Public, private, non-profit and for-profit nursing education enterprises in the U.S. are competing with one another in a newly complex and volatile educational landscape, placing academic leaders into situations fraught with moral, ethical and legal compromise with few precedents for guidance. This case study provides a richly contextualized narrative exploration of ethical and legal challenges to one leader’s moral courage, a fictionalized exploration drawn from multiple sources over time, to form a composite that is nonetheless firmly rooted in the complexity and competitiveness characteristic of nursing education today. Our purpose is three-fold: 1) to direct the reader to moral and ethical questions that require thoughtful discourse and analysis among current and future academic nursing leaders; 2) to raise the issue of the need for regulations and oversight that reflect the changing realities of today’s increasingly complex and competitive educational arena; and 3) to encourage nursing education leaders to share additional cases that resonate for them, and in so doing, to expand the wellspring of ideas from which we can all draw in becoming more effective and morally courageous leaders.

中文翻译：

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美国的学术护理领导力：竞争，妥协和道德勇气的案例研究

美国的公立，私立，非营利和营利性护理教育企业正在一个新的，多变的教育环境中相互竞争，使学术界领导人陷入道德，道德和法律妥协的境地，几乎没有先例可循。本案例研究提供了对一位领导者的道德勇气的道德和法律挑战的情境化叙事探索，是随着时间的推移从多个来源汲取的虚构化探索，形成了一个牢固地植根于当今护理教育的复杂性和竞争力特征的综合体。我们的目标是三方面的：1）引导读者解决道德和伦理问题，这些问题需要在当前和将来的学术护理领导者之间进行认真的论述和分析；2）提出需要法规和监督的问题，以反映当今日益复杂和竞争日益激烈的教育领域不断变化的现实；（3）鼓励护理教育领导者分享更多引起他们共鸣的案例，从而扩大思想观念的源泉，我们都可以从中汲取灵感，成为更加有效和在道德上勇敢的领导者。