Better Every Shift for Nurses

Naomi & Tubi | Healthcare Culture Consultants & Team Performance Experts
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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. 6 dgn geleden

    What Executive Leaders can do to Retain the "Missing Middle"

    Text us here. We'd love to hear from you Executives often ask about budget, patient flow, or staffing numbers, but when was the last time you asked a senior nurse: 'What is the pebble in your shoe this week?' In this episode of Better Every Shift, Naomi and Tubi tackle the crisis of the missing middle—those quietly reliable senior nurses who do the heavy lifting but are now leaving the profession in droves. We move past the standard focus on "vacancies" to discuss capability risk: the invaluable organizational memory and clinical expertise that walk out the door when a mid-career professional resigns. We explore why it’s rarely a massive systemic issue that drives these professionals away, but rather the "tiny, annoying things"—like a device that never works or a frustrating system—that finally push them over the edge. Stick around to learn the four essential retention conversations every executive should be having and how a coach-like approach to executive rounding can stop the "quiet cracking" of your most valuable staff. Key Discussion Points The Missing Middle: Why our most reliable nurses are leaving for other work—not just retiring—and the $100,000+ cost of losing that expertise. Vacancies vs. Capability Risk: Shifting the executive focus from "bums on seats" to the clinical relationships and safety culture lost during mid-career exits. The "Pebble in the Shoe": How identifying and fixing the "little things" (like broken equipment or annoying tech) can have a larger impact than big-level data fixes. Quiet Cracking: Identifying the subtle signs of disengagement—skipping lunch, hiding in offices, or a drop in "generosity of spirit"—before a resignation letter arrives. Four Retention Conversations: A simple framework for executives to ask: What do you enjoy? What’s frustrating? What’s your next move? What would make you leave? Transferable Skills and Streams: Why the nursing profession struggles to support mid-career moves between education, management, and clinical roles. Authority vs. Responsibility: Supporting leaders who have the reporting burden but lack the authority to fix the systems they manage. Timestamps [00:00:00] Intro: The "Pebble in the Shoe" Hook and the Missing Middle. [00:02:00] The Heavy Lifters: Why "quietly reliable" nurses feel inequity. [00:05:00] Capability Risk: Why senior resignations cost more than $100,000. [00:11:00] Life Stressors: Supporting the "sandwich generation" with flexible care options. [00:13:00] Executive Rounding: Moving from budget questions to "What’s the pebble?". [00:15:00] The Coach-Like Approach: Using curiosity to restore autonomy and belonging. [00:18:00] The Retention Framework: Four questions to ask your team today. [00:23:00] Quiet Cracking: Spotting the nuance of disengagement before it’s too late. [00:27:00] Call to Action: Pick one experienced nurse and ask the question. Are you a healthcare leader? Subscribe to Better Every Shift for tactical advice on turning clinical curiosity into organizational impact. #NursingLeadership #HealthcareManagement #NurseRetention #BetterEveryShift #HospitalExecutives If you are enjoying these episodes please share your favourite with a friend or colleague who might too.  Inspire Calm Courage Educator Workshop Series Join now.   www.bettereveryshift.com.au "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. 14 jun

    Hay Bales and Hospital Beds: Taping the non-clinicial genius of your Workforce

    Text us here. We'd love to hear from you "Have you ever found yourself so 'underwater' at home that you had to look a well-meaning visitor in the eye and say, 'I’m happy you brought dinner, but I’m going to bed now, see ya'?". In this episode of Better Every Shift, Naomi and Tubi dismantle the "blank slate" myth in healthcare—the arrogant assumption that clinicians only grow through two-hour professional development workshops while their decades of lived experience are treated as background noise. We explore why nursing is a team sport and why recruitment panels are often "afraid to be curious" about who a person is outside of their registration. From Naomi’s high-stakes lesson in consequences while driving a ute full of hay to Tubi’s realization that "we and us" mentalities are forged on basketball courts and rowing crews, we discuss how to bridge the gap between life and leadership. Stick around to learn how to identify the "transferable skills" your team is already using every shift and why your organization's resilience depends on valuing the "real world" wisdom your staff brings to the bedside. Key Discussion Points The Triplets’ Time Management: How managing four kids under 18 months teaches a leader to set boundaries and prioritize "my timing" over people-pleasing. The "Hay Bale" Lesson: Why the best clinical lessons involve real-world consequences and why "bunny-hopping" a car is the perfect metaphor for inconsistent leadership. Team Sports vs. Solo Wins: Why clinicians with a background in competitive team sports bring a natural "team leader" priority to the ED. The Arrogance of the Workshop: Challenging the idea that a two-hour session can replace the "politicking" and negotiation skills learned on a sporting committee or at a non-profit board. Recruitment Curiosity: How probing into a candidate’s "non-clinical" past—like managing a rural youth group or a difficult relationship—provides a much richer understanding of their true strength. Flipping the Script: Moving from a "box-ticking" interview to a session that explores how life has built a candidate’s capacity for clinical creativity and resilience. Maximize your recruitment ROI by looking for the "hidden" leadership indicators that don't appear on a standard clinical CV. By valuing lived experience, you can build business resilience and a workforce capable of navigating complexity without waiting for "permission" or a formal workshop to show initiative. Timestamps [00:00:00] Intro: Are we failing to recruit the right "athletes" for our teams?. [00:02:00] Managing the Colicky Baby: Lessons in priorities and boundaries. [00:08:00] The Rowing Shell and the ED: Why nursing is the ultimate team sport. [00:12:00] Start-and-Stop Consequences: The hay bale story and clinical pace. [00:15:00] The "Baby Bird" Myth: Why we undervalue previous life experiences. [00:18:00] Fierce Coaches and Teen Lessons: Learning to receive candid feedback early. [00:22:00] Probing for Greatness: How recruitment panels can "dig a little deeper". [00:25:00] The Arrogant Workshop: Why one day of training won't "fix" a leader. About the Hosts Better Every Shift is the podcast for brilliant healthcare professionals who believe that self-regulation and honest reflection are the keys to professional excellence. Hosted by Naomi and Tubi, we use our curiosity and lived experience to help you bridge the gap between clinical stress and genuine leadership impact. If you are enjoying these episodes please share your favourite with a friend or colleague who might too.  Inspire Calm Courage Educator Workshop Series Join now.   www.bettereveryshift.com.au "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."

    29 min.

  3. 3 jun

    The Indispensable Leader: Allocation to Team Resilience

    Text us here. We'd love to hear from you “If you are the only person who knows how to do the roster, manage the equipment, or troubleshoot the EMR, you aren't indispensable—you’re a single point of failure.” In this episode of Better Every Shift, Naomi and Tubi tackle the dangerous paradox of the "go-to" nurse. We explore why being the only person with the answers feels like professional value but is actually a direct threat to your unit’s resilience. We dismantle the "pleading" style of leadership, where managers treat delegation like a personal favor to "mates" and end up losing their clinical credibility in the process. From Naomi’s teenage "breathalyzer" strategy to the "E-Myth" concept of working ON the business, we provide a roadmap for moving along the continuum from operational task-master to strategic leader. Stick around to learn why succession planning is one of your most important (and ignored) tasks and how a one-minute "context" conversation can stop a shift from collapsing the moment you go on leave. Key Discussion Points The Delegation vs. Allocation Trap: Why making work personal leads to "pleading" and how to reframe tasks as team resource management.Warmth vs. Competence: Finding the balance between being a "dictatorial" rule-follower and a "dithering mess".The Power of Context: Why providing the "why" and inviting negotiation makes clinical requests land effectively instead of sounding like an order.Managing Resistance: Strategic ways to handle "pushback" by identifying the underlying cause—is it the task, or is the team member just having a difficult day?.The Bottleneck Manager: How holding onto tasks because "it’s quicker to do it myself" creates a single point of failure for the entire service.Succession as Unit Strategy: Why training staff to do the roster or manage equipment is an investment in whole-service sustainability.Working ON vs. IN the Business: Using the E-Myth framework to give your department a secure, resilient future.What’s In It For You? You will walk away with a shift in mindset: realizing that you are never indispensable in healthcare and that your true value lies in how many people you have trained to take your place. You’ll gain tactical scripts for providing context and inviting negotiation, ensuring your team feels supported rather than "abandoned" during high-pressure shifts. Timestamps [00:00:00] Intro: The "Single Point of Failure" [00:02:00] Pleading vs. Allocating: Why delegation is never personal.[00:04:00] The Credibility Gap: Why "begging" your team fails.[00:06:00] Naomi’s Breathalyzer Story: When "right" is delivered "wrong".[00:08:00] The 3 Hidden Keys: Context, Connection, and Negotiation.[00:12:00] Handling the "Difficult" Team Member: When to pull rank and when to give control.[00:15:00] The Manager’s Angst: Why holding on feels safer than letting go.[00:18:00] Paediatric Cannulation & Junior Staff: Teaching before you need to.[00:20:00] Developing Service Capability: The hidden cost of "it's faster if I do it".[00:24:00] The E-Myth Revisited: Learning to work on your business.About Better Every Shift Better Every Shift is the podcast for brilliant healthcare professionals who believe that self-regulation and honest reflection are the keys to a better shift. Hosted by Naomi and Tubi, we draw on our lived experience as clinical leaders to help you build your thought leadership and clinical impact. The "Single Point of Failure" Analogy: When you are the only one who knows the "secret" to the roster or the equipment, you aren't a hero—you’re a bottleneck. Like a single piece of equipment that breaks and shuts down an entire OR, if the unit collapses when you go on leave, you haven't built a team; you’ve built a dependency. This episode is about building resilience, not indispensability. If you are enjoying these episodes please share your favourite with a friend or colleague who might too.  Inspire Calm Courage Educator Workshop Series Join now.   www.bettereveryshift.com.au "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."

    31 min.

  4. 26 mei

    Crossing the Streams: Supporting Development across Health

    Text us here. We'd love to hear from you In this episode of Better Every Shift, Naomi and Tubi dismantle the rigid boundaries of nursing career "streams"—Educator, Manager, Clinical, and Research. We explore the "bland job description" trap and why our current systems make it nearly impossible for brilliant clinicians to move between roles, even when they have the exact transferable skills the organization needs. Naomi shares the story of her own "impossible" jump from educator to Nursing Director—a move three levels up that many said shouldn't be done—and how she sustained that role for 18 months. We discuss why business resilience depends on workforce flexibility and why the "clinical voice" must be articulated with clarity if we are to survive the next five years of healthcare. Stick around to learn how to "flip the script" on your next job application and why the most powerful thing a leader can say is, "I don't know yet". Key Discussion Points The Streaming Paradox: Why we justify senior director positions by creating rigid lanes that actually decrease organizational flexibility. The 3-Level Jump: Naomi’s lived experience moving from educator to executive and what it teaches us about imaginary career boundaries. Articulating Transferable Skills: How to translate research budget management or educational feedback into "elite leadership skills" for an interview panel. The "Bland" JD Trap: Why simplifying job descriptions to reduce administrative chaos has stripped away the creativity needed for staff development. Sitting in Tension: Why the need to have all the answers is driven by fear and why "holding your ground" on uncertainty builds more respect than a quick, wrong answer. If you are enjoying these episodes please share your favourite with a friend or colleague who might too.  Inspire Calm Courage Educator Workshop Series Join now.   www.bettereveryshift.com.au "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.

  5. 23 apr

    Developing Critical Thinking in Teams

    Text us here. We'd love to hear from you It feels like there is something missing.  "How did they not see this patient was becoming more unwell?", "I can't trust anyone to do their job". We tend to think we think with logic at the forefront, but as this episode unpacks all of us have flawed, clouded with emotions and biases.  In this episode Tubi and Naomi unpack critical thinking and developing it in out nursing teams.   If you are enjoying these episodes please share your favourite with a friend or colleague who might too.  Inspire Calm Courage Educator Workshop Series Join now.   www.bettereveryshift.com.au "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.

  6. 13 apr

    Judgement is an Emotion: Navigating the Human Complexity of Feedback

    Text us here. We'd love to hear from you "Judgment is an emotion. Every time you articulate a clinical judgment to a colleague, you are delivering an emotional message, whether you like it or not." In this episode of Better Every Shift, Naomi and Tubi dive into a rich and provocative article by Margaret Bearman et al. titled "Feedback with feelings: the human complexity of expressing judgements about performance." We dismantle the myth that emotions in healthcare are merely "internal psychological states" to be managed in private; instead, we recognize them as the literal "elephant in the room" in every clinical learning environment. We explore why claiming to give feedback "without judgment" is actually a form of professional dishonesty that can make a situation worse. From the physiological impact of adrenaline and cortisol on our ability to hear properly to the "story" we create in our heads about our peers, this episode provides a roadmap for "naming the edge". Stick around to learn how to move beyond sterile clinical checklists and start having the pragmatic, transparent conversations that actually move the needle on performance. Key Discussion Points The Myth of the "Internal State": Why the literature is misleading when it suggests emotions are only the individual's problem to manage. Judgment as an Emotional Act: Understanding that expressing a judgment is an emotional event for both the supervisor and the trainee. The Honest Debrief: Why admitting you are upset about a poor outcome can actually lead to a more useful conversation than pretending there is no problem. Physiological Barriers: How high-stress triggers (like a pager going off) flood the body with chemicals that make it impossible to process complex conversations. The Pre-Mortem Strategy: How to forecast "icky" feelings on day one to normalize struggle and keep the lines of communication open. Gendered Judgments: Addressing harmful social hierarchies, such as the "angry mum" feedback trap, and how to keep feedback factual rather than personal. Pastoral Conversations: Why understanding the context of a student's life is often more powerful than any clinical performance checklist. Timestamps [00:00:00] Intro: The Bold Statement—"Judgment is an Emotion". [00:01:46] The Elephant in the Room: Why we ignore emotions in debrief. [00:03:00] The Dishonesty of "Feedback Without Judgment". [00:05:00] Adrenaline and Cortisol: Why you can’t think straight when the pager goes off. [00:07:00] The Pre-Mortem: Forecasting the "year of disaster" for students. [00:09:00] Why we value some feedback more than others: Impressing the "right" people. [00:12:00] Scenario 1: The "Long, Audible Sigh" and naming non-verbal cues. [00:15:00] Scenario 2: Dismantling gendered judgments and the "Angry Mum" comment. [00:18:00] Scenario 3: Legitimizing pastoral conversations over checklists. [00:21:00] The "Desk Fairy" Analogy: The power of intentional positive feedback. [00:25:00] Special Offer: Coaching and e-learning for your clinical team. If you are enjoying these episodes please share your favourite with a friend or colleague who might too.  Inspire Calm Courage Educator Workshop Series Join now.   www.bettereveryshift.com.au "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.

  7. 8 apr

    Beyond Learning by Doing: Simulation is a social Practice with Nathan Oliver

    Text us here. We'd love to hear from you "Without relationship, that content is not going anywhere.". In this episode of Better Every Shift, we are joined by Nathan Oliver, a simulation expert and PhD candidate who has spent over a decade leading medical and nursing education in the UK and Australia. Nathan challenges the traditional "medical paradigm" by arguing that rapport, trust, and safety must be prioritized over clinical content if we want learning to actually land. We dive into the "spicy" world of simulation and debriefing, exploring how to manage disruptive "clinically strong" team members and how to support struggling new grads who feel like they are "underwater". Nathan shares his unique insights on "debriefing by eyebrows"—why your tone and cadence are more important than your specific questions—and the vital importance of mental rehearsal in high-stress emergencies. Key Discussion Points The Social Learning Shift: Moving beyond Kolb’s 1984 model to understand simulation as a social practice where we learn in community.Reading the Room: Identifying "micro-communication" leaks and body language in "muted" or "shut down" teams.The "Lizard Brain" in the Clinical Space: Why we don't rise to our aspirations under stress but instead lower to our level of training.Mental Rehearsal: Why athletics and aviation prioritize mental walkthroughs and why healthcare needs to make this practice explicit.Fake vs. Genuine Curiosity: Why your team "smells a rat" when you ask inauthentic, judgment-laden questions.The Burnt Memory: A powerful story of how one piece of negative feedback can stop a clinician from apologizing for a decade.Chapters Intro: Nathan Oliver’s journey from "underwater" student to simulation expert. [04:00] The Social Practice of Learning: Watching and reflecting in community. [06:00] Scenario 1: Managing the highly disruptive but clinically strong team member. [09:00] Making the Implicit Explicit: Modeling transparency [17:00] Scenario 2: The struggling new grad—is it capability or stress overload?. [20:00] The Adrenaline Secretion: Why we can’t think clearly in the first five minutes of an emergency. [23:00] Debriefing by Eyebrows: The impact of tone, cadence, and genuine curiosity. [25:00] The Burnt Memory:  [28:00] The Gold Tip for Educators: Why relationship always trumps content. [31:00] Debriefing the Debrief:  stay in the growth space. Resources Fixing, Helping and Serving Rachel, Naomi Remen Author of Kitchen Table Wisdom  Daily Good Story  Emotional Culture Deck - Riders and Elephants Work Nathan is contributing to: The Scottish centre debrief modelThe Meta-Debrief Club: An embedded model for ongoing faculty development and quality assuranceExploring the Meta-debrief: Developing a Toolbox for Debriefing the Debrief - PMC If you are enjoying these episodes please share your favourite with a friend or colleague who might too.  Inspire Calm Courage Educator Workshop Series Join now.   www.bettereveryshift.com.au "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."

    39 min.

  8. 31 mrt

    The Sterility Trap: Why connection is essential for effective decision making

    Text us here. We'd love to hear from you “If the people aren't part of the agenda... how is that not an email?” In this episode of Better Every Shift, Naomi and Tubi tackle the "sterility trap"—the dangerous trend where nursing meetings become so focused on "efficiency" and data reporting that they lose the personal connection necessary for effective decision-making. We explore the "tyranny of silence," where a lack of relationship at the leadership level means no one feels safe enough to speak up as one voice when difficult directives are handed down. Stop wasting your team's time with verbal content downloads. We discuss how to "flip the script" so reporting happens beforehand, leaving your meeting time open for exploration, meaningful questions, and activating your team’s "brains trust". Whether you are a nurse manager or an executive leader, this episode provides a practical framework for moving past "sterile" spaces to create genuine collective responsibility. Key Discussion Points The Sterility Trap: How trying to be efficient by removing "peopleness" and levity actually makes teams less efficient and less capable of tough conversations.Flipping the Script: Moving reporting to pre-meeting updates so the live session can focus on exploration: "What risks lie here?" and "What are people worried about?".The Tyranny of Silence: Why silence in a meeting is rarely agreement—it’s often isolation and a lack of collective agreement to share the responsibility of speaking up.Hiding Behind Slides: Why many leaders rely on data and slides because they lack the facilitation skills to manage strong personalities and open conversations.The Social Contract: Setting a meeting agreement to focus on the challenge, not the person, and managing expectations for action over immediate solutions.What’s In It For You? You will gain a three-step strategy to "un-sterilize" your meetings and reclaim your team’s focus. You'll learn how to identify which agenda items should have been an email and how to facilitate a conversation that makes clinical data actionable and personal. By the end of this shift, you’ll have the tools to ensure your staff feels heard, reducing the risk of "whinge sessions" and increasing shared responsibility. Timestamps [00:00:00] Intro: The "How is that not an email?" [00:02:00] Defining the Sterility Trap: Why efficiency shouldn't kill connection.[00:05:00] The Tyranny of Silence and the isolation of leadership.[00:08:00] Flipping the Script: Exploration vs. Reporting.[00:11:00] Facilitation Mastery: Why you should stop downloading content.[00:14:00] The "Brains Trust" and shared responsibility.[00:17:00] Setting up the 3-Month Pilot to change your meeting culture.[00:22:00] Time limits and avoiding the "whinge session".[00:25:00] Making specialty experiences (like Periop) transferable to the whole group.The "Meeting Script" Analogy: Imagine your meeting is a clinical handover. If you spend the whole time reading the chart out loud, you aren't actually assessing the patient—you're just reciting data the team could have read themselves. Flipping the script means everyone reads the chart before the huddle, so the time spent together is focused on the critical thinking: "What are we worried about today?" and "How are we going to support each other?". If you are enjoying these episodes please share your favourite with a friend or colleague who might too.  Inspire Calm Courage Educator Workshop Series Join now.   www.bettereveryshift.com.au "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.
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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.  

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  • Maker
    Naomi & Tubi | Healthcare Culture Consultants & Team Performance Experts
  • Jaren actief
    2025 - 2026
  • Afleveringen
    32
  • Beoordeling
    Expliciet
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    © 2026 Better Every Shift for Nurses
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    Better Every Shift for Nurses
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