The Evolving Role of Nursing in Modern Healthcare: A Comprehensive Review of Practices, Challenges, Innovations, and Impacts on Patient Outcomes Across Diverse Clinical Settings
Abstract
Nursing has long been recognized as the backbone of healthcare systems worldwide, with its roles expanding significantly in recent decades. This review explores the evolving role of nursing in modern healthcare by examining current practices, key challenges, innovations, and their impacts on patient outcomes across diverse clinical settings. The analysis draws upon literature published from 2015 onwards, focusing on nursing practices in acute, chronic, community, and specialized care environments. Findings reveal that nurses today are not only caregivers but also leaders, educators, researchers, and advocates for patient safety and quality improvement. Despite these advancements, challenges such as workforce shortages, burnout, emotional stress, and limited opportunities for continuing education persist, threatening the sustainability of high-quality nursing care. Innovations including advanced practice nursing, telehealth, integration of artificial intelligence, and evidence-based practice initiatives are reshaping the profession, enabling nurses to provide more efficient and effective care. The review highlights that nursing interventions have a measurable positive impact on patient outcomes, including reduced mortality rates, enhanced patient satisfaction, and improved safety indicators. It concludes that supporting nurses through policy development, educational reforms, leadership programs, and interprofessional collaboration is essential to strengthen healthcare delivery and achieve optimal patient outcomes in the face of ongoing global health challenges.
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