A Nurse Manager Transforms Her Unit’s Culture & Performance

February 22, 2018

Jan was on the verge of giving up trying to transform her poorly functioning unit. The culture on her unit was toxic, resulting in the highest turnover rate, lowest staff engagement and poorest patient satisfaction scores in the hospital. And patients were at risk, with hospital acquired infection rates two times higher than average. After […]

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Lessons Learned from a Top Ranked Hospital

February 8, 2018

Employees at a “Top 100” hospital told me during my year-long Appreciative Inquiry that they were happiest when: they were taking care of one another, working together to provide the best possible patient care, and feeling like they personally contributed to the success of the hospital. Their passion for caring about others and for being […]

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A Seriously Dysfunctional Hospital Unit

October 18, 2017

“I’m miserable working in this lunatic asylum,” Jan blurted out. “I’ve never seen anything like what’s happening here, and nothing I do makes a bit of difference.” “Wow. Sounds bad. What’s going on?” I wanted to know. Jan recounted the story of the new nurse who had been threatened. “I have her resignation letter right […]

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