Emerging Nurse Leader

A leadership development blog

Nurse Manager Span of Control and Role Scope

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By Rose O. Sherman, EdD, RN, NEA-BC, FAAN A troubling trend is emerging from my discussions with nurse managers. Not only have the managers' spans of control continued to grow, but so has their role scope. With shortages across all disciplines and departments, nursing is the default for tasks needing reassignment, and the responsibility for the task is shifted to the … [Read more...]

Planning a Graceful Exit

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By Rose O. Sherman, EdD, RN, NEA-BC, FAAN To economize, many health systems are eliminating nursing leadership roles, impacting numerous loyal, hard-working nurse leaders. How do you leave a difficult job situation without conveying anger?  I recently talked with a leader who found herself in this situation. She understood that the decision was not personal but could not … [Read more...]

Relational Leadership in a Transactional World

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By Rose O. Sherman, EdD, RN, NEA-BC There is significant research evidence that a relationship leadership style (authentic, servant, and human-centered leadership) is linked to more effective recruitment and retention and quality patient outcomes. However, nurse leaders increasingly tell me staying relational is more complicated in a transactional healthcare environment. … [Read more...]

Who Owns the Patient Experience?

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By Rose O. Sherman, EdD, RN, NEA-BC, FAAN Nurse managers increasingly report dissatisfaction with how accountability for the patient experience is viewed in their health systems. Consider the following story an Emergency Department Manager recently reported in a manager focus group: “ We have had a triage tent in front of my ED for almost two years – that’s how busy we … [Read more...]

Why Learning to Think Critically is Hard

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By Rose O. Sherman, EdD, RN, FAAN I had an interesting discussion with a group of nurse leaders about the challenges they see with their RNs around critically thinking through complex situations. They observed that new nurses ask for recipe-like guidelines for every situation. Nursing does not work that way, they noted - every patient is different, and there are so many … [Read more...]