Voice of Nursing Leadership
      
		    Nurse managers across the country face the dual challenge of sustaining high-quality care while preserving personal well-being.
  
  Strategic investment in executive and leader performance coaching is one way for health care organizations to meet objectives and garner long-term success. 
  
  The past six years have brought novel and concurrent headwinds challenging health systems and their viability.
  
  Nurse executives often work behind the scenes to ensure the health and stability of their organizations. This article details one example of this work, when hospital executives managed the continuation of medical services in an emergency department (ED).
  
  In environments with leadership transitions and strained labor dynamics, sustaining engagement is challenging. Yet nursing practice thrives when voice, belonging and accountability are present.
  
  In the face of growing complexity, constant change, and remarkable possibility in health care, one truth stands firm: We are stronger together.
  
  In the face of growing complexity, constant change, and remarkable possibility in health care, one truth stands firm: We are stronger together.
  
  Nurse leaders are frequently called to manage urgent problems, meet quality metrics and implement new initiatives effectively. 
  
  Creating a strategy is an essential business practice for positioning any organization for success.
  
  The journey toward high reliability in health care emphasizes safety, standardization and reduction of harm through a culture of continuous improvement.