Paarima, Y.Kwashie, A.A.Asamani, J.A.Ofei, A.M.A.2022-05-092022-05-092022http://dx.doi.org/10.1108/LHS-05-2021-0047http://ugspace.ug.edu.gh/handle/123456789/38052Research ArticlePurpose – This paper aims to examine the leadership competencies of first-line nurse managers (FLNMs) at the unit level in the eastern region of Ghana. Design/methodology/approach – The paper is a quantitative cross-section design. Findings – Nurse managers exhibited a moderate level of knowledge and ability to apply leadership competencies. Gender, rank, qualification, professional experience, management experience and management training jointly predicted the leadership competencies of FLNMs [(R2 = 0.158, p = 0.016]. However, only management training was a significant predictor in the model. Practical implications – Inappropriate leadership competencies have severe consequences for patients and staff outcomes. This situation necessitates a call for a well-structured program for the appointment of FLNMs based on competencies. Originality/value – This study is the first in Ghana which we are aware of that examined the leadership competencies at the unit level that identifies predictors of leadership competencies.enLeadership competenciesNurse managersFirst-line nurse managersArticle