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Updated: Oct 3, 2025

Mindfulness in Motion MIM: An Onsite Mindfulness Based Intervention MBI for Chronically High Stress Work Environments to Increase Resiliency and Work Engagement
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Nurses Learning to be Powerful Leaders: What Will It Take?

Barbara Stilwell, Constance Newman

    Creative Nursing
    |February 17, 2022
    PubMed
    Summary

    Despite global recognition, nurses are underrepresented in health policy leadership. This study examines gendered barriers and proposes a framework to empower nurses as visible leaders for sustainable health system change.

    Area of Science:

    • Health Policy and Leadership
    • Nursing Studies
    • Gender Studies in Healthcare

    Background:

    • The COVID-19 pandemic highlighted nurses' critical roles, yet they remained largely absent from expert commentary and policy discussions.
    • The World Health Organization's 2020 and 2021 reports emphasize global nursing shortages and advocate for increased nurse leadership in health policy.
    • Historical gendered perceptions of nursing as a subordinate occupation persist, hindering nurses' advancement into leadership positions.

    Purpose of the Study:

    • To analyze the challenges preventing nurses from achieving leadership roles within health systems.
    • To propose a gender-focused analytical framework to dismantle barriers for women nurses in leadership.
    • To advocate for disrupting the status quo to enable transformative change in health system leadership.
    Keywords:
    genderleadershippower and nursingstereotypes and nursing

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    Main Methods:

    • Qualitative analysis of the historical and societal factors influencing nursing leadership.
    • Application of a gender-focused lens to examine power dynamics in healthcare leadership.
    • Exploration of strategies to challenge existing norms and promote nurse leaders.

    Main Results:

    • Identified persistent gender-based occupational legacies as a significant impediment to nurse leadership.
    • Demonstrated the need for a specific analytical framework to address these gendered challenges.
    • Highlighted the necessity of systemic disruption to foster genuine leadership opportunities for nurses.

    Conclusions:

    • Overcoming gendered barriers is essential for nurses to attain visible leadership roles in health policy.
    • A gender-focused framework can guide efforts to promote women nurses into powerful leadership positions.
    • Radical and sustainable change in health systems requires challenging the status quo of leadership and nursing.