WEBVTT

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Hey y 'all, welcome to Questions You Didn't Ask.

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Did you know that this very spot could be showcasing

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your business or event? Whether it's an audio

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ad on our podcast, or a visual ad on our new

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YouTube station, or even both, we've got the

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space for you. Nyesha Frey Consulting is reaching

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a growing audience of over a thousand leaders

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who are passionate about health equity, social

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justice, and civil rights activism. These are

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professionals just like you working across higher

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education, research, healthcare, nonprofit, government,

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and even public health sectors. If you're ready

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to get your message in front of a dedicated and

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engaged audience, send me an email at naishafrayconsultingllc

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at gmail .com. Let's talk about how we can help

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you connect with the people who need to hear

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about your services and products that advance

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health equity and wellness. Don't miss out. Get

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in the mix and let's make an impact together.

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Hello and welcome to Questions You Didn't Ask.

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I'm Nyesha Frey. CEO of Nyasha Frey Consulting,

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LLC, and your host of this show. I'm really glad

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you're here because today we're kicking off a

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very special series, Doing It For Ourselves,

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Black Women, Salons, and the Science of Health

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Equity. Let me tell you why this series matters

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to me and why I think it matters to you. My career

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started in HIV research at the University of

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North Carolina at Chapel Hill School of Nursing.

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When I saw the chance to join the team at the

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Heat Lab at Duke University School of Nursing,

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working on the Updose Protective Style Study,

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also known as using PrEP, doing it for ourselves,

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it felt like a full circle moment. At Naisha

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Frey Consulting, we build community -informed

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solutions to health equity challenges. The Heat

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Lab's mission, addressing health disparities

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through equity, engagement, advocacy, and trust,

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aligns perfectly. They're doing real -world research

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in places where people already look for care,

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guidance, and trust. Salons and barbershops,

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community hubs, the spaces where Black women

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and men, and yes, families too, gather. And yes,

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some of you might be thinking, wait, HIV? Isn't

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that old news? Or we don't hear about HIV like

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we used to, especially after COVID. Unfortunately,

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HIV is still a thing. And that's why this matters.

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Here's what the data show. Black African American

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people make up roughly 12 % of the US population,

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yet they accounted for 38 % of new HIV diagnoses

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in 2022. The US South bears a huge share of this

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burden. In 2022, the South accounted for approximately

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52%. of all new HIV diagnoses, even though it's

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only about 38 % of the population. Among women,

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Black women represent about 13 % of U .S. women,

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but account for around 50 % of new HIV diagnoses

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among women. Prevention is possible. Daily PrEP,

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also known as pre -exposure prophylaxis, can

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reduce HIV risk by more than 90 % when taken

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as prescribed. Yet in many Southern Black communities,

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for each new HIV diagnosis among Black people,

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there were only about four Black PrEP users.

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Now compare that to about 27 White PrEP users

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for each new diagnosis among White people. The

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comparison is staggering. Four to 27. between

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Black and white PrEP users. When you hear these

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numbers, you realize the challenge isn't just

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science or medicine. It's access, trust, design,

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places, people, leadership. And that brings us

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back to community health. The mix of programs,

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places, policies, and people that make a difference

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in a community's well -being. And... Health justice,

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the belief that everyone, no matter their zip

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code or skin color or income, deserves fair access

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to care, resources, and power to shape systems.

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We also have to acknowledge the historical backdrop.

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For decades, the U .S. healthcare system was

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segregated. Hospitals and clinics were designed

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to serve white and Black people separately under

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laws like the Hill -Burton Act. Broad enforcement

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of desegregation only came later via Medicare

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and Title VI. That separate and unequal structure

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left deep scars. Higher maternal and infant mortality

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in Black communities, more chronic disease burden,

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less access to research opportunity and leadership

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roles, and even higher risk of medical neglect

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or error in some settings. And leadership matters.

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Very few nurses have research doctorates. Fewer

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than 3 % of all registered nurses hold a PhD

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or equivalent research degree. And Black nurse

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scientists are vastly underrepresented, in part

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because only a small number of HBCUs historically

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offered PhD nursing programs. Until we expand

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and diversify the pipeline, equity remains incomplete.

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Now let me introduce two remarkable women who

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are leading the charge. Dr. Shanita Randolph

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is associate professor at Duke University School

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of Nursing and is the founding director and principal

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investigator of the HEAT Lab. She is a nurse

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scientist, educator, and advocate dedicated to

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advancing health equity and social justice. Her

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research focuses on culturally responsive, community

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-driven interventions to address racial and ethnic

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health disparities, especially in Black families

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and communities. She has secured competitive

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national funding, is widely published, and is

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a fellow of the American Academy of Nursing.

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With the HEAT Lab, she leads the work of turning

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research into trust, engagement, and lasting

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partnership. Might I add that Dr. Randolph recently

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received tenure at the Duke University School

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of Nursing. Congratulations, Dr. Randolph. Dr.

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Reagan Johnson is Associate Clinical Professor

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and Project Director of LEAP, known as Leading

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to Equitable Access to Health Professionals at

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Duke University School of Nursing, and co -investigator

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in the UPDO study. With nearly 20 years of experience,

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she combines clinician, educator, and scholar

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roles. Her work focuses on sexual health promotion

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in Black communities and innovatively uses space

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like salons and barbershops for outreach. Her

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scholarship was featured in the New England Journal

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of Medicine, and she is a national leader in

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equitable HIV prevention. Both of these women

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are among the few doctorally trained nurse scientists

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at elite universities. who are leading large

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-scale community -based research initiatives.

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Duke University School of Nursing itself is globally

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recognized for innovation, leadership, and research

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excellence, making this team uniquely powerful.

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Over the next four episodes, we'll dive into

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how stylists become health navigators, how salons

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become sites for trust and prevention, how prep

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becomes accessible, and how Black women become

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leaders in their own health story. We'll ask,

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how do you build interventions with the community,

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not just for them? How do you link real -world

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research with lived experience? How do you shift

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power so that change is not done to Black women,

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but by Black women? So whether you're listening

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in your car, on your walk, or sitting in your

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favorite salon chair, get ready. Get ready to

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engage. Get ready to be inspired. Get ready to

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take action. Because this isn't just about asking

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questions. It's about changing the system. Together,

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let's begin. Now that we have heard your illustrious

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bios and my audience is excited to hear more

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about the work that you do, I want to start out

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with you, Dr. Randolph. You know, this is a question

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that I give most of my guests just so that my

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audience gets an idea of like, what motivated

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you to join us here today and have this conversation?

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Well, first of all, thank you for having me.

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I think that it was definitely the goals and

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your vision for your podcast definitely aligned

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with me around, especially around equity and

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engaging people in conversations that are real

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conversations. Questions that they may think

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about, but really don't have the safe space to

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have those conversations. So that was it. And

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of course, because it's you, Naisha. Thank you

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so much, Shanita. I appreciate that. Dr. Reagan

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Johnson, tell us a little bit about why did you

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say yes when I called and said, would you please

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join us in this conversation? Yeah, so like,

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thank you again for inviting me and having me

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on. It's a pleasure to be here. And like Shanita

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said, because you asked, but also I've had the

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pleasure of listening to several of your episodes

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and seasons. And I just really like how you frame

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health equity in a different way, right? What

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we traditionally think about health equity and

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how you kind of weave in other topics, I think

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is really good. Well, thank you so much for that

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compliment. One of the reasons why I asked that

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question is one, because it helps people, of

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course, understand. Well, why did she invite

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these people? And why do they even want to talk

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to her about these things? But also to encourage

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other people that when you have a vision and

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you see people that you admire and you want to

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engage them in partnership and collaboration,

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sometimes it's just a matter of asking the question,

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right? And a lot of times you'll be surprised

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at the response that you get, even if it's a

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no for right now or a no, but I know somebody.

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Please lean into these conversations and opportunities

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for collaboration. partnership and collective

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action. So I've read your bios and share it with

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everyone who you are professionally, right? But

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I would love for you, and I'll start again with

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you, Dr. Shanita Randolph, if you could just

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tell us a little bit more about your origin story

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and where you come from and what shaped your

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journey into nursing and research. Wonderful.

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Well, thank you. So I grew up in rural North

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Carolina. I like to joke and say that I was born

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in Brooklyn, but I grew up in rural North Carolina

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with my grandparents. My grandfather was a farmer

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and my grandmother's sisters was a nurse and

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she had been a nurse for. maybe 40 years before

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she retired into nursing. And so I really credit

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her and some of her stories around nursing as

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to why that was my career choice. And it was

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time for me to go off to college. One of my good

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friends that I graduated high school with was

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also going into nursing at A &T. And so that

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sort of led me into that career field. But once

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I got into it, Community health really became

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my thing. I knew from my community health nursing

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instructor that, oh, community health is where

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it's at. And I just loved it so much. But at

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the time, you had to go to the hospital. It was

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a requirement. You had to work in the hospital

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a couple of years. And so I did that. But I always

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went back to my love and community health. From

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there, I went on to get my master's degree in

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public health. So it's just those concepts of

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public health and engaging the community and

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health promotion that has always been my passion.

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So I got my master's degree in public health.

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My PhD is actually in public health. And through

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being a public health nurse in a clinical setting,

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I was in family planning and STDs and HIV and

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saw a lot of young people. communities of color

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that were coming in for STDs and repeatedly,

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like for testing, having to tell people, you

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know, your HIV test is positive. So it really

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gave me this passion to ask the question of what

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is really going on here and how can we find solutions

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to address these issues, particularly in our

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community, in the Black community. And so I've

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been doing this work. I've been a nurse for 26,

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27 years. I've been in academia since 2004 and

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been in research, particularly at Duke. I've

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been at Duke since 2015, but that's sort of my

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journey of nursing research and why HIV. Yeah.

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Yeah. Well, I mean, it's interesting how so much

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of where we grow up and who we grow up with,

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you know, makes such a difference in terms of

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where we find ourselves in our professional careers.

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and how that motivates us into excellence, right?

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Because you have not just been your average nurse,

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you have not just been your average researcher.

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And that I think is, and in my experience working

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with you, is what sets you apart because you're

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so committed to and reflect back to your connection

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to and stay connected to your community and what

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their true experiences are. And I just admire

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that so much. Dr. Reagan Johnson, I could say

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some of the same things about you, but I would

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love for my audience to learn more about your

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origin story and how you came from where you

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started and how you landed in nursing and then

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eventually into research. Yeah, so I'm from Memphis,

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Tennessee. And when I was young, my great grandfather

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had a... He couldn't use his arm. I've told this

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story before, but he couldn't use his arm and

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found out that it was because he did yard work

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or something and a tree fell on his arm and the

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hospital would not treat him. And so he never

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said, right. So he never had full use of that

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arm. And then my mom was like, I was born and

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I was born in the late seventies. I ain't gonna

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tell you this. And I was born in a clinic because

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the hospital turned her away. So I was going

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to always do something in health care and health

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equity, right? So I thought I was going to be

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a doctor, go to college, the Tennessee State

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University, and pre -med didn't work out. But

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I had a great advisor who shifted me to nursing

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and was like, you can do all of the things that

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you think you want to do as an MD. You can do

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it as a nurse and probably have a bigger impact.

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So that's what I did. That's wonderful. I mean,

00:16:18.509 --> 00:16:21.330
a lot of people don't consider nursing in the

00:16:21.330 --> 00:16:25.649
same light as getting an MD or medicine, right?

00:16:25.730 --> 00:16:28.889
But we know better, right? And I'm so glad that

00:16:28.889 --> 00:16:32.750
your advisor encouraged you. I mean, your story

00:16:32.750 --> 00:16:36.370
is so amazing because a lot of people of our

00:16:36.370 --> 00:16:39.049
generation, Reagan, because I was born in that

00:16:39.049 --> 00:16:42.950
same part of the 70s, we don't think about our

00:16:42.950 --> 00:16:45.950
parents being turned away from health care. And

00:16:45.950 --> 00:16:48.690
what that immediately makes me think about is

00:16:48.690 --> 00:16:51.629
maternal health equity, having to give birth

00:16:51.629 --> 00:16:54.509
at a clinic as opposed to a hospital. And then

00:16:54.509 --> 00:16:57.049
also it kind of makes me think about how things

00:16:57.049 --> 00:16:59.750
have shifted so much where more women, Black

00:16:59.750 --> 00:17:02.590
women in particular, are giving birth at home

00:17:02.590 --> 00:17:07.990
with doulas, midwives, nurses, things like that.

00:17:08.190 --> 00:17:11.430
So things have changed so much. And it also makes

00:17:11.430 --> 00:17:14.839
me think about how impactful and important our

00:17:14.839 --> 00:17:18.059
advisors are, our mentors are, our young folks,

00:17:18.259 --> 00:17:20.279
making sure that, you know, we don't take no

00:17:20.279 --> 00:17:22.980
for an answer, right? And we get to where we're

00:17:22.980 --> 00:17:25.599
trying to go. Despite what the circumstances

00:17:25.599 --> 00:17:28.079
might be, there's more than one way to get to

00:17:28.079 --> 00:17:32.599
your goal. Yes. So, and I know that both of you

00:17:32.599 --> 00:17:36.920
mentor young researchers, you mentor graduate

00:17:36.920 --> 00:17:40.630
students, things like that. Can you tell our

00:17:40.630 --> 00:17:43.049
audience a little bit about what that's like

00:17:43.049 --> 00:17:46.990
in this phase of your professional life? You

00:17:46.990 --> 00:17:48.910
know, giving back to students that are searching

00:17:48.910 --> 00:17:53.710
for ways to make an impact. Yeah, it is by far

00:17:53.710 --> 00:17:58.029
such a deep passion for me. So much we have,

00:17:58.190 --> 00:18:01.690
along with three other colleagues, we created

00:18:01.690 --> 00:18:04.809
a program actually to address it. You know, I'm

00:18:04.809 --> 00:18:07.329
a Ph .D. prepared nurse and they're less than

00:18:07.329 --> 00:18:12.450
one to two percent. who are Black, who have PhDs

00:18:12.450 --> 00:18:16.329
focused around research and nursing. And so we

00:18:16.329 --> 00:18:19.529
have co -created Black PhD nurse scientists where

00:18:19.529 --> 00:18:22.809
we're trying to bring awareness to the role of

00:18:22.809 --> 00:18:27.190
the nurse scientist. We do HBCU tours. When we

00:18:27.190 --> 00:18:29.349
look at the historically Black colleges and universities,

00:18:29.670 --> 00:18:32.210
there are about three, only three that actually

00:18:32.210 --> 00:18:35.130
have PhD programs. And so as we're trying to

00:18:35.130 --> 00:18:37.609
address equity, we recognize the significance

00:18:37.609 --> 00:18:40.970
of You know, making sure that we are in that

00:18:40.970 --> 00:18:43.569
space, too, as leaders to be able to address

00:18:43.569 --> 00:18:47.029
equity based on our lived experiences. Right.

00:18:47.390 --> 00:18:49.690
And the contribution that we have to that. And

00:18:49.690 --> 00:18:55.390
so I am so passionate about mentoring the next

00:18:55.390 --> 00:19:00.150
generation. I think so deeply because I know

00:19:00.150 --> 00:19:02.829
the people that that were there for me and the

00:19:02.829 --> 00:19:07.180
impact we had in my life. And I also know what

00:19:07.180 --> 00:19:10.200
it feels like to have no one there. Some of my

00:19:10.200 --> 00:19:13.400
experiences that I have experienced, particularly

00:19:13.400 --> 00:19:16.880
in higher education, I don't want anyone to have

00:19:16.880 --> 00:19:19.799
to go through and have to try to just figure

00:19:19.799 --> 00:19:23.700
it out on their own. I want to be able to share

00:19:23.700 --> 00:19:25.839
experiences with them, make sure that they have

00:19:25.839 --> 00:19:29.329
the tools to be successful. in their career trajectory.

00:19:29.569 --> 00:19:32.509
So I am extremely passionate and I'll stop because

00:19:32.509 --> 00:19:39.049
I can talk about that. Love, love, love mentoring

00:19:39.049 --> 00:19:42.210
the next generation of nurses and nurse scientists.

00:19:42.930 --> 00:19:45.089
Well, I want to say thank you for being there

00:19:45.089 --> 00:19:48.170
for our next generation of nurses and nurse scientists.

00:19:48.509 --> 00:19:52.769
And Dr. Reagan, I know that this is not new for

00:19:52.769 --> 00:19:55.380
you either. This is something that you... do

00:19:55.380 --> 00:19:57.460
with a full heart. Can you tell our audience

00:19:57.460 --> 00:19:59.180
a little bit more about what that's like for

00:19:59.180 --> 00:20:03.160
you? Yeah, kind of the same. So my advisor, I

00:20:03.160 --> 00:20:08.339
went to an HBCU and I love HBCUs because you

00:20:08.339 --> 00:20:12.160
get that foundational. confidence and competence

00:20:12.160 --> 00:20:14.920
that you need to go to the next level. So anyway,

00:20:15.019 --> 00:20:17.839
my same advisor who kind of pushed me into nursing

00:20:17.839 --> 00:20:20.420
also pushed me further in saying like, you can

00:20:20.420 --> 00:20:22.740
be a nurse practitioner, you can do this. And

00:20:22.740 --> 00:20:26.039
she's like, I know people and I'm going to read

00:20:26.039 --> 00:20:28.259
about you one day. And that's what she told me.

00:20:28.519 --> 00:20:31.099
And so by the time I got to grad school at a

00:20:31.099 --> 00:20:35.299
PWI and the language coming back to me was a

00:20:35.299 --> 00:20:40.660
lot different. I had this foundation of who I

00:20:40.660 --> 00:20:44.440
was because I believed my advisor, who my advisor

00:20:44.440 --> 00:20:47.319
said I was. So my heart really for mentorship

00:20:47.319 --> 00:20:50.599
and being able to pour into people in a real

00:20:50.599 --> 00:20:54.539
way, you know what I mean? To be really someone's

00:20:54.539 --> 00:20:57.380
champion, like Shanita said, somebody's cheerleader

00:20:57.380 --> 00:21:01.630
and encourager so that they can go on. So we

00:21:01.630 --> 00:21:06.049
have a program to leap is for current RN students

00:21:06.049 --> 00:21:11.730
at HBCUs to consider graduate level nursing.

00:21:11.809 --> 00:21:14.369
So to think more about being a nurse practitioner

00:21:14.369 --> 00:21:19.470
or being a doctor of nursing practice. So these

00:21:19.470 --> 00:21:21.589
are the things that we want to encourage through

00:21:21.589 --> 00:21:26.559
our mentorship as well. And can I just say that

00:21:26.559 --> 00:21:29.460
I think the theme in this is, you know, as Reagan

00:21:29.460 --> 00:21:32.099
was saying, she went to an HBCU, I went to an

00:21:32.099 --> 00:21:38.779
HBCU. I went to an HBCU. There's an undeniable

00:21:38.779 --> 00:21:43.059
role that HBCUs play that contributes largely

00:21:43.059 --> 00:21:47.299
to this society. And I think bringing voice to

00:21:47.299 --> 00:21:50.339
that and acknowledging that is so important.

00:21:50.619 --> 00:21:54.359
And it's a culture. Right. It's something that

00:21:54.359 --> 00:21:58.200
if you haven't experienced it, you really can't

00:21:58.200 --> 00:22:01.160
really define it. But it's so funny because we

00:22:01.160 --> 00:22:05.500
have a postdoc who has recently joined us and

00:22:05.500 --> 00:22:08.319
we were meeting and she was talking about the

00:22:08.319 --> 00:22:12.480
heat lab. And that's our research lab that Dr.

00:22:12.799 --> 00:22:16.579
Reagan Johnson and I have at Duke. And she said

00:22:16.579 --> 00:22:19.539
to me, she came from a PWI, graduated with her

00:22:19.539 --> 00:22:23.680
Ph .D. And her words were. I have so enjoyed

00:22:23.680 --> 00:22:27.359
being with you all at the Heat Lab. It's almost

00:22:27.359 --> 00:22:30.940
like I'm getting the HBCU experience that I have.

00:22:33.359 --> 00:22:36.440
I love it. I said, now, wait a minute. I had

00:22:36.440 --> 00:22:38.420
to sit with that for a minute because I was like,

00:22:38.519 --> 00:22:44.220
I think that was a compliment. It is. Yeah, because

00:22:44.220 --> 00:22:48.180
it feels like home. It feels like home. Even

00:22:48.180 --> 00:22:50.220
though we're getting work done with excellence,

00:22:50.440 --> 00:22:54.089
right? High excellence. So she feels like in

00:22:54.089 --> 00:22:56.369
the heat lab, she's getting the HBCU experience

00:22:56.369 --> 00:22:59.109
that she hadn't felt before at a PWI. So I was

00:22:59.109 --> 00:23:02.150
like, okay, I love it. I'm here for it. If you're

00:23:02.150 --> 00:23:04.390
enjoying the show as much as we love creating

00:23:04.390 --> 00:23:08.230
it, consider showing your support by buying us

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a cup of coffee. Visit buymeacoffee .com slash

00:23:13.049 --> 00:23:20.789
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00:23:20.789 --> 00:23:26.450
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to produce, develop, and sustain the high quality

00:23:33.890 --> 00:23:36.990
content you've come to expect from questions

00:23:36.990 --> 00:23:39.849
you didn't ask. Thank you for your continued

00:23:39.849 --> 00:23:42.430
support and let's keep the conversation going.

00:23:43.289 --> 00:23:46.309
I'm so glad you did, because, you know, one of

00:23:46.309 --> 00:23:48.990
the many things that I learned from being at

00:23:48.990 --> 00:23:52.970
FAMU is wherever you go, there you are. Right.

00:23:53.069 --> 00:23:56.990
And so we bring Shanita, your leadership, Reagan,

00:23:57.150 --> 00:24:00.349
your leadership tells us, bring your whole self.

00:24:00.509 --> 00:24:03.470
Right. And so that's the thing that we got from

00:24:03.470 --> 00:24:08.390
being at an HBCU is that our whole self was valued,

00:24:08.630 --> 00:24:14.680
nurtured. educated challenged celebrated right

00:24:14.680 --> 00:24:19.789
and reprimanded when needed right okay Because

00:24:19.789 --> 00:24:21.849
don't have one of your professors have to pull

00:24:21.849 --> 00:24:23.730
you aside. You're going to feel like you're at

00:24:23.730 --> 00:24:28.569
home with mama now, okay? You're going to feel

00:24:28.569 --> 00:24:31.910
like you're at home with mama now. So, you know,

00:24:31.930 --> 00:24:34.210
I think that it's interesting because one of

00:24:34.210 --> 00:24:36.549
the things about me, you all know I come from

00:24:36.549 --> 00:24:38.849
a psychology and public health background. And

00:24:38.849 --> 00:24:41.430
even though we have a lot in common in terms

00:24:41.430 --> 00:24:45.309
of our academic and professional research experiences.

00:24:46.190 --> 00:24:48.950
I came to understand what public health was later

00:24:48.950 --> 00:24:51.769
in my career. I came to understand what a nurse

00:24:51.769 --> 00:24:54.890
scientist was later in my career. And I feel

00:24:54.890 --> 00:24:56.829
like because this is questions you didn't ask,

00:24:56.950 --> 00:24:59.829
I would love for you to share with our audience

00:24:59.829 --> 00:25:03.710
what your definition of being a nurse scientist

00:25:03.710 --> 00:25:09.509
is. So they are definitely scholars who use the

00:25:09.509 --> 00:25:13.509
science literature evidence to ask a question

00:25:13.509 --> 00:25:16.910
and to solve that question. That's pretty much

00:25:16.910 --> 00:25:20.150
in layman's terms. But it's based on methodology,

00:25:20.569 --> 00:25:23.789
it's based on the science of things, the evidence,

00:25:24.089 --> 00:25:27.630
building upon evidence that may exist, asking

00:25:27.630 --> 00:25:30.910
a question, developing interventions. Like for

00:25:30.910 --> 00:25:34.589
us, we are looking at Black women in HIV and

00:25:34.589 --> 00:25:36.589
recognizing that there's a gap in the literature,

00:25:36.809 --> 00:25:39.869
there's a gap in practice. And so the question

00:25:39.869 --> 00:25:43.630
becomes, how do we implement something that is

00:25:43.630 --> 00:25:45.990
socially and culturally relevant to be able to

00:25:45.990 --> 00:25:49.430
address this problem. And so through research,

00:25:49.569 --> 00:25:51.910
you're gathering that data and that information

00:25:51.910 --> 00:25:58.470
to be able to develop and create solutions and

00:25:58.470 --> 00:26:03.869
particularly adding to the discipline of nursing.

00:26:04.109 --> 00:26:06.430
So as nurse scientists, you also collaborate

00:26:06.430 --> 00:26:09.309
with other disciplines in doing that. So that's

00:26:09.309 --> 00:26:13.430
the short answer. short answer, but having critical

00:26:13.430 --> 00:26:17.390
questions and creating solutions, not only for

00:26:17.390 --> 00:26:22.529
practice, but also for policy change. Yeah. And

00:26:22.529 --> 00:26:24.910
it's interesting too, because Shanita, you come

00:26:24.910 --> 00:26:27.930
at being a nurse scientist from the perspective

00:26:27.930 --> 00:26:30.549
of a person that, as you mentioned, is trained

00:26:30.549 --> 00:26:34.509
as a PhD. And that is different than Reagan,

00:26:34.609 --> 00:26:38.109
your training, which is a doctor and nurse practitioner.

00:26:38.170 --> 00:26:41.069
Am I saying that right? Doctor of Nursing Practice.

00:26:41.470 --> 00:26:44.369
Yes, thank you for correcting me. Tell us a little

00:26:44.369 --> 00:26:47.329
bit more about what that is and what it means

00:26:47.329 --> 00:26:52.950
in both clinical practice and research. Yeah,

00:26:52.990 --> 00:26:56.170
so the DMP was brought about to be the practice

00:26:56.170 --> 00:26:59.630
doctorate, right? It's a compliment, the PhD,

00:26:59.829 --> 00:27:03.390
the nurse scientist, and hopefully to be able

00:27:03.390 --> 00:27:06.470
to translate what's happening in research into

00:27:06.470 --> 00:27:09.069
the clinical space, right? That's kind of...

00:27:09.259 --> 00:27:13.400
how it started. It's expanded over time to include

00:27:13.400 --> 00:27:17.519
quality improvement. So can you identify a practice

00:27:17.519 --> 00:27:20.019
problem, a practice gap, something that's happening

00:27:20.019 --> 00:27:22.519
in the clinic that needs to be addressed and

00:27:22.519 --> 00:27:26.099
improved? For instance, in nursing or in medicine,

00:27:26.140 --> 00:27:28.980
people get a really short education, right? And

00:27:28.980 --> 00:27:32.160
then they're out in practice. And maybe you don't

00:27:32.160 --> 00:27:34.079
get everything. Maybe you don't know about menopause.

00:27:34.079 --> 00:27:35.900
Yeah, I know I'm real big on menopause, right?

00:27:39.210 --> 00:27:42.329
But you don't get a lot of that in your training.

00:27:42.430 --> 00:27:45.670
So a nurse practitioner or a DNP could go in

00:27:45.670 --> 00:27:49.430
and educate providers on improving care of people

00:27:49.430 --> 00:27:52.430
going through mental health. Got you. Got you.

00:27:52.609 --> 00:27:55.690
So, you know, I think that one of the things

00:27:55.690 --> 00:27:59.490
that I'm reflecting on, too, in terms of my academic

00:27:59.490 --> 00:28:02.650
walk is that, you know, a lot of folks would

00:28:02.650 --> 00:28:05.599
say to me. If you want to do research, there's

00:28:05.599 --> 00:28:07.819
lots of different avenues that you can take to

00:28:07.819 --> 00:28:12.119
do research, right? If you want to be a practitioner

00:28:12.119 --> 00:28:16.400
now, that is a lot more specific. But some of

00:28:16.400 --> 00:28:19.220
what I'm hearing, especially from you, Dr. Randolph,

00:28:19.259 --> 00:28:24.500
is that when you get your PhD, right, and you

00:28:24.500 --> 00:28:27.680
have a nursing background, you can combine those

00:28:27.680 --> 00:28:30.910
things. to inform the types of questions that

00:28:30.910 --> 00:28:33.250
you're going to ask. And that's what I get from

00:28:33.250 --> 00:28:36.990
you as well, Reagan. But it seems like the DNP,

00:28:37.190 --> 00:28:41.069
the Doctor of Nursing Practice, I think I got

00:28:41.069 --> 00:28:45.349
it, is a lot more related to exactly what it

00:28:45.349 --> 00:28:49.329
says, how you practice nursing care in a clinical

00:28:49.329 --> 00:28:52.829
environment. And so the PhD is a little bit broader.

00:28:53.069 --> 00:28:56.250
The DNP is a little bit more specific. But what

00:28:56.250 --> 00:29:00.140
makes the heat lab so... interesting is that

00:29:00.140 --> 00:29:04.660
you combine the two as co -directors for the

00:29:04.660 --> 00:29:07.440
Heat Lab. Can you tell my audience a little bit

00:29:07.440 --> 00:29:10.859
more about how that came about? What was the

00:29:10.859 --> 00:29:14.400
process and the strategy or even motivation for

00:29:14.400 --> 00:29:16.220
why that came about? And I'll start with you,

00:29:16.259 --> 00:29:19.200
Reagan, and just give you a chance to share what

00:29:19.200 --> 00:29:21.599
your insights are, just to switch it up a little

00:29:21.599 --> 00:29:25.369
bit. I can't describe in words how great it's

00:29:25.369 --> 00:29:27.750
been to be able to partner and work with Shanita

00:29:27.750 --> 00:29:30.910
and learn from her and her work that she's doing

00:29:30.910 --> 00:29:33.289
and was already doing by the time I got there.

00:29:33.490 --> 00:29:36.930
She was already on this trajectory. And then

00:29:36.930 --> 00:29:41.009
I started working at the same place and we both

00:29:41.009 --> 00:29:43.970
had an interest in HIV prevention. We both had

00:29:43.970 --> 00:29:47.329
an interest in barbershops and beauty salons

00:29:47.329 --> 00:29:51.589
as kind of places to deliver. information and

00:29:51.589 --> 00:29:54.390
health information and so in that way we were

00:29:54.390 --> 00:29:57.910
kind of put together a little bit by someone

00:29:57.910 --> 00:30:01.589
at the organization who thought we'd be you know

00:30:01.589 --> 00:30:04.630
should have lunch and we did and then i think

00:30:04.630 --> 00:30:08.710
our spirits also kind of aligned and we had a

00:30:08.710 --> 00:30:14.670
similar heart and so the magic was born i love

00:30:14.670 --> 00:30:18.769
it And Shanita, I imagine that your recollection

00:30:18.769 --> 00:30:21.829
of how this came together is very similar. Are

00:30:21.829 --> 00:30:23.630
there any other things that you'd like to share

00:30:23.630 --> 00:30:27.569
with our audience, even about, you know, how

00:30:27.569 --> 00:30:29.849
to innovate in this space through partnership,

00:30:30.009 --> 00:30:32.210
right? Through cross -discipline collaboration.

00:30:33.289 --> 00:30:38.049
Why is that important even? Yeah, the PhD -DNP

00:30:38.049 --> 00:30:41.390
partnership and collaboration is probably one

00:30:41.390 --> 00:30:45.750
of the most. powerful partnerships that can exist

00:30:45.750 --> 00:30:49.410
in nursing. I think we have opportunities to

00:30:49.410 --> 00:30:52.329
be a little bit more intentional about that.

00:30:52.509 --> 00:30:55.049
As Reagan shared, you know, I think the stars

00:30:55.049 --> 00:30:58.369
just aligned. There were multiple, multiple things,

00:30:58.509 --> 00:31:01.289
but we have been a dynamic duo. And I say that

00:31:01.289 --> 00:31:04.809
unapologetically. You know, when you think about

00:31:04.809 --> 00:31:07.589
research in general, it can take up to 17 years.

00:31:08.779 --> 00:31:11.779
for research to actually translate, like the

00:31:11.779 --> 00:31:17.519
process that we go through in identifying problems,

00:31:18.119 --> 00:31:20.700
finding solutions. I got to do a pilot study.

00:31:20.880 --> 00:31:23.299
Now I got to do a pilot study on the pilot study.

00:31:23.500 --> 00:31:25.680
Then I got to do one more pilot study for the

00:31:25.680 --> 00:31:29.380
pilot of the pilot. You know, it's just, it can

00:31:29.380 --> 00:31:32.849
take. Forever. And so when you think about the

00:31:32.849 --> 00:31:36.710
DNP, there's that piece of translating this back

00:31:36.710 --> 00:31:39.549
into the clinical space. You think about the

00:31:39.549 --> 00:31:42.589
fact that we do community engagement. The questions

00:31:42.589 --> 00:31:44.609
that we ask, I think, are different. Some of

00:31:44.609 --> 00:31:47.029
our approaches are different and they balance

00:31:47.029 --> 00:31:51.170
each other out to not sort of delay it as much

00:31:51.170 --> 00:31:54.529
as it typically is delayed. So this collaboration

00:31:54.529 --> 00:31:58.529
has been a very powerful partnership in that.

00:31:59.719 --> 00:32:02.099
And Naisha, you asked me something else, honey.

00:32:03.500 --> 00:32:06.299
Child, I will throw 10 questions at you at once.

00:32:06.319 --> 00:32:08.579
My audience knows that. I got to get better about

00:32:08.579 --> 00:32:10.500
that. But I think that you answered the essence

00:32:10.500 --> 00:32:13.259
of it, you know, in terms of how you balance

00:32:13.259 --> 00:32:16.900
each other out, how having the PhD and the DNP

00:32:16.900 --> 00:32:21.099
helps to translate the research faster into practice,

00:32:21.380 --> 00:32:24.500
right? Because what we know about any type of

00:32:24.500 --> 00:32:28.859
health equity research or efforts at all is that

00:32:28.859 --> 00:32:31.859
we need it now, right? We need it. yesterday.

00:32:32.759 --> 00:32:37.160
We need it tomorrow. And so just that alone is

00:32:37.160 --> 00:32:41.339
a major, major benefit to not just the research

00:32:41.339 --> 00:32:44.619
aspect, but to the community. And I think that

00:32:44.619 --> 00:32:47.000
that's something that's really important. Yeah.

00:32:47.059 --> 00:32:49.259
And I think the other thing is that in everything

00:32:49.259 --> 00:32:53.279
that we do, like my focus may be on community

00:32:53.279 --> 00:32:56.839
and the women, right? And so we have this nurse

00:32:56.839 --> 00:32:59.119
-led model of care that thinks about the community.

00:32:59.960 --> 00:33:02.900
the clinical piece as well, right? And so Reagan

00:33:02.900 --> 00:33:06.559
has that lens of what is happening right now

00:33:06.559 --> 00:33:09.420
in clinical practice that's going to impact this

00:33:09.420 --> 00:33:12.480
community, right? What's happening right now

00:33:12.480 --> 00:33:15.599
with providers that's also going to impact this

00:33:15.599 --> 00:33:18.900
because oftentimes we try to create things in

00:33:18.900 --> 00:33:22.200
this silo, right? Not realizing that there's

00:33:22.200 --> 00:33:24.740
a lived experience. There are really social determinants

00:33:24.740 --> 00:33:27.059
of health that impact. So I can create something.

00:33:27.690 --> 00:33:29.950
an intervention in the community, but that woman

00:33:29.950 --> 00:33:33.109
still has to go see her doctor, right? How do

00:33:33.109 --> 00:33:35.509
all of these things integrate? And I think that's

00:33:35.509 --> 00:33:39.509
the piece that I love about a PhD -DNP collab

00:33:39.509 --> 00:33:43.710
is that you're able to see it through the lenses

00:33:43.710 --> 00:33:47.369
of a real world experiences for the populations

00:33:47.369 --> 00:33:49.710
that you're working with. It's just amazing.

00:33:50.210 --> 00:33:55.930
Contact us for the blueprint, okay? I'm giving

00:33:55.930 --> 00:33:59.549
us all of our things. Nobody's going to give

00:33:59.549 --> 00:34:01.890
it to us. I'm going to give it to us. We have

00:34:01.890 --> 00:34:10.570
done this. Okay. I love it. Reagan, anything

00:34:10.570 --> 00:34:13.170
you want to add to this dynamic duo description,

00:34:13.389 --> 00:34:15.829
so to speak? Yeah, no, I think it's perfect.

00:34:15.989 --> 00:34:18.769
I do feel like we've been the blueprint. we've

00:34:18.769 --> 00:34:22.550
shown a successful template for how it can work

00:34:22.550 --> 00:34:25.610
and thinking about research practice and then

00:34:25.610 --> 00:34:28.929
also we've tied in education too like how do

00:34:28.929 --> 00:34:31.670
we prepare the next generation of nurses and

00:34:31.670 --> 00:34:34.389
nurse practitioners to be able to do what we're

00:34:34.389 --> 00:34:37.550
doing specifically but also to be able to think

00:34:37.550 --> 00:34:40.590
about how you address practice in a way that

00:34:40.590 --> 00:34:42.829
you come up with your own questions that solves

00:34:42.829 --> 00:34:46.099
tomorrow's problem that was Questions You Didn't

00:34:46.099 --> 00:34:49.980
Ask, hosted by me, Nyesha Frey. Thanks for joining

00:34:49.980 --> 00:34:53.880
us for Doing It For Ourselves, Black Women, Salons,

00:34:53.940 --> 00:34:57.320
and the Science of Health Equity. If this episode

00:34:57.320 --> 00:35:01.320
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Music, or at rss .com and nyeshafrey .com slash

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