By Rose O. Sherman, EdD, RN, NEA-BC, FAAN A nurse manager recently told me that she felt like her unit was being held together by rubber bands and paper clips. She confessed that I am a major control freak, and this lack of predictability in our healthcare environment drives me crazy. I used to have a good sense of what nurses were thinking and who was unhappy. Today, one of … [Read more...]
Making Tough Choices
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN Now is a challenging time to be a nurse leader. Some wicked problems exist in healthcare environments, and tough choices must be made often without data. Some examples presented to me recently include the following: Should we move forward on a … [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...]
Setting Boundaries in Your Leadership Role
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN Nurse manager recruitment and retention is a critical challenge today. We have new generations of nurses who are interested in their well-being. It is not surprising that so many have said that leadership roles do not provide the balance they need and want in their lives. Many nurse leaders are not role modeling well-being. They are … [Read more...]
Managing Team Negativity
By Rose O. Sherman, Ed.D., RN, NEA-BC, FAAN A nurse manager recently asked the following question - " I am struggling with the negativity and anger of our team - I just can't seem to turn it in a positive direction. What can or should I do? It is so corrosive." This is a question that I have been asked quite a few times over the past two months as leaders struggle with what … [Read more...]
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