Original ArticlesLeadership Influence A Core Foundation for AdvocacyShillam, Casey R. PhD, RN; MacLean, Lola BSN, RNAuthor Information Associate Dean of Baccalaureate Education (Dr Shillam) and FNP/DNP student (Ms MacLean), School of Nursing, University of Portland, Portland, Oregon. Correspondence: Casey R. Shillam, PhD, RN, School of Nursing, University of Portland, 5000 N. Willamette Blvd, MSC 153, Portland, OR 97203 ([email protected]). This work was supported by the Robert Wood Johnson Foundation Executive Nurse Fellows program.The authors declare no conflict of interest. Nursing Administration Quarterly: April/June 2018 - Volume 42 - Issue 2 - p 150-153 doi: 10.1097/NAQ.0000000000000276 Buy Metrics Abstract As the largest segment of the health care workforce, nurses have the greatest potential for advancing systems and services to improve health care delivery in the United States. This article presents a framework for nurse administrators to use in developing direct care nurses in their leadership influence competency as a means of increasing their advocacy potential. A systematic review resulted in establishing a nurse leadership influence framework based on the Kouzes and Posner leadership model. The framework includes leadership competencies by nursing professional organizations and was validated by 2 national nurse leader focus groups. Nurse administrators have the opportunity to adopt an evidence-based leadership influence framework to ensure development of advocacy competency in direct care nurses. The impact of nurse administrators systematically adopting a standardized leadership influence framework will result in setting a strong foundation for nurse advocacy. Successful long-term impacts will result in nurses skillfully integrating leadership influence and advocacy into all aspects of daily practice. © 2018 Wolters Kluwer Health, Inc. All rights reserved.