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  • Ciara Miller on Communication & Self-Care in ICU Nursing

    Ciara Miller on Communication & Self-Care in ICU Nursing

    Ciara Miller | Photo by Brooke Nipar

    Reality TV star Ciara Miller, also a traveling ICU nurse, discusses how honest communication, supportive colleagues, and personal routines can help nurses manage burnout.


    What does the word “strength” mean to you when you think of nurses?

    Strength, to me, is the quiet resilience nurses carry every day. It’s not just physical — being on your feet for 12+ hours — it’s emotional. It’s being there for people on their hardest days and still showing up with empathy. That kind of strength is deep. It’s unspoken, but it’s so powerful.

    What message would you share with nurses who may be feeling burnt out or unseen, especially when mental health isn’t openly talked about?

    I’ve been there. Honestly, burnout is real, and it’s okay to say you’re not okay. You’re not weak for feeling exhausted; you’re human. I’d say to find your support system, whether that’s therapy, a trusted friend, or just a coworker who gets it. You deserve care, too. You can’t pour from an empty cup, and it’s not selfish to protect your peace.

    Can you share a personal experience where communication, with either a patient or a coworker, made a real difference in your day?

    I remember a shift where everything was chaotic — understaffed, high acuity. One of my coworkers pulled me aside and just said, “I’ve got your back. What do you need?” That moment changed the tone of my entire day. It reminded me I wasn’t alone, and we were in it together. That one check-in made a huge difference.

    What are some small things that help you feel good and stay comfortable, even on tough days?

    Skincare after a shift is my ritual. It sounds small, but it’s grounding for me. Music on the drive home, comfy clothes, and a moment of silence before bed. Also, I try to remind myself that I did the best I could that day. That mindset — grace over perfection — keeps me sane.

    What role do you think communication plays in building strong, supportive teams in healthcare settings?

    It’s everything. Honest, respectful communication creates trust. When people feel heard, they feel valued. That’s how you build a team that supports each other, where it’s okay to speak up, ask for help, or say, “I’m not okay today.” It’s what makes the difference between surviving and thriving at work.

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  • Securing Nursing’s Future Amid Shortages

    Securing Nursing’s Future Amid Shortages

    The stubborn shortage of nurses has created abundant job opportunities, but barriers to entry and declining job satisfaction threaten efforts to improve recruitment and retention. What can nurses do for themselves and, in the process, help secure a better future for nursing?

    Beverly Malone, Ph.D., RN, FAAN

    President and CEO, National League for Nursing

    With the stubborn nursing shortage, it is no wonder that job opportunities are abundant for anyone with a passion for healing to join America’s most trusted healthcare professionals. 

    How abundant? The Bureau of Labor Statistics projects an average of 194,500 job openings for registered nurses each year through 2033, a 6% growth rate, which exceeds the national average for all occupations. The wage outlook for RNs is also bright, with a median annual pay in May 2024 of $93,600, compared with $49,500 for all U.S. workers.

    Yet, for so many of us who have long championed the rewards of nursing, barriers to entry and workplace challenges thwart the best efforts of nursing leadership and public policy experts to recruit and retain a diverse, competent nursing workforce. The resulting shortage in nursing occupations is expected to continue at least through 2036, according to the latest findings by the Health Resources & Services Administration.

    Dismantling barriers to entry

    We must find ways to reverse the biggest barrier to entry: a nurse faculty shortage that strains the capacity of nursing education programs to admit more qualified applicants. With a master’s degree required to teach, 17% of applicants to M.S.N. programs were denied entry in 2023, according to the National League for Nursing’s Annual Survey of Schools of Nursing. 

    That same study revealed that 15% of qualified applicants to B.S.N. programs were turned away, as were 19% of qualified applicants to associate degree in nursing programs. At the same time, a shrinking number of clinical nurse educators in teaching hospitals, plus budget cuts to academic medical centers, have decreased the placement sites for nursing students to complete clinical requirements for their degrees and licensure. 

    Along with taking steps to address the gaps in the pipeline, we must improve retention by focusing attention on the issues that impede job satisfaction and accelerate retirements, which place even greater pressure on the nurses who remain. 

    Key to improving the work environment must be a serious commitment to empowering nurses with strategies and resources to battle conditions like burnout, bullying and violence, unacceptable staff-to-patient ratios, and communications breakdowns — all factors that nurses have cited as reasons for leaving the workforce.  

    Making legislative change

    Another strong avenue for change exists through legislative channels. Nurses at every level of experience can tap into the power of their voices by contacting federal and state lawmakers to influence public health and budgetary policies that support nursing workforce development. In our outreach to lawmakers, we can seek to help them craft bills that address nursing’s most pressing needs.

    In fact, the Title VIII Nursing Workforce Reauthorization Act of 2025 is just such a bill. This legislation would extend the federal programs that provide most of the financial support for the recruitment, education, and retention of nurses and nurse faculty. Reauthorizing these programs is vital to strengthening nursing education programs and preparing the next generation of nurses.

    Also, a year ago, a pair of bills was introduced in the House of Representatives aimed at curbing the nursing shortage. One sought to increase the number of visas available to foreign nurses who would be assigned to rural and other underserved communities throughout the country, where shortages are most acute. The other bill, the Stop Nurse Shortage Act, was designed to expand BA/BS to BSN programs, facilitating an accelerated pathway into nursing for college graduates.

    While both bills failed to gain passage into law in the last Congressional session, they could be reintroduced or included in other legislation in the future. Nurses must remain persistent and vigilant in pursuit of our vision for nursing’s future.

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  • Nurse Blake on Finding Strength and Humor in the Life of a Nurse

    Nurse Blake on Finding Strength and Humor in the Life of a Nurse

    Creator and comedian Nurse Blake shares how personal hardships, humor, and a commitment to patient connection shaped his approach to healthcare.


    What made you want to become a nurse, and what keeps you passionate about it today?

    When I was younger, in my teens, I went through gay conversion therapy from 15 to 18. I didn’t get a lot of love and a lot of care. I think because of that experience, I wanted to show love and care to other people. That definitely is something that got me interested in healthcare and nursing. My dad is a respiratory therapist, so he also got me into healthcare. Nursing does provide a little more opportunity than respiratory, so I thought it would be a great route for me to go. I’ve just always been interested in trauma, specifically adult trauma, and I like the adrenaline rush.

    You’ve talked about the importance of laughter. Can you share a funny or memorable moment that helped get you through a hard shift?

    I love to integrate humor into my practice. I like to be very personal, very real, very raw with my patients. I feel like it helps break down that barrier. At the end of the day, I’m a person too, and I’m here to care for you and laugh with you. 

    I remember one patient; she had been on the unit for quite a few months, waiting for a liver transplant. I was working in Houston, Texas, in the liver transplant ICU, and she wanted to go outside. She hadn’t been outside in months. I was like, “You know what, I’m going to take you outside.” When a person’s hooked up to so many machines and medications, it’s very hard, so it took the team and I two hours to get her ready to transport her outside. Y’all, by the time we got outside, she was out there for maybe three minutes, and she was like, “It’s too hot out here.” She looked at me, I looked at her, and we just started laughing so hard. She felt so bad that we finally got her outside, but she was so happy to see the sun for a little bit. That little moment of real, raw honesty was definitely needed for both of us.

    What advice do you have for nurses thinking about going back to school or getting an advanced degree?

    Know that you really want it. A lot of people say that they want to do something different and go back to school without really realizing or thinking fully about what the role is. I know a lot of nurse practitioners who were overwhelmed at the bedside, went back to school, took on more loans, became nurse practitioners, and then didn’t realize what nurse practitioners really do. It’s a lot of charting, a lot of bureaucracy. Now they’re a burnt-out nurse practitioner with more student loans. 

    If you want to do it, do it. I highly recommend it. I’m a huge advocate for advancing your education and your career, but make sure you really, really want it. If you’re burnt out in your role right now, there are so many other jobs in nursing and healthcare you can get before going back to school. These colleges are a business, right? Right when we graduate with our associate’s or bachelor’s, it’s like, “When are you going back to school?” Why can’t being a staff nurse at the bedside be enough? It’s always this chase of having more letters behind your name. Take a deep breath and really think about it. Is this really what you want? Is there not another role you could switch to with the education you have now?

    I want to see nurses happy. Every nurse deserves a job that makes them feel fulfilled, a job that’s safe — physically, emotionally, mentally, spiritually — and safe on their license. They deserve to be happy.

    Long shifts are tough. What are some things that help you stay comfortable and energized?

    Always be prepared to not be able to take a break. There aren’t even laws for nurses to get lunches. Some hospitals make us clock out and clock back in, even if we didn’t actually take a lunch. We’ll get in trouble for not clocking out, even if we had no time for breaks because we’re so short-staffed. Bring snacks. Take care of yourself when you’re off the clock so you can be on your A-game when you’re on the clock. Make sure you’re getting enough sleep and eating right when you’re off work, because when you’re at work, it’s really hard to eat right.

    No matter how hard your day gets, know you’re not going to get it all done. Nurses always want to be perfect, but there’s no such thing as a perfect nurse, so shake that off. Just do as much as you can for your patients in the time you have.

    Breathe. A lot of times, we forget to breathe. As someone who has panic attacks and anxiety, I know that when I forget to breathe, that’s when my mental health gets worse. I just put myself in the supply closet or the med room and breathe for a second.

    If you’re overwhelmed, your patients probably are too, so take a break with them. Pull up a chair, even if it’s for a minute, just to connect. That has always helped me get through the really hard times. Laugh a little bit and tell a joke.

    What’s one thing you wish hospitals or nurse leaders did to better support their teams?

    It’s time for hospitals to listen to the nurses. If anyone knows what’s going on in the hospital that’s affecting patients and staff, it’s the nurses. We are with the patients the most. There’s the Nurses Association, and there’s also a big hospital association — CEOs and leaders at hospitals — they have their own lobby and stuff. A lot of times, the hospital association will fight against the Nurses Association. With this big, beautiful bill that’s getting passed, the hospital association is freaking out. It just goes to show that hospitals need to stick with their nurses a lot more. We know what’s going on, and we’d have so much more power if we worked together instead of against each other. Hospitals need to treat their staff the same way they expect staff to treat patients. They need to fight for us. At the end of the day, it affects our communities, and it affects us too, because we’re also members of the community. Even the executives and leaders — you are members. You may be a patient one day. Your family is going to need high-quality, safe care. 

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  • Resilience in Healthcare: A New Approach to Combatting Burnout

    Resilience in Healthcare: A New Approach to Combatting Burnout

    Burnout among nurses is reaching significant levels, making self-care, boundaries, and mental health support essential for sustaining a healthy workforce.

    Valerie J. Fuller, Ph.D., D.N.P.

    President, American Association of Nurse Practitioners

    If I had a dollar for every time someone answered “stressed” when I asked how they’re doing, I’d have a full jar. And as nurses, we’d probably add our own dollars to it. While we are working tirelessly for our patients, it’s important to recognize we are not immune to the stressors around us and must share strategies to help each other and our patients.

    Nurse practitioners and nurses enter health care with a passion to make patients’ lives better. Between work deadlines, family responsibilities, health concerns and the constant buzz of phones , the stress of our everyday lives can be compounding. It’s incumbent upon all of us to recognize that managing stress is an important component to our overall health and well-being. Drawing on our experience and clinical education, we know the value of recognition and understand how to best manage stress to prevent burnout.

    Know the signs

    Stress can also sneak up: tension, poor sleep, irritability, fatigue, appetite changes, headaches, or loss of joy.

    What you can do

    Even in the middle of a packed day, there are things you can do to promote wellbeing and prevent burnout:

    1. Take time for yourself — Whether it’s 10 minutes of quiet, a walk, or your favorite show, it counts.
    2. Set boundaries — Set realistic expectations and boundaries with work, with family and even with yourself.
    3. Schedule time for joy —Add it to your calendar like any other appointment.
    4. Ask for help —Getting support doesn’t mean you’re failing. It’s a path to better health.
    5. Rest — Real, uninterrupted rest is vital to your health.

    When to reach out

    As healthcare providers and industry leaders, we need to apply our knowledge to ensure the provider workforce is better supported to prevent burnout. While stress is a part of life, it shouldn’t take over your life. Let’s stop glorifying burnout and start normalizing rest, boundaries and asking for what we need.

    The future of healthcare depends on a healthy, supported workforce. By addressing burnout with compassion and strategy, we are ensuring that NPs remain exactly where patients need us: present, focused and ready to provide the very best care.

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  • How Jennifer Stone Finds Purpose and Calm in Nursing

    How Jennifer Stone Finds Purpose and Calm in Nursing

    Jennifer Stone | Photos by Leah Huebner

    Actress and ER nurse Jennifer Stone shares how small acts of care, teamwork, and personal routines help nurses stay grounded and effective.


    Can you share a moment from your career that reminded you why you chose nursing?

    I had a doctor once tell me, “If you can really touch one person a shift, it’s been very successful, and that’s a good shift.” As a nurse, you’re always rushing around; it’s very fast-paced, especially in the ER, so it’s about the moments of stillness with somebody who just needs comfort or somebody to care for them. Whether it’s an older person who doesn’t have anybody and just wants to talk, or if it’s somebody who’s really scared, you can just try to make time, stop a little, and be like, “Hey, you’re okay. You’re in the best possible place, and we’ve got you.” It’s those moments of being a sense of certainty for someone in a time of uncertainty that remind me why I do what I do.

    What’s one piece of technology or equipment that’s made your work as a nurse more efficient or effective?

    That’s a great question. A great piece of technology that has made nursing more effective is, I hate to say, the PureWick. We have a lot of non-ambulatory patients, so the PureWick, a condom catheter, helps patients stay more comfortable without using something like a bedpan, which can feel kind of demeaning or uncomfortable or cause bedsores. Also, things like ultrasound machines for hard-stick IVs. Those are game changers. Also, updated charting systems. Having good shorthand to be able to chart efficiently and get back to one-on-one patient care is great.

    Has there been a time when strong communication, with either a patient or teammate, made a big difference in your day?

    I didn’t anticipate that there would be so many parallels between acting and nursing, but one of my favorite things about both is the collaboration.

    Whenever I have a nurse that’s in my team — whether they jump in when I’m stuck in another room with a patient or I do the same for them — it’s that shorthand of seeing that a nurse has a need and collaborating. We’re all on the same team. We’re all trying to accomplish the same thing — better patient outcomes. When I have a nurse who, without me even asking, will jump in and help me with the patient, that makes me feel like we’re all collaborating on this together for a common goal. That’s something that just means the world to me — when nurses will help each other out.

    What advice would you give to a nurse who’s feeling overwhelmed or underappreciated right now?

    Focus on what you can control. I’ll be very honest. For me, I know sometimes, especially in the earlier years, I would get very angry at things that were very out of my control. Whether it was issues with the healthcare system, or the way the system was set up and falling short, I would find myself getting very angry and discouraged. What’s helped me is to focus on the things that I can control. Yes, they may be on a smaller scale, but I can control how I respond to negativity at work or positivity at work. I can control how I talk to patients. I can control what I let in and what I don’t. Especially in an ER environment, or any healthcare bedside environment, there can be a lot of negativity, unfortunately, and it’s within your control what you let in.

    I’ll be honest: Some days I win, and some days I lose and allow things in, for sure. There are shifts I ended where I was like, “Alright, this shift beat me.” But I try to make it so I am in control of how I respond to the healthcare industry, and to know that it’s all a choice. Although some days it’s harder than others.

    What daily habits or small routines help you stay grounded and feel good during long or stressful shifts?

    Getting outside, to be honest. Time stands still when you’re on a 12-hour shift, so I carve out time if I can — and not every shift allows for it — but when I can, I carve out time to just get outside, get some vitamin D, and look at some nature. It’s something to remind you that the entire world isn’t those fluorescent lights. It’s just sort of reconnecting with life outside of the hospital.

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  • Fuel Innovation at Your Institution with the Design Thinking Workbook [Download]

    Fuel Innovation at Your Institution with the Design Thinking Workbook [Download]

    In a time when institutions are being asked to do more with less, reimagining how teams solve problems is critical. That’s where design thinking comes in.

    This workbook introduces a proven framework for creative problem-solving that centers empathy, collaboration, and experimentation. Whether you’re launching a new program, reworking a process, or building cross-functional alignment, design thinking can help your institution move faster and smarter.

    What’s Inside?

    • A breakdown of each phase of the design thinking process
    • Guided activities to structure collaborative work sessions
    • Prompts to help teams challenge assumptions and generate solutions
    • Space to capture insights and action steps in real time
    • Tips for applying design thinking to institutional challenges

    It’s built for higher ed professionals looking to drive innovation without overcomplicating the process.

    Complete the form on the right to download your free copy and start unlocking smarter solutions, faster.

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  • Introducing Focus Friday | HESA

    Introducing Focus Friday | HESA

    Hi everyone,

    I’m excited to share a new initiative we’re launching this fall: Focus Friday.

    Focus Friday is a biweekly webinar series that brings people together around some of the most pressing issues in higher education. Each session runs for an hour and features a few short conversations with invited guests, followed by an open, coffee-chat style discussion where everyone can join in.

    The goal is simple: create space to share ideas, meet new people across the sector, and learn from one another. We especially encourage you to join sessions on topics that may be outside your usual focus as sometimes that’s where the most interesting insights emerge.

    Over the course of this initiative, we’ll be diving into themes like current enrolment trends, student experience, the future of research, and even integrating elements of our AI-CADEMY programming into the series. If you’re doing something exciting in any of these areas, I’d love to hear from you. There’s a suggestion box built directly into the Zoom registration form, and you can always drop me a line at [email protected].

    In each Focus Friday, you’ll receive the Zoom registration link for the next session. For example, below you will find the link to register for our first full session on September 26 from 12:30–1:30pm Eastern.

    I’m excited to chat with you!

    Cheers,

    Tiff

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  • How to use quotes in a story

    How to use quotes in a story

    Journalists talk to people. It is an important way to get information, at a time when many people allow artificial intelligence to do that for them. Facts and figures and things you find on the internet or in documents tell only part of a story. 

    How many things have you told a friend or family member that you wouldn’t want to put down in writing? How many times have you been in a discussion with a group of people who had different takes on something that you all experienced? 

    Haven’t you ever had a surprising epiphany in the middle of a conversation?

    By talking to multiple people who have different perspectives and comparing those thoughts or comments or stories with facts and figures and reports, journalists try to get at the truth of something that happened or is happening. They are also able to instill into an article or podcast the passion and emotion missing from government or academic reports. 

    But once you are ready to write your story, how do you use the information you get from interviews and what do you do with those quotes? 

    First, do some interviews.

    Let’s understand why you even include quotes in a story. One, because it humanizes a story that would otherwise be a tedious read. 

    You could give me a whole argument of why pollution in a river is bad. But it hits me if someone says, “The last time I went swimming, I came out with hives all over my body,” or, “The river is right out our door, but I have to drive my son across the city to the public pool to swim because the river is filthy.”

    Second, including quotes from interviews you did yourself shows your readers or listeners that you didn’t just slap together the story. That gives you credibility in a world where people won’t trust much of what they read. 

    Now, you won’t get that if, instead of interviewing people yourself, you just grab quotes from articles in other publications. When you do that, the opposite happens. You give readers a reason not to trust you, because you are simply reprinting what you read elsewhere. That comes across as lazy and careless. 

    The same is true if you take quotes off press releases issued by some corporation, organization or politician. Worse, because if you don’t tell readers that the quote came from a press release you mislead them. You make it seem as if you spoke to someone when you didn’t. And often, public relations people are allowed to just make up quotes in those press releases; the CEOs or politicians never actually said them the things they are quoted as saying. 

    Bottom line: Avoid using quotes you didn’t get yourself. 

    Using quotes in a story

    So let’s say you did an interview or two. How do you use the quotes from that interview?

    First, understand that quotes are sacrosanct. Once you have quote marks around something someone says, don’t change what is inside those quote marks. You are telling your reader: This person said this exactly. 

    If the quote includes a lot of unnecessary words, what we call blah blah blah, you can’t just delete that within the quote marks. Some people use ellipses (…) to connect the important and relevant parts of the quote without bogging it down with the blah blah blah. Others just take part of the quote. We call that a partial quote. 

    Now, that’s a style preference. Personally, I hate to do that because when you do you expect your reader to trust you. They might instead think you are withholding good information because you don’t agree with it. You risk losing that important credibility you gained by doing the interview in the first place. 

    Instead, I paraphrase. That means that you take the quote marks off the quote and instead, you attribute it. That means that you tag the information with so-and-so said. 

    Not everyone has the the gift of gab.

    You might end up paraphrasing a lot in a story if the people you interviewed don’t have the gift of speech and are nervous and stumble on words or are really boring to talk to, but have good information to give you. You can get great information from boring people! 

    Remember your role. You are talking to these people because your readers or listeners don’t have access to them or wouldn’t want to talk to them. I’ve done hours long interviews where two quotes end up in the story. Those two quotes made it worthwhile but my readers would never have wanted to sit through those painful interviews. 

    And unless you can count on a readership of super-educated people who have great attention spans, keep those quotes short. Really, a quote can be three words: “I felt awful!” she said. 

    If a quote is long to the point where it becomes tedious, paraphrase. When you paraphrase, you can cut out the gobbledygook and even change words as long as you don’t change the meaning of what the person said. 

    That’s a never. 

    Never ever change the meaning of what someone says. If you must change any words from statements in an interview, you need to really understand what the person said and even more so, what the person meant to say. 

    To misquote someone word for word

    I’ve known journalists accused of misquoting someone when they had the statement word for word on a recording. The person simply couldn’t believe they would have said what they said, even though they said it. 

    Now you might think, great! The journalist caught the person. Some people call these “gotcha” moments. 

    But think about your role as a journalist. Isn’t it to get at a truth? And should you penalize people who maybe aren’t used to being interviewed and are nervous and might say things because their brains don’t really have time to work out their thoughts properly? People will feel compelled to impress you or say what they think you want them to say.

    The rule of thumb I go by is that I try to treat people the way I would want to be treated. I get nervous talking to people. I say things I wish I hadn’t said and don’t really mean. I’d be mortified if everything I said ended up in print in some widely read publication. In a class I once taught I caught a student texting on his phone and he told me he was posting what I had just said. That shut me up. 

    Meanwhile, just because someone says something, doesn’t make it true. There is no excuse for including inaccurate or misleading information in a story even if it is said by someone with a fancy title or a prestigious reputation. People can make mistakes, exaggerate and mislead. Quote marks aren’t a blank license to publish. 

    Quotes should pop out.

    Quote marks are like little neon borders around a piece of information. They should stand out. So avoid putting quote marks around basic facts like dates or times or an undisputed amount of money. Quotes should transmit emotion or opinions or ideas. Or as my friend and colleague Deidre Pike says, “Quote the memorable. Paraphrase the mundane.”

    But do you actually have to speak to someone to quote them in a story? A while back, I’d have said yes. But now so much communication is done by email or digital chats that it has become a standard form of dialogue. How many people hate talking on the phone now? Limiting yourself to only people you can talk to in person or by telephone or videoconferencing could limit the types of people you get, and the goal is to get the best information from the best people you can. 

    Transparency is important, though. Let your readers know that you interviewed the person over WhatsApp or LinkedIn or whatever form it took. (My disclosure: the quote I grabbed from Deidre Pike was from her response to a Linkedin inquiry I posted).

    But don’t do that as a default. You are less likely to get that great emotion and passion in a post than you would in person or the phone or on a Zoom call. So try for voice or in person interviews whenever you can. 

    Plus interviews are fun. That person-to-person direct communication builds a connection that you don’t get through instant messaging or email. Hearing someone burst out laughing is way better than an “LOL!” in a text. And while waiting for a message to drop you can’t tell if the person just got distracted because their dog jumped on their lap or the question troubles them and they are taking time to think. But if you are watching them, you can tell. 

    It is harder too to get those memorable anecdotes for a story that will bring it to life. And you can’t count on the uncomfortable silences that get people to open up. 

    Regardless of how you get your quotes, getting them is only the first step. Knowing how to use them in your story will make all the difference. 

    And you can quote me on that. 


     

    Questions to consider:

    1. How can a quote from an interview improve a story?

    2. Why would you paraphrase something someone says instead of quoting it directly?

    3. Why should double check information that an expert told you?


     

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  • Supporting neurodiverse learners requires more than accommodation: It demands systemic change

    Supporting neurodiverse learners requires more than accommodation: It demands systemic change

    Key points:

    Approximately 1 in 5 children in the United States are estimated to be neurodivergent, representing a spectrum of learning and thinking differences such as autism, ADHD, dyslexia, and more. These children experience the world in unique and valuable ways, but too often, our education systems fail to recognize or nurture their potential. In an already challenging educational landscape, where studies show a growing lack of school readiness nationwide, it is more important than ever to ensure that neurodivergent young learners receive the resources and support they need to succeed.

    Early support and intervention

    As President and CEO of Collaborative for Children, I have personally seen the impact that high-quality early childhood education can have on a child’s trajectory. Birth to age five is the most critical window for brain development, laying the foundation for lifelong learning, behavior, and health. However, many children are entering their academic years without the basic skills needed to flourish. For neurodivergent children, who often need tailored approaches to learning, the gap is even wider.

    Research indicates that early intervention, initiated within the first three years of life, can significantly enhance outcomes for neurodivergent children. Children who receive individualized support are more likely to develop stronger language, problem-solving, and social skills. These gains not only help in the classroom but can also lead to higher self-confidence, better relationships and improved well-being into adulthood.

    The Collaborative for Children difference

    Collaborative for Children in Houston focuses on early childhood education and is committed to creating inclusive environments where all children can thrive. In Houston, we have established 125 Centers of Excellence within our early childhood learning network. The Centers of Excellence program helps child care providers deliver high-quality early education that prepares children for kindergarten and beyond. Unlike drop-in daycare, our certified early childhood education model focuses on long-term development, combining research-backed curriculum, business support and family engagement.

    This year, we are expanding our efforts by providing enhanced training to center staff and classroom teachers, equipping them with effective strategies to support neurodivergent learners. These efforts will focus on implementing practical, evidence-based approaches that make a real difference.

    Actionable strategies

    As educators and leaders, we need to reimagine how learning environments are designed and delivered. Among the most effective actionable strategies are:

    • Creating sensory-friendly classrooms that reduce environmental stressors like noise, lighting, and clutter to help children stay calm and focused.
    • Offering flexible learning formats to meet a range of communication, motor, and cognitive styles, including visual aids, movement-based activities, and assistive technology.
    • Training teachers to recognize and respond to diverse behaviors with empathy and without stigma, so that what is often misinterpreted as “disruption” is instead seen as a signal of unmet needs.
    • Partnering with families to create support plans tailored to each child’s strengths and challenges to ensure continuity between home and classroom.
    • Incorporating play-based learning that promotes executive functioning, creativity, and social-emotional development, especially for children who struggle in more traditional formats.

    Benefits of inclusive early education

    Investing in inclusive, high-quality early education has meaningful benefits not only for neurodivergent children, but for other students, educators, families and the broader community. Research indicates that neurotypical students who learn alongside neurodivergent peers develop critical social-emotional skills such as patience, compassion and acceptance. Training in inclusive practices can help educators gain the confidence and tools needed to effectively support a wide range of learning styles and behaviors as well as foster a more responsive learning environment.

    Prioritizing inclusive early education can also create strong bonds between families and schools. These partnerships empower caregivers to play an active role in their child’s development, helping them navigate challenges and access critical resources early on. Having this type of support can be transformative for families by reducing feelings of isolation and reinforcing that their child is seen, valued, and supported.

    The benefits of inclusive early education extend far beyond the classroom. When neurodivergent children receive the support they need early in life, it lays the groundwork for increased workforce readiness. Long-term economic gains can include higher employment rates and greater earning potential for individuals. 

    Early childhood education must evolve to meet the needs of neurodivergent learners. We cannot afford to overlook the importance of early intervention and tailored learning environments. If we are serious about improving outcomes for all children, we must act now and commit to inclusivity as a core pillar of our approach. When we support all children early, everyone benefits.

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