Reflections from a System Chief Nursing Executive: Intention to lead

The integration and utilization of Chief Nurses (CNs) to lead and support complex health systems and health workforce optimization in governments, nongovernmental organizations, and across all health and social sectors is of paramount importance. At a time when the global nursing profession is challenged with a strained workforce and a growing leadership gap, it is essential that we examine and pay attention to the importance of the CN role. To attain universal health coverage, sustainable development goals, and global health, the need for the right number and a well-prepared nursing workforce is evident. While nursing recruitment and retention are key for system sustainability, it requires the right governance, leadership, infrastructure, and resources. A System CN can lead, advise, and impact the success of the nursing workforce in collaboration with senior leadership teams. At this time of major health challenges, too many health and social systems, both at government and nongovernmental levels, do not have a CN at all, or the role is delegated to a staff position with limited ability to impact the system on the local, regional, national, and global scale. Recruitment and investments targeting CNs are required to resuscitate, stabilize, and invigorate knowledgeable leaders who can transform, inspire, and maximize nursing contributions to assure access and quality healthcare. My personal and professional CN journey is highlighted here as an illustration for nurses who lead formally and informally, as they contemplate their own current and future ambitions and contributions.