Throughout history, new technologies have always sparked legitimate fears that some jobs will be radically changed or eliminated due to innovation. The telegraph, the telephone, the tractor, the steam engine, the internet, robotics, artificial intelligence — each of these developments has brought some form of change in the job market, the viability of particular professions and skills, and how things get done.
When it comes to nurses and the nursing profession, innovative technologies might give us pause to consider what nurses do, how they perform specific tasks, and if the profession might stand to lose something.
While medication-dispensing robots, telemetry, electronic fetal monitoring, artificial intelligence, and other technological advances have altered our work as nurses, fears that robots will replace us and send nurses into the historical career dustbin are likely unfounded. New opportunities are being created as nurses embrace emerging technologies and become educated and trained in valuable 21st-century skills.
The Human Touch
Nurses are the most trusted profession in the United States because they touch patients literally and figuratively daily. The trust between nurses and their patients is born mainly from the human-to-human interactions that make nursing a compelling combination of an art and a science.
No matter how efficient a robot may be in doling out medications and how powerful artificial intelligence and machine learning may become, the absolute humanity of nursing care would be impossible to replace with a machine entirely.
The physical assessment of a newborn, the expression of empathy, and the practice of hospice nursing are just three areas that come to mind where the human side of nursing care is so utterly crucial. While an immersive virtual or mixed reality application could be utilized to educate a patient about dialysis or provide basic diabetic teaching, no application can take the place of a nurse sitting on the edge of a patient’s bed, holding their hand, and providing emotionally intelligent supportive counseling as the patient mentally prepares for surgery.
The human side of nursing is the art that maintains the sacredness of the nurse-patient bond. Nursing may be partially driven by plans of care developed within the parameters of the nursing process, but where the rubber hits the road is where person-to-person interaction informs the patient experience and the nurse’s calling.
Nursing Embracing Technology
Rather than considering how technological advances might cause nurses to be replaced by machines, the more likely new reality is that of nurses embracing technology in the interest of their careers.
Nursing informatics has opened new career paths for nurses interested in computers, data management, and analytics. Nurses who master their facilities’ electronic medical records can make themselves invaluable as super users capable of training other nurses and staff in using an EMR.
Nurses pursuing master’s and doctoral degrees in informatics can pursue previously closed opportunities, including positions such as Chief Nursing Informatics Officer (CNIO). For nurses who can find such opportunities, companies creating new bedside technologies and digital interfaces will need skilled clinicians who can act as consultants on testing devices and applications that have yet to be ready for prime time.
The Robots Won’t Be Replacing You
Although science fiction could tell an entirely different story, the reality is that we won’t be seeing autonomous robot nurses speeding from room to room, providing hands-on patient care without ever needing a break for dinner or the bathroom, at least not anytime soon.
Rather than considering how the robots may be coming for your nursing job, perhaps it’s best to focus on how you can embrace them and leverage these new developments to the advantage of your nursing career.
Don’t worry — the robots won’t be rolling into town next week to staff the ICU. But if you’re a nurse wondering how the tech revolution could revolutionize your nursing career, there’s much to learn and new opportunities just around the corner.
In the world of nursing, certifications and their corresponding designations carry with them the concepts of excellence, professionalism, and focused dedication to career growth. Not all nurses pursue certification during their years of service in healthcare, but many hear the call and take inspired action to achieve such a goal.
Making an effort to become certified in your nursing specialty is like doubling down on your skills and knowledge. Doing this takes discipline and forward-thinking, demonstrating that you care enough to show the world that nursing excellence and professional mastery matter.
Every year on March 19th, we celebrate National Certified Nurses Day to honor the nurses who take their careers to the next level by becoming certified. This celebration encourages us to take a moment to acknowledge the role that certification plays in strengthening the nursing profession while improving care and patient outcomes. Being certified is meaningful, and we make meaning by pausing for the cause of reflection and recognition of the nurses who choose this path.
Nursing Certification 101
According to the American Association of Critical Care Nurses (AACN), the first nursing certification was issued in 1945 to recognize nurse anesthetists. Certification boards began to be created in the 1960s, and the number of available nursing certifications continues to grow to this day.
Many nurses choose to pursue certification of their own volition, while some employers may encourage or even require nurses in specific specialty areas to become certified. Having your employer pay for and support your certification goals can be a desirable benefit, especially if your certification process has a financial cost you’d rather not bear yourself.
A 2021 Journal of Nursing Administration study states, “Nurse specialty certification is ’a mechanism for validation or formal recognition by documenting individual nurses’ knowledge, skills, and abilities specific to their specialty’. It is a form of individual credentialing above and beyond entry-level education and licensing. By pursuing specialty certification, nurses exhibit a commitment to professional growth and lifelong learning while establishing competency in a specialized area of care such as oncology or medical-surgical nursing. The intended outcome of certification in nursing is to improve safety, quality of care, and health outcomes for those using healthcare services.”
No matter what certification you choose to pursue, rest assured that being certified is something to be proud of and to clearly and proudly document on your resume as a mark of nursing distinction and professional mastery.
Why Should You Consider Becoming a Certified Nurse
As mentioned above, certification is a demonstration of dedication to your area of specialty nursing practice. Being certified can serve many purposes and brings with it a variety of benefits, including:
Marketability: Being certified can make you a stronger candidate in the job market, especially if it sets you apart from non-certified applicants for the same positions.
Career mobility: Some employers may value nursing certifications very highly, with certified nurses more likely to advance on the organization’s clinical ladder or into positions of greater responsibility, including nursing leadership.
Respect and recognition: Certification can elicit in others a sense of respect for and recognition of your professionalism, expert knowledge, and skill.
Personal/professional pride: Certification may elicit pride in your expertise, mastery, and accomplishments as a dedicated nurse.
Certification is a feather in your nurse’s cap. It marks you as a nurse focused on career growth and expert skill and knowledge. By being certified, you benefit not only your career but also inspire others to follow in your footsteps and contribute to the improved quality of patient care, not to mention strengthen your employer’s organizational profile.
Certification Speaks Volumes
Having one or more nursing certifications speaks volumes about your professionalism and desire to develop yourself as a nurse of integrity and mastery. Being certified says a great deal about you, and your certifications can enhance your ability to advance your career in any direction you’d like to go.
Some nurses may sit on their laurels and do the bare minimum, while others may seize the day and take every opportunity to develop themselves professionally. Only you can decide if the path to certification is right for you based on your perception of the benefits of certification and the value of that process to your career.
In recognition of Certified Nurses Day, let’s acknowledge those nurses who’ve stepped up to the plate and taken on certification as a prospect worthy of their attention and hard work. And if you’re already certified, give yourself a pat on the back for going the extra mile and showing the world that you’re a nurse who wants to be the best you can be.
Whether nurses think their job includes data informatics or not, it does in one way or another. For almost any nurse, data is a touch point in their day, whether they work at the bedside, in an independent office, or a boardroom.
“Data is critical,” says Andrew Awoniyi, ND, RN, NI-BC, education director and board member of the American Nursing Informatics Association (ANIA). “It underlies everything we do.” When a fellowship experience revealed the way technology could have a positive and significant impact on healthcare, Awoniyi says he developed a new understanding of how nurses can use it. “It opened my eyes to how you deliver the best healthcare,” he says.
Many nurses hear informatics and think it does not apply to their jobs, but the opposite is true, says Awoniyi. “There’s a school of thought that all nurses are nurse informaticists,” he says. “Everyone is using data whether they fully understand it or not.”
Often, a nurse’s day includes responsibilities unrelated to numbers or patterns in data. Still, those responsibilities and the equipment or directions they rely on are a direct result of information that has been collected and analyzed.
It’s All About Data
“When a new initiative comes out, or there is a new process or new product, that is all because of data,” says Kathleen Ulanday, MBA, MHA, BSN, RN, NI-BC, CPHIMS, and a senior clinical informatics specialist at Texas Children’s Hospital. For example, a new process that aims to solve an identified workflow issue is often found because measurements indicate needed improvement. Once implemented, the new process will be measured as well. All the data produced during those assessments reveals patterns or other information that can influence everything from how nurses dispense medication to shift adjustments.
The most basic nursing process of identifying a problem, assessing what is being done, intervening, and evaluating all relies on some collection of information, Awoniyi says. Assessing a patient uses the data produced through vitals, lab results, and tests, so everyone from a bedside nurse to a chief nursing officer knows how to check those results to help direct patient needs. “Nursing is holistic, and everything we do around that involves data,” he says. “It is not foreign to us.”
Ideally, nurses work more efficiently when any change is implemented to improve an outcome because they gain fact-based information that can be applied broadly, says Ulanday. If a new process has a more significant positive impact on a cardiovascular patient population than a gastro one, there’s an opportunity to learn why. “Nurses might notice those patients go home quicker and ask why is that,” she says. That discrepancy can trigger a deeper investigation into new areas needing attention.
Informatics Isn’t Just Computers
Nurses who are especially drawn to the idea of working as a nurse informaticist might be happy to know that gathering data doesn’t mean sitting in front of a computer all day. Data, Awoniyi says, has a way of helping nurses when the results are interpreted and applied. And with artificial intelligence leading to advances in medical robotics and more targeted applications, nursing informatics is advancing rapidly. It can be a significant factor in closing gaps in healthcare access. The recent expansion of telehealth shows how technology expands potential. As the population shifts and more people are living longer and with more complex conditions, data, says Awoniyi, can help close the gap in healthcare because it can offer healthcare in settings that are located far from high-tech hospitals.
While data is something that nurses can point to as proof of something working (or not), there’s another unexpected benefit to using data to help guide how nurses perform their jobs and care for patients in any setting. Compliance with a new process can improve a workflow, says Ulanday. When nurses see that improvement, their motivation and morale increase.
An In-demand Career Path
As data output grows, the industry needs nurses who use data efficiently and know how to interpret and apply the data to different nursing scenarios. “There’s a lot of data that is generated,” Awoniyi says, “and we must understand that.”
Whether they want to switch careers or not, Awoniyi recommends that nurses understand how and why technology is incorporated into healthcare processes and settings. “Be willing to contribute,” he says. Partner with other nurses, look at how new systems impact nursing workflows and offer feedback on what might improve the process or quality.
Informatics opens up nursing jobs for everything from a nursing informatics specialist or clinical informatics specialist to that of a professor or educator. According to the Healthcare Information and Management Systems Society (HIMSS) 2022 Nursing Informatics Workforce Survey, 60 percent of the 1,118 respondents reported annual salaries of at least $100,000. The survey also showed how nursing informatics roles are positioned in organizations, with 34% of respondents reporting to information systems/technology, 33% to informatics, and 30% to nursing. Reflecting on this kind of role’s medical and technical aspects, most respondents said they report to two departments more often than just one.
How Data and Healthcare Work Together
Even as informatics helps nurses and patients, it does require time and investment, so backing from leadership is critical, say Awoniyi and Ulanday. At Texas Children’s Hospital, Ulanday says the Magnet® status of the hospital requires that the perspective and experiences of bedside nurses, who give hands-on patient care and know how a workflow is helping or not, are included in leadership’s decision-making.
Nurses who are interested in learning more can start by reaching out to their organization’s technical team to ask questions and gain insight into how technology impacts healthcare, says Ulanday. She says to join a professional organization like ANIA to hear about the latest developments and bring those back to leadership.
Ulanday says nurses know it takes time to learn and adapt to new technology, but they also find it will save them time in the long run. It also has a significant safety impact, as data can improve how something is done. Implementing a new workflow based on those findings can eliminate outdated processes and improve patient safety and outcomes.
“As we look to the future, data needs to be a critical part of that,” says Awoniyi. “Understand how data is collected, analyzed, and interpreted. It’s then about how to leverage that data to bring about change.”
Meet Kimberly Williams, DNP, MSN, RN, NE-BC, Director of Nursing Operations at The Bass Center for Childhood Cancer and Diseases at Stanford Medicine Children’s Health.
Talk about your role in nursing.
I am the director of nursing operations at The Bass Center for Childhood Cancer and Diseases at Stanford Medicine Children’s Health. As the director of nursing operations at a world-class pediatric hospital, I hold a multifaceted role encompassing numerous responsibilities. My role extends beyond the provision of patient care and involves strategic decision-making and ensuring the overall efficiency and effectiveness of the Center’s nursing operations. To do so effectively, I partner with over 180 nurses throughout the Bass Childhood Cancer Center’s various departments, including hematology, oncology, stem cell transplant, and the Center for Definitive and Curative Medicine. We deliver compassionate, high-quality care to our young patients and their families.
As the chair of the Patients and Families Committee on the house-wide Diversity, Equity, and Inclusion Council, I actively address health disparities, advocate for culturally sensitive care, and promote diversity, equity, and inclusivity within the healthcare system. I also mentor aspiring nurses, guiding and empowering them to pursue their dreams and overcome obstacles.
Tell us about your career path and how you ascended to this role.
My path progressed with a series of fits and starts. As a parent, I had to juggle motherhood, a full-time job, and my academics, so it took me roughly six years to obtain my BSN. Upon graduating from Texas Christian University in 2001, I settled into my first nursing role at Cook Children’s Healthcare System on the medical/surgical floor. Still, I always had my eyes on becoming a PICU nurse. After a year there, I transferred to the PACU to get some experience in intubation and sedation. I then transferred to the PICU, where I worked as a nurse and a charge nurse. There, I got the desire to return to school and obtain my master’s. I completed my MSN in 2010 from the University of Phoenix. Afterward, I accepted a job as a nurse manager, where I spent eight years before taking a leap of faith and accepting a position at Stanford Medicine Children’s Health as a patient care manager for The Bass Center for Childhood Cancer and Diseases. I worked in that role for about two years before taking the interim role of director of nursing operations. I have now been in that role for a little over three years.
It’s been a long journey, beginning as a Black, economically disadvantaged girl from a small town outside Pittsburgh, Pennsylvania. Growing up, I faced numerous challenges that could have hindered my progress. However, I was fueled by a burning desire to make a difference, overcome limitations, and pursue my dream of becoming a nurse. I rose above my circumstances to succeed in nursing, and my experience culminated in a leadership position at Stanford Medicine Children’s Health, serving as a testament to determination, resilience, and the power of education.
How long have you worked in the nursing field? Why did you become a nurse?
Sometimes, others can see something within us that we may not recognize.
I have been in nursing for almost 25 years and came into this field by happenstance. I was a single mother of three rambunctious boys at the time, working as a clerk in a children’s hospital. One of the physicians I worked with recognized that I had the qualities and potential to excel as a nurse. She would often tell me I should consider going to nursing school. For over a year, she kept encouraging me and was determined to get me to take one class. I finally agreed. I will never forget the first class I took, Psychology 101. I received an ‘A’ in that course. All I needed to confirm that I could do anything I put my mind to. I owe a lot of gratitude to that doctor. Her encouragement motivated me to pursue a new path and passion, creating a better future for myself and my family. Looking back, I feel that my journey is a true testament to the transformative power of mentorship.
What are the most important attributes of today’s nursing leaders?
I want to be intentional in answering this question from the lens of a Black nurse and DE&I advocate. I feel the most essential attributes of today’s nursing leaders include cultural competency, advocacy, mentorship, and community engagement.
To truly provide equitable, compassionate care, we must recognize and respect the unique cultural dynamics and challenges faced by the diverse communities we serve. As leaders, we must be attuned to these nuances through cultural learning, which equips us to deliver holistic care, meeting each patient’s and their family’s psychological, emotional, spiritual, cultural, and individual needs.
Advocacy is a crucial attribute for leaders in the nursing profession today. We can promote patient rights, ensure patient safety, empower patients with the needed information to make informed decisions, and more through advocacy.
As I mentioned before, mentorship has the power to change lives. When I came into the field, few Black nurses were in any leadership roles. I was often the only Black leader in more rooms than I’d like to remember. And this was the catalyst for my commitment to promoting and supporting up-and-coming nurses and diversity within the profession.
The last attribute I’d like to touch on is the importance of community engagement. People don’t know what they don’t know. As the eyes and ears of some of our most vulnerable populations, we must embed ourselves within our communities to promote community health initiatives, provide educational resources, and collaborate with community leaders to address health disparities and promote health equity.
What is the most significant challenge facing nursing today?
One of the most significant challenges facing nurses today is the persistent disparities and inequities in healthcare access and outcomes among marginalized populations. One key challenge is the need for more diversity within the nursing profession. While progress has been made, nursing continues to struggle with achieving a workforce that reflects the racial, ethnic, and cultural diversity of our communities. A homogenous nursing workforce can limit patients’ ability to connect with and receive culturally sensitive care from healthcare providers who understand their unique needs and backgrounds.
Additionally, biases and discrimination persist within the healthcare system, impeding equitable care delivery. Implicit biases can influence decision-making, communication, and patient interaction, leading to disparities in treatment and outcomes. Moreover, the challenge of healthcare access persists for marginalized populations, including racial and ethnic minority groups, low-income individuals, LGBTQ+ communities, and those with limited English proficiency. These populations face significant barriers, including lack of health insurance, geographic disparities, and social determinants of health, contributing to healthcare inequity.
As a nurse leader, how are you working to overcome this challenge?
As a Black nurse leader, I strive to create inclusive and welcoming healthcare environments.
While often difficult to navigate, we can overcome many challenges by advocating for policies and practices that address these systematic barriers.
Nurses can foster culturally sensitive, competent care by actively listening to patients’ concerns, promoting patient autonomy, and respecting patients’ values and beliefs. As mentioned earlier, I am chair of the Patients and Families Committee on the house-wide Diversity, Equity, and Inclusion Council at Stanford Medicine Children’s Health. In this role, I advocate for inclusive policies and practices that value and support diversity, prevent discrimination, and cultivate an inclusive workplace that celebrates different perspectives and ensures equitable opportunities for professional growth. Through organizational partnerships, Stanford Children’s is addressing some of these challenges by developing nursing-focused education programs that emphasize DE&I as fundamental components of the curriculum. This ensures that our workforce, especially nurses, are clinically skilled and culturally educated. Ongoing diversity training, mentorships, and continued education opportunities can promote nurses’ understanding of diverse patient populations and foster inclusive practices.
Despite the numerous obstacles within our profession, I am confident that with continued education and systemic support, nurses can play a vital role in advancing health equity and reducing disparities in healthcare.
What nursing leader inspires you the most and why?
There are so many who inspire me. When I look at the history of Black nurse leaders, the first person that comes to mind is the remarkable contributions of Mary Eliza Mahoney. Mary Eliza Mahoney (1845-1926) was the first African American registered nurse in the United States. Mahoney’s resilience and dedication to overcoming significant adversity in pursuit of her nursing career during a time of racial discrimination and inequality had a lasting impact on nursing and continue to inspire nurses of all backgrounds to this day.
However, the nurse leader who inspires me the most is my sister-in-law, Dr. Shakyryn Napier, DHS, RN, CPN, NEA-BC, LSSYB, and the Director of the Heart Center at Cook Children’s Healthcare System. Dr. Napier is one of the few Black nurse leaders I’ve enjoyed working alongside for most of my career. She possesses exceptional humility, demonstrating intense sincerity in her interactions with others. What sets her apart is her unwavering commitment to professional and personal mentorship. She invested her time and energy into me and was one of a few Black nurse leaders who recognized my potential, even when I doubted it myself. She believed in me and played an integral role in my leadership development.
Is there anything else you would like to share with our readers?
I want to share a personal experience reaffirming that I am truly walking in my purpose.
Four months ago, my father was diagnosed with stage IV lung cancer that metastasized to his bones and spine. About a month after his diagnosis, my 35-year-old son underwent an above-the-knee leg amputation. The experience of sitting on the other side of healthcare as a daughter and a mother has profoundly touched me and deepened my understanding of humility, compassion, mercy, and grace. As I provide support to my father and son during these difficult times, I am witnessing firsthand the physical, emotional, and psychological toll that illness and disability can have on families. This experience has enabled me to approach my role as a nurse leader with an even greater depth of compassion and understanding. Humility is a crucial quality in healthcare, as it allows us to recognize our limitations and biases while respecting the diverse perspectives and needs of those we care for. My experience has humbled me, reminding me of life’s vulnerability and fragility. Through my experience, I hope to provide a comforting presence, lend support, and cultivate stronger connections with patients and families navigating their difficult journeys.
Lastly, I’d like to emphasize the importance of self-care. Please seek support when needed, as our careers and personal lives can also affect our well-being. When prioritizing well-being, we can provide better compassionate care and leadership to those who need it.
Kimberly Cook, RN, BSN, is a highly accomplished nurse leader with a 30-year career in the healthcare industry. She graduated from the University of Virginia with a nursing degree and became a nurse in the Army early in her career. During wartime, Cook showed her dedication and commitment to patient care, which instilled in her a profound sense of duty, resilience, and an unwavering ability to thrive under pressure.
Throughout her career, Cook has held various management positions where she consistently demonstrated exceptional leadership qualities. She rose through the ranks quickly, earning the respect and admiration of her colleagues, staff, and executive team. Her visionary mindset has enabled her to drive positive change and implement innovative strategies within healthcare.
Cook holds the Director of Nursing Administration Staffing position at the University of Maryland Capital Region Health, a member organization of the University of Maryland Medical System. In this role, Cook leads a team of dedicated professionals, tirelessly ensuring that the right resources and personnel are available to deliver quality patient care.
Meet Kimberly Cook, RN, BSN, Nurse Director, Nursing Admin/Staffing at the University of Maryland Capital Region Health.
Talk about your role in nursing.
As the Director of Nursing Administration/Staffing, I hold a key leadership position responsible for overseeing the nursing administration and staffing functions within UM Capital Region Health. My key responsibilities include the following:
Provide strong leadership and guidance to the nursing administration and staffing team.
Develop and implement strategic goals, objectives, and policies related to nursing administration and staffing.
Foster a positive and collaborative work environment that promotes teamwork, respect, and professional development.
Develop and execute staffing plans to ensure optimal allocation of nursing staff across all departments and shifts.
Collaborate with unit managers to monitor and maintain appropriate staffing levels based on acuity and workload demands.
Implement effective scheduling practices to ensure adequate coverage and adherence to the Collective Bargaining Agreement and budgeted financial targets.
Prepare and manage the nursing administration and staffing budget, ensuring efficient resource allocation.
Manage and assess daily productivity and labor management.
Monitor and control staffing-related expenditures, identifying cost savings without compromising patient care.
Monitor and evaluate staff performance, providing regular feedback, coaching, and recognition.
Collaborate with quality management teams to identify improvement areas and implement initiatives to enhance patient outcomes.
Oversee the recruitment and selection process for staff and agency staff.
Onboard new staff and agency staff.
Manage all agency staff recruitment, onboarding, and billing.
How long have you worked in the nursing field?
> 32 years
Why did you become a nurse?
I attended a Catholic high school where volunteering was a requirement to graduate. I volunteered at a local hospital because it was close to my school. Prior to volunteering, the field of nursing had not crossed my mind. However, observing the fantastic work of nurses during my volunteer service triggered that “ah ha” moment, where I realized that Nursing was the profession I wanted to pursue.
What are the most important attributes of today’s nursing leaders?
There are several important attributes of today’s nursing leaders. The one that is most important for me is adaptability and resilience. The healthcare industry is continuously evolving, and nursing leaders must be adaptable to embrace change and lead their teams through transitions. They should be resilient in the face of challenges, remaining calm and composed while leading others.
What does being a nursing leader mean to you, and what are you most proud of?
Being a nurse leader involves inspiring and influencing others towards a common goal. I am most proud when I can create and sustain effective teams while fostering a positive work environment where staff feel supported and valued.
Tell us about your career path and how you ascended to that role.
My Career began as an Army nurse. After leaving active duty, I remained a federal employee working in a military hospital. My first job was as a manager of two 40-bed Med Surg Units. After several years in a managerial role, I transitioned to nursing supervisor. As a Nursing Supervisor, I had a keen sense of staffing and how it applied to budgeting and productivity. The role of the Director opened, and I was asked to step into the role based on my previous work and reputation.
What is the most significant challenge facing nursing today?
The biggest challenge in nursing today is our ability to change and adapt as healthcare changes. Since Covid, we have had to be creative with staffing to care for our patients. However, we must remember to care for our staff in the same frame.
As a nursing leader, how are you working to overcome this challenge?
By keeping the organization’s goals in sight, but always remaining humble and empathetic.
What nursing leader inspires you the most and why?
General Hazel Johnson-Brown was the first African-American woman to become a General in the United States Army and the first African-American Chief of the Army Nurse Corps. Her accomplishments and impact have had a profound effect. Her success demonstrated that black women could achieve the highest leadership positions with determination, perseverance, and skill.
What inspirational message would you like to share with the next generation of nurses?
Nursing can be challenging at times, and there may be moments when you feel discouraged. However, it’s essential to recognize that even the most challenging days present valuable personal and professional growth opportunities. Keep moving forward confidently, knowing that tomorrow will bring a fresh start.
