Sample Nursing Essays on Nursing Evolution


The nursing profession has evolved drastically. Previously, focus was on provision of medical care without considering the cultural backgrounds of the patients. However, the focus has changed, and nurses are expected to develop cultural competencies necessary to provide comprehensive care to minority communities and special groups. In addition, the increasing demands to make decisions concerning care and prescription based on accurate data have challenged professionals to acquire nursing informatics knowledge.


Nursing Evolution

Nursing was originally about providing care to patients. However, the nursing career continues evolving requiring nurses to upgrade their skills and competencies to address the changing nature of the health care sector. In addition, the ever-increasing community problems demand the attention of qualified nurses. There is more considerable emphasis on nursing informatics in which technology is utilized to make decisions and improve quality of care offered to patients.

Since I graduated with ASN degree the nursing profession and industry has drastically changed. The technology has shifted, the needs of the elderly has also increased forcing professionals to gain more knowledge to provide excellent care as much as possible. I have established that the nursing profession requires that we keep up with the changes in the medical sector. Today, nurses focus on evidence-based practice to improve the quality of care offered to patients (Williams & Howard, 2017). In essence, nursing professionals attempt to use new treatment guidelines and implement care intervention supported by evidence resulting from nursing research. In addition, nurses rely on core competencies and skills to addressing the diverse needs of the growing American population.

Nursing informatics is conceivably an area that has drastically changed since my graduation. I have witnessed how nurses utilize technology to manage patient records, support patients through electronic portals, and use portable devices to enhance service delivery. Furthermore, the patients have incorporated the use of technology to look for clarification and support from nurses and physicians at the comfort of their houses or offices. The nursing practice today leverages on technology to make appropriate changes to clinical procedures. In my view, the trend of electronic records management is having profound impacts on the nursing practice in myriad healthcare settings. The evolution of nursing practice anchored on technology is the core reason I transitioned from Associate of Science Degree in Nursing (ASN) to Registered Nurse Bachelor of Science in Nursing (RN-BSN) in 2017. I believe that nursing informatics is presenting new opportunities for nursing professional to focus entirely on the intersection of nursing practice and data. Management and use of data is poised to be significant in future nursing practice. The transition to RN-BSN is critical in bridging my knowledge, competencies and data skills useful in providing comprehensive care supported by accurate patient information.

The nursing practice today is not the same as it was when I entered the profession. Previously, nursing focused on provision of care to people without integrating aspect of cultural competency.  Today, however, there is increased emphasis on provision population health affixed on cultural competency. In this domain, nurses are required consider unique values, behaviors, and beliefs of patients when providing care.  Buerhaus et al. (2017) put forward that nurses are expected to focus on the health outcomes of specific cultural groups that are less privileged and underserved. Currently, the primary focus of nursing is to eliminate health inequalities by addressing broad arrays of health determinants like ethnicity, gender, income, and unemployment. Most of these issues can be addressed through policies after analyzing accurate data about patients and needs. Hence, I believe that nurses should be involved in policy making discussions at the senior level of management to make major health impacts to the people.

Indeed, nurses remain the core component of healthcare system because they interact directly with the patients. To accurately dissect and understand patient needs, nurses need to gain more knowledge to empower and help them deal with complex health issues in communities. My decision to transition from ASN to RN-BSN was to acquire nursing informatics knowledge to offer emergency care, conduct patient assessment, and address community health problems. These are core competencies essential in future nursing practice.



Buerhaus, P., Skinner, L., Auerbach, D. & Staiger, D. (2017). State of the registered nurse workforce as a new era of health reform emerges. Nursing Economics, 35, 229–237.

Williams, T. & Howard, P. (2017). An academic-practice partnership model to grow and sustain advanced practice nursing. Journal of Nursing Administration, 47, 629–635.