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...]
The Illusion of Leadership Control
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...]
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