Carrying the torch of Nightingale’s legacy into health reform: A nursing perspective

Abstract

Florence Nightingale transformed nursing by combining empirical observation with deep compassion that laying the groundwork for what is now recognized as evidence-based practice (EBP). Transcending the duties as a caregiver, Florence was a pioneer of health system reform that using data to challenge inequities and influence policy. This article revisits Florence’s enduring legacy and examines how it continues to shape the evolving role of nurses as both clinicians and change agents. From a nursing perspective, the article explores how EBP has become a cornerstone of modern clinical decision-making and health advocacy. It traces the historical development of EBP in nursing, its influence on patient care, safety, and system-level transformation. The article illustrates how nurses in diverse settings have successfully applied research evidence to drive meaningful reforms, improve outcomes, and advocate for human being populations. However, the integration of EBP into everyday practice is not without challenges. Barriers such as limited access to research, insufficient training, and organizational resistance remain significant. To address these issues, the article proposes strategic solutions—ranging from enhanced education and leadership development to stronger interdisciplinary collaboration. In reflecting on Nightingale’s visionary leadership, nursing practice now encompasses more than just bedside care. Nurses are uniquely positioned to use evidence in guiding interventions, influence policy and advance health equity through systemic change. In doing so, nurses continue to carry forward Nightingale’s mission by transforming healthcare through knowledge, compassion, and courage.

Keywords: Advocacy in nursing, Evidence-Based Practice, Florence Nightingale, health reform, nursing care