[FROM THE SILENCE AND THE OBEDIENCE, TO THE INNOVATION AND THE VISIBILITY]

Nursing process has been influenced and modified throughout history by different factors, as familiar, social and cultural aspects. Basically, the vocation has made nursing a tremendously servile and dedicated profession, which is drowning out its initiative and its innovation. Protectionist influences towards the profession, are the main barrier to the innovation, effective leadership and to different ways of thinking. Furthermore, the professional silence and the obedience to other disciplines, have slowed professional progress and the visibility of patient care. Nowadays, more than before, there is clearly perceived in the nursing staff a sense of helplessness and legally defenceless. At the same time, a lack of professional ideology and a sense of underused and undervalued profession. This undermines the development of innovation and effective leadership. Besides, it must be taken into account that the inviolability of personal approach and the invisibility of our profession are related to the professional silence. This fact has a direct effect on nurse's leadership team.