| Summary: | Historically, female nurse leaders endeavoured to make nursing a profession by establishing nursing organisations that could act as agents of change. They were hampered by sociocultural notions of gender: men dominating society, politics, and the economy. Nurses therefore needed positive working relationships with male leaders. In South Africa, such gender dynamics led to the South African Nursing Association (SANA), being influenced by a political system, that is, apartheid, which had dire consequences for the profession. This article illustrates that historically the emerging nursing profession was intimately connected with a changing society: female nurses strove for economic and professional independence but were confined by a male-dominated (medical) society. South African female nurse leaders never openly challenged the political status quo. It is recommended that current South African nursing organisations advocate for gender equality and clarify how they can foster a health-care environment in which gender diversity is the norm.
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