By Rose O. Sherman, EdD, RN, NEA-BC, FAAN A colleague recently reached out to discuss some recent intense unionization efforts at her three-time Magnet-designated hospital. I know I am not alone in this, as I have observed in talking with other CNOs, but I never expected this to happen. I always felt that our Magnet status protected us from these efforts, and I have even … [Read more...]
Setting a Hard Stop to Your Day When The Work Isn’t Done
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN It’s 5:00 PM. You tell yourself you’re going to shut down your computer, but then you see one more email. Or you remember a task you forgot. Suddenly, it’s 7:30 PM, you’re exhausted, and you're still working. Does this sound familiar? For busy professionals who carry a heavy mental load, the brain doesn't have an off switch—it needs … [Read more...]
The Hidden Reason Length of Stay May Be Increasing
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...]
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...]
The Path Back to Us: Rebuilding Broken Trust
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN I was recently reminded of how difficult it can be to rebuild broken trust in talking with leaders whose health system experienced a nursing strike. Trust acts as the essential "glue" holding a unit together. When conflict occurs—whether due to a strike, staffing shortages, a difficult clinical event, a CNO fired without apparent … [Read more...]
LinkedIn
Instagram