The continuously changing healthcare landscape expands the responsibility of nurses 
beyond providing basic treatment to include sustainable development practices and 
transformative leadership. Aim: the current study aimed at studying the association between 
lean -agile leadership, nurses' connectivity, and sustainable development practices. Research 
Design: A descriptive research design was employed in the study. Setting: Two Minia 
University Hospitals were included in the study (Emergency Hospital; Kidney and Urology 
Hospital). Sample: A convenient sample of all 427 nurses working in the two hospitals under 
study at the time of data collection. Study tools: Three tools called Lean-agile leadership 
practice scale, nurse connectivity questionnaire, and sustainable development practices scale. 
Results: Most of the studied nurses at the two hospitals exhibited "High" responses toward 
lean-agile leadership practice and nurses' connectivity as well as sustainable development 
practices. Conclusion: A positive correlation existed between lean-agile leadership practice 
and both nurses' connectivity   and sustainable development practices additional to positive 
association between nurses' connectivity and sustainable development practices. 
Recommendations: Offer leadership development courses with an emphasis on lean-agile 
concepts that are especially suited for healthcare environments.