Nurse Leadership vs.

Management
The terms “leader” and “manager” are sometimes used interchangeably.  Those of us who have
worked for, or with, someone who is one and not the other, will see the error in viewing those
terms as synonymous.  An individual can be a great leader but not a manager.  Conversely, an
individual can be a manager but not possess many leadership skills. 

What is the difference between nurse leadership versus management? 

A leader often doesn’t have delegated authority.  The “power” that the leader has acquired has
come informally from others in the group.  Leaders focus on empowering others, as well as
motivating, inspiring, and influencing others.  A leader typically has good communication and
interpersonal skills.  True leaders must be sincere and energetic.  A leader may be a risk-taker,
but not to the extent that others feel that they are reckless. 
A manager is provided with this status as a formal role which is given to him/her by someone
else.  He/she has an assigned position within the formal organization.  A manager is expected to
carry out specific duties and has definite responsibilities.  Control over processes, decision-
making, and the work of others are included in the manager’s role.  Good managers are skilled at
coordinating resources, both financial and personnel, following rules, and meeting the goals and
objectives of the organization.  Control is a key element of the role.  Good managers also use
reward and punishment effectively.
Although differences do exist, the roles can definitely overlap.  The best case scenario is for an
individual to have the best characteristics of both.  All nurses are leaders and managers at some
level.  We all strive for a balance between doing the right thing and doing things right.  The rapid
and dramatic changes in health care make these skills more important than ever.  Critical
thinking skills, active listening skills, and good coping skills are essential at all levels in today’s
nursing workforce.
Both leaders and managers need to envision the future and lead the way towards a productive
and efficient unit with satisfied personnel.  We can never stop seeking additional professional
growth and opportunities to make a difference in our profession.  There are many ways to
accomplish this, including becoming politically aware and active, reading professional journals,
and attending continuing education offerings relevant to our practice.  No formal title of manager
is required to do these things.  A good leader and a good manager will take advantage of these
and other opportunities.