Aneesah Coates, BSN, RN, is an experienced psychiatric mental health nurse with nearly ten years of experience in acute care, long-term care, and home health care. She is the owner of aneesahcoates.com and is passionate about helping nurses, current and aspiring, learn more about the profession.
Coates works at a mental health crisis center as a senior professional evaluation nurse, preceptor to new nurses, Nursing Journal Club facilitator, and nursing department trainer for new staff. She’ll graduate with her doctorate in nursing practice as a psychiatric mental health nurse practitioner in December 2023.
The series highlights healthcare leaders who are prominent figures in their organizations and are making transformational impacts in nursing.
Meet Aneesah Coates, BSN, RN, and senior professional evaluation nurse.
Talk about your role in nursing.
I wear several hats in my current nursing role. I am a senior professional evaluation nurse at a local mental health crisis center. We’re part of the University of Pittsburgh Medical Center, specifically under the Western Psychiatric Hospital umbrella, a national leader in diagnosing, managing, and treating mental health and addictive disorders. And we are located in an urban community setting, so we get consumers with various needs and diagnoses.
My duties include triaging consumers coming into the center, conducting intake assessments, making referrals to the appropriate level of care, and working with local pharmacies to ensure that our consumers can access the medications they need. I also serve as a resource for other nurses and clinicians in the facility, providing mentorship and guidance to new staff members and helping with problem-solving when necessary.
More formally, I am trained as a preceptor to new nurses, so I help lead nursing orientation and provide ongoing support during the onboarding process. As the trainer for the nursing department, I give presentations to new staff from all disciplines, providing them with an overview of the nurse’s role within the team. My goal is to ensure everyone who works here understands our role as nurses and how we fit into the team’s overall approach to helping our consumers.
Lastly, I serve as the Journal Club facilitator for the nursing department. I started this initiative by creating a presentation to refresh us on defining key research terms and levels of evidence. Every month, I select a journal article relevant to our work, conduct an article critique, and provide the group with a summary of the main findings. I also provide them with a blank copy of our research critique form and encourage them to reply to the initial email to share their thoughts to foster discussion. Each of my roles has this common thread of support for consumers and staff alike and empowering everyone in the process.
How long have you worked in the nursing field?
This year marks a decade as a nurse for me.
Why did you become a nurse?
Becoming a nurse was a natural progression for me. Seeing my dad in the hospital greatly impacted me as a child, and I was continually inspired by the nurses who cared for him. Despite being in and out of the hospital, my dad was involved in my education and invested a lot in my early education. He nurtured my curiosity and encouraged me to keep learning. My mother’s hard work ethic was also an influence on me.
Between their encouragement and my growing interest in healthcare, nursing seemed the perfect fit. I was drawn to all aspects of the profession and wanted to make a difference with my work. That desire has only grown since then, and I’m continually driven to learn more and improve my practice.
What are the most important attributes of today’s nursing leaders?
A great attribute for today’s nursing leaders is being able to role model the behaviors and attitudes they’d like to see in their staff. Nursing leaders should be able to demonstrate qualities such as professionalism, accountability, and integrity. It’s also important that nursing leaders are problem-solvers and innovators, ready to take on challenges and come up with creative solutions for their teams. Nursing leaders should strive to be lifelong learners and stay current on best practices and evidence-based research to improve care.
Many attributes that contribute to successful nursing leadership can be learned and developed over time. So if an aspiring leader still needs to possess the desired qualities, they can acquire them through professional development opportunities such as certifications and continuing education. Mentorship and networking can also be great resources for learning and developing these skills.
What does being a nursing leader mean to you, and what are you most proud of?
Being a nursing leader means taking an active role in helping shape healthcare’s future. It’s about understanding how my work can impact the lives of my patients, their families, and our community. It’s about being an advocate for all those I serve and working to ensure that everyone has equal access to healthcare. It’s also about empowering my colleagues, mentoring them, and encouraging them to reach their potential as healthcare professionals. And this can all be done no matter what level of nursing leadership you are in.
I take my leadership role very seriously. I am continuing my education to obtain my doctorate in nursing practice (DNP) to become a psychiatric mental health nurse practitioner (PMHNP). I plan to graduate this December and am excited about the opportunities this degree will bring. I am also excited about the work I have done to create aneesahcoates.com, a website devoted to helping students and new and seasoned nurses navigate the world of nursing by providing access to resources and insights on a variety of topics.
Tell us about your career path and how you ascended to that role.
My career path in healthcare began 20 years ago as a dietary aide in a hospital cafeteria. My nursing career started sometime after that when I decided to attend a local community college and obtain my associate’s degree in nursing science. From there, I went to the California University of Pennsylvania for my bachelor’s degree in nursing. And three years ago, I entered Robert Morris University’s BSN-DNP program to become a psychiatric mental health nurse practitioner. As a nurse, I have worked in an acute care setting caring for lung transplant patients. I have also worked in skilled nursing, home health care, long-term care, and psychiatric mental health care.
What is the most significant challenge facing nursing today?
The most significant challenge facing nursing today is the shortage of nurses (source). The nursing shortage results from multiple factors, including low enrollment in nursing programs, a lack of nursing school faculty, and a significant segment of the nursing workforce nearing retirement age. Not to mention how the pandemic has put an even more tremendous strain on the nursing profession. And the shortage is likely to have several downstream effects, including a strain on staffing ratios, leaving nurses overworked and stressed out, which can lead to nurse burnout. This can negatively impact patient outcomes and the quality of patient care. To address this, we need to focus on initiatives such as recruitment and retention programs and professional development opportunities that focus on building leadership skills. We should also continue to invest in incentives such as tuition reimbursement and scholarships to encourage more people to enter and stay in the profession.
These initiatives can create a pathway for nurses to move up the ladder, which not only increases retention but also helps to foster an environment of strong leadership among nurses. I don’t want to minimize the challenge the nursing shortage presents. It’s a complex issue that requires innovative solutions and collaboration between multiple stakeholders.
As a nursing leader, how are you working to overcome this challenge?
I am working to overcome this challenge by engaging in various initiatives and activities to help recruit, retain, and mentor nurses. I am doing this through my website, which provides essential nursing resources to students and new nurses looking to enter the profession. My current professional role allows me to precept students and new nurses, allowing me to share my passion and excitement for the profession. I make it a point to express how nursing is a dynamic profession that can be whatever we make it. In the future, I plan to use the knowledge I have gained through my DNP program to contribute to initiatives and programs that will empower nurses through education and advocacy.
I am interested in health economics and policy, so we’ll see what opportunities open up.
What nursing leader inspires you the most and why?
Nurse Alice Benjamin inspires me. She does so much that you can’t help but be inspired by her. Nurse Alice has achieved so much in her career and is passionate about helping others do the same. She is a leader who uses her platform to promote health and wellness while advocating for nurses and patients. Nurse Alice is a force of positivity, and her passion for nursing is contagious. She’s an author, TV medical contributor, ambassador for the American Heart Association, Chief Nursing Officer at Nurse.org, and the list goes on. Her work goes beyond the traditional boundaries of nursing leadership, and she is an excellent example of how nurses can impact healthcare through direct patient care and advocacy.
What inspirational message would you like to share with the next generation of nurses?
My inspirational message to the next generation of nurses is this: the sky is truly the limit. You can make a real difference in healthcare and positively impact the lives of those who need it most. Believe in your professional abilities, stay true to your values, and don’t be afraid to push the boundaries of being a great nurse.
Is there anything else you’d like to share with our readers?
I want to remind readers that we all have the power to make a difference in the healthcare field and that each of us has unique skills and talents that we can use to help others. No matter what role you play in healthcare or how much experience you have, your contribution matters. So stay motivated, focus on the task at hand, and always remember why you decided to pursue a career in healthcare in the first place.
Cara Lunsford is the VP of Community at Nurse.com, fostering a community where nurses can find peer support, allies, professional opportunities, resources, and education. She’s also the host of Nurse.com’s NurseDot Podcast and a member of the LGBTQ+ community, highlighting a variety of voices within the nursing industry while also speaking to her personal experiences as an RN and founder of HOLLIBLU, a social networking app exclusively for nurses (acquired by Nurse.com in 2022).
The series highlights healthcare leaders who are prominent figures in their organizations and are making transformational impacts in nursing.
Meet Cara Lunsford, RN, CPHON, VP of Community at Nurse.com.
Talk about your role in nursing.
Beginning my career in pediatric oncology, I witnessed firsthand the effects such a stressful job can have on a nurse. I observed my peers experience burnout and abuse on a daily basis. I heard their stories of adversity, trauma, and hope and joy. With my fellow nurses at Children’s Hospital Los Angeles (CHLA), we started the first Supportive Care Committee to ensure nurses had an environment available to help cope with job stress. However, there remained a greater need for resources like this committee at every hospital and nurses throughout healthcare sectors to improve retention and recruiting.
Realizing there was a broader need for a safe and supportive community and the potential technology had to solve this issue, I had the idea to found HOLLIBLU, the first social media network for nurses. The app was designed to provide peer support, professional advice, and connections with other nurses. In 2022, HOLLIBLU was acquired by Nurse.com, where I was brought on as vice presidentof community to oversee the Nurse.com app platform.
To continue amplifying voices within the nursing community, we launched the NurseDot Podcast late last year. I sit down with my nursing peers to discuss their stories, industry trends, and professional growth advice.
How long have you worked in the nursing field?
I have been in nursing for over 15 years, working in the acute setting as a pediatric oncology, home health, and home infusion nurse. Throughout the past five years, I have used my clinical knowledge as a registered nurse (RN) to take on an entrepreneurial role delivering technology solutions to my fellow nurses to help with everyday challenges. Most recently, I have been using my voice and platform in the nursing space to elevate other nurses, fostering a supportive community for nurses of all specialties and settings.
Why did you become a nurse?
I started my career as a nurse in pediatric oncology back in 2008 at CHLA. Before that, I worked as an American Sign Language interpreter at Cal State Northridge, where I discovered my interest in oncology. For two consecutive semesters, I interpreted the Biology of Cancer class, and as I was listening and interpreting, I became more interested in oncology and the nursing profession in general. Ultimately, I was so intrigued that I was motivated to embark on a career in nursing. From there, I went to Los Angeles County College of Nursing and Allied Health, where I received an Associate of Science degree and became an RN.
What are the most important attributes of today’s nursing leaders?
Successful nurses and nursing leaders are empathetic, drawing from personal experiences and truly listening to others from different backgrounds. Having navigated the healthcare system as a queer family put me in the patient’s shoes rather than the clinician’s, with which I was very familiar. My wife and I had a child with two HIV+ gay men, and we all continue to co-parent together. To have our son, we had to meet with multiple IVF clinics and experienced professionals who were either unfamiliar with our family situation or had stigmas around HIV and LGBTQIA+ healthcare issues. I understand what it is like to be rejected from care because of the stigma around your sexuality and hurtful preconceived notions. As a queer nurse, it’s important for me to share my experiences with patients and fellow nurses to create a better care environment for everyone and foster the best possible results for all patients, regardless of background.
With this experience as a patient, I can relate to the struggles my patients are going through. Similarly, as a nursing leader, I understand the struggles of my peers. This knowledge allowed me to create an app to best support nurses and care for their needs. To care for patients you do not know, sometimes nurses must put their own mental health and personal life on the back burner, requiring nurses to be extremely caring and understanding. While this means caring for patients of all backgrounds, it also means putting yourself in their shoes.
What does being a nursing leader mean to you, and what are you most proud of?
It’s important to acknowledge that nurse leadership brings a tremendous amount of responsibility. Nurses have faced unprecedented challenges in the past few years, resulting in a staffing crisis. The solutions nurses seek will require that people across healthcare get aligned on the reasons behind this crisis. Nurse leaders are being called to use their voices and platforms to ensure these messages reach the decision-makers within this industry. I had spent most of my career being the squeaky wheel, speaking up even when it was unpopular. I have taken huge personal and professional risks to create a safe space for nurses and bring awareness to their challenges. But with risk came great reward. Nurse.com believed in my mission and vision. In March 2022, they acquired my company, brought our small but mighty team into the Nurse.com family, and are helping us to continue our mission of providing a vibrant community where nurses thrive.
Tell us about your career path and how you ascended to that role.
After years of nursing and founding HOLLIBLU, I was drawn to Nurse.com given its 30+ year legacy. The biggest thing that pushed me to collaborate with the company was its mission, which completely aligned with mine. Nurse.com aims to improve the lives of the most vulnerable members of society and those who care for them. As a nurse, this resonated with me deeply. It is a company I wanted to associate myself with and help build toward this mission by including the app I was so passionate about creating.
What is the most significant challenge facing nursing today?
Following the COVID-19 pandemic, the broader public became abruptly aware of nurses’ important role in the healthcare system and their daily challenges. In this post-pandemic world, with severe nursing shortages putting increased pressure on healthcare staff, nurse burnout, and professional stress are incredibly high, not to mention the grief and trauma that comes from caring for patients.
As a nursing leader, how are you working to overcome this challenge?
Nurses need resources and support to equip them with the skills to deliver better care. The last few years have proven that nursing is one of our society’s most demanding and crucial jobs, so we must do something about it. It is vital to provide nurses with adequate resources and a supportive community to deal with burnout and improve their mental health. Nurses need accessible and effective training to help them advance in their careers and targeted job postings to help them find the best roles that fit their interests and experience. At Nurse.com, we put nurses’ needs first, providing them with a community of peers, reading materials, continuing education courses, and the ability to take control of their career paths.
What nursing leader inspires you the most and why?
A few nurse leaders come to mind, but I would start with Rebecca Love. Rebecca has been working to empower and elevate the nurse profession, whether it’s through grassroots initiatives, like founding the non-profit SONSIEL (Society of Nurse Scientists, Innovators, Educators, and Leaders) or giving TedTalks about how nurses can drive healthcare innovation. Most recently, Rebecca has set her sights on a significant issue, the insurance reimbursement of nursing services. The Commission for Nurse Reimbursement explores the history of how the rates of nursing services were once set by the nurses themselves and how changes made over 100 years ago has resulted in nurses now being a cost instead of a benefit to hospitals. I just interviewed her on the NurseDot Podcast, and you can listen to that episode here.
What inspirational message would you like to share with the next generation of nurses?
Nursing is a marathon and not a sprint. If you want to work in this profession for decades, it is important to prioritize your personal needs, practice professional boundaries, and know when to say “no” or “not right now.” Remember that you are human first. Practicing awareness will help you identify when it’s time to make a change, so don’t be afraid to leave your comfort zone and try something new.
Rama Walker is passionate about caring for people, and as a nurse leader, she has the privilege of caring for people whose career is caretaking.
Walker advocates for nurses and women, pushing them to be their best version. She knows better than anyone that nurses are innovative, caring, resilient, and well-rounded individuals who can adapt and thrive in challenging environments.
As a seasoned nurse with over 14 years of experience, Walker brings a unique perspective to her role as the Chief Nursing Officer and Chief Operating Officer of Nurseify.
The series highlights healthcare leaders who are prominent figures in their organizations and are making transformational impacts in nursing.
Meet Rama Walker, CNO and COO of Nurseify, Inc.
Talk about your role in nursing.
I started my career in home health and quickly advanced into leadership after a few months. I have always known that I had a ‘big picture’ mindset and wanted to support the team in patient care. Before joining Nurseify, I most recently served as the administrator and led facility operations for two freestanding emergency rooms for HCA Houston Healthcare Southeast, which performed over 38,000 patient visits yearly. I have also held clinical leadership roles at HCA Houston Healthcare West and other healthcare organizations in the Houston market.
How long have you worked in the nursing field?
I have been a nurse for over 16 years and still cannot believe how much time has passed.
Why did you become a nurse?
I have always been nurturing toward others. I figured out early on that the key to a happy life is doing something that combines your passion, purpose, and skills. I was fortunate enough to find that in nursing. When I was in high school, I was in HOSA-Future Health Professionals. It was a program that exposed us to different careers in the healthcare field. I went in wanting to be a pediatrician and came out knowing wholeheartedly that I was meant to be a nurse.
What are the most important attributes of today’s nursing leaders?
Today’s nursing leaders need to be resilient, innovative, and caring. Healthcare is a dynamic environment, and these attributes will allow the nurse leader to find success and longevity.
What does being a nursing leader mean to you, and what are you most proud of?
Being a nurse leader allows me to take care of the people that take care of the people. I serve my nursing team and remove barriers so they can focus on providing high-quality care to their patients or whomever they serve.
Tell us about your career path and how you ascended to that role.
I began my career as a staff nurse in home health and quickly learned the clinical side of nursing and the operational side. During this time, I discovered my passion for being a clinician and developed a strong interest in understanding how everything worked together. I was fascinated with the interdisciplinary team. I then went on to outpatient care and progressed there in my leadership journey.
In addition to overseeing clinical operations, I took charge of a department that involved budget management and marketing strategies to enhance patient volume. These skills proved invaluable when I assumed the role of an administrator for two freestanding emergency rooms. I serve as both the Chief Nursing Officer and Chief Operating Officer at Nurseify, an on-demand, gig-nurses marketplace. Nurseify facilitates nurses in sharing their experience and availability with healthcare facilities while also granting these facilities direct access to nurses who meet their specific clinical assignment requirements.
What is the most significant challenge facing nursing today?
The most significant challenge facing nursing today is creating and sustaining healthy work environments. It is a challenge that impacts all the threats we face in nursing: violence towards nurses, nurse burnout, inadequate staffing, and high turnover rates.
As a nursing leader, how are you working to overcome this challenge?
I work towards this by promoting self-care and work-life balance and partnering with key stakeholders regarding safe staffing. Furthermore, in partnership with Nurseify, I am committed to providing and enhancing ongoing education and professional development for myself and the nursing community.
What nursing leader inspires you the most and why?
Throughout my career, I have encountered so many great leaders that choosing the most inspirational one is incredibly challenging. What stood out to me the most about these individuals was their ability to lead with poise in the face of adversity and skillfully advocate the needs of the clinicians they served with empathy and knowledge.
What inspirational message would you like to share with the next generation of nurses?
Nursing is, and has been, the most honorable profession. We provide comfort, support, and care to those who cross our paths, so it is important to remember that in all you do. Additionally, continue to invest in your well-being by being intentional with self-care and staying committed to lifelong learning.
Is there anything else you’d like to share with our readers?
With all we have accomplished as a nursing community, we can continue to do much more when we work together and advocate for critical issues. We have an essential responsibility to share our unique perspectives that can contribute to positive change in our profession.
Alice Benjamin’s nursing education journey has been everything except traditional. At first, she thought her path would hinder her career, and she secretly envied the traditional 4-year nursing program. But her education journey has provided unique, colorful, resourceful, well-rounded, and practical real-life experiences that helped mold Benjamin into the nurse leader she is today.
Benjamin aspired to become an advanced practice nurse and grow within the nursing profession, but the impact outside of the hospital motivated her the most.
Seeing the health disparities and health inequities negatively impacting the black community inspired Benjamin to become a community health leader in creating programs and empowering and educating communities of color to take control of their health and get the most out of their healthcare. Then she advanced her nursing education and learned more about research, health policy, and public health. Finally, she advanced her clinical expertise in cardiology as a CNS and NP to make a difference in her profession.
Benjamin, affectionately known as ‘America’s Favorite Nurse,’ is the chief nursing officer and correspondent for Nurse.org. She credits her education and personal experiences for becoming a well-respected and credible community health leader, propelling her into the national spotlight with appearances on national media platforms as a medical correspondent.
The series highlights healthcare leaders who are prominent figures in their organizations and are making transformational impacts in nursing.
Meet Alice Benjamin, APRN, MSN, ACNS-BC, FNP-B, CCRN, CEN, CV-BC, Chief Nursing Officer and correspondent for Nurse.org, clinical nurse specialist and family nurse practitioner, and critical-care and emergency medicine nurse at the Community Hospital of Huntington Park, California.
Talk about your role in nursing.
I’m an advanced practice nurse. I’m a clinical nurse specialist and a family nurse practitioner, working primarily as a nurse practitioner in the emergency room. I wear many hats because I’m also the chief nursing officer at Nurse.org, the largest online nursing platform. I also do much volunteer work with the American Heart Association and AARP. And this stems from just loving being a nurse and caring for other people because I do a lot of work in community education and advocacy, which even spills over into television, which is another opportunity to educate viewers at home.
I love nursing. I’ve been doing this for over 24 years. I couldn’t even think of doing anything different than what I’m doing now. Again, I’m in the emergency room now, but I’ve worked ICU, telemetry, home health, and critical care. There are so many places and needs for nurses. My mentor once told me wherever there are people, you need a nurse. I’ve found lots of great opportunities in the nursing profession.
Tell us about your career path and how you ascended to that role.
Right out of high school, I never knew I wanted to be a nurse. But I was the eldest, and my dad was a retired serviceman and smoked cigarettes in the military. They used to say, smoke them if you got him. So he picked up that habit and suffered severe health issues. He had high blood pressure, strokes, heart failure, and heart attacks. And as the eldest, I would help take care of him, and my dad would tell me, “You’re gonna be a great nurse one day.” And I said, “Well, I’m gonna be an accountant, I’m gonna count the money and things like that.” But I naturally fell into it. And right out of high school, I signed up for a vocational nursing program, and on the pathway, you can take the early part of it and become a nursing assistant. So I immediately became a nursing assistant and went to school to become a licensed vocational nurse. And once I achieved that then I went on to more school and became an RN with my associate’s degree. Then I started working as an RN and went back to school, I got my bachelor’s degree, still working, and then I went and got my master’s and became a clinical nurse specialist, an advanced practice nurse.
I did that for quite some time and even went back to more school to become a family nurse practitioner because I wanted to do more in healthcare as a nurse. Again, inspired by my dad, who died of a massive heart attack. And when he died, I said, “I’m going to be the best cardiac nurse in the world.” So I spent my career climbing the career ladder as a nurse and doing tons of community service with the American Heart Association, the NAACP, the Urban League, and women’s groups to get the word out about heart disease in underserved communities. So while working in the hospitals, I simultaneously did that. And in hindsight, I look back, and I’m like, gosh, where did I have the time to do all that? But when you’re so passionate about something, it fuels this fire and motivation. I just had the energy and the passion to do it.
I’ve also been adjunct clinical faculty at pre-licensure nursing programs to help model nursing and cultivate and foster future nurses. And during this career, inspired by my father, I often tried to bridge the gap by taking what I was doing in the hospital and the community organizations I was working with. Because people go to the hospital, they receive care, get discharged, and then they’re in the community with whatever resources they have. They must learn to navigate resources, insurance, and everything they need to stay healthy. So I did a lot of bridging the gap. At one point, I was the first nurse to chair the American Heart Association’s western state affiliate’s health inequity program. I oversaw American Heart Association’s community outreach programs over ten states which I’m very proud of because, as a nurse, knowing firsthand what happens in the hospital and having the experience of my dad, who went to a small community hospital, that didn’t provide all the resources and help that he needed to bridge the gap. So I’ve spent much of my career trying to bridge the gap between hospitals, clinics, and the community.
What are the most important attributes of today’s nursing leaders?
One of the essential attributes of a nursing leader is knowing how to be strategic when it comes to communication and working with others. As nurses, we are great at our nursing organizations. We advocate for nursing quite often. But sometimes, we’re not invited to specific strategic meetings, committee workgroups, or important work being done in healthcare, and we should be at that table. So we need to invite ourselves. We need to rub elbows with other groups recognizing that nursing is the largest segment of the healthcare workforce. We have nurses of all levels, LPNs RNs, and different types of advanced practice nurses, and we have a lot to contribute as the eyes and ears and often providers of care in the hospital. If we can be a part of these committees working on crucial national health initiatives, we can contribute and help make a change. So, for example, for my work with the American Heart Association, someone asked, “Would you want to chair this committee?” I said, “Absolutely.” It was interesting because I was the only nurse invited to that committee of 50 of us from over ten states. They said I was the first person ever to attend. So we have to recognize that nursing doesn’t just happen in the hospital. It occurs anywhere people are, and we need to strategize with other community leaders, even from business finance and education, and realize we can make a difference in many areas.
What does being a nursing leader mean to you, and what are you most proud of?
It always feels good when a patient comes back to you, and you may not even recognize that person, and they’ll say you took care of my mother or me when I was in the hospital. Then they tell you the story, and you start to remember, and they thank you so much because they were knocking on death’s door. And because of the care that I provided or some motivational words that I shared with them to keep them motivated and keep them going, I made an impact on their life. So that always feels good.
But as far as professionally, what am I most proud of? I have a lot of things that I’m proud of. But one of the things that makes me unique has been my presence on national platforms and television. A Woodhull Study shows that less than 2% of health experts are on tv or less than 2% of television contributors are nurses. Often, when nurses do have the opportunity to talk on television, it’s about a strike or some act of violence against them or something that victimizes the nurses instead of the nurse being a leader. I’m the expert. And I’ve had the privilege of being on several different programs, and now and as a medical contributor for NBC for Los Angeles, as a nurse to model that nurses can be health experts, too. So I’m very proud of that.
What is the most significant challenge facing nursing today?
One of the things we have to focus on is the work environment and the mass exodus that’s happening with nursing. COVID did a number on many people, more than we could have anticipated. But again, it’s the largest segment of the workforce, with workers on the frontline in these hospitals. Nursing care is around the clock and is what keeps hospitals open. Nurses were overwhelmed, overworked, under-resourced, and often needed to be appreciated more in ways that nurses found meaningful. We must fix that because nurses are leading the bedside. And we know that the baby boomers will be retiring, which will give us a nursing shortage. We know that more than 80,000 nursing school candidates are turned away yearly because we don’t have enough space in schools for them. We’ll find ourselves in dire need and shortage of bedside nurses if we don’t turn around and fix the workplace environment. And there are a lot of things. Talking about finance, staffing, the pipeline quality of education, what is meaningful to the nurse, and how to make them feel appreciated because it’s not always about the money. It’s about just being appreciated by your employer. So we have to fix that, or healthcare will crumble even further.
As a nursing leader, how are you working to overcome this challenge?
One of the things I’m doing to help with that is my role at Nurse.org as their Chief Nursing Officer. Nursing schools, hospitals, students, and different health organizations follow, listen, or collaborate with nurses at work. And what I’m doing as a nurse leader there is making sure that we are addressing critical professional issues that impact our profession, and our practice, spreading the word on important things, giving attention to the nurses who seem voiceless in their stories, and getting the attention and hopefully providing the influence that’s needed to get agendas and policies and practices moved and changed. Because things will happen at a certain hospital in a small city, and nobody ever knows. But if we take that story, we amplify it on our side. We not only let all the nurses know that this is going on, but then that sparks conversations in hospitals with their leadership. If we can address and discuss those issues, it gives them attention to something that doesn’t have to happen at the next hospital.
You said that your father was your inspiration to become a nurse. What nursing leader inspires you the most and why?
Mary Eliza Mahoney is my most significant source of inspiration. She was the first African American to study and work professionally as a trained nurse in the U.S. She inspired me. And especially during those times in the 1870s as an African American. Graduating from nursing school was a challenging feat. I could only imagine the barriers in place, but I’m sure her passion for caring for people pushed and motivated her to move forward. She could overcome adversities and challenges, especially of that magnitude, for the sake of wanting to care for someone, which is inspirational to me
What inspirational message would you like to share with the next generation of nurses?
There’s so much I want to say to the future generation of nurses. It may sound very cliche, but I want to tell them not to give up. And I say that because we can often ask for something at a hospital and be told no. Or that doesn’t fit our agenda. Or we can’t do that right now. We need the resources. And I found that where there’s a will, there’s a way. And so in the work that I’ve done, especially with community work, there often is no budget, we’re working mainly with volunteers, we have to influence people to want to participate and get to the cause, donate to the cause. And by not giving up, we can push forward to get our agendas, move the policies that we need to put in place the practices we need to put in place to make things better for the next nurse and the next patient. So the next generation of nurse leaders will be vital because it’s not a denial. It may be a delay. So I don’t want them to give up. They must keep pushing so conditions can only get better. We’ve come so far in nursing. Here in California alone, nurse practitioners can practice independently in a position. That’s been a tall order. We’ve been fighting for that for so long. But we wouldn’t be where we are today if we had given up when met with so many obstacles. So I don’t want nurses to give up, and that’s the message I would tell the next generation of nurses.
For 15 years, Latanya Weston was in operating rooms in her home state of Georgia, amputating the limbs of patients who suffered from kidney disease. The feeling of the scalpel pushing down on flesh and the sound of the bone cracking haunts her.
A Georgia native, Weston knew that the mortality rate of kidney disease is 30 to 40 percent higher in her state than the national average. But, while the numbers show that the percentage of black and white adults treated for kidney disease are roughly the same, Weston knows a different reality.
The series highlights healthcare leaders who are prominent figures in their organizations and are making transformational impacts in nursing.
Meet Latanya Weston, a nurse practitioner at Somatus, the nation’s leading and largest value-based kidney care company.
Talk about your career path and how you ascended to that role.
I was constantly stricken with various illnesses when I was growing up. As a high school student, I spent most of my senior year being operated on or hospitalized. Although I could maintain my overall academic achievements through these health issues, I was told I would need to repeat my first semester as I had been in the hospital too much. It was unfair to the other students. This news was incredibly disheartening. I had already mapped out a career plan and did not want to delay graduating. I made a tough decision and begged my parents to let me sit for the “General Education Development” exam. I excelled and went on to sit for the SATs. I became a college student while my friends were still in high school.
Once graduating from the surgical technology program, my career path began at Mitchell County Hospital, where I was a surgical technologist. Together our surgical team operated on many patients suffering from advanced kidney disease and renal failure. In many cases, these patients had developed peripheral arterial disease. They were on the table to have a limb amputated or were crashing into dialysis and needed to get a venous catheter implanted. Although I loved being a surgical technologist, my heart’s desire was always to become a nurse. So, in 2006, while working as a surgical technologist, I returned to school and became an operating room nurse. This allowed me to work at a bigger hospital in my hometown to gain more experience. However, the unsettling patient trends I had noticed in the county hospital were now amplified—more amputations and dialysis catheters, and again always in patients of color. So, in 2007, I again shifted my career and decided to leave my hometown for a hospital away from home.
After more than a decade along this career path and seeing patients in severe distress day after day, I grew to feel I needed to make a change. Then, one day while I was on call for the operating room, I fell down a flight of stairs and hurt my foot. The pain was constant, and I could no longer stand on my feet in the operating room as long as I had. I had to make a change, and a part of me felt like this was a sign that I should go back to school to educate and prevent the disease processes that were landing so many patients on the operating room table. For quite a while, I had been thinking about what impact I could make if I met patients earlier in their healthcare journey before surgery was the only option. I then decided that I would become a nurse practitioner.
What inspired you to become a nurse?
I knew I wanted to be a nurse from a very young age. My aunt was a nurse who would conduct home health visits at her patients’ houses, and from the time I was in second grade, I would beg to go with her. I enjoyed visiting patients and watching my aunt care for them. I always felt I had this same gift of caring as she did. Nursing takes a special heart and mind; everyone does not possess this attribute.
Furthermore, I grew up in a community with significant health challenges, yet people didn’t prioritize their health. Most people don’t have primary care physicians, schedule annual check-ups, or think about preventive care. Members of my community were often struggling with obesity, diabetes, and kidney disease, and there were several dialysis centers in my neighborhood. Kidney disease impacted my family as well. My sister passed away at 33 because she could not get a kidney transplant.
I’ve lived my whole life in Georgia, where the mortality rate from chronic kidney disease is over 40% more than the national average.
As a nurse practitioner, I finally feel I am where I was meant to be. Now I reach patients early on in their healthcare journey when their primary care physician first diagnoses them with kidney disease. Through education and support, I can change the direction of a person’s life and stop them from ending up on someone’s operating room table.
What are the most important attributes of today’s nursing leaders?
Given the changes in the healthcare industry, building trusting relationships between clinicians and consumers can often be taxing. Nursing leaders must be of great character and moral values. This includes the ability to show respect to another and communicate appropriately. One of the major complaints in the patient population is that providers do not listen. As nursing leaders, we can’t overstate the importance of being a good listener and communicating relevant information to providers. This will strengthen the patient-provider relationship and encourage more communication, improving overall patient outcomes. Nurse leaders must maintain integrity, respect, grace, and professionalism and always take the time to listen and communicate, making their relationships the building blocks to success.
What does it mean to you to be a nursing leader, and how are you making a difference?
The leader I am today is the ultimate assignment. I wanted to uncover the world of medicine and was given the great opportunity to travel as a Locum Tenens Nurse Practitioner from 2016 to 2018. That experience blessed my entire being and made me realize that my mission is not only to save lives but to change them. I worked in the Pacific Northwest to combat mental illness and addiction and changed many lives. In every home or exam room I enter, the person on the other side of the door becomes my family. No matter the situation, I take their hands, and together we weather the storm one diagnosis at a time. I ensure they do not feel alone in the battle, which makes a difference in patient outcomes.
What is the most significant challenge facing nursing today?
The healthcare industry has come a long way in recognizing the impact of social determinants of health on patient health, but this is still the most significant challenge facing us today. As nurses, we see first-hand, time and again, that providing “equal” care to patients is not enough. Care plans must consider the whole person, where they live, their resources, and everything else that affects them when they leave their doctor’s office.
This is particularly true about kidney disease, which disproportionately affects Black people. Black people make up around 13% of the U.S. population but account for around a third of those with kidney failure.
In many cases, patients don’t realize they have kidney disease until the day their doctor gives them the diagnosis. Without understanding the disease process and how each element of the care plan works together to slow and control their chronic kidney disease progression, it’s very difficult for a patient to commit to making significant lifestyle changes.
We also know that socioeconomic issues are tied to kidney disease. Even if a patient has health insurance, they may still have financial concerns, making it difficult to afford medications and treatments. They may be worried about paying their rent or utility bills, which makes it difficult to focus on their physical health. In addition, they may not have a wheelchair or a ramp to get in and out of their house or transportation to their next doctor’s visit.
Shopping for kidney-friendly foods may also be a challenge, both in terms of affordability and availability. Patients may also need help adopting new meal preparation methods with no one to guide them, and they find it much easier to fall back on frozen meals.
There are countless other barriers to care that we see in our patients every day, and as nurses, we are often the best equipped to inform the rest of the care team about what our patients need.
As a nursing leader, how are you working to overcome this challenge?
I’m now a nurse practitioner at Somatus, the country’s first value-based kidney care company. Our goal is to give whole-person, 360-degree support to kidney disease patients, providing preventive care and breaking down the barriers and challenges patients face every day. For example, when a patient is first diagnosed with kidney disease, we go to the patient’s home to do a complete evaluation, look through their cupboards, figure out where they can source nutritious food, demonstrate how to prepare meals, and even help them with administrative tasks and paperwork.
Together with my fellow Somatus care team colleagues, we work with a nephrologist and other health care providers to give patients the whole-person support they need to follow their care plan and make lifestyle changes.
Every day I see the impact of individualized, patient-centered care. Sometimes there are significant actions like teaching a patient to monitor their blood pressure every day, but other times it’s something small, like praying with one of my patients, that makes a huge difference. This is what I love.
What nursing leader inspires you the most and why?
Mary Eliza Mahoney is the first African American licensed nurse in the U.S., and when I think of her perseverance and tenacity, I also see myself. She worked tirelessly as a private home nurse, doing what she loved while advocating to be treated as a professional and equal. Her example shows that we can not only prolong and save lives but can also change them.
What inspirational message would you like to share with the next generation of nurses?
When you become a nurse, whenever you walk through the door, someone on the other side waits for you to enter the room and be their guiding light. So I like to take a moment to ask myself, “I wonder who my next blessing is in that room?” every time I meet a new patient. This road is not for the weak, but the journey is incredibly rewarding as you touch and change lives day after day. I always tell people, “Nursing is not a money thing… it is a heart thing.”
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