Key points are not available for this paper at this time.
ABSTRACT Purpose To examine the paradox of representation without power in nursing leadership and to highlight how gendered hierarchies persist in academic, clinical, and policy arenas despite nursing's predominantly female composition. Organizing Construct or Argument Existing systems of evaluation and promotion often reproduce inequities by undervaluing relational and collaborative leadership styles—forms of leadership intrinsic to nursing practice. This commentary draws on global and contextual perspectives to advocate for accreditation and institutional metrics that integrate equity indicators and recognize inclusive leadership as a marker of excellence. Conclusions Advancing gender equity in leadership is both an ethical and strategic imperative. Embedding equity education and inclusive leadership development within nursing curricula from the earliest stages of professional formation is essential to reshape the future of nursing leadership. Clinical Relevance Promoting gender equity in leadership will strengthen nursing's contribution to health systems, enhance organizational resilience, and advance equitable patient care.
Ferrer et al. (Sun,) studied this question.