Conversations That Matter. This is Radical Nurse Talk, a podcast about nurses’ communication in serious situations and illness as a radical act of care. Join Dr. Patricia Strachan as she talks with nurses and others about nurses’ expertise, experience, courage, joys and frustrations in having conversations that involve serious situations and illness, loss, life-altering and unwanted change, living in uncertainty, declining health and end-of-life.
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Have you ever asked a patient about their resuscitation preferences? Or what we refer to as code status—whether they would want their heart restarted if it stopped? Most nurses have asked this question in some form during various practice encounters. While it might seem like a straightforward inquiry, there is much more beneath the surface. In this…
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In this episode, we explore the intersection of nursing and the arts—a rare but powerful combination in healthcare. In January 2024, The Telegraph, a renowned UK news outlet, featured an article titled "The Nurse Who Helps Dying Patients Write Poetry." The nurse at the centre of this story is Rekha Vijayshankar, a trailblazer in the field of pallia…
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From the streets to echelons of power: Advocating for work spaces that promote nurses' relational praxis
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How can a Chief Nursing Officer influence conversations about serious illness? In this episode, Patricia Strachan explores this question with Dr. Leigh Chapman, a dedicated nurse and leader who is advocating at the highest levels across Canada to improve working conditions for nurses—helping them not only stay in the profession but thrive. And when…
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How can nurses be involved in decisions that patients make about innovative heart valve interventions for which they may be eligible? In this episode Dr. Sandra Lauck thoughtfully describes her work and that of others in supporting nurses to have opportunities and language that open spaces for patients to question, understand and consider possible …
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How can we show up in our relational work with seriously ill patients, and for ourselves as nurses in the moments that are available to us? Grounded in professional and personal experience and yes, even the theoretical, Marie Cooper calls on each of us to stand up, use language and claim the relational work that makes what we do, nursing. Her passi…
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It is well known that despite our best intentions preventable harm continues to happen to patients in healthcare systems. Further harm to patients, their families and to healthcare professionals, including nurses, can be made worse by the ways we then handle and/or talk about this unintentional harm. How can we talk about it in a way that doesn't i…
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What do we mean when we talk about a good death? How can we describe the meaningful communicative work that nurses can do with dying patients and their families? In this episode, Patricia Strachan welcomes Dr. David Wright, a registered nurse, educator, and researcher. Dr. Wright is an Associate Professor at the University of Ottawa, and academic l…
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As a practicing Registered Nurse with extensive experience working in acute, critical, and community care settings, Janet Lovegrove has heard many caregivers' stories about feeling alone, overwhelmed, or invisible when providing care to people living with dementia or other progressive life-limiting illnesses. Sensing a real need that what most of t…
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Indigenous and Northern Lens on Communication in Serious Illness
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Context is very important in healthcare. In this episode, we explore the context created at the intersection of geography, history, language, culture, and healthcare resources when Indigenous people in Canada’s far north require care for serious illness. Our guest, Lianne Mantla-Look, is a Registered Nurse currently living and working in northern C…
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Awake and Communicating in the ICU
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Have you ever thought of communication as a vital sign for patients in the intensive care unit? In this episode, you will hear Kali Dayton, DNP AGACNP and critical care outcomes consultant, share her passion for using evidence that promotes what she terms "Awake and Walking ICUs." Communication is key to the ABCDEF bundle – a group of interventions…
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Communicating with people living with advancing dementia and who require care can be challenging and frustrating for everyone. Despite our best intentions, dementia is a serious progressive life limiting illness that has major consequences for the person diagnosed with dementia, their families and family caregivers. In this episode Mary Buck, an ex…
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Having a baby is supposed to be a very happy event, but when a baby is diagnosed with a potentially life-threatening condition in the perinatal period, families are faced with new realities and require special support and understanding. Jennifer Callen is a Nurse Practitioner with 20 years of experience in neonatal intensive care. She currently wor…
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Everyone needs access to an inclusive, equitable palliative approach to care. Palliative and end of life care is regarded in the western world as a necessary service to which everyone is entitled, and yet if we look closely, significant inequities exist in people living on the margins of societal norms, such as those who are homeless and without su…
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What do you think of when you hear the word “palliative”? In this final episode of season one of Radical Nurse Talk, Kath Murray discusses the importance of words in serious illness. Words such as "palliative" that we use – or avoid using - can invoke fear, "giving up" and also, hope, support and quality of life. Listen while Kath, an exemplary nur…
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In this episode, Matthieu Payette, Clinical Nurse Specialist at St. Joseph's Healthcare Hamilton and Adjunct Lecturer/Clinical Instructor McMaster University School of Nursing, describes his experiences in various contexts in which people require help in a mental health crisis. He shares some possibilities for others who must respond to people in c…
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In this episode, Dr. Erin Ziegler, champion and advocate for inclusive and dignified care of people who identify as LGBTQ2SA describes how words, and the assumptions that are behind them, can build or destroy the trust that is so integral to building therapeutic relationships especially in serious illness. To learn more and access resources visit: …
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Has a patient or family member ever asked you about medical assistance in dying (MAiD)? If someone did ask you, what would you say in this conversation? In this episode, I explore that situation with Jane Slemon, a director of care at a hospice in British Columbia. We discuss her work with individuals who are navigating the end of life and who some…
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What does a trauma-and-violence informed approach mean for communicating in serious health situations? Dr. Susan Jack, a champion of and advocate for the training of health care professionals on trauma-and violence-informed approaches to care, shares the ways we can incorporate this into our communication praxis, and thereby promote health equity a…
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How can we talk with children about grief, about losses of any kind, dying and death? Drawing from years of experience as a registered nurse and psychotherapist, Andrea Warnick inspires us to learn how best to communicate with grieving children and families. She has inspired, taught and counselled interprofessional audiences from around the world i…
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What are the lessons learned when nurse becomes patient? In this episode, best-selling author, nurse and advocate, Theresa Brown shares reflections on communication following her diagnosis of and treatment for breast cancer and in the context of her own nursing work. Her book, The Shift: One Nurse, Twelve Hours, Four Patients' Lives, was a New York…
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Sarah Crowe, a critical care nurse practitioner and Vice-President of the Canadian Association of Critical Care Nurses discusses nurses' communication in critical care settings, particularly the difficult and challenging conversations with families. More of Sarah’s work can be found at: radicalnursetalk.com…
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How can we talk with patients and their families about a future that includes living with advancing illness, dying and death? In this episode with Sandra Andreychuk, N.P., Healthcare Ethicist, Advocate/Coach and Navigator we explore how to talk about the future and advance care planning with patients and families. To learn more about Sandy's work v…
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How do nurses build relationships and talk with families when serious illness hits? In this inaugural episode, communication scholar and champion of nurses Elaine Wittenberg shines a light on the essential communication work nurses do with families in the face of serious illness. We explore what works and doesn’t – for nurses and families. She insp…
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This is Radical Nurse Talk, a podcast about nurses’ communication in serious situations and illness as a radical act of care. Join Dr. Patricia Strachan as she talks with nurses and others about nurses’ expertise, experience, courage, joys and frustrations in having conversations that involve serious situations and illness, loss, life-altering and …
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continue reading