How to Empower Nurses to Lead the Way in Global Healthcare

Let's get started. And then also too as we have people coming in. We're hoping to have some time for questions as well. So if you could put your questions either in the chat. Or in the QA. Maria and I will be sure to save a little bit of time. Hopefully we can address some of your questions at the end of this presentation today. Welcome everyone. I'm just gonna give everyone maybe one more minute of time to get in the room. And then in the interest of time, we'll go ahead and get started because we have lots of good stuff to talk about today. So as you're coming into this room, if you're just joining us. Please feel free to put in the chat. Who you are, and where you're from and where you are on your healthcare learning journey. So you have a faculty member here, welcome. Thank you so much for joining us today. And then, if you have any questions during the presentation too, go ahead and use that QA feature. Anne Marie and I will check that towards the end of the presentation today and hopefully have time to address a few of your questions too. Welcome from Florida. Hi from Kansas. Hi everybody. Who's joining us? Okay, I think we're about here. We're about ready to get started. What do you think Maria? I'm ready to go. Yeah. Alright, well hi everyone and one more welcome. Thank you so much for joining us today. We are here to talk about how to empower nurses to lead the way in global health care. I am Liz Lucas. I'm the senior content manager. Okay. And I've been with the company for about I think I just hit my 3 anniversary now before that I was a nurse educator still and the nurse educator and worked at the bedside as a nurse for many. Years as well. And I live outside of Baltimore, Maryland and I am joined today by Dr. Maria Farmer. Would you like to introduce yourself, Maria? Sure, hi everyone. I'm Maria from our Director of Nursing Education. Here at Osmosis from Elsevier. I'm really excited to be talking about this global health care. Being with an international publisher, we do a lot of work globally and create content for other parts of the world. And so, we're interested in, you know, imparting some wisdom on you as well. So. Been with Osmosis for a little over 2 years, Elsevier for about 20 years or so. And I live, I guess the closest city to me is Philadelphia PA. I'm in a town called Morris Town, New Jersey, which is about 20 min from Philadelphia. Thank you, Maria, for joining me today for this webinar session and like I had mentioned if you have any questions as we go through feel free to use that QA section. We'll try to find time at the end. Here's our agenda for today. It's a full one. Can you tell? So, some of the things we're hoping to address today. As the role of nurses in global healthcare, the need for nurse leaders, my goodness, do we need some nursing leadership, and thankfully we have some good nursing leaders. We are gonna talk about some real-world examples of nursing leadership, some strategies to enhance leadership skills. Advocating for change, evolving technology, resources for global nursing leaders, and also the role of AI, new and emerging technology and what role does that and will that play in global nursing as well as. Yeah. Okay, so I'm gonna start by talking about nurses, but we belong at so many places. We really have such a huge role in health care. In fact, we're the largest single component of the health care system. Nurses make that up. And so, we really do belong at the bedside and that's oftentimes what people picture when they kind of picture does a nurse look like in my brain? They might picture a person and scrubs taking care of a patient in the hospital in an acute care setting. It's really common kind of visual. It's what we've learned and kind of what we've been cultured to what the definition of a nurse is as someone who's strictly in the hospital taken care of acutely ill patients. It's what we see in the media too, whenever someone portrays a nurse, that's the most typical way you see a nurse being portrayed. But that's a very narrow vision that absolutely, is the case for so many nurses and we need those bedside nurses, but really nursing is so much bigger than that too. So, all that kind of scrub image of a nurse does represent many nurses accurately. There?re actually more nurses working in non-hospital settings than in hospital settings. And with our world more interconnected than it ever has been before through things like information technology. International travel. Social media, migration patterns, and also with us facing really important things like. Huge health crises, wars, poverty and climate change It's really important to consider the role of nurse. In global health care. So then where do we fit in? Well, obviously we fit in with doing that. Direct patient care, right? We're often like the first line of defense for our patients. But we also belong organizationally too. So, creating organizational, structural and cultural changes for the better. At the level of the community, state. Country and even on a global scale with our immense experience taking care of patients and understanding the needs of our patients. We are in this unique position to really understand how to care for patients on a global scale, meaning how do we care for the patient as an individual? How do we care for patients living in a particular community or people living in a particular community, city, country, and world? And what can we do to impact their health? Nurses play a pivotal role in organizations like the United Nations. Who the World Health Organization and also the International Council of Nurses, which is actually I find this incredible, was actually founded in 1899. So, my goodness, they really have this vision of an international council of nursing. Way back in 1899. So that's really important in nurses that really play a pivotal role in all those organizations. But despite this, nursing is actually underrepresented in these major global healthcare organizations. So, there's a lot more work that we need to do. And then addition, there's an even weaker voice. Of nursing and low-income countries within Indigenous peoples and in other disadvantaged groups. So today and in celebration of Nurses Week, happy nurses? week to everyone out there. We are going to talk about how nurses can lead the way in global health care. There we go. Okay, so let's talk about the need for nurse leaders then. There are just a few examples of areas that nurses can and do make incredible contributions to global healthcare. One is in research and innovation. And here nurses contribute to healthcare research. They develop new patient care protocols, and they innovate healthcare delivery methods. Their insights from direct patient care are really what drives these practical and effective solutions. Another important place that nurses belong who is within public health emergencies and boy did that become evident through the COVID-19 pandemic. So in public health crises like pandemics, nurses are the ones on the front lines. Providing those essential services and conducting public health education. And implementing preventative measures. So, who better is capable of then providing guidance? And planning these public health emergencies. I would say that to not have a nurse in a place to impact the planning, for a public health emergency would be, I was trying to think about this earlier, like what could I equate it to? And I would, I was imagining would it be like asking someone to design a car who's never been in a car before? Do you know what I mean? Perhaps you have some knowledge, maybe you have some engineering or mechanical experience. But you wouldn't need you wouldn't understand like all of what's involved needs to go into building that car unless you've been in one or driven one for sure. I really think that's kind of similar to what it would be like to not have a nurse and these real areas of leadership as well including global health diplomacy as the nurses are really the ones. Primarily doing direct patient care or the most often doing the direct patient care. That means we absolutely need a strong nursing influence on decisions that are made because it will impact how they conserve their patients and clients. So, for global health diplomacy, with the increasing interconnection of health issues such as pollution, green spaces, and access to healthy foods and medicine. Some nurses work in the field of global health diplomacy, really shaping health policy on an international level and working towards health equity. And those are just 3 of the many, many examples from nursing. Now here's 2, I was so excited to find these 2 real life examples. Of nursing leadership in the differences that they've made. And there's hundreds and hundreds of examples. Here's just 2 we're going to talk about today for the sake of time. Although we could probably go on and on and that would be a fun separate webinar someday meeting. So the first is Professor Gene White CBE and she is the Chief Nursing Officer for Wales. She has demonstrated excellent leadership during the COVID-19 pandemic. As a part of the Welsh Government's COVID-19 response. She led the nursing community in Wells through an immensely challenging period as we all know that that was. Professor White worked to rapidly increase the nursing workforce. By calling for retired nurses to return to service. And requesting that students take up an extended clinical placement to help serve that need for their patients. Her leadership was absolutely instrumental in the implementation of these initiatives, which helped play a critical role in augmenting the health care workforce amid the crisis. And as we know, a global nursing health shortage. I love this part too. She was also involved in the creation and implementation of policies related to the pandemic response and was responsible for communicating those effectively to the nursing community. Importantly, she also emphasized the importance of mental health, which was a huge factor. During the pandemic and still continues to be. By advocating for resources and support for healthcare workers. Dealing with that significant stress and emotional toll that the pandemic brought. So that was our first nurse leader example. Here's another one. Dr. Janet Tom Cavage, a registered nurse and also vice president of health services for Guys and your health plan. So, guys and your health system is a rural healthcare provider in Pennsylvania. And they developed an innovative program called Proven Health Navigator and the program was led by Dr. Janet Tom Cavage. So the proven health navigator is a program which is patient centered and has medical home model targeting elderly patients with multiple chronic conditions. So, this program deployed, deploys home care nurses and places them at the center of the care coordination. And their role is then to follow up with patients, check on them, monitor their health conditions. Educate them about their health and ensure they're taking their medications correctly and also to help coordinate between all the various healthcare providers and agencies, which is a complex thing for someone with multiple healthcare needs. So, this Nurse LED initiative has shown significant results. According to Geysinger, the program resulted in a 25% reduction in hospital emissions. That's huge. 25%. And a 14% decrease in total medical expenses for the patients that are in the program. So, these real world examples illustrate just the vital role of nurse leaders and especially the role they can play during a crisis. Their ability to respond rapidly, make critical decisions and leave their teams effectively can have a significant impact on patient care and health app. So, with that I'm going to turn it over to Maria. Maria is going to talk to you about many things, but Maria is going to talk to you about many things, but the first being strategies to enhance leadership skills but the first being strategies to enhance leadership skills. It's interesting because I'm watching the chat as we speak. I know we're gonna have some time for Q?A. And many of the questions that you have in the chat, we may actually answer through this. So, I'm gonna be on this slide for. A few minutes I would think because of, you know, all of the content here. So, the main thing here, okay, so we're in the United States at least Liz and I are, and as I said, we work for, Elsevier as an international global health leader when it comes to publishing in healthcare space. And so, she and I are very much aware of, you know, all of the things that are going on in the world. Of nursing as well as other health care disciplines because we also span the medical product and the nursing product. And so, it should be noted, before I even get started that the US is one of the leaders when it comes to advances in nursing and nursing education. So, across the globe. For example, other countries are still working on, say, an accreditation process. Advanced practice nursing. So do you. S. Is probably in the 2 or 3 spot as far as world leaders. So, it's really good that we're starting here. In terms of nursing, also, as you may or may not be aware of, many international nurses come to the US to work because our conditions are much better here. So, for example, like I worked with a nurse from the Philippines, she had 36 patients when and whereas in hospital, where I was working with, Marie, her name was, she, I had 6 patients. She had 36 in the Philippines. She was like, yeah, it's a lot easier to work here. But also, nurses are very much respected here by the most trusted, you know. So just so you know, we are in that global leader. Terms of nursing. There are other countries that that are advanced like your Asian countries like Liz, and I did an interview. With the professor from Hong Kong and they're already using AI, they take AI classes before they get into clinical to see how you integrate AI. And we're going to talk a little bit about that today. So, so in the chat I did notice like you know in your opinion where do you think the US nurses become leaders and I think we're already there in certain respect. Now other countries do have different focuses and so we're here today to really talk about empowering you to branch out with your nursing skills and bring those skills to the table, what you learned and what you're doing. So education and training would probably be at the you know, at the top of a list here, educate yourself, educate yourself, you know, continue on, you know, as you know, we continuing education is, is a main, thing that we need to do with nursing anyway. So, keep going. Also, mentorship, well, let me go back to education for a minute pursuing advanced degrees nurse practitioners definitely in other countries are starting to. The attending leadership training programs, many of your major organizations already have leadership and mentorship. Programs available to you that you can sign up. In fact, even Osmosis, we have the. I know I'm gonna mess this up because we just changed the name. It is, yeah, always. It?s Liz, help me out here. Is it? So, it's our health leadership institute and that consists of an interprofessional student teams as well as faculty leaders within our organization. You're welcome to join us. It's nursing and medical students. And, you know, we're all in different stages of career development. So, we're here to mentor you too as well. So definitely seeking mentors who are experienced nurse leaders. Really is very helpful and then eventually you'll give that. Back as well. Networking. I think now, with, certainly the internet, LinkedIn, Facebook. Join as many groups as you can if you're into social media. Develop your network. When I was going through my PhD, I have to say that I met some real, I call them rock stars, you know, people, through LinkedIn that I connected with that were able to help me finish my dissertation and I never met them in person to this day. I still have not met them in person. So networking is very important. So, self-awareness. This is tough. You know, we need to be able to understand our role. In the therapeutic situation and stay as centered as possible in in a storm, right? So definitely, starting with understanding your strengths and your weaknesses. And then working on those. To, you know, to bring better tools to the table when it comes to helping your patients. Effective communication. There's, you know, certainly nowadays with the internet again, writing is very important, especially when you're speaking to your mentors and whatnot. Trying to think effective. Oh, improve your communication skills by practicing. I always tried to write things down first. You know, I went, much of my education was online and so we had discussion boards every week and That really gave me a great opportunity to focus in on what I wanted to say. Same thing, like if you're in a patient centered area, you know, practicing what you're gonna say or keeping written communication with you and then reinforcing that. Problem solving and decision making. So really trying to enhance your ability to problem solve and this will come with experience as well. The more experience you have, the more tricks of the trade that you know, the better your problem solving will get, as far as that goes, but it often involves, you know, critical thinking and analytic skills. And I think nurses are very good with thinking on your feet. Emotional intelligence and you may or may not know a lot about emotional intelligence. I can say that a lot of the nurses that I work with are very emotionally intelligent. They can read people really well. Recognizing and managing your own emotions and understanding the emotions of others. High emotional intelligence can also improve, of course, your inner professional relationships. Conflict resolution and also team dynamics. Let me see here. Understanding industry trends. So, from a global standpoint, like I said, US, we're probably number 3, the last time I looked as far as leaders in global health care. So, looking around and seeing what not only is happening in your community, but also globally. So, it's standing out there, going out to different websites and learning a lot more about industry trends. Some places to look would be like the World Health Organization, which Liz mentioned earlier, their international nursing council, are very good resources for understanding industry trends. The AHRQ, the National League for Nursing, there's plenty of them. That you can really. Focus in on and learn about industry trends other than where you're practicing or learning right now. Self-care always comes into play, and I will tell you why because as nurses are main role is to care for others. And sometimes we put most of the time we put others ahead of our own care. But it's very important that you maintain, and you are caring for yourself as well because you can really get burnt out if you don't. Experience. So looking for opportunities to take on leadership roles such as leading a project or serving on a committee. If you're in the US, there's a magnet initiative for example and working on magnet projects are very beneficial. These experiences can provide opportunities to apply and develop your leadership skills as well. There's nothing like experience. Oh, thanks, Liz. So, gonna switch gears a little bit here. I'm gonna talk about advocacy and as nurses. We're, I think our main role is advocating for our patients. So patient advocacy, nurses play a crucial role in advocating for our patients, ensuring that they receive the best possible care. And that are right to respect it at the same time. So, an example would be, a nurse advocating for a patient's pain management plan, for example, to be adjusted based on the patient's feedback and their comfort level. You know, call on the provider, getting a medication change, if need be, helping the patient, teaching the patient and whatnot. Policy advocacy, you know, get yourself on a policy committee. There is really a great learning opportunity here in policy committees. Nurses can advocate for policies that improve healthcare systems and patient outcomes. For example, nurses advocating for safe staffing ratios in the US, by the way, California has done a great deal of work. On advocating for patient ratios. There has been plenty of research to support that the ratios will tie in with patient safety. So that?s something to look at. Community advocacy, nurses can advocate for public health measures and health education in communities, for example. Promoting vaccination programs in local communities and I think we used the example earlier of COVID. And I remember plenty of times working with me and my students going to vaccine clinics and we got a lot of Injection experience. On throughout them and then suggestions for resources for advocacy. Just, from an education standpoint, again, staying informed with current, health care policies and issues, attending those webinars, a perfect example, you know, of educating yourself, workshops, you, Demi, is a, a nice resource to be able to learn more the International Council for Nursing, the World Health Organization, lots of places that you can be educated. In terms of effective communication, you want to practice and improve your communication skills as we talked about earlier. And there is definitely a lot of education surrounding communication that that will also help you as well. Trying to think in terms of collaboration. So not only are we looking at this global situation, where the US and we're nurses, but we're also very interprofessional and working with inner professional teams and collaborating with other teams. And as nurses, the interesting thing is we know. That Okay. Okay. I really know what we do. So, some of that will involve us actually. Giving them the education in that collaboration that you have with the teams. Leadership again, so from a leadership standpoint, I would look towards your national organization if you happen to be interested in a specialty most specialties have organizations and they also have leadership initiatives as well. Political engagement. So, an example I have for my own education was at Duke. We actually had, days where we would go on the hill that we went to Washington, and for anything that we were politically engaged or passionate about, we would write it up and we could have an opportunity maybe to speak. So that would be another example of that. Next slide, please. Oh good. Evolving technologies. Oh, my goodness. So, I think this is such an important. Topic to talk about because I think technologies is what really has leveled the playing field and is really Brussels. Much closer to a global health care system than anything, you know, the advent of the internet. Ehr's telehealth, there's all kinds of technologies that have really enhanced our ability to. To learn more about global. So anyhow, nurses practice, in continuing evolving technology. So electronic health records, for example, have revolutionized the way we have cared for our patients, the electronic health record. There are so many things built into the electronic health record. Our care plans are there. If you're a prescriber, you're able to actually prescribe right through telehealth and then on the patient side of things the patient can also have their personal health record included. Telehealth. So, during the pandemic. No other time I happen to have just come out of a consulting project where I had written a curriculum for 2 med schools and a nursing school in the United States for how to use telehealth. And lo and behold, many providers then, were then switched over to telehealth because we weren't seeing patients in person, and we had to quickly learn how to use telehealth. Fortunately, I had already been on the education side of that. So, Telehealth has really been able to open up our practice environment. Another example, my husband recently got diagnosed with a rare disorder and we were able to do much of his care. We had to fly out to Mayo Clinic in Minnesota but much of his care is now. Still, are still, managed by Mayo Clinic. Through tell health so telehealth is another way wearable technology you know we have our cell phones. I'm sorry, not our cell phones and then also our watches. And you're finding that the wearable technologies have, you know, your pulse, your pulse, some of them can do EKGs and whatnot. So that's another way. There is a question in the chat and probably will address it a little bit further as far as AI and where AI is right now. So, as I mentioned earlier, Liz and I had interviewed a professor, from Hong Kong and they talked about having AI courses prior to. Then going into their clinical courses and how or artificial intelligence is being used currently. How it will likely be used and how it's probably going to be a game changer for us. So, currently you can use AI for patient education. You can use AI for developing the plan of care. I mean, all of this requires that you look at it, look at what's the output is. Or putting in a good prompt and then, you know, certainly looking at the information before you would say give it out or whatnot, but AI has so much potential. In in the research realm and the gene DNA and whatnot they're really looking at. Being able to manage diseases and whatnot. So, oh, that's okay, List. I think we are at the EHR. Slip of the finger there. Oh yeah, yeah, artificial intelligence. So just wanna kind of refer to my notes of, no, I didn't forget anything. Somehow this got me, she got a little bit messed up. Okay. Simulation technology if you're in a nursing program, if you're teaching in a nursing program, if you're in the hospital, chances are you've done simulation CPR classes, ACLS. So, Virtual reality is a big piece of it right now. trying to think of what else this will help you basically in a risk-free environment practice before you get to the patients. There are so many things going on right now. Robotics, robotics can assist, with touch such as medication dispensing. Lifting patients, sanitizing rooms, reducing the physical workload for nurses and you're probably familiar with robotic surgery which is kind of off this topic right now, but robotics is really something that is taking off in all different directions. Used to create patient specific models for, say, preoperative planning on education. And can even produce medical equipment or prosthetics. And you may, going back to COVID, 3D printing was used for the masks. I'm sorry, the face shells that we used. So interestingly enough, remote learning, you know, part of, no online learning, that kind of thing can very easily be, something that you could, learn more about. Sorry, I'm using redundancy here. I don't have much on remote learning other than it's just one of the technologies that. Actually, the US again is going back to that. We're probably world leaders in that department as well. I was really surprised. I'm working on a project called Project Galaxy where we're working with nursing teams to out the world and many of these nursing programs do not have online learning yet. And in the US, we at least have blended learning if not online learning. So, this is something that's definitely evolving. These innovative tools can not only assist us in daily tasks, but they've also had potential to significantly enhance patient care and outcomes. So, I think it's essential for nurses to stay up to date with these advancements and adopt. And adopt and adapt to incorporating them into practice. Oh, this is a cool slide here. So, this, Osmosis around the world, just to give you a sense of all of the different places, Osmosis is around the world and how many learners we have and how many videos have been viewed. We very much are very global and as international publishers and joining with Elsevier, that is definitely expanded our scope. I think what are my favorite 2 things to ? when we think about remote learning and just technology-based learning is really how it breaks down barriers. And increases people's access to very, if like no longer is your location, necessarily the only factor when it comes to the education you have at your fingertips. This ability to learn from anywhere in the world that has an internet connection really just like breaks down those barriers so much and I think that can be like a great thing for equity when it comes to education of healthcare workers too. Glad to mention that. I actually remember when the earthquakes hit and Haiti pretty hard, there was a nursing program there that was having difficulty with finding faculty and there was a special grant part of it was through Elsevier I can recall where laptops were purchased. And US instructors were able to teach the students in Haiti. I remember getting a picture from one of the faculty members and it was like there were chickens running all around but there were the computers, and the faculty were teaching through the internet. So, it's a perfect example of how it can bring us closer. There's a current project I believe it's in India as well that Elsevier is piloting and it's through iPads and there's CNA's that are actually going out to patients homes. After they've had. After they've given birth, and doing patient teaching, with the moms on breastfeeding and whatnot. There's all kinds of yeah, that's a good example, Liz. Thanks. Leadership development. So actually, I think you talked already about online courses, Liz, but it's definitely something to think about for leadership development. Several platforms like Corsica and LinkedIn. Learning which they have some great courses Khan Academy they offer courses on leadership skills we already mentioned you know organizations national and international nursing organizations as well. For advocacy, communication platforms like Microsoft Teams or Zoom, like we're on right now, can facilitate certainly meetings and discussions and they also aid in advocacy efforts. You can really get a message across to a lot of people by recording and what not. Social media is another platform like Twitter, Facebook or LinkedIn, which can be used to advocate for change, raise awareness. We do a lot of fundraising for a couple of different organizations throughout like just some of the, interest that I have city of hope. Autism awareness. Down syndrome, Childhood cancers, all kinds of things. For driving innovation, electronic health record systems like Epic or Cerner can really help streamline patient care and definitely improve data management because you can pull data and you can really get statistics on that software as well. So, it's really very empowering to have EHRs. For empowering nurses mentorship programs which were mentioned earlier again many organizations offer mentorship programs and their valuable resources for us as well. Okay. See, utilizing AI, we talked about that earlier as well. So, I know that, with, Hong Kong, like I said, they were a little bit ahead. The Asian countries are a little bit ahead of us when it comes to AI and here at Elsevier, we're really looking at other countries as well and other health systems to see. Learning AI to the point where how can it help you improve your patient outcomes? How you develop plans of care, education, and whatnot. So here we are back at AI again and some of the things that AI has really been very helpful for. So, for example, predictive and analysis AI can analyze large amounts of data. To predict patient outcomes. You know, I really should say what, what is AI? So artificial intelligence. Chat GPT is probably the most common. Bing has a Microsoft Office pilot. Those are just 2. There's barred. So, it's sort of like Google on steroids, if you will. So definitely start learning them. There are plenty of little classes like on LinkedIn and whatnot where you can learn a lot about it. So you can do administrative tasks like AI can automate routine tasks such as do your scheduling for you. So, think about Siri and Siri also is a as a form of AI that's another form of AI, but you can. Do medication management. All of this can really help reduce med errors and errors in any kind of patient care. Tel house we talked about earlier, but AI can really enhance telehealth platforms by providing remote patient monitoring, something that was pretty big during COVID and during I was a population health nurse practitioner at that time. We can do virtual consultations. This gonna really extend the reach of nursing and allows us to care for patients remotely and access areas as. Lynn, Liz mentioned earlier just extending our reach, to places where we ordinarily couldn't go. Clinical decision support and I think this is really gonna take off much more than where we're at right now, but AI power tools can provide. Oh, hang on a second. I gotta plug in. Ai tools can really provide, Oh good, I'm back. Sorry about that. They can provide evidence-based guidelines and do recommendations. You always have to check the output for AI, but it definitely is a good start for you. For training and education. Oh gee, I'm starting to teach my students how to use AI. What are some good prompts to use? For doing their research in particular, it's really a great tool for that and patient engagement. So, I'm sure you've already been involved in AI chat bots, but the chat bots can help, provide patient education and then also reminders for patients about medications. There are a few mobile apps that will do medication reminders and they're all powered by AI at this point. And then of course research, I mentioned that earlier, AI can analyze vast amounts of research that, helping support, nurses as well. Example of that recently was like, I received a spreadsheet with hundreds of, cells, an Excel spreadsheet with hundreds of cells, patient, I'm sorry, customer feedback and I just wanted to see what the themes were and how many people mentioned a particular theme and I was able to input that into the AI and ask it, you know, what are the common themes here. So really did a great job on that. I think I'm scanning the questions to Maria, and we do have a few questions related to AI. But one of the things that intrigues me most when it comes to generative AI is the capacity for it to take away or help reduce some of those really time consuming tasks. Because I think the point of it is just like many of the safety measures we have in place in the hospital things like the medication scanning systems where we're ensuring that we have the right patient, right medication right time. Those aren't to replace anyone's clinical judgment, certainly not the nurses, critical judgment, clinical judgment, and critical thinking. But really, if these, some of these tasks like analyze and quickly analyze and data, providing good patient education or even health care provider or nursing education. If it can help with some of these tasks, it can, leave really more room, mental capacity and more time to spend more time with your patients, to do more of that critical thinking and clinical judgment to make decisions based on your own patients wants and needs that really personalized care. If AI can help with that. I think that's a huge one. Put in like if you're, trying to write a note and your patient has, you know, fill in the diagnosis or the nursing diagnosis. You can put that in and so you don't forget anything it will kind of prompt you to what the components are so it's really very helpful in advance practice you know I have patient on CHF you know what medications are commonly prescribed what's an example of a soap node for, patient with congestion. When I first started out, especially as an APN, it was like, whoa, you know, they just, okay, started, right away we were in practice like within a week of orientation and, it was pretty scary. So, I think AI could really help with that too. Yeah, that actually does bring us to the end unless I skip a head too quickly there from that slide. But I do see we have some time left and some questions. So, should we start to go through some of those questions there? Because actually what you just mentioned is how overwhelming it was at the beginning for you as an API. So many people have that experience as well as just being a brand-new nurse, but also kind of a related question. It's like a good subway here. One of the questions we got is what are the key challenges faced by nurses when they're trying to step into these leadership roles. So, what are those barriers or the challenges and how can these be addressed? Do you have any thoughts about that? I think for me one of the barriers was I didn't know how to begin. I wanted to step up to leadership and I think it takes a lot of courage by the way to step up to leadership. You know and what made me step up to leadership was I had these great ideas, but I wasn't in a position to be a change agent or make any of those changes. So, I'd have to get the buy in from, you know, whoever my manager was and what not. And so actually one of my first mentors was a manager who said, Hey Marie, you have some really great ideas and I'd like you to join this committee. So I think that's part of it is finding mentorship probably for me was a big component of stepping into leadership. And then leadership development, you know, learning about how to create effective change. In the workplace. And then all the components that go into that. Like, so for example, you know, if I did, I would first start out with research, you know, if it was the clinically based problem, I would look at the greatest latest and greatest research. And then from there I would go into a cost benefit analysis and then I would go to my leadership and say, look, I looked at this. I do something called a PICO question: population, intervention, comparison and outcomes. I'd look at all of these components and then bring it to leadership. And then eventually I landed a leadership role and that's when it got really scary. But again, I had mentors. I've had mentors. The most fantastic mentors in my teaching roles in my in my clinical roles as leader. Having a mentor was like the biggest thing for me. I can't say enough. Yeah. So, agree with that. I think, another barrier, I would say too, is maybe public perception of nursing as not leaders like there's this misconception that nurses are just Follow the orders of the doctor and do bed baths when really there's so many nurse led nurse driven initiatives that save patients? lives even just as a bedside nurse, you're already in the position of leadership, the fact that You?re advocating for that patient, their family, their needs, what's best for your colleagues, the unit, the hospital. But I think you're right. And so, to eliminate that barrier, just take a step back. I would say that, as nurses, I think it's 1 of our duties to educate as many people as we come across and what nursing truly is. So continue to spread the word about really, don't downplay your important role as a nurse, no matter what position you're in, but I agree with the mentorship. I've had so many experiences of either formal or informal. Nurse leaders and saying, I'm doing this amazing thing and I'm taking you with me and here we go and here's what you're going to do and here's what I'm gonna do because sometimes you just need that little extra push to feel that confident enough. To be able to make those changes and start small, you know, like start somewhere, start on a small unit policy. Like this is a new way we're going to determine. Who's working what shifts start with a smaller change and work your way up and you're going to find like the more you put yourself in a position of a leader. The more kind of leadership duties volunteer lap at some point. No, you bring up a really good point and I'm glad you did, cause I was kinda looking at it from the pie and the sky leadership piece, but at the bedside and all of the initiatives that we lead in that, you know, like if we have to go to bat for a patient advocacy-wise. You know, we're calling that provider and asking for what that patient needs like constantly advocating for the patient and leading an advocacy or 2, sort of one in the same when it comes to bedside and just the courage it takes sometimes to really step up. And the other thing is we are one of the most trusted professions and that That is definitely we are considered leaders at least amongst our patients and whatnot. And so yeah, I'm glad you brought that up. Thanks. Here's another interesting question. How and got into this a little bit, maybe we can expound on it a bit too. How can the ethical aspects related to AI and healthcare be effectively addressed? By nursing leaders. Not sure I understand. Say it again. Okay. Yeah, and I, I can maybe jump off with some ideas to all you have time to chew it over, but how can the ethical aspects related to AI in healthcare be effectively addressed by nursing leaders. And I think about ethical aspects related to AI working for a publishing company. I can't help but think of it. Rights to information, access to information and who owns information. I think there's a lot of concern about just content being widely available, but on the other aspect of that is like shouldn't healthcare information be so widely available and accessible. So perhaps, a nursing leadership role could help really set some policies being involved in policy decision making when it comes to. How AI is going to be involved in patients? health care, how it's going to be built in to the EHR or to patient. Education systems. I think that nurses absolutely need to take a strong part in that. That's 1 thought I have 2 and then the other thought I have is just how, when it comes to policy again. When you think of AI, we're, I'm hoping that it's not. Okay. So let me try to restate this though. I'm hoping that it's not going to replace, and I don't think it should replace any member of the healthcare team. It's only going to enhance the care they're able to provide because it's still really important to have a person involved, many people involved. It's a team effort, certainly caring for patients and we need a lot of people who care. I mean, AI doesn't care about you. Whereas nurses, they really care about you as humans and can look at you as a full person not just oh you're a human with heart disease You're a human with heart disease, who's a husband and a father in a member of their church and there's all these other aspects. How can we take care of patients as a whole person, not just you as a person with a disease. Yeah, such an evolving technology, but it almost reminds me of when, And, you know, I'm at that point in my life where I remember when Google came out and I was also, I've been practicing about 2022 years as a nurse practitioner. And so somewhere in that time frame, you know, there was a shift, and patients would come in and they'd say they'd get their phone and they'd say, I read this on Google and this is what I have. So, I can just imagine AI being that same thing where they put their symptoms in. And I think AI has been in the news for this too, you know, where, you know, doing a pretty good job of the diagnosing and the treating and whatnot. So, I think a lot of our challenge as nurses is going to be helping patients to discern. Not only now what's on the internet and, you know, what are those credible resources and websites to go to and whatnot, but also what the output is in the AI, you know, from what we're learning right now, you know, it's what you put in the prompt, what they call the prompt. Depends on the output so if I had a patient come in and said oh I just know I have you know, assign this infection. Let me see what you put in and let me see the output and then. You know, it comes down to they still need to see us in order to get the prescription or the plan of care and whatnot. So it's tricky, but you really want to, I'm sorry, sort of given an opinion here, but I definitely, in my teaching roller is one about teaching too, like I really feel like we need to, especially in nursing, we need to learn this technology so we can get ahead of it so we can help our patients and also as educators help our students. Paved the way for this so it's like there's a lot here so much to discuss I think we could just have a webinar on AI really Yeah. Really could. Yeah. Here's changing the topic a little bit too, but another great question. I just love this. Question when I saw it. What do you think of other healthcare professionals learning about nursing leadership? Following the nurse's role in the COVID-19 pandemic. Well, I definitely think they learned the importance of having nurses at the bedside and when I was a population health nurse practitioner in major inner city. Hospital, teaching hospital with a med school and also a couple of nursing schools affiliated and there was for a while the nursing students couldn't even go, you know, until that got cleared. And so, as an advanced practice nurse, it was pretty interesting that the lead, so forget what our exact role is. The lead APP. Came to us and asked us if we could kindly. Work as R. Because it was just such a shortage, and no other field could really fulfill what We were doing because we're nurses first and then advanced practice nurses. And there were a couple 100 of us actually that stepped up within the health system and helped our colleagues out because you know a lot of them were getting COVID and whatnot. Yeah. So that is a yeah, I think COVID definitely. Brought the set up where for it. And I think it was the year with a nurse that year too. It was the year of something, that's for sure. No, I think you're right. Yeah. Yeah. I think it was the I think they learned. Perhaps. There wasn't enough nursing in leadership positions because when it came to roll out of the plan, that boots to the ground experience of having nurses. Actually, being the ones administering the medications, organizing the vaccination clinics and things like that, they're perhaps if there had been more nurses and leadership positions it could have maybe gone smoother at the beginning. But yeah, I think we've gotten some great questions, and we could probably keep going and going with all these topics. Certainly, we learned and we still know that. Nurses are heroes, right? That was probably the theme of 2020 and beyond and happy nurses? week to everyone including those who joined us today. So, thank you so much for attending our webinar. And also, for participating in our QA. This has been recorded and so if you want to access the recording at a later date or send it to a friend or to look at any future webinars or other recorded webinars that we've done in the past go to Osmosis. Dot org slash event and this recording in particular will be available to you by sometime next week. And before you go as a gift and a thank you, we would like to offer you a free 2-week trial of Osmosis. It's the link hasn't already been placed in the chat. It will be now, but it's Osmosis. Dot org slash invite and then some letters. Oh, there it is. I see it pop up in the chat, which is better than me attempting to read that. So just follow that link for a free 2-week trial. Thank you everyone so much for joining us today and happy nurse this week.