However, when they do not have official leader status, they often fail to see their own strengths and make only limited efforts to establish a personal power base (p. 296). In order to improve the power base in the nursing field, it is imperative to teach future nurses that they are leaders, even if they do not have a management title. A course on leadership should be a requirement in nursing programs, which will allow nurses to learn how to adapt as leaders. All of these components are important to improving the power base, but if the desire for change among consumers and providers is not present, the quality care that citizens desire and deserve will not be present (Marquis and Huston, 2015,