Introduction: The key milestones in the development of nursing are Ministerial Decree 739/1994, which established the professional profile of the nurse; Law 42/99, which abolished the job description, recognizing nurse; autonomy and responsibility; and Law 251/2000, known as the management law. Objective: To analyze how the head of healthcare professions, since taking office, has managed the organizational function managers, assessing the impact on organizational efficiency. Methods: A self-constructed questionnaire, preceded by a cover letter, was conducted with the head of healthcare professions at the Crotone Local Health Authority. The following questions were asked: Question 1: When you took office, the organizational function managers for the local and hospital nursing areas were already present. How did you interact with them? Question 2: How did you demonstrate your leadership towards them? Question 3: Regarding the hospital area, without referring to individuals, were any critical issues identified in the management of nurses? YES NO If yes, which ones? Question 4: Regarding the local area, without referring to individuals, were any critical issues identified in the management of nurses? YES NO If yes, which ones? Question 5: In general, how would you describe the situation you encountered when you took office? And what is the current situation?