By Rose O. Sherman, EdD, RN, NEA-BC, FAAN The landscape of our workforce has shifted dramatically, yet many of our professional governance structures remain frozen in a 1990s time capsule. When I talk to nurse leaders across the country, a common frustration emerges: "We have the councils, but we can't get anyone to show up—especially our younger nurses." Press Ganey data in … [Read more...]
From Peer to Leader: The Invisible Friction of Being Promoting From Within
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN An increasing number of new nurse leaders today are internal promotions from within their own unit or organization. A strong business case can be made for internal leadership hires. The research indicates that they are less likely to leave positions once selected because they are familiar with the culture, organizational norms, and … [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...]
Managing the Escalation of Violent Behaviors in Healthcare
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN In almost every session I do, nurse leaders talk about the escalation of violent behavior from patients and family members. Almost everyone agrees it is out of control, but solving the problem is complex. Many health systems have clear behavioral guidelines and a zero tolerance for incivility and violence. But enforcing these rules … [Read more...]
Bridging the Experience Gap: Hardwiring Patient Surveillance on Your Unit
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN As I look at the landscape of acute care today, I see a profound shift that keeps many leaders up at night. We are leading a workforce with a high concentration of novice nurses—talented, eager, but fundamentally lacking the "clinical mileage" that seasoned veterans rely on. When we talk about patient safety in this context, we often … [Read more...]
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