This study aims to perform a critical-reflective analysis of leadership in nursing and health in the light of complexity thinking. This is a theoretical-reflexive essay based on the framework of complexity thinking. A parallel is conceived between traditional Cartesian leadership, outlined from a defined linear hierarchical structure, and leadership from a systemic-complex perspective. A schematic structure is demonstrated between the pyramidal conception and systemic-complex leadership, leading to circularity, complementarity, interdependence, and interactivity. Leadership’s central role in nursing and health care is reaffirmed based on interactive, dialogic, and interdependent movements. The theoretical reflection calls for evolutionary and shared leadership in nursing and health, determined by the quality of interactions between members and different systems, in order to respond to the complexity of health phenomena quickly, effectively, and sustainably.
RESUMO Objetiva-se realizar análise crítico-reflexiva sobre a liderança em enfermagem e saúde, à luz do pensamento da complexidade. Ensaio teórico-reflexivo alicerçado no referencial do pensamento da complexidade. Concebe-se um paralelo entre a liderança tradicional cartesiana, esboçada a partir de uma estrutura hierárquica linear definida e a liderança na perspectiva sistêmico-complexa. Demonstra-se uma estrutura esquemática entre a concepção piramidal e a liderança sistêmico-complexa que conduz à circularidade, complementaridade, interdependência e interatividade. Reafirma-se o papel central da liderança em enfermagem e saúde, a partir de movimentos interativos, dialógicos e interdependentes. A reflexão teórica convoca à liderança evolutiva e compartilhada em enfermagem e saúde, determinada pela qualidade das interações entre os membros e os diferentes sistemas, no sentido de responder à complexidade dos fenômenos de saúde de forma rápida, eficaz e sustentável.
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