The United States experiences an economic and healthcare crisis that calls for change. Transformational leadership model by Kouzes and Posner (2003) defines traits that are important to embrace by today’s healthcare leaders in promoting organizational change. To promote growth, engaging and empowering all members in the organization opens the door for collaborative work intentionally establishing sustainable healthcare outcomes. Since nurses play a significant role in US and global healthcare systems, healthcare organizations demand empowered nursing leaders that have an equal voice. The significance of this review to the future is to awaken nursing leaders to step away from a dependent mode and to step forward to an empowered mode.