Improvising through ambiguity

ABSTRACT: This article examines how principles of jazz (improvisation within structure, shared leadership rooted in mutual respect, and embracing mistakes and ambiguity) can inform effective nursing leadership. In increasingly complex health care environments, traditional hierarchical models limit adaptability, whereas a "jazz leadership" approach fosters collaboration, creativity, and resilience. Drawing parallels between jazz ensembles and nursing teams, the author highlights strategies to enhance decision-making, innovation, and succession planning. By cultivating psychological safety, distributed leadership, and adaptive problem-solving, nurse leaders can better navigate uncertainty and strengthen team performance while maintaining high standards of patient care and safety.