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...]
Avoiding Preceptor Burnout
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN One of the most challenging issues in acute care settings right now is managing preceptor burnout. As units have become more novice nurse dense, there are fewer experienced and expert staff to precept them. Many leaders tell me they see a version of "maternal attachment disorder" playing out on their units where burned out precetors … [Read more...]
Are NPs Becoming Less Satisfied with the APP Role?
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN In recent focus groups and sessions I have conducted, some nurse managers now report an interesting new trend - NPs who want to return to Acute Care Environments in staff nurse roles. While the Nurse Practitioner (NP) role is among the fastest-growing and generally one of the higher-paying roles in healthcare, recent data … [Read more...]
Three Hospitals Under One Roof
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN I recently reviewed the Press Ganey Health Safety 2026 report, and one finding stopped me in my tracks. It’s a concept they call "Three Hospitals Under One Roof." As I talk with nurse leaders across the country, I often hear a common frustration: "Rose, I feel like I’m managing three different organizations depending on the … [Read more...]
Leading through the Inverted Pyramid: Assessing Your Unit’s Stability
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN In Ernest Hemingway's novel The Sun Also Rises, two of his characters discuss bankruptcy. One asks the other how he went broke, and he answered with a now widely used quote: It happened gradually and then suddenly." That same phenomenon of gradually, then all at once, is how many nurse leaders feel as they look at their staff, who … [Read more...]
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