The Gritty Nurse

How do we reclaim the narrative of modern nursing across generations? In this episode of The Gritty Nurse Podcast, host Amie Archibald-Varley sits down with extraordinary nurses, advocates, and authors Tilda Shalof and Lisa Mochrie to discuss their powerful new book, The Handover: A Nurse's Last Shift. Separated by a 40-year career gap, Tilda Shalof and Lisa Mochrie share their inspiring personal journeys through nursing to show that despite a lifetime of different experiences, we have far more in common than what divides us. At its heart, this episode is about the vital importance of nurses sharing their own stories—because when we write our own narratives, we reclaim our power. Together, they deliver a masterclass in perseverance, nurse mentorship, and finding your voice. They dive deep into why authentic storytelling is the ultimate tool for bridging generational divides, healing the healer, and driving systemic advocacy in healthcare. What We Discuss in This Episode: Why Nurses Must Share Their Stories: The critical importance of taking back our narrative, sharing our lived experiences, and refusing to let others define what it means to be a nurse. Bridging the 40-Year Gap: How a veteran nurse and a newer generation nurse found common ground, proving that the core of the nursing experience transcends time. The Power of Storytelling: Why sharing our raw, unfiltered experiences is crucial to changing the public perception of the nursing profession. Navigating Systemic Challenges: Honest strategies for tackling burnout, staffing shortages, and institutional hurdles in healthcare today. The Importance of Mentorship: How experienced chapters can uplift the next generation, and how new nurses can find the guidance they deserve. The Handover Book: The inspiration behind their book and how it serves as a love letter—and a wake-up call—to the nursing world. Career Longevity: Practical advice for protecting your mental health and thriving at every stage of your nursing career. Meet the Guests: Tilda Shalof was a staff nurse in the Medical-Surgical Intensive Care Unit at Toronto General Hospital for thirty years. She is the best-selling author of several memoirs, including A Nurse's Story, and was awarded the King Charles III Coronation Medal in 2025 for her profound contributions to nursing education. Lisa Mochrie is a Registered Nurse, Team Lead, and Nursing Educator based in Burlington, Ontario.Recognized for her compassionate clinical practice and dedication to mentoring, she was honored by her students with the Most Valuable Professor Award in 2025. Where to Find the Guests & Buy the Book: Grab your copy of The Handover: A Nurse's Last Shift: Available now through University of Toronto Press or your favorite local bookstore! Connect with Tilda Shalof: IG- @nurse.tilda Connect with Lisa Mochrie: IG- @lisa_mochrie Connect with The Gritty Nurse: Website: www.grittynurse.com Instagram: @GrittyNursePod Twitter/X: @GrittyNurse Facebook: The Gritty Nurse With Amie Archibald Varley Support the Show: If you loved this episode, please leave us a 5-star review on Apple Podcasts—it helps other nurses find our community!

With a growing mental health crisis and a system bogged down by waitlists and rigid silos, a powerful paradigm shift is happening across Canada: the rise of nurse-led psychotherapy. In this educational episode, we sit down with Sheena Howard (BScN, MA, RYT, RN), award-winning Nurse Psychotherapist and the founder of Acceptance Psychotherapy. We dive deep into why Registered Nurses are uniquely positioned to transform mental healthcare. Grounded in a holistic nursing blueprint, nurse psychotherapists don't just treat symptoms in isolation; they integrate biological, psychological, and social factors—bridging the gap between the physical nervous system, medication management, and emotional trauma. However, paving this independent path comes with major friction. Sheena pulls back the curtain on the institutional gatekeeping, regulatory ambiguities, and insurance barriers that independent nurse providers face daily. More importantly, she shares evidence-backed strategies on how to overcome these hurdles: by shifting focus from restrictive corporate insurance policies to strict provincial legislation, building multi-disciplinary alliances, and creating inclusive, trauma-informed clinical spaces. This conversation is a masterclass in healthcare advocacy and systemic disruption for any clinician ready to expand their scope and build a practice on their own terms. Key Topics & Timestamps 00:00 – Introduction to Nurse Psychotherapy in Canada 02:12 – Moving Beyond the Bedside: Sheena's Professional Journey 04:45 – The Holistic Edge: Merging Nursing Knowledge with Psychotherapy 06:48 – What the Data Says: Evidence-Based Outcomes of Nurse-Led Mental Health Care 09:07 – Overcoming Institutional Bias: Founding the Acceptance Clinic 11:59 – The Educational Pipeline & Advanced Clinical Competencies for RNs 14:54 – Dismantling Systemic Barriers, Sexism, and Gatekeeping in the Field 15:07 – Strategy Session: Navigating Insurance Red Tape & Regulatory Hurdles 20:15 – Intersectional Clinical Care: Harm Reduction & 2SLGBTQIA+ Affirmation 25:46 – Advocacy in Action: Changing Legislation to Expand Public Mental Health Access About Our Guest: Sheena Howard Sheena Howard is an award-winning Nurse Psychotherapist, healthcare entrepreneur, and the founder of Acceptance Nurse Psychotherapy, a leading nurse-owned mental health practice. Registered with the College of Nurses of Ontario, Sheena holds a Bachelor of Science in Nursing and a Master of Arts. Over her 20+ year clinical career, she has dedicated herself to providing trauma-informed, intersectional, and harm-reduction-focused psychotherapy. Honoured with the provincial Nurse Innovation Award from the Registered Nurses' Foundation of Ontario in 2023, Sheena is a fierce advocate for nurse autonomy, health equity, and diverse mental health access. Connect with Sheena: Website: Acceptance Clinic Email: [email protected] Instagram: @AcceptanceNursePsychotherapy Community Advocacy: Join the Nurse Psychotherapists of Ontario network. Resources & Frameworks Mentioned: Clinical Practice: Acceptance Clinic Official Page Professional Standards & Policy: Canadian Nurses Association (CNA) Regulatory Context: College of Registered Psychotherapists of Ontario (CRPO) Legislative Foundations: Regulated Health Professions Act (RHPA) Equity Initiatives: CNA Reconciliation Framework  Clinical Practice: Acceptance Clinic Official Page Regulatory & Practice Guidance: CNO: Psychotherapy and the Controlled Act Component  Listen on Apple Podcasts – : The Gritty Nurse Podcast on Apple Apple Podcasts  https://podcasts.apple.com/ca/podcast/the-gritty-nurse/id1493290782   * Watch on YouTube –  https://www.youtube.com/@thegrittynursepodcast Stay Connected: Website: grittynurse.com Instagram: @grittynursepod TikTok: @thegrittynursepodcast Facebook: https://www.facebook.com/profile.php?id=100064212216482 X (Twitter): @GrittyNurse Collaborations & Inquiries: For sponsorship opportunities or to book Amie for speaking engagements, visit: grittynurse.com/contact Thank you to Hospital News for being a collaborative partner with the Gritty Nurse! www.hospitalnews.com