1 Leadership Attributes in Health Care The nursing career is a journey based on many choices and challenges; patients' physical and emotional issues, personal issues, and Organizational issues are some of the challenges a leader will encounter. Regardless of the role assumed, important choices are often presented in the healthcare leadership field. Within the many moving parts of leadership, ethics plays an important role in shaping the pathway of choice-making. Ethics often deals with morality and with concepts of what is right or wrong. Integrity could be defined as possessing the quality of honesty, and fairness, and upholding strong moral principles. According to Giddens, “ethical integrity is a core element of all types of leadership”; thus, having ethical integrity is essential (Giddens, 2021, p. 386). As a good leader, having integrity is essential to establish trust and provide patients and followers/colleagues with a sense of trust and security. One may ask: What are some examples of integrity? A great example of integrity is accountability. Leaders with integrity will hold themselves accountable for any mistakes, instead of blaming others. Leaders are always faced with decision-making situations. According to Yoder decisionmaking uses a “systemic process to choose among options” (Yoder-Wise, 2019, p. 258). It is important to be able to think critically and have a professional judgment in identifying options to be an effective problem solver and practice decision-making effectively. For example, in a situation where there might not be set rules, a leader who leads with intention of fairness, may use a shared decision-making approach. A shared decision-making approach is shown to “enhance employee’s happiness, work performance, professionalism, and accountability.” (Yoder-Wise, 2019). 2 In leadership, communication skills are another main attribute to possess to achieve desired goals. For example, clear communication is key to effective leadership. A good leader not only speaks clearly but also patiently listens to his followers, fostering trust in both employees and the Organization. Change is necessary for situations and for people to evolve. Leadership skills are the core of effective change, especially in the workplace. An example of leading changes is to use effective communication skills to influence the changes in the correct pathway to achieve the desired goal. For example, transformational leaders could use empathetic, respectful, and clear communication to guide the change desired to achieve the necessary goals. Critical thinking is a core skill necessary in all areas of life. According to the Canadian Journal of Nursing and Leadership, “critical thinking is an energetic process that aims to form a judgment through the objective analysis and evaluation of an issue and is widely accepted to be necessary”, especially within leadership. (Giannouli & Giannoulis, 2021, p. 1). As a leader, when confronted with making a hard decision, it is important to see the situation while choosing a good decision-making approach; consider not only the Organization’s policies, procedures, and goals, but also considering how the issue at hand affects the followers' colleagues and patient care. Professionalism is expected from a successful leader. In leadership, professionalism is the key to quality and efficiency because it involves being competent and skilled in the chosen profession, and especially competent in influencing while making changes within the Organization towards the desired goal. Professionalism involves all the attributes described 3 above, such as clear communication, the ability to think critically, and effectively practicing efficient decision-making. Healthcare Organizations are complex entities that have many layers. Some of these layers can be classified by the mission and financial structure of the Organization. Orlando Health is a HealthCare Organization whose mission is to improve the health and quality of life of the communities they serve. They are also a non-profit organization, which means that the earned profits do not go to shareholders, but are used for the growth of the organization, such as new equipment purchases, new buildings, etc. Orlando Health also possesses an internal environment that promotes a culture of fairness. They pride themselves on excellence in quality patient care and promote a work-life balance, making it an excellent fit for a leader. 4 References Giannouli, V., & Giannoulis, K. (2021). Critical Thinking and Leadership: Can We Escape Modern Circe’s Spells in Nursing? Canadian Journal of Nursing Leadership, 34(1), 38–44. https://doi.org/10.12927/cjnl.2021.26456 Giddens, J. (2021). Concepts for nursing practice (3rd ed.). Elsevier. Yoder-Wise, P. (2019). Leading and managing in nursing (7th ed.). Elsevier.