Latest / Becker’s Healthcare Podcast / Cheryl Reinking, DNP, RN, NEA-BC, DipACLM, Chief Nursing Officer at El Camino Health
Transcript
- 0:02The most important health care decisions don't happen
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- 0:45This is Laura Dirda with the Becker's Healthcare
- 0:47podcast. I'm thrilled today to be joined by
- 0:49doctor Cheryl Reinking, who's the chief nursing officer
- 0:52at El Camino Health. Cheryl, it's a pleasure
- 0:54to have you on the podcast today. Thank
- 0:56you for having me.
- 0:57Now I'm excited for this conversation because we're
- 0:59gonna be talking today about something very special
- 1:02and important within the health care space, and
- 1:04that's nursing development and strengthening the talent pipeline
- 1:08for leadership in the future. El Camino Health
- 1:10recently announced the creation of the Norma Melcor
- 1:13nursing excellence endowment, which is a huge investment
- 1:16that will strengthen the knowledge, skills, and professional
- 1:19development for the nursing workforce. So we're gonna
- 1:21be talking a bit about that endowment today
- 1:23and how El Camino Health will be using
- 1:25it, to build into the future. So, Cheryl,
- 1:29first and foremost, can you talk about some
- 1:31of the strategic challenges facing the nursing workforce
- 1:33today?
- 1:34Yeah. So as,
- 1:36we know across the country,
- 1:38nursing turnover,
- 1:40and retention of nurses,
- 1:42in our industry and health care is is
- 1:44a challenge and, especially so since the pandemic.
- 1:48And in order
- 1:50to retain our nurses, we know we need
- 1:52to provide,
- 1:54programs for them to advance their knowledge,
- 1:57to ensure they have,
- 1:59the skills
- 2:01to advance. And that often takes an investment
- 2:04of,
- 2:05teaching them new skills and providing that opportunity
- 2:08for them to learn and grow within our
- 2:10organization.
- 2:12And some organizations
- 2:13aren't able to do that financially,
- 2:16but that's essential
- 2:18to retain nurses. And that's certainly,
- 2:21a workforce challenge that we have across the
- 2:23country today.
- 2:25Absolutely. So can you tell us a little
- 2:27bit more about the endowment? How do you
- 2:29see it advancing nurse education, certification,
- 2:31and leadership with measurable results?
- 2:34This is certainly a transformative moment
- 2:37for us,
- 2:38in nursing at El Camino Health, and
- 2:41we really believe this will continue to help
- 2:44us to strengthen,
- 2:46the retention of our nurses,
- 2:49develop them and empower them, to become even
- 2:52more highly skilled than they are today, which
- 2:55we all know directly impacts safety,
- 2:58of our patients. And
- 3:00we're going to be able to provide
- 3:03additional kinds of education so that,
- 3:07these nurses will have the opportunity at El
- 3:09Camino Health to advance their knowledge, perhaps take
- 3:12on a new specialty.
- 3:14Going from a med surg nurse to a
- 3:16critical care nurse is something that we know
- 3:18and understand
- 3:20that nurses, especially from,
- 3:22Gen Zs,
- 3:24appreciate having,
- 3:26opportunities
- 3:26to grow and develop in their skills and
- 3:29knowledge.
- 3:30And being able to offer that right here
- 3:32on-site
- 3:33for them to advance at El Camino Health
- 3:36is, we know,
- 3:38a true remarkable
- 3:40opportunity for us to retain and develop those
- 3:43nurses.
- 3:44And that's really helpful to understand. I think
- 3:46especially when you talk about having that background
- 3:49and the ability to,
- 3:51continue to develop and grow throughout your career,
- 3:54really makes a big difference,
- 3:56for for so many folks.
- 3:58Now I know, as you mentioned, there's a
- 4:00lot of immediate needs in the health care
- 4:02space for,
- 4:04nursing talent and making sure that you're filling
- 4:06shortages as well as a need for long
- 4:08term strategies. So how do you balance those
- 4:11two things as you are creating the plan
- 4:13to strengthen nursing pipeline
- 4:15in the near as well as far term?
- 4:18Yeah. So we we do a lot of
- 4:20predictive analysis here at El Camino Health, and
- 4:23we look at, where our turnover,
- 4:25is occurring and where we may see retirements
- 4:28happening in our organization.
- 4:31And in looking at that, that helps us
- 4:33to predict
- 4:34in the longer term
- 4:36where we might wanna focus the education for
- 4:38our nurses and the development of our nurses
- 4:40for our transition in specialty programs.
- 4:44And then, of course,
- 4:46with short term educational opportunities, we look at
- 4:49where we may need to boost the nurses'
- 4:53education, their knowledge deficits that they may have
- 4:57told us about,
- 4:58through our needs assessments of their education.
- 5:01And so providing those kind of micro learnings
- 5:04in the moment,
- 5:05for, those items nurses have told us they
- 5:08need to learn more about
- 5:10is something we can do now in the
- 5:12short term. Then
- 5:13in our analysis, in our planning for the
- 5:15long term, we will be able to create
- 5:18these programs to ensure we have nurses
- 5:20in the pipeline to fill those open positions
- 5:24when we, see retirements coming in the future.
- 5:27Got it. That's helpful to know and understand.
- 5:30And I think, you know, really interesting to
- 5:32look at those needs assessments and, the micro
- 5:34learnings that come out of them. What have
- 5:37you seen or or started to do based
- 5:39on what you're hearing from your nursing staff
- 5:40that they'd like to learn more about or
- 5:42how they upscale? What are topics are are
- 5:44are they most interested and curious about when
- 5:46you are are laying out of programs like
- 5:48this?
- 5:50Yes. It often depends on the specialty
- 5:52that the nurses are in. And,
- 5:54there are a few overarching,
- 5:56however,
- 5:57types of education that we've been providing our
- 6:00nurses in the short term, such as learning
- 6:03deescalation. Escalation.
- 6:04We all know
- 6:06that workplace violence is a concern across our
- 6:08industry, and we've recently put hundreds and hundreds
- 6:10of our nurses through
- 6:13training to learn motivational interviewing, to learn trauma
- 6:15informed care so that they're more equipped to
- 6:16learn trauma informed care so that they're more
- 6:19equipped
- 6:21to actually be able to perform de escalation
- 6:24in the moment.
- 6:25And,
- 6:26that has,
- 6:28made a huge difference. And we believe that
- 6:30investing in our nurses to
- 6:32feel equipped
- 6:33to, work in those kinds of challenging situations
- 6:37helps them learn more invested
- 6:39in ensuring that they remain safe safe in
- 6:41the workplace.
- 6:43And, Evan, that's such a great example. Again,
- 6:45so timely and important,
- 6:47to have in your back pocket no matter,
- 6:49you know, what area of nursing you're working
- 6:51in.
- 6:52Now what should health care executives know about
- 6:55the link between nursing and professional growth as
- 6:57well as organizational performance? What are some of
- 6:59the common misconceptions you often see, and how
- 7:02do you overcome them?
- 7:04Yes. It's so clear that,
- 7:07well prepared nurses and highly skilled nurses have
- 7:10a direct link to quality outcomes.
- 7:13However, I wouldn't
- 7:14cover this topic fully if I didn't also
- 7:17touch on
- 7:18how important the nurse leaders, the clinical nurse
- 7:22leaders at the unit level are and also
- 7:25ensuring that the nurses at the bedside
- 7:28are equipped
- 7:29and educated
- 7:30and trained to perform bedside care at the
- 7:33highest level. And those nurse leaders,
- 7:37they are a very hardworking group,
- 7:40and they have some of the toughest jobs
- 7:42in the whole health care system.
- 7:44And we wanna ensure with this endowment, we're
- 7:47also helping our nurse leaders,
- 7:50to upskill
- 7:52in leadership capabilities,
- 7:55so that they can lead the nurses at
- 7:57the bedside
- 7:58who need to deliver at the highest level,
- 8:01compassionate, high quality care.
- 8:04That makes a lot of sense. And and
- 8:06it's really helpful to understand. I think some
- 8:08of those groups,
- 8:10you know, like you said, can sometimes,
- 8:12not have exactly
- 8:14the attention that they need, but certainly are
- 8:16critical in order to make sure the organization
- 8:19is running smoothly and patients are getting the
- 8:21care and development they need. I think before
- 8:24we wrap up here, I wanted to ask,
- 8:26how should health systems
- 8:27think about and redesign nursing career pathways to
- 8:30stay resilient and innovative over the next decade?
- 8:34Yes. I think what we've learned is that
- 8:36we need to listen to our nurses and
- 8:38listen to what they want, for the future.
- 8:42Our nurses coming out of nursing school right
- 8:44now have great,
- 8:46ideas,
- 8:47and,
- 8:48they,
- 8:49wanna grow and develop in their careers. And
- 8:51what we've learned is that nurses
- 8:54who are just graduating
- 8:56want all kinds of flexible career paths.
- 8:59They want an opportunity
- 9:01to grow rapidly in the clinical setting, but
- 9:04they also may wanna become educators. They may
- 9:07wanna become advanced practice nurses. So we have
- 9:10to be prepared
- 9:11for that and be
- 9:13flexible. And we ourselves have to be resilient
- 9:15in being able to,
- 9:17develop these programs that meet their needs so
- 9:20that they'll stay,
- 9:22in our organization
- 9:24and,
- 9:25provide the highest level of quality care.
- 9:28And we've looked at a few different opportunities
- 9:31for our nurses, of course,
- 9:33in developing,
- 9:34unique programs for
- 9:37our transitions where we've had,
- 9:40nurses,
- 9:41go into all kinds of different specialties
- 9:44like labor and delivery,
- 9:46cardiac cath lab, emergency department,
- 9:49the operating room.
- 9:51And,
- 9:52it's really allowed nurses who are,
- 9:55just outside their new grad period to to
- 9:58know there's something ahead for them, to know
- 10:01that I have opportunities to grow and develop
- 10:03at this organization,
- 10:05and that helps them remain with us.
- 10:08The other thing that's been interesting is that
- 10:10our float pool, which is typically
- 10:13an area that nurses,
- 10:15kind of enter an organization in and then
- 10:18decide to specialize
- 10:20and transfer out of the float pool into
- 10:22a single unit,
- 10:24we've learned that if we provide opportunities to
- 10:26grow and develop skill sets within
- 10:29the float pool for the nurses who are
- 10:31in the float pool to learn
- 10:33new
- 10:34clinical skills that they're able to float to
- 10:36different units, a multitude of units, they stay
- 10:40in the float pool, and that allows us
- 10:42a lot more flexibility.
- 10:43And it meets everyone's need.
- 10:46Excellent. Cheryl, thank you so much for joining
- 10:48us on the podcast today. This has been
- 10:49a a really great conversation. I learned a
- 10:51lot about the nursing pool right now, the
- 10:54nursing field, and exactly how, you're learning and
- 10:57growing and developing, the next generation of nursing
- 10:59leaders. So I appreciate your time today and
- 11:01look forward to connecting with you again soon.
- 11:03Thank you very much for the opportunity.