Building Self-Efficacy and Evidence-Based Practice in Nursing (feat. Dr. Julee Waldrop & Greta Rosler) | Hive Nurse Launch Series

Join hosts Elizabeth and Ashley for the official launch weekend of the Inside the Hive podcast. In this episode, they sit down with special guests, mentors, and nursing industry leaders Dr. Julee Waldrop and Greta Rosler to discuss the current vulnerable state of the healthcare profession. The conversation dives deep into the concept of self-efficacy—the belief in one's own abilities—and how returning to the basics of evidence-based practice can empower nurses to overcome limiting beliefs and thrive. The panel shares actionable advice for faculty, bedside nurses, and managers on cultivating leadership, fostering positive workplace communication, and driving meaningful change in healthcare systems.

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Production Credits:

• Hosts/Executive Producers: Elizabeth Walters Miller, Ashley Kellish
• Audio Engineering & Sound Design: Andrew Burchins Audio P...

Transcript

SPEAKER_02 0:08

Hey everyone, it's Elizabeth with Hive Nurse here today at Inside the Hive or the official nurse uh podcast. And we're really excited because this weekend is our launch weekend, and we have tons and tons of our nursing friends here today. And I'm gonna go ahead and pass it right over to Ashley to introduce our topic.

SPEAKER_01 0:24

Hey everyone, welcome back to Inside the Hive. We're really excited to have some special guests with us today. We're gonna be talking about all kinds of relevant nursing topics, but we're starting out with a couple of key friends, mentors, colleagues that really have contributed so much to the nursing profession. So I'm gonna let you all introduce yourselves today. But we're here with Julie and Greta. Um so go ahead, Julie, why don't you start with a brief introduction?

SPEAKER_00 0:47

Okay, hi everybody. I'm Julie Waldrup, and I've been a nurse for, let's say, quite a few years, and um done a lot of different things in nursing, but currently I am a writer. I've been writing books for nurses and nursing education. I am a consultant and I'm a coach.

SPEAKER_01 1:06

An excellent one. I think she's been inside the hive before. So she is actually our first return guest. So thank you, Julie. Thank you.

SPEAKER_00 1:15

Thanks.

SPEAKER_03 1:16

Greta. Hi, everyone. I'm Greta Rossler. I'm the CEO and founder of Radius Leaders, which is a nurse leader development partnership company. And I'm super excited to be here with you and share ideas about leadership and nursing with my friends in the hive. All right, awesome.

SPEAKER_01 1:33

Well, thank you.

SPEAKER_02 1:34

What are we talking about today, Ashley?

SPEAKER_01 1:36

So, my hope um, knowing where you all come from and what you've contributed to in our industry and across our profession is recognizing that our nurses need help today. Our profession is probably in one of the most vulnerable states, not only just in nursing, but in healthcare. And I think we all can agree on that point. Totally. So looking at all the research that you are all doing and all of the books that you are writing, all the evidence that you're looking at, what stands out to you the most that could help our nurses today?

SPEAKER_00 2:05

So I think actually self-efficacy could could help our nurses the most today. I believe that many nurses have limiting beliefs about their abilities, whatever that is. And these are holding them back because as the largest percentage of the healthcare workforce, yes, is it four five million nurses?

SPEAKER_01 2:31

Almost five.

SPEAKER_00 2:32

Yeah. I mean, my my vision and what I hope to see in the future is that nurses finally improve their self-advocacy and their agency so that we can really take on the mantle of responsibility that we are able to do. We are the ones who really understand what needs to be done and what um and can lead and can lead that. I mean, I think um I'm gonna kick it over to you, but I want just wanted to say that at one of my friends call Carl Curtin, who is the editor-in-chief of the American Journal of Nursing, said uh to me the other day, I wish that every nurse manager and every nurse leader actually had to take a certification in evidence-based practice quality improvement. Because that would mean that we could finally move forward and get things done. We could finally like lead people in in the actions that you know, the work that needs to happen.

SPEAKER_03 3:37

Yeah.

SPEAKER_00 3:37

So I'm sure what you do, Doug, tell us into that.

SPEAKER_03 3:41

Well, and that that really resonates with me, Julie, because what I see health systems do often is they're looking for something new and shiny. Yes. And what really eats at my heart or drives me to do this work is that we don't need new and shiny. We need evidence-based practice. We need to return to basics and build self-efficacy with nurses and with nurse leaders, which is actually really doable in pretty simple ways through identifying good um role modeling plans, mentorship plans, making sure their physiological wellness is good, giving them lots of opportunities to do the things over and over that make a difference, like leader rounding, like managing performance. The new and shiny things are just add-ons that only get convoluted when we don't have the basics, like really strong evidence-based practice of the basics.

SPEAKER_01 4:33

Yeah. And I want to ask you guys, because I think that word self-efficacy may come easy to some, but might be hard for others to understand. Break that down a little bit. What do you mean when you say self-efficacy of our nursing population?

SPEAKER_00 4:46

Uh well, you're doing a research study right now that includes a self-efficacy measurement. So maybe I'll let you take the lead on that and I'll chime in if I need to.

SPEAKER_03 4:55

Sure. Well, so self-efficacy, I personally got super interested in this myself when I started my doctoral uh research and thinking about what are the dynamics that make some nurse leaders thrive and others seem to struggle no matter what the dynamics are. And I in doing literature searches over and over, one of the things that I actually came upon incidentally was the notion of self-efficacy, which is basically the b in in layman's terms, it's like the belief of if if I believe I can, I can. And if I believe I can't, I can't. And there are ways we can build it and there's ways we can measure it. And it's really a strong um factor in things like health and wellness, things like smoking cessation, things like academic performance. And also nurses build self-efficacy in certain ways based on their surroundings. So if they go into their day or their work, or a leader goes into their day or work believing, like, I'm gonna be able to get this done, I have what I need, I have the tools, and there's an intrinsic belief system that's embedded in sort of a simple way of saying it, then they're more likely to be able to achieve that. They have a belief they can do it, so therefore they probably will have a better outcome versus if they're feeling self-defeated. I was gonna say it's kind of like the opposite of imposter syndrome, right?

SPEAKER_02 6:16

Like it's like, I know that everyone at this table has probably struggled with the imposter syndrome, and that is like when you really just um feel like you're faking it, like the fake it till you make it, right? And so it's kind of like the opposite. It's like, dude, I'm I'm here and I should be doing this, right? Like I'm the best at my job and I'm the best nurse for today's assignment.

SPEAKER_01 6:36

That's right. Our organizations kind of um, like you say when you're talking about the new and shiny, it's like they almost add to the imposter syndrome because they almost try and just always add on new tools or new things that you should be doing instead of just the simple things like you're trying to say. Like what a nurse leaders need, they need to be visible, they need to be out there. They don't need an iPad with a fancy whatever on it. Yes, that gets in the way of using dashboards. Yes, yes.

SPEAKER_03 7:04

We don't need more data. I can tell you right now, we don't need more data to know what the problems are. We know what the problems are, and the problems are the same as before the pandemic. Maybe they've shifted or the nature of them has been magnified in certain ways. But if you look at the literature, the problems that nurses encounter today are similar to what they're encounter they encountered five, eight, ten years ago. Or long yeah, yeah.

SPEAKER_02 7:29

Since Florence Nightingale.

SPEAKER_03 7:31

Since Florence.

SPEAKER_02 7:32

What would Florence do?

SPEAKER_01 7:33

What would she do?

SPEAKER_03 7:34

She collects more data, but she would definitely go out and do leader rounds. She was the first nurse leader to ever do rounds. Oh, see, there you go.

SPEAKER_01 7:43

Yes.

SPEAKER_00 7:44

With her lantern.

SPEAKER_01 7:45

Yes, yes, yeah. Well, and I just think that, you know, so much of the time we're hearing this word resilience that, oh, nurses need to be more resilient, or nurses are resilient. And we always joke, especially with our bedside nursing colleagues, they're like, what does that even mean? But I think this term self-efficacy, like that to me is like the grit. Like, I can do this, I'm going to do this. Yeah. And I know when I was a nurse manager, that's how I felt. I was like, I'm going to fix this unit. I don't care what anybody tells me. I'm not going to listen to anybody else. I'm going to go to my people, and with my people, I'm going to fix this and come out on the other side.

SPEAKER_00 8:18

Yeah. But you, but you, but you also have to believe enough that it's okay to fail.

SPEAKER_02 8:25

Yes. Because that's really the system to be in that it's okay to fail. Yes. That's right. Right? Like, so there's a systems issue around that as well. Like if your system is not psychologically safe or has a decent culture that it's okay for you to fail, if you do it and you fail and you go on the chopping block, why would you try anything new? No, that's right.

SPEAKER_00 8:46

Oh, I've been in that state too. And you have to, but that's where resilience is born.

SPEAKER_01 8:51

Yes.

SPEAKER_00 8:52

Resilience is not born in always succeeding. Right. Resilience is born in learning when you don't succeed. Yeah. So whether you don't succeed and you have a supportive environment, or you don't succeed and you're gonna learn something.

SPEAKER_03 9:05

Yes. Right. But um but the self-efficacy, actually, one of the drivers of it is social persuasion, it's called so thinking about who around you socially is persuading you positively through encouragement, through reflection, through building psychological safety, through saying, go try it. It's okay if it doesn't work out this time, but let's keep trying. You got it. I know you can do it. And it can't be through pizza parties and more, you know, Zen rooms, things like that, Zen Dens, whatever. We did not plan that. We get you just hit the perfect nerve for Elizabeth.

SPEAKER_02 9:40

I hate a pizza party. Please know I'm lactose intolerant. So do not bring me any pizza. That is not a prize to me. That is a that is like a punishment.

SPEAKER_03 9:48

Yes. But it really is, you know, the idea of persuading people in a way that is authentic and connected. So then that goes back to what relationships do you have with your people? Whether you're a manager with staff or whether you're um, you know, a senior leader working with managers as a nurse, it comes back to the fundamental things, relationships and building that capacity for people to do the basics.

SPEAKER_02 10:11

All right. So here at the Hive, we're all about talking about things, but now we want actions. So, what are the actions that you guys see in this, in your consulting role, in your sort of like uh years of experience in nursing that you would suggest to one nurse leaders, but also to the practicing bedside nurse? How do you build that self-efficacy?

SPEAKER_00 10:31

So when I think about actions from quite a few different perspectives, you said individual nurse and nurse leaders, and nurse leaders, but I also want to push it back a little bit to nurse faculty. Yes, yes, and don't forget the faculty because you have, you know, you want to start at the beginning of the pipeline, right? And I do think faculty development, faculty, faculty continuing to learn, to be open to new things, to bring new ideas and new ways of thinking about how to address problems into nursing education to start the start the new nurse out on the you know right path so that when they do get into the workplace setting, they'll already know, hey, this is my role. This is my role to look at what I'm doing with a a scientific mind. Yes. And identify things that don't make sense to me and and figure out why. Um ask, be curious, ask questions, be curious, find out answers on my own. So, you know, start there, then the practicing nurse, of course, can always go back to school, but can always like be a lifelong learner. I finished my doctoral degree in 2010, and then I have become a yoga teacher and a breathwork instructor and a coach and a nurse coach and a publisher. I mean you can always keep learning. It does not matter if it's formal or not. Yeah. And so, you know, learning, I think, is is what I would say.

SPEAKER_03 12:09

Yeah. And and I would say even for uh bedside nurses or nurses who are newer to practice or working in a in a staff nurse capacity, which is the most important role, I think you have to be okay with being different than the pack because there is this pack mentality of being sort of negative about nursing, not sort of being negative about nursing or talking badly about our profession and what it means. And if you want to thrive, you have to be okay with being like, nope, I'm gonna, I'm gonna take care of myself. I'm gonna advocate for myself. And if my leadership team isn't actually carrying out leadership in the way that feels good to me, I have to figure out what kind of leader I want to be and go be one. Yes. Yeah. In one way or another. And that that would be my advice to to nurses looking to really thrive in this profession is be the leader you want to be, whether it's in an informal capacity or a formal role, but also realize that when you get that mindset, you're gonna stand out. And for a lot of ways, that'll be good. And sometimes it's uncomfortable, but that's okay.

SPEAKER_02 13:15

It's almost like the golden rule, right? Like treat people the way you want to be treated, whether you're brand new to practice or you're a nurse faculty member, or you're uh, you know, a CNO, right? Like remember how what it was like to be at the pay be at the patient's bedside and and treat those people on your team the same way that you would want to be treated when you were back then.

SPEAKER_01 13:36

So I want to thank you guys for your insights today. And we're gonna close out, but I do want to offer um a little thing that a student said just a couple weeks ago to me. So I've been teaching a class of accelerated BSN students. So they have some other degree, but now they're coming back to nursing, as you all know. And we were talking about communication, and even in their clinical environments, they've been in two semesters, they're already seeing this negative communication that you talk about, and sort of like this disconnect at the bedside of between leadership and the staff, and even charge nurse to the staff. So I turned to all of them, there's about 40, and I said, Well, how are you all gonna be any different? I said, They all went to nursing school. So what is going to be different about you? And this girl raised her hand and she said, You know what's different, Professor Kellish? And I said, What? She said, We're not gonna tolerate it anymore. She said, The nurses that we work with are willing, I know, to stand out. I know. And she said, they're willing to stand there and take it and to be a part of those negative environments. She said, our generation is different. If it affects our peace, we're not staying. So our organizations have to hear this. You have to hear this and you have to catch up with the pack because if you're not going to create an environment where a nurse can be the leader that we want them to be, they're gonna go. And there goes your retention and your turnover and the rest of it. And your money. And your money. Because it's a lot of money. Thousands of dollars. And your peace of mind. Yes, yes, totally. Thank you all. Thank you for coming to the hive and supporting us and our fellow nurses out there. We've been thrilled, and I know we'll have many more conversations to come. Yeah. Thank you.

SPEAKER_02 15:10

So thanks everyone for joining us on the Hive. Um, don't forget to follow us on all the socials. We have TikTok, we have Facebook, we have Instagram. And if you're really interested in earning continuing ed from listening to this podcast, join um Hive Nurse. The membership is 19 bucks a month, and you are able to listen to this podcast, do a quick quiz, and then you earn continuing ed from it. So can't wait to see you at the Hive. Bye bye.