'There's shame and isolation when you do have the experience, so it can make it very difficult for people to feel like they can openly discuss it, says Rose O. Sherman, EdD, RN, NEA-BC, FAAN, professor and director of the Nursing Leadership Institute at Florida Atlantic University.

As the saying goes, "It can be lonely at the top." But when you are at the helm of an organization's team of nurses, it can be tempting to put on a brave face. Nurse executives go through similar challenges. You may feel like it's just you, but it's not. In this issue, I share a very popular article we published a few years back on moral distress among CNOs. If it resonates with you, reach out to your colleagues. Creating connections and relationships with your fellow nurse leaders can help you cope with tough situations and help you move forward to achieve many successes.  

Also, in this issue:

• Takeaways from HealthLeaders CNO Exchange
   
• NICHE programs improve care
   
• Strategies to improve opioid use disorder care

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Thanks for spending time with us today. I'm always, open to any tips, thoughts or advice. You can send them my way at jthew@healthleadersmedia.com.

Jennifer Thew, RN
Senior Editor, Nursing