ReviewNursing open2026
Self-Leadership and Caring as Foundations of Relational Accountability in Nursing Clinical Judgement: A Conceptual Analysis.
Review in Nursing open, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
What it found
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
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Corrections and comments
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Authors and funding
4 authors.
Funding
Abstract
aimThis study aims to examine how self-leadership and caring can be conceptually integrated to strengthen the legitimacy of nursing clinical judgement in complex healthcare environments.
designThis study adopts a conceptual analysis design.
methodsA conceptual analysis approach was used to synthesise theoretical perspectives from self-leadership scholarship and caring theory to clarify the internal conditions that support accountable clinical decision-making. Self-leadership was selected because it offers a framework for understanding the self-regulatory processes underlying intentional professional action, whereas caring theory conceptualises nursing as a moral-relational practice grounded in human dignity and ethical responsibility. Integrating these theories enabled examination of how regulatory capacity and moral orientation converge to strengthen relational accountability in nursing clinical judgement.
resultsThis conceptual analysis proposes a relational accountability framework comprising three interrelated components: regulatory reflexivity, moral-relational orientation and accountable enactment. Regulatory reflexivity supports intentional reasoning and behavioural alignment, moral-relational orientation directs decision-making towards relational responsibility and patient dignity and accountable enactment reflects the transparent communication and justification of clinical decisions within relational care contexts.
conclusionsRelational accountability offers a theoretical basis for strengthening the legitimacy of nursing clinical judgement by integrating internal regulatory capacity with caring-based ethical orientation. The framework provides directions for future empirical inquiry into accountable decision-making in nursing practice. PATIENT OR PUBLIC CONTRIBUTION: No patient or public contribution.
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