The goal of a nurse leader or manager is to build a team of competent nurses and work to achieve the goals of an organization. Nurse leaders can encourage the development of a more culturally diverse and culturally competent staff. “Organizations with an inclusive culture that encourages collaboration, flexibility, and fairness, as well as equal participation, are more successful in employee engagement and retention” (Helbig, 2020). The health care industry is constantly changing and will continue to change as the years go by. It is important for nurse leaders and managers to adapt to the changes and prepare staff for these changes. Nurse leaders and managers focus on patient safety, the safety of the staff, productivity, and to achieve common goals. Nurse leaders and managers contribute to the re-engineering of health care by quality improvement, looking for areas of improvement by analyzing and evaluating current practices and processes of patient care. They also look to provide a positive outcome for patients and their families by ensuring efficiency, collecting and evaluating results, and continuous evaluation of quality indicators and clinical outcomes (Helbig, 2020). Using Demings principles, nursing leaders are able to help adapt to the transformation of health care using education, quality improvement, and involving all nurses in the process of change. Nurse leaders are expected to lead a team to success using tools and a system in place and for an organization to provide positive patient outcomes.