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YON 2020 Day 62: Meredith Foxx, MSN, MBA, APRN, PCNS-BC, PPCNP-BC, CPON

As the Associate Chief Nursing Officer, Advanced Practice Nursing, Nursing Quality & Practice in the Nursing Institute at Cleveland Clinic, Meredith Foxx, MSN, MBA, APRN, PCNS-BC, PPCNP-BC, CPON, has oversight for the over 1,500 APRNs throughout the Cleveland Clinic Health System. She discusses the varied responsibilities of her role and reveals how she maintains her enthusiasm for nursing.

In my role as the Associate Chief Nursing Officer, I have responsibility for nursing practice, including policy and procedure, ANCC excellence journeys, nursing quality metrics and safety. These responsibilities involve many different aspects of patient care, nursing practice and overall health care delivery. Every day is different; and the topics for each day vary from hour to hour….even minute to minute! It is my responsibility to assist in making decisions that will affect nursing practice, which in turn will improve patient care. This role takes a lot of listening, understanding, consensus building, and decision making in the best interest of the patients and nurses, and then ultimately assessing and adjusting. I could go from managing a regulatory requirement to reviewing a new nursing protocol for consideration. I welcome new ideas to provide the safest, highest quality care possible to patients and their families.


When I think of how I keep my passion and enthusiasm for nursing alive, the first thing that comes to mind is the question I always ask myself no matter what I am doing or how hard or challenging it is. That question is simply—how is this benefiting patients? Will what I am doing have a positive impact on patient care? If the answer is yes, then I keep moving forward on whatever it is (a project, a discussion, a situation). If I don’t have a clear answer about how this will positively impact patients, then I pause and rethink my next move.

As a board certified pediatric APRN, I love the pediatric oncology patient population and am active in professional organizations, including APHON, OAAPN & AANP.


The other thing that keeps me passionate about this profession is talking with individuals who are interested in becoming nurses. Once I start talking about the why, it immediately re-energizes me around what I do every day. I always say—I am not a nurse just at work, I am a nurse 24/7/365.

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