Background: Polarity management is an innovative strategy that helps healthcare leaders navigates complex, ongoing, chronic issues which are polarities that cannot be solved through traditional problem-solving methods but through recognizing and effectively leveraging of them. Treating these polarities as problems to be solved leads to its persisting over time and become impervious to resolution.

The study aim is to assess head nurses knowledge about polarity management and its effect on their leveraging of health care polarities. Research design: The current research's aim was accomplished through the use of a descriptive correlational research strategy.

Sample: The study sample involved all head nurses who work in Minia University design (N= 80).

Two tools were employed for collection data; Tool (one): Self-administered questionnaire scale, it has two parts; 1st part: Personal data sheet, and 2nd part: Head nurses' knowledge about polarity management questionnaire.

Tool (two): Leveraging of health care polarities scale.

Results: The majority of head nurses have unsatisfactory level of knowledge about polarity management, while more than half of them have poor leveraging of health care polarities.

Conclusion: There were statistically significant differences and positive correlation between head nurses' knowledge about polarity management and their leveraging of health care polarities

Recommendations: Implement educational training programs for nurse’s manager about polarity management as well as leveraging of health care polarities to guide hospitals' transformation.