This reflective assignment examines the evolution of nursing skills, leadership, and management roles, particularly within the context of an RN-BSN program. The author reflects on the importance of change theory, various leadership styles, and effective communication techniques for patient-centered care. The reflection draws connections between academic experiences and real-world applications, emphasizing the role of leadership, communication, and conflict management in delivering quality healthcare. The author highlights the significance of essential nursing skills, including the ability to adapt to change and provide empathetic care. References to past academic work demonstrate how the student has met program essentials, specifically focusing on professionalism and promoting the image of nursing through demonstrated knowledge, skills, and attitudes. The assignment references the use of leadership skills to manage nursing conflicts and the importance of being an effective communicator.