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From yellow brick roads to nightingale codes: A leadership journey through change

Nicola Lewis 28 Oct 2026

This blog explores the evolution of leadership from personal growth and discovery to professional practice grounded in nursing values and standards. It reflects on navigating complexity, embracing change, and leading with compassion, courage, and authenticity while remaining true to the principles of the Nightingale legacy.

Leadership is often described as a destination, but my experience as a Florence Nightingale Foundation Emerging Leadership Scholar taught me that it is, in fact, a journey. Like Dorothy following the Yellow Brick Road, I embarked on this scholarship seeking to strengthen my leadership and create meaningful change within complex healthcare environments, particularly prison healthcare. What I discovered along the way was not simply new knowledge and skills, but a deeper understanding of myself and the leader I wanted to become.

Working within specialist services and prison healthcare, I have always been passionate about improving care for vulnerable populations. The scholarship provided an opportunity to develop my strategic thinking, build confidence in influencing systems, and strengthen my ability to lead workforce redesign and service improvement. Most importantly, it challenged me to find my own voice as a leader.

The characters from The Wizard of Oz became powerful symbols for my leadership journey. The Scarecrow reminded me that wisdom often exists long before we recognise it. Through strategic workforce reviews and leadership development programmes, I learned to trust my ability to analyse complex systems, use evidence effectively, and make informed decisions that positively impact services and patient care.

The Tin Man represented the importance of leading with heart. Coaching, mentorship, and my work in creating person-centred cultures reinforced that compassion, empathy, and psychological safety are not optional extras in healthcare leadership—they are essential. I learned that authentic leadership creates the conditions for people to thrive, especially during times of change.

The Cowardly Lion reflected my own experiences of self-doubt. Whether contributing to national conversations, challenging established practices, or advocating for underserved populations, I often found myself stepping outside my comfort zone. Through leadership development opportunities and the support of mentors, I discovered that courage is not the absence of fear—it is choosing to act despite it.

At the centre of the story is Dorothy. Like her, I began this journey searching for something I could not quite define. Through every workshop, coaching session, and leadership experience, I reconnected with my values, purpose, and vision. I realised that authentic leadership is not about having all the answers; it is about listening, learning, and walking alongside others with curiosity and compassion.

As I continue my leadership journey, the legacy I hope to leave is one where kindness and candour coexist, where people feel safe to speak up, and where everyone believes they have the power to make a difference.

The greatest lesson from my scholarship is that leadership is not about reaching the Emerald City—it is about how we travel the road, support those around us, and create a healthcare system where every voice matters.

Nicola Lewis

Nicola Lewis

Nurses in Management and Leadership Forum

Deputy Head of Nursing Specialist Community Services, Swansea Bay University Health Board

As Deputy Head of Nursing for Specialist Community Services, I provide professional nursing leadership, governance, and assurance across a range of specialist services, ensuring safe, effective, and person-centred care for patients and communities across Swansea Bay. I lead workforce planning, quality improvement, and service development, supporting multidisciplinary teams to deliver high-quality care while maintaining compliance, managing risk, and driving continuous improvement.

Page last updated - 28/10/2026