The Gritty Nurse

Amie Archibald-Varley
  • 4.4 (31)
  • Medicine
  • Updated Weekly

The Gritty Nurse is back, and NO TOPIC is off-limits! Launching in September 2025 with host Amie Archibald Varley, this podcast is dedicated to amplifying the voices of nurses and others who work in healthcare to explore the most pressing issues they face. Join Amie as she continues to take a deep dive into powerful and often uncomfortable topics. Though shared experriences, storytelling and the discussions surrounding the intersection of power, we will navigate the challenges facing healthcare nationally and internationally--as of course--challenge the status quo. The show's core belief remains unwavering: that compassion is the through understanding diverse narratives and perspectives is KEY. Amie will continue to explore hot-button issues like mental health, social justice, women's health, and the daily challenges within the nursing profession. The Gritty Nurse is more than just a podcast—it's a community where nurses and healthcare workers can feel heard, empowered, and recognized as the community leaders they truly are. Change is HERE.

  1. 3h ago

    The True Cost of Care: Storytelling, Profit Motives, and Front-Line Advocacy with Nurse & Best Selling Author Theresa Brown

    What does modern healthcare actually cost when we look past balance sheets and measure it in human lives, moral injury, and front-line burnout? In this episode, New York Times bestselling author and Registered Nurse Theresa Brown joins the show to discuss her journey from English literature academic to bedside clinician and nationally recognized healthcare advocate. Drawing from her latest book, The Cost of Care, Theresa breaks down how profit motives and administrative overhead fragment the patient experience, the emotional weight of trauma and patient loss, and why nurses must claim their seat at policy and political tables. From the transformative potential of Nurse Practitioners and Midwifery care to reframing elder care and combatting racial disparities in health outcomes, this conversation provides a clear-eyed analysis of the system's flaws—and a hopeful blueprint for sustainable, compassionate reform. Key Takeaways & Core Themes The Human Expense of Profit-Driven Care: Financial metrics and administrative bottom lines often clash directly with bedside ethics, forcing clinicians to navigate systemic inefficiencies at the expense of patient outcomes. Moral Injury & Patient Loss: Traditional clinical education leaves nurses unprepared for the emotional burden of patient death and secondary trauma. Storytelling serves as both a tool for personal healing and a weapon for systemic reform. Expanding High-Impact Care Models: Independent Nurse Practitioner primary care and midwifery-led birth centers consistently deliver superior outcomes and human-centered care, yet face artificial regulatory and financial barriers. Political & Economic Literacy as Advocacy: True healthcare reform requires front-line workers to move beyond bedside excellence into understanding health economics, legislative policy, and grassroots political engagement. Episode Chapter Timestamps 00:00 – Introduction: From Academia to the Bedside (Theresa Brown's Journey) 04:05 – The Invisible Weight: Emotional Toll, PTSD, and Writing as Clinical Healing 08:01 – Primary Care Evolution: Unleashing the Power of Nurse Practitioners 11:58 – Midwifery & Birth Centers: Evidence-Based Outcomes vs. Systemic Resistance 15:54 – The Profit Motive: Administrative Costs and Structural Inefficiencies 19:49 – End-of-Life & Aging: Confronting the Over-Medicalization of Death 22:00 – Equity at the Bedside: Social Determinants of Health and Racial Disparities 24:01 – Models That Work: Innovative Solutions for Sustainable Care 25:57 – Privatization Threats: Policy Battles Over Systemic Healthcare Access 28:10 – Nurses in Policy: Shifting from Bedside Caregiver to Systemic Advocate 29:59 – Health Economics 101: Why Front-Line Clinicians Must Understand the Money 32:08 – Humanizing the Data: Patient Stories Behind the Statistics 34:00 – Ethical Boundaries: Moral Responsibilities in Unkind Systems 36:02 – The Path Forward: Directives for Real Healthcare Reform 39:59 – Staffing & Safety: How Overwork Directly Impacts Patient Survival 41:49 – Lessons from History: How Healthcare Systems Have Shifted Before 43:59 – Public Options & Universal Access: Reimagining Care as a Human Right 46:02 – Call to Action: Using Your Voice, Story, and Vote for Reform 48:03 – Closing Remarks: Where to Find The Cost of Care & Connect with Theresa Where to Find Theresa & Her New Book Official Website: theresabrownrn.com Substack Newsletter: theresabrown.substack.com Order The Cost of Care: Amazon: Amazon.ca Listing Signed Copies: Pre-order signed/personalized copies locally via City of Asylum Bookstore Social Media & Contact: Email / Inquiries: https://www.theresabrownrn.com X / Twitter: @TheresaBrown

  2. Sep 10

    Free Labour: The Real Cost of Becoming a Nurse

    Nursing students in Canada and the U.S. can rack up 800–1,400+ mandatory clinical hours before they graduate — and not one of them is paid. In this episode, The Gritty Nurse Amie Archibald-Varley, traces that unpaid-labour model back to its actual origin: Florence Nightingale's 1860s training school and the 2,000+ hospital "training schools" that turned her vision into free ward staff within a generation. From there, Amie tracks how nursing education got professionalized, expensive, and gendered — comparing it to paid co-ops in engineering and the trades, unpacking why nursing training stayed unpaid while other fields didn't, and revisiting a piece of history most nurses have never heard of: a U.S. federal program that paid 85% of the country's nursing students to go to school, eighty years ago. If you've ever wondered why nursing students foot the bill and do the labour, this is the episode that connects all of it — with the receipts. Free Labour: The Real Cost of Becoming a Nurse Why do nursing students do the labour of employees and pay like tourists — in both Canada and the United States? In this episode, we go back over 150 years to trace exactly how we got here. In this episode: The NCLEX fee increase hitting Canada and the U.S. on the same day in 2027 — the first change to either fee since 2000 Florence Nightingale's 1860 training school at St Thomas' Hospital, the two-tier "probationer" system, and how fast her model turned into free hospital labour once it crossed the Atlantic to Bellevue, New Haven, and Massachusetts General How nursing education moved from hospital basements into universities — and how the cost moved onto students while the unpaid-labour model stayed exactly the same Real tuition and clinical-hour numbers from both countries, and testimonials from nursing students describing placements as "free labour" How nursing's unpaid clinical model compares to paid co-ops in engineering and the trades — including real wage data The gender question underneath all of this: who gets the paid seat, and what that means for lifetime earnings The U.S. Cadet Nurse Corps — a WWII-era federal program that paid full tuition, stipends, and housing for nursing students, reaching 85% of all nursing students in the country by 1945 — and what today's hospital-run "earn while you learn" programs (Duke, HCA, SSM Health, and others) prove is still possible What actually needs to change, and where the pressure is already building Like, Share and SUBSCRIBE!  * Listen on Apple Podcasts – : The Gritty Nurse Podcast on Apple Apple Podcasts  https://podcasts.apple.com/ca/podcast/the-gritty-nurse/id1493290782 * Watch on YouTube –  https://www.youtube.com/@thegrittynursepodcast Stay Connected: Website: grittynurse.com Instagram: @grittynursepod TikTok: @thegrittynursepodcast Facebook: https://www.facebook.com/profile.php?id=100064212216482 X (Twitter): @GrittyNurse Collaborations & Inquiries: For sponsorship opportunities or to book Amie for speaking engagements, visit: grittynurse.com/contact REFERENCES National Council of State Boards of Nursing (NCSBN) — NCLEX registration fee increase announcement, effective February 1, 2027 British Journal of Nursing — "The legacy of Florence Nightingale's educational reforms for nursing" Wikipedia — Florence Nightingale Faculty of Nursing and Midwifery The Hospital (1917), "The Nightingale School and St. Thomas's Hospital," via PMC Old Operating Theatre Museum — "Why did nursing need to be reformed in the 19th century?" Springer Publishing Company — "History of Nursing Education" Mapping Care Project, University of Illinois Chicago Penn Nursing Historical Archive, University of Pennsylvania BC College of Nurses and Midwives (BCCNM) — Centennial report Health Human Resources (HHR-RHS) — "Introduction to the Health Workforce in Canada" Canadian Centre for Policy Alternatives, via CBC News AECC Global — Canadian nursing tuition data Amber Student — international nursing tuition comparisons University Magazine (2023) — Canadian nursing student testimonials CBC News, First Person — Eyasu Yakob, nursing student account Western Governors University (WGU) — clinical hour requirements by program type ScienceDirect — "Variability of clinical hours in prelicensure nursing programs" (2020) BMC Health Services Research (2024), Beks et al. — scoping review on unpaid clinical placements National Association of Colleges and Employers (NACE) — 2025 Guide to Compensation for Interns & Co-ops Statistics Canada — "Insights on Canadian Society," co-op participation by field and gender International Council of Nurses, citing WHO–ILO joint analysis (2022) Engineers Canada — gender composition data, via University Affairs U.S. National Science Foundation — engineering enrollment by gender Statistics Canada 2016 Census data, via Global News — median salary comparison, engineers vs. nurses aged 25–34 NurseJournal.org — gender pay gap in nursing ScienceDirect — integrative review of gender discrimination in nursing (2021) Journal of the Royal Society of New Zealand (2025), Watson et al. — earnings catch-up modelling, nurses vs. police officers National Women's History Museum — "Making a Difference: The U.S. Cadet Nurse Corps" U.S. National Park Service — Cadet Nurse Corps history Smithsonian National Museum of American History — "Creating the Cadet Nurse Corps for World War II" Washington State Nurses Association (WSNA) — "The push to recognize the U.S. Cadet Nurse Corps as veterans" Duke University Health System — Duke Nurse Extern (DNE) careers page SSM Health — Student Nurse Externship / Earn While You Learn program page HCA Healthcare — Student Nurse Externship job listings University of Washington School of Nursing — LTC Externship program page U.S. Public Health Service — SRCOSTEP program information Ontario Health — Enhanced Extern Program Government of Ontario — Learn and Stay Grant

  3. Aug 28

    Good Grief & How Healthcare Teaches Us To Bury It

    This week, grief was impossible to avoid — Hayden Panettiere, Dolly Parton, Tim Curry, and Peter Cullen all left us within days of each other, and the collective mourning was loud, public, and completely normal. But what happens when the person who dies isn't a celebrity — it's your patient, your coworker, or someone in your own family, and you're the healthcare provider who's supposed to hold it together anyway? In this episode on The Gritty Nurse with Amie Archibald-Varley, I get personal about my own experience with grief, then break down exactly how nurses and healthcare providers are trained — from nursing school through clinicals to the bedside — to suppress it. I dig into why that training is maladaptive (with the research to back it up: burnout, complicated grief, even mortality risk), how it complicates our ability to grieve our own losses, and what "good grief" could actually look like if we stopped bottling it up — for our own health, and for our patients' care too. It's time we stop teaching healthcare providers that big girls and big boys don't cry. This episode explores the often overlooked topic of grief among healthcare providers, emphasizing how the current training and workplace culture suppress emotional expression and the profound impact this has on mental health and patient care.  keywords healthcare, grief, burnout, emotional health, nursing, death, compassion, Schwartz rounds, mental health, professional culture  Listen on Apple Podcasts – : The Gritty Nurse Podcast on Apple Apple Podcasts  https://podcasts.apple.com/ca/podcast/the-gritty-nurse/id1493290782 * Watch on YouTube –  https://www.youtube.com/@thegrittynursepodcast Stay Connected: Website: grittynurse.com Instagram: @grittynursepod TikTok: @thegrittynursepodcast Facebook: https://www.facebook.com/profile.php?id=100064212216482 X (Twitter): @GrittyNurse Collaborations & Inquiries: For sponsorship opportunities or to book Amie for speaking engagements, visit: grittynurse.com/contact Please LIKE, COMMENT and SUBSCRIBE! Stay Gritty!

  4. Aug 13

    Silence Isn't Safety, It's Strategy: Inside St. Joe's Fight Against Workplace Violence

    Would your hospital admit that staff get assaulted on the job — in public, with real numbers? St. Joseph's Healthcare Hamilton just did. And it's exposing a crisis most hospitals would rather not talk about. In this episode, I sit down with St. Joe's CEO Mike Heenan to unpack the numbers behind their decision to go public: at least 4 staff members verbally or physically assaulted every day — roughly 1,400 incidents a year, and that's just what gets reported. We dig into what it took to make transparency the policy, not the exception, and what other health systems are still avoiding. We also look at what this means nationally, using the CFNU's 2025 National Nurses Survey: 9 in 10 Canadian nurses experienced verbal abuse from a patient in the past year Workers' comp claims for violence against nurses have nearly tripled in Ontario since 2012 Healthcare workers are 5x more likely to be attacked on the job than workers in any other sector Between 2006–2021, only 12 Canadian court cases involving a nurse victim resulted in a sentencing decision Mike shares what it actually takes to build a safer hospital — leadership buy-in, community engagement, and the willingness to say "yes, this happens here." We also break down why I'm supporting Bill S-233, which would require courts to treat an assault against a healthcare worker as an aggravating factor at sentencing — meaning judges would have to weigh it as a more serious offence, not just business as usual. If you're a nurse, a healthcare worker, or someone who's ever wondered why hospitals stay quiet about this — this episode is for you. Fun fact I stumbled on while researching this: St. Joe's traces back to a group of Sisters of St. Joseph caring for cholera victims in railway sheds in the 1850s — that origin story alone would make a killer future episode. About Mike Heenan Dr. Mike Heenan is President and CEO of St. Joseph's Health System and President of St. Joseph's Healthcare Hamilton. He joined St. Joe's in November 2023 and was named permanent President and CEO of the health system in June 2025. Before St. Joe's, he served as Ontario's Assistant Deputy Minister, Hospitals and Capital, during the COVID-19 pandemic, and has held executive leadership roles across various hospital settings. He holds a PhD in Business Administration/Health Policy Management from McMaster University. Connect with Mike: LinkedIn Careers at St. Joe's Interested in joining the team fighting for safer, more transparent healthcare workplaces? St. Joseph's Healthcare Hamilton is hiring. Browse open positions: joinstjoes.ca

  5. Aug 7

    A Battle Cry for Change: Postpartum Psychosis, Systemic Failure, and the Case of Lindsay Clancy

    In this new episode on The Gritty Nurse Podcast with Amie Archibald-Varley, we examine the case of Lindsay Clancy through the lens of postpartum psychosis and the catastrophic gaps in mental health care that allowed it to go unrecognized and untreated. I start with the question that should be asked before every postpartum antidepressant prescription: has this patient been screened for bipolar disorder? It's now considered the gold standard of care — and it only became standard practice because of this case. From there, we talk about what early screening should look like more broadly, what coordinated care between obstetric and psychiatric providers actually requires, and why compassion — not judgment — has to be the starting point if we want to prevent the next tragedy instead of just mourning it. If you're here for sensationalism, this isn't the episode for you. These are real people, a real family, and real suffering. Our purpose is not to relitigate what happened, but to ask why it happened, and what needs to change so it doesn't happen again. This is the conversation healthcare needs to be having — about postpartum psychosis, about the mothers falling through the cracks, and about the systemic changes required to catch them before it's too late. keywords   postpartum psychosis, mental health, systemic failure, screening, care coordination, maternal health, psychiatric emergency, postpartum depression, bipolar disorder, healthcare gaps      key  topics   Postpartum psychosis and its symptoms System failures in mental health care and prescription practices Importance of early screening for bipolar disorder and depression Systematic gaps in postpartum care and follow-up The Lindsay Clancy case and systemic accountability Role of healthcare providers in recognizing red flags Need for coordinated care among multiple prescribers Impact of medication polypharmacy and withdrawal Advocacy for improved postpartum mental health protocols Community and systemic responsibility in preventing tragedies * Listen on Apple Podcasts – : The Gritty Nurse Podcast on Apple Apple Podcasts  https://podcasts.apple.com/ca/podcast/the-gritty-nurse/id1493290782 * Watch on YouTube –  https://www.youtube.com/@thegrittynursepodcast Stay Connected: Website: grittynurse.com Instagram: @grittynursepod TikTok: @thegrittynursepodcast Facebook: https://www.facebook.com/profile.php?id=100064212216482 X (Twitter): @GrittyNurse Collaborations & Inquiries: For sponsorship opportunities or to book Amie for speaking engagements, visit: grittynurse.com/contact

  6. Jul 30

    Why Thousands of Nurses Are Walking Out Across North America? (And Who's Replacing Them)Them)

    Frontline pressures have reached a boiling point. In this swapcast episode, nurses Erica and Amie tackle the wave of nursing strikes across Massachusetts (MNA) and British Columbia (BCNU), exploring what these recent labor actions reveal about the true state of healthcare. Together, they dive into the harsh realities nurses are standing up against—from unsafe staffing ratios and lack of workplace respect to burnout and corporate greed. Erica and Amie also address the elephant in the room: "scab nurses." They break down the ethical, emotional, and financial strain traveling replacement nurses place on striking staff, how hospital systems use high-paid temporary labor to undercut union power, and the complex reality of nursing ethics vs. corporate greed. More importantly, they share actionable insights on how nurses can build genuine solidarity, mobilize for patient safety, and use their collective voice to drive real structural change. Whether you're on the floor or on the picket line, this is a conversation about standing tall for the profession. 🔗 Connect with Nurse Erica: Podcast: Nurses Uncorked on Apple Podcasts & Spotify Instagram & TikTok: @the.nurse.erica Web: nurseerica.com Listen on Apple Podcasts – : The Gritty Nurse Podcast on Apple Apple Podcasts  https://podcasts.apple.com/ca/podcast/the-gritty-nurse/id1493290782 * Watch on YouTube –  https://www.youtube.com/@thegrittynursepodcast Stay Connected: Website: grittynurse.com Instagram: @grittynursepod TikTok: @thegrittynursepodcast Facebook: https://www.facebook.com/profile.php?id=100064212216482 X (Twitter): @GrittyNurse Collaborations & Inquiries: For sponsorship opportunities or to book Amie for speaking engagements, visit: grittynurse.com/contact

  7. Jul 17

    The Handover: What a 40-Year Gap of Experience Can Teach the Nursing Profession

    How do we reclaim the narrative of modern nursing across generations? In this episode of The Gritty Nurse Podcast, host Amie Archibald-Varley sits down with extraordinary nurses, advocates, and authors Tilda Shalof and Lisa Mochrie to discuss their powerful new book, The Handover: A Nurse's Last Shift. Separated by a 40-year career gap, Tilda Shalof and Lisa Mochrie share their inspiring personal journeys through nursing to show that despite a lifetime of different experiences, we have far more in common than what divides us. At its heart, this episode is about the vital importance of nurses sharing their own stories—because when we write our own narratives, we reclaim our power. Together, they deliver a masterclass in perseverance, nurse mentorship, and finding your voice. They dive deep into why authentic storytelling is the ultimate tool for bridging generational divides, healing the healer, and driving systemic advocacy in healthcare. What We Discuss in This Episode: Why Nurses Must Share Their Stories: The critical importance of taking back our narrative, sharing our lived experiences, and refusing to let others define what it means to be a nurse. Bridging the 40-Year Gap: How a veteran nurse and a newer generation nurse found common ground, proving that the core of the nursing experience transcends time. The Power of Storytelling: Why sharing our raw, unfiltered experiences is crucial to changing the public perception of the nursing profession. Navigating Systemic Challenges: Honest strategies for tackling burnout, staffing shortages, and institutional hurdles in healthcare today. The Importance of Mentorship: How experienced chapters can uplift the next generation, and how new nurses can find the guidance they deserve. The Handover Book: The inspiration behind their book and how it serves as a love letter—and a wake-up call—to the nursing world. Career Longevity: Practical advice for protecting your mental health and thriving at every stage of your nursing career. Meet the Guests: Tilda Shalof was a staff nurse in the Medical-Surgical Intensive Care Unit at Toronto General Hospital for thirty years. She is the best-selling author of several memoirs, including A Nurse's Story, and was awarded the King Charles III Coronation Medal in 2025 for her profound contributions to nursing education. Lisa Mochrie is a Registered Nurse, Team Lead, and Nursing Educator based in Burlington, Ontario.Recognized for her compassionate clinical practice and dedication to mentoring, she was honored by her students with the Most Valuable Professor Award in 2025. Where to Find the Guests & Buy the Book: Grab your copy of The Handover: A Nurse's Last Shift: Available now through University of Toronto Press or your favorite local bookstore! Connect with Tilda Shalof: IG- @nurse.tilda Connect with Lisa Mochrie: IG- @lisa_mochrie Connect with The Gritty Nurse: Website: www.grittynurse.com Instagram: @GrittyNursePod Twitter/X: @GrittyNurse Facebook: The Gritty Nurse With Amie Archibald Varley Support the Show: If you loved this episode, please leave us a 5-star review on Apple Podcasts—it helps other nurses find our community!

  8. Jul 3

    7 Years Ago, I Hid Under My Desk--And Seven Years Later, Almost to The Day... She Was Walked Out.

    Content note: this episode discusses workplace violence, suicidal ideation and psychological harm in a clinical/workplace setting. This week, almost seven years to the day since I walked out of a role where I once hid under my desk to escape a leader who ran her unit on fear, that same leader was walked out of hers. This isn't a celebration episode. I don't take pleasure in anyone losing their income or their identity. But I can't stay quiet about what it means that it took seven years — seven years of turnover, burnout, and silence — for accountability to catch up. In this solo episode, I break down five things we need to talk about: how healthcare culture protects powerful people who lead through fear, why "getting results" is not the same as good leadership, what real accountability structures should look like, and why we need to stop rewarding leaders who manage through intimidation instead of trust. This one is personal. If you've ever made yourself small to survive a shift, this episode is for you.

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4.4
out of 5
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About

The Gritty Nurse is back, and NO TOPIC is off-limits! Launching in September 2025 with host Amie Archibald Varley, this podcast is dedicated to amplifying the voices of nurses and others who work in healthcare to explore the most pressing issues they face. Join Amie as she continues to take a deep dive into powerful and often uncomfortable topics. Though shared experriences, storytelling and the discussions surrounding the intersection of power, we will navigate the challenges facing healthcare nationally and internationally--as of course--challenge the status quo. The show's core belief remains unwavering: that compassion is the through understanding diverse narratives and perspectives is KEY. Amie will continue to explore hot-button issues like mental health, social justice, women's health, and the daily challenges within the nursing profession. The Gritty Nurse is more than just a podcast—it's a community where nurses and healthcare workers can feel heard, empowered, and recognized as the community leaders they truly are. Change is HERE.

Information

  • Creator
    Amie Archibald-Varley
  • Years Active
    2019 - 2026
  • Episodes
    100
  • Rating
    Explicit
  • Copyright
    © 2025
  • Show Website
    The Gritty Nurse

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