By Rose O. Sherman, EdD, RN, NEA-BC, FAAN Every nurse manager recognizes the difference between having textbook knowledge and clinical mastery. It’s the ability to look at a patient from the doorway and know they are deteriorating before the vitals even change. It’s knowing exactly how to maneuver a difficult specialty catheter, or how to de-escalate a family’s mounting … [Read more...]
The Rising Tide of Unionization in Magnet Hospitals
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN A colleague recently reached out to discuss some recent intense unionization efforts at her three-time Magnet-designated hospital. I know I am not alone in this, as I have observed in talking with other CNOs, but I never expected this to happen. I always felt that our Magnet status protected us from these efforts, and I have even … [Read more...]
Setting a Hard Stop to Your Day When The Work Isn’t Done
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN It’s 5:00 PM. You tell yourself you’re going to shut down your computer, but then you see one more email. Or you remember a task you forgot. Suddenly, it’s 7:30 PM, you’re exhausted, and you're still working. Does this sound familiar? For busy professionals who carry a heavy mental load, the brain doesn't have an off switch—it needs … [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...]
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