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Nursing Leadership in Nursing Homes: An Evolutionary Concept Analysis

J. Clorrice Briggs · Research in Gerontological Nursing · 2025

Purpose: To identify the attributes, antecedents, consequences, surrogate terms, and related terms of nursing leadership in nursing homes (NHs). Method: Rodgers' evolutionary concept analysis was used to examine nursing leadership in NHs. Results: Findings highlight attributes of nurse leaders in NHs and how these attributes set the concept apart from closely related terms, such as RN or clinical leadership. Conclusion: Nursing leadership is often used interchangeably with surrogate and related terms. This intermingling can undermine the role of nursing leaders in NHs, inhibiting true collaboration and fostering incorrect expectations among interprofessional colleagues in the care setting, operational leaders (e.g., physicians, nursing home administrators), and policymakers around key decisions that impact nursing and ultimately the outcomes of those living and receiving care in NHs.

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