We recently heard of a large community hospital in search of a Chief Nursing Officer.
They found what seemed like a terrific candidate from the management team of a large hospital system. She had the right credentials, the right experience, and a professional attitude.
Unfortunately, as interviews progressed, a red flag emerged: She wouldn’t take a position on an issue or make a decision when confronted with challenging questions. It was clear that she could get something done well if directed, but she was not able to lead on her own.
Apparently this wasn’t an issue at her present position (either because the system was extremely bureaucratic or because she has managed to stay safe as a “second in command”). However, when you are asked to step into a leadership role, one of the difficult but required skills is the ability to take a stand and make decisions.
There is never perfect information, especially regarding administrative and personnel issues. Nevertheless, you can’t waffle or hide.
A strong nurse leader takes the information she can get, speaks to the relevant people and — without going into paralysis — makes a decision to the best of her abilities.
Most nurses come up through the ranks learning to avoid risks. The transition to nursing management and leadership requires the nurse to take risks, starting with making sometimes difficult and unpopular decisions.
How about you? Can you “pull the trigger?” Can you take a stand that you know is right even if it isn’t popular? Can you make decisions without perfect information or guarantees?
