Improving Unit Culture and Throughput Simultaneously

Power, Proximity, and the Hidden Weight of Leadership

In this episode, Nick Chmielewski speaks with Lindsey Osting, MS, BSN, RN, NE-BC, president of OhioHealth Doctors Hospital and author of The Glass Desk (available on Substack [https://glassdesk.substack.com/]). They discuss what it takes to grow into senior roles without losing yourself along the way. They unpack often-unspoken rules of executive presence, the pressure to "over-carry," and why access to influence is often shaped by proximity rather than just performance.

Improving Unit Culture and Throughput Simultaneously

In this episode, Nick Chmielewski speaks with Rebecca Altman, MBA, RN, senior vice president and chief administrative officer at University of Maryland Medical Center's Midtown Campus; and Lowell Hardin, MSN, RN, NRP, NHPD-BC, a senior managing consultant at BRG. They unpack what it takes to improve emergency department (ED) throughput—without ignoring the culture that makes change stick. Drawing on a yearlong engagement at Midtown's ED, they share how leadership visibility, trust-building, and consistent standards set the foundation for performance improvement and resulted in a safer, more collaborative environment and measurable gains in access to care.

Your Story, Your Brand: Personal Brand Management for Nurse Leaders

In this episode, Nick Chmielewski speaks with Fred Neis, MS, RN, FACHE, FAEN, founder and managing partner at AdvisorRN. They discuss the increasing importance of personal brand management for nurse leaders and executives in the digital age and how nurse leaders can craft and project their brand effectively.

Celebrating Nurses Week

Nick Chmielewski speaks with Bradley Goettl, DNP, DHA, RN, FAEN, FAAN, FACHE, chief nursing officer at American Nurses Enterprise, in a special Nurses Week episode during which the American Nurses Association celebrates its 130th anniversary. They discuss the power of Nurses Week, the realities of today's nursing workforce, and advocacy efforts shaping the profession's future. Dr. Goettl shares insights on burnout, workplace safety, expanding roles in technology and artificial intelligence (AI), and what gives him hope for the next generation of nurses.

Implementing the Dyad Leadership Model

In this episode, Nick Chmielewski speaks with Tammy Powers, BSN, MBA, FACHE, a registered nurse and chief executive officer at Sutter Roseville Medical Center. They discuss the implementation and impact of the dyad leadership model in healthcare, focusing on the partnership between administrative and physician leaders to improve organizational success.