By Rose O. Sherman, EdD, RN, NEA-BC, FAAN
For Gen Z, work is deeply relational. They don’t just want a boss; they want a coach who is invested in their growth. Unlike previous generations who might have viewed “no news as good news,” Gen Z interprets silence as a lack of support.
In my leadership sessions with nurse managers, I often hear, “Rose, I feel like I’m constantly talking to my staff, but they still report that I am not visible and that they feel disconnected.”
The reality of the modern health care environment is that “rounding” has become more about tasks and less about the person. For our Gen Z nurses—those born between 1997 and 2012—connection is the currency of retention. To keep them, we must move beyond the casual “How are things going?” and move toward intentional, scheduled touchpoints.
Why Touchpoints Matter
A touchpoint is not a performance review; it is a dedicated moment of psychological safety. For a Gen Z nurse, the purpose is threefold:
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Validation: Confirming that they are meeting expectations (they struggle with high levels of anxiety regarding their performance).
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Belonging: Reaffirming that they are a vital part of the team.
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Alignment: Ensuring their personal professional goals are being seen and supported by leadership.
How frequently do you need to do them?
While we would love to have deep dives daily, it isn’t sustainable. However, Gen Z requires more frequent feedback loops (from their manager) than Millennials or Gen X. The recently published AONL Generation Z Laudio Report points out that Gen Z nurses need 2.5 more meaningful interactions each month than Millennials need and 5X more than Generation X. It is therefore no surprise that leaders in these other generational cohorts believe they are already doing enough touchpoints based on their own needs.
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The First 90 Days: Weekly 10-minute “check-ins.” This is the “Reality Shock” phase (as Dr. Judy Duchscher’s work reminds us), where the risk of turnover is highest.
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The Established Generation Z Nurse: At least 3 touchpoints a month.
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The Medium: These don’t always have to be in an office. A “walking 1:1” or a scheduled 15-minute coffee break can be even more effective.
What Questions to Ask During Touchpoints
To get past the “I’m fine” defense, we need to ask open-ended questions that seek information rather than “compliance” questions. Here are five favorites to include in your leadership toolkit:
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“What has been the most meaningful part of your week so far?” (Focuses on purpose).
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“On a scale of 1-10, how supported did you feel during your last shift? What would have made it a point higher?” (Provides a tangible metric for you to act on).
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“Is there a skill or a piece of equipment you’re still feeling ‘shaky’ on?” (Normalizes the learning curve and reduces anxiety).
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“What is one thing I could do—or stop doing—to make your job easier?” (Builds trust through vulnerability).
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“Who on the team has been a ‘hero’ to you this week?” (Encourages peer recognition and culture building).
Develop a system to track your touchpoints with staff, so you are reminded of any you may still need to complete. We cannot manage Gen Z from a distance. We must lead them through proximity. By scheduling these touchpoints, you aren’t just managing a schedule; you are building the “staying power” of your unit.
© emergingrnleader.com 2026
To effectively lead through these challenges and others, nurse leaders need new tools and strategies. Let me help you as I have helped hundreds of organizations over the past five years. Book a workshop or keynote for your team by contacting me at roseosherman@outlook.com
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