Ever since sometime in the mid ninety's I've been in leadership roles, from supervisor up through manager with as many as 50 something reports.
Last 5 years have been as Clinical Nurse Manager.
This involves scheduling, discipline, hiring, mentoring, practice improvement, customer recovery, patient deescalation, regulatory compliance, and even direct care shifts if I couldn't find the staff. Lately, they had added multiple paper audits that killed many trees.
Mix in 50 hour weeks, family needs, a very elderly (and needy) mom and her many pets needing my attention, along with an attempt to complete a PMHNP.
I'm an excellent leader, but the manager part was killing me. Being a clinical manager was great, but its good to recognize one's limits and needs. Currently working towards establishing a better work life balance. Too much stress, for too long: have stepped down, and taking a break from work.
If I don't take care of myself, no one else will.