What Is Nursing?
Nursing is a science and an art that focuses on promoting health, preventing illness, alleviating suffering, and advocating for individuals, families, communities, and populations. Nurses deliver holistic, person-centered care by integrating clinical knowledge, therapeutic communication, cultural responsiveness, and ethical decision-making.
Roles and Care Settings
Nurses practice in many roles and environments, collaborating across the healthcare team:
- Roles: Licensed Practical/Vocational Nurse (LPN/LVN), Registered Nurse (RN), Advanced Practice Registered Nurse (APRN: NP, CNS, CRNA, CNM), nurse educator, nurse leader/manager, public health nurse, informatics nurse.
- Settings: Hospitals, clinics, long-term care, home health, hospice, schools, public health, occupational health, mental health, rehabilitation, community organizations, and telehealth.
Core Competencies
- Clinical judgment and critical thinking: Interpreting data and making sound, timely decisions.
- Therapeutic communication: Building trust, using active listening, and providing clear, compassionate information.
- Culturally responsive care: Respecting beliefs, values, and health practices; addressing social determinants of health.
- Patient safety: Preventing harm through risk recognition, standard precautions, and safe systems.
- Teamwork and collaboration: Coordinating care with interprofessional teams.
- Informatics and technology: Using electronic health records, decision support, and telehealth effectively and securely.
- Evidence-based practice: Integrating best evidence, clinical expertise, and patient preferences.
- Teaching and health promotion: Educating patients and communities to support self-management and wellness.
- Quality improvement: Using data to improve processes and outcomes.
- Professionalism and ethics: Upholding standards, accountability, and advocacy.
The Nursing Process
The nursing process provides a systematic, patient-centered framework for care:
- Assessment: Collect comprehensive data (history, physical exam, diagnostics, psychosocial and cultural factors).
- Diagnosis/Analysis: Interpret data to identify actual or potential health problems and responses.
- Planning: Set measurable goals/outcomes and select evidence-based interventions in partnership with the patient.
- Implementation: Deliver interventions safely and efficiently; coordinate care and provide education.
- Evaluation: Assess outcomes, modify the plan as needed, and document results.
Patient-Centered and Culturally Responsive Care
Care is guided by what matters to the patient. Nurses support shared decision-making, respect cultural beliefs and language needs, use teach-back to confirm understanding, and tailor interventions to literacy levels, preferences, and social context.
Safety and Quality
- Apply standard and transmission-based precautions; practice hand hygiene consistently.
- Use medication safety strategies (e.g., two identifiers, rights of medication administration, high-alert safeguards).
- Prevent falls, pressure injuries, and catheter-associated infections through risk assessment and bundles.
- Report and learn from errors and near-misses within a Just Culture; use checklists and protocols to reduce variability.
Interprofessional Collaboration and Delegation
Effective teams use clear communication (e.g., SBAR), mutual respect, and role clarity. Delegation requires matching tasks to the right person and situation while maintaining accountability.
- Five rights of delegation: right task, right circumstance, right person, right direction/communication, right supervision/evaluation.
Evidence-Based Practice and Informatics
- Formulate answerable clinical questions (e.g., PICO), appraise evidence, and integrate with expertise and patient values.
- Document promptly, accurately, objectively, and securely; protect confidentiality and follow regulations.
- Leverage EHRs, clinical decision support, and telehealth to enhance coordination, safety, and access.
Legal, Ethical, and Professional Standards
- Ethical principles: autonomy, beneficence, nonmaleficence, justice, fidelity, veracity.
- Obtain informed consent, honor advance directives, and practice within scope and standards.
- Maintain licensure, competency, and accountability; follow policies and laws, including mandatory reporting requirements.
Lifelong Learning and Well-Being
Nursing requires continual growth through education, certification, reflection, and feedback. Personal well-being—sleep, nutrition, stress management, and resilience—supports safe, compassionate practice and helps prevent burnout.
Career Pathways
Nurses can specialize (e.g., medical-surgical, critical care, pediatrics, maternal-newborn, mental health, community health, oncology, perioperative), advance into leadership, education, or advanced practice, and contribute to research and policy to improve health outcomes.