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2026, Vol: 51, Issue: 3
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Original Research 


Clinical leadership in empowering nurses in the hospital environment: Concept analysis

Mazly Astuty, Tutik Sri Hariyati, Tuti Nuraini, Rita Sekarsari.


Abstract
Objective: To elaborate and present an integrated conceptual definition of clinical leadership in nurses, empowering, based on the results of a systematic literature review.
Methodology: This study used Walker and Avant’s approach, which consisted of eight systematic steps. The literature search was conducted using electronic data from PubMed, Scopus, Science Direct, Sage Journal, ClinicalKey Nursing, and Proquest published from 2021 until 2025.
Results: An integrated conceptual framework identified three key antecedents (structural empowerment, supportive leadership climate, clinical leadership capabilities) and four core attributes, including transformational influence, enabling empowerment, relational and collaborative competencies, and ethical and professional integrity. The consequences include nurse well-being and growth, clinical excellence and safety, innovation and service improvement.
Conclusion: This conceptual analysis resulted in an integrated clinical leadership framework, conceptualizing clinical leadership in nurse empowerment as a system-level construct with interdependent components. These findings provide a strong theoretical foundation for the development of valid measurement instruments and the design of targeted interventions in clinical settings.

Key words: Clinical leadership, nurse empowerment, concept analysis.


 
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How to Cite this Article
Pubmed Style

Astuty M, Hariyati TS, Nuraini T, Sekarsari R. Clinical leadership in empowering nurses in the hospital environment: Concept analysis. RMJ. 2026; 51(3): 716-720. doi:10.5455/rmj.20251211122047

Web Style

Astuty M, Hariyati TS, Nuraini T, Sekarsari R. Clinical leadership in empowering nurses in the hospital environment: Concept analysis. https://www.rmj.org.pk/?mno=302852 [Access: August 19, 2026]. doi:10.5455/rmj.20251211122047

AMA (American Medical Association) Style

Astuty M, Hariyati TS, Nuraini T, Sekarsari R. Clinical leadership in empowering nurses in the hospital environment: Concept analysis. RMJ. 2026; 51(3): 716-720. doi:10.5455/rmj.20251211122047


Vancouver/ICMJE Style

Astuty M, Hariyati TS, Nuraini T, Sekarsari R. Clinical leadership in empowering nurses in the hospital environment: Concept analysis. RMJ. (2026), [cited August 19, 2026]; 51(3): 716-720. doi:10.5455/rmj.20251211122047


Harvard Style

Astuty, M., Hariyati, . T. S., Nuraini, . T. & Sekarsari, . R. (2026) Clinical leadership in empowering nurses in the hospital environment: Concept analysis. RMJ, 51 (3), 716-720. doi:10.5455/rmj.20251211122047


Turabian Style

Astuty, Mazly, Tutik Sri Hariyati, Tuti Nuraini, and Rita Sekarsari. 2026. Clinical leadership in empowering nurses in the hospital environment: Concept analysis. Rawal Medical Journal, 51 (3), 716-720. doi:10.5455/rmj.20251211122047


Chicago Style

Astuty, Mazly, Tutik Sri Hariyati, Tuti Nuraini, and Rita Sekarsari. "Clinical leadership in empowering nurses in the hospital environment: Concept analysis." Rawal Medical Journal 51 (2026), 716-720. doi:10.5455/rmj.20251211122047


MLA (The Modern Language Association) Style

Astuty, Mazly, Tutik Sri Hariyati, Tuti Nuraini, and Rita Sekarsari. "Clinical leadership in empowering nurses in the hospital environment: Concept analysis." Rawal Medical Journal 51.3 (2026), 716-720. Print. doi:10.5455/rmj.20251211122047


APA (American Psychological Association) Style

Astuty, M., Hariyati, . T. S., Nuraini, . T. & Sekarsari, . R. (2026) Clinical leadership in empowering nurses in the hospital environment: Concept analysis. Rawal Medical Journal, 51 (3), 716-720. doi:10.5455/rmj.20251211122047


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