By Rose O. Sherman, EdD, RN, NEA-BC, FAAN In our current healthcare landscape, we are seeing a massive shift in the experience levels of our frontline staff. In recent blogs, I have been discussing the "Inverted Pyramid"—where our most experienced nurses are moving into leadership or retirement, leaving a foundation of novice nurses who are technically capable but still … [Read more...]
Three Hospitals Under One Roof
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN I recently reviewed the Press Ganey Health Safety 2026 report, and one finding stopped me in my tracks. It’s a concept they call "Three Hospitals Under One Roof." As I talk with nurse leaders across the country, I often hear a common frustration: "Rose, I feel like I’m managing three different organizations depending on the … [Read more...]
Scheduling Touchpoints with Your Generation Z Nurses
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 … [Read more...]
Questions to Ask New Graduates During Interviews
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN We are entering the time when organizations begin hiring for their nurse residency programs. I am a firm believer that nurse managers need to be involved in the selection process, as the manager-nurse relationship is critically important. Transitioning from a student to a professional nurse is a high-stakes period, and as we have … [Read more...]
What is Trending Now for Nurse Leaders
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN The first quarter of 2026 is over, yet the healthcare environment remains turbulent, with some strong headwinds ahead as health systems continue to evaluate the potential financial impact of HR-1. Here is what I see trending now as I meet with nurse leaders across the country. Union activity continues to increase across the … [Read more...]





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