Latest / Becker’s Healthcare Digital Health + Health IT / Dr. K. David Bailey, Chief Nursing Officer at UCLA Health - Santa Monica Medical Center and Adjunct Assistant Professor at UCLA School of Nursing
Transcript
- 0:00Imagine this. You're in the heart of Chicago
- 0:02mingling with the brightest minds in health IT.
- 0:05You've arrived at the 9th annual Health IT
- 0:07plus Digital Health Plus RCM conference taking place
- 0:11October 1st through 4th at the luxurious Hyatt
- 0:14Regency Chicago.
- 0:15Picture the excitement as you collect countless business
- 0:18cards, forging invaluable connections with over 25 100
- 0:22executive level attendees.
- 0:24Feel the buzz of ideas flowing as you
- 0:26engage in meaningful conversations about the future of
- 0:29healthcare technology.
- 0:30Envision yourself attending sessions led by over 415
- 0:35elite speakers,
- 0:36gaining insights that could transform your organization.
- 0:39From digital transformation and telehealth to clinician burnout
- 0:43and cybersecurity,
- 0:44each topic is designed to spark new ideas
- 0:47and provide actionable takeaways, but it doesn't stop
- 0:49there. Imagine sitting in a packed auditorium listening
- 0:53to motivating keynotes from some of the biggest
- 0:55names in sports. Four time Super Bowl champion,
- 0:58Rob Gronkowski,
- 0:59WNBA
- 1:00champion, and author, Lisa Leslie,
- 1:02and NFL legend and ESPN
- 1:05analyst,
- 1:06Eli Manning, will be there sharing their stories
- 1:08and inspiring you to reach new heights. All
- 1:11around you, the future of health IT unfolds,
- 1:14and you're not just a spectator.
- 1:16You're an active participant.
- 1:18Don't wait. You can find the event website
- 1:20and get registered by visiting peckershospital
- 1:23hospitalreview.com and clicking on the events page. That's
- 1:25the beckershospitalreview.com events page.
- 1:27This is Laura Dierdo
- 1:29with the Becker's
- 1:31Healthcare podcast. I'm thrilled today to be joined
- 1:34by doctor k David Bailey,
- 1:38chief nursing officer at UCLA Health Santa Monica
- 1:41Medical Center and adjunct assistant professor at UCLA
- 1:44School of Nursing.
- 1:45Doctor Bailey, it's a pleasure to have you
- 1:46on the podcast today.
- 1:48Thank you so much for the opportunity. I
- 1:50look forward to spending some time with you.
- 1:52Now I think this will be a great
- 1:54conversation. I know nursing is such a big
- 1:56topic right now, and so many health systems
- 1:58and organizations are trying to find innovative ways
- 2:01to really,
- 2:03lift up their nursing organization. So I'm excited
- 2:05to learn more about what you're doing at
- 2:07Santa Monica Medical Center. But before we dive
- 2:09into my questions, can you tell us a
- 2:10little bit more about yourself and your background?
- 2:13Sure. Happy to, Laura. Thank you.
- 2:16So I have been a nurse for for
- 2:17multiple decades, and I have
- 2:19been at the Santa Monica campus for a
- 2:21little over a decade at this point
- 2:23and have been in the chief nursing role
- 2:25for over 8 years at this point.
- 2:28But in addition to my role as the
- 2:31chief nurse, I have also,
- 2:34professionally involved in the sense of having led
- 2:37a professional organization.
- 2:38And it really to me was a compliment
- 2:41of what I do.
- 2:42I was the, I'm the immediate past president
- 2:44of the Association For Leadership Science in Nursing.
- 2:46And that really is that bridge
- 2:48between academia
- 2:50and practice.
- 2:51And with me sitting on both sides of
- 2:53that, I really felt that I needed to
- 2:55be more involved professionally.
- 2:57And that is why I chose
- 3:00that I am and chose to be
- 3:03a board member in that organization
- 3:05as I continued
- 3:07to push that boundary between the 2.
- 3:10Years passed,
- 3:12for most academic and practice partners, those were
- 3:14very different paths.
- 3:16But we cannot do this alone.
- 3:18We have to have our academic practice partners
- 3:21to make this work,
- 3:22because you need this for centers of innovation,
- 3:25for research, for expansion,
- 3:28for really trying new models of care. And
- 3:30so that is really what I do between
- 3:34trying to bridge that academic private partnership. So
- 3:36I appreciate that opportunity to share that background.
- 3:40Absolutely.
- 3:40You know, and your point is so well
- 3:42taken that having those partnerships today between the
- 3:45academic side and the,
- 3:47you know, provider side on the front lines,
- 3:49it can really make a big difference in
- 3:50how you're growing and developing for the future.
- 3:53So,
- 3:53that that's really fascinating and cool to see
- 3:56that you're able to bridge that gap. Now
- 3:58from your perspective, what are some of the
- 3:59biggest issues that you're following in health care
- 4:01right now?
- 4:03So, really, I mean, I can share some
- 4:05from my own organization, but I'm pretty well
- 4:08connected across the country and with colleagues, you
- 4:10know, chief nurses and other
- 4:13leaders across the country,
- 4:14we continue to face
- 4:16workforce challenges. While I sit in a pretty
- 4:19good spot at this point,
- 4:21it hasn't always been that way. You know,
- 4:23when you look back in 2 years ago
- 4:25in 22,
- 4:27I really
- 4:28was,
- 4:29had a shortage that I had never experienced
- 4:32in this organization.
- 4:33But it was really a time when people,
- 4:36okay, the acute phase of the pandemic is
- 4:38over.
- 4:39I'm going to go do something else. And,
- 4:41you know, we have recovered from that. But
- 4:43many of my contemporaries across the country have
- 4:46not. And they are still facing,
- 4:49big shortages
- 4:50with high volumes.
- 4:52They are
- 4:53relying heavily on temporary staff and we do
- 4:56need our partners that run the temporary staffing
- 4:59organizations.
- 5:00But when you are looking at significant
- 5:04backdrops
- 5:05of temporary staff,
- 5:07you have to look at where's the balance
- 5:09of stabilization and what's an appropriate amount to
- 5:12have. And many of my colleagues across the
- 5:14country are continuing to struggle with that. So
- 5:16I think as we continue to march down
- 5:19this path,
- 5:20we in nursing, but also our partners and
- 5:23our intercollaborative
- 5:24partners and our interdisciplinary
- 5:26partners,
- 5:27they too are facing these shortages. I'm talking
- 5:30my medical colleagues,
- 5:32all types of therapies,
- 5:34our unlicensed staff. And so, you know, when
- 5:37you can put burgers
- 5:39in a in a place
- 5:41and a nursing assistant
- 5:43makes the same amount of money
- 5:45for less challenges and less threats, lots of
- 5:48risk,
- 5:50where's the choice there? And so I think
- 5:52we
- 5:53as healthcare leaders, healthcare organizations,
- 5:57have to continue to
- 5:59push the boundaries
- 6:00of what can our teams do, how can
- 6:03we do it differently,
- 6:04how do we build our pipelines,
- 6:07through
- 6:08enhancing
- 6:09the academic practice, partnerships with multiple organizations, not
- 6:13just one. How do you because you have
- 6:15to have the different therapies or the the
- 6:17different disciplines in place. And how do you
- 6:19continue to build those and create new models
- 6:22of care?
- 6:23That is what we are doing, but also
- 6:26many places in the country are looking at
- 6:28how do we do things differently because we
- 6:30can't continue to do it the way we
- 6:33used to do it.
- 6:34Some of the other things that we are
- 6:36facing,
- 6:37across the country
- 6:39are people only working a few years in
- 6:41one place versus in my generation from years
- 6:45ago,
- 6:45we would stay many years, sometimes 8, 10,
- 6:4920 plus,
- 6:51in an organization.
- 6:52And that is not what our current,
- 6:54the newer generation is doing. That is no
- 6:58slam against them at all. It's really just
- 7:01a new
- 7:02situation. And I don't even want to call
- 7:03it a challenge. It's a new opportunity
- 7:06for us to embrace.
- 7:08But we have to look back at what's
- 7:09the real reason why people are doing that
- 7:12and living the shorter tenure or working the
- 7:14shorter tenures.
- 7:15Is it because we're not giving them the
- 7:17flexibility?
- 7:18Is it we are not challenging them enough?
- 7:20Are we not mentoring them enough? Do they
- 7:23not have
- 7:25developmental opportunities to grow within the organization? And
- 7:28they're looking those ex looking for those externally.
- 7:31I think we have to continue to ask
- 7:33those important questions.
- 7:35What what is the reason for this?
- 7:37I think, you know, some people have looked
- 7:40back and think, well, this is the way
- 7:41we've always done it. Well, that really, unfortunately,
- 7:44is a term that we are going to
- 7:46have to get rid of in health care
- 7:48because it's not the same anymore. I
- 7:50mean, when you look at, some of my
- 7:52contemporaries across the country,
- 7:54they have an entirely new workforce every 3
- 7:57to 4 years.
- 7:58I mean, that is scary
- 8:00on some levels. And how do you come
- 8:02in and stabilize
- 8:04that the cost of turnover
- 8:07and to ensure
- 8:09that you're meeting
- 8:10patient outcomes,
- 8:12patient satisfaction,
- 8:13organizational
- 8:14outcomes
- 8:15and really thriving
- 8:18slash surviving in these turbulent times. So I
- 8:21think those are some of the other things.
- 8:23Another big one for all of us across
- 8:26the country
- 8:27is workplace violence.
- 8:29That
- 8:30is a situation
- 8:32that if I even think back pre pandemic,
- 8:34those were rare events.
- 8:37Today, those are daily events in every healthcare
- 8:40organization across the country. And sometimes it's multiple
- 8:42events in a day.
- 8:44Sometimes it's as simple as an argument.
- 8:47And I'm talking this can be staff to
- 8:49staff, this can be patient or slash family
- 8:53to staff,
- 8:54interdisciplinary
- 8:55conflict. So it can really come from many,
- 8:57many angles.
- 8:58So I think we,
- 9:00as healthcare leaders and not only in nursing,
- 9:03we are the largest workforce. So we have
- 9:05the largest
- 9:06share of this. But we have to really
- 9:08look at
- 9:10how do we continue to move forward through
- 9:12the path
- 9:14of decreasing
- 9:16workplace violence
- 9:17and building
- 9:19teams
- 9:20that can be resilient during that while we're
- 9:22trying to eliminate one thing,
- 9:25how do we build teams to survive in
- 9:27that
- 9:28unstable workforce?
- 9:30Unfortunately, our society is more unstable now than
- 9:32I've ever experienced.
- 9:34And people feel it's okay to take it
- 9:36out on the people that are providing care.
- 9:38Well, that's not okay. And I think organizations
- 9:41will have to continue
- 9:43to enforce
- 9:46situations, parameters,
- 9:47guidelines
- 9:48on on how we're gonna handle that and
- 9:50really resituating
- 9:52this of what's appropriate and what's not appropriate.
- 9:56I I have colleagues across the country that
- 9:58have just faced some horrific events,
- 10:01with this. I've had certainly my own challenges
- 10:03locally. But I do think that this is
- 10:06a place where there will need to be
- 10:08constant attention.
- 10:09Because when you shift that and move it
- 10:12and and you're striving to move it
- 10:14to an environment where people want to be
- 10:16and where people want to work and thrive,
- 10:19and we really turn that a healthy
- 10:23work environment,
- 10:24well, that that that is those are 2
- 10:27very, very different ends of that equation.
- 10:29And so we have to continue to move
- 10:31our efforts.
- 10:32Now internally for us, we have created
- 10:36a pretty significant program,
- 10:39that's about a year old. It's not to
- 10:41say that, we haven't done other things along
- 10:43the way, but we really launched a large
- 10:46model, and it's called a Safer U program.
- 10:48And it really looks at how do you
- 10:50prepare staff
- 10:52to be prepared for situations.
- 10:54And we have sent most of our staff
- 10:56at this point through crisis prevention intervention
- 10:59training. And that is really a model of
- 11:01de escalation.
- 11:02How do you do that? So, but we
- 11:05are looking at ways, how do we take
- 11:07and even enhance that program
- 11:09for people to really be able to navigate
- 11:12through the situation,
- 11:14whether it's a verbal
- 11:16or other altercation.
- 11:18And how do we do that? So we
- 11:20really have learned about,
- 11:24setting parameters better. How do we have these
- 11:27difficult conversations with patients and our families
- 11:30and setting limits?
- 11:32And when I think back
- 11:34into
- 11:35my own clinical career and even my earlier
- 11:37leadership career, these are not conversations we had
- 11:40to have with patients and our families.
- 11:43So I think this will continue to be
- 11:46a struggle for quite a while. And, you
- 11:48know, certainly, the the pandemic
- 11:52illuminated
- 11:53the mental health crisis in our country. And
- 11:55I do think as we continue to struggle
- 11:58with that, it also escalated
- 12:01the unhealth population.
- 12:03And I think as we continue as organizations
- 12:06to try to
- 12:09remedy some of those,
- 12:11we will continue to face many of these
- 12:13challenges. So I think, and to me, some
- 12:15of this is not only health care.
- 12:18Our communities
- 12:20are are we're gonna need further state local,
- 12:23state, and federal
- 12:25support to do some of this to really
- 12:27help
- 12:28people move from an unhealth situation
- 12:31instead of using the emergency room as their
- 12:33primary care setting into other models.
- 12:36And we are working on some of that
- 12:38now. We've created a band program here
- 12:40to really look at, and that band program
- 12:43is staffed with clinicians.
- 12:45And they are going out into those unhoused
- 12:48areas
- 12:49to look at and see how they can
- 12:51support,
- 12:52patients
- 12:53or individuals
- 12:55who need
- 12:56primary care. So I think, you know, other
- 12:58places are trying similar models.
- 13:00I think we have to embrace innovation.
- 13:03Because like I shared a few minutes ago,
- 13:04what we've always done, we can't continue to
- 13:07do that because it's not working anymore. So
- 13:09we have to embrace innovation. And I think,
- 13:11you know, a lot of people are scared
- 13:12of that work.
- 13:14But we have to embrace this. We have
- 13:16to look at how do we allow technology
- 13:19to come into innovation? How do we allow
- 13:21technology to support us?
- 13:23How do we allow
- 13:27artificial intelligence
- 13:28to come in to our our
- 13:30model?
- 13:32Clearly, there's a lot of dialogue out there
- 13:34right now.
- 13:35What's safe and what's not safe? How do
- 13:37we incorporate that? So, you know, our EMR,
- 13:41company is All Star Electra Medical Record. They
- 13:44are, you know, looking at how do they
- 13:46improve this. We're looking at that. But so
- 13:48are all of my contemporaries across the country.
- 13:52How do we do this and how do
- 13:53we do it better? How do we improve
- 13:56care? How do we use that as an
- 13:57earlier warning system? And how do we do
- 14:00this to really
- 14:02streamline care
- 14:04from the acute care side, but also the
- 14:06primary care side in the the post acute
- 14:08world. So I think we have to continue
- 14:11to to do all of that with our
- 14:12inter collaborative partners.
- 14:15That makes a lot of sense. And, you
- 14:16know, that's really fascinating to hear,
- 14:20everything that you're faced with and dealing with
- 14:22from, you know, some of the clinician shortages
- 14:26and trying to, bring on additional
- 14:28providers and and then, 2,
- 14:31collaborating
- 14:32across the board and developing new partnerships
- 14:35to troubleshoot some of these challenges. I think,
- 14:38you know, it's just so fascinating to hear
- 14:40about, some of the different generational,
- 14:43preferences as well as how they're looking into
- 14:45the workforce, what really, you know, different people
- 14:47are needing in different points of their careers.
- 14:49And so I appreciate you talking through that
- 14:51as well as the workplace violence issues and
- 14:53solutions that you've seen work really well. I
- 14:55think it's just really an important time in
- 14:58health care to troubleshoot all of those issues.
- 15:00So,
- 15:01it's great to hear that there are some
- 15:03really, really cool things that are being done,
- 15:06to to attack those, challenges. Now from your
- 15:10perspective and looking ahead, what are you most
- 15:12excited about, and what makes you nervous?
- 15:15Excellent question.
- 15:17And, really, the few items I'm gonna share
- 15:20could really be situated in either bucket.
- 15:23They may they excite me,
- 15:25but because of the unknown,
- 15:28untried,
- 15:29or
- 15:30just the newness of it, then there's also
- 15:33that flan of nervousness of all this work.
- 15:35So some of the things that that I
- 15:37am excited about is really
- 15:40how do we,
- 15:42as health care teams across this country and
- 15:45really beyond our own boundaries of our our
- 15:47country,
- 15:48how do we continue to improve care?
- 15:50And we are doing some exciting work locally
- 15:54of
- 15:55looking at how do we best situate patients
- 16:00to be their their best selves
- 16:03and the environments where they choose to live.
- 16:05And and that sounds like a lot, but
- 16:08let me back up and give you a
- 16:09little bit of a backdrop.
- 16:11We, as an organization, have done a great
- 16:13deal of work around our readmission efforts.
- 16:16And we really never did that because we
- 16:18had a big problem. Our numbers were really
- 16:20below the national,
- 16:23sort of where the country sits at this
- 16:25point with readmissions.
- 16:27But we decided to do that because it's
- 16:29the right thing to do. And we've been
- 16:32on this journey for 7 years. And I
- 16:34was at that sort of the forefront of
- 16:35that with some of my qualities,
- 16:38leaders.
- 16:39And now fast forward through the years of
- 16:42this work, we really have
- 16:44handled
- 16:46and moved through some of those earlier challenges.
- 16:50Today,
- 16:51when you look at through the lens
- 16:54of health equity,
- 16:57we are beginning to do a lot of
- 16:59work in this area and I am helping
- 17:01co lead that and I'm excited about this
- 17:03work.
- 17:04But when
- 17:05you step back and you look at that
- 17:07broader
- 17:08lens of what is equitable care,
- 17:12you know, and just, you know, looking through
- 17:14that diversity lens,
- 17:17it has really been a huge eye opener
- 17:19for me
- 17:20as well as my organization,
- 17:22but also
- 17:23for for many of my colleagues across the
- 17:26country.
- 17:27Because when you look at
- 17:29health equity,
- 17:30we are not all situated the same. We're
- 17:33not all paid the same. We all don't
- 17:35have the same background. And I'm talking
- 17:38our ethnic background, our racial background, our cultural
- 17:41background.
- 17:42But yet we have to look at every
- 17:45element
- 17:46of who makes the fabric up of that
- 17:49individual.
- 17:50And then it's only when you do that
- 17:54and you step in and really support
- 17:57that person in their time of need? And
- 17:59helping situate them and prepare them to be
- 18:00able to take care of themselves and
- 18:03or their family member at home. So we
- 18:05are beginning to do a lot of work
- 18:08in this area. But
- 18:11I can honestly say
- 18:13I have peeled a few onions, you know,
- 18:16metaphorically in my life. This is probably one
- 18:18of the more complex
- 18:20onions with so many levels and layers,
- 18:25to really look at
- 18:27how do you do this and how do
- 18:29you educate patients
- 18:30and really looking at that. And you have
- 18:33to look through their
- 18:34literacy lens. You have to look through
- 18:39their ethnic background. You have to look through
- 18:42their primary
- 18:43initial their their initial language, or is English
- 18:46the second language, and really look and do
- 18:49this. You know, interpretive services, you know, years
- 18:52ago, I would say they were rarely used.
- 18:55Today they are sitting at the forefront of
- 18:57care and they have to be. Because
- 19:00in the city where I live,
- 19:03we have every culture, almost every culture in
- 19:05the world
- 19:06is also here. And so we have to
- 19:09be prepared to meet those individuals in the
- 19:11languages they
- 19:13choose to learn in.
- 19:14And they ideally would do that in their
- 19:16native language. And how do you do that?
- 19:19And that is a resource commitment, but it
- 19:22is a commitment we have made to do
- 19:24the right thing.
- 19:25And so as we continue to look at
- 19:27that,
- 19:28I think this will be a long journey.
- 19:30And I'm not saying a long journey for
- 19:32for my organization. I'm saying a long journey
- 19:35for the world.
- 19:36Because
- 19:37when you look at
- 19:39health literacy
- 19:41and when you look at the communities in
- 19:43which people live, and sometimes it used to
- 19:45be by city
- 19:46or zip code,
- 19:48Now it could be down to
- 19:51the the the narrow window
- 19:53of a neighborhood
- 19:54and a ZIP code or a block,
- 19:57a city block in a neighbor in a
- 19:59in a city.
- 20:00So it it really has opened my eyes.
- 20:04And I'm starting to see,
- 20:06colleagues across the country have the same experience.
- 20:09And, you know, thankfully there's some ahead of
- 20:11us and many are behind us. But I
- 20:13think as we all do through this work
- 20:15together,
- 20:16it really just illustrates that need
- 20:19on how do you meet that person
- 20:21where they are today.
- 20:23So that is exciting.
- 20:24It's not scary to me,
- 20:27but
- 20:28it will
- 20:30continue to require
- 20:31a great deal of resources
- 20:34to make sure that we're doing it well
- 20:36and doing it right.
- 20:38And that people recognize
- 20:41we care about them as an individual
- 20:44and not as a number.
- 20:45And I'm not saying that's what we do.
- 20:46That's not it at all. But how do
- 20:49we move to that
- 20:51person,
- 20:52that individual,
- 20:54knowing that we care about them
- 20:56and how are we meeting their needs
- 20:58where they are at this point?
- 21:00I think we have to continue
- 21:03down a path of moving from
- 21:06reactive care
- 21:07on the acute care side of
- 21:09our healthcare systems across the globe
- 21:12to a proactive care. And I have
- 21:15talked about that for a long time, but
- 21:18we have always been to the or most
- 21:21organizations and most communities live on the reactive
- 21:23side of care. We'll just go to the
- 21:24ER, go to the hospital.
- 21:27Well, if you can start looking ahead
- 21:30and really doing it proactively
- 21:33and doing it in the primary care model,
- 21:36and it and it saddens me that so
- 21:39many other
- 21:41organized and, you know, well recognized countries in
- 21:44the world
- 21:46have done so much better than we have
- 21:47here in the United States.
- 21:49And so my hope is that we
- 21:51it's exciting, but it's also scary that we
- 21:54are this far behind. And my hope is
- 21:57that we
- 21:58as
- 21:59healthcare leaders and nursing leaders, because I do
- 22:01believe nursing can be at the center of
- 22:04this movement
- 22:05to help us move this
- 22:07forward across the globe
- 22:09in our communities, but also beyond
- 22:12on how we move back to a community
- 22:14health model
- 22:16to really educate patients and their
- 22:20and our community members, I should say, is
- 22:22probably the better term there,
- 22:24in the schools, in their churches, in their
- 22:27homes,
- 22:29so that we can
- 22:30not have so many
- 22:33bad outcomes because people didn't know they had
- 22:35heart disease,
- 22:36or they were at a risk for stroke
- 22:38or they had diabetes
- 22:40or whatever
- 22:41long term, you know,
- 22:44medical condition they may have. And it's untreated
- 22:46because people didn't go to primary care.
- 22:49And I think, you know, during that
- 22:52earlier year, year and a half of the
- 22:54pandemic, it illustrated people weren't seeking care. And
- 22:57now we all are experiencing, including the individuals
- 23:00who have the diseases,
- 23:02we are experiencing
- 23:03all of that with them now. And I
- 23:05think we
- 23:06will be faced with continuing to manage that
- 23:09for a long time.
- 23:11I do think, and this really to me
- 23:12sits on both sides of the equation of
- 23:15exciting but scary,
- 23:16embracing
- 23:17artificial intelligence more. I think
- 23:20we will continue to see that
- 23:22integrated into our schools,
- 23:24our educational programs for health care team members,
- 23:28but also into care. And how are we
- 23:30going to do that and embrace that further?
- 23:33I am a little nervous though.
- 23:35When you hear of these situations where students
- 23:38have submitted
- 23:39papers that were only generated through
- 23:42chat GPT or some of the other artificial
- 23:45intelligence. That's scary.
- 23:47And how do we as health care leaders
- 23:50differentiate
- 23:51what is safe and not safe? So to
- 23:53me, this one sits on both sides.
- 23:56I think the workforce challenges continue to make
- 23:58me nervous,
- 23:59in the sense of
- 24:02will we have enough people
- 24:05excited to be health care providers,
- 24:08health care team members
- 24:10based on what they're seeing, how people are
- 24:13treated based on some of the things we
- 24:15talked about in the last item, the workplace
- 24:17violence.
- 24:18And when you look at that and, and,
- 24:20you know, some of the, the portrayals
- 24:23in the media of what nurses do,
- 24:26that is not what we do for the
- 24:28most part.
- 24:29And when, you know, they show people, you
- 24:31know,
- 24:32dressed in mini skirts and saving everybody's life
- 24:35and things like that, those are not true
- 24:37portrayals. And it saddens me. I mean, I
- 24:39don't watch healthcare shows for that very reason.
- 24:42Because
- 24:43it's portrayed that it's all glorified and you
- 24:46just run-in and do something and the person
- 24:48is healed. But we all know that that
- 24:51are on this side of the equation. That's
- 24:52not real. And how do we
- 24:56increase
- 24:57the professional nurses'
- 24:59identity?
- 25:00How do we increase
- 25:02the level of respect that a nurse should
- 25:05receive?
- 25:06So I think those will continue to be
- 25:08challenges.
- 25:09And those make me nervous because
- 25:12who
- 25:13is doing that marketing for us? It should
- 25:16be us and not others. But we have
- 25:19to step in as nurses and and health
- 25:21care leaders to help do that.
- 25:23So I sort of tried to give you
- 25:25a mix of, the nervous and what make
- 25:27what I'm excited about. But some of those
- 25:29really are situated on both sides of that
- 25:31equation.
- 25:33It really makes a lot of sense. And,
- 25:34you know, what a great overview in terms
- 25:36of all the different ways that,
- 25:38health care providers are integrating into the system,
- 25:41how you can use technology and other things
- 25:44in order to tackle some of the health
- 25:46equity issues, but also, you know, wanting to
- 25:48make sure, you know, that,
- 25:50what the medical system is doing and can
- 25:52do is portrayed accurately, I think, is a
- 25:54100% a huge huge challenge and something, you
- 25:57know,
- 25:58I can imagine clinicians and organizations face every
- 26:01day.
- 26:02Now before we wrap up here with our
- 26:03last minute or 2, I'm wondering if you
- 26:05could talk about,
- 26:06leadership.
- 26:07What is most essential for health care leaders
- 26:09to be successful over the next 2 to
- 26:113 years or so?
- 26:13Laura, thank you so much for the question.
- 26:15And this is really important work to me.
- 26:17In fact, I have some,
- 26:19a lot of work going on right now
- 26:22looking at
- 26:25what are the ideal leadership traits
- 26:28that make it work.
- 26:31And so I am working with a small
- 26:33group or have been working with a small
- 26:34group of individuals
- 26:36looking at because there's many leadership styles,
- 26:39but we have coined the term
- 26:41relational leadership.
- 26:43Because, you know, when you look at it,
- 26:44and I sort of compare this to Maslow's
- 26:46hierarchy.
- 26:47If you don't have some fundamental
- 26:50elements of leadership,
- 26:52those are trust, those are communication,
- 26:54and able to to establish,
- 26:57nurture,
- 26:58and build relationships,
- 27:00if you don't have those three elements, the
- 27:01rest of it is really not gonna work.
- 27:03And so
- 27:05I believe the leaders that will continue to
- 27:07make a difference
- 27:09have some
- 27:10form. Now there's many under many
- 27:14identified leadership traits or or styles under that.
- 27:17You'll have transformational, but that could be or
- 27:20could not be. You have servant, you have
- 27:22humble, you have authentic, leadership.
- 27:25When you look at that, I like to
- 27:27broaden the term out to relational leadership. Because
- 27:30if you don't have those fundamental
- 27:31elements that people trust you
- 27:34and,
- 27:35that you can have that relationship with and
- 27:38you can communicate with them well, and
- 27:42you have to be willing
- 27:44to nurture and mentor them
- 27:47to to grow.
- 27:48When you can't do that,
- 27:51it really makes me worry about an individual's
- 27:54leadership path. And so I think
- 27:57those
- 27:58individuals
- 27:59that do have adopt, develop, and you can
- 28:02put whatever, you know, sort of word in
- 28:04there, but
- 28:06or or verb in there,
- 28:08those leaders that have the capacity
- 28:10to embrace
- 28:12a relational leadership style,
- 28:14I think, will outperform
- 28:17most of the other leadership styles.
- 28:19Because I think it's gonna take that foundational
- 28:22work for a leader
- 28:24to create the culture where people wanna be,
- 28:27where people can thrive,
- 28:29to create that healthy work environment where individuals
- 28:33wanna come to work and not dread coming
- 28:35to work. So I think that is to
- 28:38me is just foundational.
- 28:40And that's why I've chosen to do some
- 28:42work in that. I've spent a couple of
- 28:43years doing that and will continue to do
- 28:45that because I do think it's important. And
- 28:47the work that I'm looking at is not
- 28:49only related to
- 28:50the nurse.
- 28:51It's also looking
- 28:53to patients
- 28:54at better outcomes and better satisfaction.
- 28:57So I'm looking at it with my group,
- 28:59the team, from both sides, the nurse
- 29:02outcomes of it and the patient outcomes of
- 29:05it. And we are beginning to recognize
- 29:07there is a difference. And so I do
- 29:10think,
- 29:11health care leaders, and it's really to be
- 29:13nurse and other leaders in health care that
- 29:15are not nurses,
- 29:17you have to have that that foundational element
- 29:19of being a relational leader to make it
- 29:20work and to make
- 29:22your organizational
- 29:24be differentiated from others. Doctor.
- 29:27Billy, that's such an important point and certainly,
- 29:30you know,
- 29:31essential for educating the next level of leaders
- 29:34as well as nurse professionals.
- 29:36Thank you so much for joining us on
- 29:37the podcast today. Yeah. Of course. And thank
- 29:39you so much for the opportunity.