Shifting the Paradigm: A Framework-Driven Approach to Cultivating Nurse Leaders Through Academic Leadership Courses

Leadership is a core expectation of nursing practice, yet leadership development curricula in academia and healthcare organizations fall short of equipping nurses to lead in today's complex healthcare environment. This article outlines a framework-driven approach to leadership education through two courses designed for undergraduate and graduate nursing students, developed and iteratively refined using the Knowledge-to-Action framework and annual Plan-Do-Study-Act cycles. Grounded in relational leadership theories, the RNAO model for developing and sustaining leadership, and the LEADS in a Caring Environment framework, courses integrate participatory learning strategies to bridge theory and practice. Students engage in team-based projects, reflective exercises, and experiential activities to build self-awareness and confidence. By aligning curricula with professional standards and practice-relevant frameworks, these courses cultivate leadership, positioning nurses to influence the quality of care and contribute to health system transformation. Organizations can build on this foundation to provide leadership development and support professional growth.