By Rose O. Sherman, EdD, RN, NEA-BC, FAAN Changes are happening so fast in healthcare environments that many leaders report some staff are just shutting down. We know that quality improvements require change. Performance improvements require change. Reimbursement requirements require change. Nurse want to see change that will result in both better patient outcomes and … [Read more...]
Responding to Angry Outbursts from Staff
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN A new manager recently asked me about the best approach to responding to an angry outburst from a staff member. A staff nurse on her unit had become very angry in a staff meeting about an upcoming change in policy. She was disrespectful to the manager accusing her of having no clue what staff were up against in taking care of … [Read more...]
Why Reflection in Leadership Matters
By Rose O. Sherman, EdD, RN, FAAN One of the interesting things that I have learned from my work with nurse leaders is that they leave little time for reflection in their daily work. I thought about this recently when I was coaching a leader going through some serious challenges in her new environment. Her solution was to stay in motion and keep putting out the fires even … [Read more...]
When We Don’t Like the Evidence
By Rose O. Sherman, EdD, RN, FAAN Last week, I attended the 2018 International QSEN (Quality, Safety& Education for Nurses) Forum. This group is committed to the spread of evidence-based practice to improve quality and safety in nursing practice. Dr. Bernadette Melnyk, an international nursing expert on evidence-based practice, spoke about the need to move evidence … [Read more...]
Rebuilding a Toxic Unit Culture
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN New managers often ask me if it is possible to remold a culture that has become toxic over time. My answer is always the same. You can rebuild a culture but it will take time and leadership commitment. It will not happen overnight and incremental changes can profoundly improve a culture over time. Culture has been described as … [Read more...]
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