"A timeout can look like a tick the box, or it can be a really valuable reset and circuit breaker for everybody."

Have you ever walked away from a clinical procedure where the patient was technically "fine," but the room felt like a chaotic mess? Why is it that some high-pressure moments leave us feeling like a synchronized team, while others leave us drained, confused, and questioning our own competence? In this episode of Better Every Shift, we dive into a "tale of two intubations" to uncover the invisible forces that dictate clinical success: communication clarity, emotional regulation, and the power of the routine debrief.

Welcome to Better Every Shift, the podcast for healthcare professionals who believe curiosity is a clinical superpower. I’m Naomi, a clinician who recently stepped back into the ICU trenches to see these theories in practice, and I’m joined by Tubi, an expert in reflective practice who isn't afraid to ask the hard questions about how we treat each other in the heat of the moment.

The problem we are exploring today is clinical reactivity. When we treat debriefing as a "special event" reserved only for failures, we make it a source of anxiety rather than a tool for growth. This matters to you because carrying the "biochemistry of stress" home after a shift isn't just exhausting—it’s a recipe for burnout. If you stick around, you’ll learn how to move from "fixing today’s fire" to being two steps ahead of the next crisis by mastering self-regulation and inclusive leadership.

Key Discussion Points

• Normalising the Debrief: Tubi and Naomi discuss why debriefing must happen "all the time" to become a valuable part of a healthy team culture rather than a dreaded "special event."
• Emotional Contagion & Self-Regulation: How to recognize your own anxiety in the moment and use "internalized self-talk" to maintain your capacity for clear thinking.
• Completing the Stress Cycle: Practical tips for letting your body process a stressful shift—from running your hands under water to the insights of Emily and Amelia Nagoski.
• Appreciative Inquiry: Using curiosity as a tool to improve critical thinking and clinical reasoning in your team.

What You’ll Learn in This Shift

1. How to lead from the floor: Discover how a clear leader uses inclusive language to ensure medications and plans are understood by everyone, from the consultant to the student nurse.
2. The importance of 'Familiarizing the Unfamiliar': Strategies for working effectively with a team you may not know well by relying on protocolized clarity rather than just "niceness."
3. The traits of a critical thinker: Why curiosity and openness to new ideas are not just "soft skills" but essential traits for improving patient outcomes.
4. Practical Regulation: How to name your feelings in the moment to downregulate the "messy" tension that hinders the prefrontal cortex.

Resources Mentioned

• Jenny Rudolph’s Podcast: On Appreciative Inquiry and feedback rubrics.
• Burnout by Emily and Amelia Nagoski: A guide to completing the stress cycle and managing the physiological impacts of nursing.

If you enjoyed this episode, please subscribe and leave a review. Your curiosity and lived experience are what make this community credible. Join us next week as we continue to explore how to make every shift a little better than the last.

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