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The World Health Organization (WHO) is a specialized agency of the United Nations based in Geneva. The WHO has many initiatives that center around health. Primarily, they lead global efforts to expand universal health coverage using science-based policies and programs. They are also responsible for shaping health research agendas and developing norms and standards.
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Updated: Jan 12, 2026

Setup and Execution Of the Blindfolded Code Training Exercise

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Published on: March 29, 2019

Rethinking global nursing leadership: The Strategic Leadership Framework.

Catherine L Gilliss¹, Paula Milone-Nuzzo²

¹UCSF Leadership Institute, University of California San Francisco, San Francisco, CA.

Nursing Outlook

|October 30, 2025

Summary

Nurses can lead significant change, even without formal titles. Understanding context, communication, and collaboration are key leadership activities for driving meaningful improvements in healthcare settings.

Keywords:

Global influence Nursing leadership Strategic Leadership Framework

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Area of Science:

Nursing
Healthcare Leadership
Organizational Change

Background:

Traditional views limit nursing leadership to formal roles.
Nurses in various positions are actively leading change.
This study challenges the exclusive association of leadership with formal positions.

Purpose of the Study:

To present a framework illustrating how nurses lead meaningful change.
To highlight leadership beyond traditional organizational structures.
To provide a model for nurses to enact change effectively.

Main Methods:

Analysis of global case studies featuring nurses in leadership roles.
Identification of key concepts for leading change outside formal settings.
Application of the Strategic Leadership Framework to real-world examples.

Main Results:

The Strategic Leadership Framework is relevant and applicable globally.
Nurses without formal titles effectively lead change in diverse settings.
Key activities include understanding culture, context, communication, and collaboration.

Conclusions:

The framework is supported by initial evidence from nurse-led cases.
Effective leadership hinges on context awareness, communication, and collaboration.
Strategic leadership interventions are crucial for achieving meaningful healthcare change.