Nurse Leadership – The Race to Value Podcast™

Jody Long, a proud double alumna of Western Governor’s University, has dedicated her career to advancing the nursing profession since 1997. With more than 18 years of specialized experience in Emergency Care and nursing leadership, Jody has recently shifted her focus to Clinical Innovation and Technology—championing tools and solutions that elevate bedside care and empower nursing teams.

She holds both a Master of Science in Nursing Informatics and a Master of Business Administration in Healthcare Management and is a Certified Emergency Nurse. Jody is a passionate advocate for professional development and nursing excellence through her active involvement in the Emergency Nurses Association (ENA), the American Nurses Association (ANA), and the Healthcare Information and Management Systems Society (HIMSS).

Her leadership extends beyond clinical settings—Jody was appointed by the Governor to serve on the Florida Board of Nursing and contributes nationally through the National Council of State Boards of Nursing and the Commission for Nurse Reimbursement.

Committed to driving high-quality, patient-centered care, Jody is known for her energy, integrity, and people-first approach. She continues to inspire colleagues through mentorship, collaboration, and a relentless pursuit of innovation and improvement in healthcare delivery.

In today’s Episode, Ashley sits down with Dr. Kim Kelly-Cortez to explore challenges nursing schools face, such as faculty shortages, limited clinical training slots, high burnout rates among current educators, and the financial barriers students encounter. We also delve into the ripple effects of these issues on healthcare, such as staffing shortages, overworked nurses, and potential impacts on patient care quality.

Dr. Kimberly Kelly Cortez is the Senior Associate Dean and Director for the Prelicensure BSN program at Western Governors University. She continues to support the growth of the Prelicensure program by expanding into additional states, opening simulation centers/labs, expanding access to communities and populations in need of pathways to nursing education. Her research continues to focus on student success, programmatic excellence, Competency Based Education (CBE), and simulation. She has presented research related to NCLEX, CBE, and Diversity in BSN prelicensure programs at the NLN Education Summit, AACN Transform, and the National Nursing Workforce Conference respectively in recent years.

On today’s episode of The Race to Value, Ashley sits down with her colleague and friend, Dr. Melissa McLaren to discuss the importance of DEI in Healthcare and Education, and why building inclusivity is not just a buzzword, but something that is vital for the future.

Dr. McLaren is an Associate Dean and Academic Program Director at the Leavitt School of Health at Western Governors University.  She graduated with her BSN from The Ohio State University and her Doctor of Nursing Practice from the University of Minnesota. She received her master’s in management and leadership and an MBA from Western Governors University. Melissa and her family have engaged with lawmakers at the local and state level, as well as the Congressional LGBTQ Equality Caucus and the US Department of Health and Human Services in support of gender-affirming care and other LGBTQIA+ rights. They have spoken at state and national conferences to educate on the importance of family support when raising a transgender child. Dr. McLaren has partnered with organizations such as the Human Rights Campaign, Welcoming Schools, PFLAG, the ACLU, TransOhio, Equality Ohio, and many others to advocate for transgender youth.  Dr. McLaren currently serves on the Human Rights Campaign Parents for Transgender Equality National Council. She is a board officer for Equality Ohio and was an inaugural board member of her local LGBTQ+ organization. She is a member of the AACN DEI Leadership Network Communications Committee. She lives in Ohio with her husband of 20 years, 19-year old twins, 2 dogs, and several entitled cats.

Previous Episode: Ep 137 – Authentic Truth, Love, and Compassion: A Family’s Journey in Gender-Affirming Care, with Melissa and Conner McLaren – The Race to Value Podcast

0:50: Defining Diversity and Inclusion

24:00: How diversity enriches the learning experiences in educations settings

In today’s episode we chat with Geoffrey Roche, MPA. Geoffrey is the son of a nurse, future of work and education expert, diversity, equity, inclusion, and belonging advocate, champion for transforming health equity, and the host of the Ed Up Health Up podcast. His professional career includes over nine years in hospital administration as a strategic advisor to the President and CEO and department director of various departments, including Business Development and Planning, Government Affairs, Community Health, and Public Relations, for Lehigh Valley Hospital-Pocono. At Lebanon Valley College and Harrisburg University of Science and Technology he held senior leadership roles focused on strategic partnerships, organizational strategy, and business development. As Senior Vice President, Business & Workforce Development at Dignity Health Global Education, he led a diverse team focused on developing institutional relationships with leading health systems while simultaneously championing national conversations and initiatives to develop innovative diversity, equity, and inclusion solutions for the healthcare workforce.

“We expected to see a drop in enrollment before the pandemic for all healthcare programs. Why did Healthcare and Education not come together to combat this?” – Geoffrey Roche

“We have made bad decisions as a society when taking care of our healthcare workforce.” – Geoffrey Roche“We have five generations of people in the workforce, and this is the first time we have had this.” – Geoffrey Roche“As Leaders we need to harness the creativity and passion for all generations in the workforce.” – Geoffrey Roche

2:25: What is happening in the nursing workforce?

8:00: Millennials in the workforce and creating a culture that allows people to be the best they can be by creating a community and culture that allows them to thrive. This means they must be valued and heard.

This week is National Nurses Week, and it is a time to honor the contributions and sacrifices of nurses who perform some of the most difficult and heartbreaking tasks in the medical world.  As workers who perform the most essential healthcare tasks, nurses serve as the first point of contact for most patients…and they save lives and restore health in the process.  Yet, nursing is often a thankless profession that is underappreciated and experiences high levels of burnout and moral injury.  There are a multitude of factors related to societal attitudes towards the nursing profession, and many of them result in a lack of recognition and support, inadequate compensation, limited opportunities for career advancement, and ultimately a lack of respect and appreciation for the work they do.  We must begin to think about how to better position the profession to take a leading role in healthcare innovation.  Nurses must become more empowered as we transition to a future of value-based care.

This week on the podcast, we are honored to be interviewing Rebecca Love.  She is an experienced nurse executive, the first nurse featured on Ted.com, and part of the first nurse panel at South by Southwest. Rebecca is a regular contributor on the Forbes Business Council, and has been featured in BBC, Fortune, Becker’s, Forbes, Chief Healthcare Executive Magazine and ABC news. Rebecca, was the first Director of Nurse Innovation & Entrepreneurship in the United States at Northeastern School of Nursing – the founding initiative in the Country designed to empower nurses as innovators and entrepreneurs, where she founded the Nurse Hackathon, the movement has led to transformational change in the Nursing Profession. In early 2019, Rebecca, along with a group of leading nurses in the world, founded and is President Emeritus of SONSIEL: The Society of Nurse Scientists, Innovators, Entrepreneurs & Leaders, a non-profit that quickly attained recognition by the United Nations as an Affiliate Member to the UN. Rebecca is a world renowned Nurse Entrepreneur and currently serves as the Chief Clinical Officer of IntelyCare.

Episode Bookmarks:

01:30 National Nurses Week – a time to honor the contributions and sacrifices of nurses who perform some of the most difficult and heartbreaking tasks in the medical world.

02:00 We must better position the nursing profession to take a leading role in healthcare innovation.  Nurses must become more empowered as we transition to a future of value-based care.

02:30 Introduction to Rebecca Love – a nationally-recognized nurse executive and entrepreneur, the first nurse featured on TED.com, and part of the first nurse panel at SXSW.

03:00 Rebecca founded and is President Emeritus of SONSIEL: The Society of Nurse Scientists, Innovators, Entrepreneurs & Leaders and currently serves as the Chief Clinical Officer of IntelyCare.

04:00 Support Race to  Value by subscribing to our weekly newsletter and leaving a review/rating on Apple Podcasts.

04:30 How do we better position the nursing profession in the value-based care movement?

06:30 “There is going to be no healthcare in the future without nurses leading value-based care.”

07:00 How tracking VBC outcomes by Provider NPI # is a challenge since nurses do not have assigned NPI #’s.

07:45 Nursing costs were rolled into room rates in the 1930’s with the establishment of modern-day insurance models. This occurred due to a male physician-dominated environment.

08:30 Nurses are the only clinical professional in the healthcare environment without a NPI for billing or tracking outcomes!

08:45 “Value-based care cannot fully be amplified or adopted until we address the lack of a NPI number with nurses.”

09:30 The infuriating pay inequity between executives and nurses. (Nonprofit hospital CEOs make on average 10X the rate of nurses!)

10:00 Should we align compensation to both executives and clinicians tied to patient outcomes?

10:45 North Carolina’s seven largest hospital systems reaped billions of dollars in profit from COVID Relief Funding but couldn’t afford to pay nurses!  (Read more hereand here)

12:00 CEO pay doubled over five years in North Carolina, but nursing pay there only increased 12-14% over the last decade!

13:00 The national increase in nurses pay over the last decade was 1.6% per year(less than the increase in cost of living).

13:45 The UK Nurses Strike – the largest labor protest in the history of the nursing profession.

14:00 How the cost allocation methodology for nursing will cause continued exacerbation of the nursing working shortage in the U.S.

14:45 “We have to find a way to unpack nursing overhead from the room rate to make sure our healthcare system stays operational and can support our communities.”

15:30 Inspiration from President John F. Kennedy about recognizing the opportunity in a crisis.

16:00 There is a shortage of 450,000 nurses in the US today, and it is projected that over 1 million registered nurses in the U.S. will leave the workforce by 2030.

16:45 70% of new nursing graduates have left the bedside since last year!

18:00 Rebecca speaks about the compassion and empathy of nurses and how they are suffering due to burnout and moral injury.

19:30 How the healthcare industry treats nurses like an “endless commodity” and does little to address their burnout.

20:00 What if we invested only a quarter of what we spend in healthcare technology on nurses?

20:30 “Nurses have been degraded and relegated to the lowest rung of healthcare delivery today. If we want VBC to be successful, we must stabilize the nursing workforce.”

21:00 “Value-based care will certainly not survive without the nursing workforce at the heart and the center.”

22:00 93% of nurses are experiencing staffing shortages in their hospitals, which is a significant increase from 59% in a 2020 survey.

23:00 Last year over 90,000 qualified nursing applicants to nursing school were turned away due to lack of space!

24:00 We have more nurses today than any other time in American history, but we have a critical shortage because they are unwilling to work in the current healthcare environment.

24:30 The highly controversial RaDonda Vaught Homicide Case where a nurse was found criminally negligent for a self-reported medical error.

26:00 1 in 3 bedside nurses have left the profession since the RaDonda Vaught case!

26:30 Nurses and CNAs being criminally prosecuted for errors in long-term care delivery when not a single owner is held responsible for the unsafe care environment!

27:00 Rebecca speaks about the role of Higher Education in building bridge pathways and ensuring diversity to support the nursing workforce shortage.

30:30 Workforce challenges are now the #1 issue on the mind of hospital CEOs (ACHE Survey)

31:00 Hospitals have turned to travel nurses to ease staffing shortages during the pandemic, contract labor expenses have risen more than 250% over the past three years!

31:30 Annual burnout-related turnover costs are $9 billion for nurses!

32:30 Rebecca speaks about the need to enable more nurses to serve in senior leadership roles and as governing fiduciaries on hospitals boards to redesign care delivery.

33:30 “Innovation is opposite of the definition of insanity.”

34:00 How hackathons can be utilized in the empowerment of a nurse-led innovation movement.

35:30 Investing in technology to improve nurse staffing (e.g. improving float pool and per diem services).

35:45 80% of women nurses do not return full-time after they have a baby! (Could tech solutions provide staffing flexibility to empower nurses to continue working?)

37:00 “Reverse pitch events” – honing frontline innovation to address adverse events in the healthcare setting.

37:45 Applying the UI/UX methodology to the healthcare end user in order to improve care delivery at scale.

40:30 The lack of nursing input when health systems role out new technologies (and how these tech decisions often end up creating more work and administrative complexity).

42:30 The importance of the Chief Nurse Health Informatics Officer.

43:45 The role technology can play in Patient Safety.

46:00 The work of Healing Politics in getting nurses more involved in the political arena to reshape healthcare.

47:00 The lack of business education in nursing programs.

48:00 The need for more nurses holding political positions and why more nursing input is needed in health policy. (Betty Rambur is currently the only nurse on MedPAC.)

49:00 Nurse-led innovation happens when nurses are trying to save lives!

50:00 How the COVID-19 pandemic depended on nurse-led innovation.

51:30 “Why are we not trusting in nurses now – to hear them and trust them – so we can build the system needed to sustain workforce, sustain healthcare, and sustain our communities?”

52:00 How Florence Nightingale forever fundamentally changed the future of science, history, and medicine with the establishment of the nursing profession.

54:30 Rebecca discusses how attending a healthcare hackathon changed her life and led to a career path in nursing innovation!

60:00 What the hackathon taught Rebecca about the importance of the nurses voice and how they can save healthcare.

62:30 Parting thoughts from Rebecca and the life lesson learned from surviving a shipwreck at sea.  (Bet on yourself and believe you can overcome adversity!)

64:00 “Were there none who were discontented with what they have, the world would never reach anything better.” – Florence Nightingale

65:00 2030:  Florence Nightingale’s prediction of a future nursing renaissance.

This week is Nurses Week – a time for all of us to reflect on the contributions that nurses make to our society. During this important time of observance for one of our most valued professions in caring for those most in need, we invited Dr. Sharrica Miller to join us for an important conversation.  Dr. Miller is a Cal State University, Fullerton nursing professor who teaches several nursing classes, including pediatrics, writing, research, and mentoring. But she brings more into her classroom than just her vast knowledge and experience in nursing; Dr. Miller also shares the 12 years she spent in the foster care system.

This period left an indelible impression on her, and she decided that once she made it out of the foster care system, she would reach back and help others.  To that aim, she has become a national leader in helping nurses use their platform to advocate for vulnerable populations in the community. Casey Family Programs recently awarded Dr. Miller with the 2021 Casey Excellence Award, a national recognition for her work with foster youth in several organizations, including California Youth Connection. Dr. Sharrica Miller is not only a nurse educator, renowned public speaker, and DEI strategist — she is a servant leader and advocate for the most vulnerable in our society.

Episode Bookmarks:

01:25 Reflections on Nurses Week and Introduction to Sharrica Miller, PhD, RN

02:25 National recognition for her service in helping children transition out of foster care

03:25 The hardship and instability of Dr. Miller’s childhood and how she broke the intergenerational cycle of disadvantage

05:35 Determination to take control of her life once emancipated from the foster care system

06:20 A mission in service to others as an advocate began when gaining custody of her siblings as a young adult

07:30 Lessons in mentorship that inspired her to “speak for those who can’t” and how COVID-19 impacted the foster care system

09:20 The promise of education in breaking the cycle of poverty and despair (“Education was my ticket to freedom.”)

11:00 How the learning environment and minority representation at Howard University propelled her to success

12:00 The importance of mentorship and creation of “safe spaces” on college campuses for minority nursing students

12:40 “Nursing programs need to be actively anti-racist to identify structural barriers.  It is not enough to just value diversity.”

14:00 Why representation from minorities is so important in Higher Education

15:00 Overcoming a victimhood mindset brought about by old emotional pain through hardship

16:30 “You must develop an internal locus of control.  You can either change your perspective of a problem or change your situation.”

18:40 Inspiration from Eckhart Tolle in overcoming a victim mentality by stopping “pain-bodies”that control our thinking.

19:40 The dangers of over-internalizing success or failure

21:30 “In preparing to lead transformational change, you must first do the work inside. That allows you to show up with the stamina to fail forward.”

23:20 Using failure as a learning opportunity to adapt one’s approach to change management

24:30 The plight of racial injustice in our society and the disparities that are built into the American healthcare system

26:00 “Minorities are expected to be majority by 2050.  We need to think about this in preparing the healthcare workforce for tomorrow.”

28:00 “Teaching nursing students about Social Determinants of Health can actually do harm if we only teach at the surface level.”

29:00 “Racism is a social determinant of health.”

30:00 A recent study confirming that racism exists in nursing (63% of nurses have experience acts of racism in the workplace)

31:30 Dr. Miller discusses the history of racism in nursing and how leadership should addresses reported incidents of “Nursing while Black”

35:00 Addressing the “race card” response when attempting to foster a better understanding about the presence of racism in our society

38:00 Leveraging value-based payment models to explicitly incentivize health equity and disparities reduction

40:20 The challenge with nurses finding their voice to speak up about social injustice, and the opportunity for nursing education to cultivate broader activism

43:30 The moral responsibility of health system leaders to listen to nurses at the bedside who vocalize concerns about structural barriers

45:30 Cultural competence as the bedrock of a great nurse-patient relationship

47:30 Social and emotional intelligence as a competency for culturally competent care

49:00 Developing nursing education pipeline programs and inclusive recruitment practices for historically excluded populations

50:00 Protecting the sanctity of “safe places” in nurse learning environments to foster the idealized minority student experience

52:45 Referencing a recent article in Health Affairs showing a decline in registered nurse employment in 2021—the sharpest decline in the last 40 years

54:00 The recent criminal conviction of an individual nurse for a medical error and how that could have a longstanding negative impact on the nursing profession

55:00 The lack of support for young nurse early careerists (and the inability of more experienced nurses to support them during COVID-19)

56:00 Out of touch leaders who are addressing nursing burnout with pizza parties and pats on the back

56:45 AACN report showing enrollment increases in nurse education programs

57:30 The passionate commitment of nurses and how that compares to police officers and the military

61:00 The prioritization of a nurse protecting his or license over keeping their job

62:00 Dr. Miller provides parting thoughts on Nurses Week  – the importance of prioritizing working environments over pizza parties

63:00 Check out Dr. Miller’s new documentary, “Still Waters Never Crash” about her resilient journey from foster care to nurse leader and educator!

In this week’s episode, we spotlight the recently released Future of Nursing report, “Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity.” The report is a landmark consensus study supported by the National Academy of Medicine and the Robert Wood Johnson Foundation. It charts a 10-year path for the nursing profession, to help our nation create a culture of health, reduce health disparities, and improve the health and wellbeing of the US population in the 21st century.

The COVID-19 pandemic has exposed serious inequities in the nation’s healthcare system, with frontline healthcare workers often lacking the necessary PPE and other equipment to safely and effectively do their jobs, and the murder of George Floyd shined a spotlight on the structural racism that exists in the workplace and society at large. In the wake of these challenges, the Future of Nursing report provides us with a north star to guide the nursing profession over the next 10 years, with a particular focus on reducing health inequities and improving health outcomes in value-based care.

Our guests are both important thought leaders in nursing. Dr. Susan Hassmiller is the Senior Advisor for Nursing at the Robert Wood Johnson Foundation, and Senior Scholar in Residence for the National Academy of Medicine. Dr. Janelle Sokolowich is the academic Vice President and Dean for the College of Health Professions at Western Governors University. Their voices are united in sharing this important message: nurses are key to health, healthcare, and the future success of our healthcare industry, and educational programs that provide equity in access and learning will ensure our nursing workforce has both the cultural humility and clinical competence to address the needs for greater health equity and diversity.

Episode Bookmarks:

01:40 Introduction to the “Future of Nursing 2020-2030: Charting a Path to Achieve Health Equity”

04:40 The need for diversity in the nursing workforce and how to eliminate bias in teaching and learning

06:55 Historical contrasting between stories of Florence Nightingale and Lillian Wald with occurrences of racism in nursing (e.g. Black Angels)

07:20 Recognizing bias in nursing curriculum through population exclusion (e.g. transgender), stereotypes, colloquialisms, and standardized testing

09:00 The lack of training with nursing faculty on how to have uncomfortable, yet crucial, conversations on race and health equity

10:00 The importance of diversity and cultivating inclusive learning environments

11:00 Holistic recruiting and competency-based learning as an opportunity equalizer for students of color

11:30 “Health equity is our end goal, but in order to even achieve that, we have to create pathways to education.”

12:50 The “Diversity Tax” – dependence on faculty of color to do all of the mentoring for underrepresented minority students

14:20 Raising awareness for health inequities to bring about industry-level commitment to SDOH and health equity

15:20 The importance of holistic admissions, diversity, and cultural humility to build models for culturally-competent care

16:20 “Our goal as educators is to empower our students to have cultural currency in their communication so that they can provide competent care that is enhanced and enlaced with humility.”

17:00 The need for kindness and patience for others to elevate crucial conversations

20:00 Competency-based education in nursing as an opportunity to increase diversity in the workforce and improve health equity for populations

22:00 “Competency-based education is a promising way to integrate equity, social determinants of health, and population health into the nursing curricula all at one time.”

24:00 Confronting Institutional Racism in Nursing Practice and the need for more open conversations to overcome health inequities

25:00 “Inequities in this country lead to very poor outcomes. We spend trillions of dollars on healthcare, and we still have the worst outcomes of all other countries because of these inequities.”

29:00 Drs. Hassmiller and Sokolowich discuss powerful examples of institutional racism in healthcare and why we must use them in open conversations

33:00 Social and Emotional Learning as an opportunity to support nurse wellbeing by helping them integrate their thoughts, emotions, and behaviors

37:30 The need to increase the number of nurses from underrepresented groups in leadership positions in practice and in academia

41:40 The need for more structure in providing mentorship and leadership programs for the nursing programs

43:30 The imperative that the nursing profession must unite and work and pursue interprofessional collaborations to solve problems in health equity

48:00 Drs. Hassmiller and Sokolowich discuss the current challenges with nurse understaffing and how we should improve the environment of care to better support nurse wellbeing

53:00 Drs. Hassmiller and Sokolowich how the nursing profession should prepare to lead the inevitable transition to value-based care

60:00 “If we overcome institutional barriers and allow nurses to practice to the top of their education, more value-based care would be at hand for us.”

62:00 The societal need to value nurses much more than they are today and considerations for how to align compensation and incentives to recognize that value.

64:00 Parting thoughts on nurses can improve patient care outcomes and health literacy within value-based care models

Nurses have been rightly recognized as heroes during the pandemic – on top of their consistently tireless effort, providing sustained caring and empathy over long hours, nurses stepped up to do more, to meet their patients’ needs despite risk to themselves. For example, they innovated to find solutions that would allow families to stay connected despite the barriers of quarantine. Building on a tradition that has been evident since they first began, nurses have always innovated solutions to improve patient care and outcomes. Their humble service and willing advocacy for each of their patients have made them heroes.

This week is Nurses Week, and in honor of nurses everywhere, we are proud to welcome Bonnie Clipper, DNP, MA, MBA, CENP, FACHE as our guest. Bonnie is an expert in the nursing innovation space and was the first Vice President of Innovation for the American Nurses Association and created the innovation framework that is inspiring 4 million registered nurses to transform health through nurse-led innovation. She has published the Amazon international best-seller The Nurse’s Guide to Innovation, The Innovation Roadmap: A Guide for Nurse Leaders, and has published on the impact of AI and robots on nursing practice, as well as authored The Nurse Managers Guide to an Intergenerational Workforce. Bonnie’s insights into nursing are important and clearly articulate that, where a race to value is concerned, nurses are the ones innovating and delivering the solutions that will get us to the finish line!

Episode Bookmarks:

05:45 Nurses are more with patients and families than any other discipline

06:30 Nurses are in the best position to transform how care is delivered and how we view health

07:10 The scope of the nursing profession and how their problem-solving can drive cost-effective solutions

09:10 Where do nurses fit in this big picture?

10:00 Nurses in leadership and the 10th anniversary of the IOM’s landmark report, “The Future of Nursing: Leading Change, Advancing Health”

12:50 Interdisciplinary training of the current generation of nurses

13:40 Training nurses about the business of healthcare

14:30 The need for upgraded competencies in nursing (e.g. climate science, gun violence, AI and big data)

15:10 Virtual Reality as a crucial component of the future of nursing education

16:00 The pandemic as a catalyst for health equity, telehealth, and virtual care and how that will impact nursing education

17:45 The nursing workforce shortage and the trend of nurses leaving the bedside

19:00 Staffing ratios in nursing and how nursing can be amplified by Artificial Intelligence

21:30 The trend away from acute inpatient care and how nurses will provide care more home-based care in the future

22:10 “Nursing services should be paid for in relation to the value it brings in the care paradigm. It should not be built in the room rate like a commodity.”

23:00 Restructuring nurse compensation and how this will incentivize performance and promote retention

23:50 The agency-based nursing model and how nurses are finding this model more rewarding

25:00 Innovation in nursing and how that can be leveraged for human-centered design

27:30 Creating a culture of innovation for nursing to flourish and for patient outcomes to improve

28:30 Examples of nurse innovation on the frontlines during COVID-19

29:45 How younger nurses may lead the way in innovation and the “entreprenurse”

30:30 Teaching human-centered design in medical and nursing schools

31:00 The empathy and compassion of nurses and how the broken system can create moral injury

32:00 Eric reflects on a prior podcast interview with a patient and how it taught him the importance of culturally competent care

34:00 How to deliver culturally competent care with DEI coupled with artificial intelligence to reduce implicit bias

35:45 The accounting of the nurse labor structure as a challenge to provide patient-centered care

38:00 Differing expectations in care between older and younger patients (the need for both “high tech” and “high touch” care)

41:30 Burnout and moral injury in the nursing profession during COVID-19

43:00 Bonnie defines moral injury and the importance of Trauma Informed Leadership

45:00 Traditional ways to become more resilient will not be enough to overcome the traumas of nursing during COVID-19

46:00 How chaplain services are being utilized by staff more than patients

50:00 Bonnie talks about Wambi, a company that provides gamified engagement technology to increase workforce engagement, reduce clinician burnout, and drive higher patient satisfaction

54:00 Correlating data from the Wambi platform with HCAHPS scores

55:00 Building a culture of gratitude and how powerful that is in improving staff engagement and patient outcomes

58:00 The importance of having women in leadership and in Board positions

59:00 The duty to mentor young, aspiring leaders

1:01 The Power of Gratitude and reflections for National Nurses Week

1:03 “Just be thankful” and the science that shows how gratitude rewires your brain plasticity