The nursing profession is the largest segment of the US healthcare workforce with more than 3 million members (Ross, Fitzpatrick, Click, Krouse, & Clavelle, 2014). This means that today, the need to develop nurse leadership skills have never been greater (Marquis & Huston, 2017). Nurse leaders should be integrated as managers. Six characteristics to make a good leader-manager is they think longer term, the look toward the larger organization, they are good influencers, they are politically astute, and they think in terms of change and renewal. (Marquis & Huston, 2017)Nurse Managers are an essential contributor to excellence in nursing practice, staff nurse engagement, and patient satisfaction, and are responsible for creating and supporting an environment to develop staff nurses into leaders (Keys, 2014). Some leaders struggle with being a leader and being a manager. I once had a manager that all she wanted to do was manage and not be a leader. She had a tone, and people were afraid to go to her to talk about any issues they had because they were afraid of getting in trouble. I had another nurse, who is a charge nurse, who all he wanted to do was move up the latter and continue being everyones friend. He would not have those conversations that some nurses need to have. He would not manage his team and that caused issues with upper management because then they had to pick up his slack.There has to be a balance between the leader and manager style. Effective leaders should be able to have great communication with all staff, be knowledgeable, and approachable. They can manage a unit, and still be friendly but there needs to be a line between leader and friend.You cannot be one without the other, but too much of one can cause more harm than good. Leadership characteristics should be integrated into every step on the management process to help nurses with the transition. (Marquis & Huston, 2017)
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