Internal leadership development is a pressing issue in nursing because of the powerful influence of unit-level leaders/managers on staff nurse retention, the excessive costs of replacing this level of leadership as well as the costs of replacing staff, and the difficulty of finding strong candidates for both staff and leadership positions. This article offers a process of leadership development for frontline managers to be conducted within the facility. Models from the business community are helpful in constructing possibilities for internal development programs in nursing. Three courses, their content, and the experiential learning projects associated with didactic content are described.
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