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  1. Shirey, Maria R. MS, MBA, RN, CNAA-BC, FACHE
  2. Ebright, Patricia R. DNS, CNS, RN
  3. McDaniel, Anna M. DNS, RN, FAAN


Although nurse managers play a pivotal role in creating work environments for staff nurses, performance expectations for nurse managers practicing in acute care hospitals may be unrealistic. The authors discuss nurse manager interview data showing that these expectations are increasing nurse manager perceptions of stress, making coping more difficult, and potentially harming nurse manager and work environment well-being.