Nurse Rosa's INsights

Recorded live at the ANCC Magnet & Pathway Conference 2026 in Chicago.

Most people still picture nurses as the ones carrying out the doctor’s orders. Dr. Katie Boston-Leary has spent about 33 years proving that picture wrong. In this episode of Nurse Rosa’s INsights, I sit down with Katie, a former chief nursing officer and now Senior Vice President of Equity and Engagement at the American Nurses Enterprise, right in the middle of the Magnet buzz.

We get into what the public misses about nursing, why you’re still a nurse after you leave the bedside, and why technology keeps missing the mark when nurses aren’t in the room where it’s designed. Katie calls the EHR nursing’s biggest broken promise, and we talk honestly about systems that end up taking nurses away from patients and the moral stress that comes with it. We also cover AI, and why nurses should help shape it rather than push it away.

Then it gets personal. Katie shares what happened when she pushed back as a nurse leader, including with a physician CEO, and why she’d do it again even when she didn’t win. Her take: not every story has to be a success story to be worth telling, and not everything is a microwave situation.

Whether you’re a bedside nurse, a nurse leader, a health tech founder, or someone who builds the tools nurses use every day, this conversation is for you.

Timestamps

0:16 Welcome, live from the Magnet conference

1:04 Katie’s journey, from CNO to senior VP

3:24 Closing resource gaps so nurses can be their best

4:26 Next-gen nurses and Katie’s advocacy

5:14 What the public gets wrong about nurses

6:48 “Not a nurse anymore?” Rosa’s leap from her W-2 job

7:35 Leaving the bedside and being a nurse wherever you work

9:30 Why tech and innovation miss the mark without nurses

10:45 The EHR, nursing’s biggest broken promise

12:44 Less time with patients and the moral stress that follows

13:11 AI and nursing: design it, don’t reject it

14:07 Stepping into rooms where nurses weren’t invited

14:33 Speaking up as a nurse leader

15:21 Root cause analyses and follow-up work that lands on nurses

16:38 Lab results, “nagging and flagging,” and med reconciliation

18:12 Pushing back when the CEO is a physician

19:40 Speaking up when you don’t get the outcome you want

20:18 Agency, integrity, and stories that aren’t success stories

21:01 “Even if I lose this battle, I will be back”

23:09 Persistence in innovation: not everything is a microwave situation

23:18 What teams want from leaders: remove the boulders

24:03 Closing and an invitation to next year’s conference

Key takeaways

Nurses are far more than task doers; healthcare roles depend on each other.

Technology fails when nurses aren’t part of designing it.

Speaking up and staying persistent are part of leadership, even when you don’t win.

A nurse is a nurse wherever they practice.

About Dr. Katie Boston-Leary

Katie Boston-Leary has been a nurse for about 33 years and is a former chief nursing officer. She joined the American Nurses Enterprise in 2020 and rose from director to Senior Vice President of Equity and Engagement, where her focus is closing resource gaps so nurses can do their best work and building the strongest nursing workforce possible.

Connect with Katie

Katie Boston-Leary on LinkedIn
American Nurses Association: nursingworld.org

Resources mentioned

ANCC Magnet & Pathway Conference: magnetpathwaycon.nursingworld.org

About your host

Rosa Hart, BSN, RN, SCRN, FLAA, is a nurse, speaker, podcaster, and author of Speak Up, Start Now, available at nurserosaspeaks.shop and on Amazon. Follow along @NurseRosaSpeaks

When did YOU speak up, even if it didn’t go your way? Tell us in the comments, and share this episode with a nurse who needs to hear it.

What if the number that matters most for an older patient isn't their age? Geriatrician Dr. Steven Buslovich, Chief Medical Officer for Senior Care at PointClickCare, joins host Rosa Hart, RN to talk about frailty, the messy handoff from hospital to post-acute care, and why ambient AI should be built for nurses and CNAs, not just physicians.

This episode is sponsored by PointClickCare.

Dr. Buslovich has spent his career on the receiving end of the hospital transfer packet. He shares how losing his mother and uncle within days of each other brought his grandparents into his daily life and led him to geriatrics. He explains how measuring frailty cut hospitalizations and lawsuits in the facilities he led, and how that work grew into Patient Pattern. He and Rosa also get into the quality-of-life conversations that often never happen before a procedure, and whether AI efficiency will protect clinician time or just add more patients to the load.

In this episode:

(00:16) Meet Dr. Steven Buslovich, geriatrician and CMO for Senior Care at PointClickCare (01:35) "Lazy people do everything twice" (03:11) Growing up with grandparents and becoming a geriatrician (06:00) What is frailty? Physiological age vs. chronological age (07:30) Data-driven conversations with families (08:37) The missing piece in U.S. healthcare (12:09) From problem to tech company: the start of Patient Pattern (12:35) Streamlining the "manila envelope" with digital referrals (17:00) A dedicated practitioner EHR for post-acute care (18:08) Ambient AI scribing for nurses and CNAs (20:30) The power of narrating care at the bedside (23:29) Protecting clinician time (26:13) The $1 billion question: a single source of truth for clinical data (28:55) Polypharmacy and medication reconciliation (29:10) Closing and how to connect

Connect:

Dr. Steven Buslovich: PointClickCare: https://pointclickcare.com

Learn more: PointClickCare

www.pointclickcare.com

Facebook: https://www.facebook.com/PointClickCare

Instagram: https://www.instagram.com/lifeatpointclickcare/

X: https://x.com/PointClickCare

LinkedIn: https://ca.linkedin.com/company/pointclickcare

Like, subscribe, and comment with who should answer the next Billion-Dollar Question!

Connect with ⁠Rosa Hart⁠

Get or Gift a copy of her book: “Speak Up, Start Now” on ⁠Audible or Kindle⁠

Follow @NurseRosaSpeaks on your favorite social media platform

Subscribe for weekly conversations on AI in healthcare, hospital innovation, nursing leadership, and the future of health technology.

Available on Spotify, Apple Podcasts, YouTube, and all major podcast platforms.

What if there was a nurse whose whole job was making sure patients don’t end up right back in the hospital? Catherine Terry started as a CNA in her small Texas hometown and is now Chief Nursing Officer at Sound Physicians, where she champions the Clinical Performance Nurse (CPN) role. In this episode, she shares the patient who gave her a handmade doll in 1997 that still sits on her desk, why she walked away from a leadership title to take a frontline job, and how she became Sound Physicians’ first CNO without ever wanting to lead.

We also get into the so-called nursing shortage, the RaDonda Vaught case and license protection, who carries the liability when AI makes clinical decisions, and how real-time patient feedback at the bedside builds trust and gets patients home safely.

If you’re a CNA, LVN, or RN wondering where your career can go, or a healthcare leader trying to cut readmissions, this one’s for you.

Timestamps

0:00 Introduction: Catherine’s journey from CNA to CNO

1:30 Meet Catherine Terry, CNO at Sound Physicians

2:18 What is a Clinical Performance Nurse?

3:37 How the CPN role works day to day

4:29 Who can become a CPN? (No advanced degree needed)

4:45 The 6 to 8 month onboarding and the analytics nurses never learn in school

5:31 Rosa’s own CNA origin story

6:20 Why the CNA years shaped Catherine’s whole career

7:08 The doll from 1997: a patient she never forgot

8:00 Lessons from being a one-on-one sitter

9:12 Advice for LVNs: “Keep your eyes wide open”

10:23 Creating an LVN partner role at Sound Physicians

10:43 ANA opening membership to LPNs and LVNs in 2027 and the return of team nursing

11:41 Why bedside leadership wasn’t enough

12:55 Finding Sound Physicians while working graveyard in the ER

14:09 The interview that showed her patient problems are the same everywhere

14:51 Stepping out of leadership and leading from the front

16:16 Growing from frontline CPN to regional VP

19:20 Becoming Sound Physicians’ first CNO in 2018

20:24 “Chat with Cats”: staying connected to a remote team

21:46 What is Sound Physicians?

23:16 CPNs are on site, not remote, plus the Ambassador CPN role

25:46 Working on planes vs. resting on planes

27:32 The billion-dollar question

28:12 Investing in proactive, preventive care after COVID

29:37 Funding community-based nursing roles nurses can afford to stay in

30:45 The myth of the nursing shortage

31:05 License protection and the RaDonda Vaught case

32:00 AI and who carries the liability

33:10 How the work environment has changed for new nurses

34:28 The “one good idea” that became real-time patient feedback

35:30 How real-time feedback builds trust and smoother discharges

37:20 Why the team approach matters

37:41 Closing and how to connect with Catherine

Connect with Catherine Terry on LinkedIN

Email: cabshire@soundphysicians.com

Sound Physicians: soundphysicians.com

About Your Host

Rosa Hart, BSN, RN, SCRN, FLAA, is a former Neuro ICU nurse and stroke nurse navigator, podcast host, speaker, and author of Speak Up, Start Now. Nurse Rosa’s INsights brings you conversations with the nurses, leaders, and innovators changing how healthcare works.

📖 Get Rosa's book: Speak Up, Start Now

📲 Follow @NurseRosaSpeaks on social media

👍 Like, subscribe, and share this episode with a nurse who needs to hear it

Is there really a nursing shortage, or are we just making nursing too hard to stay in? Nurse leader Angel Bozard of VirtuAlly joins me to talk about how virtual nursing is taking the paperwork off bedside nurses, bringing experienced nurses back into the workforce, and helping patients feel truly heard.

Angel shares how the nurses who cared for her and her blind father inspired her career, why she went back to nursing school with three kids at home, and how a rural maternal fetal medicine program sparked her passion for virtual care. We get into 24/7 virtual observers, 45-minute admissions that uncover what busy bedside conversations can miss (including suicidal ideation), and why the average nurse’s experience has dropped from 15 years to just 2. Plus, Angel answers the billion-dollar question: what would she do to fix nursing’s future?

If you’re a nurse, nurse leader, or anyone curious about where healthcare technology is headed, this one’s for you.

⏱ Timestamps
0:55 Angel’s Background: Charleston, SC & Telehealth Leadership
1:21 The Nurses Who Cared for Angel & Her Blind Father
2:54 Going Back to Nursing School with Three Kids
3:31 From Bedside to Leadership
3:51 The Spark: Virtual Care for Rural Maternal Fetal Medicine
4:38 How the Pandemic Shattered Healthcare & Sped Up Virtual Care
5:27 Finding Virtual Ally: Culture & Innovation
6:18 Taking Administrative Burden Off Bedside Nurses
8:00 Nurses as Taskmasters: The Paperwork Problem
8:41 Virtual Care Is Not About Replacing Nurses
9:36 Bringing Back Legacy Nurses Through Care Team Models
11:11 Virtual Care for ED Boarders & Critical Access Hospitals
12:59 Mentorship Through Cameras: Experienced Nurses Teaching at the Bedside
13:58 VirtualAlly Provides the People, Not Just the Tech
14:53 Virtual Observers: 24/7 Monitoring from Command Centers
15:31 Virtual Nurses Working from Home: Admissions & Discharges
16:19 Thorough 45-Minute Admissions Without Bedside Distractions
17:10 Uncovering Suicidal Ideation Through Focused Conversations
17:54 Behavioral Health: Where Virtual Care Fills the Gap
19:33 Why Trust at Admission Shapes the Whole Hospital Stay
20:46 Shorter Length of Stay & Better Patient Experience
21:49 Lower Turnover: Nurses Feel Supported Again
23:40 Restoring Humanity to Healthcare Through Technology
24:22 The Billion-Dollar Question
25:33 Where the Question Came From: American Nurses Foundation Philanthropy Study
27:07 Angel’s Answer: Make Nursing Rewarding Again
28:52 The Real Shortage: Inhumane Conditions, Not a Lack of Nurses
30:13 Average Nurse Experience Dropped from 15 Years to 2
31:27 CAVRN Certification & Virtual “Website Manner”
33:10 Joint Commission Accreditation for Virtual Ally
34:33 The Future: Technology as a Tool, Not the Answer
35:23 Closing & How to Connect with Angel

🔗 Connect
Angel Bozard on LinkedIn
Learn about CAVRN (Certified Acute Care Virtual Registered Nurse) certification: https://www.msncb.org/CAVRN/Certification
Follow Rosa: @NurseRosaSpeaks

Ambient AI for Senior Care with Julia Rizhevsky, VP - PointClickCare

This episode is sponsored by PointClickCare.

Julia Rizhevsky didn't start in healthcare. She built her product management career at American Express, Mastercard, and Amazon's AI team before being pulled into the industry. Now she leads Vox Advantage, PointClickCare's ambient AI documentation tool built specifically for skilled nursing, not adapted from hospital workflows.

In this conversation, Rosa and Julia dig into the real cost of documentation burden (nearly three hours of a twelve-hour shift spent charting instead of with residents), how Vox Advantage listens during care encounters and turns them into structured notes while keeping nurses in full control of sign-off, and why tools built for physicians rarely translate cleanly to nursing homes. Julia also shares her "billion-dollar idea": a universal, real-time data exchange to fix the dangerous information gaps that happen during transitions of care.

Timestamps:

0:16 — Intro: welcome to Nurse Rosa's Insights, show's mission

0:35 — Guest intro: Julia Reshevsky, VP of Product & AI Strategy at PointClickCare, leads Vox Advantage

1:41 — Julia's path into healthcare: from fintech/Amazon AWS AI team to senior care

3:32 — Personal connection: her mother was an RN; discovering PointClickCare and senior care's overlooked impact

5:32 — The documentation burden: nearly 3 hours of a 12-hour shift spent charting instead of with residents

5:56 — How Vox Advantage works: ambient AI listens during care encounters and generates structured progress notes

9:10 — Nurse retains authorship — can edit/review before signing; results in more complete records

10:03 — Catching safety issues: detecting micro-changes/trends across shifts that could be missed manually

11:03 — How it's deployed: mobile app (not a wearable), future potential for always-on ambient listening

12:19 — Why hospital-style ambient AI doesn't easily transfer to skilled nursing: structured notes vs. narrative notes

14:28 — Comparing to physicians' head start with Dragon dictation; nurses historically excluded from that tech

15:36 — What makes a good beta-testing site; iterative feedback loop with engineers/AI researchers

18:07 — The "billion-dollar question": Julia's pick — universal real-time data exchange for care transitions

20:03 — Discussion on gaps in current data-sharing (fax machines, manila folders, inconsistent records)

22:26 — Standardizing information exchange; incentives and existing infrastructure for interoperability

23:48 — Closing thoughts and how to connect with Julia (LinkedIn, pointclickcare.com) or become a beta site

24:35 — Outro: call to action for listeners

Connect with Julia: LinkedIn

Learn more: PointClickCare

www.pointclickcare.com

Facebook: https://www.facebook.com/PointClickCare

Instagram: https://www.instagram.com/lifeatpointclickcare/

X: https://x.com/PointClickCare

LinkedIn: https://ca.linkedin.com/company/pointclickcare

Like, subscribe, and comment with who should answer the next Billion-Dollar Question!

Connect with ⁠Rosa Hart⁠

Get or Gift a copy of her book: “Speak Up, Start Now” on ⁠ Audible or Kindle⁠

Follow @NurseRosaSpeaks on your favorite social media platform

Subscribe for weekly conversations on AI in healthcare, hospital innovation, nursing leadership, and the future of health technology.

Available on Spotify, Apple Podcasts, YouTube, and all major podcast platforms.