By Rose O. Sherman, EdD, RN, NEA-BC, FAAN I recently interviewed a nurse leader who shared her concerns about the level of cognitive overload experienced by nurses today. She shared the following observation: So, let's hypothetically walk in the shoes of a medical-surgical nurse today. I start my shift with five assigned patients, but by the end of my 12 hours - all five … [Read more...]
Adding LPNs to Acute Care Teams
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN Many healthcare systems will be piloting new care delivery models that include the use of LPNs in 2024. Some systems, such as Community Health Systems, the Department of Veterans Affairs, and Dartmouth Hitchcock, have successfully been doing this for years. I had a long leadership history of working with LPNs during the 25 years I … [Read more...]
Do Stay Interviews Now with Your New Graduate Nurses
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN A nurse manager recently noted during a webinar that the new graduates they hired in June already seem restless and they are not even finished with their residency program. She observed that "recent graduates come into her health system, complete their residency program and then leave to travel or take other positions. We are in a … [Read more...]
Ten Reasons Why Redesigning Nursing Care Delivery is Hard
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN Many health systems have prioritized piloting a team-based nursing care delivery redesign project as part of their 2024 strategic plan. Medical-surgical units are often selected as high-priority because they are challenging from both a recruitment and retention standpoint. Nurse leaders often find they need help with how to get … [Read more...]
Developing Thicker Skin As A Leader
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN I recently asked a nurse manager who had successfully transitioned through her first year in a leadership role - what advice she would have for a new manager. She recommended that they develop a tougher skin, especially now. She explained that initially, in her role - she spent a lot of time being guilty about the challenges and … [Read more...]
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