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Welcome to the Becker's Healthcare podcast. I'm Mariah

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Taylor, assistant editor, and I'm thrilled to be

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interviewing Karen Cox, president of Chamberlain University, on

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the podcast today. Doctor Cox, thank you so

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much for joining me. I am so excited

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to get your insights on the trends around

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men in nursing and what they're doing in

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the field. But before we dive in, I'd

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love for you to introduce yourself and tell

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us a little bit about your background.

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Thanks, Marielle. I'm excited about this topic as

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well.

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So I am president of Chamberlain

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University, as you mentioned, have been in that

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role for 6 years. But prior to that,

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I spent 24 years as a chief nursing

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officer

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and chief operating officer at the Children's Hospital

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in Kansas City. So have a

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Hospital in Kansas City.

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So have a a mix of service and,

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academic background.

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And and importantly, I think, yes, I started

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my career as a licensed practical nurse, so

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I'm someone who understands kind of the the

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multiple pathways that you get to nursing.

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And that's really, I think,

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meaningful when we talk about men and how

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they end up in nursing.

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So, doctor Cox, as president, what are some

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of the demographics of nursing at Chamberlain in

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Wogan?

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So when you think about,

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men in nursing,

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Mariah, at Chamberlain,

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as of our

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last fall,

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we had about a little over 4200

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students that were men enrolled,

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which is significant number.

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And we awarded

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18

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1823 nursing degrees and certificates

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to men,

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in f y

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20 24.

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Over the

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past 4 past 3 years,

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Chamberlain has awarded

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over 45 100 nursing degrees and certificates to

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men.

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So it pretty significant. And then,

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that includes both pre and post licensure students.

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And at Walden,

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for post licensure students, they had over 211

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100 men

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enrolled in the same time period,

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and they awarded 729

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nursing degrees and certificates

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to men,

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in fiscal year 2024.

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So pretty significant. And

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one of our our objectives at Chamberlain is

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to continue to grow that number,

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because

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as the largest school of nursing in the

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country, when we do things, it makes an

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outsized impact, and we're hoping to have a

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truly outsized impact on the number of men

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in nursing.

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Excellent.

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Let's dive into that. What factors do you

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think are driving the increase of men in

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nursing, and how have you seen those trends

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evolve over the years?

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A couple of things.

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One is,

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you know, nursing has become

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a profession

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since the pandemic

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that people have really started to understand the

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importance

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of the role

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in a very different way.

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And

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while it's always been the case that nurses,

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men or women, nurses have to be

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very compassionate,

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very much a right brain,

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able to connect with people,

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able to develop therapeutic

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and and

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relate in, individual relationships

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with people

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of of all kinds,

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not just the people they know. And so

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that's really something everyone understands,

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but I don't think it was fully appreciated

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till the pandemic

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how much,

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nurses have to know the science and, you

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know, the critical judgment skills that they have

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and how much they work fairly independently

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and and making,

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important decisions

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in care that's provided.

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And so I think having that understanding that

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it's not just what people might connotate as

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a something women are really good at and

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men aren't, which, by the way, isn't true.

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But they they just that stereotype.

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And so

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I think the people that have really,

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stepped out into nursing full force have been

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people with military backgrounds.

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So for the last 20, 25 years,

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people who are men and women coming out

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of the service, who are either medics or

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were,

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already,

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registered nurses

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come into the civilian workforce.

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And those men that come in, the people

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see them and they understand,

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you know, what the impact of what they

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can do, looks like. The other group

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that really has,

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embraced

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nursing are are people that have been first

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responders.

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So which is

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men and women, but men who are first

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responders,

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who are on,

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ambulances, who work in emergency rooms, they see

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what nurses do. And so, again, they understand

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how much of an impact nurses make in

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all the all parts of providing health care.

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Excellent.

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What kind of trends are you seeing in

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the career path that these men take? Are

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they gravitating

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towards any kind of specific specialty or leadership

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roles? And how can the industry retain that

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talent?

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Typically,

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in the in the past,

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men have been more

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drawn to what I would call critical care.

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So,

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intensive care units, emergency

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rooms, perhaps

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perioperative or operating room settings.

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And that but that's continuing to change. For

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example, when I

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worked at the a children's hospital here in

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Kansas City,

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there were at least 50 men who were

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nurses there

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in many different specialties.

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So it it's broadening out.

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Also, men are

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more interest more likely to think about becoming

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a

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CRNA or a certified registered nurse anesthetist,

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which requires

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nursing

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experience as a

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in critical care for 2 years and then

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taking that,

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master's program.

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But the other thing that we really notice

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is men end up in leadership roles at,

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really, at a higher percentage than women. Now

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they're they only make up 10 to 12%

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of but

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they're

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disproportionately higher percentages in leadership.

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And there if you look at chief nursing

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officers across the country,

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there's a fair there's a higher proportion of

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men than just 10%.

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That's fascinating.

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What kind of unique barriers or challenges do

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these students or nurses face both in education

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and workforce?

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The first is really how they're

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viewed, how nursing is viewed, and there's still

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some of that

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belief out there that nursing is really just

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as a very female and or,

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subservient

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profession,

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and nothing could be further than the truth.

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You can ask physicians

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about the importance of nurses in all aspects

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of of health care, but particularly in the,

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inpatient setting. So there's still some of that,

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out there.

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And and so that's something

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people face when they say, oh, I'm gonna

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I'm going to nursing I'm a man, and

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I'm going to nursing school. So sometimes

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there's,

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hesitancy there, and and they feel

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that somehow that's,

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not a profession that men

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should or would be attracted to.

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The other barrier really is,

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patients and making sure patients understand

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that they're they're nurses, they're student nurses. And

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and, usually,

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those,

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misperceptions

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or

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misunderstandings

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about about men in nursing goes right away

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as soon as they start interacting with

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these men who

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are just extraordinary

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nursing students and become extraordinary

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nurses. Probably one of the most exciting things

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that happened for the profession

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is for for the first time, the 2

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largest,

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the 2 most influential

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nursing professional organizations

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in the last couple of years both had

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men

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as leaders for the first time. And so

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doctor Ernest Grant was the,

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president of the American Nurses Association,

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and doctor,

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Kenneth White

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was president of the American Academy of Nursing.

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And that, I think, really signaled

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the changes,

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you know, from a at the

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highest professional level,

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what it was that men were able to

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accomplish

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and that they were here to stay as

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leaders within our profession.

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So fascinating.

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What do you think health care organizations can

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do to help address some of those barriers

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and challenges?

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I think, Marie, one of the things they

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can do

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is highlight men

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that are in nursing roles within the organization.

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And you can do that in a variety

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of ways. You can do that through Daisy

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recognition

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awards. You can do that through

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just, you know, promoting stories within the organization,

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but also outside outside

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the organization. So when there's an opportunity to

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talk about a particular patient

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care issue, that that you seek out the

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men who are in nursing roles to be

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those spokespeople as much as possible.

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Again, just to normalize

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it. And I know that the it they

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also there's

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a association

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of men in nursing,

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and I think having a strong

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connection to that as a health system is

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really

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important. Again, it just shows that

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there's,

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a

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desire to have men come into the field.

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And, you know, the most important thing about

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all of this is

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there aren't, number 1, enough nurses.

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And if we only go to the usual

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suspects

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of people who have typically become registered nurses,

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we're not going to solve for that problem.

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If you think about the fact that we

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have 10 to 12%

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of nurses are men,

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if you increase that to 20%

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over a 5 year period,

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that alone would would dramatically

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impact for the positive,

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the shortage of nurses because they're net new.

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They're not the people who typically would have

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gone into nursing.

292
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Absolutely.

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And as we all know, the nursing shortage

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has been going on for a while now.

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So what do you think systems can do

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to become more attractive to men in nursing?

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I think the first part is really backing

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up from the the point of where people

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are thinking about what their next what their

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career is gonna be. And there's 2 real

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quick entry points that I think are important

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to consider.

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1 is high school students. And,

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you know, you don't

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attract

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men,

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young men who are in high school into

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nursing by sending

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a representative

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out from a school

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that is a,

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you know,

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22 year old young woman.

314
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You have to show that it's like anything

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else. You have to see yourself.

316
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And so the that that's the first step

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is having outreach

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where you're showing

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opportunities

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and they see it and they can see

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themselves doing that.

322
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The second is really in 2nd career.

323
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Oh, you know, I I've talked to enough

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of our men who are in our nursing

325
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programs

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who have said, you know, they get into

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what was a stereotypical

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education

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and career for a man, and they just

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found it kind of empty.

331
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They didn't feel like they were making connections

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with people. They weren't impacting

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society in the way that they had hoped,

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and they saw nursing as a way to

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do that.

336
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You know, when I think about,

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how people,

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men and women, end up in nursing,

339
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just overall, there are a couple of ways

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to look at it. So I cannot remember,

341
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and this is true, I can't remember

342
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being a person

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as a as a 3 or 4 year

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00:12:33,574 --> 00:12:36,074
old. I can't remember ever not knowing

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that I wanted to be a nurse. So

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it's it's it's part of me. It's been

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a part of me. It was going to

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be a part of me. I either was

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going to be. I was in school or

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I became a nurse.

351
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So there was just for whatever reason that

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was

353
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I was attracted to that.

354
00:12:52,980 --> 00:12:55,059
Men come at it from usually a different

355
00:12:55,059 --> 00:12:55,559
place.

356
00:12:56,019 --> 00:12:59,320
It's it's later in life, as I mentioned,

357
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and it's it's more about the opportunities

358
00:13:03,154 --> 00:13:05,894
that they have, the potential leadership,

359
00:13:06,835 --> 00:13:08,215
potential that exists,

360
00:13:08,675 --> 00:13:11,014
and it's about making a difference

361
00:13:11,475 --> 00:13:13,715
in a in a different way. So it's

362
00:13:13,715 --> 00:13:16,259
not so much it you can't really go

363
00:13:16,259 --> 00:13:19,379
for for the it's a calling or it's

364
00:13:19,379 --> 00:13:22,360
just something you've always wanted to be. It's

365
00:13:22,819 --> 00:13:25,059
why now and why me and what is

366
00:13:25,059 --> 00:13:26,600
it that this has to offer?

367
00:13:27,715 --> 00:13:30,355
Excellent. This has been such an amazing and

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00:13:30,355 --> 00:13:31,414
informative discussion.

369
00:13:31,715 --> 00:13:33,475
I wanna just thank you again for being

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on the podcast with me today.

371
00:13:35,875 --> 00:13:37,634
Of course. Thank you. And I and I

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look forward to watching the continued increase of

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men coming into our profession. It will only

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make us stronger.