Project charters using the hospital's quality compass—Plan, Do, Act, and Check—that described each project's rationale, intended purpose, and measurement for success were developed. If a candidate is promoted from within, there are multiple social aspects that must be negotiated. Recently, this responsibility of nurse managers has become more important than ever due to demands for rationalization, cost cuttings, advancements in medical technology, and reduced lengths of hospital stay (Institute of Medicine, 2011; Japanese Nursing Association, 2016). In one study, 70 percent of nurses said that fellow nurses and nurse managers who were rude, critical and unsupportive caused them to leave a nursing job. Forming new groups defined by their service line, nurse managers were guided to select a project, aligned with the hospital's priorities, so they could apply their new knowledge and skills. One course specifically for nurse managers is "10 Steps to Becoming a Successful Nurse Manager." Learn about our new manager training, Maximizing Your Leadership Potential, that can help anyone struggling as a manger or preparing to shift into a new manger role. al and government-initiated reforms requiring expanded utilization of home nursing. The staff need to adjust to the new job requirements of one team member who was previously a peer. The aim of this theoretical study was to describe challenges the first-line nurse managers in a Nordic welfare country have encountered on the basis of government-initiated reforms and to describe strategies to maintain their responsibilities in nursing care. Nurse managers as first‐line leaders have a responsibility to induce changes in the clinical environment. But despite being recognized and valued, nurses still have to face several difficulties and challenges in their profession. Among new nurses, 60 percent quit after six months due to this hostile environment [source: Townsend]. Here are the top 10 challenges that keep a manager up at night, along with a “sleep aid” for each one. Being a manager means you also have to deal with tough issues that can cause you to lose sleep. Organizations must set expectations for new nurse managers so they understand their role and that it is vital to invest in training, coaching, and mentoring for new managers. ANA also offers periodic 2-day "New Nurse Manager" workshops that provide a "Road Map to Success." Then there are the patients. Nurses play a very important role in the medical industry. The program is specifically designed to address the challenges faced by new managers and help them to develop the perspective, knowledge, and practical skills that first-time managers need to effectively lead others. Some nurses also complain of disrespect from their peers. Known for their most caring traits, nurses have now developed their own reputation and identity in the health care area. 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