasons as to why I needed to do that. And of course there was lots of reflection, lots of discernment, thoughtful conversations with my family's colleagues, you know, mentors, you name it.
And I felt that this invitation was, it really felt like a, it felt like and it still to this day feels like a calling. Like it's time for you to take all of what you know and really take those strengths and those skills, the what you have to give and offer it in an organization that, in that faith-based organization that it really aims at health for a better world and being very focused on treating the poor and the vulnerable. That's part of the mission statement, to be there to treat the poor and the vulnerable and what really, I mean both words are very important to me. But when I think about vulnerable, think about that for a second, that applies to so many, so many individuals and that's what it's all about, right?
This is why I chose to do what I'm doing. It chose to be an artist that I want and I need and I want to make a difference in the life of others. But what best place to make a difference in the life of others who are vulnerable and need that difference? So there's a great aspiration there and very meaningful for me and that's the reason why I chose to leave Premier and spread my wings.
Well, this is all about nursing and I'm your host, Dr. Joyce Batchelor and we have live on the VBM Global Network and tune in radio and it's time to take a short break. We're an Asants Woman, Trailblazer, Maverick. Those are just some of the words to describe to Chandra Poulard, owner and CEO of House of Virgo Entertainment, LLC, a woman minority veteran owned entertainment company based in Washington DC.
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Joyce Batchley, the host of the show. Before the break, Dr. Trippenier was telling us how he went through his discernment to decide to leave the Premier Health and join the Providence, St. Joseph system, which is very compelling because it sounds like it really fits with your values and the mission has been very appealing to you.
I was just curious if you could tell us a little bit about your current role and how that came to be because when you initially went to Providence, St. Joseph, I thought you were going for a different role that quickly changed. So maybe you could share a little bit about what occurred there. Yes, absolutely.
I think you were surprised that I was to a certain extent. It's been a really interesting journey. So I joined just a little over a year ago, actually May 1st was my first year in anniversary. And I joined the organization in a similar capacity that I was in at Premier Health, which was to lead all of nursing services for the region.
What happened is that within a month or two that I joined, there was a change in leadership within the region where the Chief Medical Officer that I practiced with stayed within our organization. It was known, I guess, at the time. He was transitioning to a different role to lead our medical foundation, which essentially is the medical practices, if you will. And that led to an opening for our regional Chief Medical Officer, which is a traditionally a very important counterpart that I've leveraged throughout all my years.
I always practiced side by side with a CMO because what I can now do as a CMO can be undone in a nanosecond by the CMO and vice versa very quickly. So I've always learned that that's very important for us to be side by side. When I bought who is a regional Chief Executive for the region approaches me and he says, you know, I have this idea and I'd like to know what you think about that. You know, at the end of the day, when you think about all of the stuff that you do and the leadership that you provide from a clinical practice perspective, I guess that you're very clear that you're, you know, you practice nursing.
And what I need is what I think we need in this region is a clinical executive. Now that clinical executive in this case, you happens to be a nurse. And why can't we have a clinical executive lead all of our practice? And when it comes up, you don't make practice decision in these types of high level executive role.
And we make sure we have the right governance to govern the practice of nursing and medicine, if you will. But what if we had one voice that oversaw all of our clinical practice for our entire region and it would be you. Now, Joyce, you and I have been as this for long enough to know that these positions do exist and who normally sits in those positions? Physicians.
Yes, absolutely. That's who sits in those positions. So I thought, oh my God. Well, what is what an innovator?
I mean, I knew, I mean, my boss Eric is the most one of the most amazing boss I have worked with, very inspirational and very innovative and a huge risk taker as evidenced by what he was about, what he wanted me to do. And so we vetted that through lots of stakeholders and we're kind of a, we're a region within the larger healthcare system, which is based in Wrench in Washington. So certainly had to do some vetting there as well. Well, after appropriate vetting, I became the first to our knowledge, the first chief clinical officer that happened to be a nurse in a major healthcare system in the country, which is really, really exciting.
Now, if that was not enough, then five months later, we, we had a lot of time to get a little more, two regions within one region. And then I became their regional chief clinical officer for the newly formed Southern California region, which encompasses both the LA County and Orange County High Desert, which is a total of 13 ministries altogether. So yeah, you're right. I joined a year ago as a regional chief nurse and today they're regional chief clinical officer and it's, it's, I think that it's very wonderful that not only are you serving in this role, but that you are keeping your identity of being a registered nurse by background.
I know that sometimes I've seen colleagues who are registered nurses and they move into a different type of executive role and they're quick to drop their RN thinking that somehow that's going to hold them back. And so I'm very pleased that you're not only are keeping that, but proud of it and helping to really show people the kind of difference that you can make in this kind of a role. I was just curious, since this role has traditionally been reserved for physician leaders, are there any barriers that you're finding as you've started to really move forward with some of the things you're trying to do? You know, what I would say is that there certainly are cultural barriers that you would expect just because as we just said, it is not traditionally a role that's offered to nurses.
So just right there, you know, the cultural barrier of, you would never have done that before. What does that mean? How do you approach a role like that if you don't have that, you know, that level of preparation and the barriers are more artificial than they're real. They're more questions than they're real because at the end of the day, as long as I, and I've been very deliberate about this, that I show up as an executive, I happen to be a nurse, so I can certainly value and leverage and articulate my position when it comes down to nursing practice.
And at the same time, when we're talking about the practice of anything else, whether it's medicine or any other discipline, I call myself out and I say out loud. Just to remind everyone, I am a registered nurse, therefore I cannot make the decision on the practice of, you know, you name it, and I pull others along. That's great. This is all about nursing, and I'm your host, Dr.
Joyce Batchelor. We are live on the BBM Global Network and Tune in Radio. We will continue this conversation when we come back. For over 50 years, Evelyn Stupula has been a loving advocate for people with disabilities throughout the state of Pennsylvania.
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I'm Dr. Joyce Bachelor, the host of the show. Prior to the break, Dr. Paineer was telling us about this incredible opportunity that he finds himself in.
That is also unusual for a nurse executive to be serving in. He has both Chief Medical Officers and Chief Nursing Officers and other key professionals reporting to him. And he's just been doing a fabulous job. I was curious, still, if you could tell us whether or not you had someone along the way that helped to inspire you to take such a risk.
Well, thank you for that question. I would say that there were a few people for various reasons, but primarily I want to acknowledge my dad. My dad, to me, as long as I can remember, he's done multiple things in his life. He tried different things.
He had businesses. He worked for others. And he was really, really good at what he did, no matter what he did. Primarily because he was a hard worker.
And I didn't realize at the time that he was taking risks. But that is what he was doing. And to me, I firmly believe that having seen my dad being so committed to his family, he's never missed a beat with us. And I will always admire him for that.
Unfortunately, he lost him three years ago, and I feel to the same as him greatly. And for that, I will always be thankful. And I would also say, Joyce, who's really inspired me to take such risk is my husband, Josh, 20 years ago, he had a dream. And he wanted to be his own boss.
And he had a corporate position with all the benefits and what have you. And he had a big risk that many of us wouldn't take. And that's what he did. And became an entrepreneur and had his own company.
And he's been doing really, really well ever since. Who risks? Nothing gains nothing. And yes, risks have to be balanced and weighted out and dodged through.
And when I think about these two very special men in my life, they are, one was, one is risk takers. And I know that they've greatly influenced me in making those types of risks. You know, as you've been describing your journey, and it is a journey, I'm impressed with the fact that you've had to really be open to changes that come your way, because sometimes you sought them, and other times they sort of sought you. And I think sometimes a lot of nurses in general do not understand the kind of preparation and the kind of mentoring and networking that's needed to really be successful in these roles as we're looking to really do succession planning as you pointed out.
And so I really applaud that you've been very thoughtful about that. And it's also been where you've been flexible to keep open to different options, because the one you're currently in, I think, is extremely exciting. And I was just curious, because I've heard you speak about this before, when you're needing to be seen as an executive, people are going to pay attention to and have the ability to influence in a large system. I read an article that you wrote about the importance of executive presence and professional image.
Can you tell us a little bit more about that? Yes, sure, absolutely. That is a passion of mine, for sure, how one shows up is very important in that professional image. That last thing that you leave onto others, away from an interaction, what do you leave them with?
What are they thinking? What are they saying? And do you have the impact that you thought you had or why it has? So that's really, really important.
And so showing executive presence in a role, like the one I have right now, in the role that many others have, is very important. And to that end, what I believe is important to always keep in mind, because professional image, you always need to work at it. It's not static. And I think that there are four things that are really important when you think about professional image.
The first thing is be yourself. I mean, people see right through when you're not being yourself. So being yourself is extremely important, and that's part of being genuine, and otherwise also known as being an authentic leader in everything that you do. You have to continuously work on your brand.
You have to be cognizant of what that brand is. And one way that I do that, and I'm very deliberate about that, is I always ask for feedback. I ask for feedback in individual settings. I ask for feedback in group settings.
Just for example, this morning, I was having a conversation with one of my direct reports that asked to speak to me, and had some very specific things that they wanted to go through, and there was a very specific act. And I made a point at the end of the conversation, and I said, you came into this meeting and you had a very specific expectation. I know that because you were prepared. Now, I want to know how I showed up and how I delivered on what you wanted today, and how else could I have best served you today.
That's what I mean by always asking feedback. It's about taking it and changing with it. That's also very important. If you're going to be asking for feedback, and you're not going to do anything with it, why bother, right?
Yes. I've had that experience where someone has asked for feedback, and I've given it, and then they wanted to take my head off, or sharing what they had just asked me to share. So I applaud that you really ask for it, and then accept it when you hear it, because that's how you do grow, is being able to hear the good, the bad, and the ugly. So that's great.
I was curious if you could just share with us, what do you think is like your biggest challenge you face every day when you come into your chief clinical executive officer role? Healthcare is a very interesting business today. Actually, I find it very fascinating and exciting, and I feel really fortunate to be in it today, because we get to rewrite the book, if you will. So when we come back, I'll share with you what I find is both my biggest challenges and what's really exciting about it.
So this is all about nursing, and I'm your host, Dr. Joyce Bachelor. We're alive on the BBM Global Network and in radio, and it's time to take a short break. Hello, I'm Steve Fagan, and I'm president and CEO of Fagan Associates, but I'm also a live coach.
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Paneer was telling us a little bit about what the biggest challenge is that he faces when he works every day as the chief clinical executive officer for the system he's currently employed with. So, still maybe can continue with that. Sure. The biggest challenge to sum it up is really about the importance of completely reinventing ourselves as an industry.
So, the public is asking for it, the people are asking for it, the players are asking for it, and that's the biggest challenge. It's how differently and more and demonstrate more value contribution as we deliver care. And that's the biggest challenge that we have today. It's just needs to look very different.
And so, what kind of advice would you have for aspiring nurse leaders based on your experiences that you shared with us this evening? I would offer any aspiring nurse leader the importance of demonstrating curiosity, asking a lot of questions, lifelong learning, meaning that seek out ways to better yourself and be mindful of your executive presence and your personal professional branding. Find a mentor. That is also very important.
I talked about the importance of asking feedback. Read about leadership about an and make sure that you make a point of reading about leadership in a broad sense. Nursing literature is very important, and it says it's really important to read stuff outside of the nursing literature. I had a great mentor once who told me, find out what your boss reads and make sure that you read that as well.
Hence, they're one of the reasons why you have to be mindful about what you read. And the last thing I would say is find out what your strengths are, through the feedback or through or officially through testing, if you will, label those strengths and leverage them. Use them and leverage them as best you can. I find that the more you know about yourself, the more you know your strengths, the better your assistance to each other.
Thank you so much. It's been delightful having you on the show, and I really appreciate you being so willing to share. This is all about nursing. I'm your host, Dr.
Joyce Bachelor, and we are live on the BBM Global Network in TuneIn Radio, and it's 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.
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