Culture Change RX

How Rural Hospitals Build Leaders and Approach Change


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In this episode, Shelby Guevara, a Chief Nursing Officer in rural Iowa, shares her insights on leadership in healthcare, particularly in rural hospital settings. She discusses the importance of building trust and empathy among leaders, engaging frontline staff in decision-making, and the significance of understanding one's purpose in leadership. Shelby emphasizes the value of promoting from within and creating a supportive environment for leaders to grow and develop. The conversation highlights the challenges and rewards of leading in healthcare, especially in fostering a culture of collaboration and continuous improvement.


  • Understanding individual motivations aids in leadership development.
  • Investing in developing and strengthening relationships pays dividends.
  • Individual growth and process improvement, and even conflict, require a supportive environment.
  • Successful continuous improvement requires ongoing auditing and accountability.
  • Leaders can reflect on their purpose to stay motivated for this work.
  • Leaders play a crucial role in selecting and organizing change initiatives.


Capstone helps rural hospitals be the provider- and employer-of-choice to keep care local and margins strong. Learn more via a complimentary consultation call. Schedule at:  CapstoneLeadership.net/Contact-Us


Learn more - and register - for an upcoming Capstone Leadership Summit:  CapstoneLeadership.net/Upcoming-Events

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Culture Change RXBy Capstone Leadership Solutions