This blog is for new and aspiring nurse leaders throughout the world who are interested in nursing leadership as career path. You may be in your first nursing leadership position or perhaps you just became a Registered Nurse but see leadership in your future. My goal is to provide you with leadership development information that is cutting edge and incorporates best practices … [Read more...]
The Hidden Reason Length of Stay May Be Increasing
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN If you ask any Chief Nursing Officer what is driving their stubbornly high Length of Stay (LOS), you will likely get a familiar list of macro-bottlenecks: delayed physician orders, transportation challenges, physical therapy clearances, or a shortage of post-acute nursing beds. But there may be another explanation that is happening … [Read more...]
Managing the Perfectionist Nurse
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN Managing perfectionist nurses is a big challenge for nurse managers. On one hand, you love their attention to detail and clinical accuracy. On the other hand, perfectionism in nursing is a fast track to severe burnout, delayed charting, anxiety, and sometimes friction with you, their leader, when you try to give them performance … [Read more...]
Inverted Pyramid Workshop – Open to All Leaders – June 17 2026
Just a few slots left. I am pleased to partner with the New England ONL on the workshop that's generating a lot of discussion, as leaders now see that the nursing workforce has undergone a structural change in acute care. The traditional staffing pyramid — anchored by a deep layer of expert clinicians — has inverted. Today’s acute care units often rely on novice-dense teams … [Read more...]
Losing Ground: Why the Sudden Drop in Male Nurses Matters
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN Becker's Hospital Review recently reported on a stunning reversal. After almost a decade of improvement, the number of men in nursing is now declining. Men represented 10.4% of registered nurses in 2024, down from 11.2% in 2022, according to data from the National Council of State Boards of Nursing’s 2024 National Nursing Workforce … [Read more...]
Checklists as a Launchpad for Critical Thinking
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN Last week, during a session, a nurse leader posed a very interesting question. Her unit, like many in acute care today, is staffed by a novice-dense team of nurses. Her question was about the tradeoffs between providing extensive checklists and promoting critical thinking. She pointed out that in a novice-dense environment, reliance … [Read more...]
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