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...]
Managing the Perfectionist Nurse
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN Managing perfectionist nurses is a big challenge for nurse managers. On one hand, you love their attention to detail and clinical accuracy. On the other hand, perfectionism in nursing is a fast track to severe burnout, delayed charting, anxiety, and sometimes friction with you, their leader, when you try to give them performance … [Read more...]
Inverted Pyramid Workshop – Open to All Leaders – June 17 2026
Just a few slots left. I am pleased to partner with the New England ONL on the workshop that's generating a lot of discussion, as leaders now see that the nursing workforce has undergone a structural change in acute care. The traditional staffing pyramid — anchored by a deep layer of expert clinicians — has inverted. Today’s acute care units often rely on novice-dense teams … [Read more...]
Losing Ground: Why the Sudden Drop in Male Nurses Matters
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN Becker's Hospital Review recently reported on a stunning reversal. After almost a decade of improvement, the number of men in nursing is now declining. Men represented 10.4% of registered nurses in 2024, down from 11.2% in 2022, according to data from the National Council of State Boards of Nursing’s 2024 National Nursing Workforce … [Read more...]
Checklists as a Launchpad for Critical Thinking
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN Last week, during a session, a nurse leader posed a very interesting question. Her unit, like many in acute care today, is staffed by a novice-dense team of nurses. Her question was about the tradeoffs between providing extensive checklists and promoting critical thinking. She pointed out that in a novice-dense environment, reliance … [Read more...]
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