She also says nurses sometimes believe that "no one else can take care of my patients the way that I can take care of them;" they're reluctant to "hand over the accountability to someone else."
Finally, nurses often feel guilty when they take breaks (although she notes that smokers manage to find the time for multiple cigarette breaks).
Despite the cultural and organizational hurdles, Scott feels strongly that nurses and nurse leaders can't just carry on doing things the way they've always done them.
"When I've done presentations before I will have nurse leaders say—especially related to 12-hour shifts—that they don't want to make a change because they're afraid they'll lose their staff," Scott says.
"They may be afraid of that outcome, but there are other outcomes that are even more concerning and more serious. Our patients can't afford that. We can't afford that. Patients, employees, and employers all deserve better. We can do better."