DQ 1 :What is the difference between leadership and management?
Headship is the term that makes this version different, and the rationale has to be argued from nursing theory rather than from experience.
Editorial process
Last reviewed · August 18, 2026
Headship is the third term, and it is the interesting one
Two of the three terms are familiar and the third is where this prompt earns its place. Management is a formal role with delegated authority over resources, schedules and compliance. Leadership is influence granted by followers, which is why it can be held without a title and lost while holding one. Headship is the case the prompt adds: occupancy of a position of authority without the followership that makes it leadership. A head is obeyed because of the org chart, and the distinction matters because a great deal of organisational unhappiness comes from a head who believes they are leading. Say what tells the difference — whether people act when the head is absent, whether they bring problems forward or route around, whether compliance survives the end of the audit — and you have answered the part of this prompt most posts skip entirely. The third term is the one worth spending words on, because it names something everyone has experienced.
The second demand is that your rationale on whether all nurses should be considered leaders must use nursing theory, which rules out answering from conviction. There is a defensible yes: if leadership is influence rather than position, then every nurse influences patients, families and colleagues, and the professional standards for the discipline treat leadership as a competency of all registered nurses rather than of managers. Theory supports that — the self-care deficit tradition casts the nurse as the agent who acts where a patient's own agency falls short, which is influence by any reading, and caring theory makes the nurse the party who creates the conditions for healing. There is also a defensible no: if leadership requires a followership that grants it, the term empties when applied to everyone. Take a position, ground it in a theory, and say what it implies for how leadership is taught.
Likely learning objectives
- Distinguish management, leadership and headship by their source of authority.
- Identify observable signs that distinguish a head from a leader.
- Argue a position on universal nurse leadership from a named theory.
- Draw an implication for how leadership is developed.
Assignment instructions
Read the full question
Review every instruction before using the planning guidance that follows.
NUR 674 Topic 2 DQ 1 DQ 1 :What is the difference between leadership and management? What is the difference between leadership and management? What role does headship play? Should all nurses be considered leaders? Explain your rationale using nursing theory?
Turn the brief into deliverables
- 01Definitions of all three terms.
- 02An observable test separating headship from leadership.
- 03A position on whether all nurses are leaders.
- 04A named nursing theory supporting the position.
- 05An implication for education or practice.
The distinction, headship, then the theory-based rationale
Three sources of authority
Define management, leadership and headship by where authority comes from.
What the assessor is likely looking for
Headship separated from leadership, not merged with management.
Telling a head from a leader
Give observable signs a colleague could check.
What the assessor is likely looking for
A behaviour that differs when the person is absent.
The case that all nurses lead
Argue from influence and professional standards, grounded in theory.
What the assessor is likely looking for
A theory concept doing the arguing.
The case against
State the objection that universal application empties the term.
What the assessor is likely looking for
An objection taken seriously rather than dismissed.
Your position and what follows
Commit, and say what it implies for developing leadership.
What the assessor is likely looking for
An implication that would change a curriculum or a role.
Nursing theory and leadership evidence for the rationale
Recommended databases
- PubMed Central
- American Organization for Nursing Leadership
- CINAHL Complete
- Journal of Nursing Management
Search sequence
- 1.Choose a nursing theory whose concepts you can actually deploy in the argument.
- 2.Read the nurse leader competencies for what the profession formally expects.
- 3.Find evidence on leadership style and nurse outcomes to support a claim about influence.
- 4.Look for literature on informal leadership among clinical nurses.
Reference shortlist
These are authoritative starting points, not a ready-made bibliography. A qualified reviewer must confirm that each source fits the assignment and supports the claim beside which it is cited.
AONL Nurse Leader Core Competencies
American Organization for Nursing Leadership · 2024
The formal competency set, for whether leadership is expected of all nurses or of leaders.
A systematic review of the relationships between nurse leaders' leadership styles and nurses' work-related well-being
International Journal of Nursing Practice · 2022
A systematic review of nurse leaders' styles and nurse outcomes — evidence that influence has effects.
Self-care deficit nursing theory
Wikipedia · 2025
Orem's theory, whose concept of nursing agency supports the influence argument.
Trends and Hotspots in Nursing Theory Research Published from 1990 to 2022
Journal of Nursing Management · 2024
Trends in nursing theory research, for choosing a theory that is actually used.
Nurse Managers' Strategies to Navigate Clinical Leadership and Managerial Responsibilities: A Scoping Review
Journal of Nursing Management · 2026
Nurse managers navigating clinical leadership and managerial responsibility — headship in practice.
Review before submission
Common mistakes
- Ignoring headship, which is the term that makes this prompt distinctive.
- Arguing the rationale from experience when the prompt asks for theory.
- Answering yes without addressing what that does to the term's meaning.
- Naming a theory without using any of its concepts.
Submission checklist
- Is headship defined and distinguished?
- Is there an observable test rather than a definition alone?
- Have you taken a clear position?
- Is a nursing theory named and its concepts used?
- Does your position lead to a practical implication?
Use this guide to plan and review your own work. Follow your institution's rules and read Brinevia's academic-integrity policy.
Written by
Maren Caldwell
MSN, RN, CNE
Medical-surgical nursing, pharmacology and NCLEX preparation
Maren is a registered nurse with over 15 years of clinical and educational experience in medical-surgical nursing. She writes on NCLEX preparation, patient care fundamentals, pharmacology and evidence-based practice.

Reviewed by
Dr. Tessa Redmond
DNP, RN, CNE
Evidence-based practice and clinical education
Tessa is a doctorally-prepared nurse educator. She reviews Brinevia content for clinical accuracy and alignment with current evidence-based guidelines.