By Rose O. Sherman, EdD, RN, NEA-BC, FAAN I was recently asked by a new manager how to begin rebuilding psychological safety on a unit where staff deeply distrusted their previous leader. Mending a broken trust can be challenging. Blame and incivility were characteristics of the culture that had evolved over many years. New graduate turnover was very high because of the … [Read more...]
Your Team at Night
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN I was recently asked the question by a nurse manager about how to manage the night shift when you are not there. It is a great question and one that managers often struggle with. You want to be supportive and visible. Yet at the same time, you get caught up with the chaos of the work leaving little time to think about how to best … [Read more...]
Knowledge Transfer on High Turnover Units
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN The national bedside nursing turnover rate increased in 2017 to 16.8%, a 2% increase in one year (NSI, 2018). Much of this nursing turnover continues to occur in the first three years of practice. The overall vacancy rate for RNs in the US is now 8.2% nationwide with some geographic areas experiencing severe shortages. High … [Read more...]
When You Don’t Respond to Emails
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN One of my Millennial nurse leader students was upset because her Chief Nursing Officer had spoken to her about her lack of responsiveness on email. I don't like email, she explained to me. I prefer to be texted. The challenge is that her organization uses email as their official communication mechanism so opting out is not really … [Read more...]
Confronting Difficult Behavior
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN I recently had a conversation with an Uber driver who told me about an experience with an angry, out of control passenger. What he described to me was behavior from patients and sometimes staff during my years of working in the Department of Veterans Affairs. I quickly learned that these interactions were never pleasant but … [Read more...]
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