The Most Pioneering Women Leaders in Nursing, 2024

VOL-11 | ISSUE-01 | 2024

“To do what nobody else will do, a way that nobody else can do, in spite of all we go through; that is to be a nurse.”

Empowering the Future of Nursing ursing has always been a cornerstone of healthcare, a profession defined by compassion, dedica?on, and an N unwavering commitment to humanity’s well-being. The individuals who lead within this field are not only shaping its future but are also reinforcing the cri?cal role nurses play in society. As the demands of healthcare con?nue to grow, these leaders are mee?ng challenges head-on with innova?on, resilience, and unparalleled exper?se. In this edi?on, we celebrate women who have redefined what it means to lead in nursing. Their stories illustrate how vision, perseverance, and empathy can converge to create a profound impact. From advancing pa?ent care to mentoring future professionals, their contribu?ons ripple across communi?es, touching countless lives and inspiring new genera?ons of healthcare providers. These leaders do not merely adapt to change; they redefine standards and set new benchmarks for excellence. What unites these women is their commitment to advancing healthcare outcomes and addressing the most pressing challenges of the industry. They approach their roles with crea?vity and purpose, con?nuously finding new ways to enhance prac?ces, improve accessibility, and ensure the best possible care for pa?ents. Their efforts remind us that leadership in nursing is not confined to hospitals or clinics—it extends into research, educa?on, and advocacy, making a tangible difference on mul?ple fronts. It is with great pride that we present The Most Pioneering Women Leaders in Nursing, 2024. This edi?on serves as a testament to their achievements, a source of inspira?on for those who aspire to make a difference, and a celebra?on of the profound impact they have made within the realm of healthcare. Have a great read ahead! Robert฀S. E E

Empowering the Future of Nursing ursing has always been a cornerstone of healthcare, a profession defined by compassion, dedica?on, and an N unwavering commitment to humanity’s well-being. The individuals who lead within this field are not only shaping its future but are also reinforcing the cri?cal role nurses play in society. As the demands of healthcare con?nue to grow, these leaders are mee?ng challenges head-on with innova?on, resilience, and unparalleled exper?se. In this edi?on, we celebrate women who have redefined what it means to lead in nursing. Their stories illustrate how vision, perseverance, and empathy can converge to create a profound impact. From advancing pa?ent care to mentoring future professionals, their contribu?ons ripple across communi?es, touching countless lives and inspiring new genera?ons of healthcare providers. These leaders do not merely adapt to change; they redefine standards and set new benchmarks for excellence. What unites these women is their commitment to advancing healthcare outcomes and addressing the most pressing challenges of the industry. They approach their roles with crea?vity and purpose, con?nuously finding new ways to enhance prac?ces, improve accessibility, and ensure the best possible care for pa?ents. Their efforts remind us that leadership in nursing is not confined to hospitals or clinics—it extends into research, educa?on, and advocacy, making a tangible difference on mul?ple fronts. It is with great pride that we present The Most Pioneering Women Leaders in Nursing, 2024. This edi?on serves as a testament to their achievements, a source of inspira?on for those who aspire to make a difference, and a celebra?on of the profound impact they have made within the realm of healthcare. Have a great read ahead! Robert฀S. E

08 Cover story CONTENTS Articles Promoting Nurse Resilience Strategies for Coping with 14 Stress and Adversity The Evolution of Nursing From Florence Nigh?ngale 20 to Modern Day Care

FOLLOW US ON Merry D'Souza Editor-in-Chief www.facebook.com/chiefwomenleaders www.x.com/chiefwomenleaders Deputy Editor Robert S. Susan J. Executive Editor WE ARE ALSO AVAILABLE ON Assistant Editor Anish M. David King Company Name Brief Visualizer Featured Person CONTACT US ON Art & Design Director Peter K. Bonnie Fryzlewicz Bonnie is passionate about advocating for the unique needs of Seattle Children's Hospital Email Associate Designer James B. pediatric patients, ensuring their voices and those of their Senior Vice President seattlechildrens.org info@chiefwomenleaders.com families are at the forefront of care delivery. and Chief Nursing Of?icer For Subscription Senior Sales Manager Daniel Thompson Julie Fraser www.chiefwomenleaders.com Julie has a successful track record in consensus building and Executive Director | Fraser Health Authority Marketing Manager John Matthew leading individuals and groups at the health care team, Copyright © 2024 Chief Chief Nursing and fraserhealth.ca organizational and provincial levels. Women Leaders, All rights Allied Health Of?icer reserved. The content and Technical Head George K. images used in this Kelly Gunn Franklin G. Kelly's dedication to integrating primary care with community SME-SMO Executive magazine should not be Northern Health Vice President and health ensures a holistic approach to patient care, emphasizing W reproduced or transmitted in northernhealth.ca accessibility, ef?iciency, and quality. Chief Nursing Executive any form or by any means, Dave Morgan Business Development Manager electronic, mechanical, photocopying, recording or Lorraine Blackburn David, Alan Sales Executives Lorraine oversees nursing and allied health services, ensuring otherwise, without prior Vice President and Vancouver Coastal Health that these essential disciplines maintain the highest standards of Business Development Executives Steve, Joe permission from Chief Chief Clinical vch.ca professional practice. Women Leaders. Reprint Information Of?icer Digital Marketing Manager Dominique T. rights remain solely with Chief Women Leaders. Sonya Canzian Sonya has been a catalyst for transformative change, Executive VP | championing patient-centered care, fostering interprofessional Unity Health Toronto Research Analyst Frank Adams contact@chiefwomenleaders.com Chief Nursing and collaboration, and advocating for the continuous growth of unityhealth.to Circulation Manager Robert Brown healthcare professionals. Health Professions November, 2024 Database Management Of?icer Stella Andrew Technology Consultant David Stokes

The Most Pioneering Women Leaders in Nursing, 2024 he healthcare sector is constantly upgrading to opportuni?es to learn and grow. I spent most of my Bonnie is dedicated to developing Sea?le Children's nurses and nurse leaders. She encourages others to say ‘yes’ address the increasing and varied requirements of leadership career serving pa?ents in the Sea?le Children’s to opportuni?es to learn and grow and promotes a culture of con?nuous improvement and innova?on. T pa?ent treatment. Nursing plays a more cri?cal role cancer program. Over the years, I was asked to take on in pa?ent care than ever before, leading to advancements addi?onal projects and roles, and I always said yes!” in quality, safety and pa?ent outcomes. Hospitals are working to improve by crea?ng effec?ve care models that Bonnie adds, “There are two ways to grow your career: emphasize innova?on and developing their workforce organically and taking what comes and focusing on while also providing compassionate care. The focus on milestones and specific goals.” developing durable care systems that can adjust to evolving healthcare trends has elevated the importance of On the Professional Growth Trajectory leadership in nursing to influence the future of healthcare. Bonnie worked in the cancer program for about 15 years, Bonnie Fryzlewicz, Senior Vice President and Chief both as a clinical nurse specialist and as program director. Nursing Officer, is recognized for her dedica?on to She also managed the surgical unit, the dialysis unit and improving pa?ent care and nursing leadership. She focuses other areas. Bonnie shares, “I always felt like I'd rather try on building rela?onships and guiding new leaders while something and realize it's not the right thing than just say also promo?ng flexibility in an evolving healthcare industry. no.” C Her ability to combine a strategic outlook with prac?cal engagement has established her as a prominent leader in Bonnie was the associate chief nurse for cri?cal care for o nursing prac?ce. about three years. She has served as CNO since November v 2018 and as SVP for the past two years. Sea?le Children's Hospital is commi?ed to delivering high- e quality care to its pa?ents. The hospital is leading the way Ensuring High-Quality Pa?ent Care r in championing diversity and inclusion among its employees, guaranteeing that its healthcare services are As CNO, Bonnie is responsible for ensuring that Sea?le S both groundbreaking and equitable. Sea?le Children's is a Children’s has an adequate nursing workforce to provide t vital champion for progressing pediatric healthcare and the best care possible, fostering a culture of con?nuous reducing dispari?es in pa?ent outcomes. improvement and innova?on, and listening to the voices of o pa?ents, families and workforce. r Let’s explore how Bonnie is shaping the future of nursing with care, innova?on and inclusivity! Bonnie emphasizes, “It is all about pa?ent safety and y quality care. Those are, to me, the founda?ons of nursing Transi?on From a Travel Nurse to a Leadership Role leadership.” Another responsibility of the CNO is to make sure Sea?le Children’s con?nues to provide safe, high- Bonnie’s journey to Senior Vice President (SVP) and Chief quality care now and for future genera?ons of kids. Bonnie Nursing Officer (CNO) was not inten?onal. She has been a focuses on what Sea?le Children’s needs to do now so that nurse for more than 30 years. Early in her career, Bonnie in 10 years, it is s?ll thriving and delivering the same level pursued travel nursing with the purpose of finding of care and service to its pa?ents. someplace where she could pursue her master's degree. Bonnie ended up at the University of Washington, working Accep?ng Change and Developing Rela?onships at Sea?le Children’s, where her career grew organically over the years. Bonnie is con?nually developing her leadership style. She asserts, “It’s important to me to interact with nursing A?er earning her Master of Science in Nursing degree, leaders and build rela?onships to really understand their Bonnie wanted to work as a clinical nurse specialist. She interests and passions.” accepted a posi?on as a clinical nurse specialist at Primary Care Children’s Hospital in Utah, then found herself back at It's not always growing someone in a different role but also Sea?le Children’s in a staff nurse posi?on. Bonnie shares, “I using opportuni?es to energize someone, help them was very fortunate over the years to have many develop different skills, and set them up be?er for career development.

Bonnie shares, “One of the greatest skills for any leader is Bonnie priori?zes delega?ng responsibili?es so she can improvement efforts involving leadership, nursing, Sea?le having the ability to connect with their team and develop focus on nursing’s strategic priori?es. Therefore, having the Children’s Center for Diversity and Health Equity, Pa?ent rela?onships.” right people and structure in place, then being inten?onal and Family Educa?on and pa?ent families, dispari?es in with ?me, ensures that a leader can focus on strategy and central line infec?ons have been eliminated for Black and Another important component for leaders is the ability to future vision. African pa?ents. Work con?nues to eliminate dispari?es manage change. The healthcare industry is constantly for pa?ents and families who use a language other than evolving, including how industry leaders think about the Fostering an Inclusive Work Environment English. nursing workforce. The ability to not only manage and accept change but to really seek and embrace it is more Bonnie recognizes that Sea?le Children’s needs to con?nue “I strive to ensure that Sea?le Children’s has an inclusive important than ever before. diversifying its nursing workforce. While she wants the work environment, which includes recrui?ng and retaining work to go faster than it has, progress is steady. Sea?le a diverse workforce and ensuring every member feels like Balancing Opera?onal Responsibili?es in the Healthcare Children’s knows that a workforce that reflects its pa?ent part of the team,” shares Bonnie. “We've done so much Industry popula?on can result in more equitable outcomes and work, and we have made progress. But we s?ll have a long improved pa?ent and family experience. way to go.” Bonnie believes, “Maintaining a balance of opera?onal responsibili?es with strategic leadership is only possible Bonnie and her leadership have developed a nursing Staying Ahead in the Healthcare Industry with the right team. My job is not to be embedded in day- strategic plan that incorporates health equity and an?- C to-day opera?ons but to make sure we have the right racism in all founda?onal elements. The plan is informed Bonnie is enthusias?c about learning from others. She think about a team. An individual can only do so much.” people in place to execute effec?ve daily opera?ons.” Along by healthcare outcomes and data, which helps iden?fy believes, “Reading ar?cles and journals and a?ending o She believes those interested in leading must think about with daily opera?ons, it’s important to inten?onally carve where dispari?es s?ll exist. An ongoing area of focus is conferences is crucial, but one of the most helpful things for that team approach and not be afraid of failure — because v out ?me to focus on strategy and innova?on. reducing dispari?es in central line-associated bloodstream me is collabora?ng with nursing leaders at peer you learn from it. “As a leader, some approaches will not infec?ons (CLABSI). Through equity-focused quality ins?tu?ons.” A CNO group meets twice a year in person e work but don’t run away from it. Rather, take what was through the Children's Hospital Associa?on, providing learned and apply it to that next itera?on,” Bonnie says. r opportuni?es to learn from each other. Fostering Innova?on and Improvement S She also meets with local Sea?le area CNOs, where they t learn what’s happening at the local and state level around Bonnie desires to make Sea?le Children’s a highly sought- staffing, legisla?on, etc. Bonnie is also an ac?ve member of a?er organiza?on for nurses, to maintain its Magnet status, o the Washington State Hospital Associa?on and the nursing and to excel in quality and service outcomes for pa?ents r and CNO groups there. Similarly, Bonnie is on the board of and their families. Nurses and nurse leaders are the Northwest Organiza?on for Nurse Leaders and encouraged to par?cipate in research and lead evidence- y par?cipates in developmental leadership opportuni?es based prac?ce projects to foster their growth and improve through the American Organiza?on for Nursing Leadership. nursing prac?ce. Bonnie emphasizes, “I think at the highest level, it's about Bonnie is con?nually developing strategies to recruit and connec?ng and con?nuing to learn and seeking other retain the best nursing workforce to lead Sea?le Children’s opportuni?es.” She is currently par?cipa?ng in the Johnson now and in the future. She asserts, “Data shows that the & Johnson Nurse Innova?on Fellowship, a partnership current incoming nursing workforce is likely not going to between a CNO and a nurse leader, sponsored by Johnson work in the inpa?ent se?ng at the bedside for more than & Johnson and the University of Pennsylvania. The several years.” fellowship funds nursing leaders to learn how to iden?fy a problem and work on an innova?ve solu?on. Bonnie Thus, Bonnie works to find solu?ons for how Sea?le shares, “It's an exci?ng opportunity to learn, develop, and Children’s will adapt to this deficit and what the think about how we can make a meaningful impact on the organiza?on can do to recruit and retain its excep?onal prac?ce of nursing.I feel very fortunate to be a part of it.” nurses. Advice to Aspiring Nursing Leaders Bonnie shares, “I need to think about how we put together a menu of solu?ons to make sure Sea?le Children’s has the Bonnie's advice to aspiring nursing leaders is Bonnie desires to make Sea?le Children’s a highly sought-a?er organiza?on for nurses. She is con?nually developing workforce needed to care for our pa?ents — now and into straigh?orward: “Be a risk-taker, be open-minded, and strategies to recruit and retain the best nursing workforce to lead the organiza?on now and in the future. the future.”

Promo?ng Nurse Resilience Stress and Adversity Strategies for Coping with here is nothing quite as stressful-and certainly, no one is exposed to more T emo?onal duress than the nursing profession. Long shi?s, high pa?ent counts, long hours, and life-or-death drama are some of the A factors that place addi?onal mental and physical strains on nurses. The burden only in the last few r years began to fall on healthcare professionals, but especially in the last few years with the t pandemic experienced all over the world, a risk i factor increased for nurses’ burnout, anxiety, and c depression. However, the process of learning how to perform under stress and adversity- can be a l nurse’s resource that enables her to cope with e those demands while con?nuing to give quality pa?ent care. In reality, resilience is not as strong in the person and probably even more, it could be seen as the ability learned and developed through con?nuous prac?ce. A nurse can learn how to acquire new techniques on how to be?er cope with stress and work toward preven?ng burnout and loss of passion that they once had for their work. Here are some prac?cal tools for building resilience for nurses: A Support Network A proper support system, other than the other factors of managing stress, can be the biggest November 2024 November 2024 www.chiefwomenleaders.com www.chiefwomenleaders.com 14 15

factor. Most nurses note long hours and high tension, and to have an emo?onal process in themselves without the it may get pre?y lonely. Second, if pa?ents are broken not nega?ve mood taking over their du?es. Cogni?ve- only physically but also emo?onally, then it makes a nurse behavioral skills can be used, for example, reframing frustrated quite easily. Talking to people, colleagues, nega?ve thoughts so stressful scenarios are put into a friends, family, or even a mentor helps loosen some of that more workable light of view. tension. Another good outlet is journaling. Wri?ng with pen and Peer support is highly cri?cal. For someone who feels they paper might be cathar?c and could allow the person to can share with other nurses who will understand what write down stressors not previously seen. Journals also stressors they are going through, then it feels less alone keep one thinking about the good ?mes experienced and supported. Formal as well as informal support groups during nursing so that the heavier burden presented with allow pathways for expressing emo?on as well as the nega?ve experiences may be balanced. sharing of coping strategies. Working rela?ons must be built with people who can share an understanding of the There must be inten?onal strategies to lead the nurse specific stresses of the job, and those working rela?ons through special stress and lack of support from the nursing may help in relieving stress and acquiring super advice. profession toward mental, emo?onal, and physical well- being. This encompasses a good support network, healthy Self-Care Daily prac?ces of self-care, appropriate and healthy ways of coping, realis?c expecta?ons, professional help when Self-care is one of the components important for the needed, con?nuous learning, and a good work reason that it keeps a body and mind healthy. With environment to enhance resilience in keeping their commitment to quality pa?ent care. Resilience does not constant pressure on the job, the well-being of a person remove stress but is a mechanism by which a person can can be easily put aside. There are many acts nurses can do handle stress and again regain strength in adverse in their lives to put in and generate energy. The first of these is sleep: the nurses have to ensure they get enough situa?ons. rest, eat right, and exercise. Indeed, repeated physical exercise has been shown to decrease stress hormones and increase endorphins which can even op?mis?cally boost a mood and build resilience with ?me. But coping strategies may also be fun out-of-work leisure ac?vi?es-that is if they’re enjoyable for you: hobbies, ?me with loved ones, or even a prac?ce of mindfulness. Because taking ?me for oneself feels like a luxury, yet it builds the energy and mental acuity one needs to care well for others. Build Resilient, Healthy Coping Strategies Most of the ?me, nurses find themselves in situa?ons that require ac?ng emo?onally, for example, very sick pa?ents or trauma cases. The way a nurse will respond to such stressors will be what makes the difference when it comes to making him or her resilient. Instead of developing unhealthy coping mechanisms as people do, avoiding emo?ons or alcohol, nurses should develop healthier alterna?ves. Mindfulness is deep breathing to medita?on and yoga that help to decrease some of the immediate impacts of stress and contribute to long-term resilience. This allows nurses November 2024 www.chiefwomenleaders.com 16

“Nursing is an opportunity to show love and compassion in its purest form.”

The Evolution of Nursing From Florence Nigh?ngale to Modern Day Care The story of nursing is as much about compassion as it is about resilience. From its roots in ancient practices to its development into a highly specialized field, nursing has consistently adapted to meet society’s needs. Understanding the historical journey of nursing not only provides insight into healthcare’s foundations but also inspires A us to appreciate the critical role nurses play in shaping the future of care. This article explores the remarkable progression of nursing, r highlighting its journey through history and its impact on healthcare t today. i Foundations of Healing c l Nursing’s origins can be traced back to ancient civilizations where caregiving was deeply intertwined with religious and spiritual beliefs. e In these early societies, individuals known as healers or caregivers provided comfort and assistance to the sick and injured. Their work was rooted in traditions and rituals that blended natural remedies with spiritual practices. While rudimentary, these efforts laid the groundwork for a profession centered on care and compassion. A Catalyst for Change The Crimean War in the mid-19th century marked a turning point in the history of nursing. Florence Nightingale, often considered the founder of modern nursing, revolutionized the field through her emphasis on sanitation and evidence-based practices. Her meticulous methods not only reduced mortality rates but also established nursing as a credible and essential profession. Nightingale’s pioneering work inspired generations of caregivers to view nursing as both an art and a science. Building Professional Standards With the rise of industrialization and urbanization, healthcare systems expanded, and nursing began to formalize as a profession. Training programs were established, providing standardized November 2024 November 2024 www.chiefwomenleaders.com www.chiefwomenleaders.com 20 21

education and practical experience. This period saw the challenges and embracing innovative practices. Looking creation of nursing schools, which equipped caregivers ahead, the focus remains on delivering compassionate, with the skills and knowledge required to meet the evidence-based care while addressing the unique needs growing demands of healthcare. The profession gained of diverse populations. As the healthcare landscape recognition as an integral part of medical teams, shifts, nurses will undoubtedly continue to be at the elevating its status within the healthcare system. heart of meaningful change. Advancing Education and Specialization Conclusion The post-World War II era brought unprecedented The evolution of nursing is a testament to humanity’s advancements in healthcare, creating opportunities for enduring commitment to care. From humble beginnings to a highly respected profession, nursing has continually nurses to specialize in various fields. Education redefined its role in society. By celebrating this journey, expanded to include advanced degrees, allowing practitioners to pursue leadership roles and engage in we not only honor the contributions of past caregivers research. Innovations in technology and medicine also but also inspire future generations to carry the legacy redefined nursing responsibilities, as caregivers became forward. The challenges ahead are many, but with key players in critical care, surgery, and other dedication and adaptability, nursing will remain a vital specialized areas. This evolution reflected the growing force in shaping the health and well-being of individuals complexity of healthcare delivery. and communities alike. The Role of Technology in Nursing Practice As technology continued to evolve, it began to reshape the way nurses delivered care. Tools such as electronic health records, diagnostic devices, and telemedicine emerged, enabling nurses to provide efficient and accurate care. These advancements not only improved patient outcomes but also enhanced communication and collaboration within healthcare teams. Today, technology remains a vital component of nursing, bridging the gap between traditional care and innovative solutions. Ethical Challenges and Advocacy in Nursing Nursing has always been more than just a technical profession; it requires a deep commitment to ethical principles. From patient confidentiality to end-of-life care, nurses often face complex moral dilemmas. Over the years, the profession has embraced a proactive role in advocating for patients’ rights and equitable access to care. This advocacy underscores the essence of nursing as a vocation rooted in empathy and justice. The Present and Future of Nursing “The character of the nurse Today, nursing is recognized as a cornerstone of is as important as the knowledge healthcare, with practitioners taking on expanded roles in education, research, and policymaking. The profession continues to grow, adapting to global she possesses.” November 2024 www.chiefwomenleaders.com 22

“Nursing is not for the faint of heart. It takes courage to care for the sick, advocate for their needs, and show empathy even in the toughest moments.”

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The Most Pioneering Women Leaders in Nursing, 2024

The Most Pioneering Women Leaders in Nursing, 2024

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