Nurses had been a team leader in the ED for 6 years and were apprehensive about applying for a nurse manager opening, but felt she understood the needs of the department and staff better than outside applicants. When she was notified of the decision to promote her to manager, she was thrilled and couldn't wait to get started and change things to improve patient care. Then, reality set in. With no formal leadership training and a lack of a management orientation process, many of her efforts seemed futile and she started to wonder if she was really qualified for this role. The department had been through four managers in the last 5 years, and she didn't want to be a part of this legacy. Nurse S decided to hang on in hopes of finding a resource to educate and guide her through her new leadership role.