By Rose O. Sherman, EdD, RN, NEA-BC, FAAN For years, the dominant narrative in nursing workforce data was mobility. Leaders were chasing high turnover and competing with lucrative travel contracts. But a quiet shift is happening on some clinical units: nurses are staying put. Job Hugging is the practice of holding onto a current position, not necessarily out of deep … [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...]
Why Leading in a Unionized Environment Has Become More Complicated
By Rose O. Sherman, EdD, RN, NEA- BC, FAAN A colleague of mine has to relocate for family reasons. She is currently a CNO in a non-unionized environment in a right-to-work state where few hospitals are unionized. She has no personal experience leading in a unionized environment at any level. She now plans to move to a region where most hospitals are unionized, and there has … [Read more...]
Pulling the Future Forward
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN I have recently been talking with nurse leaders about the Inverted Pyramid seen in so many acute care environments today. Our traditional staffing methodologies, leadership strategies, and care delivery mechanisms are failing because they were built in a world where nursing experience was abundant at the bedside. Today, we are in … [Read more...]
Conducting a Pre-Mortem: Avoiding Leadership Burnout Before It Starts
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN Recently, a nurse manager reached out to me for advice on a situation she is now confronting in her organization. She is a nurse manager who leads a busy cardiac care unit and has been asked by her CNO to pick up a second department - the Cardiac Interventional Procedural Unit. This would be a new area for her and would add … [Read more...]
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