We are all leaders and managers at some point in our lives. There are many opinions about the differences in leadership and managerial styles of leading. There are those who use the terms interchangeably and believe they are the same, those who believe that “leaders” and “managers” are opposites, and those who are in between. Although there are fundamental differences, individuals can be successful in both roles, and organizations need both to be successful. The purpose of this paper is to define and discuss the approaches in leadership and management styles in relation to the nursing shortage and nurse turnover using theories, principles, skills, and roles of the leader versus manager, and to identify this student’s professional philosophy of nursing and personal leadership style.

In regards to offer quality and modest care, the plan of health care system has been a fair exchange. The treatment of health care facilties have the variablity on different levels in speciality care and acute illness to defensive health plan. The changes have siezed effective direct approaches and delivery care. With the effect to balance the demand of patient needs in health care, many considerations are made including adjustment with budgets, decreasing excessive costs, and practicing effective means of delivery care.

Nurses are challenge to keep up to a work environment that requires continual changes. The nursing industry today faces shortages, as many nurses have low job satisfaction, high compassiate fatigue, and the patient ratios levels associated immense acuity. Furthermore, these factors have resulted in patient satisfaction and medical reimbursements.

Not withstanding all the idenfied issues and its effects. Few nursing facilities are growing to the next levels to idenify and promote nursing skills by setting framework to endeavor to gain Magnet status. This