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Primary care is getting harder to access. More than 100 million Americans lack a usual source of primary care because of provider shortages where they live. And the problem isn't confined to rural areas. Massachusetts has more physicians per person than any other state, yet in a 2025 survey of 15 large metro areas, new patients in Boston waited longer for an appointment than in any other city surveyed.  Nurse practitioners are already filling that gap. There are now more than 461,000 licensed NPs in the United States, delivering nearly a billion patient visits a year, and they tend to live and work in the communities that other providers have never ventured into. What many of them lack is the infrastructure to open and sustain a practice of their own: billing, insurance contracts, technology, and data.  In this episode, guest host Dr. Wendy L. Wright, a family nurse practitioner who owns her own clinic in Amherst, New Hampshire, talks with three colleagues from Duet, a company built around NP practice owners that brings nurse practitioners together with entrepreneurs, investors, and business operators. They discuss why this moment matters, what makes ownership possible, what changes when nurse practitioners get credit for the care they already deliver, and where an NP might begin when starting their own clinic.  Guest Host  Wendy L. Wright, DNP, ANP-BC, FNP-BC, FAANP, FAAN, FNAP, owner of Wright & Associates Family Healthcare and Chief Clinical Officer of Duet  Guests  Jonathan Goldberg, Founder and CEO of Duet  Alicia Korpi Ortiz, MPH, Chief Operating Officer of Duet  Efrat LaMandre, FNP, PhD, owner of EG Healthcare in Staten Island and Chief Medical Officer of Duet's ACO      Duet: https://joinduet.com/ Nurse Practitioner Entrepreneur Program, powered by Duke Health and sponsored by Johnson & Johnson: https://sites.duke.edu/npep/ American Association of Nurse Practitioners: aanp.org/sso/login/request/12b7f89e-1cc2-4f6f-a2c1-a7f7a39afb82?returnUrl=%2F

By 2030, one in five Americans will be 65 or older, and by 2034, older adults will outnumber children for the first time in U.S. history. About three in four adults over 50 want to age in their communities, in their homes, with their family and friends. That shift brings real challenges. How do you keep older adults safe at home when they face cognitive decline or balance problems? How do you build and sustain community in long-term care facilities, especially when they are short-staffed and money is tight? How do you know which technologies are worth investing in for aging parents, ones that are effective and safe without adding stress? As we work out which questions to ask and how to answer them, more companies and health care systems are turning to nurses. That makes sense. Nurses are uniquely positioned to lead and innovate in long-term care. Through both personal and professional experience, they sit closest to the gaps in care and the daily challenges. They are also closest to patients, so they know what will work and how. And they are building the technology and designing the solutions that foster human connection and help people of all ages thrive. In this episode, we meet three nurses building that future. Cami Peterson-DeVries, DHA, AGNP, LNHA, MSN, VP of Senior Services at St. Francis Health Services of Morris, is bringing robots and smart-room technology to her 14 nursing homes.  Roschelle "Shelly" Fritz, Ph.D., R.N., F.A.A.N., develops nurse-driven AI and smart homes for aging in place. Shu-Fen Wung, Ph.D., M.S., R.N., A.C.N.P.-B.C., F.A.A.N., studies wearable and radar sensors for fall detection and responsible AI. Together, they show a wide-open, nurse-shaped frontier where technology extends human connection at every touchpoint. Learn more about See You Now. Visit the ANA Innovation website for additional resources. https://www.nursingworld.org/practice-policy/innovation   Have questions or feedback for the SEE YOU NOW team? Future episode ideas? Contact us at [email protected].  Resources Cami Peterson-DeVries, work anniversary profile, St. Francis Health Services of Morris: https://sfhs.org/news/celebrating-cami-peterson-devries-18-year-work-anniversary/  Shu-Fen Wung faculty bio, Betty Irene Moore School of Nursing at UC Davis: https://health.ucdavis.edu/nursing/ourteam/faculty/shu-fen-wung-bio.html  Roschelle Fritz faculty bio, Betty Irene Moore School of Nursing at UC Davis: https://health.ucdavis.edu/nursing/ourteam/faculty/roschelle-fritz-bio.html  Healthy Aging in a Digital World initiative, UC Davis: https://bigideas.ucdavis.edu/healthy-aging-digital-world  Fritz RL, Dermody G. "A nurse-driven method for developing AI in 'smart' homes for aging-in-place." Nursing Outlook, 2019: https://pubmed.ncbi.nlm.nih.gov/30551883/  Same paper, full text: https://pmc.ncbi.nlm.nih.gov/articles/PMC6450732  Dermody G, Fritz R. "A conceptual framework for clinicians working with AI and health-assistive smart homes." Nursing Inquiry, 2019: https://pubmed.ncbi.nlm.nih.gov/30417510/  Fritz R, et al. "Nurse-in-the-loop smart home detection of health events." IJNS Advances, 2022: https://doi.org/10.1016/j.ijnsa.2022.100081  Smart-home pain-behavior detection study, JMIR, 2020: https://doaj.org/article/ad95b9ac80a94639b9dbc3b2a211b978  Wung author profile and publication list (includes 2026 responsible-AI paper): https://sciprofiles.com/profile/725636  "Wearable Technologies for Health Promotion and Disease Prevention in Older Adults," JMIR, 2025: https://www.jmir.org/2025/1/e69077  KFF, "Long-Term Care in the United States: A Timeline": https://www.kff.org/medicaid/long-term-care-in-the-united-states-a-timeline/  National Academies, "The National Imperative to Improve Nursing Home Quality," Ch. 2: https://www.ncbi.nlm.nih.gov/books/NBK584647/  Next Avenue, "How'd We Get Here? The History of Nursing Homes": https://www.nextavenue.org/history-of-nursing-homes/  American Scientist, "The Evolution of the Nursing Home": https://www.americanscientist.org/article/the-evolution-of-the-nursing-home  ASPE (HHS), "Lifetime Risk of Needing and Receiving Long-Term Services and Supports": https://aspe.hhs.gov/reports/what-lifetime-risk-needing-receiving-long-term-services-supports-0  Singlecare LTC statistics roundup (pointer to ASPE, KFF, WHO primaries): https://www.singlecare.com/blog/news/long-term-care-statistics/  U.S. Census Bureau, Demographic Turning Points (one in five Americans 65-plus by 2030): https://census.gov/library/publications/2020/demo/p25-1144.html  U.S. Census Bureau, older adults projected to outnumber children by 2034: https://www.census.gov/library/stories/2019/12/by-2030-all-baby-boomers-will-be-age-65-or-older.html

Healthcare's carbon footprint is buried in supply chains that no single hospital can fix alone. In this Insight from Episode 104: Practicing Green Health, Jessica Wolff, a women's health nurse practitioner and leader in healthcare sustainability, argues that the sector's healing mission is exactly why it cannot treat decarbonization as separate from health equity and access, and explains what to do about it.  To listen to this Insight clip's full episode, visit the SEE YOU NOW Podcast Episode 104: Practicing Green Health on APPLE, SPOTIFY, YOUTUBE, or your favorite streaming platform.  Learn more about See You Now. Visit the ANA Innovation website for additional resources. https://www.nursingworld.org/practice-policy/innovation   Have questions or feedback for the SEE YOU NOW team? Future episode ideas? Contact us at [email protected].

Providence was the first health system in the United States to commit to becoming carbon negative by 2030, a goal that spans 51 hospitals, more than 1,000 clinics, and 120,000 caregivers across seven western states. In this Insight from Episode 104: Practicing Green Health, Beth Schenk, PhD, RN, FAAN, Chief Environmental Stewardship Officer at Providence, explains what it takes to make an operational rather than just aspirational commitment. She describes the WE ACT framework and scorecard that allows Providence to track resource use, cost, and carbon emissions month by month across every hospital, and explains her practical answer to the question she hears most from other hospitals: where to begin.   To listen to this Insight clip's full episode, visit the SEE YOU NOW Podcast Episode 104: Practicing Green Health on APPLE, SPOTIFY, YOUTUBE, or your favorite streaming platform.  Learn more about See You Now. Visit the ANA Innovation website for additional resources. https://www.nursingworld.org/practice-policy/innovation   Have questions or feedback for the SEE YOU NOW team? Future episode ideas? Contact us at [email protected].

The NHS became the world's first health system to commit to reaching net zero emissions in October 2020. But bold national commitments only become reality through the people doing the work at the point of care. In this Insight from Episode 104: Practicing Green Health, Emma Pascale Blakey, PhD, RN, Nurse Lead for Sustainability at NHS England, makes the case that nurses and midwives have a valuable perspective as researchers and scientists in this equation, and they are an invaluable resource when it comes to sustainability solutions. From drones delivering chemotherapy to the Isle of Wight, to health visitors cycling between family visits, to clinical procurement nurses influencing what equipment gets ordered, nurses are leading the way when it comes to sustainability.   To listen to this Insight clip's full episode, visit the SEE YOU NOW Podcast Episode 104: Practicing Green Health on APPLE, SPOTIFY, YOUTUBE, or your favorite streaming platform.   Learn more about See You Now. Visit the ANA Innovation website for additional resources. https://www.nursingworld.org/practice-policy/innovation   If you know a healthcare professional whose work reflects grit, innovation or extraordinary care—or if that story is your own—we encourage you to apply for the TIME Healthcare Champion of the Year, in partnership with Johnson & Johnson, a branded award.   Have questions or feedback for the SEE YOU NOW team? Future episode ideas? Contact us at [email protected].

If the healthcare sector were a country, it would be the fifth largest carbon emitter on the planet. Yet sustainability remains one of the most underdeveloped strategies in healthcare leadership. In this Insight from Episode 104: Practicing Green Health, Shanda Demorest, DNP, RN, PHN, formerly the Senior Director of Network Experience & Solutions at Practice Greenhealth, makes the case that embedding sustainability into healthcare operations and culture is not a separate agenda; it is a patient safety, health equity, and workforce issue all at once. She offers three clear strategies for healthcare leaders ready to act: identify the right channels of appeal to move leadership, engage communities as true partners rather than passive recipients, and mobilize nurses, who are uniquely positioned to lead this work from the inside out.    If you know a healthcare professional whose work reflects grit, innovation, or extraordinary care—or if that story is your own—we encourage you to apply for the TIME Healthcare Champion of the Year, in partnership with Johnson & Johnson, a branded award.   To listen to this Insight clip's full episode, visit the SEE YOU NOW Podcast Episode 104: Practicing Green Health on APPLE, SPOTIFY, YOUTUBE, or your favorite streaming platform.  Learn more about SEE YOU NOW. Visit the ANA Innovation website for additional resources. https://www.nursingworld.org/practice-policy/innovation

Nursing is a scientific discipline, a public health infrastructure, and a body of knowledge built at the intersection of biology, behavior, community, and systems. Nurses are in schools and boardrooms, in legislatures and laboratories, in emergency rooms and living rooms, at bedsides and borders. They are scientists, researchers, entrepreneurs, policymakers, and the profession most consistently present at the places where health breaks down, and society falls short. And yet, according to decades of research on nursing's portrayal in media and public life, the public picture of nursing remains stubbornly narrow and stripped of the analytical authority that makes nursing expertise genuinely irreplaceable.  That gap is not a communications problem. It is a policy issue, a resource issue, and a patient safety concern. According to two replication studies of the landmark Woodhull Study on Nursing and the Media, nurses are cited as sources in just 2% of health news stories and nearly never in coverage of health policy. This means the perspective closest to the gaps in care, closest to what patients actually experience, and closest to workable solutions goes unheard. What is lost, as the National Academies of Sciences, Engineering, and Medicine concluded in their 2021 report on the future of nursing, is not just recognition. It is a way of seeing: the whole person within a family, a community, an environment, a system. A trained, scientific, evidence-based way of seeing that, as Buresh and Gordon argue in From Silence to Voice, no other profession replicates at scale.  In this episode, guest host Lisbeth Votruba, a third-generation nurse and Chief Clinical Officer at Avishur, talks with filmmakers, photographer Carolyn Jones, and producer Lisa Frank, the team behind the 2012 book and documentary series The American Nurse Project. Jones and Frank share what they discovered after more than a decade of interviewing and photographing nurses across every setting, from Appalachian home health to prison hospices to labor and delivery wards, and why it took two outsiders to help nurses articulate what they do and why it matters. They discuss how personal storytelling unlocks what statistics cannot, how nurse-led initiatives have measurably improved outcomes in maternal health and end-of-life care, and why telling the full, true story of nurses is essential to fixing the systems we all rely on.  For more information on resources, visit ANA's Innovation Website at: https://www.nursingworld.org/practice-policy/innovation/ Have questions or feedback for the SEE YOU NOW team? Future episode ideas? Contact us at: [email protected].

After a decade, the new ANA Code of Ethics for Nurses arrives as the nursing profession is projecting a shortfall of over 100,000 registered nurses by 2038, with burnout affecting approximately one-third of nurses, and growing demands on their attention and resources. Ongoing federal legislative efforts addressing nurse-to-patient ratios and workplace safety, the rise of artificial intelligence in clinical practice, and documentation burdens that consume up to one-third of nursing shifts all underscore the urgent need for ethical guidance rooted in the profession's commitment to human dignity, justice, and compassionate care.   In this episode of SEE YOU NOW, guest host Liz Stokes, PhD, JD, RN, and Kara Curry, MA, RN, HEC-C, two of the six co-chairs behind the revision, explain how 49 nurses from diverse practice settings spent over 600 hours building a shared ethical framework for millions of nurses worldwide. The Code is not a rulebook or a checklist; it is a relational map that defines what nursing stands for and provides guidance for navigating complex moral decisions.   The episode also features three nurses who embody the Code in practice: Kelley Lazor, BSN, RN, PCCN, CNIII, a nurse leader on a transplant unit who creates environments where ethical practice is supported, Talia Neves, BSN, RN, COHC, who moves from pediatric psychiatry to street medicine to policy advocacy, and Shika Kalevor, MBE BSN RN HEC-C, a clinical ethicist whose work on everyday ethics demonstrates how ethical considerations permeate every aspect of nursing care. Together, they show us what it means to practice nursing with integrity, compassion, and courage in an uncertain world.  For more information on resources, visit ANA's Innovation Website at: https://www.nursingworld.org/practice-policy/innovation/ Have questions or feedback for the SEE YOU NOW team? Future episode ideas? Contact us at: [email protected].

Ama Mathewos, MPA, BSN, RN, NEA-BC, is a nurse, certified executive coach, and founder of Evolve Lead Succeed. After nearly two decades in nursing, from med-surg and oncology floors in New York City to six years as a nurse manager that spanned the COVID-19 pandemic, Ama led her team from significant challenges to achieving ANCC Magnet designation. That journey crystallized her belief that emotionally intelligent, well-supported nurse leaders aren't just good for teams, they're essential for patients, communities, and the future of the profession.  Now, through her coaching company and her role at Maimonides Medical Center, she is doing something deceptively simple and urgently necessary: being there for nurse leaders when it's hard. Listen as Ama reflects on what it means to fully see yourself as a nurse, and why that self-recognition might be the most powerful tool in healthcare.  For more information on resources, visit ANA's Innovation Website at: https://www.nursingworld.org/practice-policy/innovation/ Have questions or feedback for the SEE YOU NOW team? Future episode ideas? Contact us at [email protected].

Robyn Barriffe, DNP, RN, NEA-BC, CCRN-K, didn't set out to become a nurse. A single mother of four, she felt something like a divine nudge and went for it. More than two decades later, having led nursing teams at NorthShore Health System in Chicago, Novant Health in North Carolina, and most recently Atrium Health Pineville, where she guided the hospital to its first-ever ANCC Pathway to Excellence designation, Robyn has just taken on the CNO role at Ascension St. Vincent's Riverside in Jacksonville, Florida. Across every institution, her philosophy has remained the same: the organization is the patient, and quality metrics, teammate engagement, and patient experience are vital signs.  Now, as a Johnson & Johnson Nurse Innovation Fellow, Robyn has discovered a framework she believes the profession has been missing. The fellowship, led by Marion Leary, PhD, MPH, RN, of Penn Nursing, pairs human-centered design methodology with Wharton leadership training and culminates in each team of fellows pitching a solution to a real problem inside their own health system.  For more information on resources, visit ANA's Innovation Website at: https://www.nursingworld.org/practice-policy/innovation/ Have questions or feedback for the SEE YOU NOW team? Future episode ideas? Contact us at: [email protected].

Heather Bartlett, BSN, RN, CEN, CNML, is a nurse educator and supervisor in the Emergency Department at MyMichigan Medical Center Midland in Midland, Michigan. She is the person responsible for orienting every nurse, ED tech, and unit assistant who joins their team, equipping each one with the confidence, competence, and humanity to show up for patients on their worst days. Her mission is deeply personal. When Heather was 15, her father died of a massive heart attack at age 42. In the immediate aftermath, an emergency department nurse was her rock and her ally. That nurse's compassionate, honest, and unshakeable presence planted the seed for everything that followed.  Heather reflects on what it means to truly see your patients: to hear what they're saying, to notice what they aren't, and to stand with them in the hard spaces as their bridge, their advocate, and their confidant.  For more information on resources, visit ANA's Innovation Website at: https://www.nursingworld.org/practice-policy/innovation/ Have questions or feedback for the SEE YOU NOW team? Future episode ideas? Contact us at: [email protected].

Jaden Dennis, RN, is an emergency room nurse and former NCAA Division I track-and-field athlete, who knows exactly what it feels like to place something precious in someone else's hands and trust they'll run with it. After starting college on an athletic scholarship in Brooklyn, Jaden spent the pandemic taking stock. He had been studying economics, a path chosen more for convenience than calling, when a single mentor changed everything. His coach, Dr. Lena Washington, a physical therapist, All-American athlete, and the architect of a relay team that had qualified for Nationals, served as Jaden's possibility model for what it meant to live a good life. In September 2020, Jaden became a Certified Nursing Assistant. By 2022, he had earned his nursing degree.  Now in the ER, Jaden helps to build the synergy that makes high-stakes teamwork possible by lending a hand or an ear and building trust in the quiet moments. Those small handoffs, he explains, are baton passes: each one a vote of trust, each one proof that when the critical moment comes, nobody runs alone. Listen as Jaden reflects on what sports taught him about nursing, why the best teams are built in the margins, and what it really means to be a nurse who shows up, not just for patients, but for the person running next to you.  For more information on resources, visit ANA's Innovation Website at: https://www.nursingworld.org/practice-policy/innovation/ Have questions or feedback for the SEE YOU NOW team? Future episode ideas? Contact us at: [email protected].

Inspired by stories of the nurses who cared for her cousin, who traveled to the US from the Bahamas for open-heart surgery,  Marguerite Rowell, MSN, MSM/HM, MBA, ONC, SCRN, NEA-BC, decided in the eighth grade that she wanted to be a nurse. She came to the United States, joined Baptist Health South Florida, and spent nearly 25 years advancing from staff nurse to charge nurse, to manager, to director, to Assistant Vice President of Nursing, where she helped open the Miami Cancer Institute and served as interim Chief Nursing Officer. But throughout every promotion, one problem never left her: healthcare finance. Nurse leaders are handed multi-million-dollar budgets and a binder from a training session, and then immediately sent back to the floor, where the commitment to patients and staff takes center stage.  So, she built Nurse Math: a mobile app that puts the financial calculations nurse leaders need, ROI, contribution margin, proforma, staffing ratios, right in their pocket, wherever they are. Marguerite makes the case that nurses are multi-dimensional creators at the helm of the innovations that will transform healthcare.  For more information on resources, visit ANA's Innovation Website at: https://www.nursingworld.org/practice-policy/innovation/ Have questions or feedback for the SEE YOU NOW team? Future episode ideas? Contact us at: [email protected].

Rachell Dumas, MSN, RN, is a nurse informaticist, health tech founder, and health advocate whose path into nursing began with a single anatomy class and whose journey into innovation began with nearly losing her life. After a four-year struggle through nine pregnancy losses, she finally welcomed a baby boy. Six months later, she woke up unable to see. When she arrived at the emergency department with acute vision loss and stroke symptoms, she was sent home with an antacid. As a neuro ICU nurse, she knew something was catastrophically wrong. She went to a second ED, got the CT scan, and eventually received a diagnosis: idiopathic intracranial hypertension. It took two brain surgeries to treat it. And in the space between dismissal and diagnosis, HEARD was born.  HEARD is a health technology platform that gives patients the language, tools, and confidence to advocate for themselves in real time: translating medical jargon, documenting incidents, facilitating better conversations with providers, and connecting users to second opinions and legal support when needed. Rachell makes the case that nurses aren't just caregivers, they are uniquely positioned to see the gaps in healthcare and to build the solutions that close them.  For more information on resources, visit ANA's Innovation Website at: https://www.nursingworld.org/practice-policy/innovation/ Have questions or feedback for the SEE YOU NOW team? Future episode ideas? Contact us at: [email protected].

Jester Lloyd Bautista, MSN, PhD, RN, grew up in the Philippines as the eldest of seven siblings in an impoverished family and dreamed of becoming a pilot. Instead, the people who funded his education chose nursing. He was 20 when he graduated, and 22 when he found himself standing in front of rooms full of nursing graduates preparing for their licensure exams. That experience unlocked something: the understanding that teaching one nurse to think critically could ripple out to every patient they would ever touch. He earned his MSN and then his PhD in Educational Leadership and Management, all while teaching nursing in the Philippines. Then in 2015, he immigrated to the United States, and he had to start over.  He began again in the US as a caregiver. Then became a dialysis nurse. Then an ICU nurse for five years. When the opportunity to return to education appeared, he took it. Today at Cedars-Sinai in Los Angeles, Jester leads ASPIRE, the Affiliate Students Pathway from Internship to Residency Experience, a program that walks senior nursing students into their first RN role. He describes it plainly: he is building the bridge he wished had existed when he graduated. All seven of his siblings are now nurses. And the young man who once wanted to fly a plane has decided he did become a pilot after all, just one who navigates families, students, and a profession toward somewhere better. He sees himself as an example of what is possible and shares that if people understood the impact nurses have, the world would be a better place.  For more information on resources, visit ANA's Innovation Website at: https://www.nursingworld.org/practice-policy/innovation/ Have questions or feedback for the SEE YOU NOW team? Future episode ideas? Contact us at: [email protected].