The Nursing the System Podcast is for nurses who want to change the healthcare system—but are tired of bandaid fixes and ‘just try harder’ advice. This podcast delivers practical tools, real-world case studies, and systems thinking strategies to help you drive meaningful change—without burning out in the process. <br><br>Brought to you by Nursing the System and your host, Claire Phillips, DNP RN.

Nursing the System
Claim This Podcastby Claire Phillips, DNP RN
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Podcast Overview
The Nursing the System Podcast is for nurses who want to change the healthcare system—but are tired of bandaid fixes and ‘just try harder’ advice. This podcast delivers practical tools, real-world case studies, and systems thinking strategies to help you drive meaningful change—without burning out in the process. <br><br>Brought to you by Nursing the System and your host, Claire Phillips, DNP RN.
Language
🇺🇲
Publishing Since
8/21/2023
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Recent Episodes

June 29, 2026
73: The Best Thing My Grandma Ever Did Was Nothing
<h2><strong>🎙 Episode Overview</strong></h2><p>I just got back from California, where I spent a few weeks on sabbatical that culminated in my Grandma Marge's 90th birthday celebration—what she lovingly called her "dead or alive party." She said she wanted to be present for her own memorial service, and she deserved to hear all the nice things people had to say about her while she was still here to enjoy them.</p><p><br></p><p>This episode is a tribute to her. I share the story I told (through tears) at that party—about the summer I wrote a musical at nine years old, and how my grandma's particular brand of loving accountability gave me the courage to actually pull it off. And I connect it back to the question I sat with in that 89-degree barn in Lincoln, California: what does it look like to give nurses and nurse leaders that same kind of support? The kind that pushes you, holds you accountable, and doesn't rescue you.</p><p><br></p><h2><strong>🔑 In This Episode, You'll Learn</strong></h2><ul><li>The story of my grandma's "dead or alive party" and the legacy she's built without ever holding a formal title</li><li>The full Grandma Camp: The Musical origin story (writing it at nine, performing it with my cousins, having a pianist friend record the accompaniment)</li><li>What loving accountability actually looks like in practice—and why it's the most underrated form of support</li><li>How a single moment of being held capable by someone who believed in you can shape decades of your professional life</li><li>How NLHQ is structured to provide that same kind of support to nurse leaders</li></ul><p><br></p><h2><strong>🧠 Key Ideas to Take With You</strong></h2><ul><li>Influence doesn't require formal authority—my grandma built decades of impact without a title</li><li>The most powerful kind of support is the kind that gives you just enough to stretch, then steps back so you can do the rest yourself</li><li>Loving accountability means showing up steady, believing in someone, AND not rescuing them when the hard moment comes</li><li>Every hard professional conversation I have now feels small compared to the one I had at nine, asking my cousins to be in my musical</li><li>People don't grow the way they're capable of growing without scaffolding, community, and someone in their corner</li><li>If you have someone like that in your life—a grandparent, a mentor, a friend—tell them what they've meant to you while you still can</li></ul><p><br></p><h2><strong>🎧 How to Get the Most Out of This Episode</strong></h2><p>This one's different. There's no framework, no five-step process. Just a story and a question I want you to sit with: who was the person in your life who held you capable? And who are you being that person for now?</p><h2><br></h2><h2><strong>📣 Special Announcements</strong></h2><p><a href="https://www.honeybook.com/widget/nursingthe_system_245941/cf_id/6824a5d8f1df66002cb6c03e" rel="noopener noreferrer" target="_blank"><strong>Applications to Nurse Leader HQ</strong></a><strong> open today, June 29th.</strong> If you want someone in your corner who will believe in you, push you, hold you accountable, AND not rescue you, that's what NLHQ is built to be.</p><p>A few clarifying notes I've been getting questions about:</p><ul><li>You don't have to be a formal nurse leader. If you're leading formally OR informally, NLHQ is for you.</li><li>Works in academia? Yes.</li><li>Run your own business? Yes.</li><li>Project manager without direct reports? Yes—if you're doing systems change work, this is for you.</li><li>Anyone who applies will have a conversation with me first to make sure it's a good fit.</li><li>If you want to talk things through with me before committing, <strong>filling out an application is the best next step.</strong></li></ul><h2><br></h2><p><strong>👉 Resources Mentioned</strong></p><ul><li><a href="https://www.honeybook.com/widget/nursingthe_system_245941/cf_id/6824a5d8f1df66002cb6c03e" rel="noopener noreferrer" target="_blank">Nurse Leader HQ application</a> (open today)</li><li><a href="https://nursingthesystem.thinkific.com/courses/change-maker-essentials" rel="noopener noreferrer" target="_blank">Changemaker Essentials</a></li><li>Instagram:<a href="https://www.instagram.com/nursing.the.system/" rel="noopener noreferrer" target="_blank"> @nursing.the.system</a></li></ul><p><br></p>

June 22, 2026
72: The Leadership Audit Nobody Gave You
<h2><strong>🎙 Episode Overview</strong></h2><p>A huge passion of mine is giving nurse leaders a map of what strong leadership actually looks like across all the dimensions that matter—because that map isn't something most of us are given by our organizations, our bosses, or our grad schools.</p><p><br></p><p>As I've been designing the Nurse Leader HQ curriculum hub for the new cohort joining later this month, I had to actually put those dimensions on paper. Which gave me the idea for this episode: a reflection and self-assessment tool, walking you through the seven dimensions of a strong leadership practice and 22 questions to sit with.</p><p><br></p><p>This is not a teaching episode. There are no right answers. Your only job for the next 20 minutes is to be honest with yourself and resist the urge to skip the uncomfortable questions—those are usually the most useful.</p><p><br></p><h2><strong>🔑 In This Episode, You'll Learn</strong></h2><ul><li>The seven dimensions of a strong systems-thinking leadership practice</li><li>22 self-assessment questions to evaluate where your practice is strong and where there's room to grow</li><li>Why discomfort with a particular question is usually the most useful signal</li><li>How to use this reflection as a starting point for deciding where to focus your development</li></ul><p><br></p><h2><strong>🧠 Key Ideas to Take With You</strong></h2><ul><li>A strong leadership practice is not a single skill—it's a set of dimensions, each of which can be developed deliberately</li><li>The questions that bring up tension are the ones to sit with longest</li><li>Self-awareness is not the same as having a structured practice; you need both</li><li>This is not a test, it's a map—a way to see where you have strengths to leverage and gaps to work on</li></ul><p><br></p><h2><strong>📣 Special Announcements</strong></h2><p>The next <a href="https://www.nursingthesystem.com/nurse-leader-hq" rel="noopener noreferrer" target="_blank"><strong>Nurse Leader HQ</strong> </a>cohort is welcoming new members later this month, with applications open now. If you're working through an application this week, bring your insights from this self-assessment into our conversation before you join—we can talk through how to tackle the dimensions you want to grow in.</p><p><br></p><p>NLHQ is the six-month, high-touch fellowship for Change Maker Essentials grads who are actively leading teams. Monthly 1:1 calls with me, biweekly group calls, workshops, and ongoing support. I get to know your team, your boss, and your real projects—and you get a peer group of nurse leaders working on the same challenges.</p><p><br></p><p>If you haven't taken <a href="https://nursingthesystem.thinkific.com/courses/change-maker-essentials" rel="noopener noreferrer" target="_blank"><strong>Change Maker Essentials</strong></a> yet, you can't join NLHQ this round—but you can still join the waitlist to get info for future cohorts. Link in the show notes.</p><h2><br></h2><h2><strong>👉 Resources Mentioned</strong></h2><ul><li><a href="https://nursingthesystem.thinkific.com/courses/change-maker-essentials" rel="noopener noreferrer" target="_blank">Change Maker Essentials</a></li><li><a href="https://nursingthesystem.myflodesk.com/giv18dutmb" rel="noopener noreferrer" target="_blank">Nurse Leader HQ (waitlist)</a></li><li>Instagram: <a href="https://www.instagram.com/nursing.the.system/" rel="noopener noreferrer" target="_blank">@nursing.the.system</a></li></ul><p><br></p>

June 15, 2026
71: Want Your Change Project to Stick- Do this
<h2><strong>🎙 Episode Overview</strong></h2><p>You put in all the effort to design a change project. You launch it, you train the team, you celebrate. And then a few months later, you look back and realize nobody's doing it anymore. The momentum quietly died, and now you're back at square one.</p><p><br></p><p>This episode is about that exact problem—and what I actually do about it on my team at work. I'll walk you through my "Teddy and Judy" framing (visionaries vs. executors), why most sustainment failures are not actually people failures, and the concrete system I built with my team for Q2 of this year—which I lovingly themed "The Sea of Sustainment." You'll get the four-question monitoring plan and the three-tier triage system I use to keep change initiatives alive once the launch buzz fades.</p><p><br></p><p>If you're someone who's great at getting the plane off the ground but loses interest once it's airborne, this one's for you.</p><p><br></p><h2><strong>🔑 In This Episode, You'll Learn</strong></h2><ul><li>Why most change projects don't fail at launch—they fail in the months after</li><li>The Teddy/Judy framework (visionary vs. executor) and why you probably need to be both</li><li>Why "people didn't follow through" is almost never the real explanation</li><li>The four questions every change initiative needs answered before you call it complete</li><li>How to distribute monitoring responsibility across a team without creating surveillance culture</li><li>How to triage findings into three tiers—and why this distinction is everything for team trust</li><li>Why the #1 instinct in healthcare ("they need more training") is usually the wrong answer</li></ul><p><br></p><h2><strong>🧠 Key Ideas to Take With You</strong></h2><ul><li>Maintenance is cheap, remediation is expensive—but maintenance requires a system, not good intentions</li><li>The real failure point of most change projects is the absence of any system designed to catch backsliding early</li><li>People are always going to people; you have to plan for that</li><li>Track behaviors, not just outcomes—behaviors are the leading indicator</li><li>Cadence should earn its way down based on team performance, not just time</li><li>When multiple people make the same mistake, the first assumption is not multiple people failing—it's that something about the system, training, or tool is broken</li><li>Teams take their cues about what matters from what their leader pays attention to</li><li>A triage system that treats widespread errors as individual failures will destroy trust; one that treats them as system signals builds psychological safety AND better diagnoses</li></ul><h2><br></h2><h2><strong>📣 Special Announcements</strong></h2><p>This episode is the part two to the holding period episode from a few weeks back. The holding period was about being deliberate before saying yes; this is about being deliberate after saying yes—long-term.</p><p><br></p><p>If you've taken <strong>Change Maker Essentials</strong> and want structured support sustaining the leadership practice you built there, <strong>Nurse Leader HQ</strong> opens for enrollment at the end of June. The waitlist is where the application dates, the opportunity to book a discovery call, and all the details will be shared first.</p><p><br></p><h2><strong>👉 Resources Mentioned</strong></h2><ul><li><a href="https://nursingthesystem.thinkific.com/courses/change-maker-essentials" rel="noopener noreferrer" target="_blank">Change Maker Essentials</a></li><li><a href="https://nursingthesystem.myflodesk.com/giv18dutmb" rel="noopener noreferrer" target="_blank">Nurse Leader HQ (waitlist)</a></li><li>Instagram: <a href="https://www.instagram.com/nursing.the.system/" rel="noopener noreferrer" target="_blank">@nursing.the.system</a></li></ul>
73 total episodes available
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- What is Nursing the System?
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This podcast updates daily.
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This podcast is available on 6 platforms including Apple Podcasts, Spotify, and more. You can also use the RSS feed directly.
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Yes, this podcast regularly features guests.
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