Year of Publication


Degree Name

Doctor of Nursing Practice

Committee Chair

Dr. Debra Hampton

Clinical Mentor

Dr. Anne Veno

Committee Member

Dr. Pamela Missi


BACKGROUND: Nursing leaders face increasing pressure to meet multiple outcomes and maintain standards of care while protecting the organization from potential financial consequences if standards or goals are not met. To meet the mounting demands, both nurse executives and middle management leaders will require the development of new skill sets not historically included in the job description.

PURPOSE: The purpose of this study was to assess the competencies of nursing leaders at the executive and middle management levels within Norton Healthcare.

METHODS: This study was a descriptive cross-sectional survey design to measure Chief Nursing Officer and Nursing Director leadership competencies.

RESULTS: The only statistically significant difference between the responses of the CNO and Director groups was regarding their ability to monitor productivity within their departments (p= 0.4).

CONCLUSION: Healthcare leaders must have a myriad of leadership competencies in order to maintain quality outcomes and standards of care within highly complex healthcare organizational systems.