EP38 Why AI in Healthcare Fails Without Nurses at the Table - Athena Fernandez, Jing Wang, Troy Seagondollar
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In this episode we explore why so many AI initiatives in healthcare stall—and how nursing leaders can change that. Dr. Jing Wang (FSU Nursing), Athena Fernandez (Penn Medicine), and Troy Seagondollar (formerly Kaiser Permanente) reflect on the current AI landscape and what it takes to make tools truly work for nurses at the bedside. From sepsis prediction models to staffing automation, they share hard-won lessons in AI governance, change management, and clinical trust. Our panel dives into the growing gap between innovation and implementation—and how nurse-led strategies can help close it.
Key Takeaways- AI projects often fail when nurses are excluded from planning and implementation.
- Augmented intelligence offers more clinical value than full automation.
- Nurse informaticists are essential to bridging IT and frontline workflows.
- Change management begins with bedside relevance, not just executive strategy.
- Sepsis prediction models reveal the risks of misaligned AI tools.
- AI should enhance—not replace—clinical judgment.
- National frameworks can help standardize and scale ethical AI use.
- Transparency and education are key to building trust in AI systems.
- Governance structures must include frontline feedback loops.
- Empowering nurses helps ensure AI improves care, not burdens it.
00:00 Welcome & Framing the Episode 01:55 Nursing's Role in AI Adoption 04:16 Lessons from Sepsis Prediction Tools 07:41 When Nurses Are Left Out of the Process 09:13 Hidden Costs: Workflow Disruption and Trust Erosion 11:23 Building a Feedback-Driven Governance Model 13:01 National Nursing + AI Framework 15:52 Bridging Academia and Clinical Reality 20:06 Traits of an AI-Savvy Nurse Leader 21:26 How Nurse Leaders Can Get Started 24:46 Artificial vs. Augmented Intelligence in Practice 28:28 The Tsunami of Tools: Change Management in Action 31:15 Building Clinical Trust in AI 34:22 Final Thoughts & Call to Action
Guests: Aretha Fernandez Jing Wang Troy Seagondollar Host: Gregg Malkary - Spyglass Consulting Group Cohost: Keith Washington - Companions in Courage Foundation Sponsored by: Simplifi Medical & Storage Systems Unlimited Audio/Video: Tim Jones - Health Nuts Media Marketing: Josh Troop - Troop-Creative Learn More at: www.beyond-blueprint.com
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