Chapter 1

Status of Organizational Leadership in the United States

Your present circumstances don’t determine where you can go; they merely determine where you start.

Nido R. Qubein

Leadership: An Awesome Responsibility

I began my leadership career in healthcare when I was appointed manager of an intensive care unit 1 year after my graduation from nursing school. I was promoted because my director said that I had leadership abilities and I was the best clinical nurse. As I was planning my next move up the ladder of leadership, I decided that I would go back to school for my master of business administration (MBA). At that time, most of the chief executive officers (CEOs) and chief financial officers (CFOs) were MBAs. Degrees in healthcare administration ...

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