Unit Managers, often known as Nurse Managers, are registered nurses holding a formal leadership position within an organization. A Nurse Manager is responsible for both their unit’s short- and long-term objectives. Management of staff is another duty of the nurse manager. A nurse manager’s responsibilities also include setting goals, allocating resources, and inspiring their team. The unit manager is responsible for organizing the Unit’s work schedule and activities and ensuring enough people are working in each position. A manager’s responsibilities include budget planning and monitoring (Patarru’ et al., 2020). Successful patient outcomes, employee happiness, and teamwork are all dependent on a manager’s ability to inspire, reward, and encourage their team. A unit manager must have a Bachelor’s degree in nursing and five years of experience working directly with patients, in addition to a Master of Science in nursing or a Master of healthcare management (Registered Nursing, 2021). When the unit manager has been in their position for at least two years, they may sit for the Certified in Executive Nursing Practice (CENP) exam.

Integrity, strategic and creative thinking, responsibility, a desire to influence others, the capacity to set an example, decisiveness, reliability, justice, excitement, and boldness are only a few of the leadership attributes that can be found in effective leaders (Patarru’ et al., 2020). Supporting autonomy, managing resources, fostering relationships, and enhancing staff competencies are all essential to a manager’s success as a unit manager. It’s important for a manager of a single unit to realize that how they lead makes a difference. For instance, a dictatorial approach may not inspire the best performance from staff while a laissez-faire approach may fail to motivate them to reach lofty targets. Leadership styles that encourage creativity, cooperation, and teamwork include transformational and situational approaches (Patarru’ et al., 2020).

In the Christian world, an example of a transformational leader would be a worship pastor who encourages the worship team to get better by trying new ways to practice or perform. Transformational leaders are like mentors or accountability partners because they push people to get better for the whole team. A transformational leader is someone who listens well and doesn’t judge your situation. Instead, they tell you to keep going and not give up. This is a leader focused on the organization’s mission, calling, and vision (Manner University, 2015).


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Manner University (2015).Transformational Leadership From A Christian Perspective. Retrieved from

Patarru’, F., Weu, B. Y., Handini, F. S., & Heryyanoor, H., (2020). The role of the nurse unit manager function on nursing work performance: A Systematic Review. Jurnal Ners, 14(3), 231–235.

Registered Nursing (2021). What is a nursing manager? Nursing Careers & Specialties. Retrieved from


Topic 5 DQ 1

Discuss a formal role where a nurse is in a position of leadership. Outline the essential responsibilities of that role and the educational preparation required. Explain what leadership traits, styles, or qualities are required to be successful in this role and why.




Nurses are a huge part of patient advocacy. Nurses play an essential role in the coordination of care for patients. The influence of leadership in nursing can be comprehensive by motivating change in practice and improving patient outcomes (Whitney, 2018). With great supervisors, managers, and leaders’ nurses are more likely to be satisfied in their jobs which leads to retaining staff. “Effective leadership is important in health and care and is essential to providing high quality and compassionate care. The effects of poor leadership have resulted in failings leading to avoidable patient harm” (Jack et al, 2022). A leader encourages people to excel and helps people come to conclusions, they help others problem solve and support their team in any way they can.

Good leaders check in on their fellow staff members and ask if there is anything they can do to help. When we all work together as a team it makes for a smoother day. When the nursing staff feels supported by leadership, encouraged by colleagues, and motivated by the collaboration of everyone caring for patients, they find meaning in their work (Whitney, 2018). A leader doesn’t look the same at every job, but with a good leader staff are more likely to stay at a job. Bad leadership leads to a revolving door of staff.

I currently have a wonderful boss; she checks on staff daily and calls them personally to see how they are doing and if they need anything. If we responded we needed chocolate or food she would help us get that. My boss is personable and takes time out of her day to check in with us even with her busy schedule of making sure every floor is fully staffed at all hours of the day. The nursing supervisor helps coordinate resources for the nurses who are unsure what to do in certain situations. If we can’t get an IV started on a patient or uncomfortable doing something the nursing supervisor would walk us through a solution.


Jack, K., Bianchi, M., Costa, P., Grinberg, K., Harnett, G., Luiking, L., Nilsson, S., & Scammell, E. (2022). Clinical leadership in nursing students: A concept analysis. Nurse Education Today108.

Whitney, S. (2018). Trends in Health care: A nursing perspective. Every nurse is a leader.

  • YC

Yanelis Campollo

replied toJennifer Manske

Aug 26, 2022, 3:19 AM


Replies to Jennifer Manske

Hello Jennifer,

A leader empowers the staff via delegation of projects inside the capacity of theirs and by the trust placed in them to finish these duties. Based on GCU, 2021: The effect of leadership in nursing is long reaching by influencing change of training,and enhancing patient results. You have to remember that controlling patient care suggests overseeing as well as blowing others to apply to accomplishment of the desired results. A supervisor of attention has leadership attributes, acts as an advisor, and also influences the beliefs of others.

The RN as an individual care supervisor, the leadership role is equally an outlook plus an attained role (Claywell, 2009). The writer added it’s an assumption that a good leader has expertise in the practice area or maybe medical specialty. An effective leader is aware of the individuals allowing it to anticipate the needs of theirs. Inside this particular job, the RN is self-assured in charge of the morning and it is ready to assist if needed.


Claywell, L. (2009) LPN TO RN Transitions (2nd ed) St Louis: Mosby.

GCU, 2021. Retrieved from:

  • SE

Susan Effiom

replied toJennifer Manske

Aug 26, 2022, 12:06 PM


Replies to Jennifer Manske

Hi Jennifer .

Great to hear of your amazing boss and good discussion you posted.

This writer has a great boss too similar to your boss, but this writer greatest concern sometimes for some of these bosses is their well being.

The nursing profession is a selfless one and many times some bosses practices leadership styles that may be detrimental to their own lives and families.

The writer boss is being call at almost all hours of the day seven days a week . This lives the writer wondering if there is any life out of work. The writer is a new nurse and believes in staff being empowered and properly trained to make certain decisions in the absence of their nurse manger or directors . Nurses by it nature are leaders with different styles of leadership .

The leaders should not only empower employees to do their best in terms of patients outcome , but should be able to care for themselves as leaders , which will lead to effective management and even more better outcome (Folkman et al., 2019). In the bible Genesis 2:2-3 , it is written that God rested on the 7th day after His creation. This writer remembers the boss telling her ” call me when ever you need any assistance and eight moths has passed call me whenever need arise.” The writer boss is very open and transparent , helpful, inspire and motivate but need time off work.

Folkman, A. K., Tveit, B., & Sverdrup, S. (2019, January 30). Leadership in interprofessional collaboration in health care. Journal of multidisciplinary healthcare. Retrieved , from 

  • JO

Jose Ojeda Jr

replied toJennifer Manske

Aug 26, 2022, 3:31 PM


Replies to Jennifer Manske

Nice information on this week’s discussion. I agree that if the unit had great management than the nurses would more likely want to stay on the unit instead of looking to leave. It is true that an effective leader should find ways to build the team up to help with the flow of the unit and to have better patient care. If you have a management that is not effective then the staff will feel burned out and the patients would be the ones to suffer. It’s nice to hear that you have good management and I bet the floor runs pretty smoothly because of it. For my unit I feel that the manager does her best to help the unit but there are decisions that she makes that sometimes makes since. It is mostly since she is new and unsure what was tried before on the unit. But if the staff would to ask question about the changes she feels she is getting attack and then you can be on her no good list so to speak. 

Advocacy is seen in all the work we do as nurses. Utilization of committees to review patient care issues or nursing concerns can be a great platform for discussion and review needs for change. “Nurses are uniquely positioned to offer innovative solutions, but to do so, they must be included in and heard at high-level meetings and in collaborative efforts, where they can advocate for the communities, they serve” (Shimek,.2022).

This is one way to improve communication of needs and to promote necessary changes. Many time the committee is compiled of various healthcare team members who have different levels of job responsibilities and roles. Sometimes these groups have members of nursing leadership that are on the front lines of making the changes in patient care and policies daily. “This work emphasizes that nurses are the principal health care providers in primary health care systems and are leading SDG initiatives worldwide and, as such, have the ability to transform the way health actions are organized and care is delivered” (Shimek,2022).

An example of when I advocated for an issue was when I was on the geriatric council and brought up a concern about patient receiving enough physical movement when admitted to the acute care setting. I researched geriatric friendly certified hospitals and brought the concept and concern to nursing leadership to review. The idea and program were found to be eye opening for many of the leadership team and now our hospital is making strides to obtain said certification. This is the importance of having a voice as a Registered Nurse and advocating for the patients we care for.


Gandra, Elen C.; da Silva, Kênia L.. In: Nursing Education Perspectives. Jan 19, 2023 Language: English, Database: Journals@OVID

Shimek, Aric; Branden, Pennie Sessler; Clary-Muronda, Valerie; Hawkins, Janice; Mousa, Dania Itani. In: American Journal of Nursing. August 1, 2022, Vol. 122 Issue 8, p47, 5 p.; Lippincott Williams & Wilkins, WK Health, 2022. Language: English, Database: Gale Literature: Book Review Index

Nurses can work as floor nurses, in management, as supervisors, as nurse leaders, or as healthcare providers like APRNs. But one thing is certain: nurses are patient advocates who help to improve patient outcomes. Nurses contribute significantly to patient outcomes and care plans as active members of the interdisciplinary team (Whitney, 2018). “It is critical that nurses develop an effective leadership role in order to provide high-quality care and ensure patient safety while performing numerous daily leadership roles” (AL-Dossary, 2017).

Nurse managers are also managers who work as nurses.They are responsible for both patient outcomes and administrative responsibilities. They are also responsible for the overall rating of the clinic or unit, providing feedback to higher management, assessing and developing educational plans for the staff, mentoring, setting goals for the team/clinic/unit, elevating the performance of the staff, scheduling treatments, and so on (Duquesne University School of Nursing, 2018).In this position, your leadership abilities will be put to the ultimate test. Keeping employees motivated while also getting the job done on time is a difficult task.

Nurse managers must be good communicators as well as leaders. Leadership abilities are highly valued. “They should be skilled at coordinating resources and personnel as well as meeting goals and objectives.” “They must be effective leaders who can strike a balance between working with nursing staff and healthcare facility administrators” (Duquesne University School of Nursing, 2018). Nurse managers must be effective communicators, advocates, able to build strong interpersonal connections, mentors, participants in both the patient outcome and administrative responsibilities, mature, professional, supportive, and fair. 


Al-Dossary, R. N. (2017). IntechOpen, nursing leadership.DOI: 10.5772/65308

Duquesne University School of Nursing (2018, July 17). The role of a nurse manager: leading the nursing profession into the future Retrieved from  Whitney, S. (2018) Every nurse is a leader. Trends in health care: a nursing perspective Retrieved from

Nurse managers are very important positions and you were spot on when mentioning that as a nurse manager- leadership abilities will be put to the ultimate test! In the study I’m sharing, there is evidence that relationships between nurse managers’ work activities, nurses’ job satisfaction, patient satisfaction, and medication errors were identified / influenced – All just by management style and leadership skills (Nurmeksela, 2021)! That really is empowering information! The findings of the research suggest that nurse managers should focus on improving nursing practices by managing and organizing nurses’ work in a way that makes their employees feel supported, motivated and secure (Nurmeksela, 2021). Also nurse managers should adopt a leadership style that emphasizes safe and patient-centered care.

Nurse managers really are divided between a growing and overwhelming list of responsibilities but sincerely have a huge ripple effect that makes a difference. I know that personally / professionally I have held positions where my relationship with my nurse manager motivated me to dig deep and give more than I thought possible, trust my instincts as a nurse and be a better advocate for my patients, and I also have held positions where the opposite was true. Nurse managers honestly play a critical role in enhancing nursing and patient outcomes (Nurmeksela, 2021).

Nurmeksela, A., Mikkonen, S., Kinnunen, J. et al. Relationships between nurse managers’ work activities, nurses’ job satisfaction, patient satisfaction, and medication errors at the unit level: a correlational study. BMC Health Serv Res 21, 296 (2021).

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