Due Sunday 8/9/20 by 5pm. The field of nursing has changed over time. In a 750‐1,000 word paper, discuss nursing practice today by addressing the following: Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. You are required to submit this assignment to LopesWrite. Refer to the

The Evolution of Nursing Practice: A Transformative Journey


The field of nursing has undergone significant changes over time, reflecting changes in healthcare systems, advancements in technology and medicine, and societal needs. As a profession, nursing practice has evolved from a primarily task-oriented and subordinate role to one that embraces evidence-based practice, advanced education, and leadership. This paper aims to discuss the current state of nursing practice by examining key factors that have contributed to its evolution, the role of nurses in today’s healthcare system, and the challenges and opportunities faced by nurses.

Evolution of Nursing Practice

Historically, nursing practice was influenced by the vision of Florence Nightingale, who emphasized the importance of direct patient care, hygiene, and compassionate nursing. However, with the advent of scientific advancements and the increasing complexity of healthcare, nursing practice started to expand beyond the traditional scope. The introduction of evidence-based practice in the late twentieth century marked a significant shift in nursing practice. Nurses began using research and scientific evidence to support their clinical decision-making process, leading to improved patient outcomes and a more systematic approach to care.

Further evolution in nursing practice can be attributed to the increasing emphasis on advanced education and specialization. Nurses today have a wide range of educational opportunities, including bachelor’s, master’s, and doctoral programs. Advanced education equips nurses with the knowledge and skills necessary to provide complex and specialized care, such as advanced practice nursing roles (e.g., nurse practitioners, clinical nurse specialists) and nurse researchers.

Role of Nurses in Today’s Healthcare System

In the current healthcare system, nurses play diverse roles that extend beyond direct patient care. They are integral members of interdisciplinary healthcare teams, contributing to healthcare planning, decision-making, and policy development. Nurses collaborate with physicians, pharmacists, social workers, and other healthcare professionals to provide holistic and patient-centered care. They serve as advocates for patients, ensuring their safety, needs, and preferences are considered.

Nurses also contribute significantly to the promotion of health and prevention of diseases. They engage in health promotion activities such as patient education, counseling, and community outreach programs. Nurses are at the forefront of disease prevention, conducting screenings, administering vaccinations, and promoting healthy lifestyle choices. They provide continuity of care by coordinating healthcare services and facilitating transitions between healthcare settings, ensuring a seamless patient experience.

Challenges and Opportunities

Despite the progress made in nursing practice, there are challenges that nurses face in today’s healthcare environment. One of the significant challenges is the shortage of nursing professionals, which affects the nurse-to-patient ratio and places a strain on the healthcare system. This shortage is anticipated to worsen due to the aging population, retirement of experienced nurses, and increasing healthcare demands. This shortage highlights the need for strategic planning and efforts to recruit and retain nurses in the profession.

Another challenge in nursing practice is the rapid advancement of technology and its impact on healthcare delivery. Nurses must continually update their skills and knowledge to effectively and safely utilize technology in their practice. Additionally, they must adapt to electronic health record systems, telehealth, and remote monitoring technologies to provide efficient and accessible care.

Despite these challenges, nursing practice also presents numerous opportunities for growth and professional development. Nurses have the opportunity to engage in leadership positions, contribute to healthcare policy development, and drive quality improvement initiatives. They can pursue research and contribute to the advancement of nursing science, translating evidence into practice. The evolving healthcare landscape provides opportunities for nurses to specialize in various areas such as informatics, geriatrics, mental health, and palliative care.


Nursing practice has undergone a transformative journey, adapting to changes in healthcare systems, embracing evidence-based practice, and expanding its roles and responsibilities. Today’s nurses possess advanced education, specialize in various areas, and contribute significantly to patient care, healthcare planning, and policy development. Despite the challenges faced, nursing practice presents opportunities for nurses to grow, lead, and make a positive impact on individuals, communities, and healthcare outcomes. Continued support and investment in nursing education, recruitment, and professional development are paramount to further enhancing nursing practice and improving patient care.