Shelise Valentine, RNC, MSN, C-EFM, CPPS, CPHRM, is the Director of Clinical Education, Healthcare Risk Advisors, part of TDC Group and chairs nursing, co-chairs obstetric and simulation initiatives, and directs risk management and obstetric education for insured hospital clients to improve patient safety and reduce malpractice risk.
Valentine lectures about patient safety, obstetrical safety, and risk management initiatives. She’s active in various organizations, including the Association of Women’s Health, Obstetric and Neonatal Nurses, the American Society for Healthcare Risk Management, the Institute for Healthcare Improvement’s Better Maternal Outcomes Rapid Improvement Network, and MomsRising. Recently, she presented “Shouldering the Responsibility: Implementation of a Collaborative Shoulder Dystocia Initiative” with her colleagues at the 2022 ASHRM Annual Conference.
The series highlights healthcare leaders who are prominent figures in their organizations and are making transformational impacts in nursing.
Meet Shelise Valentine, the Director of Clinical Education at Healthcare Risk Advisors.
Talk about your role in nursing.
I am the Director of Clinical Education at Healthcare Risk Advisors, part of TDC Group. In this role, I chair OB nursing initiatives, co-chair obstetric and simulation initiatives, and direct risk management and obstetric education for insured hospital clients to improve patient safety and reduce malpractice risk.
How long have you worked in the nursing field?
I have been a nurse for 26 years.
Why did you become a nurse?
I wanted to support women as they brought life into the world. My passion was to become a Certified Nurse Midwife and deliver babies.
What are the most important attributes of today’s nursing leaders?
Dynamism, cultural competence, and excellence are among the top attributes of today’s nursing leaders. Nursing is dynamic as patients, acuity, staffing, and medical best practices constantly change. Nurse leaders need to enact new paths for patient safety and the growth of the nurses they lead and not solely react in the moment that a situation occurs. Cultural competence enables nurse leaders to meet the needs of an increasingly diverse patient and nursing population with compassion and respect. Excellence in knowledge, communication, quality, and safety—no matter the realm, the focus should be excellence. This will serve as a model for the nurses you lead, and they will also expect excellence in the quality of care they deliver.
What does being a nursing leader mean to you, and what are you most proud of?
Being a nursing leader means ensuring that the nurses I lead understand and are prepared to be the last defense between harm and the patient. When that new graduate nurse or nurse with 25 years of experience encounters something difficult, personally or technically, they have the tools to address and overcome it and provide the best nursing care to the patient in need.
Tell us about your career path and how you ascended to that role.
I knew that I needed a strong nursing background if I was going to manage patients independently, so I decided to work for two years in critical care before going to the L&D Nurse Manager every week and asking her if I had enough experience yet to be hired as an L&D nurse. And finally, one day, she said I did!
This was at a Level 4 acute care hospital, and I was exposed to many complicated, high-risk patients and pregnancies. I became a women’s health nurse practitioner (WHNP), but through this exposure, I realized it was the high-risk, high-adrenaline environment of the hospital, the labor and delivery suite, and the OR that I wanted to make an impact.
I continued my work as an L&D nurse and taught at an accelerated BSN program. I was recruited to become an assistant nurse manager and hospital-wide nurse education manager. I was comfortable and confident in communicating with physicians and had opportunities to improve patient care, so I was asked to be the Patient Safety Officer in Obstetrics. In this role, I was half of the MD/RN dyad, working with the Medical Director of OB, and I provided the following:
Real-time support for nurses and physicians on L&D.
Advising on policy formation.
Reviews of root cause analysis.
The inception of best practices.
The affiliated malpractice insurance carrier asked me to join as Director of Nursing to reduce risk, and today, I am the Director of Clinical Education for physicians and nurses for our hospital clients.
What is the most significant challenge facing nursing today?
Staffing. Short staffing affects the ability to provide the best care imaginable and deters current nurses from remaining staff nurses in the hospital setting and new nurses from entering the field. Many nursing schools have waiting lists to attend. Still, unfortunately, our national nursing shortage has not improved because nurses start, but their reality may need to mesh with what they envisioned the nurse role to be. The many comorbidities patients now have, lack of ancillary support, and more attractive opportunities in advanced practice are significant challenges facing nursing today.
As a nursing leader, how are you working to overcome this challenge?
I am passionate about nursing and nursing education, and I convey that passion, excitement, and the possibilities to the nurses I interact with. I work to make nursing care in the hospital safer, more efficient, and lower risk by improving policies, workflow, and documentation practices. I also coach team communication, which has been shown to affect patient outcomes and nurse/physician satisfaction.
What nursing leader inspires you the most and why?
Every nurse who showed up to the hospital and provided patient care during the COVID-19 pandemic is an inspiring nurse leader to me. Sacrificing their health for the greater good of their patients, unit, and team will inspire everyone from today’s new student nurse to those at the highest level of nursing leadership for years to come.
What inspirational message would you like to share with the next generation of nurses?
Be the change that you wish to see; if there are disparities in care—based on gender, age, ethnicity, etc.—speak up and work to implement changes that recognize and decrease these disparities.
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.
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.
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