EP 101: Workplace Culture and Patient Ratios With Chrissy Massaro
In this episode, we’d like to welcome Chrissy Massaro. Chrissy is a CRNA that helps young professionals thrive in healthcare. She helps medical professionals improve workplace culture, build resilience, and advocate for safe nurse-to-patient ratios.
Questions for Chrissy:
Tell us a little bit about yourself. Where are you from? How did you get to where you are today?
How was life in the CVICU? Are the memes true?
When did you realize how prominent negative workplace culture can be? What’s a good way for nurses to improve workplace culture?
Many people still don’t realize how crucial patient ratios are. It leads to a lot of tough shifts, it’s hard to handle, but it’s one of the situations where we get it done no matter what. At the moment, we get through it, take care of business, and deal with it after work with poor outside-of-the-workplace habits. How important are safe patient ratios?
Medical professionals have the most stressful jobs. There are really challenging sides to those careers. How crucial is it to develop good habits and build resilience inside and outside of the workplace?
When did you realize your talent for TikTok and your obsession with plant-based recipes?
Get to know Chrissy through her Instagram at @chrissycrna.
Learn how nurses can benefit from the right nurse-patient ratio here 👇👇👇
TIMESTAMPS:
00:00 Intro 00:20 Welcome to the show 00:47 Guest introduction 01:17 About Chrissy Massaro 03:02 CVICU Nurses 05:12 Social work to Psychology major to Nursing 07:10 Bullying in Nursing 08:57 How can we improve the toxic nursing culture? 11:04 Working with unfair nurse-to-patient ratios 13:55 How do you manage stress as a CRNA? 15:35 What’s what thing you’d like to change in healthcare? 20:40 How can nurses stop competing with each other? 26:04 Setting boundaries 29:05 How to set boundaries for ourselves 32:05 How to destress 36:10 How is it to be CRNA during the pandemic? 41:28 How to deal with lingering feelings about our work 44:02 Did your views on nursing change? 46:16 A piece of advice for nurses and CRNAs 50:11 Where to find Chrissy Massaro 52:43 End of show
We all have traumas at some point in our lives. However, some of us can overcome them easily while others don’t. How can breaking past trauma help us?
In this episode, we would like to introduce you to our guest Crystal Grant. Crystal is a CRNA, author, and entrepreneur. She’s written over 4 books, has her own YT channel, and is the owner of Independent Dreams Inc., all while accelerating a career as a CRNA.
Here’s what we asked Crystal:
Where are you from? How did you end up where you are today?
You’ve written a book titled Acceptance Granted, where you showcase what it takes to be a CRNA, what is the process, and what does it really take to be a CRNA?
One of the hardest things to do is to get into CRNA school, and it’s frustrating because you don’t have full control over what school you will attend or who will accept you. You’ve had a difficult process getting in. How did you feel? When you got those nos, what made you keep applying and keep striving to get in? I feel like most people would have quit. How do you deal with tough situations?
The cost of becoming a CRNA is high; people that enter the CRNA field completely devote all their hours to school, needing to take out loans. How were you able to efficiently pay off your debt?
You’ve written many books and a series called Super CRNA. What made you write a children’s book?
How do you go from RN to CRNA to author to business owner?
What is Independent Dreams inc, and what made you start it?
Move past your trauma and heal; watch the full episode here 👇👇👇
TIMESTAMPS:
00:00 Intro 01:15 About Crystal 03:35 How did you overcome adversity? 05:38 Dealing with trauma 08:57 Self Esteem 11:17 Spirituality 18:28 Inspiration 21:31 Advice to your younger self 22:30 Loans 24:02 Travel Nursing 26:07 Student Loans 29:55 Life is a puzzle 32:37 Current Projects 34:32 Society 37:34 Crystal’s Mom 38:58 Entrepreneurship 41:31 Independent Dreams 43:11 Where to find Crystal 43:35 What made you write a children’s book? 45:15 Wrapping up the show 45:52 End of show
For many years now, many people have practiced hypnotherapy to help relieve stress or as a way to cope with anxiety. But is it as effective? What are the benefits of hypnotherapy?
Our Guest
In this episode, we introduce you to our guest Juliet Obodo. She is a Master Hypnotherapist & NLP Master Practitioner and Trainer with a mission to help treat, heal, and transform racism and facilitate individual and corporate transformations through brain training.
Questions for our Guest
How did you get started with hypnosis? After leaving the corporate world.
When did you decide to start your own business?
What is hypnotherapy, and how does it work? How does it affect the brain?
Does hypnosis work by using constant repetition to change how the mind thinks and processes information?
What is the FWRD institute?
Do you help treat racism specifically, or do you also help people with anxiety? Who do you coach and help treat?
The research I’ve done shows there is some benefit to trauma, phobias, anxiety, smoking cessation, and even IBS.
I know that Mike Tyson used to get hypnotized multiple times and attributes it to his success.
What are some key concepts in maintaining a healthy mindset?
How can people better themselves by getting rid of their negative thoughts and fears and improving their self-talk?
How has your coaching benefited businesses, and what do you provide for corporate management seeking to scale their business or lives better?
Tell us about your new self-hypnosis program: Burnout To Blissful.
Learn about hypnosis and its benefits by watching the full episodes here 👇👇
TIMESTAMPS:
00:00 Intro 00:38 Episode intro 01:09 Guest intro 01:18 Juliet’s Background 02:48 What is Hypnosis? and how does it work? 04:19 How does Fight or Flight come into play with hypnosis? 05:30 How do you hypnotize a person? 07:37 How to unblock the mental block? 08:42 Hypnosis is like Liposuction 09:25 Who do you work with? 13:22 How did it all come to be? 16:06 A de-hypnotherapist 20:42 Our body is free, but mentally, we’re in prison 22:38 Is everybody programmable? 24:00 Belief 26:19 Negative habits of society that affect our mental well-being 29:10 Comparing yourself to others 31:16 What is Neuro-linguistic Programming? 33:47 The Foreign Institute 37:33 Burnout to Blissful 38:24 How being hypnotized helped 40:00 Soul Alignment 41:53 Helping others who don’t want hypnosis 46:24 Nigeria vs America 52:57 Gender Identity 1:02:58 Caregiver burnout 1:04:57 Wrapping up the show
Refined Grains and Negative Side Effects of Soybean Oils
In this episode, we will be talking about our 4x4x48 journey, the David Goggins-inspired run. We’ll also share some research we found regarding refined grains and the negative effects of soybean oil.
What are Refined Grains?
“Refined grain” is the term used to refer to grains that are not whole, because they are missing one or more of their three key parts (bran, germ, or endosperm). White flour and white rice are refined grains.
Whole grains are nutrient-packed with fiber, B vitamins, antioxidants, vitamin E, and protein. With all these wonderful compounds, whole grains are nutrients superior to refined grains.
Fiber is the part of the plant we don’t digest and help us feel full for longer periods of time making it useful for weight control.
B vitamins help us feel energetic. Those are definitely great reasons to eat more whole grains: oats, quinoa, barley, and brown rice among many others.
Refined Grains and Negative Health Outcomes
Associations of cereal grains intake with cardiovascular disease and mortality across 21 countries [1]
Data on people 148 858 aged 35 to 70 years at baseline were collected from 21 countries. – 137 130 participants after exclusion
The highest category of intake of refined grains (≥350 g/day or about 7 servings/day) was associated with a higher risk of total mortality and major cardiovascular disease events.
We did not find significant associations between the consumption of whole grains or white rice with total mortality and cardiovascular outcomes.
Relationship Between Bread and Obesity
A systematic review of white bread’s effect on fat and weight gain
Bread consumption, which has been part of the traditional Mediterranean diet, has continued to decline in Spain and in the rest of the world because the opinion of the general public is that bread fattens.
The present study was conducted to assess whether or not eating patterns that include bread are associated with obesity and excess abdominal adiposity [2].
Consumption of whole-grain bread was more beneficial than refined bread, especially in relation to abdominal fat.
(a) Whole-grain bread: does not influence weight gain. (b) White bread: possible relationship with excess abdominal fat.
14 studies
5 found refined wheat to increase fat
5 studies showed the benefit of whole grain over white
4 studies show no relationship between food groups that included bread
Breakfast Cereal Consumption and Obesity Risk amongst the Mid-Age Cohort of the Australian Longitudinal Study on Women’s Health
Longitudinal study
Any breakfast cereal intake was not associated with incident obesity
Oat-based, muesli and bran-based cereal intakes were associated with a significant reduction in obesity risk.
Muesli on its own or as part of oat-based cereals, and All-Bran, were associated with a reduction in obesity [3].
Glycemic load, glycemic index, bread and incidence of overweight/obesity in a Mediterranean cohort: the SUN project
Followed up 9,267 Spanish university graduates for a mean period of 5 years.
White bread and whole-grain bread were not associated with higher weight gain. No association between glycemic index, glycemic load, and weight change was found.
White bread consumption was directly associated with a higher risk of becoming overweight/obese.
Consumption of white bread (≥2 portions/day) showed a significant direct association with the risk of becoming overweight/obese [4].
The Negative Effects of Soybean Oil
Soybean oil is used in fast food frying and packaged foods and fed to livestock. Its use in the U.S. increased 1,000 times throughout the 20th century, the researchers said.
The dogma is that saturated fat is bad and unsaturated fat is good. Soybean oil is polyunsaturated fat, but the idea that it’s good for you is just not proven
A diet high in soybean oil causes more obesity and diabetes than a diet high in fructose, a sugar commonly found in soda and processed foods, according to a just-published paper by scientists at the University of California, Riverside.
This study was done by scientists who fed male mice a series of four diets that contained 40 percent fat, similar to what Americans currently consume. The diet mimics what the average American consumes daily.
Four different diets:
Coconut oil – primarily saturated fat
Half of coconut oil and soybean oil-primarily polyunsaturated fats and is the main ingredient in vegetable oil.
The other two had added Fructose to the above, comparable to the amount consumed by Americans.
Compared to mice on the high coconut oil diet, mice on the high soybean oil diet showed increased weight gain, larger fat deposits, a fatty liver with signs of injury, diabetes, and insulin resistance, all of which are part of the Metabolic Syndrome.
Fructose in the diet had less severe metabolic effects than soybean oil. However, it did cause more negative effects in the kidney and a marked increase in prolapsed rectums, a symptom of inflammatory bowel disease (IBD), which is like obesity is on the rise.
Results
The mice on the soybean oil-enriched diet gained almost 25 percent more weight than the mice on the coconut oil diet and 9 percent more weight than those on the fructose-enriched diet.
And the mice on the fructose-enriched diet gained 12 percent more weight than those on a coconut oil-rich diet [5].
The major surprise is soybean oil causes more obesity and diabetes than fructose.
How Are Industrial Seed Oils Made?
The general process used to create industrial seed oils is anything but natural. The oils extracted from soybeans, corn, cottonseed, safflower seeds, and rapeseeds must be refined, bleached, and deodorized before being suitable for human consumption.
First, seeds are gathered from soy, corn, cotton, safflower, and rapeseed plants.
Next, the seeds are heated to extremely high temperatures; this causes the unsaturated fatty acids in the seeds to oxidize, creating byproducts that are harmful to human and animal health.
The seeds are then processed with a petroleum-based solvent, such as hexane to maximize the amount of oil extracted.
Next, industrial seed oil manufacturers use chemicals to deodorize the oils, which have a very off-putting smell once extracted. The deodorization process produces trans fats, which are well known to harm human health.
Finally, more chemicals are added to improve the color of the industrial seed oils.
From Toxic Waste to “Heart Healthy”: The History of Seed Oils
The surprising story of how seed oils were classified as “heart-healthy” involves a scandalous combination of donations to medical organizations.
In the late 1940s, a small group of cardiologists who were members of the still somewhat new American Heart Association received a $1.5 million donation from Procter & Gamble.
Thanks to this generous infusion of cash from the makers of Crisco, the AHA now had sufficient funding to grow its national profile as a physician’s organization dedicated to heart health.
It also was quick to endorse industrial seed oils, more kindly referred to by now as “vegetable oils,” as a healthier alternative to traditional animal fats.
Around the same time, a physiologist and researcher named Ancel Keys introduced his diet–lipid hypothesis. He presented data suggesting a link between saturated fat and cholesterol intake and heart disease.
Citing animal fats as “unhealthy,” Keys instead recommended the consumption of polyunsaturated fatty acids (PUFAs), which preliminary research had associated with reductions in cholesterol and the risk of heart disease.
Keys’ conclusions aligned with the industrial seed oil industry’s motives—to get people to eat more seed oils! Soon, ads for “heart-healthy” margarine (a solid form of vegetable oil) and other seed oils became commonplace and healthy. Traditional fats were all but forgotten [6].
What does P&G own?
Procter & Gamble is one of the biggest companies in the world. But what brands and products do they own?
Soybean Oil Induces Genetic Changes in Brain Region Controlling Metabolism
The study, “Dysregulation of Hypothalamic Gene Expression and the Oxytocinergic System by Soybean Oil Diets in Male Mice,” was published in the journal Endocrinology.
The findings indicate that, besides its effects on obesity, this oil affects the brain control of insulin signaling and inflammation while also impacting neurological pathways important in depression and Alzheimer’s disease.
The hypothalamus harbors brain cells that play pivotal roles in controlling body fat — adipose tissue — by regulating the balance between caloric intake and energy expenditure.
Hypothalamic cells release small molecules, such as the hormone oxytocin, whose role in regulating food intake and energy spending has increasingly been recognized.
The researchers fed mice with three diets high in fat — soybean oil, soybean oil modified to be low in linoleic acid, and coconut oil (control). The mice were fed twice weekly for up to 24 weeks [7].
The results showed that both soybean oil diets induced significant changes in over 100 hypothalamic genes compared with the coconut oil diet.
The coconut oil diet used that oil as a regular oil without linoleic acid or stigmasterol — a cholesterol-like molecule that is the main component of soybean oil — and a coconut oil supplemented with stigmasterol [8].
The genes with altered activity were involved in processes such as inflammation and insulin signaling, and signaling pathways important in anxiety, depression, and Alzheimer’s.
One such gene was the Oxt gene, which generates oxytocin. Levels of this hormone, which also has been associated with obesity, were reduced in the hypothalamus and appeared to lead to an increase in glucose sensitivity — an indicator of diabetes.
The Oxt gene is associated with neurological, metabolic, and inflammatory diseases that showed increased activity in both soybean oil diets.
In additional experiments, the scientists confirmed that the impact of soybean oil on the hypothalamus was not linked with linoleic acid or stigmasterol.
Learn more about the 4x4x48 challenge and the effects of soybean oil by clicking here 👇
TIMESTAMPS:
00:00 – Intro 00:37 – Episode introduction 01:56 – 4x4x48 Challenge 04:47 – Fight for the Forgotten Donations 07:48 – We’re not marathon runners 10:00 – Refined Grains 15:01 – Mediterranean Diet 17:07 – Breakfast cereal consumption 21:21 – Effects of Soy Bean Oil 26:59 – The problem is our diet and lifestyle 34:32 – Not going the artificial route 35:47 – No animals in the future? 37:06 – Industrial Seed Oils 39:36 – A Study on Mice 42:03 – Epigenetics 44:16 – Results of the Study 45:50 – Reflect on your diet 48:00 – It’s a Great Episode!
In this episode, we will discuss stress and anxiety as a nurse. We discuss how to have a well-balanced mental life at work and outside your job. We all get stressed and anxious, it’s nothing that we can completely eliminate, but we can control it. Managing stress and anxiety is all about understanding the feelings, where they are coming from, and adequately reacting to them.
How to Manage Stress and Anxiety in the Workplace
Nursing is one of the most stressful career options out there. It is impossible to explain a nurse’s stress without being there. In nursing school, you have an idea of how nursing will be, but your imagination of a nurse is minimal compared to what it is.
What Stresses Nurses Out?
Workload
The workload is the primary stressor for a nurse. Many states do not have set up patient ratios, meaning if push comes to shove, you can have an extra patient or 2 to manage. Patient care is hard and time-consuming; we also have to chart everything. Short staffing also leads to higher workloads.
Lack of support
One of the main complaints by nurses is a lack of social support from coworkers and higher management. Anxiety is heightened when there is less support. Maintaining a positive and relaxed work environment is hard without someone to talk to.
Working with the sick
This is especially hard in the ICU. The ICU requires working with the sickest people; many die in the ICU, which takes a toll on an individual. Also, we maintain many different medications, which is very stressful when patients crash.
How to Manage Stress at Work
You can’t control everything that happens at work or the environment, but you can find ways to improve it. Try not to focus or change the aspects of the job you cannot; instead, find out what you can influence and learn to react appropriately to a situation.
Ask for help
One of the best things you can do when you are stressed and anxious is to ask for help. When you are running around, and a nurse asks, “Can I help you?” it’s ok to say yes. If you need help with a boost or a turn, don’t delay it or do it yourself. Just ask someone for help.
Talk with your coworkers
You are opening the room for conversation. You’re socializing with your coworkers, which makes it easier to ask for future help and work together. How many times did your shift improve after you talked to a nurse, conversed with a nurse, and joked with your coworker? Communication goes a long way.
Bonding with your peers is the best way to break a great work environment. The key to teamwork is good communication.
There will be a time when you feel comfortable enough to share emotions. There will be days when you will see a coworker cry, and you’ll be there to comfort them.
Improve your time management
The number one stressor for nurses is nursing itself, it can be mentally and physically draining. If you feel you are always chasing time, that will stress you greatly. Your shift always gets easier when you have a plan.
You should always mentally plan your shift. If you are forgetful, then the first thing you should do after the report and a quick glance at your patient is to write down what and when you will be doing for the next 12 hours.
Life is happening for you instead of to you.
Get your home life figured out
The last thing a nurse wants to deal with is a nurse who talks about how bad they have it outside work. Always so busy, never have time for anything, always sleeping in, and can’t get anything figured out. You have to enjoy life to be happy. We are not saying that you need to be happy all the time it is healthy to go through cycles of emotions. All emotions need to be expressed.
Health
You need to eat a well-balanced diet most of the time. Nutrition plays a crucial role in mental and physical health. You’ll get mediocre results if you do not feed your body optimally. Headaches, bloating, and cramps can all stem from your diet. How can you be happy and successful when dealing with all those physical issues? It takes your mind off things you should be doing.
Exercise is essential as well. It doesn’t matter what workouts you do. They all promote blood flow to your brain and organs. Many people don’t understand that consistently working out contributes to more than just your physical appearance. It builds structure, routine, and mental strength.
Time management
The same issues nurses have in the hospital stem from their daily life or vice versa. If you’re always chasing time, you either need better planning skills or you’re taking on too much at once. If you’re the person who crams a lot in one day and then gets sad because you didn’t accomplish everything, you need to drop your workload. Tomorrow will come, but you are in the present.
Feeling stressed at work? Learn how to manage it in this episode 😎👇
TIMESTAMPS:
00:00 – Intro 00:20 – Cup of Nurses and Dat Loud mugs plug-in 01:13 – Topic Intro 01:44 – Being a nurse is stressful 03:20 – 3 Most Common Causes of Stress Among Nurses 03:30 – Workload 07:32 – Lack of Support 12:13 – Working with sick patients 20:16 – Ask for help 24:10 – Talk to your co-workers 26:55 – Time management 34:38 – Have a routine 37:00 – Sit Down with Yourself 41:20 – Wrapping up 41:44 – End of show
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