Mindfulness in Leadership - Emerging Nurse Leader

By Rose O. Sherman, EdD, RN, NEA-BC, FAAN

A nurse manager recently asked me for advice on how to slow down. She said she was worried about her ability to maintain the pace of work that she had set for herself. These concerns are not unique to this nurse leader. In our chaotic and fast-paced healthcare environment, it can be challenging to slow down, observe, and listen to what is being said. There is good evidence that cultivating mindfulness; a practice inherited from the Buddist tradition can help leaders to relieve some of their stress and feel more in the moment with their work.

The Power of Mindfulness

Mindfulness is defined as knowing what you are doing, feeling or thinking in the present moment. For leaders, it also means the cultivation of leadership presence. Nurse leaders are expected to solve complex problems and work with teams of individuals who often have differing points of view. These activities can be very stressful, and it is often difficult for leaders to stay present in these conversations and not to drift to other work, which may be left undone. Mindfulness is practiced by focusing your full attention on whatever is happening at the moment with clarity and acceptance.

By bringing ourselves into the present moment and away from thinking about the past or future, we can shift our relationship to stress. We can think of the present moment as a vacuum chamber and that stress, anxiety, and depression-generating thoughts require an oxygen-rich atmosphere to thrive. By being in the present moment, we help ourselves as nurse leaders to deal with the challenges of stress and attempt to successfully confront what captures our attention in the present. This is important for nurse leaders to consider because sometimes our most significant strengths (energy, ambition, willingness to act quickly) can become our greatest liabilities in maintaining the pace of our work. In today’s environment, nurse leaders spend a great deal of time trying to multitask, often unsuccessfully.

Strategies to Cultivate Mindfulness

The art of being present in the here and now can be more difficult than you think. Here are several strategies that can be used to cultivate mindfulness:

1. Meditation

Meditation for as little as 10 minutes a day at work allows us to listen and pay attention to what we might otherwise overlook—whether it’s a fresh idea or a new way of perceiving a situation—enhancing our creativity and letting go of our obstacles to innovation. During this meditation, accept all your physical, emotional, and intellectual experiences, even the negative ones. Focus on your breathing and have a sense of the space around you.

2. Attune yourself to the Feelings and Actions of Others

Closely listen and observe others while suspending all judgment of what you see. This is called purposeful attention and blocking out everything else in the environment. The goal here is to be nonreactive and carefully choosing your response to a situation. It also means recognizing that you don’t always need to respond. For nurse leaders, this also means closing the space (shutting your door) during the conversation so you can truly focus on what is being said.

3. Exercise Daily

Daily exercise has been found to both help leaders become more attune to their bodies, reduce stress, and improve mental fitness.

4. Finding Space to Reflect and Be Creative

Cultivating mindfulness also involves becoming more attune to our own thoughts and feelings. This means intentionally carving out time each day for reflection on our leadership. It is essential to ask questions such as, Am I acting in concert with my values? Am I the leader I aspire to be? How am I doing managing the stress of my current situation?

Victor Frankel once astutely observed that “Between stimulus and response there is a space. In that space is our power to choose our response. In our response lies our growth and our freedom” Many nurse leaders, such as the manager I discussed in the introduction, respond to the pressure inherent in leadership by working harder and doing more of the same. Through mindfulness, we can learn to reflect and to attend to both the quiet voice inside and the subtle clues from others and our environment, which can steer us in the right direction as nurse leaders.

Read to Lead

Alexander. R. (2010). Learn how to become a mindful leader. Psychology Today Blog

Carter, J & Gimian J. (2018) How mindfulness makes you a better leader.

McKee, A., Johnston, F. & Massimilan, R. (2006). MINDFULNESS, HOPE, AND COMPASSION: A LEADER’S ROAD MAP TO RENEWAL. Ivey Business Journal.

Read Rose Sherman’s new book – The Nurse Leader Coach: Become the Boss No One Wants to Leave