How Nursing Has Changed Over Time (2024)

Throughout nursing history, the nursing profession has evolved from familial caregiving to standardized training and beyond. Nurses have had to adapt to advancements in healthcare, new technology, and societal needs. The most recent nursing trends have embraced the need for increasing patient access, integrating new technologies, and shifting toward patient-centered care models. The transformation of the nursing role up to this point has been significant, and it will continue to adapt and innovate as the needs of healthcare change.

A Brief History of Nursing

Nurses have existed since the dawn of ancient civilizations; however, most were family members of the patients. Later in nursing history, churches and nuns implemented formal nurse training when taking over nursing the sick and injured.

Then came Florence Nightingale, the founder of modern nursing and nursing education. Nightingale worked as a nurse during the Crimean War and found the hospital conditions appalling. She and her fellow nurses prioritized hygiene, sanitation, and education to slow the spread of disease.

Within six months of her arrival at the frontlines, Florence and her fellow nurses had reduced the death rate from 40 percent to 2 percent. The processes created by Nightingale would later become the foundation of modern nursing education, which greatly improved healthcare quality. After Florence Nightingale laid the groundwork, standardized nursing schools were established, allowing nurses to receive professional recognition.

The World Wars further revolutionized nursing history by highlighting nurses’ crucial role in caring for wounded soldiers. Before the wars, professionally trained nurses were often used in supervisory roles or private homes, and student nurses were utilized at the bedside. With the increasing demand for bedside nurses during the World Wars, professionally trained nurses were brought to the bedside.

At the end of the 20th century and into the 21st century, nursing roles and healthcare technology continued to evolve, which meant nurse education also had to develop. These needs introduced more specialized and advanced nursing roles, like critical care nurses, nurse anesthetists, and nurse practitioners.

Recent Advances in Nursing

Nursing is constantly changing and developing into a role that meshes well with the current healthcare landscape. Nurses have to adapt to new healthcare technology and the needs of their patients. Some of the most recent nursing advancements include the following:

  1. Telemedicine: Nurses and advanced practice nurses offer more virtual care, whether monitoring chronic illnesses, giving consultations, or providing patient education. This option offers better continuity of care to patients with transportation issues and limited access to healthcare.
  2. Health informatics: Using electronic medical records (EMRs) improves healthcare workflows. EMRs enhance communication with patients, providers, and specialists, allowing healthcare workers to accurately track preventative care measures and chronic illnesses.
  3. Simulation in education: Using simulation and virtual reality in nursing education allows students to become more comfortable with their skills in a realistic yet controlled environment before hitting the clinical floor.
  4. Advanced nursing roles: Nurses now have the option to take on more responsibility by continuing their education into an advanced practice role, such as nurse practitioner, nurse midwife, or nurse anesthetist.

The Impact of the COVID-19 Pandemic

COVID-19 and nursing are terms often paired when discussing the pandemic that reshaped healthcare. The impact felt by the pandemic did not spare anyone in the healthcare field. Still, frontline nurses and healthcare workers had to continuously adapt to the best of their abilities with limited resources, continuous exposure, and ever-changing policies and procedures.

For decades, nurses have battled against increased workloads and higher stress levels, among other challenges. The pandemic indeed exacerbated these struggles and pushed nurses to the edge. Nurses began leaving the bedside at an alarming rate, further increasing the nursing shortage. These dangerous working conditions demand a call to action to improve the healthcare culture.

Upcoming Trends in Nursing

Nursing has transformed tremendously since its inception, and you can expect it to continue to change with future nursing trends. You should expect to see new healthcare technology emerge, specifically with telehealth and EMRs, as they continue improving healthcare delivery.

The use of artificial intelligence (AI) will continue to grow as this technology allows nurses to focus on patient care instead of administrative duties. Additionally, nurses can use AI to interpret data and predict patient outcomes. These new updates require nurses to understand the tools fluently as they incorporate them into their daily workflows.

You should expect a shift in the importance of preventive and holistic healthcare versus tertiary care. Nurses will focus more on wellness, health promotion, injury prevention, and their patients as a whole. This shift aims to get to the root of medical problems, shorten hospital stays, and reduce healthcare costs for patients and insurance companies.

Finally, nursing trends will continue to focus on improving patient access to healthcare and mental healthcare resources. With the evolution of telehealth, patients will have access to care regardless of their geographical location. This increased equity will create many opportunities for patients to seek healthcare they may have avoided previously due to transportation constraints or travel times.

Preparing for the Future

Nurses and nursing students need to be prepared for future changes. Focusing on nurse education is the key to staying ahead of future nursing trends. Using up-to-date educational tools that model the newest healthcare technology will prepare nursing students for their future in the workforce. In addition to understanding treatment for current illnesses, education about wellness, health promotion, and injury prevention can help you transition to a primary and preventative care focus. Current nurses must focus on continuing education to ensure they’re well versed on up-and-coming trends and technology.

As nursing trends embrace technology and address patients holistically, you’ll continue to see the nursing profession evolve. If you want to join this fast-paced and ever-changing career field, Health eCareers is your resource for your next career move!

Author Bio

Andrea Mosher, MS, APRN, CPNP, PMHS, is a suburban emergency room RN turned primary care pediatric NP. With this drastic evolution in practice, there was a steep learning curve. Now, her daily role is based significantly on educating patients and families, so writing freelance health content is the perfect fit to share her knowledge with patients and other healthcare workers.

How Nursing Has Changed Over Time (2024)

FAQs

How has nursing changed over time? ›

As time went on, hospitals grew larger, and education became more comprehensive. Nurses of all races and backgrounds were accepted into programs and became part of the workforce. Technology began to play a larger role in nursing. Advanced patient beds, stethoscopes and blood pressure devices became the norm.

What is the most significant change in the nursing history? ›

One prominent change in the evolution of the nursing profession is formalized education. The first training programs opened at hospitals in the late-19th century. Student nurses received clinical instruction in exchange for providing care to patients.

How do you think nursing education has changed in the past 100 years? ›

Nurses of old received only rudimentary training – much of it learned at home from their mothers. The education nurses receive today is much more formal and comprehensive and, as a result, nurses have become highly respected and specialized members of our healthcare teams.

How does nursing change your life? ›

Making a Difference

By providing compassionate care, offering support, and advocating for patients, nurses have the power to improve the health and well-being of individuals and communities. The rewarding feeling of making a positive impact on someone's life can be truly life-changing.

What is an example of change in nursing practice? ›

Perhaps one of the most notable recent changes in nursing practice since the 1970's is the increase in diversity of ethnicity and gender in the nursing profession, creating an even larger and richer pool of talent and experience.

What is causing nursing to change so quickly? ›

The pandemic further strained the staffing dilemma and increased the demand for healthcare resources. And this shortage isn't likely to stop anytime soon. Since 2020, nurses have been retiring faster than people are entering the field. More than 55% of RNs are over age 50, with many planning to retire before 2030.

What time in history impacted nursing? ›

The Renaissance, known as a period of cultural and artistic development, also brought about some developments in medicine but is sometimes considered the “Dark Age of Nursing.” Provisions to care for the poor were put in place at this time, but oftentimes the individuals seeking care were already well past the point ...

What is the best change theory of nursing? ›

One of the most influential change models in nursing is Lewin's Change Model, developed by Kurt Lewin, a renowned psychologist. This model consists of three key stages: unfreezing, changing, and refreezing. The stages of Lewin's Change Model include: Unfreezing.

What significant change is seen in 21st century nursing? ›

As the generational and technological landscape of the nursing profession continues to change, so too will the profession itself. This means expanded opportunities for nurses to see patients, provide more personalized care, and perform advanced duties based on their specific area of expertise.

How has nursing impacted society? ›

Nurses have delivered a high standard of exceptional care to the public for decades, earning professional respect within the medical community through lobbying, organizing, and advancing the profession academically.

Why is nursing history important? ›

Nursing history provides the knowledge needed to understand nursing profession, learn from its past, and inform patients and others about the significant role it plays in health care. This chapter describes the relevance of nursing history. Nurses have a well-established history that supports professional identity.

What has happened to the nursing profession? ›

'A shortage of bedside nurses'

Nurses have been leaving hospitals, and more are thinking about walking away, at least in part due to the stresses of the pandemic. The number of registered nurses fell by more than 100,000 in 2021, the biggest decline in 40 years, according to an analysis published in Health Affairs.

How did nursing change over time? ›

Nurse responsibilities have expanded over time with the heightened importance of patient safety and advanced-nursing practice, which applies science and technology to improve healthcare delivery. Depending on specialty and type of practice, nurse responsibilities are wide-ranging.

Why is nursing important today? ›

From ensuring the most accurate diagnoses to the ongoing education of the public about critical health issues; nurses are indispensable in safeguarding public health. Nursing can be described as both an art and a science; a heart and a mind.

Why is change hard for nurses? ›

Studies show that; Nurses are inherently resistant to clinical change [1], and there are several reasons for this. RtC in nursing is likely based on fear, uncertainty, doubt, frustration, distrust, confusion, and anger [20].

How did nursing theory evolve? ›

In addition, nursing theory development has been related to borrowed or shared theories from or with other disciplines such as anthropology, education, sociology, and psychology. Concern about the use and development of nursing theory became evident in the early 60's (Newman, 1972; Meleis, 1997).

How was the nursing process developed? ›

In 1958, Ida Jean Orlando started the nursing process that still guides nursing care today. Defined as a systematic approach to care using the fundamental principles of critical thinking, client-centered approaches to treatment, goal-oriented tasks, evidence-based practice (EDP) recommendations, and nursing intuition.

How is the role of nursing in the US changing? ›

Increasingly, nurses are serving as innovators and codesigners of health care in their roles in the public health and health care systems (Jouppila and Tianen, 2020), and by continuing to learn and apply improvement and innovation skills, will be able to help create new care models for the decade ahead.

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