Healthcare services in Nordic countries have undergone considerable organizational changes, which have correspondingly challenged the role and status of nurse leaders at all levels of health services (Hafsteinsdóttir, 2019;Storbjörk et al., 2021). By improving relationships between different professions and organizations and through motivating and responsible change processes, positive patient and professional outcomes are activated.The Ministry of Social Affairs and Health is responsible for the development of health services in Finland, while the Norwegian Directorate of Health is responsible in Norway. The need for changes is often a result of political decisions that are published in legislation, recommendations and different health reforms (White Paper, 2008-2009. These political decisions in both Finland and Norway have had a major impact on operational and professional leadership and management with major change processes as a result.The ideology of New Public Management (NPM), digitization and the priorities of open healthcare versus hospital care is noteworthy because of the requirements for organizational and personnel changes their implementation demanded (Nylenna, 2020;Orvik, 2015). The ideology of NPM became common in healthcare