Better Every Shift for Nurses

Naomi & Tubi

Better Every Shift for Nurses: Leadership, Retention & Culture for Healthcare Managers and Executives  Hosted by Healthcare Culture Consultants and Team performance Experts Naomi & Tubi – this podcast provides you with actionable advice and actionable strategies drawn from various industries and fields of study.  

  1. 3 DAYS AGO

    Beyond the Forgetting Curve: An approach to nursing development

    "One week from today, you will have forgotten 90% of everything you learned in your last training session." In this episode of Better Every Shift, Naomi and Tubi tackle the "Ebbinghaus forgetting curve" and the massive amount of energy wasted on professional development that never makes it back to the clinical floor. We explore the critical gap between becoming a clinical expert and achieving "adult development"—the level of maturity, professionalism, and team-player skills that mandatory training simply doesn't touch. From the thousands of dollars in untouched nursing scholarships to the power of non-formal learning—like standup comedy, oncology massage, and managing a cricket team—we discuss how to take charge of your own growth. Whether you are a manager trying to keep your head above water or a clinician waiting for "permission" to grow, this episode provides a roadmap for making learning stick through intentional coaching and small, daily actions. Key Discussion Points The Scholarship Imbalance: Why significant study funding and grants are sitting unutilized and how to bridge the gap between expectation and initiative. Adult Development vs. Clinical Expertise: Moving beyond "ticking boxes" to understand how to support your manager and your team with professional maturity. The Power of "Weird" Learning: How Tubi’s interest in food and Naomi’s presenter mastery course provide more clinical value than traditional postgraduate degrees. Finding Your Why: Exploring why healthcare clinicians are hitting burnout when their "North Star" for care conflicts with a rigid system. The 30-Day "Critical Move": Why the first 30 days after a workshop are the most important for embedding new behaviors. Facilitation vs. Presentation: Why ditching the PowerPoint for a "facilitated conversation" is the most powerful way to lead a team meeting. What’s In It For You? You will learn how to identify your own "pain points" as a starting point for development and how to leverage community roles to build professional skills. For managers, we share a novel coaching approach—the "angel on the shoulder"—that provides 30 days of daily prompts to ensure your team's training actually results in a "critical move". Timestamps [00:00:00] Intro: The 90% Forgetting Curve. [00:02:00] The mystery of the unapplied scholarships. [00:04:00] What "Adult Development" actually looks like in a clinical team. [00:07:00] Non-formal learning: From oncology massage to standup comedy. [00:12:00] Why clinicians lose sight of their "Why" and fall into burnout. [00:17:00] Managers: How to leverage your team's interests for collective growth. [00:20:00] Why PowerPoint kills responsibility in the room. [00:25:00] The Brisbane Workshop: 30 days of "Angel on your shoulder" coaching. Resources Mentioned David JP Phillips: Presenter Mastery Course. Simon Sinek’s Team: Finding Your Why. Ebbinghaus Forgetting Curve: The science of why we forget. 70/20/10 Learning Model: For blended organizational development. Join Us in Brisbane CBD on the 25th of March for a Full Day workshop with Leaders in Healthcare to name your challenges and set strategies to stop the haemorrhage of good clinicians from your teams.   Find out more information at Better Every Shift "Is nursing turnover eroding your bottom line? Stop managing the crisis and start leading the culture. Book a Strategic Consultation at bettereveryshift.com.au/consultation to turn your clinical culture into a measurable business performance indicator."

    34 min
  2. 3 MAR

    Stop Tattling, Start Talking: The Framework for Healthy Workforce Conversations

    “This is a container ship. You are getting it to turn 180 degrees... that doesn't happen overnight; it’s little bits over time”. In Part B of our deep dive into civility with Renee Thompson, we move beyond identifying "near enemies" to the practical framework of sustaining culture change. We explore why "tattling" to a manager is a symptom of a weak culture and how to empower employees to have "healthy workforce conversations" directly with one another. Renee breaks down her "top-down, bottom-up" approach, emphasizing that while leaders are responsible for the department's culture, the entire team must be equipped with the language to protect it. From bypassing the "lizard brain" with pre-prepared scripts to understanding why psychological safety has nothing to do with comfort, this episode provides the evidence-based system needed to eliminate bullying and sustain a professional clinical environment. Turning the Container Ship: Understanding that culture change usually takes about six months to "turn the corner" and a full year to implement fully. The Top-Down, Bottom-Up Framework: Why you must strengthen the executive level while simultaneously empowering frontline teams with data and tools. Data Over Assumptions: Using organizational, leadership, and team quizzes to find exactly where your behavioral gaps are. The Curiosity Hat: How to respond to an eye-roll or a huffed sigh by simply "naming the behavior" and asking, "Are you okay?". Bypassing the Amygdala: Using scripts to give your prefrontal cortex a "ready-to-go" response so you don't freeze, clobber, or run away when faced with negativity. Honesty and Respect: The "willingness" script—how to set boundaries by saying, "I am willing to continue this conversation as long as you are willing to communicate with respect". Psychological Safety vs. Accountability: Why safety means being willing to speak up even when you are incredibly uncomfortable. The Interprofessional Challenge: Recognizing that incivility is a "human issue," not just a nursing one, and must include physicians and allied health to be successful.   You will walk away with a toolkit of scripts and principles (like "Notice, Question") that allow you to confront disruptive behavior without losing your cool. You’ll learn how to stop "batting the ball across the fence" and start building a relationship-based culture of coaching and feedback. Timestamps [00:00:00] Intro: The Container Ship Analogy. [00:02:00] Data and Evidence: Why you can't make assumptions about your department. [00:05:00] The Framework: Top-down, bottom-up, and everything in between. [00:07:00] Using Quizzes to find your organizational weak spots. [00:08:00] Naming the Eye-Roll: How to wear the "Curiosity Hat". [00:10:00] The Science of Scripts: Bypassing your Amygdala. [00:13:00] Honesty and Respect: Stopping the "talk behind the back" cycle. [00:16:00] Why even the CEO needs a coach. [00:21:00] Psychological Safety: Speaking up when you're uncomfortable. [00:24:00] Breaking the Silos: The Interprofessional Strategy. Resources Healthy Workforce Institute Resource Page: Free webinars, podcasts, and "How to Protect Yo Join Us in Brisbane CBD on the 25th of March for a Full Day workshop with Leaders in Healthcare to name your challenges and set strategies to stop the haemorrhage of good clinicians from your teams.   Find out more information at Better Every Shift "Is nursing turnover eroding your bottom line? Stop managing the crisis and start leading the culture. Book a Strategic Consultation at bettereveryshift.com.au/consultation to turn your clinical culture into a measurable business performance indicator."

    32 min
  3. 23 FEB

    Near Enemies: Identifying and Managing "Squishier" Incivility

    This episode of Better Every Shift for Nurses focuses on the "long game" of nursing culture, featuring an in-depth conversation with Renee Thompson, the founder of the Healthy Workforce Institute. We dive into the hidden layers of workplace incivility, exploring the concept of the "near enemy"—those "squishy," covert behaviors like backstabbing and exclusion that are harder to define than overt bullying but just as damaging to a team. Outright bad behavior is easy to see and manage. It’s the ‘not quite right’ behaviors that are actually harder to pick up and realise how damaging they are. In Part A of our series on civility, Renee Thompson joins us to share her journey from the bedside to becoming a global advocate for healthy workforces. After a "worst-of-her-life" 14-month stint as a unit director, Renee realised that healthcare is hard enough without coworkers making it harder. We tackle the uncomfortable reality of staffing crises and the dangerous "math" managers do when they tolerate a behaviorally toxic nurse because they are afraid to lose a "clinically competent" body. The Near Enemy vs. The Far Enemy: Why love and hate are clear, but the "squishier" behaviors of exclusion and backstabbing are harder to hold people accountable for. Rules for Engagement: How to use the Talking Stick technique and established common ground to resolve clashing between different teams or departments,. The Compact of Professional Behaviors: A simple, one-page tool where every team member contributes to defining how they will—and will never—treat each other. Leading Your Own Groundswell: What to do when your own boss isn’t supportive of a better culture. Hint: You are the adult, and no one is coming to save you,,. Therapeutic Extraction: Why playing the "long game" by removing a toxic employee actually results in a waiting list of people who want to work in your department. Bridging the Gap with HR: Moving past the "brick wall" by using collaborative documentation and building a behavioral case based on evidence, not just feelings. Standing Agenda Items: A practical tip for un-normalizing bad behavior by making "Healthy Workforce" the first item on every meeting agenda. [00:00:00] Intro The "Near Enemy" concept [00:03:00] Renee Thompson’s journey: Bedside nursing to the Healthy Workforce Institute [00:06:00] Scenario: Managing clashing managers and "animosity between teams" [00:08:00] The Talking Stick and rules for engagement [00:10:00] Creating a Compact of Professional Behaviors [00:13:00] When your leader isn't on board: Creating your own groundswell [00:15:00] The Toxic Nurse Math: Why one toxic nurse is never better than no nurse [00:19:00] Partnering with HR: Collaborative documentation and building a case [00:23:00] The link between civility and patient safety [00:25:00] Making healthy workforce a standing agenda item To access Resources from Renee Thompson and Healthy Workforce Institute visit here: https://healthyworkforceinstitute.com/  Tea Room Notes:   Join Us in Brisbane CBD on the 25th of March for a Full Day workshop with Leaders in Healthcare to name your challenges and set strategies to stop the haemorrhage of good clinicians from your teams.   Find out more information at Better Every Shift "Is nursing turnover eroding your bottom line? Stop managing the crisis and start leading the culture. Book a Strategic Consultation at bettereveryshift.com.au/consultation to turn your clinical culture into a measurable business performance indicator."

    28 min
  4. 9 FEB

    The No.1 Leadership Trait for Nurse Managers Compassionate Email Culture

    Stop the Reply All: Building a Compassionate Email Culture* "A 'Reply All' loop isn't just an annoyance—it's a symptom of a culture that lacks compassion." In this episode of Better Every Shift, we dive into the digital "human factors" that either build trust or make us want to "punch the screen". We often use email as proof that we’ve "done the work," but with 50% of emails being misinterpreted and 70% of mobile emails being deleted if they look like an essay, our habit of overproducing text is actually counter-productive. Naomi and Tubi explore how to move away from "batting the ball across the fence" for a quick dopamine hit of closure and toward communication that actually solves problems. From mastering the **Minto Pyramid** to knowing when to ditch the keyboard for a phone call, this shift is about reclaiming your time and treating your colleagues' inboxes with empathy. The Overproduction Trap: Why "bigger isn't better" when it comes to professional writing and why managers stop reading after the first two sentences. The Minto Pyramid: How to structure your emails so the most important information is at the top, followed by themes, and leaving the data for the attachments. Warmth vs. Competence: Applying Vanessa Van Edwards’ research to your inbox—balancing a friendly tone with a concise, clear structure that shows you can "get shit done". The "Preference Conversation": Why you must ask your manager how they want to receive information and what specifically "keeps them up at night". Stopping the "Rogue" Email Cycles: Using BCC transparently to kill "Reply All" loops before they start, and why "sneaky" CC-ing is a symptom of poor feedback culture. Visceral Responses to Digital Tags: Why red exclamation marks and "Important" tags can actually make people work slower—not faster. Email vs. Phone Call: The "one-back-and-forth" rule: if a resolution hasn't been reached after one reply, it’s time to pick up the phone. By the end of this shift, you will have a practical toolkit to transform your digital presence. You’ll learn how to write emails that get a "yes" on the first try, how to protect your manager from a clogged inbox, and how to use digital tools to build a warmer, more effective team culture. The Minto Pyramid Principle by Barbara Minto. Vanessa Van Edwards’ Ted Talk: On Warmth, Competence, and hand presence. HBDI (Herrmann Brain Dominance Instrument): Understanding your communication preferences. The Better Every Shift Compassionate Email GEM Think of a great email like sex education for a five-year-old. You don't start with the full anatomy; you give a small amount of clear information, wait for a question, and then answer that question directly. In the same way, don't drown a senior leader in a "grand novel" of data—give them the key point and wait to see if they need the attachments. Join Us in Brisbane CBD on the 25th of March for a Full Day workshop with Leaders in Healthcare to name your challenges and set strategies to stop the haemorrhage of good clinicians from your teams.   Find out more information at Better Every Shift "Is nursing turnover eroding your bottom line? Stop managing the crisis and start leading the culture. Book a Strategic Consultation at bettereveryshift.com.au/consultation to turn your clinical culture into a measurable business performance indicator."

    30 min
  5. 2 FEB

    Wellbeing and Saying "Yes" with Mark Carter - The ROI of Resilience

    The ROI of resilience: Why Staff Burnout is a Hospital Safety Risk From Storm Chaser to Global Change Agent: Prioritising Nurse Wellbeing with Mark Carter “If you can’t look after yourself first, you’re absolutely useless.” In this powerful episode of Better Every Shift, we sit down with Mark Carter, a nurse and health entrepreneur whose journey into the profession began with a near-fatal accident and a radical career pivot. Mark shares the raw reality of high-level nursing and business leadership, detailing a period of profound burnout during COVID where he survived on just two hours of sleep a night while working across global time zones. After being warned by his mother, also a nurse, that he was headed for an "early grave" or a stroke, Mark reset his life and founded MACH Health. Named after his family—Mark, Allison, Charlotte, and Henry—MACH Health is a digital platform designed to put wellbeing support into the hands of every nurse in the world. Mark explains how his platform uses "nudges" to remind clinicians of basic human needs—like drinking water and taking bathroom breaks—that are frequently neglected due to system-induced strain. We explore the "double standard" in nursing where we save others while neglecting ourselves, and why Mark believes that a nurse who is "firing on all cylinders" delivers better, safer care. Key Discussion Points The "Chinese Fire Engines" Incident: How a split-second decision and a traumatic leg injury led Mark to discover his passion for nursing while learning to walk again.The Reality of Global Burnout: Mark discusses the physical and emotional toll of scaling a dementia-care business while being a "stay-at-home dad" during the day and working UK hours at night.The Four Pillars of Health: We break down the Workplace Health Intervention Pathway, derived from 190 peer-reviewed journals, focusing on physical, nutritional, emotional, and sleep health.Digital Nudges as Clinical Tools: How daily reminders for hydration, nutrition, and "venting" journals can prevent brain fog and reduce clinical errors.Inclusive Leadership and Culture Change: Mark shares stories from his UK pilot program where senior leaders participate in live workplace stretching alongside their staff to grant "permission" for self-care.The Global Mission: Mark’s five-year goal to reach every nurse globally, including those in resource-poor areas, by leveraging community and common sense.The Power of Saying "Yes": Why being relentless and open to opportunities can lead to a career and impact you never imagined.Resources Mentioned MACH Health App: A digital platform for nurse-specific wellbeing.Workplace Health Intervention Pathway: A sub-modality framework based on 190 peer-reviewed journals.People can reach Mark at mark@machhealth.com.auLinkedIn  https://www.linkedin.com/in/markcarter15Company website iwww.machhealth.com.auAbout Better Every Shift: Better Every Sh Join Us in Brisbane CBD on the 25th of March for a Full Day workshop with Leaders in Healthcare to name your challenges and set strategies to stop the haemorrhage of good clinicians from your teams.   Find out more information at Better Every Shift "Is nursing turnover eroding your bottom line? Stop managing the crisis and start leading the culture. Book a Strategic Consultation at bettereveryshift.com.au/consultation to turn your clinical culture into a measurable business performance indicator."

    28 min
  6. 26 JAN

    Snake in the Corner - Anticipation and Anxiety in Healthcare

    A childhood memory of a kidney dish and a "snake in the corner" reveals a profound truth about patient anxiety: taking one minute to build trust at the start can save thirty minutes of struggle at the end. Show Notes  In this episode, Tubi shares a visceral childhood memory from a naval medical center in Papua New Guinea that fundamentally shaped her approach to patient care. After being left alone in a room for 30 minutes with a kidney dish full of needles, Tubi and her sister experienced a level of anticipation and fear that led to a chaotic vaccination experience. Key Takeaways: The "Snake in the Corner" Analogy: How visual triggers in a clinical space keep patients in a high-stress "anticipatory" state.The Trust Gap: Why patients in distress often cannot identify the "real issue" until they feel a sense of safety and trust with the clinician.The ROI of Connection: Why adding just one minute of curious conversation at the start of an interaction can save 20 to 30 minutes of struggle later on.Deciphering Reactions: Understanding how to pivot when a patient’s reaction doesn't seem to match the procedure or situation.Chapters (Timestamps) 00:00 – Introduction: Moving to Port Moresby and the Naval Base clinic.01:00 – The Kidney Dish: 30 minutes with the "Snake in the Corner".02:30 – Peeling Her Off the Ceiling: The impact of anticipation on patient behavior.10:00 – The Stress State: Why patients can't always identify the real problem.15:00 – The "What Else?" Question: Digging deeper to find the source of fear.19:00 – Conclusion: Saving time through early connection.Tags Nursing, Patient Experience, Healthcare Communication, Pediatric Care, Trauma-Informed Care, Better Every Shift, Clinical Leadership, Patient Anxiety, Quality Care. "Is nursing turnover eroding your bottom line? Stop managing the crisis and start leading the culture. Book a Strategic Consultation at bettereveryshift.com.au/consultation to turn your clinical culture into a measurable business performance indicator."

    22 min
  7. 20 JAN

    From a lack of Communication and Clarity to Regulation, Reflection and Debrief

    "A timeout can look like a tick the box, or it can be a really valuable reset and circuit breaker for everybody." Have you ever walked away from a clinical procedure where the patient was technically "fine," but the room felt like a chaotic mess? Why is it that some high-pressure moments leave us feeling like a synchronized team, while others leave us drained, confused, and questioning our own competence? In this episode of Better Every Shift, we dive into a "tale of two intubations" to uncover the invisible forces that dictate clinical success: communication clarity, emotional regulation, and the power of the routine debrief. Welcome to Better Every Shift, the podcast for healthcare professionals who believe curiosity is a clinical superpower. I’m Naomi, a clinician who recently stepped back into the ICU trenches to see these theories in practice, and I’m joined by Tubi, an expert in reflective practice who isn't afraid to ask the hard questions about how we treat each other in the heat of the moment. The problem we are exploring today is clinical reactivity. When we treat debriefing as a "special event" reserved only for failures, we make it a source of anxiety rather than a tool for growth. This matters to you because carrying the "biochemistry of stress" home after a shift isn't just exhausting—it’s a recipe for burnout. If you stick around, you’ll learn how to move from "fixing today’s fire" to being two steps ahead of the next crisis by mastering self-regulation and inclusive leadership. Key Discussion Points Normalising the Debrief: Tubi and Naomi discuss why debriefing must happen "all the time" to become a valuable part of a healthy team culture rather than a dreaded "special event."Emotional Contagion & Self-Regulation: How to recognize your own anxiety in the moment and use "internalized self-talk" to maintain your capacity for clear thinking.Completing the Stress Cycle: Practical tips for letting your body process a stressful shift—from running your hands under water to the insights of Emily and Amelia Nagoski.Appreciative Inquiry: Using curiosity as a tool to improve critical thinking and clinical reasoning in your team.What You’ll Learn in This Shift How to lead from the floor: Discover how a clear leader uses inclusive language to ensure medications and plans are understood by everyone, from the consultant to the student nurse.The importance of 'Familiarizing the Unfamiliar': Strategies for working effectively with a team you may not know well by relying on protocolized clarity rather than just "niceness."The traits of a critical thinker: Why curiosity and openness to new ideas are not just "soft skills" but essential traits for improving patient outcomes.Practical Regulation: How to name your feelings in the moment to downregulate the "messy" tension that hinders the prefrontal cortex.Resources Mentioned Jenny Rudolph’s Podcast: On Appreciative Inquiry and feedback rubrics.Burnout by Emily and Amelia Nagoski: A guide to completing the stress cycle and managing the physiological impacts of nursing. If you enjoyed this episode, please subscribe and leave a review. Your curiosity and lived experience are what make this community credible. Join us next week as we continue to explore how to make every shift a little better than the last. #BetterEveryShift #NursingPodcast #ClinicalExcellence #NurseLife "Is nursing turnover eroding your bottom line? Stop managing the crisis and start leading the culture. Book a Strategic Consultation at bettereveryshift.com.au/consultation to turn your clinical culture into a measurable business performance indicator."

    21 min
  8. 12 JAN

    Compromised clinical Outcomes and "messy" crisis response

    This episode of the Better Every Shift for Nurses dives deep into the high-stakes world of critical care, comparing two strikingly different intubation scenarios that occurred just one week apart. We explore how communication, clarity, and emotional regulation act as the "make or break" factors in clinical excellence. Episode Summary In this shift, Naomi reflects on a recent stint back on the clinical floor, where she witnessed the profound difference that inclusive leadership and role clarity can make. In the first scenario, a distressed patient in respiratory failure was met with a room full of "too many people," confusing medication orders, and a lack of clear plan A or B. The atmosphere was one of "messy" tension, where role creep led five different people to drop their tasks to perform the same secondary action. Contrast this with the second scenario: a different consultant walked in and called a 50-second timeout. This short pause allowed the team to check drugs, confirm dosages, assign roles, and ensure everyone was inclusive and ready. Even when equipment failed, the room remained "cool, calm, and collected" because the team had a shared mental model and clear closed-loop communication. Key Discussion Points • The Power of the 50-Second Timeout: Learn why a brief strategic pause is not a waste of time, but a strategic strength that prevents errors before they happen. • Role Creep and Muddying the Waters: We discuss how a lack of clear instructions causes teams to "swim out of their lanes," leading to unintended chaos in emergency situations. • Emotional Contagion in the Room: Understand how a leader's nervousness or calm can infect the entire team, and why self-regulation is as important as clinical skill. • Followership Responsibility: Leadership isn't just for the person at the head of the bed; discover how followers can improve the outcome by being clear about what they are responding to or confirming. • Familiarity with the Unfamiliar: How to work effectively in a team where you don't know everyone's name or capabilities by relying on protocolized communication rather than just "nice" interactions. What’s In It For You? If you stick around for this episode, you will gain practical strategies to lead from the floor, regardless of your official role. You’ll learn how to identify "pockets of chaos" before they escalate and how to use tools like closed-loop communication to ensure your instructions are heard, understood, and executed safely. Whether you are a student nurse or a veteran consultant, this episode provides a roadmap for turning a high-pressure shift into a masterclass in clinical coordination Join Us in Brisbane CBD on the 25th of March for a Full Day workshop with Leaders in Healthcare to name your challenges and set strategies to stop the haemorrhage of good clinicians from your teams.   Find out more information at Better Every Shift "Is nursing turnover eroding your bottom line? Stop managing the crisis and start leading the culture. Book a Strategic Consultation at bettereveryshift.com.au/consultation to turn your clinical culture into a measurable business performance indicator."

    30 min

Ratings & Reviews

5
out of 5
3 Ratings

About

Better Every Shift for Nurses: Leadership, Retention & Culture for Healthcare Managers and Executives  Hosted by Healthcare Culture Consultants and Team performance Experts Naomi & Tubi – this podcast provides you with actionable advice and actionable strategies drawn from various industries and fields of study.