Emerging Nurse Leader

A leadership development blog

The Hidden Reason Length of Stay May Be Increasing

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By Rose O. Sherman, EdD, RN, NEA-BC, FAAN If you ask any Chief Nursing Officer what is driving their stubbornly high Length of Stay (LOS), you will likely get a familiar list of macro-bottlenecks: delayed physician orders, transportation challenges, physical therapy clearances, or a shortage of post-acute nursing beds. But there may be another explanation that is happening … [Read more...]

Why Leading in a Unionized Environment Has Become More Complicated

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By Rose O. Sherman, EdD, RN, NEA- BC, FAAN A colleague of mine has to relocate for family reasons. She is currently a CNO in a non-unionized environment in a right-to-work state where few hospitals are unionized. She has no personal experience leading in a unionized environment at any level. She now plans to move to a region where most hospitals are unionized, and there has … [Read more...]

Pulling the Future Forward

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By Rose O. Sherman, EdD, RN, NEA-BC, FAAN I have recently been talking with nurse leaders about the Inverted Pyramid seen in so many acute care environments today. Our traditional staffing methodologies, leadership strategies, and care delivery mechanisms are failing because they were built in a world where nursing experience was abundant at the bedside. Today, we are in … [Read more...]

Conducting a Pre-Mortem: Avoiding Leadership Burnout Before It Starts

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By Rose O. Sherman, EdD, RN, NEA-BC, FAAN Recently, a nurse manager reached out to me for advice on a situation she is now confronting in her organization. She is a nurse manager who leads a busy cardiac care unit and has been asked by her CNO to pick up a second department - the Cardiac Interventional Procedural Unit. This would be a new area for her and would add … [Read more...]

Avoiding Preceptor Burnout

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By Rose O. Sherman, EdD, RN, NEA-BC, FAAN One of the most challenging issues in acute care settings right now is managing preceptor burnout. As units have become more novice nurse dense, there are fewer experienced and expert staff to precept them. Many leaders tell me they see a version of "maternal attachment disorder" playing out on their units where burned out precetors … [Read more...]