The essential role of professional nurses in the U.S. healthcare workforce: Challenges, innovation, and opportunities
K. David Bailey , Samantha S. Bastow , Kalvin C. Yu , Eileen Sullivan-Marx
Journal of Hospital Administration ›› 2026, Vol. 15 ›› Issue (1) : 12 -22.
The essential role of professional nurses in the U.S. healthcare workforce: Challenges, innovation, and opportunities
Professional nurses, defined in this paper as licensed registered nurses, are a cornerstone of the U.S. healthcare workforce, serving as frontline caregivers and advocates across diverse settings. This is a narrative synthesis which examines the multifaceted challenges currently facing the nursing profession, including workforce shortages, burnout, and inflexibility in skill distribution, which are issues magnified by the COVID-19 pandemic and other public health crises. We examine how demographic shifts, such as an aging population and retiring nurses, along with rapid technological advancements, particularly in digital health and artificial intelligence, are reshaping nursing roles and responsibilities. The evidence presented highlights the critical importance of industry partnerships in addressing these challenges, emphasizing collaboration between nurses and stakeholders in healthcare technology, pharmaceuticals, and medical device manufacturing to develop tools and resources that align with evolving care needs. Additionally, we discuss opportunities for innovation in nursing education, workforce development, and entrepreneurial endeavors aimed at improving workplace conditions and patient outcomes. By analyzing current workforce composition, educational trends, and pathways for strengthening professional practice, the authors aim to inform policy makers, healthcare leaders, and educators about strategies to enhance the future of nursing and ensure the resilience of the broader healthcare system.
Healthcare innovation / Industry partnerships / Nursing education / Nursing practice / Nurse workforce / Workforce shortages
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