23 min
The Reality & Challenges of Nursing With Jim Cagliostro (Pt 1)| E. 47 The Healthcare Leadership Experience
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- Business
The evolving role of nursing in today’s healthcare organizations, and its inherent challenges.
Episode Introduction
The role of nursing has undergone a transformation in recent years, accelerated by COVID. Physician shortages have had a key impact on this evolution, but burnout is still the reality for many nurses. In this first episode of a two-part discussion, VIE Healthcare Consulting’s founder and CEO Lisa Miller interviewed Jim Cagliostro to discuss the day-to-day demands on the nursing profession, offer strategies to prevent burnout, and discuss the role of nurses in leadership.
Show Topics
The evolving role of nursing in the US CRNAs operate without an on-site anesthesiologist Specialized nursing roles lead to better and safer patient care Learning the business side of healthcare The current state of the nursing profession Understanding the causes of burnout Nursing in leadership: having a seat at the table
01:55 The evolving role of nursing in the US
Jim explained that nursing has expanded beyond the traditional helping role.
‘’… nurses as the frontline healthcare providers, they have grown also to become the backbone of the healthcare system because it's no longer viewed as just a helping role. Nursing has become a more prominent profession that has had a louder voice. Maybe the voice hasn't gotten louder, but maybe it's that more people are listening. I mean, there's so many descriptions we can give for nurses: patient advocates, policy makers, researchers, educators, community partners, caregivers. There are so many different descriptions in terms of what nurses do. So I love being a nurse. And I think when I got into it, I didn't realize just the breadth of what that might include, what it means to be a nurse. But I'm excited to be a part of a profession that really does have an impact in so many different aspects of healthcare in this country.’’
04:02: CRNAs operate without an on-site anesthesiologist
Jim said that due to staffing shortages, the need for nursing practitioners and CRNAs is increasing.
‘’I remember there was a client we were working with, and we were looking just at the topic of CRNAs, certified registered nurse anesthetists. And I know not in New Jersey, but in some other states, CRNAs are legally allowed to operate without an anesthesiologist on site. And simply that's just out of need. You have very rural locations, and you simply don't have enough anesthesiologists to cover every surgery center or whatever the operation might be in a very rural location. And so you have those who are still nurses. Now they've had more training, they've had more experience and they're perfectly capable of handling whatever the situation might be, but nurse practitioners is another example. They might work under the authority of a physician, but the need for nurse practitioners has really increased. And that's even before COVID.’’
06:47 Specialized nursing roles lead to better and safer patient care
Jim said that the passion at the heart of nursing can help hospitals to establish effective policies, in addition to better and safer patient care.
‘’I mentioned specialized roles like the nurse anesthetists and nurse practitioners. Those again are increasing in terms of not just the numbers, but what they're able to do and how they're able to provide better patient care. And that's in partnership with the whole system and partnership with physicians and administrators. I think the value comes in when there's like the hands-on direct patient care that nurses have as their foundation. That's where our training is. That's where our heart is. I believe that lays a wonderful foundation to bring with us into other areas, whether it's leadership, management, helping in terms of policy and creating policy that works because a lot of times I think in our minds... But policies are made by those who
The evolving role of nursing in today’s healthcare organizations, and its inherent challenges.
Episode Introduction
The role of nursing has undergone a transformation in recent years, accelerated by COVID. Physician shortages have had a key impact on this evolution, but burnout is still the reality for many nurses. In this first episode of a two-part discussion, VIE Healthcare Consulting’s founder and CEO Lisa Miller interviewed Jim Cagliostro to discuss the day-to-day demands on the nursing profession, offer strategies to prevent burnout, and discuss the role of nurses in leadership.
Show Topics
The evolving role of nursing in the US CRNAs operate without an on-site anesthesiologist Specialized nursing roles lead to better and safer patient care Learning the business side of healthcare The current state of the nursing profession Understanding the causes of burnout Nursing in leadership: having a seat at the table
01:55 The evolving role of nursing in the US
Jim explained that nursing has expanded beyond the traditional helping role.
‘’… nurses as the frontline healthcare providers, they have grown also to become the backbone of the healthcare system because it's no longer viewed as just a helping role. Nursing has become a more prominent profession that has had a louder voice. Maybe the voice hasn't gotten louder, but maybe it's that more people are listening. I mean, there's so many descriptions we can give for nurses: patient advocates, policy makers, researchers, educators, community partners, caregivers. There are so many different descriptions in terms of what nurses do. So I love being a nurse. And I think when I got into it, I didn't realize just the breadth of what that might include, what it means to be a nurse. But I'm excited to be a part of a profession that really does have an impact in so many different aspects of healthcare in this country.’’
04:02: CRNAs operate without an on-site anesthesiologist
Jim said that due to staffing shortages, the need for nursing practitioners and CRNAs is increasing.
‘’I remember there was a client we were working with, and we were looking just at the topic of CRNAs, certified registered nurse anesthetists. And I know not in New Jersey, but in some other states, CRNAs are legally allowed to operate without an anesthesiologist on site. And simply that's just out of need. You have very rural locations, and you simply don't have enough anesthesiologists to cover every surgery center or whatever the operation might be in a very rural location. And so you have those who are still nurses. Now they've had more training, they've had more experience and they're perfectly capable of handling whatever the situation might be, but nurse practitioners is another example. They might work under the authority of a physician, but the need for nurse practitioners has really increased. And that's even before COVID.’’
06:47 Specialized nursing roles lead to better and safer patient care
Jim said that the passion at the heart of nursing can help hospitals to establish effective policies, in addition to better and safer patient care.
‘’I mentioned specialized roles like the nurse anesthetists and nurse practitioners. Those again are increasing in terms of not just the numbers, but what they're able to do and how they're able to provide better patient care. And that's in partnership with the whole system and partnership with physicians and administrators. I think the value comes in when there's like the hands-on direct patient care that nurses have as their foundation. That's where our training is. That's where our heart is. I believe that lays a wonderful foundation to bring with us into other areas, whether it's leadership, management, helping in terms of policy and creating policy that works because a lot of times I think in our minds... But policies are made by those who
23 min