Real World NP

This episode focuses on leadership and role transition questions, specifically addressing a scenario where a new nurse practitioner is struggling with confrontational conversations with nursing staff. The host provides advice on how to navigate these situations using a framework called nonviolent communication. The framework involves expressing observations, feelings, needs, and requests in a clear and non-confrontational manner. The host also emphasizes the importance of building rapport and facilitating open communication within the team. Additional resources and episodes on leadership are recommended.Key Takeaways:-Leadership is a challenging skill to navigate, especially in the healthcare field where there is often a lack of training.-Using the nonviolent communication framework can help facilitate difficult conversations by expressing observations, feelings, needs, and requests.-Building rapport and open communication within the team is crucial for effective collaboration and patient care.-Seeking support and additional resources on leadership can further enhance leadership skills and strategies.For a full transcript and conversation chapters, visit the blog www.realworldnp.com/blog/confrontation© 2024 Real World NP. For educational and informational purposes only, see https://www.realworldnp.com/disclaimer for full details.

Rebecca Arnold, a holistic leadership coach, discusses the challenges of disillusionment and burnout in mission-driven professions like nursing and medicine. She emphasizes the importance of addressing emotions and processing them in a safe and titrated manner. Rebecca highlights the concept of the window of tolerance and suggests practices like meditation and mindfulness to expand it. She also emphasizes the value of emotions as sources of information and intuition. The path from disillusionment to fulfillment involves sitting with emotions, seeking support from professionals, and making small changes within the system. In this conversation, Rebecca and Liz discuss the path to overcoming disillusionment in the medical field. They explore the importance of addressing emotions, internal mechanisms, and finding opportunities for wins. They also discuss the role of grief and the need for self-compassion. Rebecca shares examples of clients who have transformed their experiences and found fulfillment in their work. They also discuss Rebecca's book, 'The Rooted Renegade,' which offers practical tools and strategies for navigating disillusionment and finding alignment in life and work.TakeawaysAddressing and processing emotions is crucial in combating disillusionment and burnout.Expanding the window of tolerance through practices like meditation and mindfulness can help handle emotions.Emotions provide valuable information and intuition that should not be ignored.Seeking support from professionals is important, especially when dealing with trauma or intense emotions.Making small changes within the system can contribute to a sense of fulfillment and well-being. Addressing emotions and internal mechanisms is crucial in overcoming disillusionment in the medical field.Finding opportunities for wins and recognizing moments of success can help combat feelings of disillusionment.Grief is a common experience in the medical field, and it's important to acknowledge and process it.Self-compassion and self-care are essential in navigating disillusionment and finding fulfillment.Rebecca's book, 'The Rooted Renegade,' offers practical tools and strategies for overcoming disillusionment and finding alignment in life and work.For a full transcript and conversation chapters, visit the blog www.realworldnp.com/blog/burnout-in-nursing. ______________________________© 2024 Real World NP. For educational and informational purposes only, see https://www.realworldnp.com/disclaimer for full details.

In this conversation, Liz Rohr and Amanda Guarniere discuss negotiating a raise as a nurse practitioner. They emphasize the importance of collecting data about your job performance and your value to the organization. They also highlight the need to consider the employer's perspective and understand what matters to them. The conversation covers productivity metrics, RVUs (Relative Value Units), and the importance of building a case for a raise. They also discuss the different factors to consider in a compensation package and how to approach the conversation with your employer. In this conversation, Liz Rohr and Amanda Guarniere discuss negotiation strategies for healthcare professionals seeking salary increases. They emphasize the importance of preparation, including researching market rates and determining one's value. They also discuss the dynamics of negotiation and the need to disarm the other person and maintain a positive, collegial tone. They provide tips for requesting a meeting, presenting a case, and handling non-committal answers. They also address the challenges of negotiating within a group or tier system and offer advice for advocating for oneself while maintaining a collaborative approach. They discuss the importance of follow-up and provide strategies for handling requests for additional data or delaying decisions. They also mention the NP Salary Report, a resource for healthcare professionals to anonymously submit and access salary data.Takeaways- Collect data about your job performance and the value you bring to the organization when asking for a raise.- Consider the employer's perspective and understand what matters to them.- Build a case for a raise by highlighting your productivity metrics, such as patient volume and revenue generated.- Take into account the different factors in a compensation package, including salary, bonuses, benefits, and work schedule.- Approach the conversation with a partnership mindset, focusing on achieving mutual goals. Research market rates and determine your value before negotiating a salary increase.- Disarm the other person and maintain a positive, collegial tone during the negotiation.- Request a meeting without disclosing the purpose, and present your case in a positive and data-driven manner.- Be prepared for non-committal answers and follow up to close the loop.- Advocate for yourself within a group or tier system by discussing the issue individually with the lead NP and going through the proper chain of command.- Be open to alternative forms of compensation or recognition if a salary increase is not immediately possible.- Use the NP Salary Report to access salary data and support your negotiation efforts.For a full transcript and conversation chapters, visit the blog www.realworldnp.com/blog/how-to-negotiate-a-raise/. ______________________________© 2024 Real World NP. For educational and informational purposes only, see https://www.realworldnp.com/disclaimer for full details.

In this conversation, Liz Rohr and Kara Pesola discuss the challenges and common experiences of new nurse practitioners (NPs). They highlight the importance of support and mentorship for new grads and address the imposter syndrome many NPs experience. They also discuss the common questions and concerns that new NPs have, such as managing complex conditions and navigating controlled substances. The conversation emphasizes the need for new NPs to trust their judgment, seek guidance when needed, and prioritize patient safety. In this conversation, Liz Rohr and Kara Pesola discuss the challenges and considerations in primary care practice. They touch on topics such as bias in medication management, the importance of safety assessments, and the need for patient-centered care. They also highlight the significance of long-term patient-provider relationships and the stages of change in healthcare decision-making. The conversation emphasizes the importance of meeting patients where they are and supporting their well-being.Takeaways- New nurse practitioners often experience imposter syndrome and may feel unprepared for the challenges of practice.- Support and mentorship are crucial for new grads to navigate the transition to practice.- Common questions and concerns for new NPs include managing complex conditions and navigating controlled substances.- It is crucial for new NPs to trust their judgment, seek guidance when needed, and prioritize patient safety. Bias exists in medication management, and it is essential to address it in primary care practice.- Safety assessments and goals of care conversations are crucial in patient-centered care.- Long-term patient-provider relationships are valuable in managing chronic conditions.- Understanding the stages of change can help guide healthcare decision-making.- Meeting patients where they are and supporting their well-being is essential in primary care.For a full transcript and conversation chapters, visit the blog www.realworldnp.com/blog/mentorship-questions ______________________________© 2024 Real World NP. For educational and informational purposes only, see https://www.realworldnp.com/disclaimer for full details.

In this episode, I share my experiences and insights on starting a mentorship program, drawing from my own journey as a nurse practitioner and founder of Real World NP. I discussed the context of mentorship, the structure of one-on-one and group mentorship programs, the frequency and duration of mentorship meetings, and the topics to cover. Additionally, I covered the importance of creating a safe psychological space for mentees and the value of peer support in mentorship programs.Takeaways- The importance of creating a safe psychological space for mentees in a mentorship program- The value of peer support and not feeling alone in a mentorship program- Considerations for mentorship frequency, duration, and topics to cover in a mentorship programFor a full transcript and conversation chapters, visit the blog www.realworldnp.com/blog/mentorship-programs______________________________© 2024 Real World NP. For educational and informational purposes only, see https://www.realworldnp.com/disclaimer for full details.

Michelle, a board-certified family nurse practitioner with experience in urgent care, shares her journey and insights into the field. She discusses the differences between urgent care and primary care, the challenges of not having access to medical records in urgent care, and the importance of collaboration between the two. Michelle also provides advice for those interested in working in urgent care and recommends resources for further learning.Takeaways- Urgent care is a bridge between primary care and the emergency room, providing care for acute conditions that can't wait for a primary care appointment.- There is a disconnect between urgent care and primary care, with urgent care often lacking access to patients' medical records.- It is important for urgent care and primary care to have a better partnership to ensure continuity of care for patients.- New grads interested in urgent care should work with another provider and have a ramp-up program to ensure success.- Being able to determine if a patient is sick or stable is a crucial skill in urgent care.- Resources for learning about urgent care include Hippo Education's Urgent Care Bootcamp, EKG resources by Jen at Cardiology Made Easy, and Michelle's own Instagram account for urgent care resources.For a full transcript and conversation chapters, visit the blog https://www.realworldnp.com/blog/urgent-care-nurse-practitioner______________________________© 2024 Real World NP. For educational and informational purposes only, see https://www.realworldnp.com/disclaimer for full details.