Purpose: Nurses work together in rapidly changing environments and must adapt to keep up with these changes. Understanding the chosen nursing advanced practice role, change theory, and leadership skills fosters cooperative relationships and advances healthcare for all as nurses leading in the healthcare environment. Directions: Analyze your chosen MSN role (nurse practitioner). Reflect on the future of nursing and healthcare and how your chosen MSN role (nurse practitioner), change management, and leadership strategies will address the needs of the future healthcare system. Investigate novel roles for advanced practice nursing (nurse practitioner) related to emerging healthcare trends and needs. 1. Provide a future vision of chosen role and include a full discussion. Evaluate the future vision and goals of your chosen MSN role (nurse practitioner) and relate to emerging healthcare trends and needs. 2. Provide a discussion of change management strategies and include a full discussion. Investigate change management strategies you and other nursing advanced practice colleagues should understand to promote appropriate change management and response to the rapidly evolving healthcare system. 3. Provide a discussion of leadership qualities and include full discussion. Appraise leadership qualities necessary for your chosen advanced nursing practice role (nurse practitioner). Determine qualities you currently possess and those qualities you will need to develop for your chosen role (nurse practitioner). 4. Provide a discussion of leadership tools needed for MSN practice and include a full discussion. Develop a plan to expand your leadership toolbox. What will you do to develop your leadership skills for future needs and challenges?