Nurse Management

Nursing management is the leadership within a hospital, nursing home, out patient and in patient services, they guide the culture, quality and environment. The nurse manager is accountable 24 hours a day, for all aspects of their department, which includes but not limited to: staffing, budgets, risk management, quality of patient care and safety. The role is huge, is forever developing and changing. The expectations of the organization is demanding and often you will find yourself negotiating for better staffing and a more realistic budget. Specialties Management Article

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Nurse Management

Nursing Management is the leadership who performs governance and decision-making within a nursing environment. Managers have the responsibility to guide staff towards achieving goals by assigning responsibilities and expectations to the right person, in the right role and the right job. Making sure excellent, high quality health care is delivered.

Ensuring that the organization goals are achieved is one of the main functions of the role, discouraging performance, which does not achieve these goals.

Management Encourages staff to work together as a team, and discourages individuals who are work to their own agenda, which can hinder organization goals.

Management is considered the art of getting things done through people. Management is the science of systematically studying individual behaviors and their approach to problem solving, time management and critical thinking within the nursing environment.

There are different levels of managements, top-level managers for example board of directors, mid level management director of nursing services, and finally front line managers who work on the floor.

Work Environment

Nurse managers organize and direct the activities of nursing units in hospitals, nursing homes and other healthcare facilities. They perform a variety of administrative activities and ensure that all nurses in their units provide high-quality care to patients.

Managers in the healthcare environment are responsible for overseeing the budget for the department or unit, this includes monthly budget review, reporting to budget meetings and providing rationale if not meeting the budget.

Staffing units or departments is one of a managers priorities, from hiring, promoting to making sure all staff are on the same page.

Nurse manages have to make sure they are up to date on all health care changes and initiatives, sharing new information with the staff as deemed necessary.

Nurse managers should be a role model, the culture and safety of any unit or department is set by the manager. Their responsibility is huge with managers have 24 hour accountability for everything within their department.

Job Requirements

  • Registered Nurse with 24-hour responsibility
  • BSN desired, MSN or MBA encouraged
  • 3-5 years experience of specialty
  • Previous leadership experience
  • Knowledge of financial, business and healthcare administration
  • Knowledge of national nursing standards, and how to apply them
  • Knowledge of budget management
  • Ability to train and improve staff
  • Knowledge of disciplinary procedures
  • Excellent communication skills, and the ability to work as part of the MDT
  • Ability to motivate
  • Change agent
  • Leadership qualities
  • Ability to monitor patient safety and ensure quality care
  • Knowledge of HR responsibility


According to national salary data on, clinical nurse managers earned between $62,614 and $85,759.

Nurse Managers

RN with 26 years of experience many of those years spent in dialysis. I have worked in acute care, home, ICHD as a CN, FA, and currently a director.

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1 Post

Hi! New member. Not sure if this is in the right category or not! Two questions for any nursing managers out there:

1. What are your expectations for new grads? For example, what skills do you expect they should be able to perform.

2. What kind of orientation program does your facility provide?

RN403, BSN, RN

1 Article; 1,068 Posts

I am going to assume that most nursing managers do not expect much skill-wise when it comes to new grads.

The type of orientation you get will depend based on the facility that you are applying to. You might reach out and ask what their orientation entails or look on the hospital website. This is usually a good question to ask at the interview. Most orientation programs in the hospital last about 8 weeks. Again, it depends. Best wishes in your job search.


94 Posts

Specializes in diabetic education, dialysis.

We are going to expect that you understand the science behind the care that you will perform. We can train you to do the rest.

MrChicagoRN, RN

2,597 Posts

Specializes in Leadership, Psych, HomeCare, Amb. Care.

I expect you to have the required basic knowledge base...then to show initiative, have a willingness to learn, and to always remember that even though time and money is limited, the patient comes first.

hands on skills and procedures can always be taught.


240 Posts

Specializes in Medical Surgical & Nursing Manaagement.

I agree with MrChicagoRN........the patient ALWAYS comes first. I expect my new grads to follow policies/procedures, know when to ask for help and be truthful/honest. I can and will teach them the rest provided they treat my patients with respect, dignity and compassion.


10 Posts


I have several, 6 to be exact, second round interviews for an ICU Nurse Manager position coming up over the next couple of weeks. I am not really nervous about any of them as I know most of the people that I will be interviewing with. My question is I need ideas on what types of questions to ask them in the interviews. Below is a list of the different groups I will be interviewing with.

  • Current ICU Assistant Nurse Managers
  • Staff
  • Other inpatient Nurse Managers
  • Nursing Directors
  • Critical Care Administrator and Associate CNO
  • ICU Medical Director

Again, I am looking for suggestions on what types of questions to ask. This would be my first Nurse Manager position. My last 2 positions have been in Assistant Nurse Manager and Clinical Nurse Leader roles.

Thanks in advance for any help.


66 Posts


Happy Sunday everyone,

I am looking for some advice. I have started my new position as a nurse manager. Currently there is an interim manager who previously was a staff nurse on the floor and agreed to fill the position for a few months. However a few months have turned to 9 months. She is currently orienting me, in no specific form or fashion. Although I have been at the hospital for almost a month, I spent 2 weeks in hospital orientation. Since I have arrived to the unit, I am being thrown a bunch of information at one time in no specific fashion, as well as I have worked on day alone due to the fact that she was granted a day off for working the floor the day before. So all in all out of the 8 shifts that we have spent together. I have done 2 days that have consisted of payroll, and 3 with other nurse managers, as well as a day on the floor with assignment.

The issue is this person will have a last day of this coming Friday, to go start a new position next week. I have spoken to my direct supervisor who just keeps saying it will be okay we won't let you drown. I am new to this hospital and new to the role. I am learning there way, policies, and procedures, as well as the nurse manager role... I really don't know how to approach this subject anymore with my manager without sounding like I am whining. I have asked for a more structured orientation, with at minimum a checklist of requirements of for a new nurse manager in the hospital? I have not received anything, and when asking questions while orienting a lot of the answers are I DON'T KNOW, MAYBE YOU CAN ASK ONE OF THE OTHER NURSE MANAGERS! I would like to be successful in this position, but I just feel like I am not being given the most basic tools for success. Any suggestions would be greatly appreciated...


1,753 Posts

Specializes in Surgical, quality,management.

I am guessing that the RN who has been doing your role had no orientation but just had to learn on the fly.

She may have no previous management experience.

I would set out what you need to learn into the 4 quadrants of finance, quality, people and access.

Delve deeper into each e.g. quality what are the falls, pressure injury, med errors, OH&S issues, complaints and serious incidents, available equipment and is it functioning?. Into each of those issues prioritise immediate, urgent, moderate long term.

This may require you spending some time either with OneNote, Excel or a hardcopy notebook over the next e ening after work.

Once you have a plan meet with the relevant people who can help you. Clinical educator, quality coordinator, HR, finance person. These people can help you with the relevant questions.

Then meet with your manager and share your 3/6/12 month plans.

Specializes in psychiatric mental health nurse practitioner.

how did it go? what did they ask you? did you get the job? I have a ld nurse manager position in the am. I have done charge nurse for a while. I have been on several but didnt get them. any tips?


2 Posts

Hello everyone! My name is Destiny and I am senior nursing student . I am required to interview a registered nurse who is in a management position(nurse manger, head nurse, director, navigator, assistant manager) for my leadership class. If there is anyone who would be willing to help me answer the following questions I would greatly appreciate it. Thank you so much in advance!

Nurse Manger : _____________

1. Preparation for leadership (education, training, years of experience and certifications)

2. Type of institution in which the manager is employed (private, public, teaching, magnet status,etc)

3. Number of employees and type of unit the manager supervises

4. Leadership style and effective use of delegation

5. Do you believe your leadership style is effective

6. Communication style

7. Major challenges faced by the manager and plan of correction

8. Manager’s overall vision for the unit


29 Posts

Hi all! I was offered a position I am well qualified for. They told me they can only offer me x amount per hour as they only count nursing experience In this specific department for an offer( not all if my Acute Nursing experience) They made an offer that’s not great. I don’t want to lose the opportunity but frankly, I’d like to at least break even with where I am now. How can I politely counter offer without burning any bridges? I really would like to take the job but at this pay rate I might pass. Even if they come up a little I’d be happy. Can’t hurt to try? Any tips? Do I give a number or just ask them to come up?

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