Meet the awesome team of creative professionals working on Medical Improv Primer!

Medical Improv:  A New Way To Improve Communication (with 15 Activities You Can Teach STAT!) is in the final stages of proofing, cover design, and formatting.

Writing a book is exciting and challenging and having a crew of experts to help is an amazing gift.  I’m getting close to publishing my third, and possibly best book!   As we close in on a publishing date, I’d like to introduce you to the team of experts who are contributing to the high quality of this ‘industry-first’ resource about Medical Improv. They come from all over the USA (MA, ME, FL, AZ, and CA!) and each and everyone is committed to the idea that this resource will improve patient safety, patient experience, workforce health, and cost-effectiveness.  They bring expertise and some heart and soul to the project! 

Meet Editor, Anne Llewellyn, RN-BC, MS, BHSA, CCM, CRRN, Nurse Advocate.Anne has been an incredible co-pilot.  The world of improv has been new to her, but she has a breadth and depth of nursing, writing and editing experience that made her perfectly suited to challenge and assist me in writing a clear and compelling primer for healthcare professionals that not think they can teach fundamental improv activities.  

Anne is a healthcare leader with over 40 years of experience as a critical care nurse, case manager, professional patient advocate, educator, editor in chief and most recently a patient. Anne has lectured nationally and internationally on case management, patient advocacy and care coordination.  She is the author of Nurse Advocate,, a national blog providing information meant to empower patients, care givers and healthcare professionals to improve the delivery of care throughout the complex healthcare system. (Anne has a compelling story that she shares on her blog.)

Meet Linda O’Brien who is the publishing consultant.  She is responsible for the interior design and formatting.  Her expertise is helping the words come to life on every page! Linda always goes the extra mile to meet the highest standards of quality in every aspect of her work.   She and I are both grateful to the influence that the late Ken Cohn, MD, MBA has had in our individual work and connecting us for collaboration. 

Linda is passionate about helping small and start-up businesses innovate, collaborate, and evolve.  She provides virtual services for administrative strategy, content writing and self-publishing, and marketing creative work. She will help you target and develop communication and outreach to attract new business. “Let me help you discover the next level for your new business venture.” Linda O’Brien, Collaborate Virtually!

Meet Graphic Designer, Joanne Muckenhoupt!  I have been very blessed to work with Joanne on a couple of projects and she has a wonderful way of turning an idea or vision into inspiring art.  She is working on the cover of this book and I can’t wait to see her ideas!

Joanne is an advocate and designer!  Her passions are fueled by delivering art….design…function…logos…websites…print material…brand messaging…all in support of those who are following their hearts and changing the world.  These visionaries have an important message to share and an image, text, tag line, color; all affect how an audience feels, sees and absorbs this message, story, goal, desire and plan. “It brings me great joy to support the game changers of today … Through relentless commitment and unwavering humor, together we will change the world!” Joanne Muckenhoupt | 207.752.6035 |

Meet Stephanie Frederick, RN, M.Ed who graciously agreed to write the Afterword for this book.  She knows the system and is an effective and compassionate advocate for all of her clients! Stephanie and I have been collaborating across the miles and years to develop and promote Medical Improv.  We share a vision of the promise it holds for all sorts of positive change in nursing and healthcare.  She continues to be a collaborative presence in this exciting emerging field!

Stephanie is an independent RN Patient Advocate and passionate about guiding individuals to safe, quality, and holistic healthcare.  She understands that to effectively communicate with patients, it is essential to learn and practice a myriad of “soft skills” in both our personal and professional lives.  Stephanie facilitates Medical Improv workshops to help build communication and collaborative tools that benefit organizations, professionals, and patients alike.  Visit Stephanie’s website for additional program and contact information.  And check out this sample video about the power of a simple Medical Improv activity.

Last but not least, meet Candace Campbell, DNP, RN, CNL, FNAP who has written an inspiring foreword for the book!  Candy is another pioneer nurse leader who is bridging the worlds of improv and healthcare.  Her ground-breaking research in using improv for improving communication with nurses is an invaluable, not to mention creative step towards evidenced-based credibility for the promise Medical Improv holds.  

Candy has worked as a nurse, administrator, educator in the areas of hospital and public health for over 30 years. She also holds degrees in Speech Communications and Theatre and has earned awards as a filmmaker, writer, actress, and fine artist. Dr. Campbell is well-known for inspiring and educating workshops where she brings Florence Nightengale to life to address topics involving leadership, bullying, and communication in nursing!

Thanks, everyone! Your expertise and commitment are coming together to help make this book an unparellelled resource.  

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3rd Door Series #2: We used to work together but now I’m the boss!

Welcome to the Third Door Column from with Beth Boynton, RN, MS.

In this 10-part weekly series, we’ll be navigating common conflicts in nursing and healthcare with an eye towards shared accountability and co-creative solutions. The “Third Door” concept is centered on the notion that when we think there are only two ways to look at a problem or conflict, there’s always an alternative way that can bring about understanding, open-mindedness, and individual and collective ownership of the issue at hand.

3rd Door #2:  We used to work together but now I’m the boss!

Dear Beth,

I’m a nurse manager on a med-surg floor and was promoted from my staff RN position about six months ago. I’ve been on this unit for three years and started out as a graduate nurse. One of the full-time RNs who reports to me now – let’s call her Naomi – was my preceptor during my first six months. 

Naomi’s clinical skills are superb and I owe a lot of my professional growth and confidence to her. We got along pretty well during my preceptorship, even though sometimes I felt she was a little negative. Now, as a manager, I’m becoming worried about…(full article at

If you’d like to have a conflict or situation considered for this column please submit to

Posted in Assertiveness, Communication in Healthcare, Complexity in nursing, Diversity, Healthy Workplaces, Listening, Teambuilding, Workplace Bullying | Tagged , | Leave a comment

The Link Between Sexual Abuse and Addiction: How to End the Cycle

Photo via Pixabay by Unsplash

by Jane Moore

Anyone can be a victim of sexual abuse, though a larger percentage have proven to be women or girls.  The American Psychological Association defines sexual abuse as “unwanted sexual activity, with perpetrators using force, making threats, or taking advantage of victims not able to give consent.” 

The Link Between Sexual Abuse and Addiction

Women with a history of childhood or previous sexual abuse have a stronger likelihood of developing an addiction to drugs or alcohol.  Long term symptoms of sexual abuse, such as anxiety, fear, low self-esteem, and post traumatic stress disorder, can all be factors in driving victims toward addictive behaviors.

Sexual Abuse can cause major trauma to the victim, both physical and mental.  Many times the victim even knows their abuser.  This abuse can cause victims to turn inward, feeling lonely, isolated, and unable to trust others.  The use of drugs or alcohol is a common way for sexual abuse victims to self-medicate or mentally escape memories of trauma. 

Addiction happens when the sexual abuse victim continues to abuse drugs or alcohol consistently, whether to escape pain or as a self-destructive behavior.  Unfortunately, addiction reinforces poor coping skills, antisocial behavior, anxiety, depression, relationship problems, self-esteem issues, and aids in future victimization. 

How to End the Cycle

If you know someone who has been sexually abused, seek help immediately.  The victim will need treatment for physical trauma as well as emotional trauma.  Therapy can aid in placing guilt where it belongs, on the perpetrator.  Therapy can also help the victim gain strength, confidence, and control of their future so that they will not have to turn toward drugs or alcohol as a coping mechanism. 

Once a sexual abuse victim is already addicted to substances, such as drugs or alcohol, they will need a much more in-depth recovery program.  They will need rehabilitation from their addiction in an environment that is safe, secure, and free from judgment.  The victim will need support and patience to recover from their addiction while simultaneously receiving therapy for the sexual abuse that was suffered.

Recovery from sexual abuse could take significantly longer than recovery from the addiction.  Sometimes victims are not able to verbalize why they feel the way they do or do not experience all the effects of the sexual abuse right away.  Therapy can help victims understand that all their feelings and responses are normal.  It can also offer more healthy ways to cope with the stress and trauma, such as writing down daily feelings in a journal. 

The effects of sexual abuse and subsequent addiction do not have to last forever. Healthy intervention for addiction and therapy to counter the effects of sexual abuse can make a major difference in the life of the victim.  The important thing is to end the abuse and addiction.  The victim can then move forward with continued therapy as long as needed and live a happy and productive life. 

–Jane Moore believes in the healing power of travel. She loves exploring unfamiliar places and writing about her experiences at FitwellTraveler.

Posted in Communication in Healthcare, Complexity in nursing, Holistic Health, Patient Advocacy, Patient Safety | Tagged , , , , , | Leave a comment