Health care reform taking place in the Kazakchstan includes, as an essential element, increasing the efficiency of nursing staff, and improved management of nursing service. Nurse Manager decides on important strategic issues, makes decisions under conditions of extreme instability, constant shortage of all types of resources. An essential criterion of the value of nurses as a Director; becomes its managerial ability, leadership qualities, communication skills, optimism, vision, and willingness to engage in their self-development. Methods of research. In the research process was applied analytical, mathematical, and statistical methods. The results of the study. The study involved 10 heads of nursing services, including one chief nurse and nine senior nurses. The majority of heads of nursing services is in the range 40-56 years. Practically all heads of nursing services (90%) have a qualifying category. 40% - the highest category, 40% is the first and 10% in the second and 10% have no qualification category. 70% of managers working in these positions for more than 10 years. In some cases, heads of nursing services indicate a lack of information, regulatory in nature and related to the latest achievements in medicine. In most cases, heads of nursing services possess leadership qualities and have a positive impact on colleagues and on the question: "Are You a leader in the team?" 80% of managers said Yes, 20% were undecided. The conclusions. The above analysis shows that the professional activities of nursing managers contain certain risks affecting the activities of the nursing services. One of the important tasks of management of nursing is "removing" the risks for the effective style of leadership (management) and improving the quality of medical care.