Nursing the System

27: Rethinking Time Management—A Systems Approach for Nurses and Leaders


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🎙 Episode Overview:

This episode started with a Free Advice Friday question about time management—but the real issue? A much deeper systems problem. I take you through a real-world case study of an ICU nurse floated to an ED observation unit with a 1:7 ratio, and use it as a launch point to unpack the real layers behind “not enough time.” This one’s for the nurses doing their best inside broken systems—and for the leaders ready to do better.


🔑 In This Episode, You’ll Learn:

  • Why time management strategies won’t fix a misaligned workload
  • How to differentiate between sufficient and optimal care
  • Practical mindset shifts and strategies for overwhelmed nurses
  • What nurse leaders can do right now to reduce team burnout
  • The 3 levels every sustainable staffing strategy needs to address


🧠 Key Ideas to Take With You:

  • You are not failing—your system might just be misaligned.
  • Sufficient care isn’t substandard care. It’s the right care for right now.
  • Managing stress is a clinical skill, not just self-care.
  • Leaders need to define, communicate, and defend realistic standards.
  • Sustainable systems are designed. They don’t happen by accident.


🎧 How to Get the Most Out of This Podcast:

If you’ve ever left a shift feeling like you barely kept your head above water, this episode is for you. Listen with curiosity—not self-blame—and take note of which level (nurse, unit leader, or system leader) you have influence over. Spoiler: it’s probably more than you think.


📣 Special Announcement:

If you’re not already getting my System Sunday emails, make sure to sign up. Each week I send out quick, actionable insights to help nurse leaders and changemakers lead with strategy, clarity, and a little bit more calm.

📲 Call to Action:

  • Subscribe to the podcast and leave a review—it helps other nurses find this free resource.
  • Share this episode with a colleague or leader who needs to hear it.
  • DM me on Instagram with your own workplace challenge—I might feature it in a future episode. You can also fill out the form here to have you question featured on the pod!
  • Sign up for System Sunday to get weekly tips and stories straight to your inbox.


🛠️ Practical Actions You Can Take:

1. Reframe your shift with the “Sufficient vs. Optimal” lens

Before beating yourself up for not doing more, ask: What does sufficient look like today? Did I hit that bar? Great—job done.

2. Take a two-minute reset mid-shift

Stress compounds. Set a reminder to hydrate, breathe, and check in with your thinking. Ask: Am I moving fast… but thinking less clearly?

3. Identify your guilt voice—and challenge it

If you’re expecting inpatient-level care on a transitional unit with no tech support… that guilt isn’t yours to carry. Write it down. Release it.

4. Ask leadership-level questions (even if you’re not in leadership)

Is this unit designed for sufficiency? Are expectations aligned with reality? Am I intervening where I have influence?

5. If you’re a nurse leader: get clear, get vocal, and get upstream

Define sufficiency for your team. Monitor the signs of burnout. Coach your people through the hard days—and advocate where you can make change.

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Nursing the SystemBy Claire Phillips, DNP RN