Charge Nurse helping a staff member

Are You Ready to Climb the Career Ladder? New Leaders

When you think about a leader, what do you envision? A manager, director, chief nursing officer, or other positions within a healthcare facility. Unfortunately, not all managers are leaders. Let’s focus on the differences between the two roles.

  • Leaders do not have to be in an authoritative role, a leader can be anyone. Leaders are followed because of their personality, beliefs, and behavior.
  • Managers are in an authoritative role with a job description, and subordinates are obligated to follow the requirements from the title or job description.
    (Monnappa, 2018)

Which would you rather be? Can you be both? Leaders can have a managerial role, but not all managers are leaders.

The first roles that you can aspire to are charge nurse, supervisor, clinical nurse specialist, or clinical nurse educator. While these roles may be part of your unit’s leadership team, they usually do not have the authoritative role that a manager or director may have. In these roles, your leadership qualities are more important than your management skills.

Charge nurse/Supervisor

  • You work with the staff on shift, make assignments, first line of discussion when issues arise
  • You are not responsible for the ongoing and final discipline of staff
  • Your leadership qualities enable you to:
    o Empower the staff to do their best in the worst circumstances
    o Find innovative ways to deal with day-to-day issues that may arise
    o Advocate for staff with management in the best interest of the staff
  • An advanced degree is not required

Clinical Nurse Specialist/Clinical Nurse Educator

  • Responsibilities include developing the staff to be the best they can be through education, competencies, evidence-based practice implementation, and day-to-day interactions
  • You are not responsible for compliance
  • Your leadership qualities enable you to:
    o Find innovative ways to help the staff stay competent when the fiscal reality is dismal
    o Motivate, influence, and enable staff to contribute to the success of the unit and organization
  • The CNS is an advanced practice role and the clinical educator role may or may not prefer an advanced degree

These roles are essential to a successful unit and organization. Holding one of these roles will empower you to manage “things”, such as programs, processes, and projects while leading the staff. These roles are based on trust and experience, not a developed job description.

These leadership roles are a stepping stone to those of you who want to advance into managerial roles. Using the skills of leadership you have honed in your present role will enable you to be a more effective manager. There is a difference between leadership and managing; however, neither is superior to the other. Both are essential components to a successful unit and organization (Allen, 2018). Find out which roles are available to you as an aspiring leader. Learning to be a leader, well-respected among the staff. Show the staff that it is not because “I said so” but because it is the right thing to do. Empower your staff.

Did you ascend the clinical ladder to the supervisor level already? Learn more about climbing the career ladder for senior leaders.

Allen, T. (2018). What is the difference between management and leadership?

Monnappa, A. (2018). What’s the difference between leadership and management?