Innovation Podcast

There is a growing body of evidence and experience supporting our understanding of and investing in the social determinants and drivers of health—the conditions in which people are born, grow, live, work and age. We’re seeing that manifest with a wide range of innovations in every corner of our healthcare delivery system, including innovations in health plans, health insurance, and payment and delivery models. In this episode, meet nurse and health plan innovator Karen Dale, MSN, RN, Market President and CEO for AmeriHealth Caritas, and dive deep into the details of how innovations in health plans and health insurance can and should focus on getting you care, helping you stay well and build healthy communities.

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Resources:

• AmeriHealth Caritas
• Building a Better Delivery System
• Transformational change in health care systems: an organizational model
• The RAND Corporation, The Future of U.S. Health Care: Replace or Revise the Affordable Care Act?
• In Search of the Perfect Health System by Mark Britnell
• The Healing of America: A Global Quest for Better, Cheaper, and Fairer Health Care by T.R. Reid

Why do Americans struggle getting access to health care? It's a big question, and a big problem. One with serious consequences. Despite the plethora of health care systems, services, practitioners, and technology available throughout the United States, for many people, access to care is frustratingly difficult and frequently includes long wait times. And too often, the care people are able to access doesn’t meet their needs and may not be the care they deserve. In this episode, nurse practitioner Wendy Wright, APRN, FAANP, examines a fresh model for primary care where access, time, presence, data, and innovation are key to how her nurse practitioner-led primary care clinics are meeting people where they are—even if that’s in the front seat of their car, under a tent, or in a parking lot!

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Resources:

• Wall Street Journal, The Doctor Won’t See You Now
• New York Times, Advanced Cancers Are Emerging, Doctors Warn, Citing Pandemic Drop in Screenings
• University of Southern California study: COVID-19 reduced U.S. life expectancy, especially among Black and Latino populations
• PNAS study: Reductions in 2020 US life expectancy due to COVID-19 and the disproportionate impact on the Black and Latino populations
• Kaiser Health News, Thousands of Doctors’ Offices Buckle Under Financial Stress of COVID
• New York Times, A Grim Measure of Covid’s Toll: Life Expectancy Drops Sharply in U.S.

Public health emergencies ranging from weather-related events, man-made hazards and pathogen-based outbreaks and epidemics are far more common and increasing in frequency than one might imagine. The reality is there are many public health hazards with the potential to create catastrophic events that will have negative health outcomes for communities and the people who live in them as well as inflicting serious damage to the health systems and professionals responding to these crises and disasters. In this episode we meet disasters head-on at the Johns Hopkins Center for Health Security by visiting with nurse scientist and innovator Tener Goodwin Veenema, PhD, MPH, MS, RN, FAAN, who spends all her waking hours (and some sleepless nights) considering the science, technology, and innovations that are being deployed to strengthen health systems, build community resilience, and protect national security.

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Resources:

• Johns Hopkins Center for Health Security https://www.centerforhealthsecurity.org/who-we-are/
• Daily Nurse, Teaching Disaster Nursing in the COVID Era: a Talk with Tener Veenema https://dailynurse.com/teaching-disaster-nursing-in-the-covid-era-a-talk-with-tener-veenema/
• Forbes, Why America’s Nurses Were Not Prepared For The Coronavirus Pandemic https://www.forbes.com/sites/coronavirusfrontlines/2020/06/04/why-americas-nurses-were-not-prepared-for-the-coronavirus-pandemic/?sh=667284ac164b
• Disaster Nursing App https://www.unboundmedicine.com/products/disaster_nursing
• Johns Hopkins Center for Health Security, Recommendations for Improving National Nurse Preparedness for Pandemic Response: Early Lessons from COVID-19 https://www.centerforhealthsecurity.org/our-work/pubs_archive/pubs-pdfs/2020/nurse-preparedness-report.pdf
• New York Times, The Best Response to Disaster Is Resilience https://www.nytimes.com/2020/04/12/opinion/madeleine-albright-coronavirus.html
• HHS Healthcare Emergency Preparedness Information Gateway https://asprtracie.hhs.gov/
• Ready.gov
• American Red Cross Disaster Preparedness https://www.redcross.org/get-help/how-to-prepare-for-emergencies/make-a-plan.html
• Medical Reserve Corps https://mrc.hhs.gov/HomePage
• National Association of County and City Health Officials https://www.naccho.org/
• HHS Office of the Assistant Secretary for Preparedness and Response https://www.phe.gov/about/aspr/Pages/default.aspx

The swift development, authorization and manufacturing of the COVID-19 vaccines have been a remarkable scientific feat that conjures up the great stories of science achievement. While vaccines and vaccination are widely considered one of the great success stories in public health, they may also have become a victim of their own remarkable success; a success that can lead to complacency about the benefits of vaccination and a focus on the potential risks or side effects. These hesitations can compromise vaccination programs and leave populations susceptible to outbreaks—a situation where no one is truly safe, because not enough of us are vaccinated. We've seen remarkable progress in vaccine technology; however, progress in vaccine confidence and distribution, trust in science, and confidence in our institutions tell a different story. In this episode, we dive deep into the science of vaccines with Christine Grady, MSN, PhD; Ernest Grant, PhD, RN, FAAN; Jaquelin P Dudley, PhD; and Lori Boyle, MSN, AGPCNP. Together we discuss the ethics and details of clinical trials and vaccine distribution, and the role that nurses specifically play in developing vaccine confidence and innovating to rapidly and safely achieve mass COVID-19 vaccination.

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Resources:

• World Health Organization, Immunization https://www.who.int/news-room/facts-in-pictures/detail/immunization
• Nursing World, Pulse of the Nation’s Nurses COVID-19 Survey Series: Covid-19 Vaccine Survey https://www.nursingworld.org/practice-policy/work-environment/health-safety/disaster-preparedness/coronavirus/what-you-need-to-know/covid-19-vaccine-survey/
• New Yorker, Why Are So Many Health Care Workers Resisting the Covid Vaccine? https://www.newyorker.com/science/medical-dispatch/why-are-so-many-health-care-workers-resisting-the-covid-vaccine
• ProPublica, Vaccine Distribution Readiness -- Most States Aren’t Ready https://www.propublica.org/article/most-states-arent-ready-to-distribute-the-leading-covid-19-vaccine?utm_source=sailthru&utm_medium=email&utm_campaign=majorinvestigations&utm_content=feature
• The Hill, Who Should Get Vaccinated Next? https://thehill.com/blogs/congress-blog/politics/531684-who-should-get-the-vaccine-next-not-just-seniors?utm_source=Master+List&utm_campaign=1ecfefd403-EMAIL_CAMPAIGN_2020_10_26_05_57_COPY_01&utm_medium=email&utm_term=0_5c9274ec4d-1ecfefd403-61995375
• Los Angeles Times, The Ethics of Vaccine Prioritization and Distribution https://www.latimes.com/opinion/story/2020-12-20/coronavirus-vaccine-priorities?utm_source=Master+List&utm_campaign=1ecfefd403-EMAIL_CAMPAIGN_2020_10_26_05_57_COPY_01&utm_medium=email&utm_term=0_5c9274ec4d-1ecfefd403-61995375
• World Health Organization, Immunization https://www.who.int/news-room/facts-in-pictures/detail/immunization
• Nursing World, Pulse of the Nation’s Nurses COVID-19 Survey Series: Covid-19 Vaccine Survey https://www.nursingworld.org/practice-policy/work-environment/health-safety/disaster-preparedness/coronavirus/what-you-need-to-know/covid-19-vaccine-survey/
• New Yorker, Why Are So Many Health Care Workers Resisting the Covid Vaccine? https://www.newyorker.com/science/medical-dispatch/why-are-so-many-health-care-workers-resisting-the-covid-vaccine
• ProPublica, Vaccine Distribution Readiness -- Most States Aren’t Ready https://www.propublica.org/article/most-states-arent-ready-to-distribute-the-leading-covid-19-vaccine?utm_source=sailthru&utm_medium=email&utm_campaign=majorinvestigations&utm_content=feature
• The Hill, Who Should Get Vaccinated Next? https://thehill.com/blogs/congress-blog/politics/531684-who-should-get-the-vaccine-next-not-just-seniors?utm_source=Master+List&utm_campaign=1ecfefd403-EMAIL_CAMPAIGN_2020_10_26_05_57_COPY_01&utm_medium=email&utm_term=0_5c9274ec4d-1ecfefd403-61995375
• Los Angeles Times, The Ethics of Vaccine Prioritization and Distribution https://www.latimes.com/opinion/story/2020-12-20/coronavirus-vaccine-priorities?utm_source=Master+List&utm_campaign=1ecfefd403-EMAIL_CAMPAIGN_2020_10_26_05_57_COPY_01&utm_medium=email&utm_term=0_5c9274ec4d-1ecfefd403-61995375

There has been a long-standing relationship between faith, clergy, health, and healthcare. Faith-based partnerships have forged and furthered public health goals historically and more importantly, at present. Clergy and faith-based organizations are pivotal and trusted players in their communities providing service, leadership, connection, communication, distribution of services, and increasingly, innovation. In this episode we explore with UK HealthCare’s Chief Diversity Officer Tukea Talbert DNP, RN, CDP how partnerships with our communities’ faith leaders and congregations can build trust, break systemic barriers to access, and move toward health equity.

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Resources:

• Religion As A Social Determinant of Health https://academic.oup.com/aje/article-abstract/189/12/1461/5622680?redirectedFrom=fulltext
• Faith Based Organizations and Public Health: Another Facet of the Public Health Dialogue https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6366525/
• UK Healthcare DEI Council Spreads Holiday Cheer Through Crucial Conversation Series https://www.kyforward.com/uk-healthcare-dei-council-spreads-holiday-cheer-through-crucial-conversations-series/

The use of data is rapidly shaping and transforming every aspect of how we measure, track, research, and deliver healthcare. Using large data sets, innovators have been unleashing technologies like artificial intelligence, machine learning, natural language processing, and sentiment analysis to open entirely new avenues to understand health conditions, the circumstances in which they arise, and personalized approaches to addressing them. Cancer care is one area where the use of data is rapidly transforming every facet of care, and one rapidly evolving development is the use of real world data to provide important insights that often have not been answered using data from the highly prized clinical trials data. One very specific area that data—particularly real world data—is helping us to understand is how race and ethnicity play a role in disparities in care and outcomes. In this episode, we go deep into the data weeds with clinician, innovator, and data specialist Kathleen Maignan, AGPCNP-BC, MSN, OCN, to reveal what stories the data really has to tell.

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Resources:

• https://rwe.flatiron.com/
• Nature, “Real-world data: towards achieving the achievable in cancer care” https://www.nature.com/articles/s41571-019-0167-7
• Cancer World, “Real world data: can we rely on it to shape cancer policies and practice?” https://cancerworld.net/real-world-data-can-we-rely-on-it-to-shape-cancer-policies-and-practice/

Think of the countless individuals seeking care daily in our clinics, pharmacies, hospitals, schools, and all manner of health care setting. To best communicate, understand, and build trust, it’s vital that patients see people in the healthcare workforce who look, speak, eat, pray, and live like they do.

Our healthcare workforce is far from diverse, representative of our population, or a reflection of our communities and the people we care for. And that is problematic. This representation pipeline problem takes root early on in our educational settings.

In this episode, we meet nurse anesthetist, founder and CEO of Diversity in Nurse Anesthesia Mentorship Program, Wallena Gould, EdD, CRNA, FAAN, whose personal experiences led to a recognition of the scope and root problems that prevent innovation from being impactful or scaled, which led to a body of work that has been applied across healthcare to forge a more equitable future.

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Resources:

• Diversity in Nurse Anesthesia Mentorship Program: https://diversitycrna.org/
• Wallena Gould’s Keynote Speech at the 2016 Rutgers School of Nursing–Camden Commencement: https://www.youtube.com/watch?v=_NK2e1hGvlU
• Diversity in Healthcare: The Importance of Representation: https://www.usa.edu/blog/diversity-in-healthcare/
• The New Yorker, “Slow Ideas” by Atul Gawande: https://www.newyorker.com/magazine/2013/07/29/slow-ideas
• “Diffusions of Innovation” by Everett Rogers: https://www.amazon.com/Diffusion-Innovations-5th-Everett-Rogers/dp/0743222091
• CRNA Goldie Brangman on Treating Dr. Martin Luther King: https://nurse.org/articles/nurse-anesthetist-crna-goldie-brangman-saved-MLK/

Each year, thousands of lives are saved and improved through organ and tissue donation. But despite the remarkable advances in organ recovery, more than 100,000 Americans are currently waiting for a lifesaving transplant with 33 dying every day for lack of an organ. This episode spotlights two nurse CEOs innovating at the system level to maximize organ availability. Ginny McBride, RN, MPH, Executive Director of OurLegacy Organ & Tissue Donor Services at Advent Health in Orlando, Florida, and Patti Niles, RN, BSN, CPTC, CEO of Southwest Transport Alliance in Dallas, Texas, are two nurse innovators from organ procurement organizations (OPOs) working to modernize and streamline organ donor management systems across the nation. Working closely with patients, families, and care teams provides them an understanding of the complexities of organ donation and transplantation enabling them to see the big picture and take action where innovations in health information exchange, donor management, and procurement can have an impact on a national scale. Tune in to hear about the groundbreaking work these nurses are leading so more people are able to give and receive the gift of a lifetime.

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Resources:

• S. Government Information on Organ Donation and Transplantation
• Organ Donation Facts
• The Costly Effects of an Outdated Organ Donation System
• Transforming Organ Donation in America
• Organ Donor Designations By State

Flattening the curve. Testing and contact tracing. Social distancing. Not only have these practices become part of our daily routines, but they are also the primary tools of the public health emergency response to COVID-19. In this episode, we meet Kathleen Blaney, MPH, RN, Director of Disease Control Emergency Preparedness at the New York City Department of Health and Mental Hygiene. Kathleen recounts the story of building the NYC Test & Trace Corps, a public health initiative to fight the threat of COVID-19 and one of the largest contact tracing endeavors in modern history, which in a matter of weeks trained and onboarded over 3,000 new contact tracers—remotely. She shares how the highly personal nature of contact tracing can strengthen science literacy and vaccine confidence, reduce health disparities, and even help build trust in both public institutions and each other amid the pandemic and beyond.

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Resources:

• https://www.nychealthandhospitals.org/test-and-trace/
• Notes from the Field: Interventions to Reduce Measles Virus Exposures in Outpatient Health Care Facilities — New York City, 2018, CDC

Artificial intelligence (AI) has come a long way since being formally established as a field in 1956. Today, AI operates seamlessly in most every facet of our daily lives—and increasingly into more and more aspects of healthcare and how nurses are caring for people, and for entire populations. With the amount of health data and the rate at which we’re generating it, combined with the extraordinary computing power of machines, we're at a point where AI can see patterns we can't and tell us things we didn't know, before they happen!

In this episode, we meet nurse and innovation sherpa Robbie Freeman, MSN, RN, NE-BC, and learn how he and his team of clinicians, data scientists, and engineers are working with an interesting array of technology partners to design and embed AI into hospital operations and clinical workflows. This work supports nurses, doctors, and care teams in predicting and better managing clinical situations while keeping people safe, involving patients more deeply in their care, and ushering in a moonshot for healthcare that Robbie characterizes as “Precision Nursing”—delivering the right care to the right person, in the best way, at the ideal moment.

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Resources:

• American Hospital Association and Microsoft AI Course: https://sponsored.aha.org/Microsoft-AI-Healthcare-2020.html
• Artificial Intelligence and the Path to Health Care Innovation: https://www.aha.org/news/healthcareinnovation-thursday-blog/2020-11-04-artificial-intelligence-and-path-health-care

Seeing the need to keep homeless shelters, their guests and staff safe and coronavirus free, Nurse Disrupted—a pandemic response start-up in Madison, WI—was launched in record time to build fast, simple, virtual health screenings for homeless shelters and communities. On this episode, we meet nurses Bre Loughlin, MS, RN, and Tracy Zvenyach, PhD, APRN-NP, co-founders of Nurse Disrupted, and dig into the details of launching their new venture. We learn how their different, yet complementary backgrounds of technology and policy are a strength of their partnership, and how in solving one problem, they simultaneously solve several more, including helping nursing students fulfill their practicum hours toward graduation and gain digital health tech skills; helping shelter residents improve access to and quality of health care; conserving personal protective equipment; and gathering vital public health data to shape health and social services policy and access government funding.

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A key component of sound mental health that may help protect against depression and anxiety is resilience, and knowing that you’re connected to a greater purpose—to a story larger than your own—is key to building it. For Native and indigenous peoples, the stories of origin, history, and identity are central in building resilience and experiencing optimal health. In this episode, we meet indigenous nurse researcher John Lowe, RN, PhD, FAAN, and discover how he is addressing the long-standing structural impediments that have kept American Indian, Alaska Native and indigenous youth from connecting to their cultural heritage, native identity, and to a history that he describes as a source of great strength. John established the first Center for Indigenous Nurse Research For Health Equity where he is innovating on ancestral wisdom and tradition—through practices like the Virtual Talking Circle—to enable indigenous youth to move away from harmful behaviors and move toward lives and coping mechanisms that are both positive and strength-based.

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Fathers play a unique role in their children’s lives and development, and plenty of research backs up the importance of a father's presence. But when it comes to preparing for parenthood, the focus is heavily skewed to preparing mothers for motherhood. So how are fathers getting the support and training they need to be successful -- especially in this age of pandemic parenting? And how does this all come together with the additional challenge of being a father who isn’t living with their children? It's not easy. In this episode, we learn how nurse scientist and researcher Wrenetha Julion, PhD, MPH, RN, FAAN, CNL, is innovating to build and bolster the involvement of African American fathers who live apart from their children through the Building Bridges to Fatherhood Program and through an exciting new Father Inclusive Prenatal Care program.

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Resources:

• https://www.youtube.com/watch?v=BEhbCD-AC00
• http://www.chicagoparentprogram.org

The CDC reports that Black mothers die at three to four times the rate of White mothers and that the mortality rate of Black infants is higher than that of any other ethnic group in the U.S. Regardless of income and education level, childbirth for Black women is more dangerous than it is for White women. Even tennis legend Serena Williams had a dangerously close call during her pregnancy. In examining why these disparities are so stark, it is clear that structural and systemic racism, racialized health inequities, and implicit bias not only play a role but also signify areas within our society that desperately need improvement. In this episode, we hear from three healthcare innovators who personally and professionally—as Black women and advisors to the Black Mamas Matter Alliance—work tirelessly to advance policy grounded in human rights and reproductive justice to improve Black maternal health and lives. Tune in to hear Jennie Joseph, LM, CPM, RM, Founder and Executive Director of Commonsense Childbirth and Founder of the National Perinatal Task Force; Joia Crear-Perry, MD, Founder and President of the National Birth Equity Collaborative; and Monica McLemore, PhD, MPH, RN, FAAN, Tenured Associate Professor at the University of California, San Francisco and member of the Bixby Center of Global Reproductive Health, share their wisdom, outrage, approach, and perspectives on the causes and solutions to Black maternal health disparities in the United States.

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Resources:

• https://blackmamasmatter.org/
• https://www.cdc.gov/media/releases/2019/p0905-racial-ethnic-disparities-pregnancy-deaths.html
• https://19thnews.org/2020/08/democrats-focus-new-legislation-on-the-pandemics-effect-on-maternal-mortality/
• https://www.americanprogress.org/issues/women/reports/2020/04/14/483114/community-based-doulas-midwives/
• https://www.americanprogress.org/issues/women/reports/2019/05/02/469186/eliminating-racial-disparities-maternal-infant-mortality/
• https://www.today.com/video/-this-is-not-a-new-crisis-how-jennie-joseph-is-working-to-change-maternal-mortality-rates-1488326723774
• https://blogs.scientificamerican.com/observations/covid-19-is-no-reason-to-abandon-pregnant-people/

During a public health crisis, such as COVID-19, we are acutely aware of the connections between social justice, public health and innovation—especially in communities with vast disparities, such as those in Alaska where Tim Struna, MPH, RN, practices. To explore how public health nurses are innovating to respond to the unique challenges of the ongoing pandemic, we talk to Tim, Chief of Public Health Nursing in the Alaska Department of Health and Social Services. He is focused on increasing access to health services for residents in rural areas, particularly during COVID-19, by innovating and coordinating health practices at a community level.

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As we wrap Season 2 of SEE YOU NOW we’re listening back through the stories and hearing important themes emerge that include a heightened appreciation for innovation, the role it’s playing in responding to our current public health crises, and how that role is changing and evolving. In the era of COVID-19, the practice, permissions, and norms of innovation have shifted dramatically –it’s also identified and cultivated new leaders.
Season 2 took us across the country finding stories of health innovation, from one coast to the other, from rural settings to urban settings, with nurses who specialize in everything from intensive care, to design, and legislation. While the season highlighted the geographic differences, it also punctuated, and, possibly more importantly, showed just how much we share in common.
While we are busy working to bring you more exciting stories in Season 3, we invite you to tune in to some of our favorite moments from Season 2. If you have any favorite episodes or stories of nurses leading innovation across all the frontlines of care, please let us know at hello@seeyounowpodcast.com. We’ll be back soon!

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Across the globe, millions of people are experiencing the challenges, complexities, and costs of caring for elderly family members—these challenges have been amplified and complicated by the COVID-19 pandemic. AARP recently reported that 48 million Americans, mostly women, care for another adult and now, checking in on our elder loved ones in a physically distanced manner requires even greater creativity and innovation. In this episode, we meet nurse innovator Joshua Littlejohn MPH, MSN, RN, and entrepreneur Gabriela Sabaté, MBA, MHCI, who are experimenting and innovating with technologies that connect data to transform how we not only provide care remotely, but also how we approach and use hackathons as a way to crowdsource ideas and introduce new innovations.

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Around the globe, nurses are actively innovating to improve the health, safety, and wellbeing of citizens, environments, and entire communities in settings that some might not have considered—our state legislatures. The link between nursing, politics, and innovation might not seem obvious, but for the nurses who have ushered in meaningful legislation—the relationship is a natural one. In this wide-ranging conversation with Delaware Lt.Gov, Bethany Hall-Long, we discover how nurses involved with legislation at the local, state, and federal level is innovation.

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During the crisis phase of the COVID-19 pandemic, healthcare, like every other sector of the US economy, was forced to cease non-essential activities. Which meant canceling thousands of elective procedures and in-person visits, halting a wide-ranging set of business operations, and shifting thousands of employees to work from home and redeploying many to new roles. The profound disruption was both astounding and revealing and offered a rare opportunity to innovate swiftly at the enterprise level. In this episode, Karen Murphy, PhD, RN, executive VP, chief innovation officer and founder of the Steele Institute for Health Innovation at Geisinger offers the thirty thousand foot view of enterprise-level innovation at a scale and pace that was once thought of as too hard, too risky, and just not possible.

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The Neonatal Intensive Care Unit (NICU) is not a place any parent anticipates meeting and caring for their newborn. But when they do, they find it a place where science, technology, tiny humans and strong emotion meet head-on. And as COVID-19 spread across the globe, it added another layer of planning and anxiety for pregnant people anticipating how different their pregnancy could turn out should they or their newborn test positive for the virus. In this episode, we hear from Nicole Lincoln MSN, RN, FNP-BC, CCNS about her work on NICI, a radical reimagining of the infant incubator. What started as an idea to create a low-cost, portable, and single-use incubator for our smallest and most fragile citizens, morphed into new concepts about how the incubator could be used in new ways, new places, and solve new problems.

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COVID-19 has changed the way we do almost everything—not just in healthcare settings, but in settings of all kinds. With reactivation and recovery being keywords in everyone's inboxes, now more than ever, we need designers steeped in public health to help us reimagine a safe and healthy return to social life in a pandemic environment. In this episode, nurse and service designer Brittany Merkle, MFA, RN, shares how she, alongside a multidisciplinary team, were able to create a game plan and playbook for returning to school, work, and play safely.

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Listener warning: This episode features groundbreaking work around human trafficking. The episode includes a very difficult and graphic conversation that may be triggering and not appropriate for all audiences.
The International Labor Organization estimates there to be over 40 million victims of human trafficking globally, with hundreds of thousands in the United States. In addition to being a human rights violation, human trafficking is also a massive global health problem with almost 90% of victims seeking care in our healthcare systems, with most of them being seen in emergency departments. Nurses are often the first point of clinical contact for victims and play a key role in identifying and providing resources for them. In this episode, we meet Danielle Bastien RN, DNP, FNP-BC, a nurse practitioner at Henry Ford Hospital in Detroit, Michigan who researched and explored human trafficking and how health systems, and nurses specifically, can identify and protect victims, help them find a way out, and a safer, more secure path forward.

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In health systems across the globe, nurses are relied upon and trusted to care for people and their families. What's lesser-known are the details of care, what nursing teams actually do, and how their innovation unfolds. The COVID-19 crisis has dramatically changed that and provided opportunities for the world to take a closer look at the behind-the-scenes details and see nurses as experts leading innovation. In this episode, nurses Carlos Trochez, Jr., BSN, RN and Simone Hannah-Clark, BN, RN, CCRN two of the many thousands of nurses working in intensive care units around the world, reflect on the intensity and pace of real-time innovation in a pandemic and reveal how crowdsourcing from social media, collaborating across cultures and disciplines, and live choreography played a role in all the pieces coming together—and how they are present and highly attuned when the pieces, for some patients and families, fall apart.

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Resources:

“An I.C.U. Nurse’s Coronavirus Diary”, The New York Times https://www.nytimes.com/2020/04/03/opinion/sunday/coronavirus-icu-nurse.html
“Coronavirus: Kiwi nurse in New York describes harrowing job of caring for dying patients”, News Hub New Zealand https://www.newshub.co.nz/home/new-zealand/2020/04/coronavirus-kiwi-nurse-in-new-york-describes-harrowing-job-of-caring-for-dying-patients.html
Contact us at hello@seeyounowpodcast.com

Tune in as our host, Shawna Butler revisits the compelling stories and experiences featured in the SEE YOU NOW season 1 and COVID-19: The Nurse Response episodes. We’re taking a short break while season 2 is in production, but we’d love to hear from you and what you're seeing and solving. Email us at hello@seeyounowpodcast.com and please take a moment to rate and review the show. It helps millions of listeners find and enjoy these great stories.

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Every day nurses face difficult decisions and ethical dilemmas. They know how to deal with suffering, are accustomed to participating in life and death decisions, and advocating for human rights. COVID-19 presented circumstances that no one was prepared for including weighing personal risk against an obligation to render care. In this episode, Liz Stokes, JD, MA, RN, Director of the American Nurses Association Center for Ethics and Human Rights provides insight into the ethical and moral dimensions of the COVID-19 pandemic.
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COVID-19 has disproportionately impacted Black people and people of color in the United States. The pandemic placed a magnifying glass on existing disparities and their underlying causes. And when we look closer into these disparities, we find that youth experiencing homelessness and mental health issues are some of the most adversely affected by the COVID-19 public health measures and Shelter-in-Place orders. In this episode, we hear from psychiatric mental health nurse practitioner and researcher, Dawn Bounds, PhD, MPHNP-BC whose research covers juvenile justice and homeless youth. Dawn reflects on the complex challenges these populations face amidst overlapping pandemics.

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No one anticipated that 2020, The Year of the Nurse and the Midwife, would see nurses at the center of a novel coronavirus pandemic. But that’s exactly what’s unfolding and nurses are rising to the challenges and demands. Every day, frontline healthcare teams are making impossible choices, risking their health and their family's health, saving lives, and keeping our health systems afloat. The work is exhausting on every dimension and triggering a series of pandemics. COVID-19 will have a mental health impact on everyone. And for those providing the care and making tremendous sacrifices for our communities, the mental health toll will continue on well beyond the pandemic itself. In this special episode of SEE YOU NOW we hear from four healthcare leaders with a different lens on the shared mission of building a healthy, happy, and resilient healthcare workforce. Barbara McLean, clinical nurse specialist and nurse practitioner, Liz Stokes, the director of the ANA Center for Ethics and Human Rights, Judy Davidson, nurse scientist, and Pam Cipriano, the dean of the University of Virginia School of Nursing, share their experience, perspective and wisdom and the urgency of addressing mental health needs now.

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Interested in learning more?

Nurses, ethics, and the response to the COVID-19 pandemic-
https://www.nursingworld.org/~495c6c/globalassets/practiceandpolicy/work-environment/health--safety/coronavirus/nurses-ethics-and-the-response-to-the-covid-19-pandemic.pdf
Nurses’ Roles and Responsibilities in Providing Care and Support at the End of Life-
https://www.nursingworld.org/~4af078/globalassets/docs/ana/ethics/endoflife-positionstatement.pdf
Healthy Nurse, Healthy Nation- The Healthy Nurse, Healthy Nation™ Grand Challenge (HNHN GC), is a social movement designed to transform the health of the nation by improving the health of the nation's 4 million registered nurses.
https://www.healthynursehealthynation.org/
National Suicide Prevention Lifeline-
The Lifeline provides 24/7, free and confidential support for people in distress, prevention and crisis resources for you or your loved ones, and best practices for professionals. Call 1-800-273-8255.
Dr. Bernadette Melnyk-
https://nursing.osu.edu/faculty-and-staff/bernadette-melnyk
CODE LAVENDER- CODE LAVENDER is a crisis intervention tool used to support any person in a Cleveland Clinic hospital. Patients, family members, volunteers, and healthcare staff can call a Code Lavender when a stressful event or series of stressful events occurs in the hospital.
https://my.clevelandclinic.org/-/scassets/files/org/locations/hillcrest-hospital/spiritual-services/code-lavender.ashx?la=en
World Health Organization- State of the World’s Nursing Report- 2020
https://www.who.int/publications-detail/nursing-report-2020
As part of the Johnson & Johnson commitment to healthworkers through the Center for Health Worker Innovation – we have joined First Responders First. To access evidence-based content, tools, and resources designed to improve the resilience and well-being needs of frontline health workers and their leaders in time of crisis, visit the resources section of the First Responders First.

With shelter-in-place orders in effect across the country, people are spending prolonged periods of time inside their homes but what happens when home isn’t safe? In this episode of SEE YOU NOW, we speak with nurse scientist Camille Burnett about how nurses are in a unique position in their communities to screen, access, intervene, and meet people where they are—particularly responding to intimate partner violence. Even in the middle of a pandemic nurses and neighbors are looking out for one another and finding ways to make sure people are physically and emotionally protected.

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Additional resources and background information

If you or someone you know is experiencing domestic violence, contact the National Domestic Violence Hotline by calling 1-800-799-SAFE (7233), visiting www.thehotline.org or texting LOVEIS to 22522.

During this pandemic, communities across the globe have experienced extraordinary social solidarity with the prevailing sentiment of ‘we are in this together’. While we’ve come together for mutual support and understanding in small and extraordinary ways, there are a few who believe the necessary public health measures are too lengthy and too broad. And in some parts of the US, they’ve taken to the streets to protest mandatory shelter-in-place orders that have closed non-essential parts of our economies. The loudest voices in the midst of these debates and protests were the nurses who stood silently in solidarity for their patients who could not join the conversation. In Arizona, nurses Jade Juriansz, Jasmin Bhatti, and Brittany Schilling participated in a counter protest to provide facts about what is happening with COVID-19 on the frontlines. Although silent, these nurses’ presence and motivation resounded around the world. In this episode we get to hear the motivations of this courageous group who made a commitment to educate the public and share the facts, and the health risks—a true example of 'meeting people where they are'.

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Additional resources and background information

Hold your Pen Torches High by Molly Case- a poem for all nurses and midwives in England on International Nurse’s Day 2020

Nurses are exposed to death, suffering, and sickness throughout their careers and COVID-19 has only increased their exposure to traumatic environments. Because of their environment, nurses experience adverse effects on their mental health and well-being. Why is it then that nurses are often not screened or provided with mental health support in their workspaces? Nurse scientist Judy Davidson DNP, RN, FCCM, FAAN works to reinforce the mental health needs of nurses while bringing awareness to nurse suicides. She creates programs that provide simple and accessible tools for health systems to adopt throughout their networks to ensure that nurses can stay strong, be supported, and get help when needed.

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Additional resources and background information

As part of the Johnson & Johnson commitment to healthworkers through the Center for Health Worker Innovation – we have joined First Responders First. To access evidence-based content, tools, and resources designed to improve the resilience and well-being needs of frontline health workers and their leaders in time of crisis, visit the resources section of the First Responders First.

As the coronavirus pandemic sweeps across the globe, citizens everywhere are becoming aware of just how strained our healthcare systems are and their vulnerabilities when extraordinary, unscheduled demands are placed on them. COVID19 brought into sharp focus the critical need to swiftly mobilize our healthcare workforce --in particular, highly trained and skilled nurses needed to screen, test, and care for patients, families, and communities. In this episode, nurses Sarah Gray and Dan Weberg explain how they and the nurses at Trusted Health are modernizing, personalizing, and rapidly mobilizing our healthcare talent and workforce.

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Across the world, students of all ages along with educators and families are part of an unanticipated global homeschooling abruptly introduced by COVID19. While necessary to ensure public safety during a pandemic, closing schools is a difficult and complex decision that has far-reaching implications for students’ health, their learning, and their safety. No one is more attuned to those needs than school nurses who, on any given school day, are helping medically fragile and special needs students, and students struggling with anxiety, depression, trauma, food, housing, and economic insecurity. In this episode, we virtually visit Camden, NJ, to meet veteran school nurse, Robin Cogan MEd, RN, NCSN and learn why school nurses should be at the center of re-entry decision making and how school nurses are supporting students and families while uncertainty looms.

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From health bots to artificial intelligence and everything in between --COVID-19 is shining a new light on nurses and the expanding role and reliance on technology to meet our collective healthcare needs. As the novel coronavirus is changing our daily lives and the ways we work and interact, it is also accelerating the pace of transforming our healthcare systems and how we use and share data, work as teams, and communicate with patients and communities. In our latest episode of The Nurse Response, we talk with Molly McCarthy, National US Health Director and Chief Nursing Officer at Microsoft, about how this global pandemic is fast-forwarding the Future of Healthcare to the Now of Healthcare and the lead roles nurses are playing in this rapid transition.

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As the world responds to COVID-19, increasingly and alarmingly the daily headlines include the risks our healthcare teams and essential services personnel confront in efforts to care for patients and keep our communities safe. Behind these headlines are stories of daily experiences and individual lives. Nurse Jennifer Gil shares her diary about being on the frontlines of COVID-19, about contracting the virus and being isolated from loved ones in a time of immense uncertainty. It’s a powerful reminder that we cannot lose focus on the emotional impact of this illness.

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Additional Resources

Nurses, Ethics and the Responses to the COVID-19 Pandemic https://bit.ly/2R6Lesz

Over the next few weeks, we are pausing our regularly scheduled programming of See You Now to bring you stories from nurses on the frontlines of the coronavirus pandemic. As the entire world learns about COVID-19 and responds to this massive disruption, nurses are rapidly innovating to meet the demands of patient care during this trying time. Listen in to hear from nurse practitioner, telehealth consultant, and Founder & CEO of BabyLiveAdvice, Sigi Marmorstein as she shares the clinical realities of working on COVID-19 and explains how telemedicine is putting eyes and ears on patients where they are, while reducing the stress on hospital services.

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How did misinformation, hysteria and fear surrounding the first HIV/AIDS outbreak turn into community, compassion and love? The HIV/AIDS epidemic in the 1980s also brought forth homophobia and panic. Already stigmatized by society as having “gay cancer,” HIV and AIDS patients were discriminated against by their own healthcare providers in the spaces that were intended to provide them support and treatment. Outraged with the lack of care being provided to HIV and AIDS patients, San Francisco General Hospital’s Ward 5B nurses Alison Moed, Cliff Morrison and Guy Vandenberg set aside their own fears to rally around and provide humane and dignified care to these patients when their health and well-being depended on it. Their extraordinary actions have transformed and established a new standard of care that is used around the world for those living with HIV and AIDS.

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In a digitally-driven world where information and misinformation are both readily available, it can be hard to know what sources to trust--particularly when it comes to health decisions about communicable and vaccine-preventable diseases. In this episode, Melody Butler, BSN, RN, CIC, founder of Nurses Who Vaccinate, discusses how and why she's built a global advocacy network, coalition, and movement of nurses to meet people where they are, and ensure they are well-informed with science-based facts to inform their health decisions.

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Additional Resources

Nurses Who Vaccinate
https://nurseswhovaccinate.org/about-nwv
The World Health Organization and vaccine hesitancy
https://nyti.ms/2TukoMT
Vaccine Confidence.org
https://www.vaccineconfidence.org/
2019 Global Measles Surveillance Data
https://bit.ly/2TIJF4z
2019 Measles Outbreaks around the Globe
https://nyti.ms/2PTt4tR
2019 Measles Outbreak in Samoa
https://bit.ly/3az4aYg
Sustaining Innovation
https://bit.ly/2ww5hJM

Nurse, educator and historian Dian Baker, PhD, APRN-BC, PNP, PHN, has been championing a creative solution to reduce cases of hospital-acquired pneumonia across the country: encouraging patients to brush their teeth. In this episode, Baker and Shawna Butler discuss the significance of nurses taking the lead in developing partners for scaling innovative solutions across an enterprise and why dental care, as well as mental healthcare, should be a larger priority in every healthcare setting.

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Additional Resources

“Could the Answer to Preventing Hospital-Acquired Pneumonia Be as Simple as Better Oral Care? This Nurse Thinks So” Johnson & Johnson Innovation https://bit.ly/393h1Sb
“Brushing up on pneumonia prevention” ACP Hospitalist https://bit.ly/32F7peh

Pioneer, MacArthur Fellow and Nurse Midwife Ruth Watson Lubic, EdD, RN, CNM, FAAN, FACNM, opened the first freestanding birth center for low-income families in New York City at a time where it was common for women to have very little say in their labor and delivery experience. In this episode, Lubic talks with Shawna Butler about her six decades of experience in nurse-midwifery, how far care delivery in childbirth has come and what the next 60 years of health innovation in this space could be.

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Additional Resources

“Principles for a Successful Professional Life,” by Ruth Watson Lubic, https://bit.ly/2TgleNs
World Health Organization (WHO), Health Topics, Midwifery, https://www.who.int/topics/midwifery/en/

As an emergency nurse and palliative care liaison, Jonathan Bartels, RN, understands the toll that witnessing a death can have on healthcare worker resiliency. In this episode, Shawna Butler talks with Bartels on designing “The Pause,” a meaningful and effective practice that health systems are rapidly adopting to address the alarming rate of clinician burnout and mental stress.

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Additional Resources

The Pause, https://bit.ly/2NDapS7
University of Virginia - “The Pause, A UVA trauma care nurse honors the lives of his patients,” https://bit.ly/2Np7bkP
Where to download The Pause app -
Google, https://bit.ly/2FIFBuC
Apple, https://apple.co/2TkeDBy
American Association of Colleges of Nursing, Critical Care Nurse, “The Pause,” https://bit.ly/2skB3HJ
American Nurses Association Position Statement on Nurses’ Roles and Responsibilities in Providing Care and Support at the End of Life, https://bit.ly/2GbORI4
American Nurses Association Position Statement on Addressing Nurse Fatigue to Promote Safety and Health, https://bit.ly/2RDDu0G
The Hospice and Palliative Nurses Association, https://advancingexpertcare.org/
The New York Times - “The Role of Nurses When Patients Decide to End Their Lives,”
https://nyti.ms/2tt51dq
Death Over Dinner - Curriculum for healthcare professionals, https://bit.ly/2QTgb45
Death Over Dinner - Healthcare Edition video, https://bit.ly/2tVyQ6d

Gender equality. Economic development. Greater health outcomes. According to nurse, researcher and policy expert Barbara Stilwell, PhD, RN, FRCN and Executive Director of Nursing Now, a global campaign seeking to elevate the nursing profession, more nurses in leadership and policy roles can result in all those things and more. In this episode, Stilwell speaks with Shawna Butler about the need to raise awareness of the impact nurses have in transforming health systems, the groundbreaking work they have accomplished in devising solutions to patient care and health outcomes and the exciting potential of nurse leadership and innovation.

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Additional Resources

Journal of Clinical Nursing – “Breaking the Silence: A new story for Nursing,” https://bit.ly/39dfxVg
The New York Times - “Workforce Shortage Threatening our Care,”
https://nyti.ms/2tHS8vY
The New Yorker – “Women and Power,”
https://bit.ly/2S9LeZM
World Health Organization, International Year of the Nurse and Midwife designation and campaign,
https://bit.ly/2tEnd3A
Nursing Now
https://www.nursingnow.org/2020-the-year-of-the-nurse-and-the-midwife/
https://www.nursingnow.org/nightingale/
https://www.nursingnow.org/vision/
https://www.who.int/hrh/com-heeg/digital-APPG_triple-impact.pdf
Investing in Nurse Leadership Report, https://bit.ly/2SvI4P5

What happens when a nurse merges a love of gaming with a passion for improving healthcare? A transformation in solving health challenges that is as unique as it is fun. Anna Sort, nurse, gamer and digital health entrepreneur, talks with host Shawna Butler about her groundbreaking work that leverages the fun, thrills and science of gamification to create behavioral change, improved health and innovative ways to learn new skills.

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Additional Resources

TEDx Barcelona featuring Anna Sort, https://bit.ly/381FZR6
Jane McGonigal, PhD, https://bit.ly/383I92D
University of Pennsylvania School of Nursing - Design Thinking for Health free online curriculum, https://bit.ly/2tekXQs
Ohio State University School of Nursing - The Innovation Studio, https://bit.ly/2uE6FJ8

Effective communication is key for any team, and during an infectious disease outbreak when the public is on high alert and lives are at stake, it becomes even more critical. As some of the first healthcare providers to treat the Ebola virus in the U.S., members of Emory University’s Serious Communicable Diseases Unit, Sharon Vanairsdale, APRN, and Colleen Kraft, MD, share their experiences, learnings and innovations they established to create a culture of safety and an affinity for preparedness to prevent the spread of deadly infections.

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Additional Resources

World Health Organization - Ebola Fact Sheet, https://bit.ly/36RSRJt
Emory University Hospital – “Five years later, Ebola patients return to Emory,” https://bit.ly/2QPIxMn
Emory University Hospital Serious Communicable Diseases Program, https://bit.ly/35OrQFr
Contagion Live – “Infectious Diseases Dominate WHO's List of 2019 Health Threats,” https://bit.ly/2RbcTbf
STAT – “FDA Approves an Ebola Vaccine for the First Time,” https://bit.ly/38tOUeo
https://bit.ly/368Zxl1

Health systems across the world are strained by ever increasing demands and in need of innovation from all corners, and nurses are discovering and driving solutions to these complex challenges. Despite this, nurses’ potential to improve health outcomes and lead system change is often underestimated and underutilized. Host Shawna Butler, nurse economist and tech enthusiast, talks to historians, researchers, journalists and executives to uncover the true power of what nurses can do. SEE YOU NOW will prompt listeners to see nurses in a new light.

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Additional Resources

The American Nurses Association - What is Nursing? https://bit.ly/2Rz1t1d
Sigma Theta Tau International - “The Woodhull study on nursing and the media: Health care’s invisible partner: Final report,” https://bit.ly/35WEW3f
Journal of Nursing Scholarship, “The Woodhull Study Revisited: Nurses’ Representation in Health News Media 20 years Later,” https://bit.ly/3adLHkW
World Health Organization - International Year of the Nurse and the Midwife designation and campaign, https://bit.ly/35UUUuM
Nursing Now - 2020: The Year of the Nurse and the Midwife, https://bit.ly/35RrbmF
IntraHealth - Investing in the Power of Nurse Leadership Report, https://bit.ly/2Tp3SOy
The New Yorker - “Amid a Measles Outbreak, an Ultra-Orthodox Nurse Fights Vaccination Fears in Her Community,” https://bit.ly/2FLHt61
Contact us at hello@seeyounowpodcast.com