Nurse Managers must work with all stakeholders including administrators, directors, clinicians, and patients to establish and support a collaborative, inter professional team approach to change and lead clinical practice. In partnership with nurse executives, Nurse Managers can serve as change agents and champions for patient engagement by providing resources such as time, money, and the ability to leverage technology in order to effectively manage patient care. 16 Nurse Managers can empower direct care nurses to make decisions about how to engage patients and their families and provide support to develop a culture of shared decision making. Based on the definition of patient engagement and the numerous roles of healthcare providers, it is imperative to identify a central leadership role that can influence the needed practice changes to create an environment where patient engagement can occur. Nurse Managers can fulfill this critical role. 3,17