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“It is this nurse’s opinion, that all executive nurse management from the top level to lower level, should be able to lead from the front and be able to care for patients on the floors under their management to comprehend the real time needs of the units, staff and patients. This nurse recommends that all Nurses, in all levels of the nurse management hierarchy be required to care for a team of patients, consistent with an average workload and acuity for a staff nurse on that floor, on the units they manage. Therefore, it is being proposed that Nursing Management should directly care for patients for no less than 24 hours per fiscal quarter (8 hours per month) to maintain their competencies. This requirement would allow executive nurse management to lead and relate to staff in facilities they manage.“ https://www.change.org/p/nursing-management-and-nursing-organizations-support-our-nurses