In this episode of The Handoff, Dr. Joni Watson speaks with Dr. Terry McDonald, system chief nursing executive and senior vice president at Duke University Health System. Dr. McDonald shares her journey from her early careers to becoming a leader in healthcare, highlighting her experience in transforming nursing leadership and supporting second and third career nurses. The conversation delves into the evolution of nursing since the pandemic, the enrichment brought by diverse career backgrounds, and the exciting future for nurses across generations. Dr. McDonald also discusses the importance of maintaining optimism, embracing new technologies, and fostering an environment where nurses can thrive and innovate in the evolving healthcare landscape.