From Strategic Oversight to Frontline Care: Nursing Leadership in Hospital at Home Deployment During Conflict.

During Israel's recent "Lion's Roar" conflict, health care systems faced an urgent mandate to expand surge capacity under extreme volatility. This narrative explores the rapid transition of a Nursing Research and Innovation Director from strategic oversight to frontline clinical care within the Hospital at Home (HaH) framework. A primary element of this transition was the adaptation of clinical methods and resources to align with established, evidence-based safety standards in nontraditional care settings. The experience demonstrates that nursing leadership in conflict zones is most effective when it bridges the gap between high-level innovation and ground-level execution. By emphasizing clinical presence and agile operational management, this model ensures that acute care remains safe, standardized, and patient centered, even under active threat.