In nursing homes, directors of nursing (DONs) are responsible for cultivating nurse empowerment, yet they are often ill-equipped to do so. In this article, the authors explain the accountability–preparation gap, which affects the ability of DONs to create empowering work environments. The authors expand upon the results of a previous integrative literature review that elucidates how nurse empowerment is crucial to improving resident outcomes, particularly because empowerment can reduce staff turnover. The authors also identify three major barriers to empowerment: self-perception, lack of time, and lack of professional preparation. Practical implications of their review are discussed.