How do I lead nurses who used to be my friends?

Last week you were one of them. Now you give the direction, and they feel the change even more than you do. That awkwardness is not a sign you did something wrong. It is what happens when the ground shifts. Both sides are still finding their footing. You do not have to choose between being kind and being clear. Lead the work, not the friendship. When you need something done, ask plainly and explain why. Most people will follow someone who is fair and steady, even if they resent the change at first. Do not soften your direction just to win them back. That only muddies things. Give it time, and give them room to adjust. Keep treating them with respect, hold the line on what the job needs, and let your steadiness speak. Start with one honest conversation: tell them you value them and that you still have a job to do. Friendship and leadership can live together, but only once everyone knows where they stand.