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Medical leaves of absence occur because of physical issues, psychological disorders, and work-related accidents. Light duty nursing refers to the modification of job responsibilities to accommodate nurses with health conditions [...], Medical leave of absences occur due to physical, psychological, and work-related issues. It is imperative for nurse leaders to understand the impact of these situations on a nursing team from organizational and relational perspectives, and to address this issue by understanding the complexity of the transitional work process and improve this process. There may be opportunities to reintegrate nursing staff into areas with staffing challenges, increasing productivity and staff engagement, while ensuring cost avoidance. Keywords: Medical leave of absence, nurse leaders, productivity, staff engagement, cost avoidance, employee job satisfaction.