By Rose O. Sherman, EdD, RN, NEA-BC, FAAN In recent workshops I've led on the Inverted Pyramid, many leaders have asked for my thoughts on standardized work for novice nurses. Consider the following story from a nurse manager: I am not quite sure what to do, but more and more of my coaching conversations now focus on helping my novice staff stay on track during the shift. … [Read more...]
Breaking the Cycle of Assignment Conflict
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN If you walk into many acute care units during shift change today, the tension is palpable. That tension usually comes not from a code or several unexpected admissions, but from the assignment board. In conversations with charge nurses now, they report that their main source of interpersonal friction isn't conflicts with providers or … [Read more...]
“We” for Wins, “I” for Losses: Leadership Accountability
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN In his book Good to Great, Jim Collins points out that great leaders look out the window when talking about success and look in the mirror when assigning responsibility. In leadership practice, this means committing to saying "We" for wins and "I" for losses. It is one way to build unshakeable trust on your team, as a nurse manager … [Read more...]
Leadership Intensity: The Hidden Costs of a Novice-Dense Workforce
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN As I lead workshops on the Inverted Pyramid of Nursing Experience™, the content seems to be deeply resonating with a growing number of nurse leaders who now see this phenomenon on their units. One leader recently explained, "You are providing a framework for what I am seeing on my unit, but even more important - you are explaining … [Read more...]
The New Graduate Pipeline Is Changing: What It Means for Acute Care Nursing
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN For generations, nursing had an unwritten rule: start your career in a hospital. New graduates were frequently advised to spend at least a year or two in medical-surgical nursing to “get experience” before considering other career options. Acute care was seen as nursing’s proving ground, where nurses developed assessment skills, … [Read more...]
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