By Rose O. Sherman, EdD, RN, NEA-BC, FAAN When an experienced nurse leaves a hospital, we often measure the loss in familiar ways: turnover costs, vacancy rates, recruitment expenses, and the time required to orient a replacement. But what if the greatest loss is something we are not measuring? Experienced nurses do an enormous amount of invisible work that keeps patients … [Read more...]
Why Novice Dense Units Need Clinically Expert Nurse Managers
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN For years, nurse managers have asked me what I think about taking on leadership responsibilities on units where they have no clinical expertise. With fewer leadership candidates, organizations have increasingly asked their leaders to do so. In modern healthcare leadership, a persistent management philosophy suggests that leadership … [Read more...]
Translating the Importance of Clinical Experience in the C-Suite
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN As more nurse leaders struggle with novice density (and its accompanying challenges) on their units, they increasingly face criticism from C-suite colleagues. Consider the story a CNO recently shared with me: I just met with our CFO this week. He reviewed the productivity dashboard for 4-East, one of our medical-surgical units. He … [Read more...]
Standard Work for Novice Nurses: Stop Expecting Them to Figure It Out
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN In recent workshops I've led on the Inverted Pyramid, many leaders have asked for my thoughts on standardized work for novice nurses. Consider the following story from a nurse manager: I am not quite sure what to do, but more and more of my coaching conversations now focus on helping my novice staff stay on track during the shift. … [Read more...]
“We” for Wins, “I” for Losses: Leadership Accountability
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN In his book Good to Great, Jim Collins points out that great leaders look out the window when talking about success and look in the mirror when assigning responsibility. In leadership practice, this means committing to saying "We" for wins and "I" for losses. It is one way to build unshakeable trust on your team, as a nurse manager … [Read more...]
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