Nurses with diverse academic backgrounds, levels, and training can be leaders. Registered nurses RNs, approved practical nurses LPNs, and advanced practice registered nurses APRNs lead their patients and doctor health care team under their chain of command medical most advantageous patient outcomes. Whether a formal or casual leader, doctor nurse has impact and power that may radically change how others live, believe, and learn. In 2010, doctor Institute of Medicine IOM published a landmark report titled doctor Future of Nursing, which addressed doctor adjustments that are supposed to occur in health care and dependent a plan of action that would facilitate high first-class nursing care. The activities were constituted of eight techniques, adding a call medical equip nurses medical lead doctor adjustments in health care IOM, 2010. Leadership expertise were further pondered in doctor American Association of Colleges of Nursing AACN, 2011 booklet, doctor Essentials of Masters Education in Nursing, focusing on doctor scientific nurse leader.