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EP 202: Enrich Your Personal Life With Dr. Terri Ann Parnell — Transcript

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0:00whatever's being discussed in the
0:02organization or the health system
0:04wherever I think that a nurse has to be
0:07at every table and bring that
0:08perspective to that decision to that
0:11discussion whether it's with the finance
0:13person or the quality person or
0:15engineering or you know anything a
0:18nurse's perspective is huge when we're
0:21talking about health care oh I gotta go
0:23okay
0:26[Applause]
0:27just leave me alone
0:32[Applause]
0:49hey everyone welcome welcome welcome to
0:51the cup of nurses show here with your
0:52hosts Peter and Matt two nurses on a
0:55mission to change this world one
0:58conversation at a time if you find a
1:00value on the show and want to join us on
1:02this Mission please share and review the
1:05show it would mean absolutely everything
1:06to us couple nurses.com for the latest
1:09updates merch releases and all the show
1:12notes for our lifestyle podcast you can
1:15check out we are frontlinewarriors.com
1:18in this episode we would like to
1:20introduce you to Dr Terry Ann Parnell Dr
1:24Terry Ann Parnell is a nurse a
1:27recognized health literacy expert and an
1:30award-winning author
1:31she's a principal and founder of tap
1:34Wellness coaching and health literacy
1:36partners
1:38her extensive nursing career
1:40incorporates hospitals and health system
1:42management
1:43administrative and Leadership roles as
1:47well as faculty roles in schools of
1:49nursing medicine and health care
1:51administration
1:53hey Terry thank you for being here thank
1:55you so much for your time can you give
1:56us a little bit of a background about
1:58yourself
1:59sure thank you for having me actually um
2:02it's a pleasure
2:03um this is always the toughest part of
2:05podcasts because I have uh over 40 years
2:08in the nursing career so
2:11um I'll keep it very brief but
2:13essentially I was a diploma graduate
2:15back in the day when they had diploma
2:17schools and then and I went to school in
2:21Greenwich Village New York um so it was
2:23a very interesting introduction to
2:25nursing working in that environment and
2:28then over the years I did bedside
2:31nursing I was a clinician and then
2:34obviously worked my way up you know
2:36through always changing my my career I
2:40was a manager director and then I went
2:42into the leadership side of it away from
2:46the bedside was helping to run you know
2:49a tertiary Hospital quaternary Hospital
2:52actually in the c-suite I was a
2:55associate executive director and then
2:58after a few years doing that I went out
3:00to a vice president role in a integrated
3:04very large Integrated Health Care system
3:06so I had a system role where you worked
3:08with you know 17 18 hospitals ambulatory
3:11facilities physician practices and then
3:15launched a new office with a physician
3:18colleague of mine and then gosh then I
3:22decided what am I going to do now when I
3:23grow up and I decided to leave and
3:26launch my first business which was
3:28health literacy Partners which was
3:30always my passion health literacy
3:33communication you know making meeting
3:36people where they're at to provide their
3:38health care and did that and all along
3:41the way prevention Wellness clear
3:44communication
3:45has always been my thread that I've
3:49pulled through everything that I've done
3:51and for myself personally and in my
3:54career and then once just around when
3:58covet hit I decided to finally do what
4:01kind of was always a hobby for me and
4:03launch my Wellness coaching program
4:07specifically for healthcare
4:08professionals only and design only for
4:11healthcare professionals you know and
4:13then along the way I even I was a
4:15diploma graduate I went along I I ended
4:18up getting my doctorate in nursing
4:21practice I became a fellow in the
4:23American Academy of nursing nursing I've
4:26written a couple books book chapters you
4:28know I publish went on mission trips
4:30it's a lot of I've taught in different
4:33schools nursing schools healthcare
4:35administration programs physician
4:38programs it's a little bit of everything
4:40that's the amazing thing about nursing
4:41actually you can pivot every few years
4:44as you well know and do something new
4:47and interesting
4:49so that's kind of in a nutshell
4:52that's amazing why a variety of
4:53experience that you have and you're a
4:55great example of how you can pivot in
4:56nursing whenever you
4:58feel like you've outgrown your current
5:00role or needed time for a change so with
5:03your vast experience in leadership and
5:05being a director and vice president of a
5:07business what do you think that nurses
5:10and Healthcare professionals are
5:11currently lacking or needing in the
5:13profession
5:15well you know it's um it's really hard
5:17now I don't what they're lacking I don't
5:20I don't know that nurses are lacking
5:23anything I think healthcare has changed
5:25dramatically obviously as we all are
5:28living and experiencing I think
5:31um nurses
5:33inherently the nursing profession people
5:36go into it because they're caring and
5:39they want to care for others and they're
5:40empathetic and compassionate and the
5:44issue with that or the double-edged
5:48sword is that they never take care of
5:49themselves right so it's a blessing and
5:51it's a curse they're always caring for
5:53other people and they tend not to put
5:55their priorities first so I think nurses
5:58if I had to you know pick something I
6:01think we need to build up resilience you
6:05know and set boundaries and practice
6:07saying no and build community and find
6:11those that we could go to for support
6:15um you know when we're having a
6:18challenge you know at work um I think
6:21Community is and culture at work is huge
6:26um you know so all those things
6:28um are really important in finding that
6:30work-life balance right
6:32um and as far as the the career I think
6:35the healthcare organizations are
6:37experiencing that now you know in New
6:39York finally but they need to um
6:43give nurses the resources that they need
6:46to you know have safe patient nurse
6:49ratios and have you know provide safe
6:51quality care and not feel like they're
6:54you know burning the candle on all ends
6:57um so you know good benefits pay for you
7:00know give them a salary that's
7:02appropriate for what they're doing
7:04um maybe Flex better hours Flex time you
7:07know we all don't have to spit in the
7:09same bucket always of 12-hour shifts
7:12years ago that was never a thing
7:14um you worked five days a week but you
7:16worked like 10 hours every day
7:19um which was no good which you know
7:21wasn't well serving either so I think
7:24there has to be agility more agility on
7:26the side of the healthcare organization
7:28you know but we're getting there I think
7:31we're I think I'm optimistic I think um
7:33unfortunately you need to go through a
7:35little the rough patch to get to the the
7:37other side yeah of course and Terry
7:40should you have a vast experience in
7:42bedside and leadership positions how do
7:45the roles and responsibilities change
7:48from bedside to a leadership role and
7:52how do you or how did you manage to meet
7:56the needs of both nurses and lower
7:59management underneath you while still
8:01maintaining the goals of your higher ups
8:07it's different I think first of all
8:09working with the team right who gets it
8:12and is really important and my theory
8:15was always if I'm whatever I'm looking
8:18at and whatever situation we were
8:21working on if I always looked at it
8:23through the what was best for the
8:25patient
8:26and the family I felt like I could never
8:29go wrong right
8:30um so that was first and foremost and
8:32then in order to do that we had to
8:35support our Health Care Professionals
8:36right
8:37um because then that wouldn't be in the
8:39best interest of the patient so it's
8:41hard it's challenging it's not an easy
8:43role you know you your budgets are
8:45getting cut constantly
8:47um you know you have to do more with
8:49less and you have to make some difficult
8:51decisions but again I'm gonna I think
8:53going back to you know the culture of
8:56the organization transparency and
8:58including the bedside clinicians not
9:01just nurses all of them
9:04um at the table when decisions are being
9:06made is key you know they have they're
9:10they're living it they're in you know
9:12deep in the weeds there and if they're
9:15part of the process and understand all
9:17sides of what you're dealing with as
9:20that administrator
9:22um you know you can come to a
9:23collaborative decision and give it I was
9:27a big one on everything's a trial let's
9:30give it a try for a little bit see how
9:31it works and you know we have to change
9:34we'll pivot and change but I think
9:36including them in the plan and the
9:38process and the thinking
9:40um is okay
9:42a little bit ago you mentioned agility
9:44to change as far as organizations
9:47can you can we identify these
9:49organizations that need Improvement and
9:51Agility is it the associations for
9:54nurses is more the the hospital
9:56organizations that need to kind of
9:57collaboratively work together with
9:59Healthcare professionals to maybe pour
10:02into as far as resources into nurses or
10:04pour into patient safe ratios to protect
10:07the nurses
10:09yeah I'm not as familiar with the
10:12resources that um you know nursing
10:14associations or organizations have
10:17available to them so I really couldn't
10:19speak to that I know it's challenging
10:22you know in healthcare organizations and
10:25systems and sometimes
10:28um
10:28the larger they are
10:31there there may be a few
10:33organisms a few hospitals or a few
10:36entities in that system that really are
10:39carrying the the weight of the entire
10:42system because some just do better
10:43financially than others you know some
10:46organizations you you have
10:50um
10:51a facility you might have that may not
10:53be financially
10:55um doing well but it's really important
10:58for the mission of the organization so
11:00another hospital or ambulatory setting
11:03in that system right may be kind of
11:06carrying that
11:07facility financially so it's it's a you
11:11have to look at the big picture look at
11:14the vision you know look at the
11:16resources and take it from there but it
11:18is sometimes moving it's like turning
11:20the Titanic right it moves very slowly
11:23because it's so large so um I I think
11:27it's just trying new things Thinking Out
11:29of the Box taking out a sometimes with
11:32say a clean white piece of paper and
11:34let's start like let's just take a
11:37totally different approach to it to what
11:39we're looking at I mean you have to how
11:41do other Industries do things you know
11:44we could adapt from that I mean
11:46Healthcare has done that all along so I
11:48I think um
11:50that's a good way to look at the
11:53existing resources that you have and how
11:56can you utilize them a little
11:57differently
12:00from like a business and Healthcare
12:02perspective what are some of the major
12:04struggles that that hospitals have is it
12:07the budgeting is it retention is it
12:10bring on Physicians is it retaining
12:12patients from from like the you could
12:14say the health care and and business
12:16view of things because as nurses all we
12:18really focus on is is a unit
12:20satisfaction making sure that we're
12:23taken care of but we don't really always
12:24think about the bigger picture and and
12:27the healthcare Giant and the hospital
12:29system as a giant so I'm curious on on
12:31what are some things that the hospital
12:33in General struggle with
12:35so I haven't been in a hospital setting
12:37in many years so I you know I can't talk
12:40to it other than what I hear I have
12:43family you know that are
12:45um many family members that are still in
12:47healthcare
12:48um and of course clients that speak with
12:50me and from what I read you know
12:53um I I think that again it just it's
12:57there are a lot of struggles
12:59um
13:00you know it kind of goes back to what I
13:02had said it's just um what they're
13:04struggling with is reimbursement it's
13:07length of stay it's that all the
13:10patients that are in the hospital are
13:12much
13:14um they're sick right I mean anyone
13:16who's not really sick or not in a
13:18hospital any longer
13:20um you know so their reimbursements are
13:22being cut the the nurses tend to not
13:26want to be it seems to me be at the
13:28bedside any longer for the reasons that
13:31we spoke about um as far as Staffing and
13:33resources and maybe scheduling
13:37um you know so it's extremely
13:39challenging I'm not I haven't been in
13:41that situation you know for years now
13:44um but it's it's not easy it's not easy
13:48you know it at the end of the day it's a
13:51business
13:52you know they have to keep the lights on
13:54and they have to
13:55pay employees so you know it would be
13:59nice if you didn't have to do that and
14:01always just focus on the patient but
14:04it's finding that balance right and that
14:06that Harmony so to speak but doing the
14:08right thing for the patient and staff
14:10and then being able to keep the shop
14:12open so to speak
14:15and did you mention you also are a huge
14:17advociver for communication you
14:19mentioned communication and we're
14:21culture correct
14:22yeah well my first business was health
14:25literacy Partners
14:26um which is yeah health literacy was is
14:29huge to me it's very important so that's
14:32um verbal communication written
14:34communication and also environmental
14:37communication
14:38so it's you know how patients access
14:41care how they
14:43um you know when you talk with a patient
14:46how that's information is communicated
14:48it's the information that they receive
14:51as far as printed materials it's signage
14:54in the building or in the parking garage
14:56it's how the facilities laid out I mean
14:59it touches on everything until it's
15:01culture you know patients cultural
15:04preferences language preferences
15:07um so yeah so I did I still do that as
15:10well
15:11um but right now my main focus is the
15:13wellness of the healthcare professionals
15:16because
15:17um I think nursing is the best career
15:21there is
15:23um I think we're so blessed to be able
15:25to be in it and um I think that the
15:28nurses especially the nurses all the
15:30Health Care Professionals really are are
15:32suffering now so I just wanted to I I
15:35pivoted again just to try to give back
15:37to the nursing community
15:39but yeah the communication is a big part
15:41of that too right if you can't
15:42communicate you can't coach people
15:45yeah I'm glad you uh pivot into Wellness
15:47because we need to fill our own cups as
15:50nurses we talk about all the time not
15:52only from a mental standpoint but of a
15:54physical in the whole Mind Body approach
15:56so in your Wellness journey I think
15:59there's five pillars that you mentioned
16:01something about tap can you talk about
16:02those
16:04yeah but you know um Wellness isn't just
16:06about the food we eat you know which
16:08people you know always tend to focus on
16:10and when I was doing research
16:12um I did not see any
16:16um Wellness coaching
16:18programs that were specifically geared
16:21toward the unique uh work-life balance
16:24or you know Harmony that nurses and
16:26Healthcare professionals deal with so um
16:29the five pillows that I pulled together
16:31were that holistic approach so it's
16:33about enjoying food
16:35um it's moving more
16:37sleeping soundly building resilience
16:40which is a huge part of it and
16:42practicing self-care so they're all
16:45integrated it's a 12-week program we
16:48have group coaching small group coaching
16:51and then we also do one-to-one coaching
16:53it's all virtual you know the other
16:56thing
16:56um I mean it's virtual because of where
16:59we are today right in the world but on
17:02the other hand you know nurses in
17:05facilities they may have Chief Wellness
17:06offices or chief chief people offices
17:09different roles that are there for the
17:11staff but often the staff doesn't always
17:14feel comfortable opening up to someone
17:17at their own organization about you know
17:19a struggle that they're dealing with
17:20either personally or at work so I felt
17:24that having it virtual yet you know we
17:26we have zoom calls and we build
17:28community with like-minded people to
17:31support them who really get what they're
17:33going through and how hard it is right
17:35you know it's it's really challenging so
17:37those are the five pillars that we
17:38integrate throughout the 12 weeks and
17:41then in addition to that we have an app
17:44um like many other apps that send daily
17:47messages to people's phones
17:49inspirational educational motivational
17:51messages the difference with this is
17:53that all the messages are geared towards
17:56a healthcare professional you know so if
17:58we're talking about
18:01um sleep we're talking about shift work
18:03you know if we're talking about eating
18:05lunch we realize that nurses in many
18:07units may only get 15 minutes for lunch
18:09you know if that
18:12um so you know it's very specific to the
18:14healthcare professionals needs
18:16with the with the five pillars is there
18:19one of the nurses and healthy
18:22professionals struggle with the most or
18:24maybe one that needs the the most
18:26Improvement for healthcare professionals
18:29yeah you know it's interesting every
18:31everyone always asks me that and um in
18:33my experience
18:35um I love food you know and I love cook
18:38make like changing up recipes and
18:40experimenting so I'm always like
18:42interested in that but um honestly um it
18:45seems to be sleep you know I think and
18:48you know they say like you know sleep is
18:51so important I mean well the research
18:54sets out now it's like sleeping is like
18:56one of the if you sleep less than seven
18:58or eight hours a night
19:01um I don't know the exact site but uh
19:04citation but it's almost uh it's like a
19:06risk factor for heart disease it's like
19:08you know we really need to to sleep
19:12um and it's so important and it impacts
19:14all the other pillows and it tends to be
19:16a struggle even for people that are on
19:18the day shift I think it's the 12-hour
19:20shifts they find
19:22um they've shared that
19:24um one night they'll sleep five hours or
19:26four hours and then another the next
19:28night they're sleeping 10 or 12 hours
19:30and that you know um
19:32that no routine whatsoever really messes
19:36with everything else it messes with your
19:37eating right
19:39um they're wanting to move or not move
19:42that day
19:43um so it's sleep I would say is um the
19:46one in my experience working with
19:47clients yeah yeah that was definitely I
19:50want to say our biggest inconsistency
19:51too because men I used to work work
19:53night shift a lot and when you work
19:56nights everything is out of whack you're
19:58just like hating rhythm is all messed up
20:00you know you're going to sleep and
20:01everyone's waking up and then then it's
20:03like dangerous then it's like constant
20:05transition from working night then when
20:07you're off of work you got transitioned
20:09back to being a normal normal person
20:12like a normal schedule and you never
20:14have consistent sleep ever and and if it
20:16is consistent it's still you're sleeping
20:17during the day sleeping during the day
20:19is not as it's not as like you could say
20:21fulfilling as it is during during the
20:23night and then you're like you become
20:24like a night person where you do start
20:26doing laundry at like two o'clock three
20:28o'clock in the morning because you can't
20:29fall asleep you're doing dishes at three
20:31o'clock in the morning cooking food
20:32you're just like he's like what is going
20:34on and it's like it's doable in in early
20:37on when you're a new nurse but then I'm
20:38thinking like hey if I'm gonna be 35 40
20:4245 years old like is this gonna am I
20:44gonna be able to maintain this because
20:46you have a little bit more resilience
20:47when you're when you're younger but then
20:49you know when you start to get older you
20:51start to get worn out more and it's just
20:53it just affects the whole your whole
20:54life you become cranky you're never
20:56satisfied
20:57right and then you tend to you know you
21:00don't you're exhausted all the time you
21:01can't think clearly you crave food that
21:04you shouldn't be eating or comfort food
21:05you know that makes you you know want to
21:07just lay around more you don't exercise
21:10which I know is you know I say is
21:12important to you guys it is it's really
21:14it affects everything and then imagine
21:16having a family on top of that you know
21:19so many nurses have families or you know
21:22parents that need to care for or
21:24children that they need to get to school
21:25and they can't even even if they could
21:27sleep during the day you know they they
21:30can't they have to be available for
21:31their family
21:33um during the day for certain things so
21:34it is it's it's very challenging and you
21:37know on top of that it's that you know
21:39one night on two nights off back on that
21:43back and forth is just really messes
21:46with your circadian rhythm so so what
21:48are some some recommendations and what
21:50are some things that nurses or anybody
21:53struggling with with sleep could could
21:55do today to kind of better some better
21:57themselves is it try to get on a day
22:00shift schedule is this something
22:02revolving around routines before bed or
22:05sleeping practices how can they they
22:07improve themselves
22:08yeah so it it's it's individual and we
22:11work you know with each even though the
22:13pro in a group program we move through
22:15the pillars kind of together each
22:17person's goals and action steps are
22:20individual and we do do we have calls to
22:23go over that and set people up for
22:25Success so you know I would say for some
22:27it depends on the person but for some
22:30suggestions would be to yes certainly
22:33um set a sleep routine so to speak
22:37um you know before you're ready to go to
22:39sleep it sends signals to your body that
22:41you're starting to wind down so whatever
22:43that might be
22:45um you know we always talk about all the
22:47things you shouldn't be doing right you
22:49know don't have caffeine don't have
22:50alcohol don't eat you know a large meal
22:53before going to sleep so I try to shift
22:55it into all the things we can do right
22:57instead of talking about the things we
22:59shouldn't do so you know if you have a
23:01cup of chamomile tea or you have some
23:04foods that help induce sleep or promote
23:07sleeps like some nuts or
23:10um you know have a small snack a little
23:12while before you're ready to go to bed
23:14have a routine shower you know whatever
23:16that is for you a warm shower a bath
23:19meditate
23:21um do some stretching uh you know set
23:24your room up for Success right you want
23:27it to be dark if you have the that never
23:29it was certain things like that oh you
23:31know it's individual for me those
23:33blackout curtains and all that stuff
23:35never really work you know for other
23:37people it works like they're like in a
23:39cave they love it a cool temperature you
23:42know treat yourself to some nice bedding
23:44um you know put on
23:46um a diffuser in your room with some
23:48lavender or chamomile uh you know every
23:52person's different but those are some of
23:53the things that we work but it's the key
23:56I think really though is the finding
23:58those one or two things that you want to
24:00start to implement
24:02um and then being consistent with it all
24:05right if you um don't aren't consistent
24:08your body will never get into that
24:10Rhythm and when you're alternating
24:12shifts it's important to have a separate
24:15day shift sleep routine right and US
24:18evening or a night shift sleep routine
24:21right they're going to be different if
24:22you're going to go back and forth off
24:24which most people do I know people will
24:26say stay on stay on the night shift even
24:29on your days off but you know I think
24:32that's not really reasonable for many
24:34people to do that
24:36um when the world is going on about you
24:38and your home so we always say to you
24:42know try to
24:44keep those different routines separate
24:46but have a routine for each shift that
24:48you get accustomed to doing and it sends
24:50a signal to your body to start to slow
24:52down wind down
24:54um and you know what else helps a lot of
24:56people is after they get off that night
24:58shift in the morning you know of course
25:00don't have a cup of coffee on the way
25:01home don't stop and eat a large meal
25:04um wear like sunglasses though like
25:07especially if it's bright in the morning
25:08when you come home just to not get that
25:10right light that you know signals to
25:13your body to wake up right
25:16um so kind of wear a dark sunglasses and
25:19kind of keep your activities to a
25:20minimum you know before trying to if
25:23you're going to head off to sleep right
25:24when you get home
25:26that works great
25:27not at all I'm just kind of I'm laughing
25:31when you say do things lightly before
25:32the night routines because sometimes
25:34Peter and I will hit a heavy workout
25:35before we go to bed but then we just
25:38knock out like babies so I love how you
25:39said it's very individualized as far as
25:41what works for everybody
25:44it does so you have to look at assess
25:46you know or take a look at what they're
25:47currently doing what's working and
25:49what's not and then together co-create
25:51those goals or those
25:54um action steps that they're willing you
25:55know to start implementing and that they
25:57can Implement with everything else that
25:59they have going on in their life yeah
26:01but it's funny some of the people I've
26:03worked with are like oh my gosh I've
26:06been trying to do this for years and I'm
26:08finally sleep I haven't slept like this
26:10you know it's so nice to hear when
26:12someone's able to do it and then the key
26:14is maintaining that right and not
26:16slipping back into the old habits again
26:19right
26:19that's so true and I know for the past
26:22two years burnout and overcoming that
26:25has been a huge struggle for many nurses
26:29in your program or in general in your
26:31experience what are some self-care
26:33practices that nurses could partake in
26:35or some favorites have you noticed that
26:37that has worked very great for nurses
26:40yeah I mean I think the again and very
26:43individual for people
26:45um you know someone will say oh I want
26:47to go walk along the beach and another
26:49person will be like oh I almost drowned
26:51when I was a kid I hate the beach I get
26:53nervous by the water you know so it's
26:55like they like looking at the mountains
26:57so everyone is a little different but I
27:00think the most important thing is
27:01scheduling that self-care activity right
27:04I mean like it's anything else that we
27:07would schedule that's a priority
27:09um so making sure whether it's a hobby
27:11that someone's picking up whether it's
27:13exercise that they enjoy
27:15um for self-care because they find it's
27:17good for their body and their mind
27:20um reading a book watching a movie you
27:23know going for a walk going out in
27:25nature everyone is different but the key
27:28is to really schedule it and prioritize
27:32it and not let that the thing that goes
27:34off you off your list and you know again
27:36there's certain things you can do
27:39um if you start it in the morning if you
27:42can you know on a day that you're off
27:44you get it in you know and all the other
27:46things that get in the way don't
27:49um that tends to be the one thing that a
27:51person will let go right I'll do that
27:53tomorrow I don't have to do that so it's
27:55scheduling it
27:57um the resilience part I think is tough
28:00for for nurses honestly and they they're
28:02all like interrelated so what someone
28:04might do for resilience might also feed
28:07their self-care Cup right or fill that
28:09cup as well but um the resilience is um
28:14you know setting those boundaries right
28:16at work and at home which then would
28:19help with your self-care so to speak
28:22and I love how you mentioned resilience
28:24because these past two years have been
28:26struggling with resilience and
28:27overcoming all the hurdles that the
28:29Health Care system has burdened us with
28:32especially the the workload so you know
28:35we could have resilience physically but
28:37I think it's very important for nurses
28:38to have mental resilience and one of
28:41them is just having the mindset of
28:44overcoming your shifts or overcoming the
28:47obstacles maybe eliminating the negative
28:50self-talk that plays out or this is
28:52going to be difficult this is never
28:54going to get better because I feel like
28:56that negative self-talk especially
28:59collectively on a unit culture which I'm
29:01sure you could talk about is going to
29:03affect not only the nurse which is
29:06providing the care which could be you
29:07but also it's like a cancer in the body
29:10that stays there that's affecting the
29:12whole culture that affects and
29:14ultimately makes us less resilient to
29:16overcome a shift right
29:18right I mean less resilient in life
29:21right it kind of so resilience I mean
29:24it's not it's not just for when you're
29:26at work right if you're not if you don't
29:28have that resilience and those skills
29:30that creeps into your personal life too
29:33because it's not like a switch that goes
29:35on and off it kind of follows you
29:37everywhere right
29:39um so I think um it's really important
29:41The Narrative that you know that
29:43self-talk that you you know just
29:45mentioned is okay
29:47um and it's so it that's exactly what
29:51happens in a unit right it's like you
29:53know it's almost like after you take an
29:55exam back in the day you know and you
29:57didn't know about one answer and you
29:59come out and you're thinking oh I don't
30:01know if I got that right and you hear
30:02someone saying oh this is the choice and
30:05and then other people start and it's
30:07everyone's talking and none of those are
30:09the choices that you had put and you get
30:11that feeling and you say I'm just gonna
30:12walk away from this right instead of
30:14chiming in and piling on
30:16um it's the same type of thing
30:19um so I think nurses really have to try
30:21to as best they can
30:23um change that narrative and we talk
30:25about that you know in the program
30:28um because it becomes a habit and it's
30:30like a tape that just plays over and
30:32over so change that narrative have more
30:34positive self talk set boundaries for
30:37yourself personally at work and you know
30:40professionally say no more if you need
30:43to especially now you know with them
30:47needing uh the hospitals needing nurses
30:49at the bedside they'll you know wave
30:52that uh cat in front of you of you know
30:54that extra bonus or you know time and a
30:57half or we'll you know we'll throw in a
30:59500 bonus or you know it's I've said
31:03some many times to so many you know
31:05people my in my family and client you
31:08know comes a point where it's not worth
31:11your health right your mental health
31:13your physical health so it's really
31:15setting those boundaries and um trying
31:18to
31:19find that work life Harmony I like to
31:21call because I don't believe in Balance
31:24honestly I think you have to figure out
31:26each of us has to figure out a way to
31:29live in a harmonious way that works for
31:32us but it's not balanced because you
31:35can't balance
31:37your work and what we're doing as nurses
31:39and our home there's no balance there so
31:42I I don't believe in that notion but
31:45yeah yeah it's a it's a really good a
31:47really good term work life life Harmony
31:49because one of the one of the biggest
31:52things that we see for nurses that reach
31:54out to us like for help and guidance is
31:56a lot of them have an issue with
31:59uh that's a it's an issue with them
32:03bringing the emotions the experience at
32:05work bringing bringing that home and uh
32:08almost like having like self-sabotaging
32:11behaviors like just just feeling you
32:14know sad and bad for people outside the
32:16workplace because they it's hard for
32:18them to separate their work life from
32:21their their the reality their their only
32:23own life at home so what kind of a
32:25guidance
32:25um can you give those those uh those
32:27nurses are Healthcare professionals
32:29yeah I mean that's it's a challenge
32:31again it's like a learned behavior right
32:34um so
32:35trying not to do that is important I
32:37think um there again it's going I'm
32:39gonna say again it's individual but I
32:42think one thing that is so helpful is
32:44um when you leave work have some sort of
32:48a routine so I mean some people I've
32:50even suggested bringing I mean this may
32:53sound funny to some people or a little
32:55weird but bringing
32:57um you know sweatpants or some comfy
33:00um clothes that you would normally like
33:02get into at home like if you're kind of
33:04winding down gonna put on a movie or
33:06something and before you leave work
33:08change into those comfy clothes or bring
33:12a pair of comfy slipper something that
33:14like
33:15just associate you with being at home
33:18being comfortable winding down whether
33:20you have that if you have that dry Palm
33:22obviously if you're taking public
33:23transportation it's a little different
33:25but you know get when you before you
33:27leave the hospital it kind of separates
33:29right you work from your home I'm
33:31getting into my comfy sweats I'm putting
33:33on my comfortable you know
33:36flip-flops
33:37um and you know I'm I'm already winding
33:40down I'm not thinking about work I'm
33:42making that distinction so I mean that's
33:44something that people have done that
33:46find they find it very helpful it they
33:48shift into that different mode
33:51um getting on the phone talking about
33:54you know the patient or what happened I
33:56mean it's good to debrief when necessary
33:59of course but not to constantly be
34:01thinking about it as you're laying there
34:03trying to go to sleep right you know did
34:05I give that Med oh I think I gave that
34:07man or did I you know whatever is
34:10playing back in your head it's done it's
34:11over
34:13um you know that's a little different
34:14than debriefing from something that may
34:16have occurred in the unit that you
34:18should talk about and then come with it
34:20yeah
34:23not a big thing especially for like
34:25newer nurses is is self-confidence and
34:28building confidence so how can you
34:32um and like how can you make yourself
34:34more confident and how can maybe I help
34:37somebody build their own confidence
34:41yeah I think for a new nurse
34:45it's got to be so challenging right
34:46today I mean I think of the nurses that
34:48came out during covet you know and
34:50started just working in that environment
34:52you know kudos to to them I think that
34:56um
34:56finding um one or two people in their
34:59unit or
35:01um if they're working you know at the
35:03bedside in a unit that they feel
35:05comfortable going to like almost like a
35:07mentor or you know a colleague for again
35:10for to talk to to reach out to they feel
35:13comfortable is key it doesn't have to be
35:15a lot of people it could be one person
35:17that you know they could go to to ask a
35:19question or find support I think it's
35:21important
35:23um and building taking the time to
35:26really think about finding that Mentor
35:29so to speak um is huge and I always
35:32found that um I always had mentors
35:38um for things that I admired right or
35:40that I would strive for or I'd like to
35:42say oh I'd love to be able to do that
35:44one day in my career but I also had
35:47mentors that I'd say that's a behavior I
35:50never want to do right so I had mentors
35:52kind of on both sides of it so to speak
35:56um where I'd say I definitely don't want
35:58to lead nurses
36:01like that person or and then others that
36:03I did admire what they did and want it
36:06to be like them so I think a new nurse
36:09can start
36:10parsing out you know the people that
36:13they feel connected to that they could
36:14learn from that they can get support
36:16from that they can vent to is K and for
36:20us as nurses
36:22um you know being there to support I
36:24mean it's being you know non-judgmental
36:26and open and kind kindness right I mean
36:30uh that's kind of Gone by the wayside
36:31sometimes uh so yeah just being human
36:35right and uh just being a kind open
36:39um accepting person I think is uh is is
36:43okay and inviting them you know if
36:46you're getting a coffee break and
36:48there's a new nurse I mean as a traveler
36:50you deal with this right I mean you're
36:52constantly going into a new situation
36:54it's so challenging you're kind of on
36:56that other side where you probably don't
36:58know the staff
37:00um you don't know the environment you
37:01don't know the codes to the bedroom and
37:04you know all these it's hard you know so
37:07um having that some person that smiles
37:10at you that you feel that you could
37:12approach and ask a question is Kitty
37:14okay and I'm going to add on to that
37:15point I love the wisdom that we're
37:17sharing here is
37:18to to get become more self-confident as
37:21a new grad is
37:23be your own or cheerleader so just like
37:25you are your own worst critic you have
37:27to give your own hype even though you
37:29might be looking for it from a preceptor
37:31from somebody else in the unit
37:33how about we fill our own cup as well in
37:35that aspect where after a shift after
37:37something you did what if you reflect on
37:40the great things that you did for your
37:41patients reflect on how awesome your
37:44shift was give yourself a pat on the
37:46back because you're going to create a
37:48Compound Effect instead of giving your
37:50self your own worst critic or judging
37:53yourself how shitty it was you're going
37:55to start re-programming that language
37:57and saying how awesome my shift was to
37:58start gaining confidence and other
38:00things that you're uncomfortable with as
38:02a healthcare professional
38:04yeah it goes back to the changing The
38:06Narrative of what you focus on right and
38:08what you say to yourself so it's all
38:10it's all interrelated it's all a part of
38:12that yeah for sure if we're in a perfect
38:14scenario and maybe budgets weren't a
38:18thing and finances what are the things
38:19that you would love to implement in
38:21healthcare if you have the ability to
38:23oh gosh um the magic wand question huh
38:28you know I think um for patients and
38:31communities I think access for care is
38:34like so important I don't think you know
38:36everybody doesn't have access to quality
38:39affordable health care which I think is
38:42key so I mean I think access for
38:45patients would be number one for staff I
38:48think
38:49um
38:49yeah I think we need to give nurses
38:53a seat at the table at every table
38:56you know whatever's being discussed in
38:59the organization or
39:01the health system wherever I think um
39:04that a nurse has to be at every table
39:07and bring that perspective to that
39:09decision to that discussion
39:12um whether it's with the finance person
39:13or the quality person or engineering or
39:18you know anything a nurse's perspective
39:21is huge when we're talking about health
39:24care so they need a seat at every single
39:26table that that would be if I could pick
39:27one thing
39:29um that would be that
39:30and with with tap you mentioned it's a
39:33it's like it it's a 12-week 12 weeks of
39:37of like coaching and all that kind of
39:40stuff is can you give us a little bit of
39:42insight what to expect is it every day
39:44is a different step do you have the five
39:47pillars and five different sessions or
39:49or how does that that uh that work what
39:51can someone expect if they decide to do
39:53some of your some of your coaching and
39:54get some of your insights
39:56be happy to share that so initially if
39:59in the group program when the person
40:01signs up they'll they'll get a
40:04invitation to download the tap app which
40:07is available you know on Google Play or
40:10the um Apple Store
40:13um and people can go on there by the way
40:15and just do like a five-day trial for
40:17free of that app
40:19um the coaching is much more than the
40:21app of course well so they'll sign up
40:24download the tap app and then fill out
40:26their intake form and then we do a
40:28one-on-one call to set up their goals
40:30for uh what success would look like for
40:33them at the end of the program and what
40:35they should what they'd like to focus on
40:36for the next two weeks we move through
40:39the program the first two weeks or
40:41setting people up getting kind of
40:44assessing where they're at in each
40:45pillar assessing their home and personal
40:49um you know it's kind of stage where
40:52they are and then we go through each
40:54pillar for two weeks but it doesn't mean
40:57that the person that's in the program
41:01um focuses only on their goal for that
41:04pillar we move the person through as
41:08however they need I believe each person
41:10should always start with their weakest
41:12pillow right because they'll be able to
41:14get gain success a lot easier that way
41:16and then that builds motivation so
41:19that's always a suggestion but we do
41:20what people want so someone wants to
41:22start with sleep but maybe our first two
41:25pillar that we focus on is food that's
41:27okay so we're working on sleep with them
41:29but they're also learning and getting
41:31education about food and we take them
41:34through every two weeks on the in the
41:37group program we have a live Zoom call
41:39with the others in the group so they
41:41build community they can also
41:43communicate with each other in the tap
41:46app in the community side of the program
41:48to share recipes and stuff they can
41:51direct message me the real purpose of
41:53the app is for them to communicate with
41:56me directly so at any point of the time
41:59they can send me a DM and I can respond
42:02to them they're going out to dinner
42:03they're overwhelmed they don't know what
42:06they want to eat or what would be a
42:07better choice for them if it's along
42:09their goal you know they can send me a
42:12message or they're trying to go to sleep
42:13and they have a question they don't have
42:15to wait they can just DM me and I'll get
42:18back to them so that's the main purpose
42:20of the app but then each day they will
42:22get a little message from tap in the app
42:25focusing on whatever pillow we're on and
42:28that changes we do weekly check-ins
42:30through the app
42:32we have other calls if needed if they
42:35need an extra resource lots of times the
42:38resources that they request are for
42:41um you know maybe a meditation or a
42:45mantra that they want to try before they
42:46go to sleep or a recipe they're looking
42:50for because they're cooking for their
42:52family and they want a special recipe so
42:55I'll
42:56research that and send over a recipe
42:59collection
43:00um yeah so we moved through as a group
43:03and then um at the end yeah and as we're
43:06going through those weeks with the
43:08pillars we also incorporate the
43:10resilience and the self-care those are
43:12themes that are carried throughout
43:14because it's it's as I said it's all
43:16interrelated yeah so that's that's the
43:19program as a whole and um it's really
43:21sad to see actually I got a message uh
43:24last night from someone who was just in
43:26the program you know missing you loved
43:29you we have a
43:30a Weekly Newsletter that goes out an
43:34email essentially that focuses on
43:36different parts of the program so I get
43:38a lot of messages from the people who
43:40still get the the weekly newsletters if
43:43anyone wants to sign up it's Tuesdays
43:45with tap so every Tuesday they get a
43:47short little email about one of the
43:49pillars
43:50um but it's nice because that prompts
43:52them and then they send me a little
43:53message so we stay connected it's again
43:55building Community right being there for
43:57people
43:58and the the one-to-one program is
44:00essentially the same type of program but
44:02much more intense bespoke
44:06um you know we schedule the calls we do
44:07weekly calls instead of every two weeks
44:09and um obviously it's scheduled around
44:13what works for that person and we do a
44:16bit of a deeper dive there as to their
44:19needs some people don't feel comfortable
44:20in a group setting sharing personal more
44:24personal information or behaviors and
44:27prefer that one-to-one where they can
44:29really dive deep and spend the entire
44:31hour talking about them and not having
44:34to listen to other people so everyone's
44:36different
44:37good what's the website link
44:40uh it's techwellnesscoaching.com
44:43is there anything that is good no it's
44:46just say Instagram as well it's all all
44:48the same Israel I think that that's a
44:50prize that surprised you working with
44:53with Healthcare professionals maybe
44:55um for example some wild goals that they
44:58had or maybe you realized how determined
45:02to change Healthcare professionals were
45:04anything surprised you with working with
45:05other professionals
45:08um
45:09surprise not really I mean I think I was
45:12a little
45:13I again I guess just because maybe I was
45:16maybe I had a little bias but I thought
45:18it was going to be mostly food
45:19everyone's always talking about food you
45:21know intermittent fasting and you know
45:24who's vegan who's doing paleo you know
45:26so
45:28um I thought that would be in the
45:30beginning and as I said it was it tends
45:33to be sleep but um
45:36hydration is a challenge for the nurses
45:40um
45:41when the so I think that was one thing
45:44but I think the if I now that I'm
45:46thinking about it I think um
45:48the lack of understanding of
45:52like when we spend that first week
45:54looking at each pillar for each person
45:57and kind of looking at there and we give
45:59them you know suggestions of how to do
46:01that
46:02um I think them not even taking the time
46:05to realize that they're sleeping five
46:07hours one night and 10 or 12 the next
46:10that they go for
46:12nine or ten hours without eating or
46:14drinking or going to the I mean like
46:16they don't even take um
46:19they're not even noticing you know what
46:22really they're doing
46:24um and I think that was the biggest if I
46:26had to pick something is the um not
46:29being aware of how all those things
46:31impact how they're feeling
46:34and then they're like oh no wonder why
46:37oh my gosh I didn't even realize that
46:40you know and it's awesome
46:42yeah I was just gonna say it makes sense
46:44because looking at our educational
46:46system in nursing school it's always
46:49about Patient First Patient First and
46:51again we're never filling up our own cup
46:53again and you have nurses that go six
46:55seven hours at the beginning of the
46:57shift without taking a single sip or
46:59even emptying out their bladder so
47:01that's a very current theme
47:03but then they find that too that they'll
47:06say you know and then the they first day
47:09off right at home they have all these
47:10things they want to do and they just
47:12sleep they crash right sleep 12 hours
47:15and then if they can you know um so it's
47:19that you know up and down and it's I
47:22know what as as one person said often no
47:24wonder I'm feeling so crappy you know uh
47:27of course if you look at it and you
47:29write it down and you see it it's like
47:31oh yeah makes perfect sense
47:33and we're in the field of caring for
47:35people you know because it's so uh
47:38it's kind of ironic right
47:41and one last question we'd like to ask
47:42all of our guests if you have the
47:44opportunity to have a cup of coffee with
47:46anybody One Last Time who would it be
47:49and why
47:50Ah that's easy for me that would be my
47:52dad my dad passed
48:00um spoke to about all my goals you know
48:02I want to write a book by time um
48:04whatever 40 or 50. I want to be a fan I
48:07wanna and he'd be like uh-huh you know
48:09that's great you know and encourage me
48:12um and he wasn't around to see any of it
48:14so uh I mean I'm sure he's watching down
48:17but yeah he'd be the person I'd love to
48:19catch up the last 15 years with that
48:22that would be amazing yeah it sounds
48:24like he was amazing support system yeah
48:26Terry uh Oregon people find you if they
48:28want to get some more information or
48:30seek some some help or some coaching
48:33um you can go to tapwellnesscoaching.com
48:35email me at info
48:37topwellnesscoaching.com I'm on Instagram
48:39same
48:41Tech Wellness coaching and and Facebook
48:43as I said uh lots of we post it every
48:46single day on Instagram lots of tips
48:49um for free and lots of available
48:51resources if anyone's interested and we
48:53have a next group coaching is starting
48:56um
48:57I think it's March 6th of the next group
48:59coaching program if anyone's interested
49:01you know what I'm trying I'd love to
49:03also work with Healthcare organizations
49:05right to help the nurses that they're
49:08employing imagine when you sign on you
49:12get some coaching right as part of your
49:14uh recruitment efforts
49:17now to be an orientation so hopefully
49:20that will come to fruition soon yeah
49:22it's a really it's a really good idea
49:24man I had a has idea of of I'll go just
49:27one of your pillars the movement one is
49:29is like how nice would it be for you to
49:31have like a discount for a gym
49:33membership or a discount for spa access
49:35just so and that just shows you that
49:39like your employer really cares about
49:41you because he's giving a discount for
49:43for you not not just some like random
49:45stuff like you could go far away because
49:47some people just just maybe can't afford
49:50it or maybe they need a little bit of a
49:52push in the right direction and they'll
49:54go along with a little discount like you
49:55said like somebody that they're gonna
49:57Mentor them or or coach them or just
49:59have somebody there that they could
50:01speak to freely in an open environment
50:03just so they could they could express
50:05their feeling because sometimes it's
50:07hard to to come home and maybe talk to
50:09your spouse about it that doesn't work
50:11in the medical field or the healthcare
50:13industry and it's and it's different you
50:15need somebody that has a little bit of a
50:17background a little bit of understanding
50:19of what you're going through
50:21yeah no I I agree I think that would be
50:24a wonderful thing for as part of
50:26orientation to you know provide that
50:28extra support for new nurses coming into
50:30a facility for a couple months or even
50:33as
50:34um you know a a perk for people who have
50:37been there a long time for retention
50:40um to give that to you know they have
50:41clinical ladders and all these things
50:43that they give who needs another duffel
50:45bag or a water bottle right in you know
50:47something like this would um the costs
50:50would certainly um the benefits
50:52certainly outweigh the cost for that for
50:54that organization so
50:56we'll see to be continued yeah thank you
51:00Terry just want to acknowledge you for
51:01the awesome knowledge that you shared
51:03with us the Five Pillars about
51:04resilience communication thank you for
51:07sharing your expertise with the nurses
51:09and anybody listening and hope to see
51:11you again
51:12yes likewise gonna draw your time in
51:14Thailand it was a pleasure talking with
51:16you thank you really appreciate it
51:22thank you
51:32foreign
51:34[Music]

About this transcript

This page contains the full transcript of EP 202: Enrich Your Personal Life With Dr. Terri Ann Parnell by CUP OF NURSES, generated from the public captions YouTube serves with the video. The transcript has 8,862 words across 1,311 segments, with the original timestamps preserved so you can click any line to jump to that moment in the embedded player.

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