By Rose O. Sherman, EdD, RN, NEA-BC, FAAN A troubling trend is emerging from my discussions with nurse managers. Not only have the managers' spans of control continued to grow, but so has their role scope. With shortages across all disciplines and departments, nursing is the default for tasks needing reassignment, and the responsibility for the task is shifted to the … [Read more...]
Planning a Graceful Exit
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN To economize, many health systems are eliminating nursing leadership roles, impacting numerous loyal, hard-working nurse leaders. How do you leave a difficult job situation without conveying anger? I recently talked with a leader who found herself in this situation. She understood that the decision was not personal but could not … [Read more...]
Relational Leadership in a Transactional World
By Rose O. Sherman, EdD, RN, NEA-BC There is significant research evidence that a relationship leadership style (authentic, servant, and human-centered leadership) is linked to more effective recruitment and retention and quality patient outcomes. However, nurse leaders increasingly tell me staying relational is more complicated in a transactional healthcare environment. … [Read more...]
The Role of Nurse Recognition
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN The topic of recognition is coming up more frequently today as I talk with nurse leaders. They see it as a double-edged sword. While most understand the importance of giving recognition, they now find many staff who want recognition for doing the bare minimum. One manager explained his dilemma in a recent coaching session: "So we … [Read more...]
Who Owns the Patient Experience?
By Rose O. Sherman, EdD, RN, NEA-BC, FAAN Nurse managers increasingly report dissatisfaction with how accountability for the patient experience is viewed in their health systems. Consider the following story an Emergency Department Manager recently reported in a manager focus group: “ We have had a triage tent in front of my ED for almost two years – that’s how busy we … [Read more...]
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