Recent studies have demonstrated that difficulty of East Asian and South Asian nurses in transitioning to manager role. Usually honored for their respectfulness, diligence, and loyalty, some of these characteristics do not translate well into being a ‘manager.’ This is the case for hospital administrators in the US and India. Many Indian hospitals are using US-trained managers and trainees to teach new nurse managers how to think independently as opposed to following a guideline or directive. Culturally, this is much easier for second generation (and beyond) Americans.

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