One of the most rewarding aspects of hosting this blog is reading the profound insights shared by our community of nurse leaders. Today, I’m excited to feature a guest post from Christine Andreozzi, MSN, RN, Clinical Manager at Middlesex Health Cancer Center in Middletown, Connecticut, who beautifully captures a truth we often lose sight of amid operational chaos: Moving into … [Read more...]
Inside the Novice Nurse Brain: Bridging the Experience Gap
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN For nurse leaders and preceptors, watching newly licensed nurses struggle can feel baffling. You see a patient in bed 4 showing subtle signs of early sepsis, and your brain instantly triggers an action plan. Meanwhile, your novice nurse is hyper-focused on completing a routine medication pass on time, completely missing the trend in … [Read more...]
When Nurse Managers Get Booed
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN A nurse manager recently asked me how nurse leaders can push back against the growing trend on social media (by nurse influencers) that disparages the role of the nurse manager. She specifically cited Nurse Blake, who often makes critical remarks about leaders on his well-attended comedy shows that travel across the country and his … [Read more...]
Developing Red Flag Lists in Acute Care
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN One of the challenges of having a novice-dense workforce in acute care is teaching them to recognize clinical deterioration and, more crucially, to overcome the "intimidated silence" that often occurs in these environments. As I do the Inverted Pyramid Workshops across the country, so many nurse managers have talked with me about … [Read more...]
Navigating the Dunning-Krueger Effect on Units with an Inverse Pyramid of Experience
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN A nurse leader recently asked me how to manage overconfidence with her novice team. She told me that many of her newest nurses had challenges taking feedback. She further explained: "Ironically, some of my new graduates think they are very high performers when they are not. I think they are comparing themselves to other nurses with a … [Read more...]
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