You have to remember that Nurse managers, well, we have to answer to our own bosses too. There is a shortage of managers out there because really, what's attractive about working 60+ hours a week, managing a group of demanding, lawsuit-happy employees and patients and putting up with top management's demands along with keeping up on state and federal rules and regulations? I'm a Director of Nursing and I still wear scrubs and tennis shoes. I do rounds daily and help out away from my desk when I can. I stop in on some of the weekends, evening and nights to make sure things are going OK. We had some employees that got stuck at work during severe weather, I gave them gift certificates and thank you cards for doing double shifts on top of the overtime-- for going above and beyond and showing good teamwork. I got gift bags and distributed them to all the nursing staff during the holidays, just to say thanks for being here. Me, I'm just happy to be working hard and getting a paycheck, which is good because I don't get thank you's for doing my management job.