By Rose O. Sherman, EdD, RN, NEA-BC, FAAN Transitioning to a new manager role has never been more challenging than in today's environment. I was reminded of this last week when Dr. Joyce Batcheller and I did the Nuts and Bolts of Nursing Leadership in partnership with New England ONL. Over one hundred nurse managers attended the program, and many had less than one year of … [Read more...]
Managing Cultural Drift
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN We had a strong culture, but it appears we no longer do. It is a familiar story I hear today from nurse leaders. Before the COVID pandemic, many health systems had strong cultures reinforced during new staff onboarding. The last two years have been a completely different story with high turnover and few nurses on units who have tenure … [Read more...]
What Nurse Leaders Are Talking About
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN What is happening in other places is a question I often get asked. Although many trends continue, new ones continue to emerge. So what are nurse leaders talking about now as we enter the 4th quarter of 2022? Below are 15 things I am hearing now that are part of the nurse leader’s circle of concern: Patient volumes remain … [Read more...]
Giving Feedback When There is Pushback
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN I have heard multiple versions of a similar story from nurse managers in recent conversations: I tried to give some constructive feedback to one of our new graduates today. It just involved some very minor changes in the way she was prioritizing her assignments. She became so defensive. She thinks she is "doing great," and I … [Read more...]
Redesigning Care Delivery Models
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN Few nurse leaders are saying this aloud, but most realize that it will be impossible to deliver primary nursing care in the future. Assigning nurses to 8-10 acutely ill patients (happening in many settings) and describing it as primary nursing is incompatible with that delivery model. Primary nursing replaced a team nursing … [Read more...]
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