WEBVTT 00:00:11.400 --> 00:00:16.740 position:50% align:middle Let me start actually with a big thank you to the president, to the Board 00:00:16.740 --> 00:00:23.980 position:50% align:middle of Directors, all of you that work in organizations know that the functioning 00:00:23.980 --> 00:00:31.810 position:50% align:middle of the board is a really critical element to moving forward an organization and our 00:00:31.810 --> 00:00:38.090 position:50% align:middle board of directors are incredibly committed to the work of acting 00:00:38.090 --> 00:00:39.970 position:50% align:middle in the public interest. 00:00:39.970 --> 00:00:44.130 position:50% align:middle And without them, we couldn't really achieve half of what we do. 00:00:44.130 --> 00:00:49.910 position:50% align:middle But I also want to thank the staff who work so hard for all of you. 00:00:49.910 --> 00:00:54.780 position:50% align:middle And to be quite frank, they keep me on my toes, which is something 00:00:54.780 --> 00:00:59.420 position:50% align:middle that I welcome, because I really like to always be trying to think about how we can 00:00:59.420 --> 00:01:03.380 position:50% align:middle position the organization better for the future. 00:01:03.380 --> 00:01:05.860 position:50% align:middle But most importantly, I want to thank all of you, 00:01:05.860 --> 00:01:13.120 position:50% align:middle both our members and our partners that come up with really good questions. 00:01:13.120 --> 00:01:18.190 position:50% align:middle Because questions are really important to help challenge our current 00:01:18.190 --> 00:01:20.850 position:50% align:middle thinking and ideas. 00:01:20.850 --> 00:01:26.330 position:50% align:middle I always remember the words of Albert Einstein, who said, "There's nothing wrong 00:01:26.330 --> 00:01:28.280 position:50% align:middle with being unsure. 00:01:28.280 --> 00:01:36.390 position:50% align:middle Clever people ask the most questions, and determined people find the answers." 00:01:36.390 --> 00:01:44.060 position:50% align:middle I would contend that as regulators, we're both clever and determined. 00:01:44.060 --> 00:01:48.590 position:50% align:middle Now, it's the combination of these factors that makes the difference between a good 00:01:48.590 --> 00:01:51.340 position:50% align:middle organization and a great one. 00:01:51.340 --> 00:01:57.010 position:50% align:middle It is our ability to work together that will deliver regulation fit for this 00:01:57.010 --> 00:02:00.290 position:50% align:middle current complex digital age. 00:02:00.290 --> 00:02:06.370 position:50% align:middle So I know that the title of this presentation may excite some people, 00:02:06.370 --> 00:02:09.020 position:50% align:middle and it may frighten others. 00:02:09.020 --> 00:02:14.310 position:50% align:middle Julie has just highlighted some of the amazing achievements from the past year, 00:02:14.310 --> 00:02:18.640 position:50% align:middle and I'm going to lay out what lies ahead of us. 00:02:18.640 --> 00:02:22.790 position:50% align:middle So as my daughter said to me, the first time that she picked me 00:02:22.790 --> 00:02:27.850 position:50% align:middle up from the train station after passing a driving test, "Buckle up, 00:02:27.850 --> 00:02:31.310 position:50% align:middle you're in for a trip." 00:02:31.310 --> 00:02:39.650 position:50% align:middle So, nurse regulators do not exist in a vacuum. 00:02:39.650 --> 00:02:41.850 position:50% align:middle They're part of an ecosystem. 00:02:41.850 --> 00:02:45.850 position:50% align:middle There are other regulators, there are creditors, there are employers, 00:02:45.850 --> 00:02:50.050 position:50% align:middle educators, the public, and so many more individuals and groups 00:02:50.050 --> 00:02:53.910 position:50% align:middle that interact with the environment, policies, processes, 00:02:53.910 --> 00:02:56.830 position:50% align:middle that we all must operate within. 00:02:56.830 --> 00:03:03.070 position:50% align:middle So the success of taking successful bold steps is dependent on us 00:03:03.070 --> 00:03:06.750 position:50% align:middle understanding that ecosystem. 00:03:06.750 --> 00:03:13.600 position:50% align:middle Now, Andy Andrews, a systems theorist, said, "A butterfly could flap its wings 00:03:13.600 --> 00:03:17.300 position:50% align:middle and set molecules of air in motion, which could then move other 00:03:17.300 --> 00:03:19.270 position:50% align:middle molecules of air. 00:03:19.270 --> 00:03:24.870 position:50% align:middle In turn, moving more molecules of air eventually capable of starting a hurricane 00:03:24.870 --> 00:03:27.680 position:50% align:middle on the other side of the planet." 00:03:27.680 --> 00:03:33.260 position:50% align:middle The actions that we take individually and collectively are important in impacting 00:03:33.260 --> 00:03:37.300 position:50% align:middle the ecosystem, both here and around the world. 00:03:37.300 --> 00:03:42.530 position:50% align:middle Remember that not everything that influences us can be seen. 00:03:42.530 --> 00:03:49.030 position:50% align:middle Some of the most powerful forces on this planet are invisible, yet we feel them. 00:03:49.030 --> 00:03:54.870 position:50% align:middle As regulators, we can generate a gravitational force that affects not just 00:03:54.870 --> 00:04:00.970 position:50% align:middle the lives of patients here in the United States and the practitioners, 00:04:00.970 --> 00:04:03.240 position:50% align:middle but around the world. 00:04:03.240 --> 00:04:08.170 position:50% align:middle So over the next 15 minutes or so, I will address four aspects 00:04:08.170 --> 00:04:09.590 position:50% align:middle of our journey. 00:04:09.590 --> 00:04:17.350 position:50% align:middle To this end, I'm going to look at change, collaboration, and agility. 00:04:17.350 --> 00:04:21.670 position:50% align:middle Okay, so what do you think this is about? 00:04:21.670 --> 00:04:24.640 position:50% align:middle Any thoughts? 00:04:24.640 --> 00:04:27.710 position:50% align:middle Anyone know what they are? 00:04:27.710 --> 00:04:32.080 position:50% align:middle There's a rat and there's a bat. 00:04:32.080 --> 00:04:34.010 position:50% align:middle What's that about? 00:04:34.010 --> 00:04:39.150 position:50% align:middle Well, both of them are actually vectors of disease. 00:04:39.150 --> 00:04:44.190 position:50% align:middle In 1346, bubonic plague, the Black Death, broke out in a small 00:04:44.190 --> 00:04:45.650 position:50% align:middle part of Europe. 00:04:45.650 --> 00:04:51.690 position:50% align:middle And it took until 1351 for the remainder of Europe to be engulfed. 00:04:51.690 --> 00:04:55.260 position:50% align:middle A whole five years. 00:04:55.260 --> 00:04:58.460 position:50% align:middle However, today, things are very different. 00:04:58.460 --> 00:05:03.550 position:50% align:middle The SARS outbreak in the early 2000s went global in a matter of weeks. 00:05:03.550 --> 00:05:09.050 position:50% align:middle Today, the pace of change is phenomenal, and the reach of that change 00:05:09.050 --> 00:05:10.900 position:50% align:middle is truly global. 00:05:10.900 --> 00:05:17.610 position:50% align:middle Now, as I move to make my regulatory point, I'm going to ask you to forget the 00:05:17.610 --> 00:05:23.390 position:50% align:middle idea of rats and bats as vectors as I'm going to talk about legislators, 00:05:23.390 --> 00:05:28.380 position:50% align:middle so I don't want to be any connection between rats and bats and legislators. 00:05:28.380 --> 00:05:30.190 position:50% align:middle Okay, that's not there, okay? 00:05:30.190 --> 00:05:34.100 position:50% align:middle But I do want you to think about the internet. 00:05:34.100 --> 00:05:41.070 position:50% align:middle Today, politicians no longer are constrained by getting ideas from those 00:05:41.070 --> 00:05:43.530 position:50% align:middle that they talk to directly. 00:05:43.530 --> 00:05:47.950 position:50% align:middle They are bombarded 24/7, with information from all 00:05:47.950 --> 00:05:49.490 position:50% align:middle around the world. 00:05:49.490 --> 00:05:54.300 position:50% align:middle Regulatory ideas can and do come from anywhere. 00:05:54.300 --> 00:05:58.530 position:50% align:middle Accordingly, we must be proactive in shaping those ideas. 00:05:58.530 --> 00:06:03.700 position:50% align:middle Just as the butterfly, we need to flap our metaphorical wings, 00:06:03.700 --> 00:06:09.810 position:50% align:middle communicate our thoughts, and influence the ecosystem in real time. 00:06:09.810 --> 00:06:15.700 position:50% align:middle As Gandhi said, "You must be the change you wish to see in the world." 00:06:15.700 --> 00:06:23.000 position:50% align:middle We used to live in an analog world, and we now live in a digital society. 00:06:23.000 --> 00:06:27.390 position:50% align:middle And increasingly the way that we see the world and interact with it 00:06:27.390 --> 00:06:29.490 position:50% align:middle is through technology. 00:06:29.490 --> 00:06:34.560 position:50% align:middle Now, each day, 2.5 exabytes of data are produced. 00:06:34.560 --> 00:06:36.890 position:50% align:middle And everyone's going what's an exabyte? 00:06:36.890 --> 00:06:43.280 position:50% align:middle Okay, well, an exabyte is a one followed by 18 zeros. 00:06:43.280 --> 00:06:47.690 position:50% align:middle Just remember that a million is a one followed by six zeros. 00:06:47.690 --> 00:06:49.760 position:50% align:middle But what does that mean? 00:06:49.760 --> 00:06:57.490 position:50% align:middle Well, the data produced every day is equivalent to 250,000 00:06:57.490 --> 00:07:00.070 position:50% align:middle libraries of Congress. 00:07:00.070 --> 00:07:02.170 position:50% align:middle That's the amount of information. 00:07:02.170 --> 00:07:06.800 position:50% align:middle Or 90 years worth of high definition video. 00:07:06.800 --> 00:07:10.130 position:50% align:middle That's the amount of information that we are having to deal with. 00:07:10.130 --> 00:07:15.800 position:50% align:middle So as regulators, more and more of our processes are dependent on technology, 00:07:15.800 --> 00:07:23.320 position:50% align:middle and as we identified in regulation 2030, the need for data mining and technology 00:07:23.320 --> 00:07:26.920 position:50% align:middle skills is definitely on the increase. 00:07:26.920 --> 00:07:31.930 position:50% align:middle Technology such as Blockchain will play an increasing role in the prevention 00:07:31.930 --> 00:07:33.980 position:50% align:middle of regulatory fraud. 00:07:33.980 --> 00:07:39.780 position:50% align:middle Artificial Intelligence will undoubtedly play a role in discipline, education, 00:07:39.780 --> 00:07:42.050 position:50% align:middle and continuing competence. 00:07:42.050 --> 00:07:46.880 position:50% align:middle These changes are already here, but will become increasingly present 00:07:46.880 --> 00:07:48.620 position:50% align:middle in our discussions. 00:07:48.620 --> 00:07:54.680 position:50% align:middle We are becoming increasingly data interdependent and as such, our 00:07:54.680 --> 00:07:59.340 position:50% align:middle relationships with other regulators, with employers, with creditors, with educators, 00:07:59.340 --> 00:08:03.960 position:50% align:middle and other stake holders will change. 00:08:03.960 --> 00:08:09.910 position:50% align:middle The theme of collaboration is ever present, and something that needs 00:08:09.910 --> 00:08:14.730 position:50% align:middle to be acknowledged, pursued, and indeed celebrated. 00:08:14.730 --> 00:08:20.930 position:50% align:middle "The Wisdom of Crowds," which was a book published in 2004 by James Surowiecki, 00:08:20.930 --> 00:08:23.350 position:50% align:middle is a reminder of this. 00:08:23.350 --> 00:08:29.260 position:50% align:middle It is about the aggregation of information in groups, resulting in decisions that he 00:08:29.260 --> 00:08:34.630 position:50% align:middle argues are often better than those that could be created by approaching a single 00:08:34.630 --> 00:08:37.450 position:50% align:middle individual or expert. 00:08:37.450 --> 00:08:43.980 position:50% align:middle The book presents numerous case studies, and indeed anecdotes to illustrate 00:08:43.980 --> 00:08:47.930 position:50% align:middle its arguments, and it touches on a number of fields 00:08:47.930 --> 00:08:51.400 position:50% align:middle including economics and psychology. 00:08:51.400 --> 00:08:55.950 position:50% align:middle But to make the point, Surowiecki used a very simple example 00:08:55.950 --> 00:08:59.390 position:50% align:middle of "Who Wants to Be a Millionaire?" 00:08:59.390 --> 00:09:04.840 position:50% align:middle Do you phone a friend or do you ask the audience? 00:09:04.840 --> 00:09:11.700 position:50% align:middle By asking someone, a friend that you consider an expert, they will give you the 00:09:11.700 --> 00:09:16.070 position:50% align:middle answer correct 65% of the time. 00:09:16.070 --> 00:09:22.110 position:50% align:middle But if you ask the audience, they will get it right 91% of the time. 00:09:22.110 --> 00:09:29.320 position:50% align:middle In his book he explores why the many are smarter than the few and how collective 00:09:29.320 --> 00:09:35.040 position:50% align:middle wisdom shapes business, economies, societies, and nations. 00:09:35.040 --> 00:09:39.700 position:50% align:middle So the more that we can do together, the better equipped we are 00:09:39.700 --> 00:09:42.710 position:50% align:middle to address the challenges. 00:09:42.710 --> 00:09:49.060 position:50% align:middle But the challenge for us is how we formulate our community of contributors, 00:09:49.060 --> 00:09:51.340 position:50% align:middle how we engage more people. 00:09:51.340 --> 00:09:54.760 position:50% align:middle That is why as we move forward with pursuing our next set 00:09:54.760 --> 00:09:58.740 position:50% align:middle of strategic objectives, we will be using digital platforms and 00:09:58.740 --> 00:10:03.060 position:50% align:middle crowdsourcing events to develop our work. 00:10:03.060 --> 00:10:08.110 position:50% align:middle You will be part of that crowd, you will be part of that digital society 00:10:08.110 --> 00:10:13.510 position:50% align:middle where you don't have to travel a number of hours to get to Chicago to participate 00:10:13.510 --> 00:10:16.130 position:50% align:middle in a meeting for two or three days. 00:10:16.130 --> 00:10:21.680 position:50% align:middle But in real time, you'll be able to contribute from your office and add more 00:10:21.680 --> 00:10:27.610 position:50% align:middle value to the richness of the debate that we are seeking to generate. 00:10:27.610 --> 00:10:33.380 position:50% align:middle So our collective wisdom, as I said, is certainly greater than the sum 00:10:33.380 --> 00:10:36.430 position:50% align:middle of the individual parts. 00:10:36.430 --> 00:10:39.190 position:50% align:middle But collaboration does in fact, deliver results. 00:10:39.190 --> 00:10:43.090 position:50% align:middle Diversity of thoughts and perspective provide solutions that 00:10:43.090 --> 00:10:45.060 position:50% align:middle are more comprehensive. 00:10:45.060 --> 00:10:50.080 position:50% align:middle The regulation 2030 report brought together 80 individuals and many of you 00:10:50.080 --> 00:10:54.510 position:50% align:middle are in the room with very different expertise. 00:10:54.510 --> 00:10:59.700 position:50% align:middle We produced a future-oriented analysis of the emergent landscape and this has 00:10:59.700 --> 00:11:03.990 position:50% align:middle provided us with a range of topics that needs to be addressed. 00:11:03.990 --> 00:11:06.990 position:50% align:middle The report has been distributed to regulators around the world, 00:11:06.990 --> 00:11:12.680 position:50% align:middle and our sister health and social care disciplines have invited us to present the 00:11:12.680 --> 00:11:14.910 position:50% align:middle findings to their members. 00:11:14.910 --> 00:11:20.010 position:50% align:middle It has resulted in the production of our regulatory Atlas, and this is just, 00:11:20.010 --> 00:11:25.990 position:50% align:middle as the title of the report said, is the first steps in a journey. 00:11:25.990 --> 00:11:32.520 position:50% align:middle In sharing, we get more feedback, we add to our understanding of the issues, 00:11:32.520 --> 00:11:36.030 position:50% align:middle and we identify opportunities to collaborate. 00:11:36.030 --> 00:11:41.080 position:50% align:middle As Julie mentioned, the Citizens Advocacy Center has provided us with a critique, 00:11:41.080 --> 00:11:44.400 position:50% align:middle and in short, we've done a great job. 00:11:44.400 --> 00:11:49.510 position:50% align:middle As a result of the 2030 report on the focus of regulatory and occupational 00:11:49.510 --> 00:11:53.400 position:50% align:middle licensing reform that we've seen from government, the seven disciplines 00:11:53.400 --> 00:11:59.110 position:50% align:middle of medicine, pharmacy, social work, physical therapy, occupational therapy, 00:11:59.110 --> 00:12:04.720 position:50% align:middle psychology, and of course, nursing, we work together to map the landscape. 00:12:04.720 --> 00:12:09.740 position:50% align:middle Then as nurse regulators, firstly via the executive officer's summit 00:12:09.740 --> 00:12:13.940 position:50% align:middle this year, sorry last year, and then through working with colleagues 00:12:13.940 --> 00:12:19.060 position:50% align:middle from around the world, we have curated the evidence of how, 00:12:19.060 --> 00:12:23.720 position:50% align:middle as nurse regulators, we are acting in the public interest. 00:12:23.720 --> 00:12:28.600 position:50% align:middle So we have answers to the questions that our legislators ask. 00:12:28.600 --> 00:12:30.920 position:50% align:middle They are documented and they are evidence-based. 00:12:30.920 --> 00:12:37.180 position:50% align:middle But working with our sister organizations is not enough. 00:12:37.180 --> 00:12:41.310 position:50% align:middle Nurse regulation is part of that regulatory ecosystem. 00:12:41.310 --> 00:12:46.850 position:50% align:middle As such, we need to look beyond nursing and indeed beyond healthcare. 00:12:46.850 --> 00:12:49.170 position:50% align:middle And this is my link back to Scotland. 00:12:49.170 --> 00:12:54.980 position:50% align:middle So the Law Society of Scotland produced a very valuable report entitled 00:12:54.980 --> 00:12:56.230 position:50% align:middle "Fit for the Future." 00:12:56.230 --> 00:12:59.710 position:50% align:middle Many of the issues that we are dealing with are being dealt 00:12:59.710 --> 00:13:03.790 position:50% align:middle with by other disciplines, but they come at those issues 00:13:03.790 --> 00:13:05.620 position:50% align:middle from a different angle. 00:13:05.620 --> 00:13:11.720 position:50% align:middle And by examining their solutions, we are often better placed to come 00:13:11.720 --> 00:13:16.360 position:50% align:middle up with creative and innovative ideas for ours. 00:13:16.360 --> 00:13:22.360 position:50% align:middle Also the accountancy firm KPMG and Deloitte as well, they regularly provide 00:13:22.360 --> 00:13:28.640 position:50% align:middle resources that offer insights from their perspective that we can ruminate upon and 00:13:28.640 --> 00:13:32.530 position:50% align:middle use in relation to some of the challenges we face. 00:13:32.530 --> 00:13:38.200 position:50% align:middle So let me remind you about the value of others. 00:13:38.200 --> 00:13:43.650 position:50% align:middle Nightingale did not learn her nursing in the United Kingdom. 00:13:43.650 --> 00:13:48.670 position:50% align:middle She went abroad, and she brought her thoughts back to the U.K. 00:13:48.670 --> 00:13:54.300 position:50% align:middle and as a result of having that interaction abroad, she was able to define a 00:13:54.300 --> 00:14:00.360 position:50% align:middle new movement, a social movement to really advance nursing. 00:14:00.360 --> 00:14:05.500 position:50% align:middle The reason, however, that she was listened to was not because of her nursing, 00:14:05.500 --> 00:14:08.180 position:50% align:middle but by her use of statistics. 00:14:08.180 --> 00:14:12.710 position:50% align:middle On a personal point, early in my career, my then boss Judith Lavender, 00:14:12.710 --> 00:14:17.440 position:50% align:middle she said to me, "You need to go and look at how things are done elsewhere." 00:14:17.440 --> 00:14:24.380 position:50% align:middle A comparative lens is a powerful tool, but you do not need to go abroad. 00:14:24.380 --> 00:14:30.120 position:50% align:middle Comparisons can come from visiting our peers, both within and across disciplines. 00:14:30.120 --> 00:14:34.410 position:50% align:middle We can at the staff level, get people to shadow their peers 00:14:34.410 --> 00:14:38.440 position:50% align:middle in different departments, and the insights that can bring to the 00:14:38.440 --> 00:14:42.250 position:50% align:middle effectiveness and efficiency and the way that people work together could 00:14:42.250 --> 00:14:44.600 position:50% align:middle be quite transformative. 00:14:44.600 --> 00:14:48.090 position:50% align:middle So every time I meet other health regulators or regulators 00:14:48.090 --> 00:14:51.910 position:50% align:middle of any occupation, I always learn something new. 00:14:51.910 --> 00:14:56.070 position:50% align:middle It stimulates my thoughts, it helps me move forward. 00:14:56.070 --> 00:15:00.380 position:50% align:middle So entering into the dialogue with other disciplines can take us out of our 00:15:00.380 --> 00:15:06.320 position:50% align:middle comfort zone, it can stretch our thinking and enable us to make more rapid progress. 00:15:06.320 --> 00:15:12.910 position:50% align:middle So let me elaborate on this further by looking at evidence. 00:15:12.910 --> 00:15:17.340 position:50% align:middle So this will be published in the October edition of the Journal, 00:15:17.340 --> 00:15:21.220 position:50% align:middle but this is data from the Web of Science. 00:15:21.220 --> 00:15:26.700 position:50% align:middle It's an analysis of the themes identified from the content of material indexed 00:15:26.700 --> 00:15:32.880 position:50% align:middle since 1900, on the topics of occupational licensing and professional regulation. 00:15:32.880 --> 00:15:37.250 position:50% align:middle Now, when you look at all of the information, there are in fact, 00:15:37.250 --> 00:15:45.150 position:50% align:middle five disciplines that come up with a quantum of material: nursing, law, 00:15:45.150 --> 00:15:48.660 position:50% align:middle economics, education, and medicine. 00:15:48.660 --> 00:15:54.800 position:50% align:middle By extracting the thematic clusters of content we can see who is interested 00:15:54.800 --> 00:15:59.720 position:50% align:middle in what and who is contributing the most to the evidential base. 00:15:59.720 --> 00:16:05.420 position:50% align:middle Now, you'll notice from this slide that medicine does not have a list of themes. 00:16:05.420 --> 00:16:10.680 position:50% align:middle Medicine has covered a broad range of topics, but there isn't a consolidated 00:16:10.680 --> 00:16:14.160 position:50% align:middle evidence base that's been generated there. 00:16:14.160 --> 00:16:19.720 position:50% align:middle By looking at the entire literature, we can ask questions about what we 00:16:19.720 --> 00:16:22.530 position:50% align:middle as a discipline, have not focused upon. 00:16:22.530 --> 00:16:24.170 position:50% align:middle What are the opportunities? 00:16:24.170 --> 00:16:28.500 position:50% align:middle By looking at the various disciplines, we can identify potential experts that we 00:16:28.500 --> 00:16:31.510 position:50% align:middle may wish to talk to, to collaborate with. 00:16:31.510 --> 00:16:38.160 position:50% align:middle Working in isolation restricts our potential to make true progress. 00:16:38.160 --> 00:16:39.700 position:50% align:middle But we must look deeper. 00:16:39.700 --> 00:16:45.730 position:50% align:middle This is not sufficient, just getting an idea about the topics. 00:16:45.730 --> 00:16:51.970 position:50% align:middle We also need to look at the quality of the evidence that is being produced. 00:16:51.970 --> 00:16:55.070 position:50% align:middle Now, we know that using evidence is important, 00:16:55.070 --> 00:17:00.630 position:50% align:middle and that increasingly, research-based evidence comes at us almost 00:17:00.630 --> 00:17:02.620 position:50% align:middle on a daily basis. 00:17:02.620 --> 00:17:06.370 position:50% align:middle It comes in the form mainly of articles and reviews. 00:17:06.370 --> 00:17:11.400 position:50% align:middle That is the scientific content that we see. 00:17:11.400 --> 00:17:19.490 position:50% align:middle So in developing the discussion with our legislators, with our stakeholders, 00:17:19.490 --> 00:17:21.960 position:50% align:middle we need to curate that information. 00:17:21.960 --> 00:17:25.510 position:50% align:middle And if we look at the same information that you see on the screen, 00:17:25.510 --> 00:17:36.060 position:50% align:middle by compacting both the articles and the reviews, we identify that of all of the 00:17:36.060 --> 00:17:39.630 position:50% align:middle literature there, 74.2% of it is evidence-based. 00:17:39.630 --> 00:17:48.580 position:50% align:middle But as you can see, nursing, the law, and economists are the ones that are 00:17:48.580 --> 00:17:53.060 position:50% align:middle actually leading the production of evidence in relation to occupational 00:17:53.060 --> 00:18:02.860 position:50% align:middle licensing and in relation, too. 00:18:02.860 --> 00:18:07.260 position:50% align:middle So we actually have something that we should be proud of, that we 00:18:07.260 --> 00:18:13.850 position:50% align:middle should promote, and that we should use, because opinion is important, 00:18:13.850 --> 00:18:17.110 position:50% align:middle but evidence is far more important. 00:18:17.110 --> 00:18:22.610 position:50% align:middle So the strength of disciplines and indeed the weakness of disciplines is often the 00:18:22.610 --> 00:18:26.510 position:50% align:middle fact that we publish in our own journals. 00:18:26.510 --> 00:18:30.460 position:50% align:middle Nurse regulators publish in nurse regulatory journals. 00:18:30.460 --> 00:18:34.710 position:50% align:middle But we've got to build upon that, we've got to take our expertise, 00:18:34.710 --> 00:18:39.070 position:50% align:middle we've got to take bold steps, we've got to start publishing in the 00:18:39.070 --> 00:18:45.510 position:50% align:middle wider journals, in the economics journals, the law journals, so that our message is 00:18:45.510 --> 00:18:49.350 position:50% align:middle distributed more widely and we have a greater input. 00:18:49.350 --> 00:18:54.180 position:50% align:middle So therefore, as nurse regulators, we actually need to get out of our 00:18:54.180 --> 00:19:00.000 position:50% align:middle comfort zone, we need to invite others in to write in our journals as well 00:19:00.000 --> 00:19:04.650 position:50% align:middle and media, on the editorial board have been doing a great job of that of getting 00:19:04.650 --> 00:19:07.060 position:50% align:middle economists and lawyers to write in our journal. 00:19:07.060 --> 00:19:10.410 position:50% align:middle But we've actually got to take that next bold step. 00:19:10.410 --> 00:19:15.030 position:50% align:middle If we want to be effective, if we want others to carry our message, 00:19:15.030 --> 00:19:21.200 position:50% align:middle then it needs to appear in their comfort zone, not just in ours. 00:19:21.200 --> 00:19:27.420 position:50% align:middle So with unprecedented change and increasing capacity, 00:19:27.420 --> 00:19:33.200 position:50% align:middle the use of evidence will need to be more responsive to the ecosystem. 00:19:33.200 --> 00:19:36.100 position:50% align:middle We need to take opportunities when they arise. 00:19:36.100 --> 00:19:40.420 position:50% align:middle We need to create a hurricane of reform by flapping our wings. 00:19:40.420 --> 00:19:44.320 position:50% align:middle And to do this, we need uninhibited curiosity. 00:19:44.320 --> 00:19:49.010 position:50% align:middle I always wondered when my children were very young, they'd never stop asking the 00:19:49.010 --> 00:19:54.250 position:50% align:middle question why, and how, and where, and all of these questions. 00:19:54.250 --> 00:19:58.780 position:50% align:middle But those questions drive us forward and we need to be curious. 00:19:58.780 --> 00:20:02.330 position:50% align:middle We need to ask the question, can we do this better? 00:20:02.330 --> 00:20:07.290 position:50% align:middle We must embrace if we are going to generate new solutions. 00:20:07.290 --> 00:20:10.810 position:50% align:middle But these questions will give us foresight, because it's not just 00:20:10.810 --> 00:20:14.830 position:50% align:middle about dealing with the here and now, it's about knowing what's coming towards us and 00:20:14.830 --> 00:20:16.850 position:50% align:middle have those solutions in place. 00:20:16.850 --> 00:20:20.640 position:50% align:middle Seeing the challenge ahead enables us to prepare for them, 00:20:20.640 --> 00:20:25.230 position:50% align:middle change direction, or use the challenge to our advantage, but to use them 00:20:25.230 --> 00:20:28.400 position:50% align:middle to our advantage, we need to take risks. 00:20:28.400 --> 00:20:32.510 position:50% align:middle We need to be prepared to be responsibly subversive. 00:20:32.510 --> 00:20:37.490 position:50% align:middle We need to challenge the status quo and remember that stopping something that we 00:20:37.490 --> 00:20:44.520 position:50% align:middle have done forever is often the most difficult choice, but it's often the most 00:20:44.520 --> 00:20:48.530 position:50% align:middle likely to liberate our capacity for change. 00:20:48.530 --> 00:20:52.070 position:50% align:middle So while evidence is important, stories are critical. 00:20:52.070 --> 00:20:57.200 position:50% align:middle Framing our message in terms that people understand and can relate to is far more 00:20:57.200 --> 00:21:00.000 position:50% align:middle effective than P values. 00:21:00.000 --> 00:21:05.270 position:50% align:middle Remember 2.5 exabytes of data per day, or the equivalent of 90 years 00:21:05.270 --> 00:21:09.870 position:50% align:middle worth of high definition video, or quarter of a million libraries 00:21:09.870 --> 00:21:15.020 position:50% align:middle of Congress, explaining it in those terms people can understand, 00:21:15.020 --> 00:21:17.900 position:50% align:middle we need to be able to tell our story. 00:21:17.900 --> 00:21:20.810 position:50% align:middle So as we move forward, we need to do so 00:21:20.810 --> 00:21:22.890 position:50% align:middle with proportionate to caution. 00:21:22.890 --> 00:21:27.380 position:50% align:middle Not every public safety challenge requires a licensure response. 00:21:27.380 --> 00:21:31.210 position:50% align:middle Reformed regulation needs to be fit for purpose, and not 00:21:31.210 --> 00:21:34.520 position:50% align:middle unnecessarily, excessively restrictive. 00:21:34.520 --> 00:21:39.480 position:50% align:middle We should lead this debate rather than respond to the edicts of others. 00:21:39.480 --> 00:21:45.010 position:50% align:middle Self reflection is important in clinical practice, and it is important 00:21:45.010 --> 00:21:47.730 position:50% align:middle for us as regulators. 00:21:47.730 --> 00:21:51.160 position:50% align:middle Now, none of us entered nursing to become rich. 00:21:51.160 --> 00:21:54.560 position:50% align:middle Many of us did so because we wanted to make a difference. 00:21:54.560 --> 00:21:59.140 position:50% align:middle Those of us that stay in the profession enjoy what we do. 00:21:59.140 --> 00:22:04.190 position:50% align:middle We need to celebrate our successes and we need to learn from our failures. 00:22:04.190 --> 00:22:09.780 position:50% align:middle But importantly, pursuing the challenge with passion is how we will encourage 00:22:09.780 --> 00:22:12.860 position:50% align:middle others to take an interest in the work that we do. 00:22:12.860 --> 00:22:19.330 position:50% align:middle Now, Julie will provide detailed information on the changes being proposed 00:22:19.330 --> 00:22:21.190 position:50% align:middle to our strategic initiatives. 00:22:21.190 --> 00:22:24.600 position:50% align:middle But in closing, let me frame it like this: 00:22:24.600 --> 00:22:29.370 position:50% align:middle We have demonstrated we are acting in the public interest. 00:22:29.370 --> 00:22:36.190 position:50% align:middle With agility of response to the challenges ahead, we can do so much more. 00:22:36.190 --> 00:22:39.060 position:50% align:middle Regulators set standards, they license nurses, 00:22:39.060 --> 00:22:44.670 position:50% align:middle they exercise discipline, but we do this for a much greater purpose. 00:22:44.670 --> 00:22:49.150 position:50% align:middle We do this to save lives, facilitate health and well-being, 00:22:49.150 --> 00:22:53.930 position:50% align:middle and to keep the profession aligned with the needs of society. 00:22:53.930 --> 00:22:59.060 position:50% align:middle By taking bold steps, we will achieve results together. 00:22:59.060 --> 00:23:04.360 position:50% align:middle So before we go to lunch, let me leave you with the words of Carol 00:23:04.360 --> 00:23:10.100 position:50% align:middle Burnett and give you my reflections on her wisdom. 00:23:10.100 --> 00:23:17.610 position:50% align:middle Over the next three days, let's learn from each other, share views, 00:23:17.610 --> 00:23:23.010 position:50% align:middle and open our minds to the possibilities of what we can do together. 00:23:23.010 --> 00:23:29.640 position:50% align:middle That is how we will build on the 41 years of success to another decade 00:23:29.640 --> 00:23:31.290 position:50% align:middle of great achievement. 00:23:31.290 --> 00:23:42.000 position:50% align:middle Thank you very much for listening to my presentation.