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gap nursing literature significant contributions executive military nurse leaders advancement nursing profession interprofessional leadership roles many executive military nurse leaders demonstrated value nursing leadership nontraditional roles paved way expand leadership opportunities nurses would follow purpose study explore personal stories experiences leadership strategies lessons learned eyes first nurse achieve rank major general us air force oral history method guided exploration participant memories experiences compliance oral history association guidelines investigator obtained institution review board permission informed consent audiotaped interviews expert panel provided feedback appropriate language use semistructured interview questions air force nurse executives oral history method provided framework semistructured interview analysis active listening techniques exploration clarifying paraphrasing helped foster deep listening graduate research assistant transcribed 4hour interview verbatim primary investigator emailed copy transcript participant verify accuracy clarify content analysis involved examination interpretation professional military nursing participants personal perspective enhance historical understanding three independent coders extracted prevalent themes subthemes analysis repetitive major themes courage figuring winning others emerged data analysis major theme courage corresponding subthemes tenacity risktaking rewriting narrative major theme figuring subthemes optimism creativity connectedness learning managing change lastly winning others theme subthemes emotional intelligence teamwork rolemodelmentor moving outsider insider leadership strategies taking calculated risks remaining calm open opportunities never considered spending time learning new skills contributed repeated advancement higher leadership positions previously held nurse within us air force interview packed full leadership lessons relative today 20 years ago presentation conclude discussion effective leadership strategies lasting impact leadership accomplishments current implications nurse leaders today