Nurses building a Business of Hope ft. Matt Harless & Ashley Chancellor on Nurse Rosa's INsights

Nurse Rosa's INsights32mJune 1, 2026
AI-Generated Summary

Nurses Ashley Chancellor and Matthew Harless reveal how their personal breakdowns—Ashley’s spinal injury after years in ICU, Matt’s assault and permanent back damage—sparked a revolutionary redefinition of hope in healthcare. They argue that burnout is not the core problem; moral injury—the soul-crushing betrayal of core values in a system designed to extract more than humans can give—is what’s destroying clinicians. Their solution? The Hope Assessment, a simple 10-point self-check-in tool used in huddles, homes, and clinics to normalize emotional transparency. It’s not about feeling good—it’s about building a system where nurses can say 'I’m a one or two' without shame, and where leadership responds with support, not pressure. This isn’t therapy as a perk—it’s infrastructure. They reject the idea that money alone can fix healthcare, insisting the real fix is returning to medicine’s original purpose: healing, not profit. Their vision? A single, fully resourced 'sunrise center' for healers—complete with saunas, labs, and sound healing—to prove that when caregivers are truly cared for, care itself becomes sustainable. The episode dismantles the myth that resilience is a personal responsibility. Instead, they show that boundaries, peer support, and systemic accountability are the real tools of survival. Their work isn’t about fixing nurses—it’s about fixing the system that demands they be broken.

Key Takeaways
1

Moral injury—betrayal of core values in healthcare—is more destructive than burnout and requires systemic solutions, not just personal resilience.

2

The Hope Assessment is a 10-point self-check-in tool (1 = crisis, 10 = rockstar) used in huddles to normalize emotional transparency without storytelling.

3

A 'no' is a complete sentence—setting boundaries is not selfish, but essential for sustainable care and team health.

4

Healthcare systems extract maximum profit from caregivers while offering minimal support, hijacking words like 'care' and 'mission' for profit.

5

The real solution isn’t more money—it’s rebuilding healthcare around human dignity, with centers that treat healers as the priority.

…and 3 more takeaways available in PodZeus

Chapters
0:01
2 min

The Voice That Breaks the Silence

The truth is health care can't wait and neither can we. The change we want to see starts with our voice, your voice.

Highlight
2:13
2 min

From Broken to Purpose: The Personal Origins of the Business of Hope

I fractured my spine. And yeah, and I was not able to return to bedside. And in that pain, I spent months just laying on my floor and crying.

Highlight
4:24
4 min

Burnout vs. Moral Injury: The Hidden War in Healthcare

When you know a better outcome is possible, but you're not equipped to do it and people are coming to you asking for help. And so I really appreciate the work that you are doing in realigning this.

Highlight
9:03
5 min

Hope as a System, Not a Feeling

Matt and Ashley introduce the Hope Assessment—a visual, 10-point scale (1 = crisis, 10 = rockstar) used in team huddles to check in on emotional state. It’s not about positivity, but about creating a culture where vulnerability is safe and support is automatic.

14:16
9 min

The Billion-Dollar Question: Where Should the Money Go?

When asked about a $1 billion grant, Ashley proposes building a single, fully resourced 'sunrise center' for healers—complete with wellness spaces, labs, and healing modalities. Matt counters that money alone won’t fix healthcare; the real need is to return to medicine’s original purpose: healing, not profit.

High-Impact Quotes
We're terrible human beings. And until we learn to deal with that, I don't think anything's going to get better.
Matthew Harless27:55
gather, I fractured my spine. And yeah, and I was not able to return to bedside. And in that pain, I spent months just laying on my floor and crying.
Ashley Chancellor2:53
The reason I care about staffing ratios is because if you give me eight patients when I clock out, they're not better, you know?
Matthew Harless27:13
Speakers

Host

Rosa Hart

Guests

Ashley ChancellorMatthew Harless
Topics Discussed
moral injury in nursing95%hope assessment tool90%nurse burnout recovery85%healthcare system reform80%peer support for nurses75%boundaries in healthcare70%nurse-led innovation65%healing-centered care60%
People & Brands

Rosa Hart

person

15xPositive

Ashley Chancellor

person

12xPositive

Matthew Harless

person

11xPositive

Hope Assessment

product

8xPositive

Just a Nurse

book

4xPositive

Speak Up Start Now

book

3xPositive

Transition to Care

book

2xPositive

Nurses Shift Change

organization

2xPositive

Cincinnati Children's Hospital

organization

2xPositive

Start discovering podcast insights today

Start with a 7-day trial and explore a growing catalog of popular podcasts. No credit card required.

No credit card required • 7-day trial • Cancel anytime