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For decades, debates have occurred around the fundamental question of nature vs. nurture in order to explain why we behave in a certain way. The shortest summary of experience and research related to this question can best be described by the following – it is both. We behave in a certain way because of who we are, our personality traits, our values and our DNA from a behavioural standpoint. But in addition to that, we also work and live in a certain environment that supports, condones, values and necessitates some leadership practices more than others. At this time of transformation towards truly integrated services leadership practices must evolve and be conducive for trust and collaboration; and, from positional power to influence in order to be as effective as possible going forward.