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Changing the narrative: Shifting soft skills to power skills in nursing
Cynda Hylton Rushton1, Mikhail Shneyder, Antonia M Villarruel
1Cynda Hylton Rushton is the Anne & George L. Bunting Professor of Clinical Ethics, Nursing & Pediatrics at Johns Hopkins University School of Nursing, Berman Institute of Bioethics in Baltimore, MD; Mikhail Shneyder is Founder and Chief Executive Officer of Nightingale Education Group in Salt Lake City, UT; and Antonia M. Villarruel is Professor and Margaret Bond Simon Dean of Nursing at the University of Pennsylvania School of Nursing in Philadelphia, PA.
Abstract:
Reframing nurses' core relational abilities from "soft skills" to "power skills" is essential to transforming health care. These capacities-such as effective communication, empathy, self-regulation, ethical grounding, and relational presence-aren't secondary to technical expertise but foundational to healing, trust, and professional identity. Power skills enable nurses to mitigate suffering, strengthen connections, and lead effectively across education, practice, and policy. This article calls on nurses in all roles to embrace, model, and structurally embed this narrative shift to reclaim nursing's authority, purpose, and enduring impact.
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