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NUR 514 What Is The Difference Between Leadership And Management?

NUR 514 What Is The Difference Between Leadership And Management?

Leadership is often characterized by certain powers held by a leader emanating from the ability to have influence over others in the organization through interpersonal skills and effective communication and also inspiring and motivating them (Liphadzi, Aigbavboa & Thwala, 2017). However, a leader may not possess a recognized authority in the organization. Conversely, management is characterized by provision of status in terms of a formal role given to manager in the organization. The manager is given definite responsibilities and is expected to execute particular duties as assigned and also given decision-making authority and control over specific processes (Bârgău, 2015).

An advanced registered nurse can lead well and provide management by complementing both management and leadership skills. One an advanced manager is called to leadership, he or she moves to a higher place of responsibility and accountability. With this assumed responsibility, management skills are essential to enable the nurse the responsibilities given in an effective manner. However, as a manager, the advanced nurse can only function best if he or she is a good leader (Gopee, & Galloway, 2017). That is, being capable of earning respect and approval of the staff, committed about the work, and instilling the commitment to the staff. Being a leader and manager, an advanced registered nurse should motivate the staff and have positive influence on them, including setting positive examples. The nurse should also possess outstanding decision-making skills and have ability to delegate duties and coordinate teams. Besides, the nurse should be committed to both organization and the subjects.

Essentially, given the rapid changes that are presently experienced in the healthcare provision system, it is imperative for advanced registered nurses to strive to integrate leadership and management skills and to continue working on professional advancement.


Bârgău, M. A. (2015). Leadership versus management. Romanian Economic and Business Review, 10(2), 112135.

Gopee, N., & Galloway, J. (2017). Leadership and management in healthcare. Sage.

Liphadzi, M., Aigbavboa, C. O., & Thwala, W. D. (2017). A theoretical perspective on the difference between leadership and management. Procedia engineering, 196, 478-482.

Re: Topic 2 DQ 1

Management and leadership are vital to the delivery of good health services. Both are similar in some aspecst but they may involve different types of outlook, skills, and behaviors. According to the World Health Organization (WHO), good managers should strive to be good leaders and good leaders, need management skills to be effective (World Health Organization, 2019). Leaders have a vision of what can be achieved and then communicate this to others. Leaders evolve strategies for actualizing the vision through motivating others and seeking out resources. Managers ensure that the available resources are well organized and applied to produce the best results (WHO, 2019).

Leadership is often viewed as an art, not science and management on the other hand, is often thought of as a science as it involves a series of logical steps that can be followed to implement whatever the role demands. In my experience in the health care field, leaders differ from managers in a variety of ways. Leaders are active in formulating goals and objectives for the employees who work for them and strive to seek out efficiency. Managers work to accomplish the tasks and usually will continue to do whatever is necessary to get the job done.

An Advanced Practice Registered Nurse (APRN) can both lead and provide management as they have an expert level of knowledge and complex decision-making skills and clinical competencies for expanded practice specific to the context in which they are credentialed

to work (Lamb, Martin-Misener, Bryant-Lukosius, and Latimer, 2018). For example, APRNs can lead well to formulate goals related to patient care to help to reduce surgical site infections. An APRN can provide management to the staff on tasks the nurse can carry out to reduce infections such as proper skin prepping techniques and dressing application. APRNs are well versed on evidenced-based practice and can incorporate their knowledge into improving efficiency. An APRN in the role of a leader will strive to seek out efficiency through policy changes at the organization they are employed with. The APRN leader might identify equipment or staff training needs to accommodate high risk patient populations. The APRN manager would then continue this movement to ensure staff training is completed, that staff was familiar with policy updates, and that ultimately the process was rolled out completely. APRNs are an asset to organizations as they advanced education allots for an individual capable of both leading and managing the team. NUR 514 What Is The Difference Between Leadership And Management?

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NUR 514 What Is The Difference Between Leadership And Management

NUR 514 What Is The Difference Between Leadership And Management

Lamb, A., Martin-Misener, R., Bryant-Lukosius, D., Latimer, M. (July 2018). Describing the leadership capabilities of advanced practice nurses using a qualitative descriptive study. Nursing Open, 5(3): 400-413.

World Health Organization (2019). Chapter 10: Leadership and Management. https://www.who.int/hiv/pub/imai/om_10_leadership_management.pdf

Also Read: NUR 514 Discussion How Have You Seen Or Experienced Organizational Change Within An Organization?



Hello L…,

I do agree with you that nurse leaders should strive to be good leaders to be able to manage resources efficiently. Nurse leadership is a dynamic role which involves promoting change projects in the nursing practice and helping the newly registered nurses learn the best nursing practices (Growing Nurse Leaders: Their Perspectives on Nursing Leadership and Today’s Practice Environment, 2020).  The role of managers in any organization is well cut out, they have to harness resources and set out plans to utilize the resources appropriately and realize the organization’s goals and objectives. Leaders have an obligation of providing direction, inspiring and motivating other workers towards the realization of the set goals. Therefore, the healthcare managers need to work with top level stakeholders such as the directors and the investors to attract the required material resources while the leaders need work with nurses and patients to streamline the daily operations of the healthcare organization and realize quality care (Sfantou et al., 2017). Advanced practice registered nurses training has been enhanced to ensure that they provide quality leadership and are incorporate EBP in nurse practice. NUR 514 What Is The Difference Between Leadership And Management?

NUR 514 What Is The Difference Between Leadership And Management?


Growing Nurse Leaders: Their Perspectives on Nursing Leadership and Today’s Practice Environment. (2020). Nursingworld.org. https://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Vol-21-2016/No1-Jan-2016/Articles-Previous-Topics/Growing-Nurse-Leaders.html

Sfantou, D., Laliotis, A., Patelarou, A., Sifaki- Pistolla, D., Matalliotakis, M., & Patelarou, E. (2017). Importance of Leadership Style towards Quality of Care Measures in Healthcare Settings: A Systematic Review. Healthcare, 5(4), 73. https://doi.org/10.3390/healthcare5040073


Re: Topic 2 DQ 1

According to Barker & Denisco (2016), “management is the coordination of resources to meet organizational goals, whereas leadership is built on relationships” (p. 136).

In my experience, management has to do with the day-to-day operations functions of an organization such as, managing patients’ care by delegating to others, budgeting, staffing, competencies being up to date, and making sure the organization is following rules and regulations. Leadership to me is leading by example and inspiring others to follow. I have seen my manager, lead by making sure the staff is doing well. If we are short staffed, the manager will do what it takes to make sure we get the help we need, will jump in, and help where needed. Our manager listens and asks for our opinions on how to make improvements for our patients and staff.

Those who manage have people under them, they provide direction from hierarchical order. Management produces order and consistency by planning, setting timetables, allocating resources, organizing staffing, hiring, establishing rules, controlling and problem solving, and taking corrective action (Porter-O’Grady & Malloch, 2018).

When a nurse influences member of the healthcare team, patient, or any part of the health organization, then the nurse is leading (Porter-O’Grady & Malloch, 2018). Anyone can be a leader; no title is needed. Leaders are intentional, committed, inspire, build trust, communicate goals, build teams, empower, encourage, and lead by example (Porter-O’Grady & Mallock, 2018).,

The advanced practice nurse (APN) can lead and provide management by using transformational leadership. “Transformational leadership empowers all team members to work together to achieve a shared goal; lead with a clear vision and use coaching, inspiring, and mentoring to transform themselves, followers, and organizations” (DeNisco & Barker, 2016, p136). The APN can also incorporate the APN Leadership Capabilities Model, which discusses the patient-focused leadership and organizational and system-focused leadership capability domains, which include:

“Patient‐focused leadership included the following four leadership capability domains: 1) managing patient‐centered care; 2) coaching and educating; 3) advocating and 4) initiating meaningful communication. “Organization and system‐focused leadership” included the following seven leadership capability domains: 1) improving the quality of care provided; 2) enhancing professional nursing practice; 3) being an expert clinician; 4) communicating effectively; 5) mentoring and coaching; 6) providing leadership on internal and external committees and 7) facilitating collaboration.” (Lamb et al., 2018, pp 402-403). NUR 514 What Is The Difference Between Leadership And Management?


Denisco, S. M., & Barker, A. M. (2016). Advanced practice nursing: Essential knowledge for the profession (3rd ed.). Burlington, MA: Jones & Bartlett Learning. ISBN-13: 9789384323103

Lamb, A., Martin-Misener, R., Bryant-Lukosius, D., & Latimer, M. (2018). Describing the leadership capabilities of advanced practice nurses using a qualitative descriptive study. Nursing open5(3), 400–413. https://doi.org/10.1002/nop2.150

Porter-O Grady, T., & Malloch, K. (2018). Leadership in nursing practice: Changing the landscape of health care (3rd ed.). Burlington, MA: Jones & Bartlett Learning. ISBN-13: 9781284146530


Hello Elizabeth,

I do agree with your findings that management involves harnessing of resources to achieve organizational goals while leadership involves relationship building to inspire others. Healthcare organizations require effective leadership and management that enhances quality care and efficiency in resource utilization (Xu, 2017). I do agree with you that managers have the task of planning, staffing and scheduling of the programs at the facility to ensure that every activity goes as planned and the organization is able to meet its objectives. For the nurse leaders, they need to have proper interpersonal skills, that is built on effective communication skills. They have to engage every stakeholder, build stronger understanding and mobilize the other healthcare workers in promoting quality healthcare services. I do agree with you that the nurse leadership built on patient centered approach advocates for patients’ safety, initiates meaningful conversations and educational programs to improve the nurse practice.  Advanced nurse training programs incorporates the key concepts of leadership to ensure nurses have the knowledge and skills to lead healthcare transformations (Ens et al., 2018).


Xu, J.-H. (2017). Leadership theory in clinical practice. Chinese Nursing Research, 4(4), 155–157. https://doi.org/10.1016/j.cnre.2017.10.001

Ens, B., Bazylewski, S., & Duchscher, J. B. (2018, June 30). Emerging Nursing Leadership Issues. Leadershipandinfluencingchangeinnursing.pressbooks.com; University of Regina Press. https://leadershipandinfluencingchangeinnursing.pressbooks.com/chapter/chapter-16-emerging-nursing-leadership-issues/

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