Nursing leaders vs managers: differing approaches essay
Write a 1,000–1,250-word essay selecting one issue from the given list, comparing and contrasting how nursing leaders and nursing managers would approach it using the theories, principles, skills and roles from your readings, then identify which approach fits your own philosophy of nursing and why.
Editorial process
Last reviewed · August 14, 2026
Pick an issue where leader and manager actually disagree
The whole essay rests on a distinction that is easy to state and hard to sustain for a thousand words: managers work through position, process and control, leaders work through influence, vision and change. A manager holds formal authority, plans, budgets, staffs and monitors against standards, and is accountable for stability and for today's operation. A leader may hold no formal authority at all, sets direction, aligns people to it, motivates, and is accountable for movement. Because the brief asks you to use the theories, principles, skills and roles described in your readings, name them — transformational and transactional leadership, situational leadership, servant leadership, and the classical management functions — rather than writing from general impression. The strongest essays also say plainly that the two are roles rather than people, and that most nurse managers are asked to occupy both at once, often in the same conversation.
Choose your issue with the contrast in mind, because some options on the list make the essay difficult. Nurse staffing ratios divide cleanly: the manager works the budget, the acuity tool, the roster and the overtime spend; the leader works the political and professional case for the ratio, the retention consequences and the culture that decides whether nurses stay. Nursing shortage and turnover divides the same way, so does magnet designation, where the manager runs the submission and the leader builds the practice environment that makes the submission true. Continuous quality improvement is the hardest to keep separate and is worth avoiding unless you can. The final section asks which approach suits your personal and professional philosophy — answer it about yourself, name your own leadership style, and tie it to something you have actually done. Two references beyond the text and course materials are a hard requirement.
Likely learning objectives
Inferred from the brief — check these against your own rubric.
- 01Distinguish the leader's and the manager's roles by source of authority and by aim.
- 02Apply named leadership and management theories to a concrete practice issue.
- 03Compare and contrast two approaches to the same problem without collapsing them.
- 04Relate a leadership approach to your own philosophy and practice.
Read the full question
Review every instruction before using the planning guidance that follows.
Turn the brief into deliverables
- 01One issue selected from the list given in the brief.
- 02A comparison of how nursing leaders would approach it.
- 03A contrast with how nursing managers would approach it.
- 04Rationale drawn from theories, principles, skills and roles in the readings.
- 05The approach that fits your personal and professional philosophy, with reasons.
- 06At least two references beyond the textbook and course-provided material, in APA format.
Compare, contrast, then place yourself
The issue and why it matters
Name the selected issue and establish its practice consequences.
Leader and manager as distinct roles
Set out authority, aim and accountability for each before applying them.
How a manager would approach the issue
Work through planning, resourcing, monitoring and control on this specific issue.
How a leader would approach the issue
Work through vision, influence, alignment and change on the same issue.
Comparison and contrast
Put the two side by side on the same decision points and show where they diverge.
The approach that fits your philosophy
Choose one, justify it from your own values and practice, and acknowledge the trade-off.
Sources beyond the text, as the brief requires
Recommended databases
- CINAHL
- PubMed
- StatPearls via NCBI Bookshelf
- American Nurses Credentialing Center Magnet materials
- Your organisation's staffing or retention data
Search sequence
- 1.Choose the issue first, then search leadership literature within that issue.
- 2.Find one peer-reviewed article on transformational leadership in nursing outcomes.
- 3.Find one source on the managerial side — staffing methodology, budgeting or acuity tools.
- 4.Note two sources that are neither the textbook nor course-provided.
- 5.Write your own leadership philosophy in a sentence before drafting the final section.
Reference shortlist
These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.
Nothing here is cleared for citation until you have read it.
- 01
Nursing Shortage
StatPearls, NCBI Bookshelf · 2023
Evidence on shortage, turnover and staffing ratios — the issues on the list with the clearest leader/manager split.
- 02
Conflict Management in Healthcare
StatPearls, NCBI Bookshelf · 2023
Supplies the influence-based skills that separate the leader's approach from the manager's.
- 03
Nursing Professional Development Evidence-Based Practice
StatPearls, NCBI Bookshelf · 2024
Frames the continuous quality improvement option and the evidence a leader would use to argue for change.
- 04
Nursing Practice Act
StatPearls, NCBI Bookshelf · 2023
Scope and regulation, which is where the manager's accountability for standards is grounded.
Review before submission
Common mistakes
- Defining leader and manager once and then writing about leadership for the rest of the essay.
- Choosing an issue where the two roles do the same thing, leaving nothing to contrast.
- Describing approaches with no named theory behind them.
- Treating leaders as good and managers as bureaucratic, which the readings do not support.
- Answering the philosophy section in general terms rather than about yourself.
- Using only the textbook and course readings when two outside sources are required.
Submission checklist
- The word count falls between 1,000 and 1,250.
- The issue is one of those listed in the brief.
- Both roles are addressed in every substantive section, not just at the start.
- At least two leadership or management theories are named and applied.
- The closing section is about your own style and philosophy.
- At least two references are outside the text and course materials.
Use this guide to plan and review your own work. Follow your institution's rules and read our academic-integrity policy.

Written by
Aaron Bishop
MA, Education
assignment interpretation and research-methods coaching across disciplines
Aaron leads the EssayCrackers editorial desk. He works on how assignment briefs are read — what a rubric is actually asking for, and where students most often answer a different question than the one set.

Reviewed by
Dr. Nathan Cole
PhD, Rhetoric & Composition
Argumentation and thesis development
Nathan teaches first-year composition and directs a university writing center. He reviews EssayCrackers guides for argumentative soundness and citation accuracy.